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Bill

A 10290

Authorizes individuals receiving hospice services to enroll in managed long term care plans

2025 Regular Session Introduced by Andrew Hevesi and 6 co-sponsors

Allows hospice patients to enroll in MLTC plans without mandatory disenrollment, and requires standards for coordinated, continuous care between hospice and MLTC.

REFERRED TO HEALTH
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Bill Summary · A 10290

Summary of Bill A. 10290 (2025-2026) – New York

Purpose and intent

This bill amends New York law to authorize individuals who are receiving hospice services to enroll in managed long term care (MLTC) plans, and to improve coordination of care between MLTC plans and hospice providers. It explicitly protects enrollees who transition between hospice and MLTC from being forced to disenroll, and requires the development of standards and guidance to promote seamless, coordinated care.

Key provisions

  • Enrollment while receiving hospice services (Social Services Law)

    • Amends 364-j to allow individuals who are receiving hospice services at the time of MLTC enrollment to participate in MLTC plans or other care coordination models without having to disenroll if they subsequently elect hospice.
    • Clarifies that electing hospice under Medicare or Medicaid cannot, by itself, make an individual ineligible for MLTC enrollment.
    • Requires the Commissioner to issue guidance to MLTC plans, local social services districts, and hospice programs regarding enrollment procedures, continuity of care, and coordination expectations.

  • Enrollment guidance in the Public Health Law

    • Amends 4403-f to add a similar provision allowing hospice recipients to enroll in MLTC without mandatory disenrollment if they later choose hospice, and to ensure continued eligibility criteria align with hospice elections.
    • Requires the Department of Health to issue guidance to MLTC plans and hospice programs on enrollment and coordination.

  • Coordination standards for MLTC and hospice (Public Health Law, new subdivision 12-a)

    • The Department of Health must establish standards to promote coordinated care for individuals enrolled in MLTC plans who also receive hospice services.
    • Potential standards may include:
    • Shared or coordinated care planning
    • Interdisciplinary communication protocols
    • Clear delineation of responsibilities for personal care, transportation, and other community-based services
    • Procedures to minimize delays or disruptions in service delivery
    • Requires exchange of information between MLTC plans and hospice programs, in compliance with privacy laws.
    • Allows the department to promulgate regulations and issue guidance to implement these standards.

  • Regulatory and federal compliance

    • The Department of Health may seek any necessary federal approvals under the Medicaid program to implement the act.

  • Effective date and transitional provisions

    • Takes effect on the 100th day after becoming law.
    • Certain amendments are structured to be repealed if the underlying section is repealed, with immediate authority to implement rules and regulations as needed on or before the effective date.

Who is affected

  • Individuals receiving hospice services who may enroll in MLTC plans.
  • MLTC plans and hospice providers, which will need to coordinate enrollment, information exchange, and care planning.
  • Local social services districts and the Department of Health, which will issue guidance and establish coordination standards.
  • The Medicaid program, given potential federal approvals and alignment with Medicaid rules.

Procedural details

  • Introduced February 20, 2026; referred to the Assembly Committee on Health.
  • Cross-references to existing sections of the Social Services Law and Public Health Law amended or enhanced by the bill.
  • Requires development of guidance and potential regulations prior to or concurrent with the act’s implementation.

Potential impact

  • Improves continuity of care for individuals transitioning between hospice and MLTC.
  • Encourages integrated, person-centered care planning and smoother access to needed services (personal care, transportation, etc.).
  • Aims to reduce delays and service disruptions through standardized coordination practices and information sharing, while preserving privacy protections.

Compiled from official sources — confirm details with the bill’s official record.

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