S 4924: Authorizes the commissioner of health to adjust medical assistance rates of payment for certified home health agencies, managed long term care plans, hospices, long term home health care programs, licensed home care services agencies and other entities for recruitment, training and retention of direct care workers for services in shortage areas and by shortage disciplines.
The bill aims to address the shortage of home care and hospice workers in New York State. The commissioner is authorized to adjust medical assistance rates of payment for various entities, such as home care agencies and hospices, to recruit, train, and retain direct care workers, including nurses, therapists, and social workers. The adjustments will be made to targeted areas and disciplines, including those in shortage. The commissioner can also provide adjustments to pilot test the impact of allowing funds to be used for critical supports and incentives for direct care personnel. The bill also allows for the use of unexpended funds to support rate adjustments, which may exceed 30% of the aggregate level specified. The commissioner must submit information on the program's effectiveness and make recommendations for its continuation or modification by April 1, 2027.
- What is the current status of S 4924?
- As of January 8, 2026, S 4924 is recorded as "Introduced": it has been introduced and is waiting for its first committee hearing or floor vote. The last recorded action, on January 7, 2026, was "REFERRED TO HEALTH".
- Did S 4924 pass?
- Not yet. S 4924 has been introduced and has not passed either house.
- Who wrote S 4924, and where is it now?
- S 4924 was authored by Sen. Jessica Ramos. Its committee of record is Senate Health. It is filed under PBH, alongside 184 other New York PBH bills this session.
| Jan. 07, 2026 | REFERRED TO HEALTH |
| Feb. 14, 2025 | REFERRED TO HEALTH |
STATE OF NEW YORK ________________________________________________________________________ 4924 2025-2026 Regular Sessions IN SENATE February 14, 2025 ___________ Introduced by Sen. RAMOS -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law, in relation to home care and hospice worker shortage areas and disciplines The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Section 3614 of the public health law is amended by adding 2 a new subdivision 9-a to read as follows: 3 9-a. Notwithstanding any inconsistent provision of this section, 4 effective for annual periods beginning April first, two thousand twen- 5 ty-five, and for each annual period thereafter, the commissioner is 6 authorized, subject to the availability of federal financial partic- 7 ipation and upon approval of the state director of the budget, to 8 further adjust medical assistance rates of payment for certified home 9 health agencies, managed long term care plans, hospices, long term home 10 health care programs, licensed home care services agencies providing 11 services under contract with such agencies and plans, and such other 12 entities qualifying under subdivision nine of this section, targeted for 13 recruitment, training and retention of direct care workers for services 14 in shortage areas and by shortage disciplines which may include nurses, 15 therapists, social workers, home health aides and personal care aides. 16 The commissioner is further authorized to provide such adjustments to 17 pilot test the impact on recruitment and retention of allowing funds to 18 be used for critical supports and incentives for direct care personnel, 19 including transportation, education, training, child day care, career 20 ladder, peer support, and other supports which the commissioner may 21 determine. 22 Notwithstanding any inconsistent provision of section twenty-eight 23 hundred seven-v of this chapter, funds for such adjustments may be made 24 available, upon the approval of the state budget director, from any 25 unexpended funds and balances available under such section, and in annu- EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD05883-01-5S. 4924 2 1 al amounts of up to thirty percent of the aggregate level specified for 2 adjustments under subdivision nine of this section. 3 On or before April first, two thousand twenty-seven, the commissioner 4 shall submit information to the governor and legislature on the effec- 5 tiveness of the program in recruitment and retention of direct care home 6 care personnel, and in addressing community need, and shall make recom- 7 mendations for the continuation or modification of the program. The 8 commissioner shall seek the input of representatives of the providers, 9 plans, consumers and workers in examining and reporting on the program. 10 § 2. Subdivision 1 of section 2807-v of the public health law is 11 amended by adding a new paragraph (jjj) to read as follows: 12 (jjj) Funds may be made available, from any unexpended funds and 13 balances under this section, for rate adjustments authorized under 14 subdivision nine-a of section thirty-six hundred fourteen of this chap- 15 ter, which shall not exceed the amount specified in such subdivision. 16 § 3. This act shall take effect immediately.