New York 2025-2026 Regular Session

New York Assembly Bill A10586

Introduced
3/13/26  

Caption

Provides for enhanced rates for child care services provided to disabled and/or developmentally delayed children

Summary

This bill amends the Social Services Law to require the Commissioner of the Office of Children and Family Services to establish a higher child care reimbursement rate for providers caring for children with a diagnosed developmental delay or disability. The required differential must be at least 30% above the applicable market rate otherwise payable for those services. The bill also directs the commissioner to ensure the higher rate reflects the added staffing, training, accommodations, and supports needed to provide safe, inclusive, developmentally appropriate care. The measure preserves the existing framework for child care assistance under the state block grant, but adds a specific payment rule for care of children with developmental delays or disabilities. It also requires OCFS, in consultation with the Office for People With Developmental Disabilities and the Department of Health, to adopt implementing regulations, including documentation and eligibility criteria, while avoiding undue administrative burden on families and providers. The bill would take effect on April 1 following enactment, with immediate authorization for necessary regulatory action.

Impact

The bill would amend section 410-x of the Social Services Law by creating a mandatory rate differential for child care providers serving children with diagnosed developmental delays or disabilities. In practice, this would increase state-funded child care assistance payments for qualifying care, likely affecting OCFS reimbursement policies, provider participation, and the cost structure of subsidized child care programs. It would also require interagency rulemaking and could expand access to specialized child care by making it more financially viable for providers to serve these children.

Sentiment

Based on the bill text and available context, the measure appears to be framed as a support-oriented child care and disability access bill, with an emphasis on equity and adequate provider compensation. There are no recorded committee transcripts or votes in the provided materials, so no formal opposition or support can be directly measured. The overall tone of the proposal suggests a favorable policy intent toward families of children with disabilities and toward providers who incur higher costs to serve them.

Contention

The main policy issue is the size and administration of the required rate increase. The bill mandates a minimum 30% differential, which may raise concerns about fiscal impact on the state and the child care subsidy system, as well as how the commissioner will define disability or developmental delay and verify eligibility. Another possible point of contention is the balance between ensuring sufficient documentation and avoiding undue administrative burden, since providers and families may differ on how much paperwork or oversight is appropriate.

Companion Bills

NY S09396

Same As Directs the commissioner of social services shall establish a rate differential for child care providers who provide care to a child with a diagnosed developmental delay or disability, provided such rate differential is no less than 30% above the applicable market rate otherwise payable for such child care services, and further provided such rate differential is sufficient to provide appropriate care.

Previously Filed As

NY A10139

Requires providers of residential services to developmentally disabled children to have electronic monitoring devices in the common areas of their residential facilities.

NY S09396

Directs the commissioner of social services shall establish a rate differential for child care providers who provide care to a child with a diagnosed developmental delay or disability, provided such rate differential is no less than 30% above the applicable market rate otherwise payable for such child care services, and further provided such rate differential is sufficient to provide appropriate care.

NY A10732

Prohibits insurers from using violations issued by the New York state office of children and family services as the sole basis for rate adjustments for child care providers.

NY S09042

Relates to incorporating the cost of living adjustment into subsequent annual maximum state aid base rates for providing care to foster children.

NY HB877

Medicaid; allow reimbursement for services provided to developmentally disabled child by qualified nurse who is guardian of the child.

NY A08604

Provides additional support to medically fragile children who rely on community-based or home health services.

NY S07778

Requires commissioners of local social services districts to screen, apply for, and use and conserve retirement, survivors and disability insurance, supplemental security income, veterans' or any other federal social security benefits on behalf of children placed in foster care; provides for responsibilities of local commissioners of social services appointed to serve as the representative payee for a child; provides for technical assistance and financial literacy for foster children; makes related provisions.

NY A08036

Requires commissioners of local social services districts to screen, apply for, and use and conserve retirement, survivors and disability insurance, supplemental security income, veterans' or any other federal social security benefits on behalf of children placed in foster care; provides for responsibilities of local commissioners of social services appointed to serve as the representative payee for a child; provides for technical assistance and financial literacy for foster children; makes related provisions.

NY AB1450

California Children’s Services Program: providers.

NY A10349

Allows parents or guardians of children classified as either physically handicapped or developmentally disabled to submit transportation requests to their school district by July 1st.

Similar Bills

No similar bills found.