NY State Senate Bill 2025-S9875

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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Date of Action	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Apr 09, 2026	referred to health

2025-S9875 (ACTIVE) - Details

See Assembly Version of this Bill:: A10290
Current Committee:: Senate Health
Law Section:: Social Services Law
Laws Affected:: Amd §364-j, Soc Serv L; amd §4403-f, Pub Health L

2025-S9875 (ACTIVE) - Summary

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

2025-S9875 (ACTIVE) - Sponsor Memo

                                 
BILL NUMBER: S9875

SPONSOR: WEBB
 
TITLE OF BILL:

An act to amend the social services law and the public health law, in
relation to permitting individuals receiving hospice services to enroll
in managed long term care plans and ensuring coordinated service deliv-
ery

 
PURPOSE:

To eliminate barriers that prevent individuals receiving hospice
services from enrolling in managed long term care plans and to promote
coordinated delivery of hospice and long-term care services.

 
SUMMARY OF PROVISIONS:

Section 1 of the bill amends subparagraph (xix) of paragraph (e) of
subdivision 3 of section 364-j of the social services law to clarify
that individuals who elect hospice services under Medicare or Medicaid
are not categorically barred from enrolling in managed long-term care

plans.

Section 2 of the bill amends clause 8 of subparagraph (v) of paragraph
(b) of subdivision 7 of section 4403-f of the public health law to state
that individuals who elect the hospice benefit under Medicare or Medi-
caid shall not be deemed ineligible for enrollment in a managed long
term care plan and directs the commissioner to issue guidance to managed
long temi care plans, local social services districts and hospice
programs regarding enrollment procedures, continuity of care and coordi-
nation expectations for such individuals.

Section 3 of the bill amends section 4403-f of the public health law by
adding a new subdivision 12-a on the establishment of standards to
promote coordination of care for individuals enrolled in managed long
term care plans who are also receiving hospice services and specifies
what the standards shall include.

Section 4 of the bill authorizes the Department of Health to seek any
necessary federal approvals.

Section 5 is the effective date.

 
JUSTIFICATION:

Individuals with terminal illness frequently require both hospice care
and long-term care supports, including personal care services, transpor-
tation, and community-based assistance. Current Medicaid policy effec-
tively forces individuals to choose between hospice care and access to
managed long-tend care services, resulting in fragmented care, unmet
needs, and avoidable hospitalizations.

This bill removes that barrier by allowing individuals who elect hospice
to enroll in managed long-term care plans and by establishing standards
for coordinated care planning between hospice providers and managed
long-term care plans. These changes will improve continuity of care,
support patient dignity and autonomy, and promote more efficient use of
Medicaid resources.
 
LEGISLATIVE HISTORY:

New bill.

 
FISCAL IMPLICATIONS:

To be determined

 
LOCAL FISCAL IMPLICATIONS:

To be determined

 
EFFECTIVE DATE:
This act shall take effect on the one hundredth day after it shall have
become a law; provided, however, that the amendments to Subdivision 3 Of
Section 364-J Of the Social Services Law made by Section one of this act
shall not affect the repeal of such section and shall be deemed repealed
therewith; provided, further, that the amendments to Section 4403-f of
the Public Health Law made by Sections two and three of this act shall
not affect the repeal of such section and shall be deemed repealed ther-
ewith. Effective immediately, the addition, amendment and/or repeal of
any rule or regulation necessary for the implementation of this act on
its effective date are authorized to be made and completed on or before
such effective date.

2025-S9875 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   9875
 
                             I N  S E N A T E
 
                               April 9, 2026
                                ___________
 
 Introduced  by  Sen.  WEBB  --  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  permitting  individuals  receiving  hospice  services to
   enroll in managed  long  term  care  plans  and  ensuring  coordinated
   service delivery

   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subparagraph (xix) of paragraph (e)  of  subdivision  3  of
 section  364-j  of  the social services law, as amended by section 38 of
 part A of chapter 56 of the laws of 2013, is amended to read as follows:
   (xix) individuals receiving hospice services at  time  of  enrollment;
 provided, however, that this clause shall not be construed to require an
 individual  enrolled  in  a  managed long term care plan or another care
 coordination model, who subsequently elects hospice, to  disenroll  from
 such program, AND AN INDIVIDUAL WHO ELECTS THE HOSPICE BENEFIT UNDER THE
 MEDICARE  OR  MEDICAID  PROGRAM  SHALL  NOT,  SOLELY  BY  REASON OF SUCH
 ELECTION, BE DEEMED INELIGIBLE FOR ENROLLMENT IN  A  MANAGED  LONG  TERM
 CARE  PLAN,  AND  THE  COMMISSIONER SHALL ISSUE GUIDANCE TO MANAGED LONG
 TERM CARE PLANS, LOCAL SOCIAL SERVICES DISTRICTS, AND  HOSPICE  PROGRAMS
 REGARDING  ENROLLMENT  PROCEDURES,  CONTINUITY OF CARE, AND COORDINATION
 EXPECTATIONS FOR SUCH INDIVIDUALS;
   § 2. Clause 8 of subparagraph v of paragraph (b) of subdivision  7  of
 section  4403-f  of  the  public health law, as amended by section 48 of
 part A of chapter 56 of the laws of 2013, is amended to read as follows:
   (8) a  person  receiving  hospice  services  at  time  of  enrollment;
 provided, however, that this clause shall not be construed to require an
 individual  enrolled  in  a  managed long term care plan or another care
 coordination model, who subsequently elects hospice, to  disenroll  from
 such program, AND AN INDIVIDUAL WHO ELECTS THE HOSPICE BENEFIT UNDER THE
 MEDICARE  OR  MEDICAID  PROGRAM  SHALL  NOT,  SOLELY  BY  REASON OF SUCH
 ELECTION, BE DEEMED INELIGIBLE FOR ENROLLMENT IN  A  MANAGED  LONG  TERM
 CARE  PLAN,  AND  THE  COMMISSIONER SHALL ISSUE GUIDANCE TO MANAGED LONG
 TERM CARE PLANS, LOCAL SOCIAL SERVICES DISTRICTS, AND  HOSPICE  PROGRAMS
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

                                                            LBD14723-01-6
 S. 9875                             2
 
 REGARDING  ENROLLMENT  PROCEDURES,  CONTINUITY OF CARE, AND COORDINATION
 EXPECTATIONS FOR SUCH INDIVIDUALS;
   §  3.  Section  4403-f of the public health law is amended by adding a
 new subdivision 12-a to read as follows:
   12-A. (A) THE DEPARTMENT SHALL ESTABLISH STANDARDS TO PROMOTE  COORDI-
 NATION  OF CARE FOR INDIVIDUALS ENROLLED IN MANAGED LONG TERM CARE PLANS
 WHO ARE ALSO RECEIVING HOSPICE SERVICES.
   (B) SUCH STANDARDS MAY INCLUDE, BUT NEED NOT BE LIMITED TO:
   (I) SHARED OR COORDINATED CARE PLANNING;
   (II) INTERDISCIPLINARY COMMUNICATION PROTOCOLS;
   (III) CLARIFICATION OF RESPONSIBILITIES FOR PERSONAL CARE, TRANSPORTA-
 TION, AND OTHER COMMUNITY-BASED SERVICES; AND
   (IV) PROCEDURES TO MINIMIZE DELAYS OR DISRUPTIONS IN SERVICE DELIVERY.
   (C) MANAGED LONG TERM CARE PLANS AND HOSPICE PROGRAMS  SHALL  EXCHANGE
 INFORMATION  NECESSARY  TO  ENSURE  CONTINUITY  OF CARE, CONSISTENT WITH
 APPLICABLE STATE AND FEDERAL PRIVACY LAWS.
   (D) THE DEPARTMENT  MAY  PROMULGATE  REGULATIONS  AND  ISSUE  GUIDANCE
 NECESSARY TO IMPLEMENT THIS SUBDIVISION.
   §  4. To the extent necessary to implement the provisions of this act,
 the department of health shall seek any federal approvals required under
 the Medicaid program.
   § 5. This act shall take effect on the  one  hundredth  day  after  it
 shall  have  become  a  law;  provided,  however, that the amendments to
 subdivision 3 of section 364-j  of  the  social  services  law  made  by
 section  one of this act shall not affect the repeal of such section and
 shall be deemed repealed therewith; provided, further, that  the  amend-
 ments  to  section  4403-f of the public health law made by sections two
 and three of this act shall not affect the repeal of  such  section  and
 shall be deemed repealed therewith. Effective immediately, the addition,
 amendment  and/or  repeal  of  any  rule or regulation necessary for the
 implementation of this act on its effective date are  authorized  to  be
 made and completed on or before such effective date.

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Senate Bill S9875

Sponsored By

Current Bill Status - In Senate Committee Health Committee

Actions

2025-S9875 (ACTIVE) - Details

2025-S9875 (ACTIVE) - Summary

2025-S9875 (ACTIVE) - Sponsor Memo

2025-S9875 (ACTIVE) - Bill Text download pdf

Comments

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Sponsored By

Lea Webb

Current Bill Status - In Senate Committee Health Committee

Actions

2025-S9875 (ACTIVE) - Details

2025-S9875 (ACTIVE) - Summary

2025-S9875 (ACTIVE) - Sponsor Memo

2025-S9875 (ACTIVE) - Bill Text download pdf

Comments