New York legislation · 2025-2026 General Assembly
New York S4462: Authorizes Medicaid coverage for the complex care assistant program
Status: In committee, June 4, 2026
Establishes a program for specific individuals to become complex care assistants and provide private duty nursing services to certain Medicaid enrollees.
What the bill says
An act to amend the social services law, in relation to authorizing Medicaid coverage for complex care assistant services.
From the amended text, April 28, 2025:
AN ACT to amend the social services law, in relation to authorizing Medicaid coverage for complex care assistant services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. The social services law is amended by adding a new section 365-q to read as follows: § 365-Q. COMPLEX CARE ASSISTANT SERVICES PROGRAM. 1. AS USED IN THIS SECTION: (A) "FAMILY MEMBER" MEANS A PERSON WHO IS LEGALLY RESPONSIBLE FOR THE MEDICALLY FRAGILE CHILD; AND (B) "COMPLEX CARE ASSISTANT" MEANS A FAMILY MEMBER WHO IS CERTIFIED BY THE DEPARTMENT AFTER PASSING AN IN-PERSON EXAMINATION WHICH TESTS THE PROFICIENCY AND COMPETENCE OF PERFORMING THE TASKS REQUIRED TO CARE FOR A MEDICALLY FRAGILE CHILD WHICH CAN INCLUDE, BUT IS NOT LIMITED TO, ALL ACTIVITIES OF DAILY LIVING SKILLS (ADL'S) AND INSTRUMENTAL ACTIVITIES OF DAILY LIVING (IADL'S), AND ALLOWABLE TASKS FOR A HOME HEALTH AIDE AND/OR PERSONAL CARE ASSISTANT. COMPLEX CARE ASSISTANT TASKS MAY BE PERFORMED SIMULTANEOUSLY IN THE ROLE OF COMPETENT FAMILY CAREGIVER IN ABSENCE OF AN AVAILABLE PRIVATE DUTY NURSE. 2. (A) NO LATER THAN ONE YEAR AFTER THIS SECTION SHALL HAVE BECOME A LAW AND RECEIPT OF FEDERAL APPROVAL FOR THE PROGRAM ESTABLISHED PURSUANT TO THIS SECTION, THE DEPARTMENT SHALL ESTABLISH A PROGRAM UNDER WHICH A FAMILY MEMBER OF AN ENROLLEE IN …
Sponsors
- Shelley Mayer (D, 37) · primary sponsor
- Joseph Addabbo (D, 15)
- Jacob Ashby (R, 43)
- Patricia Canzoneri-Fitzpatrick (R, 9)
- Patricia Fahy (D, 46)
- Joseph Griffo (R, 53)
- Brad Hoylman-Sigal (D, 47)
- Mario Mattera (R, 2)
- Kevin Parker (D, 21)
- Steven Rhoads (R, 5)
- Gustavo Rivera (D, 33)
- Jessica Scarcella-Spanton (D, 23)
Latest actions
- : REFERRED TO HEALTH
- : DELIVERED TO ASSEMBLY
- : PASSED SENATE
- : ORDERED TO THIRD READING CAL.1354
- : COMMITTEE DISCHARGED AND COMMITTED TO RULES
- : REPORTED AND COMMITTED TO FINANCE
- : REFERRED TO HEALTH
- : REPORTED AND COMMITTED TO FINANCE
- : PRINT NUMBER 4462B
- : AMEND AND RECOMMIT TO HEALTH
Votes
- FLOOR Vote (June 4, 2026): 60 yea, 0 nay, passed
- Senate Rules Committee: COMMITTEE Vote (May 28, 2026): 21 yea, 0 nay, passed
- Rules Committee Vote (May 28, 2026): 21 yea, 0 nay, passed
- Senate Health Committee: COMMITTEE Vote (May 5, 2026): 15 yea, 0 nay, passed
- Health Committee Vote (May 5, 2026): 15 yea, 0 nay, passed
- Senate Health Committee: COMMITTEE Vote (May 13, 2025): 13 yea, 0 nay, passed
Subjects: Social Services Law
Common questions
- What is S4462?
- S4462 is a bill in the New York Legislature (2025-2026 General Assembly): Authorizes Medicaid coverage for the complex care assistant program.
- What does S4462 do?
- In its own words: An act to amend the social services law, in relation to authorizing Medicaid coverage for complex care assistant services.
- What is the status of S4462?
- In committee as of June 4, 2026. Latest action: REFERRED TO HEALTH (June 4, 2026).
- Who sponsored S4462?
- Shelley Mayer (D, 37), with 11 co-sponsors.
- Where is the official record for S4462?
- On the New York Legislature website: https://www.nysenate.gov/legislation/bills/2025/S4462
Source: official New York record. Tracked by Delilah, AI for legislation across all 50 states and Congress.