A 5590: Provides medical indemnity fund reimbursement for care provided by a family member certified as a complex care assistant; directs the commissioner of health to develop a certification process for individuals as complex care assistants.

  
  STATE OF NEW YORK ________________________________________________________________________ 5590 2025-2026 Regular Sessions  IN ASSEMBLY February 18, 2025 ___________ Introduced by M. of A. BUTTENSCHON -- read once and referred to the Committee on Health AN ACT to amend the public health law, in relation to providing medical indemnity fund reimbursement for care provided by a family member certified as a complex care assistant The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Section 2999-h of the public health law, as amended by 2 chapter 112 of the laws of 2023, is amended to read as follows: 3 § 2999-h. Definitions. As used in this title, unless the context or 4 subject matter requires otherwise: 5 1. "Activities of daily living" means basic personal everyday activ- 6 ities, including, but not limited to, tasks such as eating, toileting, 7 grooming, dressing, bathing, and transferring. 8 2. "Birth-related neurological injury" means an injury to the brain or 9 spinal cord of a live infant caused by the deprivation of oxygen or 10 mechanical injury occurring in the course of labor, delivery or resusci- 11 tation, or by other medical services provided or not provided during 12 delivery admission, that rendered the infant with a permanent and 13 substantial motor impairment or with a developmental disability as that 14 term is defined by section 1.03 of the mental hygiene law, or both. This 15 definition shall apply to live births only. 16 [2.] 3. "Complex care assistant" means a family member who is certi- 17 fied by the department to care for a qualified plaintiff under section 18 twenty-nine hundred ninety-nine-k of this title. 19 4. "Family member" means a child, parent, parent-in-law, sibling, 20 grandparent, grandchild, spouse, domestic partner, or one partner in a 21 civil union couple, or any other individual related by blood, and any 22 other individual with a close association to a qualified plaintiff that 23 is the equivalent of a family relationship. 24 5. "Fund" means the New York state medical indemnity fund. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09673-01-5 
 A. 5590 2 1 [3.] 6. "Qualifying health care costs" means the future medical, 2 hospital, surgical, nursing, dental, rehabilitation, habilitation, 3 respite, custodial, durable medical equipment, home modifications, 4 assistive technology, vehicle modifications, transportation for purposes 5 of health care related appointments, prescription and non-prescription 6 medications, assistance with activities of daily living, and other 7 health care costs actually incurred for services rendered to and 8 supplies utilized by qualified plaintiffs, which are necessary to meet 9 their health care needs, as determined by their treating physicians, 10 physician assistants, or nurse practitioners and as otherwise defined by 11 the commissioner in regulation. 12 [4.] 7. "Qualified plaintiff" means every plaintiff or claimant who: 13 (a) (i) has been found by a jury or court to have sustained a birth-re- 14 lated neurological injury as the result of medical malpractice[,]; or 15 (ii) has sustained a birth-related neurological injury as the result of 16 alleged medical malpractice, and has settled [his or her] such 17 plaintiff's or claimant's lawsuit or claim therefor; and [(iii)] (b) has 18 been ordered to be enrolled in the fund by a court in New York state. 19 § 2. The public health law is amended by adding a new section 2999-k 20 to read as follows: 21 § 2999-k. Certification of complex care assistants. 1. A complex care 22 assistant certified pursuant to this section shall be authorized to 23 provide care for a family member who is a qualified plaintiff, and to 24 receive reimbursement for such care as provided under section twenty- 25 nine hundred ninety-nine-j of this title. 26 2. The commissioner shall establish a course that may be taken by 27 family members of a qualified plaintiff for certification as complex 28 care assistants. Such course shall include, but not be limited to, 29 instruction in the following tasks required to care for a qualified 30 plaintiff: 31 (a) medication administration; 32 (b) airway clearance therapies; 33 (c) tracheostomy care; 34 (d) intravenous line care; 35 (e) ventilator care; 36 (f) enteral care; 37 (g) assistance with activities of daily living; and 38 (h) any other tasks as determined by the commissioner. 39 3. The course under subdivision two of this section shall conclude in 40 an in-person exam, testing proficiency and competence of exam-takers in 41 performing the tasks required to care for a qualified plaintiff under 42 subdivision two of this section. Individuals who receive a passing grade 43 in such exam, as determined by the commissioner, shall be certified as a 44 complex care assistant. 45 § 3. Section 2999-j of the public health law is amended by adding a 46 new subdivision 4-a to read as follows: 47 4-a. The commissioner shall develop a method by which qualifying 48 health care costs shall be calculated for services provided by a complex 49 care assistant. 50 § 4. This act shall take effect on the ninetieth day after it shall 51 have become a law. Effective immediately, the addition, amendment and/or 52 repeal of any rule or regulation necessary for the implementation of 53 this act on its effective date are authorized to be made and completed 54 on or before such effective date.