New York Assembly Bill A06367

New York 2025-2026 Regular Session

• Introduced: 3/4/25
• Refer: 3/4/25
• Refer: 1/7/26

Caption

Requires contracts with home care service providers to provide sufficient resources to ensure compensation to a qualified workforce providing high quality care; authorizes the commissioner of health to establish a program to provide loans, through the dormitory authority, to home care facilities to finance health care reform efforts.

Summary

A06367 would change New York law in two main ways to support the home care workforce and the financial transition of home care providers into managed long-term care. First, it requires contracts with certified home health agencies, long term home health care programs, licensed home care services programs, and fiscal intermediaries to ensure that contract resources are used to support compensation for home care aides and consumer-directed personal assistance workers, with the stated goal of retaining a qualified workforce and maintaining high-quality care. Second, the bill directs the Department of Health to create a credit-enhancement loan program, administered through the Dormitory Authority or a designated nonprofit, for financially needy article 36 health care providers. The program is intended to help providers restructure long-term home health care delivery systems and transition from fee-for-service to managed long-term care, using loan covenants, milestones, and business plans tied to health reform objectives. The bill also accelerates payment timelines for certain home care providers and fiscal intermediaries during and after Medicaid managed long-term care transitions, including a 15-day payment requirement in specified circumstances and faster payment of disputed claims, with optional arbitration afterward.

Impact

The bill would amend the public health law, insurance law, and public authorities law. It would impose new contract standards for home care and consumer-directed personal assistance services, require faster insurer payments to certain home care providers and fiscal intermediaries, and authorize a state-backed credit enhancement and loan program for eligible providers through the Dormitory Authority. It also expands the public authorities law to allow approved home care providers to participate in the financing structure, while limiting state liability by specifying that defaulted amounts are payable only from allocated funds and not from general state assets.

Sentiment

The overall sentiment reflected by the bill text and caption is supportive of home care providers and workers, with an emphasis on stabilizing the workforce, improving compensation, and helping providers navigate Medicaid delivery-system reforms. The bill appears designed to address financial strain in the home care sector and to promote continuity of care during the shift to managed long-term care. No committee transcript or vote record was provided, so there is no recorded public debate or formal vote sentiment to assess beyond the bill’s stated policy goals.

Contention

The main points of potential contention are the bill’s financial and administrative obligations. Insurers and managed care entities may object to the shortened payment deadlines and the requirement to pay disputed claims more quickly, while providers may support those provisions as necessary for cash flow. The credit-enhancement program could also raise concerns about state exposure, even though the bill attempts to limit liability by making repayment dependent on allocated funds rather than a general state guarantee. Another likely area of debate is the bill’s use of Medicaid reform and Dormitory Authority financing mechanisms to steer provider restructuring and workforce compensation.