NY S09901

Requires fiscal intermediaries providing personal assistance services to obtain a license from the Department of Social Services commissioner starting April 1, 2026, with a one-time application fee of $10,000.

Expands the definition of "fiscal intermediary" to include entities contracting with local social services departments, health maintenance organizations, accountable care organizations, and integrated delivery systems, removing the previous "statewide" requirement.

Mandates annual reporting by fiscal intermediaries on direct care and administrative costs, members serviced, service areas, personal assistant employment details, authorized hours, and self-directing status.

Establishes a personal assistant registry maintained by the department for oversight and fraud investigation purposes, requiring fiscal intermediaries to register each personal assistant employed by consumers.

Authorizes the commissioner to promulgate regulations requiring minimum training for personal assistants, with training requirements varying based on the relationship to consumer, level of care needed, and existing certifications.