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
Role
Legislator
Party
State
District
P
Gustavo Rivera
DDemocratic/Working Families
Co
Alexis Weik
RRepublican/Conservative
Co
Bill Weber
RRepublican/Conservative
Co
Dan Stec
RRepublican/Conservative/Independence
Co
Dean Murray
RRepublican/Conservative
Co
George Borrello
RRepublican/Conservative
Co
Jack Martins
RRepublican/Conservative
Co
Jake Ashby
RRepublican/Conservative
Co
Mario Mattera
RRepublican/Conservative
Co
Monica Martinez
DDemocratic/Working Families
Co
Pam Helming
RRepublican/Conservative/Independence
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