HCANYS Advocating Priority Measures in Legislature’s Post-Budget Session
The Situation Report | May 19, 2025
This year’s elongated state budget negotiation leaves a shorter, and more intensified balance of the Legislative Session for focusing on the state’s legal, policy and programmatic needs. The Legislature has about four weeks left to the session to consider priorities from among the thousands of bills introduced this year, including those still be introduced.
HCANYS will continue full-ahead into this period on advocacy priorities for the home and community-based system. These will include both proactive areas for legislation to support the field, as well as vigilance and counteraction on proposals detrimental to patients, services, workers, and/or agencies.
Bills currently in HCANYS spotlight for proactive action include:
| Bill Subject Area | Bill # | Bill Status |
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State Aid for Home Health Community Need Written by HCANYS and our member workgroup. Amends the public health law to provide for an annual state aid program for home health agencies to meet community need. State aid under this program would be supplemental to the rate structure, and the legislation calls for the annual level to be $70 million, or as appropriated in the state budget. |
S.6981 (Webb) A.1493 (Paulin) |
Introduced and referred to the Senate Health Committee Introduced and referred to the Assembly Health Committee |
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CHHA Episodic Rate Written by HCANYS, VNSHealth, and our member workgroup. Amends the CHHA EPS Medicaid rate methodology to authorize adjustments in the rates for costs (such as workforce, technology, other) not reflected in the reimbursable base year. Also makes the EPS rate method available for payor-provider use in rate setting for managed care and for non-Medicaid home care payors. |
S.7052 (Webb) A.7013A (Paulin) |
Senate Health Committee voted on May 13 to advance this bill to the Senate Finance Committee. Assembly bill was introduced and referred to the Assembly Health Committee |
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Mental Health/HomeCare Collaboration Written by HCANYS. Allows regulatory, procedural and reimbursement flexibility to facilitate collaborative care by mental health and home health agencies partnering to deliver seamless, coordinated care to individuals with co-occurring conditions. |
S.997 (Brouk) | Introduced and referred to the Senate Mental Health Committee |
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Community Medicine & Paramedicine (CMPM) Program Support Written by HCANYS. Ensures that CMPM pilot programs currently being conducted in seven regions of the state under a Mother Cabrini Health Foundation grant to HCANYS be allowed to operate with regulatory flexibility similar to the scope provided for community paramedicine programs under separate state law extended in this year’s State Budget. |
Presented by HCANYS for introduction | Presented by HCANYS for introduction |
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CDPAP SFI Newly introduced bill (see related article to authorize additional entities to serve as FIs in NYS) Previously introduced legislation to replace the Single Statewide FI program with a State Licensure program allowing multiple FIs |
S.7954 (Rivera) S1189 (Rivera) |
Introduced and referred to the Senate Health Committee On Senate Health Committee for Agenda 5/20 Introduced and referred to the Assembly Health Committee |
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LHCSA RFO Repeal Newly introduced bill that repeals the section of law that would require authorization for a LHCSA to enroll as a provider under the Medicaid program. HCANYS has strongly opposed this underlying “RFO” law from the outset, and supports this newly introduced bill to repeal it. |
S.7874 (Rivera) A.8137 (Paulin) |
Introduced and referred to the Senate Health Committee Introduced and referred to the Assembly Health Committee |
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HC/Hospice Workforce Labor Market Analysis Written by HCANYS to require an analysis of the competitive labor market for home care and hospice, and to make recommendations as to the level of reimbursement needed in the system to enable home care and hospice to recruit and retain sufficient staff to meet the community’s needs. |
A.3354 (Bronson) | Introduced and referred to the Assembly Labor Committee |
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Community Medicine & Paramedicine (CMPM) program support. Written by HCANYS. Ensures that CMPM pilot programs currently being conducted in 7 regions of the state under a Mother Cabrini Health Foundation grant to HCANYS be allowed to operate with regulatory flexibility similar to the scope provided for community paramedicine programs under separate state law extended in this year’s State Budget. |
Presented by HCANYS for introduction |
Presented by HCANYS for introduction |
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Hospital-HomeCare-Physician- EMS Collaboration Model Authorizes the addition EMS services to Hospital-HomeCare-Physician Collaboration Program for a jointly partnered, collaborative community medicine and paramedicine service opportunity |
S.5333 (Rivera) A.1309 (Paulin |
Introduced and referred to the Senate Health Committee Introduced and referred to the Assembly Health Committee |
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LHCSA Statistical Report Written by HCANYS. Improves for the LHCSAs the process for filing the LCHSA Statistical Report with the NYS Department of Health. |
S.7531 (C. Ryan) A.7909 (Lunsford) |
Senate 3rd Reading Calendar Assembly Health |