S T A T E O F N E W Y O R K
________________________________________________________________________
1918
2025-2026 Regular Sessions
I N S E N A T E
January 14, 2025
___________
Introduced by Sens. RIVERA, CLEARE -- read twice and ordered printed,
and when printed to be committed to the Committee on Health
AN ACT to amend the social services law, in relation to a specialized
health home program to serve certain individuals with physical disa-
bilities
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 365-l of the social services law is amended by
adding a new subdivision 2-e to read as follows:
2-E. THE COMMISSIONER SHALL ESTABLISH A SPECIALIZED HEALTH HOME
PROGRAM TO SERVE INDIVIDUALS WITH PHYSICAL DISABILITIES WHO ARE MEDICAID
ELIGIBLE ADULTS EIGHTEEN YEARS OF AGE OR OLDER WITH A DIAGNOSIS OF A
NEUROLOGICAL, MUSCULAR, OR NEUROMUSCULAR CONDITION, AND A MOBILITY
IMPAIRMENT. A SPECIALIZED HEALTH HOME SHALL BE REIMBURSED ON A FEE-FOR-
SERVICE BASIS AND SHALL RECEIVE ENHANCED RATES OF PAYMENT ESTABLISHED BY
THE COMMISSIONER. THE COMMISSIONER IS AUTHORIZED AND DIRECTED TO APPLY
FOR FEDERAL WAIVERS OR STATE PLAN AMENDMENTS IF SUCH ACTION WOULD BE
NECESSARY TO ASSIST IN PROMOTING THE OBJECTIVES OF THIS SUBDIVISION.
SPECIALIZED HEALTH HOMES RECEIVING FUNDS UNDER THIS SUBDIVISION SHALL
DOCUMENT AND DEMONSTRATE THE EFFECTIVE USE OF FUNDS DISTRIBUTED HEREIN.
THE COMMISSIONER SHALL ESTABLISH STANDARDS FOR OPERATION OF A SPECIAL-
IZED HEALTH HOME, INCLUDING REGULATIONS TO IMPLEMENT THIS SUBDIVISION.
§ 2. This act shall take effect on the ninetieth day after it shall
have become a law. Effective immediately, the commissioner of health
shall make regulations and take all actions reasonably necessary to
implement this act on that date.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD04796-01-5
We have needed such a program for a long time. The current MLTCs do not have true disability competency and those that existed previously were underfunded and then blamed for doing their job, providing service.