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Bill

S 4786

Eliminates a look-back period for home care for non-institutionalized Medicaid applicants; and repeals a certain provision of the social services law relating thereto

2025 Regular Session Introduced by Cordell Cleare and 1 co-sponsor

Bill S 4786 removes the look-back period for Medicaid home care applicants, simplifying access to care for individuals and increasing support for home care providers.

COMMITTED TO RULES
0
WeVote Research Nonpartisan
Bill Summary · S 4786

Summary of Bill S 4786

Bill Overview

  • Bill Number: S 4786
  • Title: Eliminates a look-back period for home care for non-institutionalized Medicaid applicants; and repeals a certain provision of the social services law relating thereto
  • Status: Committed to Rules
  • Introduced: February 12, 2025
  • Classification: Bill

Purpose and Intent

Bill S 4786 aims to reform the Medicaid application process for non-institutionalized individuals seeking home care services. The primary intent is to eliminate the existing look-back period, which currently assesses an applicant's financial history to determine eligibility for Medicaid home care benefits. By removing this period, the bill seeks to simplify access to necessary care for individuals who may have previously faced barriers due to financial scrutiny.

Key Provisions

  • Elimination of Look-Back Period: The bill proposes to abolish the look-back period that currently exists for non-institutionalized Medicaid applicants. This period typically reviews financial transactions over a specified timeframe (often five years) to identify any asset transfers that could disqualify an applicant from receiving benefits.
  • Repeal of Related Provision: The bill also includes a provision to repeal a specific section of the social services law that governs the look-back period, thereby streamlining the Medicaid application process for home care.

Affected Parties

  • Non-Institutionalized Medicaid Applicants: The primary beneficiaries of this bill are individuals applying for Medicaid who require home care services. By eliminating the look-back period, these applicants may find it easier to qualify for assistance without the fear of losing eligibility due to past financial decisions.
  • Home Care Providers: Providers of home care services may see an increase in clients as more individuals gain access to Medicaid funding for their care needs.

Procedural Timeline

  • February 12, 2025: The bill was introduced and referred to the Health Committee.
  • April 29, 2025: The bill was reported to the calendar for the first time.
  • April 30, 2025: The bill advanced to the second report calendar.
  • May 1, 2025: The bill advanced to a third reading.
  • June 13, 2025: The bill was committed to the Rules Committee for further consideration.

Related Legislation

  • S 6414: A related bill from the prior session that may address similar issues.
  • A 1907: A companion bill in the Assembly that aligns with the objectives of S 4786.

Conclusion

Bill S 4786 represents a significant shift in the Medicaid application process for home care, aiming to enhance accessibility for non-institutionalized individuals. By removing the look-back period, the bill seeks to alleviate financial barriers and ensure that more individuals can receive the care they need. As the bill progresses through the legislative process, its potential impact on applicants and home care providers will be closely monitored.

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

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