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Bill

A 10289

Requires examination and reporting on cost reports from licensed home care service agencies

2025 Regular Session Introduced by Amy Paulin

Requires an independent, detailed examination of home care cost reports and provides recommendations to improve reporting and transparency for the Legislature.

REPORTED REFERRED TO WAYS AND MEANS
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Bill Summary · A 10289

Purpose of the bill

  • Aims to require an in-depth examination and reporting on cost reports submitted by licensed home care services agencies and fiscal intermediaries in New York.
  • The overarching goal is to assess actual costs and margins, and to provide recommendations for improving cost reporting to the legislature.

Key provisions and changes

  • Establishes a new statutory requirement (designated as subdivision 27) to:
    • Examine licensed home care services agencies and fiscal intermediaries’ cost reports.
    • Report back to the Legislature by December 1, 2027.
    • Analyze all cost components, including:
    • Wages paid
    • General overhead
    • Training
    • Technology
    • Human resources
    • Other administrative costs
    • Any profit/margin
    • Include a regional and provider-type comparative analysis.
  • Directs the analysis to cover:
    • How costs vary by region
    • Differences by provider type within licensed home care and fiscal intermediary sectors
  • Requires the preparation of recommendations to the Legislature on:
    • Improvements to the actual cost reports specified in the new subdivision
    • Improvements to the related instructions for cost reporting

Who/what would be affected

  • Licensed home care services agencies operating in New York.
  • Fiscal intermediaries serving or contracting with home care services.
  • State agencies or offices responsible for administering or overseeing home care cost reporting (implicit in performing the examination and generating the report).

Procedural and timeline aspects

  • Effective date: The act takes effect 30 days after becoming law.
  • Reporting deadline:
    • The examination and report to the Legislature must be completed and submitted by December 1, 2027.
  • Legislative process steps reflected in the action history:
    • Referred to Health committee upon introduction (February 20, 2026).
    • Subsequent amendments and re referrals (May 5, 2026) and eventual referral to Ways and Means (May 19, 2026) as part of the bill’s progression.

Additional notes

  • The bill does not modify current reporting requirements itself but adds a comprehensive, evaluative layer to cost reports by asking for an independent examination and a formal set of recommendations to improve reporting.
  • It emphasizes transparency and comparability by requiring regional and provider-type analyses, which could inform policy decisions and potential reforms in reimbursement or reporting standards.

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

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