Bill Text: NY S02518 | 2025-2026 | General Assembly | Introduced


Bill Title: Directs the commissioner of health to conduct an investigation of the department's performance, compliance and enforcement of applicable state laws, rules, regulations, and directives or executive orders, with respect to mitigating the impact of COVID-19 in nursing homes, adult care facilities, and assisted living residences, and to propose a pandemic response plan for future disease outbreaks.

Spectrum: Partisan Bill (Republican 11-0)

Status: (Introduced) 2025-01-21 - REFERRED TO HEALTH [S02518 Detail]

Download: New_York-2025-S02518-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          2518

                               2025-2026 Regular Sessions

                    IN SENATE

                                    January 21, 2025
                                       ___________

        Introduced by Sens. TEDISCO, BORRELLO, GALLIVAN, HELMING, MATTERA, OBER-
          ACKER,  O'MARA,  ORTT,  PALUMBO,  STEC, WEIK -- read twice and ordered
          printed, and when printed to be committed to the Committee on Health

        AN ACT directing the commissioner of health to conduct an  investigation
          of  the department's performance, compliance and enforcement of appli-
          cable state laws, rules,  regulations,  and  directives  or  executive
          orders,  with  respect to mitigating the impact of COVID-19 in nursing
          homes, adult care facilities,  and  assisted  living  residences;  and
          providing for the repeal of such provisions upon the expiration there-
          of

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. 1. As used in  this  act,  the  following  terms  shall  be
     2  defined as follows:
     3    a.  "Department"  shall  mean the department of health of the state of
     4  New York;
     5    b. "Commissioner" shall mean the commissioner of health of  the  state
     6  of New York;
     7    c.  "Nursing home" shall have the same meaning as such term is defined
     8  in subdivision 2 of section 2801 of the public health law;
     9    d. "Adult care facility" shall have the same  meaning  as  defined  in
    10  subdivision 21 of section 2 of the social services law;
    11    e.  "Assisted living residence" shall have the same meaning as defined
    12  in subdivision 1 of section 4651 of the public health law, as  added  by
    13  chapter 2 of the laws of 2004;
    14    f.  "Step-down  facility" shall refer to a COVID-19 only nursing home,
    15  adult care facility, or assisted living  residence  established  by  the
    16  department  of health, consistent with executive order 202.81 of 2020 to
    17  receive medically stable, but  persistently  positive  COVID-19  nursing
    18  home,  adult  care  facility,  or  assisted  living  residence  eligible
    19  patients transferred from an article 28  licensed  facility  until  such

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD04337-01-5

        S. 2518                             2

     1  time  the  patient  tests  negative for COVID-19, or is deemed medically
     2  safe for discharge by a  qualified  licensed  health  care  professional
     3  under the education law;
     4    g.  "Direct  care  worker"  shall mean any employee of a nursing home,
     5  adult care facility, or assisted living residence who is responsible for
     6  patient handling or patient assessment as a regular or  incidental  part
     7  of such worker's employment, including any licensed or unlicensed health
     8  care worker; and
     9    h.  "Hospital"  shall have the same meaning as defined by section 2801
    10  of the public health law, and shall include any  temporary  health  care
    11  facility  in  New York state established by the state or federal govern-
    12  ment in response to the COVID-19 pandemic or any other  pandemic-related
    13  response.
    14    2.  The  commissioner shall conduct an investigation of the department
    15  with respect to such agency's performance, as  well  as  compliance  and
    16  enforcement of applicable state laws, rules, regulations, and directives
    17  or  executive  orders issued by the governor pursuant to section 29-a of
    18  the executive law, including any guidance  or  advisory  issued  by  the
    19  department with respect to its compliance with United States centers for
    20  Medicaid  and  Medicare  services  and  centers  for disease control and
    21  prevention guidance and recommendations, with respect to mitigating  the
    22  impact of COVID-19 in nursing homes, adult care facilities, and assisted
    23  living  residences  during  the time period beginning March 1, 2020, and
    24  ending August 24, 2021. Such investigation shall  include,  but  not  be
    25  limited to, a review of:
    26    a.  state  funding  for  nursing  homes,  adult  care  facilities, and
    27  assisted living residences including, but not limited to,  the  adequacy
    28  of  state  Medicaid rates and additional state payments for supplemental
    29  security income benefits, as well as a regional analysis of its distrib-
    30  ution;
    31    b. requirements and enforcement of infection  prevention  and  control
    32  policies,  including those implemented in response to the COVID-19 state
    33  disaster emergency;
    34    c. a regional analysis of the availability of qualified staff, with  a
    35  focus on identifying geographical areas with shortages and how the state
    36  can increase the number of qualified direct care workers;
    37    d.  patient care and health outcomes in state run nursing homes, adult
    38  care facilities, and assisted living residences;
    39    e. an accounting of resources  following  the  outbreak  of  COVID-19,
    40  including,  but  not  limited  to, staff, personal protective equipment,
    41  testing capabilities and COVID-19 vaccines, as well as a regional analy-
    42  sis of their distribution;
    43    f. the efficacy of step-down facilities, including the number of resi-
    44  dents treated at such facilities,  the  locations  of  such  facilities,
    45  where  residents  were  transferred from prior to entering such facility
    46  and discharged to upon leaving such  facility,  and  the  potential  for
    47  growth;
    48    g.  the  physical  and  mental  health  impact on residents of nursing
    49  homes, adult care facilities, and  assisted  living  residences  due  to
    50  isolation and lack of visitation;
    51    h.  the  impact  the Advisory on Hospital Discharges and Admissions to
    52  Nursing Homes issued by the New York state Department of Health on March
    53  25, 2020 had on residents of nursing homes, adult care  facilities,  and
    54  assisted living residences;
    55    i.  compliance with the provisions of article 6 of the public officers
    56  law;

        S. 2518                             3

     1    j. a new audit of COVID-19 cases in nursing homes, adult care  facili-
     2  ties, and assisted living residences, including, but not limited to:
     3    (i) the total number of confirmed cases of COVID-19 and deaths result-
     4  ing  from COVID-19 in nursing homes, adult care facilities, and assisted
     5  living residences;
     6    (ii) the total number of residents with a confirmed case  of  COVID-19
     7  transferred from a nursing home, adult care facility, or assisted living
     8  residence to a hospital in New York state;
     9    (iii)  the  total  number of confirmed deaths of residents transferred
    10  from a nursing home, adult care facility, or assisted  living  residence
    11  to a hospital resulting from a confirmed case of COVID-19; and
    12    (iv)  the  total number of residents with a confirmed case of COVID-19
    13  discharged from a hospital to a nursing home, adult  care  facility,  or
    14  assisted living residence.
    15    3.  Within  ninety days of the effective date of this act, the commis-
    16  sioner shall publish the results of such investigation publicly  on  the
    17  department's  website,  along  with  a  brief description of the results
    18  thereof, as well as recommendations on areas to improve  state  pandemic
    19  preparedness,  response  and  reporting  with  regards to nursing homes,
    20  adult care facilities, and assisted living residences,  and  a  pandemic
    21  response  action plan for future disease outbreaks, including any statu-
    22  tory changes and budgetary allocations necessary for the  implementation
    23  of such plan, and shall submit a copy to the chairs and ranking minority
    24  members  of  the  senate  finance and health committees and the assembly
    25  ways and means and health committees.
    26    § 2. This act shall take effect immediately and shall  expire  and  be
    27  deemed repealed January 15, 2027.
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