New York State Assembly

 
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A01476 Summary:

A01476 Actions:

A01476 Committee Votes:

Committee:RULES   Chair:Glick      
DATE:01/14/2025AYE/NAY:29/0  Action: Favorable         
Heastie
Excused
Barclay
Aye
Pretlow
Aye
Hawley
Aye
Cook
Aye
Blankenbush
Aye
Glick
Aye
Ra
Aye
Dinowitz
Aye
Brabenec
Aye
Colton
Aye
Palmesano
Aye
Magnarelli
Aye
Reilly
Aye
Paulin
Aye
Smith
Aye
Peoples-Stokes
Aye
Jensen
Aye
Benedetto
Aye
Lavine
Aye
Lupardo
Aye
Braunstein
Aye
Davila
Excused
Hyndman
Aye
Rozic
Aye
Bronson
Aye
Hevesi
Aye
Hunter
Aye
Taylor
Aye
Cruz
Aye
Vanel
Aye

Committee:HEALTH   Chair:Paulin      
DATE:01/14/2025AYE/NAY:25/0  Action: Favorable refer to committee Rules        
Paulin
Aye
Jensen
Aye
Dinowitz
Aye
Gandolfo
Aye
Rosenthal
Aye
Blumencranz
Aye
Hevesi
Aye
Gray
Excused
Steck
Aye
Maher
Aye
Braunstein
Aye
Slater
Aye
Solages
Aye
Chludzinski
Aye
Bichotte Hermel
Aye
Norber
Aye
Sayegh
Aye
McDonald
Aye
Reyes
Aye
Gonzalez-Rojas
Aye
Rajkumar
Aye
Forrest
Aye
Kelles
Aye
Lucas
Aye
Meeks
Aye
Lunsford
Aye

A01476 Floor Votes:

A01476 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
 submitted in accordance with Assembly Rule III, Sec 1(f)



 
BILL NUMBER: A1476
 
SPONSOR: Pretlow

 
TITLE OF BILL:
 
An act to amend the public health law, in relation to medically fragile
young adults; to amend a chapter of the laws of 2024 amending the public
health law relating to medically fragile young adults and pediatric
specialized nursing facilities, as proposed in legislative bills numbers
S. 5969-A and A. 3674-A, in relation to the effectiveness thereof
 
 
PURPOSE:
 
The purpose of this bill is to allow medically fragile young adults who
reside in pediatric specialized nursing facilities to remain there from
ages twenty-one to thirty-five years old.
 
 
SUMMARY OF PROVISIONS:
 
This bill amends the definition of medically fragile adults to refer to
individuals who meet the definition of children with medical fragility
but are between the ages of twenty-one to thirty-fire years old. The
bill would also add that the amended section is effective contingent on
federal financial participation, and that the act shall take effect nine
months after enacted.
 
 
JUSTIFICATION:
 
Medically fragile children require specialized care. Pursuant to 2011
statute two new facilities will be constructed for children aging out of
the system at 21, however these facilities will likely not have the
capacity to serve the states eligible population. This bill would allow
medically fragile children who are transitioning to receive care as
young adults to continue to receive the same specialized care afforded
to them previously from the ages of twenty-one through thirty-five.

To ensure that continued specialized care is provided to medically frag-
ile children as they become young adults, the definition within the bill
would be amended to refer to individuals aged twenty-one to thirty-five
who meet the requirements of children with medical fragility. The bill
would also make the amended section effective contingent on federal
financial participation, The effective date was changed to nine months
which continues to provide the Office with adequate time to assemble
resources and promote the rules and guidelines.
 
 
LEGISLATIVE HISTORY:
 
This is a new bill.
 
 
BUDGET IMPLICATIONS:
 
None noted.
 
 
EFFECTIVE DATE:
This act shall take effect immediately; provided however, that section
one of this act shall take effect on the same date and in the same
manner as a chapter of the laws of 2024 amending the public health law
relating to medically fragile young adults and pediatric specialized
nursing facilities, as proposed in legislative bills numbers S. 5969-A
and A. 3674-A, takes effect.

A01476 Text:

 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          1476
 
                               2025-2026 Regular Sessions
 
                   IN ASSEMBLY
 
                                     January 9, 2025
                                       ___________
 
        Introduced  by M. of A. PRETLOW -- read once and referred to the Commit-
          tee on Health
 
        AN ACT to amend the public health law, in relation to medically  fragile
          young  adults;  to  amend  a  chapter of the laws of 2024 amending the
          public health law relating  to  medically  fragile  young  adults  and
          pediatric  specialized  nursing facilities, as proposed in legislative
          bills numbers S. 5969-A and A. 3674-A, in relation to  the  effective-
          ness thereof
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Section 2831 of the public health law, as added by a  chap-
     2  ter  of  the  laws  of  2024  amending the public health law relating to
     3  medically fragile young adults and pediatric specialized nursing facili-
     4  ties, as proposed in legislative bills numbers S. 5969-A and A.  3674-A,
     5  is amended to read as follows:
     6    §  2831.  Medically  fragile  young  adults.  1.  For purposes of this
     7  section, "medically fragile young adults" shall [have the  same  meaning
     8  as  the  term  "medically  fragile children" as set forth in subdivision
     9  three-a of section thirty-six hundred fourteen of this chapter and shall
    10  include medically fragile young adults who currently reside at a  pedia-
    11  tric  specialized nursing facility and are over twenty-one years of age]
    12  mean individuals who  meet  the  definition  of  children  with  medical
    13  fragility, but for the fact such individuals are aged between twenty-one
    14  and thirty-five years old.
    15    2.  The  department  shall  promulgate  rules and regulations to allow
    16  medically fragile young adults who reside in pediatric specialized nurs-
    17  ing facilities to remain at such facilities [after reaching the  age  of
    18  twenty-one and until they reach the age of thirty-six].  Unless a higher
    19  reimbursement  rate  is  expressly  authorized  by  the  department, the
    20  reimbursement rate and methodology  for  such  medically  fragile  young
    21  adults  shall remain the same as it was prior to reaching age twenty-one
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD02931-01-5
        A. 1476                             2
 
     1  and shall include a daily per diem rate  and  coverage  for  bed  holds.
     2  Medicaid  reimbursement  for  this  population  for reserved beds due to
     3  hospitalization and for therapeutic and hospice leaves of  absence  must
     4  remain  at one hundred percent of the Medicaid rate of medically fragile
     5  children, without any daily limit for this population.
     6    3. This section shall be effective if, and as long as, federal  finan-
     7  cial participation is available therefor.
     8    §  2.  Section  2 of a chapter of the laws of 2024 amending the public
     9  health law relating to medically  fragile  young  adults  and  pediatric
    10  specialized nursing facilities, as proposed in legislative bills numbers
    11  S. 5969-A and A. 3674-A, is amended to read as follows:
    12    §  2.  This  act  shall take effect [on the one hundred twentieth day]
    13  nine months after it shall have become a law. Effective immediately, the
    14  addition, amendment and/or repeal of any rule  or  regulation  necessary
    15  for  the implementation of this act on its effective date are authorized
    16  to be made and completed on or before such date.
    17    § 3. This act shall take effect immediately;  provided  however,  that
    18  section  one  of  this act shall take effect on the same date and in the
    19  same manner as a chapter of the laws of 2024 amending the public  health
    20  law relating to medically fragile young adults and pediatric specialized
    21  nursing  facilities,  as proposed in legislative bills numbers S. 5969-A
    22  and A. 3674-A, takes effect.

A01476 LFIN:

 
NO LFIN

A01476 Chamber Video/Transcript: