Bill > S05145

This bill directs the New York State Commissioner of Health to provide authorizations to all fiscal intermediaries (organizations that help manage payroll and administrative tasks for consumer-directed personal care services) that submit a timely request prior to January 1, 2026. The bill establishes detailed requirements for these authorization requests, which include providing comprehensive information about the organization such as its legal name, employer identification number, business addresses, leadership details, organizational history, service policies, consumer input mechanisms, service delivery plans, and a sworn statement disclosing any pending litigation or government sanctions. Fiscal intermediaries must promptly notify the department of any changes to their submitted information. If an authorization is initially denied, the commissioner must provide a detailed explanation and allow the organization 60 days to submit additional information for reconsideration. The bill also specifies that no entity can provide fiscal intermediary services without receiving an authorization or having a pending authorization under review. Additionally, the bill updates definitions of statewide fiscal intermediaries and outlines their specific responsibilities, which include processing wages, managing tax withholdings, maintaining personnel records, monitoring consumer and personal assistant eligibility, and ensuring compliance with regulatory requirements.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S5145