NY A02735

Establishes mandatory licensure for fiscal intermediaries effective April 1, 2027, with a one-time application fee of $10,000, replacing the previous registration system

Expands the definition of fiscal intermediary to include entities contracting with local social services departments, health maintenance organizations, and accountable care organizations

Requires fiscal intermediaries to submit expanded annual reports including direct care and administrative costs, number of members serviced, personal assistant employment data, authorized versus billed hours, and consumer self-directing status

Creates a confidential personal assistant registry maintained by the department to aid in program oversight and fraud investigations, with fiscal intermediaries responsible for registering each personal assistant

Authorizes the commissioner to establish minimum training requirements for personal assistants and grants the state comptroller authority to audit fiscal intermediary contracts for compliance with state and federal law