Bill > A01476

This bill defines medically fragile young adults as individuals who meet the definition of children with medical fragility, but are between 21 and 35 years old. The bill amends existing public health law to allow these young adults to continue residing in pediatric specialized nursing facilities beyond age 21, with the same reimbursement rates and methodologies that were in place before they turned 21. This includes maintaining full Medicaid reimbursement for reserved beds during hospitalizations and therapeutic or hospice leaves of absence. The bill specifies that these provisions will only be effective as long as federal financial participation is available. Additionally, the bill changes the effective date of the original legislation from 120 days after becoming law to nine months after becoming law, while still allowing preparatory regulatory work to be completed in advance. The purpose appears to be ensuring continuity of care for young adults with complex medical needs who require specialized nursing facility support.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A1476