New York 2025-2026 Regular Session

New York Assembly Bill A09418

Introduced
12/19/25  
Refer
12/19/25  
Refer
1/7/26  
Report Pass
2/11/26  

Caption

Establishes a special needs assisted living demonstration program to authorize up to three assisted living programs throughout the state to serve individuals with special needs, including, but not limited to, individuals with dementia or cognitive impairments.

Impact

The introduction of A09418 represents a significant shift in how assisted living services are structured for individuals with special needs. By explicitly allowing the establishment of specialized facilities, the bill aims to create an operational framework that fosters better care mechanisms for individuals who may require unique assistance due to their circumstances. The potential outcome is not only enhanced care but also an impactful evaluation aimed at improving service delivery in the long term.

Summary

A09418, also known as the Special Needs Assisted Living Demonstration Program, seeks to establish a pilot initiative allowing up to three assisted living facilities throughout New York State. This program is designed to serve individuals with special needs, particularly focusing on those with dementia and other cognitive impairments. Under this bill, the commissioner of health will be tasked with overseeing the implementation and evaluation of participating programs to assess their effectiveness and any potential cost savings in providing care to this vulnerable population.

Reporting

As part of the bill, the commissioner is required to submit a report within two years detailing the findings on cost, efficiency, and overall advisability of continuing the special needs assisted living programs. This requirement exemplifies a commitment to accountability and informed decision-making in addressing the needs of individuals with special needs, providing a potential pathway for future legislative actions based on the results of the demonstration.

Contention

While there is general support for assisting those with special needs through targeted programs, some stakeholders may voice concerns regarding the adequacy and appropriateness of service provisions. Critics of the bill could argue that merely having a demonstration program does not adequately address the systemic issues within assisted living services across the state. Additionally, there might be apprehensions about how the data collected for the program's analysis will be utilized and whether it will lead to broader policy changes or simply serve as a temporary measure.

Companion Bills

NY S08635

Same As Establishes a special needs assisted living demonstration program to authorize up to three assisted living programs throughout the state to serve individuals with special needs, including, but not limited to, individuals with dementia or cognitive impairments.

Previously Filed As

NY S08635

Establishes a special needs assisted living demonstration program to authorize up to three assisted living programs throughout the state to serve individuals with special needs, including, but not limited to, individuals with dementia or cognitive impairments.

NY S05223

Establishes a special needs assisted living program to serve residents of certified assisted living residences with neurodegenerative diseases, such as dementia or Parkinson's disease, who are experiencing behavior disturbances.

NY A10274

Establishes the adult care facility voucher demonstration program for persons with dementia, Alzheimer's diagnosis, or other cognitive impairments to provide a sliding-scale subsidy for adult care facility residents who are at risk of losing nursing home care due to depleted resources and to individuals who are not eligible for Medicaid or supplemental security income, but in need of adult day care services.

NY S09241

Establishes the adult care facility voucher demonstration program for persons with dementia, Alzheimer's diagnosis, or other cognitive impairments to provide a sliding-scale subsidy for adult care facility residents who are at risk of losing nursing home care due to depleted resources and to individuals who are not eligible for Medicaid or supplemental security income, but in need of adult day care services.

NY A02731

Authorizes certain existing assisted living programs to expand capacity by nine or fewer beds under an expedited process.

NY S07859

Authorizes certain existing assisted living programs to expand capacity by nine or fewer beds under an expedited process.

NY S09392

Establishes an assisted living program reimbursement program to provide enhanced Medicaid reimbursement to qualifying assisted living programs; requires at least 70% of such assisted living facility's staff to voluntarily self-identify as Black, Hispanic, or Asian; increases the capitated rates of payment from 31% to 50% over a period of five years.

NY HB173

Dementia Care Specialist Program

NY A11096

Establishes an assisted living program reimbursement program to provide enhanced Medicaid reimbursement to qualifying assisted living programs; requires at least 70% of such assisted living facility's staff to voluntarily self-identify as Black, Hispanic, or Asian; increases the capitated rates of payment from 31% to 50% over a period of five years.

NY HB3955

Relating to the eligibility of certain individuals for the children with special health care needs program.

Similar Bills

No similar bills found.