S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1493
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 10, 2025
                                ___________
 
 Introduced by M. of A. PAULIN -- read once and referred to the Committee
   on Health
 
 AN ACT to amend the public health law, in relation to state aid for home
   health care to meet community need
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1.   Legislative intent. The legislature  finds  and  declares
 this  necessity  to  act to further support the state's home health care
 policy and goals as set forth in public health  law  section  thirty-six
 hundred, current public health law sections thirty-six hundred seven and
 thirty-six hundred fifteen providing a mechanism for annual state aid to
 certified  home  health agencies and supplemental to the rate structure,
 to meet state and regional home health community services need.
   The legislature finds that the changes in the state's aging demograph-
 ics, the rising public and medical care system demand for in-home  care,
 the  increasingly  complex  medical conditions dependent upon such care,
 and the associated delivery costs of  such  services,  necessitates  the
 updating  and  commensurate  funding  of  the section thirty-six hundred
 fifteen state aid mechanism to ensure its intended purpose. Accordingly,
 the legislature seeks the amendments provided for in this act to address
 home health community need,  with  targeted  assistance  to  underserved
 areas  and  populations,  home  health nursing and related staffing, and
 requisite technology-supports for service capability, access, and  effi-
 ciency.
   §  2. Section 3615 of the public health law, as amended by chapter 884
 of the laws of 1990, subdivision 10 as amended by section 30 of  part  A
 of chapter 58 of the laws of 2010, is amended to read as follows:
   §  3615.  State  aid  to  certified home health agencies. 1. State aid
 shall be provided to certified home health agencies to assist in  devel-
 oping and ensuring their capacity to meet community need. Funds for such
 aid shall be made available each year in [an amount equal to twenty-five

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD01893-02-5
              

 A. 1493                             2

 cents  per  capita  of  the population within each health systems agency
 region, as established pursuant to article twenty-nine of this  chapter,
 or  two hundred thousand dollars, whichever is greater. Two million five
 hundred  thousand  dollars  shall  be  for the state's share of payments
 provided pursuant to subdivision  five  of  section  thirty-six  hundred
 fourteen  of this article. The remaining amount shall be for purposes of
 providing grants  pursuant  to  this  section  and  sections  thirty-six
 hundred seven and thirty-six hundred nine of this article] THE AMOUNT OF
 SEVENTY  MILLION DOLLARS (STATE AND FEDERAL SHARES) OR IN AMOUNTS AS ARE
 APPROPRIATED AND MADE AVAILABLE THEREFOR, AND DISTRIBUTED TO AGENCIES IN
 THE FORM OF INCREASED MEDICAL ASSISTANCE RATES  AND/OR  DIRECT  PAYMENTS
 GRANTS  TO  SUCH  AGENCIES,  AS  BEST  MAXIMIZES  AN AGENCY'S ABILITY TO
 RECEIVE AND UTILIZE FUNDS FOR THE PURPOSES UNDER THIS  SECTION,  AND  AS
 MAXIMIZES, WHERE APPLICABLE, FEDERAL MEDICAL ASSISTANCE PARTICIPATION.
   2.  [For  the  purpose  funding grants pursuant to sections thirty-six
 hundred seven and thirty-six hundred nine of  this  article  and  grants
 pursuant to this section, the commissioner shall allocate the proportion
 of  funds among the health systems agency regions using the last preced-
 ing federal census or other census data approved by the comptroller] THE
 COMMISSIONER SHALL ANNUALLY ALLOCATE FUNDS FOR THE PURPOSES OF  SUPPORT-
 ING  AND/OR  EXPANDING  ACCESS  TO  CERTIFIED  HOME  HEALTH  CARE AGENCY
 SERVICES, INCLUDING BUT NOT LIMITED TO:
   A. AS PROVIDED FOR IN PARAGRAPHS A, B, C, D, E, AND F  OF  SUBDIVISION
 ONE OF SECTION THIRTY-SIX HUNDRED SEVEN OF THIS ARTICLE;
   B. FOR SERVICES FOR HIGH-COST OR HIGH-NEED POPULATIONS, POPULATIONS IN
 REMOTE OR UNDERSERVED  REGIONS,  DIVERSE AND UNDERSERVED POPULATIONS, OR
 POPULATIONS WITH SPECIAL CARE NEEDS;
   C. FOR DEVELOPMENT OF RECRUITMENT, SPECIALIZED TRAINING, AND RETENTION
 INITIATIVES  FOR HOME HEALTH NURSES, THERAPISTS, SOCIAL WORKERS AND AIDE
 PERSONNEL, INCLUDING BUT NOT LIMITED TO CLINICAL PRECEPTORSHIP  SUPPORT,
 TUITION   ASSISTANCE,   TRANSPORTATION  ASSISTANCE,  CHILDCARE  SUPPORT,
 EMPLOYEE ASSISTANCE PROGRAMS SUCH AS  PEER  MENTORING  PROGRAMS,  MENTAL
 HEALTH COUNSELING, AND WORKER SAFETY; AND
   D.  THE  ACQUISITION  AND  IMPLEMENTATION OF TECHNOLOGY TO SUPPORT THE
 DELIVERY AND/OR EFFICIENCY OF SERVICES.
   3. Such annual funds allocated [to each health systems agency  region]
 shall be made available [for grants] PURSUANT TO SUBDIVISION ONE OF THIS
 SECTION  to  applicants  within each [such] region [which are determined
 eligible and approved by the commissioner] OF THE STATE pursuant to  the
 provisions  of  this  section [and sections thirty-six hundred seven and
 thirty-six hundred nine of this article].
   4. In order to be considered eligible for receipt of [a  grant]  FUNDS
 pursuant to this section, a certified home health agency shall submit an
 application  to  the  department. Such application shall demonstrate, to
 the satisfaction of the commissioner, that the agency:
   (a) received a certificate of approval pursuant to the  provisions  of
 section  thirty-six  hundred  eight  of  this article at least two years
 prior to the date of the application and that such certificate  has  not
 been revoked or annulled subsequent to its receipt and is not limited as
 of the time of application;
   (b) shall utilize [grant] SUCH funds [to provide home care services to
 persons  whose  residence  is in an area which, due to location, is more
 costly to serve, or persons whose conditions require  a  more  intensive
 level  of  home  care than typically provided in a visit]  TO SUSTAIN OR
 INCREASE HOME HEALTH CARE SERVICES FOR THE PURPOSES SPECIFIED IN  SUBDI-
 VISION TWO OF THIS SECTION;
 A. 1493                             3
 
   (c)  [shall undertake reasonable efforts to maintain financial support
 from public and community contributed funding sources;
   (d)]  shall  [make  every  reasonable  effort  to collect payments for
 services from third party  insurance  payers,  governmental  payers  and
 self-paying  patients]  DEMONSTRATE  A  SERVICE COMMITMENT TO THE UNDER-
 SERVED OR HARD TO SERVE AREAS FOR WHICH FUNDS WOULD BE APPLIED; AND
   [(e)] (D) shall have professional assistance available on a seven  day
 per week, twenty-four hour per day basis[;
   (f) shall establish a reasonable relationship between costs and charg-
 es, or establish charges at approximate cost; and
   (g)  has  no  other  available  financial resources to serve the popu-
 lations as identified in paragraph (b) of this subdivision].
   5. [For the purpose of this section and  sections  thirty-six  hundred
 seven  and  thirty-six  hundred  nine of this article, a grant applicant
 shall submit a copy of its application to the health systems  agency  in
 whose region the applicant is located.
   6.]  For  the purpose of this section [and sections thirty-six hundred
 seven and thirty-six hundred nine of this article, each  health  systems
 agency  shall  convene  an advisory group with representatives from, but
 not limited to, local departments of health, including  those  organized
 and  unorganized  as  county  and  part-county  health districts, social
 services districts, offices for the aging, certified home  health  agen-
 cies, and consumers of home health agency services. Such advisory group,
 after considering recommendations from persons involved in or knowledge-
 able  about home care services delivered in that region, shall, consist-
 ent with state and regional health plans, identify priority regional and
 local needs for the purposes identified in  this  section  and  sections
 thirty-six  hundred  seven  and thirty-six hundred nine of this article.
 The health systems agency shall provide to the commissioner  the  recom-
 mendations of the advisory group regarding which grant applications meet
 regional and local needs, as well as the advisory group's prioritization
 of applications.
   7.  For  the  purposes of this section and sections thirty-six hundred
 seven and thirty-six hundred nine of  this  article,]  the  commissioner
 shall  approve  applications  for [grants] FUNDS which meet the require-
 ments of this section pursuant to which the application is submitted and
 rules and regulations, OR GUIDELINES OF THE DEPARTMENT, adopted pursuant
 thereto. [In approving such applications, the  commissioner  shall  take
 into  prime  consideration  the  recommendations  of  the advisory group
 convened by the health systems agency in whose region the applicants are
 located and also take into consideration other applications submitted by
 the same applicant for grants submitted pursuant to such  sections.  The
 commissioner  shall  notify  each  advisory  group and each applicant in
 writing of his approval or disapproval and, if disapproval, shall  state
 the reasons for disapproval.
   8.  Grants]  6.  FUNDS approved for the purposes of this section [may]
 SHALL be made AVAILABLE FOR DISTRIBUTION each year [for up to a two-year
 period or until the costs  for  such  services  provided  by  virtue  of
 receipt  of  the  grant  are  included in rates of payment, whichever is
 sooner]. Certified home health agencies  which  receive  [grants]  FUNDS
 pursuant  to  this  section  may  reapply  for [grants] FUNDS and may be
 approved if the applicant satisfies the requirements of subdivision four
 of this section and rules and regulations, OR GUIDELINES OF THE  DEPART-
 MENT, adopted pursuant to this section.
   [9.]  7.  In  the  event that a public certified home health agency is
 approved for [a grant] FUNDS, pursuant to this section, funds  [provided
 A. 1493                             4

 under the grant] shall not reduce the amount of aid otherwise reimbursa-
 ble to such agency pursuant to article six of this chapter.
   [10.]  8.  The commissioner is authorized to promulgate such rules and
 regulations, OR GUIDELINES OF THE DEPARTMENT, as are necessary to  carry
 out  the  provisions  of  this  section.  Such rules and regulations, OR
 GUIDELINES OF THE DEPARTMENT, may include, but not be limited to,  mini-
 mum  and  maximum [grant] FUNDING levels PROVIDED TO INDIVIDUAL AGENCIES
 UNDER THIS SECTION.
   [11.] 9. Recipients of [grants] FUNDS shall submit to the commissioner
 reports on the use of [grants] FUNDS provided under this section at such
 times and in such format as the commissioner may prescribe.
   § 3. This act shall take effect on the first of April next  succeeding
 the date on which it shall have become a law; provided however, that the
 amendments  to section 3615 of the public health law made by section two
 of this act shall not affect the expiration of such  section  and  shall
 expire  therewith. Effective immediately, the addition, amendment and/or
 repeal of any rule or regulation necessary  for  the  implementation  of
 this  act  on its effective date are authorized to be made and completed
 on or before such effective date.