Shown verbatim: the complete text as captured from the official source posted by the New York State Senate, fetched 2026-08-11. Nothing is edited or removed. Where this bill amends existing law, language marked for deletion in the official source appears here in brackets. The official bill page.
S T A T E O F N E W Y O R K
________________________________________________________________________
1476
2025-2026 Regular Sessions
I N A S S E M B L Y
January 9, 2025
___________
Introduced by M. of A. PRETLOW -- read once and referred to the Commit-
tee on Health
AN ACT to amend the public health law, in relation to medically fragile
young adults; to amend a chapter of the laws of 2024 amending the
public health law relating to medically fragile young adults and
pediatric specialized nursing facilities, as proposed in legislative
bills numbers S. 5969-A and A. 3674-A, in relation to the effective-
ness thereof
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 2831 of the public health law, as added by a chap-
ter of the laws of 2024 amending the public health law relating to
medically fragile young adults and pediatric specialized nursing facili-
ties, as proposed in legislative bills numbers S. 5969-A and A. 3674-A,
is amended to read as follows:
§ 2831. Medically fragile young adults. 1. For purposes of this
section, "medically fragile young adults" shall [have the same meaning
as the term "medically fragile children" as set forth in subdivision
three-a of section thirty-six hundred fourteen of this chapter and shall
include medically fragile young adults who currently reside at a pedia-
tric specialized nursing facility and are over twenty-one years of age]
MEAN INDIVIDUALS WHO MEET THE DEFINITION OF CHILDREN WITH MEDICAL
FRAGILITY, BUT FOR THE FACT SUCH INDIVIDUALS ARE AGED BETWEEN TWENTY-ONE
AND THIRTY-FIVE YEARS OLD.
2. The department shall promulgate rules and regulations to allow
medically fragile young adults who reside in pediatric specialized nurs-
ing facilities to remain at such facilities [after reaching the age of
twenty-one and until they reach the age of thirty-six]. Unless a higher
reimbursement rate is expressly authorized by the department, the
reimbursement rate and methodology for such medically fragile young
adults shall remain the same as it was prior to reaching age twenty-one
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02931-01-5
A. 1476 2
and shall include a daily per diem rate and coverage for bed holds.
Medicaid reimbursement for this population for reserved beds due to
hospitalization and for therapeutic and hospice leaves of absence must
remain at one hundred percent of the Medicaid rate of medically fragile
children, without any daily limit for this population.
3. THIS SECTION SHALL BE EFFECTIVE IF, AND AS LONG AS, FEDERAL FINAN-
CIAL PARTICIPATION IS AVAILABLE THEREFOR.
§ 2. Section 2 of a chapter of the laws of 2024 amending the public
health law relating to medically fragile young adults and pediatric
specialized nursing facilities, as proposed in legislative bills numbers
S. 5969-A and A. 3674-A, is amended to read as follows:
§ 2. This act shall take effect [on the one hundred twentieth day]
NINE MONTHS after it shall have become a law. 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 date.
§ 3. This act shall take effect immediately; provided however, that
section one of this act shall take effect on the same date and in the
same manner as a chapter of the laws of 2024 amending the public health
law relating to medically fragile young adults and pediatric specialized
nursing facilities, as proposed in legislative bills numbers S. 5969-A
and A. 3674-A, takes effect.Every fact on this page links to its source, starting with the official bill record.