New York S 9507: Establishes a state disaster emergency grant and loan program

Status: REFERRED TO LOCAL GOVERNMENT (as of 2024-05-16)

State: New York · Session: 2023-2024 · Bill: S 9507

Sponsors: Jeremy Cooney, Lea Webb, Rachel May, Steve Rhoads

Bill Text

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S09507 Summary:

BILL NOS09507 

&nbsp

SAME ASSAME AS A08604

&nbsp

SPONSORSTAVISKY

&nbsp

COSPNSR

&nbsp

MLTSPNSR

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Amd §4406-i, add §§4406-j & 4406-k, Pub Health L; amd §3217-j, Ins L

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Provides additional support to medically fragile children who rely on community-based or home health services.

Go to top S09507 Actions:

BILL NOS09507 

&nbsp

03/18/2026REFERRED TO HEALTH

Go to topS09507 Committee&nbspVotes:

Go to topS09507 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topS09507 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 9507

 IN SENATE

 March 18, 2026
 ___________

 Introduced by Sen. STAVISKY -- read twice and ordered printed, and when
 printed to be committed to the Committee on Health

 AN ACT to amend the public health law and the insurance law, in relation
 to supporting medically fragile children who require community-based
 and home health services

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. Section 4406-i of the public health law, as added by chap-
 2 ter 170 of the laws of 2023, is amended to read as follows:
 3 § 4406-i. Utilization review determinations for medically fragile
 4 children. 1. Notwithstanding any inconsistent provision of the health
 5 maintenance organization's clinical standards, the health maintenance
 6 organization, and any utilization review agent under contract with such
 7 health maintenance organization, shall administer and apply the clinical
 8 standards (and make determinations of medical necessity) for inpatient,
 9 outpatient and community-based services regarding medically fragile
 10 children in accordance with the requirements of this section and any
 11 regulations with special considerations and processes for utilization
 12 review related to medically fragile children.
 13 2. Health maintenance organizations shall undertake the following with
 14 respect to medically fragile children, and as applicable, shall ensure
 15 that their contracted utilization review agents undertake the following
 16 with respect to medically fragile children:
 17 (a) Consider as medically necessary all covered services that assist
 18 medically fragile children in reaching their maximum functional capaci-
 19 ty, taking into account the appropriate functional capacities of chil-
 20 dren of the same age. In the case of community-based long-term services
 21 and supports, those shall include but not be limited to skilled nursing,
 22 home-based private duty nursing, personal care services, consumer
 23 directed personal assistance program services, home health aide, phys-
 24 ical therapy, occupational therapy, speech therapy, and feeding therapy.
 25 In the case of Medicaid managed care, health maintenance organizations
 26 shall continue to cover services until that child achieves age-appropri-
 27 ate functional capacity.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD13172-01-5

 S. 9507 2

 1 (b) Shall not base determinations solely upon review standards appli-
 2 cable to (or designed for) adults to medically fragile children. Deter-
 3 minations shall take into consideration the specific needs of the child
 4 and the circumstances pertaining to their growth and development. The
 5 determinations shall consider the level of care required for a medically
 6 fragile child, including twenty-four hour, seven-day per week and/or
 7 institutional level of care and determinations shall be made on a case-
 8 by-case basis taking into account the particular needs of the child and
 9 family.
 10 (c) Accommodate unusual stabilization and prolonged discharge plans
 11 for medically fragile children, as appropriate. Health maintenance
 12 organizations, and as applicable their contracted utilization review
 13 agents, shall consider when developing and approving discharge plans
 14 issues including sudden reversals of condition or progress which may
 15 make discharge decisions uncertain or more prolonged than for other
 16 children or adults.
 17 (c-1) In the case of community-based long term care services for
 18 medically fragile children, the health maintenance organizat

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