A 464 New York Assembly · 2025 Regular Session

Authorizes Medicaid coverage for the complex care assistant program

Summary
Establishes a program for specific individuals to become complex care assistants and provide private duty nursing services to certain Medicaid enrollees.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 8, 2025 Last action Jan 7, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

A464A A464B · 6 edits
MODERATE
This bill version expands the list of co-sponsors and updates the legislative history to reflect committee actions. It significantly redefines who qualifies as a 'family member' eligible to become a complex care assistant, narrowing the definition from a broad list of relatives to only those legally responsible for the child. Additionally, it increases the maximum weekly compensation hours from 40 to 50 and mandates that at least 65% of the reimbursement rate be passed directly to the caregiver.
Scope change
The bill's scope was narrowed regarding eligibility; previously, any blood relative or domestic partner could qualify, but now only individuals with legal responsibility for the medically fragile child are eligible. The scope of services was also adjusted by removing specific medical tasks like tracheostomy care from the definition of allowable duties.
ELIGIBILITY

The definition of 'family member' was changed from a broad list of relatives (parents, siblings, etc.) to strictly mean a person legally responsible for the medically fragile child.

DEFINITION

The list of allowable tasks for a complex care assistant was simplified and removed specific references to medical procedures like tracheostomy care and central line care.

FISCAL

The maximum number of paid hours per week for a complex care assistant was increased from 40 to 50 hours.

A new requirement was added ensuring that private duty nursing agencies must pass through at least 65% of the reimbursement rate directly to the complex care assistant.

REQUIREMENT

The bill now requires the department to review reimbursement rates bi-annually and adjust them based on the Consumer Price Index to account for cost of living increases.

SCOPE

The definition of allowable tasks was expanded to explicitly include 'personal care assistant' duties alongside home health aide tasks.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
6
Key actions
4
Committee
2
Amendments
4
Jan 7, 2026
Committee
REFERRED TO HEALTH
lower
Apr 28, 2025
Lower · Passed
PRINT NUMBER 464B
lower
Apr 28, 2025
Lower · Passed
AMEND AND RECOMMIT TO HEALTH
lower
Feb 13, 2025
Lower · Passed
PRINT NUMBER 464A
lower
Feb 13, 2025
Lower · Passed
AMEND (T) AND RECOMMIT TO HEALTH
lower
Jan 8, 2025
Committee
REFERRED TO HEALTH
lower
1 primary · 42 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Phil Steck
Phil Steck
DDemocratic
NY
110
Co
Photo of Andrew Hevesi
Andrew Hevesi
DDemocratic
NY
28
Co
Photo of Angelo Morinello
Angelo Morinello
RRepublican
NY
145
Co
Photo of Angelo Santabarbara
Angelo Santabarbara
DDemocratic
NY
111
Co
Photo of Anil Beephan
Anil Beephan
RRepublican/Conservative
NY
105
Co
Photo of Ari Brown
Ari Brown
RRepublican
NY
20
Co
Photo of Billy Jones
Billy Jones
DDemocratic
NY
115
Co
Photo of Brian Maher
Brian Maher
RRepublican/Conservative
NY
101
Co
Photo of Brian Manktelow
Brian Manktelow
RRepublican
NY
130
Co
Photo of Carrie Woerner
Carrie Woerner
DDemocratic
NY
113
Co
Photo of Chris Eachus
Chris Eachus
DDemocratic
NY
99