S 8635 NY
Relates to establishing a special needs assisted living demonstration program
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Summary
This bill establishes a special needs assisted living demonstration program in New York State that authorizes up to three assisted living programs to serve individuals with special needs, including those with dementia or cognitive impairments. The participating programs must submit information to the commissioner analyzing the feasibility, efficiency, and potential cost savings of providing care to this population. The bill requires the commissioner to adjust Medicaid payment rates for participating assisted living programs to ensure they adequately cover specialized services, staffing levels, staff training and education, and necessary environmental modifications for individuals with special needs. Within two years of the program's effective date, the commissioner must submit a report to the governor and legislature analyzing the cost and efficiency of the demonstration program. The bill takes effect immediately.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Official abstract
Establishes a special needs assisted living demonstration program to authorize up to three assisted living programs throughout the state to serve individuals with special needs, including, but not limited to, individuals with dementia or cognitive impairments.
Sponsor (1)
- Nathalia Fernandez Democratic · primary
2 coauthors / cosponsors
- Cordell Cleare Democratic · cosponsor
- James Skoufis Democratic · cosponsor
Action history (6)
- Jan 7, 2026 REFERRED TO HEALTH · upper
- Feb 20, 2026 AMEND AND RECOMMIT TO HEALTH · upper
- Feb 20, 2026 PRINT NUMBER 8635A · upper
- Mar 4, 2026 AMEND AND RECOMMIT TO HEALTH · upper
- Mar 4, 2026 PRINT NUMBER 8635B · upper
- May 5, 2026 REPORTED AND COMMITTED TO FINANCE · upper
Text versions (4)
Full text
Full text imported from assembly.state.ny.us
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Bill No.: Summary Actions Committee Votes Floor Votes Memo Text LFIN Chamber Video/Transcript S08635 Summary: BILL NO S08635B   SAME AS SAME AS A09418-A
  SPONSOR FERNANDEZ   COSPNSR CLEARE, SKOUFIS   MLTSPNSR   Amd §461-l, Soc Serv L; amd §3614, Pub Health L   Establishes a special needs assisted living demonstration program to authorize up to three assisted living programs throughout the state to serve individuals with special needs, including, but not limited to, individuals with dementia or cognitive impairments.
Go to top S08635 Text:
STATE OF NEW YORK ________________________________________________________________________
8635--B
IN SENATE
January 7, 2026 ___________
Introduced by Sens. FERNANDEZ, CLEARE -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- commit- tee discharged, bill amended, ordered reprinted as amended and recom- mitted to said committee -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee
AN ACT to amend the social services law and the public health law, in relation to a special needs assisted living demonstration program
The People of the State of New York, represented in Senate and Assem- bly, do enact as follows:
1 Section 1. Subdivision 3 of section 461-l of the social services law 2 is amended by adding a new paragraph (o) to read as follows: 3 (o) Notwithstanding paragraphs (m) and (n) of this subdivision, as 4 well as article forty-six-B of the public health law, the commissioner 5 shall establish a special needs assisted living demonstration program to 6 authorize up to three assisted living programs throughout the state to 7 serve individuals with special needs, including, but not limited to, 8 individuals with dementia or cognitive impairments. Each participating 9 assisted living program shall submit information as determined by the 10 commissioner to analyze the feasibility, efficiency and the potential 11 for cost savings associated with providing care to the population under 12 the demonstration program. No later than two years after the effective 13 date of this paragraph, the commissioner shall submit a report to the 14 governor, the temporary president of the senate and the speaker of the 15 assembly analyzing the cost and efficiency of the special needs assisted 16 living demonstration program. 17 § 2. Subdivision 6 of section 3614 of the public health law is amended 18 by adding a new paragraph (d) to read as follows: 19 (d) The commissioner shall adjust medical assistance rates of payment 20 for services provided by assisted living programs participating in a 21 demonstration program pursuant to paragraph (o) of subdivision three of 22 section four hundred sixty-one-l of the social services law to serve 23 individuals with special needs, including, but not limited to, individ- 24 uals with dementia or cognitive impairments. Such rates shall be suffi- 25 cient to cover the provision of specialized services, staffing levels,
EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD14024-05-6
S. 8635--B 2
1 staff education and training, work experience, professional affiliations 2 or special characteristics relevant to serving persons with special 3 needs, and any environmental modifications that have been made or will 4 be made to protect the health, safety and welfare of such persons. 5 § 3. This act shall take effect immediately.
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