S 4462 New York Senate · 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 passed 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Jun 2026
Senate Passage
Jun 2026
Assembly Passage
Governor
Introduced Feb 5, 2025 Last action Jun 4, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

S4462A S4462B · 5 edits
MODERATE
This bill revision updates the sponsor list to include new legislators and modifies the program's operational rules. The most significant changes are expanding the maximum paid work hours for family caregivers from 40 to 50 per week and adding a requirement for bi-annual cost-of-living adjustments to reimbursement rates. Additionally, the definition of 'family member' was simplified, and the bill now explicitly requires the use of electronic visit verification systems.
Scope change
The bill's scope expanded regarding financial incentives by increasing the weekly payment cap and introducing automatic inflation adjustments to ensure caregiver wages keep pace with economic changes.
REQUIREMENT

Increased the maximum number of paid hours a complex care assistant can work per week from 40 to 50 hours.

FISCAL

Added a mandate for the department to review and adjust reimbursement rates bi-annually based on the Consumer Price Index to account for inflation.

ENFORCEMENT

Introduced a new requirement that complex care assistants must use an electronic visit verification system compliant with federal law.

DEFINITION

Simplified the definition of 'family member' to mean a person legally responsible for the medically fragile child, removing the previous list of specific relationships.

TECHNICAL

Updated the list of bill sponsors and changed the bill status from 'A' to 'B' to reflect amendments and recommitment to the committee.

Floor votes · Senate Jun 4, 2026

How they voted

600
Passed · 3 other
Total votes 63
Jun 4, 2026
D Democratic41
38 Yea 3
92% Yea
R Republican22
22 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
13
Key actions
5
Committee
6
Amendments
4
Jun 4, 2026
Committee
REFERRED TO HEALTH
lower
Jun 4, 2026
Upper · Passed
PASSED SENATE
upper
May 28, 2026
Committee
COMMITTEE DISCHARGED AND COMMITTED TO RULES
upper
May 5, 2026
Committee
REPORTED AND COMMITTED TO FINANCE
upper
Jan 7, 2026
Committee
REFERRED TO HEALTH
upper
May 13, 2025
Committee
REPORTED AND COMMITTED TO FINANCE
upper
Apr 28, 2025
Upper · Passed
PRINT NUMBER 4462B
upper
Apr 28, 2025
Upper · Passed
AMEND AND RECOMMIT TO HEALTH
upper
Feb 24, 2025
Upper · Passed
PRINT NUMBER 4462A
upper
Feb 24, 2025
Upper · Passed
AMEND (T) AND RECOMMIT TO HEALTH
upper
Feb 5, 2025
Committee
REFERRED TO HEALTH
upper
1 primary · 14 co-sponsors

Sponsors