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Bill

A 9266

Provides for eligibility for medical assistance for personal care services for persons with traumatic brain injury, developmental disability, cognitive impairments, blindness or visual impairment

2025 Regular Session Introduced by Maritza Davila

New York bill expands Medicaid coverage to provide personal care services for individuals with traumatic brain injury, developmental disabilities, cognitive impairments, blindness, or visual impairments.

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Bill Summary · A 9266

Legislative bill overview

Bill A 9266 expands Medicaid eligibility to cover personal care services for individuals with traumatic brain injury, developmental disabilities, cognitive impairments, blindness, or visual impairments in New York. The bill aims to ensure that people with these conditions can access assistance with daily living activities through the state's medical assistance program.

Why is this important

Personal care services—such as help with bathing, dressing, meal preparation, and mobility—are essential for maintaining independence and quality of life for people with significant disabilities. Currently, eligibility gaps may force individuals and families to pay out-of-pocket for these services or go without necessary support, creating financial hardship and potential safety risks.

Potential points of contention

  • Fiscal impact: Expanding Medicaid coverage will increase state spending; the bill's cost depends on how many additional people become eligible and the reimbursement rates for providers
  • Eligibility criteria specificity: The bill does not clearly define severity thresholds (e.g., what level of cognitive impairment qualifies), which could lead to administrative disputes or inconsistent application
  • Provider capacity: New York may lack sufficient trained personal care workers to meet increased demand, potentially limiting real-world access despite expanded eligibility

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

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