Bill > A06272

This bill provides updates to the rate-setting methodology for residential health care facilities (nursing homes) in New York State, focusing on how governmental agencies calculate payment rates for inpatient services. The bill mandates that rate components (including direct and indirect statewide price components) must be updated no later than April 1, 2026, and at least every five years thereafter, using the most current cost report data. To ensure these updates are scientifically grounded, the bill requires the establishment of a technical assistance workgroup that includes external experts in nursing home rate setting. The legislation also introduces provisions for adjusting rates for specialized units, such as those serving AIDS patients, traumatic brain injury patients, and pediatric populations, and includes an inflation adjustment mechanism. Additionally, the bill requires the commissioner of health to develop regulations in consultation with the nursing home industry and resident advocates, with provisions for a potential transition period to help facilities adapt to the new rate-setting methodology. The bill aims to create a more responsive and current system for determining nursing home reimbursement rates, with a focus on reflecting actual costs and maintaining quality of care.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A6272