NEW YORK STATE ASSEMBLY MEMORANDUM IN SUPPORT OF LEGISLATION submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A4504A
SPONSOR: Davila
 
TITLE OF BILL:
An act to amend the social services law, in relation to increasing the
amount certain individuals are eligible for when receiving enhanced
residential care
 
PURPOSE OR GENERAL IDEA OF BILL:
This bill would increase the SSI enhanced residential care monthly rate
by ten percent or approximately five dollars per day.
 
SUMMARY OF SPECIFIC PROVISIONS:
Section one amends paragraph (e) of subdivision 2 of section 209 of the
social services law, as amended by section 2 of part R of chapter 56 of
the laws of 2025, by increasing the monthly enhanced residential care
rate from $1,768 to $1856.00.
Section two provides for an immediate effective date.
 
JUSTIFICATION:
Many low-income, older and disabled New Yorkers reside in adult care
facilities (ACFs) paid through Supplemental Security Income (SSI). ACFs
provide vital services to older and disabled New Yorkers who do not
require constant care but nevertheless are unable to live on their own.
Without ACFs, these residents would be forced into more acute institu-
tional settings, even though they maintain the independence and direc-
tion of action necessary to remain in the community. ACFs provide such
residents with room, board, housekeeping and personal care services in a
low-cost environment that respects their independence.
Over the past several decades, ACFs have had only one rate increase
which brought them to the current $42.00 per day. There has been no
state COLA during this period and costs to these facilities of providing
housing, care and services have continued to go up. The stagnant rate,
coupled with rising costs, has resulted in closures of SSI facilities.
For every displaced SSI recipient who ends up in a nursing home, the
daily cost of housing and care raises from $42/day to $15o-$25o/day in
Medicaid costs depending upon the area of the state.
The ten percent rate increase proposed by this legislation would help
keep adult care facilities operational, low-income seniors in the commu-
nity, and avoid higher Medicaid costs which result when residents are
displaced.
 
PRIOR LEGISLATIVE HISTORY:
2023-2024: A. 9807
2025-2026 A. 4504
 
FISCAL IMPLICATIONS:
To be determined.
 
EFFECTIVE DATE:
This act shall take effect immediately.
STATE OF NEW YORK
________________________________________________________________________
4504--A
2025-2026 Regular Sessions
IN ASSEMBLY
February 4, 2025
___________
Introduced by M. of A. DAVILA, BERGER -- read once and referred to the
Committee on Social Services -- recommitted to the Committee on Social
Services 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 social services law, in relation to increasing the
amount certain individuals are eligible for when receiving enhanced
residential care
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Paragraph (e) of subdivision 2 of section 209 of the social
2 services law, as amended by section 2 of part R of chapter 56 of the
3 laws of 2025, is amended to read as follows:
4 (e) On and after January first, two thousand [twenty-five] twenty-six,
5 (i) for an eligible individual receiving enhanced residential care,
6 [$1,661.00] $1,856.00; and (ii) for an eligible couple receiving
7 enhanced residential care, two times the amount set forth in subpara-
8 graph (i) of this paragraph.
9 § 2. This act shall take effect immediately.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD00864-05-6