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NY S01617

Bill

Status

Engrossed

3/24/2025

Primary Sponsor

Gustavo Rivera

Click for details

Origin

Senate

2025-2026 General Assembly

AI Summary

  • Requires the commissioner to automatically assign Medicaid recipients to a managed long term care plan if they need community-based long term care services for more than 120 continuous days and have not selected a plan themselves, considering factors like prior care workers, quality, capacity, and geographic accessibility

  • Allows Medicaid applicants and recipients to attest to their accumulated resources instead of providing documentation, except when seeking long term care services for the first time; recipients who previously documented resources can attest if amounts have stayed the same or decreased

  • Establishes automatic recertification for four groups: managed long term care plan enrollees, managed care enrollees receiving personal care services, Aged/Blind/Disabled category recipients with fixed Social Security income, and Medicare Savings Program recipients with fixed Social Security income

  • Preserves recipients' obligation to report changes in income or other eligibility factors, and ensures notice and hearing rights when eligibility is found lacking

  • Takes effect 180 days after becoming law, with sections on attestation and recertification contingent on federal CMS approval confirming no impact on federal financial participation

Legislative Description

Provides for automatic enrollment and recertification simplification for Medicaid managed care plans and long term care plans.

Last Action

ADVANCED TO THIRD READING

2/26/2026

Committee Referrals

Health1/7/2026
Ways and Means3/24/2025
Health1/13/2025

Full Bill Text

No bill text available