NY State Senate Bill 2025-S8635B

Current Bill Status - In Senate Committee Health Committee

Introduced
- In Committee Assembly
- In Committee Senate
- On Floor Calendar Assembly
- On Floor Calendar Senate
- Passed Assembly
- Passed Senate
Delivered to Governor
Signed By Governor

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Actions

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Date of Action	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Mar 04, 2026	print number 8635b
Mar 04, 2026	amend and recommit to health
Feb 20, 2026	print number 8635a
Feb 20, 2026	amend and recommit to health
Jan 07, 2026	referred to health

Bill Amendments

Original

B (Active)

co-Sponsors

2025-S8635 - Details

See Assembly Version of this Bill:: A9418
Current Committee:: Senate Health
Law Section:: Social Services Law
Laws Affected:: Amd §461-l, Soc Serv L; amd §3614, Pub Health L

2025-S8635 - Summary

Establishes a special needs assisted living demonstration program to authorize up to three assisted living programs throughout the state to serve individuals with special needs, including, but not limited to, individuals with dementia or cognitive impairments.

2025-S8635 - Sponsor Memo

                                 
BILL NUMBER: S8635

SPONSOR: FERNANDEZ
 
TITLE OF BILL:

An act to amend the social services law and the public health law, in
relation to a special needs assisted living demonstration program

 
PURPOSE OR GENERAL IDEA OF BILL:

This legislation will create a demonstration project to explore the
benefit of introducing a model that would expand Assisted Living Program
(ALP) eligibility to include persons with special needs, including
dementia and/or cognitive impairment.

 
SUMMARY OF PROVISIONS:

Section 1: Amends Subdivision 3 of section 461-1 of the social services
law to add a new paragraph (o) that states that the commissioner shall
establish a special needs assisted living demonstration program to allow
up to three assisted living programs throughout the state to serve indi-
viduals with dementia or cognitive impairments. The assisted living

programs will analyze feasibility, efficiency and potential for cost
savings and the commissioner will submit a report analyzing the program.

Section 2: Amends subdivision 6 of section 3614 of the public health law
to add a new paragraph (d) that medical assistance rates of payment will
be adjusted for services provided by the assisted living programs
participating in a demonstration program.

Section 3 sets the effective date

 
JUSTIFICATION:

The Medicaid funded Assisted Living Program (also known as the "ALP")
serves individuals who are medically eligible for nursing home care in a
more independent, lower cost setting. This program provides room, board,
personal care and therapy to thousands of low-income New Yorkers, allow-
ing them to maintain their independence.

The scope and reimbursement structure of the ALP does not currently
contemplate the provision of specialized services to individuals with
Alzheimer's and dementia. As such, many seniors who rely on Medicaid,
and who develop these types of conditions, end up being forced to trans-
fer to a nursing home - whether they need that level of care or not - at
a much higher cost to the state.

Alzheimer's dementia prevalence continues to increase in the United
States, with cost of care exceeding $350 billion dollars 
1. In New York
State alone, over 426,000 individuals aged 65 and older currently have
Alzheimer's. The need for specialized settings to care for this popu-
lation, including for Medicaid beneficiaries, will continue to grow over
time as our population ages - as will the cost of caring for them.

This legislation would authorize the Department of Health to allow up to
three ALP providers to serve individuals with special needs as part of a
demonstration, to test the feasibility of the model and the potential
for cost savings to the state resulting from caring for individuals in a
lower cost setting.
(1) Alzheimer's Association. 2025 Alzheimer's Disease Facts and Figures.
https://wvvw.alz.org/getmedia/ef8f48f9-ad36-
48ea-87f9-b74034635c1e/alzhei mers-facts-and-figu res.pdf

 
PRIOR LEGISLATIVE HISTORY:

New Bill

 
FISCAL IMPLICATIONS:

TBD

 
EFFECTIVE DATE:
This act shall take effect immediately

2025-S8635 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8635
 
                             I N  S E N A T E
 
                              January 7, 2026
                                ___________
 
 Introduced by Sens. FERNANDEZ, 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 and the public health law, in
   relation to a special needs assisted living demonstration program
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1.  Subdivision 3 of section 461-l of the social services law
 is amended by adding a new paragraph (o) to read as follows:
   (O) NOTWITHSTANDING PARAGRAPH (M) OF THIS SUBDIVISION, THE COMMISSION-
 ER SHALL ESTABLISH A SPECIAL NEEDS ASSISTED LIVING DEMONSTRATION PROGRAM
 TO AUTHORIZE UP TO THREE ASSISTED LIVING PROGRAMS THROUGHOUT  THE  STATE
 TO  SERVE INDIVIDUALS WITH SPECIAL NEEDS, INCLUDING, BUT NOT LIMITED TO,
 INDIVIDUALS WITH DEMENTIA OR COGNITIVE IMPAIRMENTS.  EACH  PARTICIPATING
 ASSISTED  LIVING  PROGRAM  SHALL SUBMIT INFORMATION AS DETERMINED BY THE
 COMMISSIONER TO ANALYZE THE FEASIBILITY, EFFICIENCY  AND  THE  POTENTIAL
 FOR  COST SAVINGS ASSOCIATED WITH PROVIDING CARE TO THE POPULATION UNDER
 THE DEMONSTRATION PROGRAM. NO LATER THAN TWO YEARS AFTER  THE  EFFECTIVE
 DATE  OF  THIS  PARAGRAPH, THE COMMISSIONER SHALL SUBMIT A REPORT TO THE
 GOVERNOR, THE TEMPORARY PRESIDENT OF THE SENATE AND THE SPEAKER  OF  THE
 ASSEMBLY ANALYZING THE COST AND EFFICIENCY OF THE SPECIAL NEEDS ASSISTED
 LIVING DEMONSTRATION PROGRAM.
   § 2. Subdivision 6 of section 3614 of the public health law is amended
 by adding a new paragraph (d) to read as follows:
   (D)  THE COMMISSIONER SHALL ADJUST MEDICAL ASSISTANCE RATES OF PAYMENT
 FOR SERVICES PROVIDED BY ASSISTED LIVING  PROGRAMS  PARTICIPATING  IN  A
 DEMONSTRATION  PROGRAM PURSUANT TO PARAGRAPH (O) OF SUBDIVISION THREE OF
 SECTION FOUR HUNDRED SIXTY-ONE-L OF THE SOCIAL  SERVICES  LAW  TO  SERVE
 INDIVIDUALS  WITH SPECIAL NEEDS, INCLUDING, BUT NOT LIMITED TO, INDIVID-
 UALS WITH DEMENTIA OR COGNITIVE IMPAIRMENTS. SUCH RATES SHALL BE  SUFFI-
 CIENT  TO  COVER THE PROVISION OF SPECIALIZED SERVICES, STAFFING LEVELS,
 STAFF EDUCATION AND TRAINING, WORK EXPERIENCE, PROFESSIONAL AFFILIATIONS
 OR SPECIAL CHARACTERISTICS RELEVANT  TO  SERVING  PERSONS  WITH  SPECIAL
 NEEDS,  AND  ANY ENVIRONMENTAL MODIFICATIONS THAT HAVE BEEN MADE OR WILL
 BE MADE TO PROTECT THE HEALTH, SAFETY AND WELFARE OF SUCH PERSONS.
   § 3. This act shall take effect immediately.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

                       [ ] is old law to be omitted.
                                                            LBD14024-01-5

co-Sponsors

2025-S8635A - Details

See Assembly Version of this Bill:: A9418
Current Committee:: Senate Health
Law Section:: Social Services Law
Laws Affected:: Amd §461-l, Soc Serv L; amd §3614, Pub Health L

2025-S8635A - Summary

2025-S8635A - Sponsor Memo

                                 
BILL NUMBER: S8635A

SPONSOR: FERNANDEZ
 
TITLE OF BILL:

An act to amend the social services law and the public health law, in
relation to a special needs assisted living demonstration program

 
PURPOSE OR GENERAL IDEA OF BILL:

This legislation will create a demonstration project to explore the
benefit of introducing a model that would expand Assisted Living Program
(ALP) eligibility to include persons with special needs, including
dementia and/or cognitive impairment.

 
SUMMARY OF PROVISIONS:

Section 1: Amends Subdivision 3 of section 461-1 of the social services
law to add a new paragraph (o) that states that the commissioner shall
establish a special needs assisted living demonstration program to allow
up to three assisted living programs throughout the state to serve indi-
viduals with dementia or cognitive impairments. The assisted living

programs will analyze feasibility, efficiency and potential for cost
savings and the commissioner will submit a report analyzing the program.

Section 2: Amends subdivision 6 of section 3614 of the public health law
to add a new paragraph (d) that medical assistance rates of payment will
be adjusted for services provided by the assisted living programs
participating in a demonstration program.

Section 3 sets the effective date

 
JUSTIFICATION:

The Medicaid funded Assisted Living Program (also known as the "ALP")
serves individuals who are medically eligible for nursing home care in a
more independent, lower cost setting. This program provides room, board,
personal care and therapy to thousands of low-income New Yorkers, allow-
ing them to maintain their independence.

The scope and reimbursement structure of the ALP does not currently
contemplate the provision of specialized services to individuals with
Alzheimer's and dementia. As such, many seniors who rely on Medicaid,
and who develop these types of conditions, end up being forced to trans-
fer to a nursing home - whether they need that level of care or not - at
a much higher cost to the state.

Alzheimer's dementia prevalence continues to increase in the United
States, with cost of care exceeding $350 billion dollars 
1. In New York
State alone, over 426,000 individuals aged 65 and older currently have
Alzheimer's. The need for specialized settings to care for this popu-
lation, including for Medicaid beneficiaries, will continue to grow over
time as our population ages - as will the cost of caring for them.

This legislation would authorize the Department of Health to allow up to
three ALP providers to serve individuals with special needs as part of a
demonstration, to test the feasibility of the model and the potential
for cost savings to the state resulting from caring for individuals in a
lower cost setting.
 
PRIOR LEGISLATIVE HISTORY:

New Bill

 
FISCAL IMPLICATIONS:

TBD

 
EFFECTIVE DATE:
This act shall take effect immediately
 
1 Alzheimer's Association. 2025 Alzheimer's Disease Facts and Figures.
https://www.alz.org/getmedia/ef8f48f9-ad36-48ea-8719-
b74034635c1e/alzheimers-facts-and-figures.pdf

2025-S8635A - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  8635--A
 
                             I N  S E N A T E
 
                              January 7, 2026
                                ___________
 
 Introduced by Sens. FERNANDEZ, CLEARE -- read twice and ordered printed,
   and when printed to be committed to the Committee on Health -- commit-
   tee  discharged, bill amended, ordered reprinted as amended and recom-
   mitted to said committee
 
 AN ACT to amend the social services law and the public  health  law,  in
   relation to a special needs assisted living demonstration program

   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subdivision 3 of section 461-l of the social  services  law
 is amended by adding a new paragraph (o) to read as follows:
   (O) NOTWITHSTANDING PARAGRAPH (N) OF THIS SUBDIVISION, THE COMMISSION-
 ER SHALL ESTABLISH A SPECIAL NEEDS ASSISTED LIVING DEMONSTRATION PROGRAM
 TO  AUTHORIZE  UP TO THREE ASSISTED LIVING PROGRAMS THROUGHOUT THE STATE
 TO SERVE INDIVIDUALS WITH SPECIAL NEEDS, INCLUDING, BUT NOT LIMITED  TO,
 INDIVIDUALS  WITH DEMENTIA OR COGNITIVE IMPAIRMENTS.  EACH PARTICIPATING
 ASSISTED LIVING PROGRAM SHALL SUBMIT INFORMATION AS  DETERMINED  BY  THE
 COMMISSIONER  TO  ANALYZE  THE FEASIBILITY, EFFICIENCY AND THE POTENTIAL
 FOR COST SAVINGS ASSOCIATED WITH PROVIDING CARE TO THE POPULATION  UNDER
 THE  DEMONSTRATION  PROGRAM. NO LATER THAN TWO YEARS AFTER THE EFFECTIVE
 DATE OF THIS PARAGRAPH, THE COMMISSIONER SHALL SUBMIT A  REPORT  TO  THE
 GOVERNOR,  THE  TEMPORARY PRESIDENT OF THE SENATE AND THE SPEAKER OF THE
 ASSEMBLY ANALYZING THE COST AND EFFICIENCY OF THE SPECIAL NEEDS ASSISTED
 LIVING DEMONSTRATION PROGRAM.
   § 2. Subdivision 6 of section 3614 of the public health law is amended
 by adding a new paragraph (d) to read as follows:
   (D) THE COMMISSIONER SHALL ADJUST MEDICAL ASSISTANCE RATES OF  PAYMENT
 FOR  SERVICES  PROVIDED  BY  ASSISTED LIVING PROGRAMS PARTICIPATING IN A
 DEMONSTRATION PROGRAM PURSUANT TO PARAGRAPH (O) OF SUBDIVISION THREE  OF
 SECTION  FOUR  HUNDRED  SIXTY-ONE-L  OF THE SOCIAL SERVICES LAW TO SERVE
 INDIVIDUALS WITH SPECIAL NEEDS, INCLUDING, BUT NOT LIMITED TO,  INDIVID-
 UALS  WITH DEMENTIA OR COGNITIVE IMPAIRMENTS. SUCH RATES SHALL BE SUFFI-
 CIENT TO COVER THE PROVISION OF SPECIALIZED SERVICES,  STAFFING  LEVELS,
 STAFF EDUCATION AND TRAINING, WORK EXPERIENCE, PROFESSIONAL AFFILIATIONS
 OR  SPECIAL  CHARACTERISTICS  RELEVANT  TO  SERVING PERSONS WITH SPECIAL
 NEEDS, AND ANY ENVIRONMENTAL MODIFICATIONS THAT HAVE BEEN MADE  OR  WILL
 BE MADE TO PROTECT THE HEALTH, SAFETY AND WELFARE OF SUCH PERSONS.
   § 3. This act shall take effect immediately.

 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD14024-02-6

co-Sponsors

2025-S8635B (ACTIVE) - Details

See Assembly Version of this Bill:: A9418
Current Committee:: Senate Health
Law Section:: Social Services Law
Laws Affected:: Amd §461-l, Soc Serv L; amd §3614, Pub Health L

2025-S8635B (ACTIVE) - Summary

2025-S8635B (ACTIVE) - Sponsor Memo

                                 
BILL NUMBER: S8635B

SPONSOR: FERNANDEZ
 
TITLE OF BILL:

An act to amend the social services law and the public health law, in
relation to a special needs assisted living demonstration program

 
PURPOSE OR GENERAL IDEA OF BILL:

This legislation will create a demonstration project to explore the
benefit of introducing a model that would expand Assisted Living Program
(ALP) eligibility to include persons with special needs, including
dementia and/or cognitive impairment.

 
SUMMARY OF PROVISIONS:

Section 1: Amends Subdivision 3 of section 461-1 of the social services
law to add a new paragraph (o) that states that the commissioner shall
establish a special needs assisted living demonstration program to allow
up to three assisted living programs throughout the state to serve indi-
viduals with dementia or cognitive impairments. The assisted living

programs will analyze feasibility, efficiency and potential for cost
savings and the commissioner will submit a report analyzing the program.

Section 2: Amends subdivision 6 of section 3614 of the public health law
to add a new paragraph (d) that medical assistance rates of payment will
be adjusted for services provided by the assisted living programs
participating in a demonstration program.

Section 3 sets the effective date

 
JUSTIFICATION:

The Medicaid funded Assisted Living Program (also known as the "ALP")
serves individuals who are medically eligible for nursing home care in a
more independent, lower cost setting. This program provides room, board,
personal care and therapy to thousands of low-income New Yorkers, allow-
ing them to maintain their independence.

The scope and reimbursement structure of the ALP does not currently
contemplate the provision of specialized services to individuals with
Alzheimer's and dementia. As such, many seniors who rely on Medicaid,
and who develop these types of conditions, end up being forced to trans-
fer to a nursing home whether they need that level of care or not at a
much higher cost to the state.

Alzheimer's dementia prevalence continues to increase in the United
States, with cost of care exceeding $350 billion dollars 
1. In New York
State alone, over 426,000 individuals aged 65 and older currently have
Alzheimer's. The need for specialized settings to care for this popu-
lation, including for Medicaid beneficiaries, will continue to grow over
time as our population ages as will the cost of caring for them.

This legislation would authorize the Department of Health to allow up to
three ALP providers to serve individuals with special needs as part of a
demonstration, to test the feasibility of the model and the potential
for cost savings to the state resulting from caring for individuals in a
lower cost setting.
(1) Alzheimer's Association. 2025 Alzheimer's Disease Facts and Figures.
https://vvww.alz.org/getmedia/ ef8f48f9-ad36-48ea-87f9-b74034635cle/
alzheimers-facts-andfigures.pdf

 
PRIOR LEGISLATIVE HISTORY:

New Bill

 
FISCAL IMPLICATIONS:

TBD

 
EFFECTIVE DATE:
This act shall take effect immediately

2025-S8635B (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  8635--B
 
                             I N  S E N A T E
 
                              January 7, 2026
                                ___________
 
 Introduced by Sens. FERNANDEZ, CLEARE -- read twice and ordered printed,
   and when printed to be committed to the Committee on Health -- commit-
   tee  discharged, bill amended, ordered reprinted as amended and recom-
   mitted to  said  committee  --  committee  discharged,  bill  amended,
   ordered reprinted as amended and recommitted to said committee

 AN  ACT  to  amend the social services law and the public health law, in
   relation to a special needs assisted living demonstration program
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Subdivision 3 of section 461-l of the social services law
 is amended by adding a new paragraph (o) to read as follows:
   (O) NOTWITHSTANDING PARAGRAPHS (M) AND (N)  OF  THIS  SUBDIVISION,  AS
 WELL  AS  ARTICLE FORTY-SIX-B OF THE PUBLIC HEALTH LAW, THE COMMISSIONER
 SHALL ESTABLISH A SPECIAL NEEDS ASSISTED LIVING DEMONSTRATION PROGRAM TO
 AUTHORIZE UP TO THREE ASSISTED LIVING PROGRAMS THROUGHOUT THE  STATE  TO
 SERVE  INDIVIDUALS  WITH  SPECIAL  NEEDS, INCLUDING, BUT NOT LIMITED TO,
 INDIVIDUALS WITH DEMENTIA OR COGNITIVE IMPAIRMENTS.  EACH  PARTICIPATING
 ASSISTED  LIVING  PROGRAM  SHALL SUBMIT INFORMATION AS DETERMINED BY THE
 COMMISSIONER TO ANALYZE THE FEASIBILITY, EFFICIENCY  AND  THE  POTENTIAL
 FOR  COST SAVINGS ASSOCIATED WITH PROVIDING CARE TO THE POPULATION UNDER
 THE DEMONSTRATION PROGRAM. NO LATER THAN TWO YEARS AFTER  THE  EFFECTIVE
 DATE  OF  THIS  PARAGRAPH, THE COMMISSIONER SHALL SUBMIT A REPORT TO THE
 GOVERNOR, THE TEMPORARY PRESIDENT OF THE SENATE AND THE SPEAKER  OF  THE
 ASSEMBLY ANALYZING THE COST AND EFFICIENCY OF THE SPECIAL NEEDS ASSISTED
 LIVING DEMONSTRATION PROGRAM.
   § 2. Subdivision 6 of section 3614 of the public health law is amended
 by adding a new paragraph (d) to read as follows:
   (D)  THE COMMISSIONER SHALL ADJUST MEDICAL ASSISTANCE RATES OF PAYMENT
 FOR SERVICES PROVIDED BY ASSISTED LIVING  PROGRAMS  PARTICIPATING  IN  A
 DEMONSTRATION  PROGRAM PURSUANT TO PARAGRAPH (O) OF SUBDIVISION THREE OF
 SECTION FOUR HUNDRED SIXTY-ONE-L OF THE SOCIAL  SERVICES  LAW  TO  SERVE
 INDIVIDUALS  WITH SPECIAL NEEDS, INCLUDING, BUT NOT LIMITED TO, INDIVID-
 UALS WITH DEMENTIA OR COGNITIVE IMPAIRMENTS. SUCH RATES SHALL BE  SUFFI-
 CIENT  TO  COVER THE PROVISION OF SPECIALIZED SERVICES, STAFFING LEVELS,
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

                                                            LBD14024-05-6
 S. 8635--B                          2
 
 STAFF EDUCATION AND TRAINING, WORK EXPERIENCE, PROFESSIONAL AFFILIATIONS
 OR SPECIAL CHARACTERISTICS RELEVANT  TO  SERVING  PERSONS  WITH  SPECIAL
 NEEDS,  AND  ANY ENVIRONMENTAL MODIFICATIONS THAT HAVE BEEN MADE OR WILL
 BE MADE TO PROTECT THE HEALTH, SAFETY AND WELFARE OF SUCH PERSONS.
   § 3. This act shall take effect immediately.

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Senate Bill S8635B

Sponsored By

Current Bill Status - In Senate Committee Health Committee

Actions

Bill Amendments

co-Sponsors

2025-S8635 - Details

2025-S8635 - Summary

2025-S8635 - Sponsor Memo

2025-S8635 - Bill Text download pdf

co-Sponsors

2025-S8635A - Details

2025-S8635A - Summary

2025-S8635A - Sponsor Memo

2025-S8635A - Bill Text download pdf

co-Sponsors

2025-S8635B (ACTIVE) - Details

2025-S8635B (ACTIVE) - Summary

2025-S8635B (ACTIVE) - Sponsor Memo

2025-S8635B (ACTIVE) - Bill Text download pdf

Comments

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Senate Bill S8635B

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Sponsored By

Nathalia Fernandez

Current Bill Status - In Senate Committee Health Committee

Actions

Bill Amendments

co-Sponsors

Cordell Cleare

2025-S8635 - Details

2025-S8635 - Summary

2025-S8635 - Sponsor Memo

2025-S8635 - Bill Text download pdf

co-Sponsors

Cordell Cleare

2025-S8635A - Details

2025-S8635A - Summary

2025-S8635A - Sponsor Memo

2025-S8635A - Bill Text download pdf

co-Sponsors

Cordell Cleare

James Skoufis

2025-S8635B (ACTIVE) - Details

2025-S8635B (ACTIVE) - Summary

2025-S8635B (ACTIVE) - Sponsor Memo

2025-S8635B (ACTIVE) - Bill Text download pdf

Comments