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Bill > A07583


NY A07583

NY A07583
Establishes a program for specific individuals to become complex care assistants and provide private duty complex care services to children or young adults with developmental disabilities who are Medicaid enrollees.


summary

Introduced
04/01/2025
In Committee
01/07/2026
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the social services law, in relation to authorizing Medicaid coverage for complex care assistant services

AI Summary

This bill establishes a new Medicaid program that allows family members of children or young adults with developmental disabilities to become certified "complex care assistants" who can provide specialized care services. The program requires family members to complete training and pass an in-person examination to become certified, with the employing agency covering all certification costs. Complex care assistants can provide up to 40 hours of care per week for a Medicaid-enrolled child or young adult with developmental disabilities, and must work under the supervision of a registered nurse who regularly visits to ensure proper care. The bill mandates that complex care agencies reimburse these family caregivers, ensuring at least 65% of the reimbursement is passed directly to the assistant, with rates adjusted periodically based on the consumer price index. Additionally, the New York State Medicaid director must submit a comprehensive biennial report analyzing the program's impact, including metrics such as hospitalizations, service hours, and potential fraud. The goal is to provide a flexible, cost-effective care solution for families with members who have developmental disabilities, while maintaining professional standards and oversight.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

referred to health (on 01/07/2026)

bill text


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