New York 2025-2026 Regular Session

New York Senate Bill S04462

Introduced
2/5/25  
Refer
2/5/25  
Report Pass
5/13/25  
Refer
1/7/26  

Caption

Establishes a program for specific individuals to become complex care assistants and provide private duty nursing services to certain Medicaid enrollees.

Summary

Bill S04462 establishes a program under New York's Medicaid system allowing family members of medically fragile children and young adults to become certified as complex care assistants. These assistants can provide necessary care services under the supervision of a registered nurse, thereby enabling families to care for their loved ones at home while receiving reimbursement through Medicaid. The bill outlines the certification process, training requirements, and the reimbursement structure for services provided by these family members.

Impact

The bill amends the social services law to create a new section that authorizes Medicaid coverage for complex care assistant services. This change is expected to enhance the availability of home-based care for medically fragile individuals, potentially reducing reliance on institutional care. It also sets forth guidelines for the training and certification of family members, which could lead to a more skilled caregiving workforce within families.

Sentiment

The general sentiment around the bill appears to be positive, as indicated by the unanimous support in the Senate Health Committee vote. Stakeholders have expressed that the bill addresses a critical need for home care services, particularly for families with medically fragile members, and it is viewed as a step towards improving care options and reducing healthcare costs.

Contention

While the bill has garnered support, there may be concerns regarding the adequacy of training and supervision for family members acting as complex care assistants. Some stakeholders might worry about the potential for insufficient oversight and the quality of care provided, as well as the financial implications for Medicaid funding and reimbursement rates for private duty nursing agencies.

Companion Bills

NY A00464

Same As Establishes a program for specific individuals to become complex care assistants and provide private duty nursing services to certain Medicaid enrollees.

Previously Filed As

NY A00464

Establishes a program for specific individuals to become complex care assistants and provide private duty nursing services to certain Medicaid enrollees.

NY A07583

Establishes a program for specific individuals to become complex care assistants and provide private duty complex care services to children or young adults with developmental disabilities who are Medicaid enrollees.

NY A4342

Establishes program for certain individuals to become certified homemaker-home health aides and provide services to certain Medicaid and Medicaid-Medicare dually eligible enrollees under increased reimbursement rates.

NY S3905

Establishes program for certain individuals to become certified homemaker-home health aides and provide services to certain Medicaid and Medicaid-Medicare dually eligible enrollees under increased reimbursement rates.

NY HB2164

In public assistance, providing for medical assistance for complex care assistant services.

NY H1261

Medicaid Reimbursement for Private Duty Nursing Services

NY S0648

Medicaid Reimbursement for Private Duty Nursing Services

NY SB1041

In public assistance, providing for medical assistance for complex care assistant services.

NY HB4371

Relating to the provision of services by certain persons in the private duty nursing program.

NY A00269

Provides for enrollment of eligible incarcerated persons in the medical assistance for needy persons program; provides for enrollment of incarcerated individuals in other medical assistance programs, where eligible.

Similar Bills

No similar bills found.