Establishes the adult care facility voucher demonstration program for persons with dementia, Alzheimer's diagnosis, or other cognitive impairments to provide a sliding-scale subsidy for adult care facility residents who are at risk of losing nursing home care due to depleted resources and to individuals who are not eligible for Medicaid or supplemental security income, but in need of adult day care services.
NEW YORK STATE ASSEMBLY MEMORANDUM IN SUPPORT OF LEGISLATION submitted in accordance with Assembly Rule III, Sec 1(f)
BILL NUMBER: A10274
SPONSOR: Seawright TITLE OF BILL:
An act establishing the adult care facility voucher demonstration
program; and providing for the repeal of such provisions upon expiration
thereof
PURPOSE OR GENERAL IDEA OF BILL:
Establishes the adult care facility voucher demonstration program
SUMMARY OF PROVISIONS:
Section .1 establishes the adult facility voucher demonstration program
within the Department of Health. Section 2 establishes that the program
shall operate in at least three counties, all representing urban, subur-
ban, and rural settings to provide a sliding-scale subsidy for adult
care facility residents who are at risk of losing nursing home care.
Section 3 directs the program to examine whether such subsidy can reduce
or delay the need for nursing home care. Section 4 requires an assess-
ment of the possible creation of a similar program for individuals at
risk for Medicaid-funding nursing home patients.
JUSTIFICATION:
The New York State Master Plan for Aging recommended 126 proposals to
prepare New York State to serve an ever-growing aging population.
Proposal 21 within the Master Plan for Aging recommended the creation
of a limited adult care facility voucher demonstration program. The
"forgotten middle" are individuals who are not eligible for Medicaid or
SSI but do not have a large disposable income, those who need Adult Day
Health services and do not have access to the services and programs they
need which accurately reflect their preferred location of residence or
the acuity of care their condition requires. Middle-income populations
have limited access to assisted living residence services or memory
care, resulting in a decreased quality of care and life. Inclusion of
urban, rural, and suburban counties will ensure diversification of the
population receiving services.
PRIOR LEGISLATIVE HISTORY:
New Bill
FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS:
To be determined
EFFECTIVE DATE:
This act shall take effect immediately and be deemed repealed three
years after the effective date.
STATE OF NEW YORK
________________________________________________________________________
10274
IN ASSEMBLY
February 20, 2026
___________
Introduced by M. of A. SEAWRIGHT -- read once and referred to the
Committee on Aging
AN ACT establishing the adult care facility voucher demonstration
program; and providing for the repeal of such provisions upon expira-
tion thereof
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. 1. Notwithstanding any other provision of law, the depart-
2 ment of health shall establish and implement, the adult care facility
3 voucher demonstration program for persons with dementia, Alzheimer's
4 diagnosis, or other cognitive impairments.
5 2. In at least three counties, representing urban, suburban and rural
6 settings, such program shall provide a sliding-scale subsidy for adult
7 care facility residents who are at risk of losing nursing home care due
8 to depleted resources and to individuals who are not eligible for Medi-
9 caid or supplemental security income, but in need of adult day care
10 services.
11 3. Such program shall examine whether such subsidy pursuant to subdi-
12 vision two of this section can reduce or delay the need for nursing home
13 care by assisting seniors to remain living within their community or in
14 their assisted living residence or adult care facility while generating
15 a Medicaid savings.
16 4. An assessment of the possible creation of a similar demonstration
17 for individuals who are at risk for Medicaid-funding nursing home place-
18 ment, but would benefit from partially subsidized adult day care
19 services.
20 § 2. This act shall take effect immediately and shall expire and be
21 deemed repealed three years after the effective date of this act.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD14533-01-6
