New York 2025-2026 Regular Session

New York Senate Bill S00547

Introduced
1/8/25  
Refer
1/8/25  

Caption

Authorizes one or more demonstration projects that permit a managed long-term care plan to enroll persons that are permanently placed in a nursing home and to manage the nursing home benefit in one or more rural areas.

Summary

S00547 would direct the New York State Department of Health to authorize one or more demonstration projects in rural areas that allow a managed long-term care (MLTC) plan to enroll people who are permanently placed in nursing homes and to manage their nursing home benefit. The stated purpose of the pilot is to study whether managed care models can help these residents transition back to community-based settings. The bill is narrowly focused on a demonstration authority rather than a statewide mandate. It would create a limited exception to existing managed long-term care rules for approved plans operating in one or more rural areas, while preserving the other requirements that apply to plans authorized under the public health law. The bill also includes a sunset structure tied to existing statutory expiration and repeal provisions, so the new authority would not outlast the underlying section of law it amends.

Impact

The bill would amend Public Health Law section 4403-f to add a new authorization for the Department of Health to approve demonstration projects in rural areas. In practical terms, it could expand the role of managed long-term care plans in nursing home settings for a limited population and geography, while creating a policy test case for potential transitions from institutional care to community-based care. It would affect MLTC plans, nursing home residents who are permanently placed, and the department’s oversight of long-term care delivery in rural regions.

Sentiment

No committee transcript or vote record is available, so there is no documented debate or recorded support/opposition in the provided materials. Based on the bill text alone, the measure appears policy-oriented and experimental rather than controversial on its face, with an emphasis on studying care transitions and rural service delivery. Because it is a demonstration project, the bill suggests a cautious approach to changing long-term care policy.

Contention

The main policy question implicit in the bill is whether managed long-term care is an appropriate model for residents who are already permanently placed in nursing homes, especially in rural areas where provider networks and access may be limited. Potential concerns could include the effect on nursing home residents’ continuity of care, the adequacy of MLTC oversight, and whether managed care incentives align with resident needs. Supporters would likely emphasize the possibility of improving transitions to community-based care and testing a new model in underserved rural communities.

Companion Bills

NY A03567

Same As Authorizes one or more demonstration projects that permit a managed long-term care plan to enroll persons that are permanently placed in a nursing home and to manage the nursing home benefit in one or more rural areas.

NY A09680

Same As Authorizes one or more demonstration projects that permit a managed long-term care plan to enroll persons that are permanently placed in a nursing home and to manage the nursing home benefit in one or more rural areas.

Previously Filed As

NY A09680

Authorizes one or more demonstration projects that permit a managed long-term care plan to enroll persons that are permanently placed in a nursing home and to manage the nursing home benefit in one or more rural areas.

NY S00496

Authorizes one or more demonstration projects that permit a managed long-term care plan to enroll persons that are permanently placed in a nursing home and to manage the nursing home benefit in one or more rural areas.

NY A02437

Authorizes one or more demonstration projects that permit a managed long-term care plan to enroll persons that are permanently placed in a nursing home and to manage the nursing home benefit in one or more rural areas.

NY A03567

Authorizes one or more demonstration projects that permit a managed long-term care plan to enroll persons that are permanently placed in a nursing home and to manage the nursing home benefit in one or more rural areas.

NY A10290

Permits individuals receiving hospice services to enroll in managed long term care plans; ensures coordinated service delivery.

NY S09875

Permits individuals receiving hospice services to enroll in managed long term care plans; ensures coordinated service delivery.

NY HB1674

Nursing homes; Nursing Homes Care Act; definition; effective date.

NY HB1674

Nursing homes; Nursing Homes Care Act; definition; effective date.

NY HB285

CON; authorize for nursing home in Jones County.

NY HB9

CON; authorize for nursing home in Jones County.

Similar Bills

No similar bills found.