New York A 11096: Establishes an assisted living program reimbursement program to provide enhanced Medicaid reimbursement to qualifying assisted living programs

Status: REFERRED TO HEALTH (as of 2026-04-24)

State: New York · Session: 2025-2026 · Bill: A 11096

Sponsors: Michaelle C. Solages, Stacey Pheffer Amato, Maritza Davila, Nikki Lucas

Bill Text

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A11096 Summary:

BILL NOA11096 

&nbsp

SAME ASSAME AS S09392

&nbsp

SPONSORSolages

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COSPNSRPheffer Amato, Davila, Lucas

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MLTSPNSR

&nbsp

Add §367-hh, Soc Serv L

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Establishes an assisted living program reimbursement program to provide enhanced Medicaid reimbursement to qualifying assisted living programs; requires at least 70% of such assisted living facility's staff to voluntarily self-identify as Black, Hispanic, or Asian; increases the capitated rates of payment from 31% to 50% over a period of five years.

Go to top A11096 Actions:

BILL NOA11096 

&nbsp

04/24/2026referred to health

Go to topA11096 Committee&nbspVotes:

Go to topA11096 Floor&nbspVotes:

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

Go to topA11096 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 11096

 IN ASSEMBLY

 April 24, 2026
 ___________

 Introduced by M. of A. SOLAGES -- read once and referred to the Commit-
 tee on Health

 AN ACT to amend the social services law, in relation to establishing an
 assisted living program reimbursement pilot program

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

 1 Section 1. The social services law is amended by adding a new section
 2 367-hh to read as follows:
 3 § 367-hh. Assisted living program reimbursement pilot program. 1.
 4 Establishment of a pilot program. The commissioner shall establish an
 5 assisted living program reimbursement pilot program to provide enhanced
 6 Medicaid reimbursement to qualifying assisted living programs, as
 7 defined in section four hundred sixty-one-l of this chapter.
 8 2. Eligibility. To be eligible for participation in the pilot program,
 9 an assisted living facility shall:
 10 (a) employ not fewer than fifty employees at the time of application;
 11 (b) demonstrate that at least seventy percent of such facility's
 12 employees voluntarily self-identify as Black, Hispanic, or Asian; and
 13 (c) maintain an average annual occupancy rate of not less than eighty
 14 percent, calculated based upon licensed bed capacity during the twelve
 15 months preceding application for and throughout participation in the
 16 pilot program.
 17 3. Payment increases. In addition to the capitated rates of payment
 18 established pursuant to section thirty-six hundred fourteen of the
 19 public health law for assisted living facilities, assisted living facil-
 20 ities participating in the pilot program shall receive:
 21 (a) a four percent increase to such capitated rate of payment,
 22 increasing such rate from thirty-one percent to thirty-five percent for
 23 the first year of participation in the pilot program;
 24 (b) a five percent increase to such capitated rate of payment,
 25 increasing such rate from thirty-five percent to forty percent for the
 26 second year of participation in the pilot program;

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD15161-01-6

 A. 11096 2

 1 (c) a five percent increase of the nursing home rate, increasing such
 2 rate from forty percent to forty-five percent for the third year of
 3 participation in the pilot program; and
 4 (d) a five percent increase of the nursing home rate, increasing such
 5 rate from forty-five percent to fifty percent for the fifth year of
 6 participation in the pilot program and thereafter.
 7 4. Certification and verification. (a) Assisted living facilities
 8 participating in the program shall submit an annual certification to the
 9 department of health verifying compliance with subdivision two of this
 10 section.
 11 (b) Workforce demographic information shall be collected through
 12 voluntary self-identification and shall not be publicly disclosed in
 13 individually identifiable form.
 14 (c) The commissioner may audit participating assisted living facili-
 15 ties to ensure compliance with this section.
 16 5. Non-compliance. A facility that fails to maintain the eligibility
 17 requirements set forth in this section may be removed from the pilot
 18 program at the discretion of the commissioner.
 19 6. Reporting. The commissioner shall submit an annual report to the
 20 governor, the temporary president of the senate, and the speaker of the
 

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