NY A08647

Establishes a three-year demonstration program at six participating hospitals (Crouse, Glens Falls, Memorial Albany, Samaritan Troy, University of Rochester Medical Center, and Wyckoff Heights) to evaluate transition authorization panels for patients ready to move from inpatient to post-acute care but lacking decision-making capacity and legal representatives.

Creates three-person transition authorization panels composed of one member each designated by the hospital, local social services commissioner, and New York State Office of Long Term Care Ombudsman to authorize transitions and make financial arrangements on behalf of eligible patients for up to 120 days or until guardianship is established.

Allows attending physicians to request panel review with written documentation that patients lack capacity, have no available legal decision-maker, and have an identified post-acute care provider willing to accept them if authorized.

Grants panels authority to access patient financial information, expend patient funds for post-acute care, and apply for Medicaid or Medicare enrollment; provides immunity from liability to hospitals, providers, and financial institutions acting in good faith based on panel orders.

Requires participating hospitals to submit annual reports documenting request types, decision timelines, panel vote outcomes, and financial arrangement success, with the Commissioner compiling findings for legislative submission; program expires three years and ninety days after enactment.