NY S09519

Establishes a demonstration program allowing the Department of Health commissioner to approve construction of new or repurposing of existing adult residential health care facilities specifically for aging adults with medical fragility.

Defines eligible participants as adults age 35 and older with chronic debilitating conditions, technology dependence, complex medication needs, or risk of serious health deterioration.

Limits program eligibility to nonprofit corporations operating at least 110 adult beds licensed under Article 16 of Public Health Law, or facilities licensed to provide diagnostic and treatment services.

Requires facilities to prioritize admission of aging adults transitioning from pediatric residential health care facilities operated by the same entity and maintain sufficient capacity for admits reaching age 35.

Directs the commissioner to establish Medicaid reimbursement rates for aging adults with medical fragility at participating facilities, adjusting standard rates to account for discrete expenses and distinct aging-related medical and psychological support needs.