Bill > A05703

This bill directs the New York State Commissioner of Health to provide authorizations to all fiscal intermediaries (organizations that process payroll and manage administrative tasks for consumer-directed personal care services) that submit a timely request for authorization prior to January 1, 2026. The bill establishes detailed requirements for the authorization application, including submitting comprehensive information about the organization such as its name, employer identification number, addresses, leadership details, organizational history, policies, procedures, consumer input mechanisms, and service plans. Fiscal intermediaries must also disclose any pending litigation or previous sanctions. The bill mandates that the Commissioner cannot withhold approval from an applicant that demonstrates the ability to provide fiscal intermediary services and must provide a detailed explanation if an application is denied, with the organization having 60 days to submit additional information for reconsideration. The authorization process is designed to ensure that fiscal intermediaries can effectively support consumers who need personal care assistance by managing payroll, tax withholdings, personnel records, and other administrative tasks while maintaining high standards of service and transparency.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A5703