Bill > A02735

This bill introduces a comprehensive overhaul of licensure requirements for fiscal intermediaries (FIs) in New York's social services system, with key provisions focusing on establishing a formal licensing process, expanding reporting requirements, and creating new oversight mechanisms. Starting April 1, 2027, all fiscal intermediaries will be required to obtain a license from the commissioner of social services, which will involve demonstrating character, competence, and ability to provide services, including considerations such as historical compliance, cultural competencies, and electronic visit verification capabilities. The bill mandates that FIs annually report detailed information about their operations, including direct care costs, number of members serviced, service areas, personal assistant employment details, and authorized service hours. Additionally, the bill establishes a personal assistant registry to be maintained by the department, creates a stakeholder workgroup to analyze and recommend improvements to fiscal intermediary services, and introduces minimum training requirements for personal assistants. The legislation also grants the state comptroller new audit and review powers to ensure compliance with state and federal laws, with provisions for public reporting of potential violations. A one-time $10,000 application fee will be charged to FIs seeking licensure, and the bill includes mechanisms for temporary operating authority during the transition period.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A2735