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A 8738

Relates to reimbursement rates for certain programs established by not-for-profit and public skilled nursing facilities in upstate New York nursing home regions

2025 Regular Session Introduced by Harry Bronson and 14 co-sponsors

Summary of New York Bill A 8738 OverviewThis bill seeks to address reimbursement rates for certain programs established by not-for-profit and public skilled nursing facilities in t

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Bill Summary · A 8738

Summary of New York Bill A 8738

Overview

This bill seeks to address reimbursement rates for certain programs established by not-for-profit and public skilled nursing facilities in the upstate New York nursing home regions. It aims to provide more equitable funding and support for these facilities, which often serve vulnerable populations in rural and underserved areas.

Key Provisions

  • Requires the New York State Department of Health to establish new Medicaid reimbursement rates for programs operated by not-for-profit and public skilled nursing facilities in the upstate New York nursing home regions.
  • The new rates must be set at a level that is at least 20% higher than the current statewide average Medicaid reimbursement rates for similar services.
  • Directs the Department of Health to review and update these enhanced reimbursement rates on an annual basis to account for changes in costs and other factors.
  • Mandates that any facilities receiving the higher reimbursement rates must reinvest a portion of the additional funding into direct resident care, including increased staff wages and benefits.

Affected Entities

  • Not-for-profit and public skilled nursing facilities located in the upstate New York nursing home regions, which includes several rural and economically disadvantaged counties.
  • Medicaid recipients who receive care at these facilities, as the higher reimbursement rates are intended to improve the quality and accessibility of services.

Timeline and Implementation

  • The bill would take effect 180 days after becoming law.
  • The Department of Health must establish the new reimbursement rates within 120 days of the effective date.
  • Facilities would begin receiving the enhanced Medicaid funding starting in the first full state fiscal year after the effective date.

Overall, this legislation aims to provide targeted financial support to an underserved segment of New York's nursing home industry, with the goal of shoring up access to quality long-term care services in upstate communities.

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

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