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A03674 Summary:

BILL NOA03674A
 
SAME ASSAME AS S05969-A
 
SPONSORPretlow
 
COSPNSRBurdick, Sayegh
 
MLTSPNSR
 
Add 2831, Pub Health L
 
Relates to medically fragile young adults and pediatric specialized nursing facilities; allows for such young adults to remain in such facilities from age twenty-one until age thirty-six.
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A03674 Actions:

BILL NOA03674A
 
02/03/2023referred to health
01/03/2024referred to health
03/06/2024amend and recommit to health
03/06/2024print number 3674a
05/21/2024reported referred to ways and means
06/06/2024reported referred to rules
06/07/2024reported
06/07/2024rules report cal.593
06/07/2024substituted by s5969a
 S05969 AMEND=A HARCKHAM
 03/23/2023REFERRED TO HEALTH
 01/03/2024REFERRED TO HEALTH
 02/26/2024AMEND AND RECOMMIT TO HEALTH
 02/26/2024PRINT NUMBER 5969A
 06/03/2024COMMITTEE DISCHARGED AND COMMITTED TO RULES
 06/03/2024ORDERED TO THIRD READING CAL.1643
 06/03/2024PASSED SENATE
 06/03/2024DELIVERED TO ASSEMBLY
 06/03/2024referred to ways and means
 06/07/2024substituted for a3674a
 06/07/2024ordered to third reading rules cal.593
 06/07/2024passed assembly
 06/07/2024returned to senate
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A03674 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A3674A
 
SPONSOR: Pretlow
  TITLE OF BILL: An act to amend the public health law, in relation to medically fragile young adults and pediatric specialized nursing facilities   PURPOSE: The purpose of this bill is to amend the. public health law by requiring a consultation prior to the discharge of medically fragile young adults.   SUMMARY OF PROVISIONS: Section 1 - adds section 2828 which requires the hospital to provide a consultation with the patient and the parent or legal guardian of the patient regarding such parent or legal guardian's capabilities and limi- tations and issue a discharge plan. Said consultation must take place no later than 24 hours before the patient's discharge and must meet the minimum requirements set by this bill. Section 1 also sets the requirements for the discharge plans which shall offer parents and legal guardians instruction in all after-care tasks described in the discharge plan. The terms "medically fragile young adults", "hospital", "discharge", "patient" & "residence" are defined. Section 2 - sets effective date   JUSTIFICATION: Medically fragile children require intense and specialized care. While in 2021, statute was enacted to allow for the construction of two new facilities for the children aging out of the system at age 21. These facilities are not yet operational, and they likely will not have the capacity to serve all of the State's eligible population in any event. This legislation would provide all medically fragile children who are transitioning to care as young adults to continue to receive the specialized care afforded them as children once they have attained the age of twenty-one through the age of thirty-six: Currently there are six specialized facilities in New York providing this care.   LEGISLATIVE HISTORY: 5/9/2022 A2557A referred to health 2019-20: A10032   FISCAL IMPLICATIONS: None to the State.   EFFECTIVE DATE: This act shall take effect on the one hundred twentieth day after it shall have become a law. Effective immediately, the addition, amendment
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A03674 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         3674--A
 
                               2023-2024 Regular Sessions
 
                   IN ASSEMBLY
 
                                    February 3, 2023
                                       ___________
 
        Introduced  by M. of A. PRETLOW -- read once and referred to the Commit-
          tee on Health -- recommitted to the Committee on Health in  accordance
          with  Assembly  Rule  3, sec. 2 -- committee discharged, bill amended,
          ordered reprinted as amended and recommitted to said committee
 
        AN ACT to amend the public health law, in relation to medically  fragile
          young adults and pediatric specialized nursing facilities
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. The public health law is amended by adding  a  new  section
     2  2831 to read as follows:
     3    §  2831.  Medically  fragile  young  adults.  1.  For purposes of this
     4  section, "medically fragile young adults" shall have the same meaning as
     5  the term "medically  fragile  children"  as  set  forth  in  subdivision
     6  three-a of section thirty-six hundred fourteen of this chapter and shall
     7  include  medically fragile young adults who currently reside at a pedia-
     8  tric specialized nursing facility and are over twenty-one years of age.
     9    2. The department shall promulgate  rules  and  regulations  to  allow
    10  medically fragile young adults who reside in pediatric specialized nurs-
    11  ing  facilities  to  remain at such facilities after reaching the age of
    12  twenty-one and until they reach the age of thirty-six.  Unless a  higher
    13  reimbursement  rate  is  expressly  authorized  by  the  department, the
    14  reimbursement rate and methodology  for  such  medically  fragile  young
    15  adults  shall remain the same as it was prior to reaching age twenty-one
    16  and shall include a daily per diem rate  and  coverage  for  bed  holds.
    17  Medicaid  reimbursement  for  this  population  for reserved beds due to
    18  hospitalization and for therapeutic and hospice leaves of  absence  must
    19  remain  at one hundred percent of the Medicaid rate of medically fragile
    20  children, without any daily limit for this population.
    21    § 2. This act shall take effect on the one hundred twentieth day after
    22  it shall have become a law. Effective immediately, the addition,  amend-
    23  ment and/or repeal of any rule or regulation necessary for the implemen-
    24  tation  of  this act on its effective date are authorized to be made and
    25  completed on or before such date.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD08318-03-4
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