Authorizes the commissioner of health to adjust medical assistance rates of payment for certified home health agencies, managed long term care plans, hospices, long term home health care programs, licensed home care services agencies and other entities for recruitment, training and retention of direct care workers for services in shortage areas and by shortage disciplines.
STATE OF NEW YORK
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4924
2025-2026 Regular Sessions
IN SENATE
February 14, 2025
___________
Introduced by Sen. RAMOS -- read twice and ordered printed, and when
printed to be committed to the Committee on Health
AN ACT to amend the public health law, in relation to home care and
hospice worker shortage areas and disciplines
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Section 3614 of the public health law is amended by adding
2 a new subdivision 9-a to read as follows:
3 9-a. Notwithstanding any inconsistent provision of this section,
4 effective for annual periods beginning April first, two thousand twen-
5 ty-five, and for each annual period thereafter, the commissioner is
6 authorized, subject to the availability of federal financial partic-
7 ipation and upon approval of the state director of the budget, to
8 further adjust medical assistance rates of payment for certified home
9 health agencies, managed long term care plans, hospices, long term home
10 health care programs, licensed home care services agencies providing
11 services under contract with such agencies and plans, and such other
12 entities qualifying under subdivision nine of this section, targeted for
13 recruitment, training and retention of direct care workers for services
14 in shortage areas and by shortage disciplines which may include nurses,
15 therapists, social workers, home health aides and personal care aides.
16 The commissioner is further authorized to provide such adjustments to
17 pilot test the impact on recruitment and retention of allowing funds to
18 be used for critical supports and incentives for direct care personnel,
19 including transportation, education, training, child day care, career
20 ladder, peer support, and other supports which the commissioner may
21 determine.
22 Notwithstanding any inconsistent provision of section twenty-eight
23 hundred seven-v of this chapter, funds for such adjustments may be made
24 available, upon the approval of the state budget director, from any
25 unexpended funds and balances available under such section, and in annu-
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD05883-01-5
S. 4924 2
1 al amounts of up to thirty percent of the aggregate level specified for
2 adjustments under subdivision nine of this section.
3 On or before April first, two thousand twenty-seven, the commissioner
4 shall submit information to the governor and legislature on the effec-
5 tiveness of the program in recruitment and retention of direct care home
6 care personnel, and in addressing community need, and shall make recom-
7 mendations for the continuation or modification of the program. The
8 commissioner shall seek the input of representatives of the providers,
9 plans, consumers and workers in examining and reporting on the program.
10 § 2. Subdivision 1 of section 2807-v of the public health law is
11 amended by adding a new paragraph (jjj) to read as follows:
12 (jjj) Funds may be made available, from any unexpended funds and
13 balances under this section, for rate adjustments authorized under
14 subdivision nine-a of section thirty-six hundred fourteen of this chap-
15 ter, which shall not exceed the amount specified in such subdivision.
16 § 3. This act shall take effect immediately.
