S 5229 New York Senate · 2025 Regular Session

Provides for rates for residential health care facilities

This bill updates how New York state calculates payment rates for residential health care facilities (like nursing homes) that provide long-term care. It requires the state to adjust rates annually based on current operating costs, with mandatory updates by April 2026 and every five years after, using the most recent cost data. Certain specialized facilities (such as those for children, ventilator-dependent patients, or behavioral health) retain historical rates adjusted for inflation, while others transition to the new cost-based system over a minimum four-year period. The bill also mandates a workgroup of experts to advise on rate-setting methodology and includes provisions for quality improvement funding.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 19, 2025 Last action May 12, 2026
Maddy AI version diff · 1 comparison

What changed between versions

S5229 S5229A · 2 edits
MINOR
This bill was amended to update the timeline for nursing home rate adjustments from April 2026 to April 2027, likely to align with the current legislative session. The amendment also corrected the names of the sponsoring senators and added procedural language indicating the bill was re-referred to the Health Committee after being amended.
Scope change
The bill's substantive scope regarding nursing home funding and rate-setting methodology remains unchanged; only the effective date and sponsor information were modified.
TIMELINE

The deadline for updating nursing home rate components was moved from April 1, 2026, to April 1, 2027, delaying the implementation of new cost calculations by one year.

ADMINISTRATIVE

The list of sponsoring senators was updated to reflect new sponsors (Fahy, Martinez) and removed previous sponsors (Rivera, Ashby, etc.), while adding procedural text about the bill being re-referred to the Health Committee.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
5
Key actions
2
Committee
3
Amendments
2
May 12, 2026
Committee
REPORTED AND COMMITTED TO FINANCE
upper
Apr 28, 2026
Upper · Passed
PRINT NUMBER 5229A
upper
Apr 28, 2026
Upper · Passed
AMEND AND RECOMMIT TO HEALTH
upper
Jan 7, 2026
Committee
REFERRED TO HEALTH
upper
Feb 19, 2025
Committee
REFERRED TO HEALTH
upper
1 primary · 14 co-sponsors

Sponsors