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NY A10537
Bill
Status
3/6/2026
Primary Sponsor
Jessica Gonzalez-Rojas
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AI Summary
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Requires the statewide fiscal intermediary for the Consumer Directed Personal Assistance Program to submit quarterly and annual reports to the commissioner containing utilization data, financial data, workforce data, customer service metrics, and subcontractor information
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Mandates reporting of consumer enrollment numbers, personal assistant counts, authorized versus utilized service hours, and reasons for service discontinuation, broken down by month, rate setting region, and authorizing entity
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Requires disclosure of financial data including reimbursement rates from managed care entities, administrative payment distribution (executive compensation, capital expenditures, staff costs, profit distributions), overtime wages paid, and non-billable hours
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Compels reporting on payroll processing timeliness, wage accuracy, pended or denied hours categorized by duration (30/60/90/180+ days), and customer service metrics including call wait times, complaint resolution rates, and interpreter/accessibility services provided
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Subjects the fiscal intermediary to penalties for late submissions, knowingly false data, or omissions, and requires all reports to be published on the department's website in an accessible, searchable format
Legislative Description
Relates to the reporting requirements of the statewide fiscal intermediary; requires the reporting of utilization data and financial data to protect medical assistance recipients in using the program and ensure the effective use of medical assistance funds; requires the statewide fiscal intermediary to provide consumer directed personal assistant data to ensure the availability of a workforce to meet the needs of consumers utilizing the program; requires the statewide fiscal intermediary to provide data regarding customer service requests, complaints, and accessibility.
Last Action
referred to health
3/6/2026