S T A T E O F N E W Y O R K
________________________________________________________________________
11062
I N A S S E M B L Y
April 24, 2026
___________
Introduced by M. of A. McDONALD -- read once and referred to the Commit-
tee on Health
AN ACT to amend the public health law, in relation to capital upgrades
to certain residential health care facilities
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph (d) of subdivision 2-a of section 2808 of the
public health law, as amended by section 52 of part B of chapter 57 of
the laws of 2015, is amended to read as follows:
(d) For facilities granted operating certificates on or after March
tenth, nineteen hundred seventy-five, recognition of real property costs
in such regulations shall be based upon historical costs to the owner of
the facility, provided that payment for real property costs shall not be
in excess of the actual debt service, including principal and interest,
and payment with respect to owner's equity, and further provided that,
subject to federal financial participation, and subject to the approval
of the commissioner, effective April first, two thousand fifteen, the
commissioner may modify such payments for real property costs for
purposes of effectuating a shared savings program, whereby facilities
share a minimum of fifty percent of savings, for facilities that elect
to refinance their mortgage loans; AND FURTHER PROVIDED THAT FOR ANY
RENOVATION OR NEW CONSTRUCTION OF A RESIDENTIAL HEALTH CARE FACILITY
WHICH COMMENCES ON OR AFTER JULY FIRST, TWO THOUSAND TWENTY-FIVE, THERE
SHALL BE NO MINIMUM EQUITY REQUIREMENTS IN EXCESS OF 10 PERCENT OF TOTAL
PROJECT COSTS OR PER BED LIMITATIONS ON TOTAL PROJECT COSTS UTILIZED IN
THE DETERMINATION OF PAYMENTS FOR REAL PROPERTY COSTS UNDER THIS ARTICLE
FOR THE FOLLOWING FACILITIES: (I) ANY FACILITY WHICH RECEIVED AN AWARD
PURSUANT TO SECTIONS TWENTY-EIGHT HUNDRED TWENTY-FIVE-F, TWENTY-EIGHT
HUNDRED TWENTY-FIVE-G OR TWENTY-EIGHT HUNDRED TWENTY-FIVE-H OF THIS
ARTICLE; AND (II) ANY NON-STATE OPERATED PUBLIC RESIDENTIAL HEALTH CARE
FACILITY. For purposes of this subdivision, owner's equity shall be
calculated without regard to any surplus created by revaluation of
assets and shall not include amounts resulting from mortgage amorti-
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD15555-01-6
A. 11062 2
zation where the payment therefor has been provided by real property
cost reimbursement.
§ 2. This act shall take effect immediately; provided, however, that
the amendments to paragraph (d) of subdivision 2-a of section 2808 of
the public health law made by section one of this act shall be subject
to the expiration and repeal of such paragraph and shall expire and be
deemed repealed therewith.