ARTICLE 1 Short Title; Definitions
Short title. This chapter shall be known as the social services
law.
Definitions. When used in this chapter unless otherwise expressly
stated or unless the context or subject matter requires a different
interpretation.
1. Department means the state department of social services, provided
however that for purposes of titles eleven, eleven-A and eleven-B of
article five of this chapter, department means the state department of
health, except that in subdivisions two and three of section three
hundred sixty-four-i, clause (d) of subparagraph three of paragraph (b)
of subdivision two of section three hundred sixty-six, paragraph (b) of
subdivision four of section three hundred sixty-six, subdivisions one
through five of section three hundred sixty-six-a, subdivision seven of
section three hundred sixty-six-a, and section three hundred
sixty-eight-c of this chapter and where the context thereof clearly
requires otherwise, department means the state department of social
services.
2. Board means the state board of social welfare as continued by the
executive law.
6. Commissioner means the state commissioner of social services,
provided however that for purposes of titles eleven, eleven-A and
eleven-B of article five of this chapter, commissioner means the state
commissioner of health, except that in clause (c) of subparagraph three
of paragraph (b) of subdivision two of section three hundred sixty-six
of this chapter and where the context thereof clearly requires
otherwise, commissioner means the state commissioner of social services.
7. Social services district means a city or county social services
district as constituted by section sixty-one.
8. County commissioner of social services shall mean the county
officer, board or commission, by whatever title known, having authority
to give the public assistance and care for the administration of which a
county social services district is responsible.
9. City commissioner of social services shall mean the city officer,
board or commission, by whatever title known, having authority to give
the public assistance and care for the administration of which a city
social services district is responsible.
10. Commissioner of social services shall mean a city or county
commissioner of social services.
14. Social services official shall mean a county commissioner of
social services, a city commissioner of social services, a town social
services officer or city social services officer to whom the power or
duty referred to is assigned under the provisions of this chapter. In
any law where reference is made by any title to an official charged with
the duty of caring for the poor in a town, city or county, it shall be
understood as referring to the one of the above mentioned social
services officials on whom the power or duty referred to is conferred
under the provisions of this chapter.
15. Public home means an adult care facility or a residential health
care facility operated by a social services district. In any law where
reference is made by any name to an almshouse maintained at public
expense, it shall be construed as referring to a public home.
16. Legislative body means the board or boards empowered to make
appropriations for public assistance and care in a county, town or city.
17. Social services department means the division or officer of city
government or the office or official or board charged with the authority
to administer public assistance or care in the county social services
district.
18. Public assistance and care includes family assistance, safety net
assistance, veteran assistance, medical assistance for needy persons,
institutional care for adults and child care granted at public expense
pursuant to this chapter.
19. Public assistance refers to family assistance, safety net
assistance and veteran assistance.
* 21. Adult care facility shall mean a family type home for adults, a
shelter for adults, a residence for adults, an enriched housing program
or an adult home, which provides temporary or long-term residential care
and services to adults who, though not requiring continual medical or
nursing care as provided by facilities licensed pursuant to article
twenty-eight of the public health law or articles nineteen,
twenty-three, thirty-one and thirty-two of the mental hygiene law, are
by reason of physical or other limitations associated with age, physical
or mental disabilities or other factors, unable or substantially unable
to live independently. In addition, a residence for adults, enriched
housing program or an adult home may provide services to non-residents
in accordance with the provisions of section four hundred sixty-one-k of
this chapter.
* NB Effective until July 1, 2029
* 21. Adult care facility shall mean a family type home for adults, a
shelter for adults, a residence for adults, an enriched housing program
or an adult home, which provides temporary or long-term residential care
and services to adults who, though not requiring continual medical or
nursing care as provided by facilities licensed pursuant to article
twenty-eight of the public health law or articles nineteen, twenty-three
and thirty-one of the mental hygiene law, are by reason of physical or
other limitations associated with age, physical or mental disabilities
or other factors, unable or substantially unable to live independently.
* NB Effective July 1, 2029
22. A family type home for adults shall mean an adult care facility
established and operated for the purpose of providing long-term
residential care and personal care and/or supervision to four or fewer
adult persons unrelated to the operator.
23. A shelter for adults shall mean an adult care facility established
and operated for the purpose of providing temporary residential care,
room, board, supervision, information and referral, and where required
by the department or otherwise deemed necessary by the operator, social
rehabilitation services, for adults in need of temporary accommodations,
supervision and services. Such definition shall not include facilities
providing such temporary residential services to fewer than twenty
persons, unless such facility is operated by a social services district.
24. A residence for adults shall mean an adult care facility
established and operated for the purposes of providing long-term
residential care, room, board, housekeeping and supervision to five or
more adults, unrelated to the operator. The provisions of this
subdivision shall not apply to any housing projects established pursuant
to the private housing finance law, the public housing law, the
membership corporations law or the not-for-profit corporation law except
for those distinct programs operated by such projects which provide
supervision and/or personal care and which are approved or certified by
the department.
25. An adult home shall mean an adult care facility established and
operated for the purpose of providing long-term residential care, room,
board, housekeeping, personal care, (either directly or indirectly), and
supervision to five or more adults unrelated to the operator. The
provisions of this subdivision shall not apply to any housing projects
established pursuant to the private housing finance law, the public
housing law, the membership corporations law or the not-for-profit
corporation law except for those distinct programs operated by such
projects which provide supervision and/or personal care and which are
approved or certified by the department.
26. A private proprietary residence for adults shall mean a residence
for adults, as defined by subdivision twenty-four of this section, which
is operated for compensation and profit.
27. A private proprietary adult home shall mean an adult home, as
defined by subdivision twenty-five of this section, which is operated
for compensation and profit.
28. An enriched housing program shall mean an adult care facility
established and operated for the purpose of providing long-term
residential care to five or more adults, primarily persons sixty-five
years of age or older, in community-integrated settings resembling
independent housing units. Such program shall provide or arrange the
provision of room, and provide board, housekeeping, personal care and
supervision.
29. For purposes of title two, and, where applicable, title one of
article seven of this chapter, an operator shall include any natural
person or entity which provides or purports to provide residential care
and services in an adult care facility.
30. An intermediate care facility shall mean a facility or part
thereof approved by the state department of health to provide therein
health-related care and services to persons who because of their
physical or mental condition, or both, require institutional care and
services, in addition to board and lodging, but who do not have such an
illness, disease, injury, or other condition as to require the
institutional care and services provided only by a hospital or nursing
home, providing such facility meets standards of safety and sanitation
in accordance with state and federal requirements in addition to those
applicable to nursing homes under state law.
31. The term "infant" or "minor" shall mean a person who has not
attained the age of eighteen years except with respect to article six of
this chapter.
32. "Residential treatment facility for children and youth" shall have
the meaning defined in section 1.03 of the mental hygiene law.
33. "Residential care center for adults" shall have the meaning
defined in section 1.03 of the mental hygiene law.
35. Indian tribe shall mean those tribes designated as Indian tribes
by the bureau of Indian affairs of the federal department of the
interior or by the state of New York.
36. Indian child shall mean any unmarried person who:
(a) is under the age of eighteen; or
(b) is under the age of twenty-one, entered foster care prior to
his/her eighteenth birthday and remains in care, and who:
(i) is a member of an Indian tribe, or
(ii) is eligible for membership in an Indian tribe, or
(iii) is the biological child of a member of an Indian tribe and is
residing on or is domiciled within an Indian reservation.
* 37. "Comprehensive psychiatric emergency program" shall have the
meaning defined in section 1.03 of the mental hygiene law.
* NB Repealed July 1, 2027
38. When used in this chapter, the following terms shall have the
following meanings, unless otherwise expressly stated or unless the
context or subject matter requires a different interpretation:
(a) "Medicaid" or "medical assistance" means title eleven of article
five of this chapter and the program thereunder.
(b) "Family health plus" means title eleven-D of article five of this
chapter and the program thereunder.
(c) "Child health plus" means title one-A of article twenty-five of
the public health law and the program thereunder.
(d) "Medicaid managed care" means Medicaid provided under section
three hundred sixty-four-j of this chapter.
(e) "Medicaid fee-for-service" means Medicaid provided other than
under Medicaid managed care.
39. "Mental illness" shall have the same meaning as defined in section
1.03 of the mental hygiene law.
40. "Developmental disability" shall have the same meaning as defined
in section 1.03 of the mental hygiene law.
ARTICLE 2 Department and State Board of Social Welfare
Department of social welfare. The state department of social
welfare, provided for in the constitution, is hereby continued.
Commissioner of social services. The chief executive and
administrative officer of the department shall be the commissioner of
social services, who shall be appointed by the governor with the advice
and consent of the senate.
Deputy commissioners. The Commissioner shall appoint and
remove at pleasure a first deputy commissioner, and such other deputy
commissioners as he shall deem necessary for the proper organization and
general classification of the work of the department, each of whom shall
be in the exempt class of the civil service.
Organization of the department. The commissioner shall
determine the structure of departmental organization.
Employees; compensation. In addition to his deputies, the
commissioner may appoint and remove from time to time, in accordance
with law and any applicable rules of the state civil service commission,
such employees as he may deem necessary for the efficient administration
of the department. The compensation of employees appointed by the
commissioner pursuant to this section shall be determined by him in
accordance with law.
Offices of the Department. The department shall be provided
with suitably furnished rooms for its offices. The principal office of
the department shall be in the county of Albany.
Powers and duties of the commissioner. The commissioner shall
(a) determine the policies and principles upon which public
assistance, services and care shall be provided within the state both by
the state itself and by the local governmental units within the limits
hereinafter prescribed in this chapter;
(b) make known his policies and principles to local social services
officials and to public and private institutions and welfare agencies
subject to his regulatory and advisory powers;
(c) in consultation with the civil service commission, establish
minimum qualifications for positions in local social services
departments and classify such positions according to differing
capabilities, skills, responsibilities and education suitable to the
various phases of welfare administration, not inconsistent with the
standards and guidelines of a duly authorized federal agency, having due
regard for recruitment of personnel and the requirements and varying
types of communities within the state. Notwithstanding any inconsistent
provision of law, rule or regulation, when (i) a position is vacant and
not filled for a continuous period of three months, and (ii) provided
that no person meeting all the prescribed minimum qualifications is
available therefore, the local social services commissioner may, if in
accordance with federal standards, waive those qualifications which he
deems least essential for such position and make a provisional
appointment of a person otherwise qualified therefor;
(d) submit an annual report to the governor and the legislature prior
to the fifteenth day of December of each year. Such annual report shall
include the following: the affairs of the department and the status of
welfare programs in the state with recommendations for the improvement
and development of welfare programs; a report on the department's fair
hearing system, as required by section twenty-two of this article; a
written evaluation report on the delivery of child welfare services in
the state, as required by subdivision five of section four hundred seven
of this chapter; a report of the operations of the state central
register of child abuse and maltreatment and the various local child
protective services, as required by section four hundred twenty-six of
this chapter; a report on the number and status and the findings of
investigations of deaths of children pursuant to subdivision five of
section twenty of this chapter; a report on the progress of the
development and operation of the child care review system, as required
by subdivision nine of section four hundred forty-two of this chapter;
commencing before December fifteenth, nineteen hundred eighty-four and
terminating on December fifteenth, nineteen hundred eighty-nine, a
progress report on the planning and implementation of the teenage
services act as required by the provisions of section four hundred
nine-m of title four-B of this chapter; an analysis of the information
contained in the registry of community facilities, as required by
paragraph (b) of subdivision two of section four hundred sixty-three-a
of this chapter; and a report on the operation of the child support
enforcement program, as required by chapter six hundred eighty-five of
the laws of nineteen hundred seventy-five;
* (d-1) in consultation with the commissioner of the division of
criminal justice, submit a report to the governor, the speaker of the
assembly, the temporary president of the senate and the chairs of the
assembly and senate standing committee on social services, on the
services provided to human trafficking survivors for the purpose of
assessing the availability, utilization and necessity for such services.
The initial report shall be provided one year after the effective date
of this subdivision and annually thereafter and shall include, but not
be limited to, the following:
(i) the number of human trafficking referrals made to the office of
temporary and disability assistance including the number of confirmed
cases;
(ii) the number of human trafficking survivors that received housing
and/or services, with specific information about the type of housing or
service;
(iii) the number of human trafficking survivors that did not receive
housing and/or services, and an indication as to what type of housing
and/or service was requested and whether such housing and/or services
were denied due to a lack of availability or because the case was not
confirmed; and
(iv) information pertaining to the types of services provided by
providers such as: (1) the number of current contracts to provide
housing and services for human trafficking survivors and their annual
funding levels, broken down by contract; (2) the number of contracts
and/or services that have ended, been terminated or not renewed and the
reason why; (3) the types of housing and/or services that are provided,
as well as the availability of such services, including the geographic
location of such housing or service; and (4) any other information the
office of temporary and disability assistance deems appropriate.
* NB There are 2 sb (d-1)'s
* (d-1)(1) in consultation with each local health department and each
social services district in the county in which a publicly funded
shelter is located, the commissioner of the department of health, the
commissioner of the office of children and family services, the
commissioner of the New York city department of homeless services, and
the commissioner of the New York city department of health and mental
hygiene, conduct a review of information, to the extent such information
is known and available after making all diligent efforts, regarding the
homeless population in publicly funded shelters, during a state disaster
emergency, declared pursuant to executive order two hundred two of two
thousand twenty or any extension or subsequent executive order issued in
response to the novel coronavirus (COVID-19) pandemic, including but not
limited to, the following information:
(i) the number of confirmed infected individuals;
(ii) the number of hospitalizations;
(iii) the number of deaths;
(iv) information regarding the individual, if known: (a) age; (b)
race; (c) family composition; (d) shelter status; (e) type of shelter
including: family shelter, a shelter for adults, a hotel, an emergency
apartment, a domestic violence shelter, a runaway and homeless youth
shelter, or a safe house for refugees; (f) any known risk factors; and
(g) any other information the office deems appropriate;
(v) with regard to individuals residing in a residential program for
victims of domestic violence or for runaway and homeless youth,
information regarding the average number of individuals reported with a
confirmed infection, the number and percentage of programs struggling
with an outbreak, and the number and percentage of residents impacted in
those programs compared to the program's maximum capacity.
(2) in consultation with the commissioner of health, utilizing the
information reviewed pursuant to paragraph (1) of this subdivision and
to the extent that confidentiality requirements set forth in law and
regulation are maintained publish a report containing such information
aggregated by county. When confidentiality requirements set forth in law
and regulation prevent the publication of information aggregated by
county, the report shall contain such information aggregated for
multiple counties and organized by geographic region. Notwithstanding
any other provision of this paragraph, for residential programs for
victims of domestic violence and runaway and homeless youth, reported
information shall be aggregated on a statewide basis.
(3) post the report on the office of temporary and disability
assistance's website within sixty days of the effective date of this
paragraph and update the report at least every three months thereafter
during the state disaster emergency declared pursuant to executive order
two hundred two of two thousand twenty or any extension or subsequent
executive order issued in response to the novel coronavirus (COVID-19)
pandemic.
* NB There are 2 sb (d-1)'s
(e) work cooperatively with the commissioner of the office of mental
health and the commissioner of the office for people with developmental
disabilities to assist the commissioner of education in furnishing
integrated employment services to individuals with severe disabilities,
including the development of an integrated employment implementation
plan pursuant to article twenty-one of the education law;
(f) in conjunction with the commissioner of education, develop and
annually review a plan to ensure coordination and access to education
for homeless children, in accordance with the provisions of section
thirty-two hundred nine of the education law, and monitor compliance of
local social services districts with such plan;
(g) require participation of all employees of a child protective
service in a training course which has been developed by the office for
the prevention of domestic violence in conjunction with the office of
children and family services whose purpose is to develop an
understanding of the dynamics of domestic violence and its connection to
child abuse and neglect. Such course shall:
(i) pay special attention to the need to screen for domestic violence;
(ii) place emphasis on the psychological harm experienced by children
whose environment is impacted by familial violence and accordingly
explore avenues to keep such children with the non-abusive parent rather
than placing them in foster care further traumatizing both the victim
and the children;
(iii) provide instruction regarding the scope of legal remedies for
the abused parent;
(iv) identify obstacles that prevent individuals from leaving their
batterers and examine safety options and services available for the
victim;
(v) provide information pertaining to the unique barriers facing
certain immigrant women and the options available under the federal
Violence Against Women Act;
(vi) analyze procedures available to sanction and educate the abusing
partner; and
(vii) emphasize the need for the system to hold the abusing partner
responsible by appropriate referrals to law enforcement.
(h) make available on its website all award allocations for request
for proposals issued by the office of children and family services upon
release of such awards. Such information shall also include all
organizations requesting funding and the amounts requested for each
request for proposal. The office of children and family services may
also include any other information related to each program that it deems
appropriate;
(i) make available to the council on children and families information
regarding: (1) all recipients of grants awarded or administered by the
office of children and family services for the purposes of providing
afterschool programs; (2) registered school age child care providers
registered by the office of children and family services; and (3) home
visiting programs that meet the criteria as required by section four
hundred twenty-nine of this chapter regardless of whether they have a
contract with or receive funding from the state. Such information shall
be provided in accordance with the requirements set forth in subdivision
two of section four hundred eighty-three-h of this chapter. Such
information shall be made available no less than once a year; and
* (i) exercise such other powers and perform such other duties as may
be imposed by law.
* NB Effective March 31, 2028
* (j) have the authority appoint a temporary operator in accordance
with this subdivision:
(1) For the purposes of this subdivision:
(i) "Building" shall mean an entire building or a unit within that
provides emergency shelter to homeless persons.
(ii) "Commissioner" shall mean the commissioner of the office or his
or her designee.
(iii) "Data" shall mean written documentation or knowledge obtained in
the course of an inspection, audits, or other methods authorized by law.
(iv) "Emergency shelter" means any building with overnight sleeping
accommodations, the primary purpose of which is to provide temporary
shelter for the homeless in general or for specific populations of the
homeless, including residential programs for victims of domestic
violence and runaway and homeless youth programs certified by the office
of children and family services.
(v) "Established operator" shall mean a provider of emergency shelter.
(vi) "Serious financial, health or safety deficiency" shall include,
but not be limited to, missed mortgage payments, missed rent payments, a
pattern of untimely payment of debts, failure to pay its employees or
vendors, insufficient funds to meet the general operating expenses of
the program, or a violation of law, regulation, or code with respect to
a building that provides emergency shelter to homeless persons, in which
there are conditions that are dangerous, hazardous, imminently
detrimental to life or health, or otherwise render the building not fit
for human habitation.
(vii) "Temporary operator" shall mean any provider of emergency
shelter that:
(A) agrees to provide emergency shelter pursuant to this chapter on a
temporary basis in the best interests of its homeless individuals and
families served by the building;
(B) has a history of compliance with applicable laws, rules, and
regulations and a record of providing emergency shelter of good quality,
as determined by the commissioner; and
(C) prior to appointment as temporary operator, develops a plan
determined to be satisfactory by the commissioner to address the
building's deficiencies.
(2) (i) A temporary operator may only be appointed after the emergency
shelter has been provided notice of alleged violations and the ability
to cure such violations. The local social services district shall also
be notified of the alleged violations prior to the appointment of a
temporary operator. If the emergency shelter fails to cure such
violations in a timely manner, a temporary operator may be appointed
where: (A) data demonstrates that the building is exhibiting a serious
financial, health, or safety deficiency; (B) data demonstrates that the
established operator is unable or unwilling to ensure the proper
operation of the building; or (C) data indicates there exist conditions
that seriously endanger or jeopardize emergency shelter residents. If
the commissioner determines to appoint a temporary operator, the
commissioner shall notify the established operator and the local social
services district of his or her intention to appoint a temporary
operator to assume sole responsibility for the provider of the emergency
shelter's operations for a limited period of time. The appointment of a
temporary operator shall be effectuated pursuant to this section, and
shall be in addition to any other remedies provided by law.
(ii) The established operator may at any time request the commissioner
to appoint a temporary operator. Upon receiving such a request, the
commissioner may, if he or she determines that such an action is
necessary, enter into an agreement with the established operator for the
appointment of a temporary operator to restore or maintain the provision
of quality emergency shelter to the emergency shelter residents until
the established operator can resume operations within the designated
time period or other action is taken to suspend, revoke, or limit the
authority of the established operator.
(3) (i) A temporary operator appointed pursuant to this section shall
use his or her best efforts to implement the plan deemed satisfactory by
the commissioner to correct or eliminate any deficiencies in the
building and to promote the quality and accessibility of the emergency
shelter in the community served by the provider of emergency shelter.
(ii) During the term of appointment, the temporary operator shall have
the authority to direct the staff of the established operator as
necessary to appropriately provide emergency shelter for homeless
individuals and families. The temporary operator shall, during this
period, provide emergency shelter in such a manner as to promote safety
and the quality and accessibility of emergency shelter in the community
served by the established operator until either the established operator
can resume operations or until the office revokes the authority of the
emergency shelter to operate under this chapter.
(iii) The established operator shall grant access to the temporary
operator to the established operator's accounts and records in order to
address any serious financial, health or safety deficiency. The
temporary operator shall approve any decision related to an established
provider's day to day operations or the established provider's ability
to provide emergency shelter.
(iv) The temporary operator shall not be required to file any bond. No
security interest in any real or personal property comprising the
established operator or contained within the established operator or in
any fixture of the building, shall be impaired or diminished in priority
by the temporary operator. Neither the temporary operator nor the office
shall engage in any activity that constitutes a confiscation of
property.
(4) Costs associated with the temporary operator, including
compensation, shall follow the financing structure established in
accordance with section one hundred fifty-three of this chapter, as
modified by the current aid to localities provisions for the office of
temporary and disability assistance within the department of family
assistance. The temporary operator shall be liable only in its capacity
as temporary operator for injury to person and property by reason of its
operation of such building; no liability shall incur in the temporary
operator's personal capacity, except for gross negligence and
intentional acts.
(5) (i) The initial term of the appointment of the temporary operator
shall not exceed ninety days. After ninety days, if the commissioner
determines that termination of the temporary operator would cause
significant deterioration of the quality of, or access to, emergency
shelter in the community or that reappointment is necessary to correct
the deficiencies that required the appointment of the temporary
operator, the commissioner may authorize an additional ninety-day term.
However, such authorization shall include the commissioner's
requirements for conclusion of the temporary operatorship to be
satisfied within the additional term.
(ii) Within fourteen days prior to the termination of each term of the
appointment of the temporary operator, the temporary operator shall
submit to the commissioner, to the local social services district, and
to the established operator a report describing:
(A) the actions taken during the appointment to address the identified
building deficiencies, the resumption of building operations by the
established operator, or the revocation of authority to operate an
emergency shelter;
(B) objectives for the continuation of the temporary operatorship if
necessary and a schedule for satisfaction of such objectives; and
(C) if applicable, the recommended actions for the ongoing provision
of emergency shelter subsequent to the temporary operatorship.
(iii) The term of the initial appointment and of any subsequent
reappointment may be terminated prior to the expiration of the
designated term, if the established operator and the commissioner agree
on a plan of correction and the implementation of such plan.
(6) (i) The commissioner shall, upon making a determination of an
intention to appoint a temporary operator pursuant to subparagraph (i)
of paragraph two of this subdivision, cause the established operator and
the local social services district to be notified of the intention by
registered or certified mail addressed to the principal office of the
established operator and the local social services district. Such
notification shall include a detailed description of the findings
underlying the intention to appoint a temporary operator, and the date
and time of a required meeting with the commissioner within ten business
days of the receipt of such notice. At such meeting, the established
operator, and the commissioner shall have the opportunity to review and
discuss all relevant findings. At such meeting, the commissioner and the
established operator shall attempt to develop a mutually satisfactory
plan of correction and schedule for implementation. If a mutually
satisfactory plan of correction and schedule for implementation is
developed, the commissioner shall notify the established operator that
the commissioner will abstain from appointing a temporary operator
contingent upon the established operator remediating the identified
deficiencies within the agreed upon timeframe.
(ii) The commissioner shall, upon making a determination of an
intention to appoint a temporary operator pursuant to subparagraph (i)
of paragraph two of this subdivision, cause the temporary president of
the senate, and the speaker of the assembly to receive appropriate and
timely notification of the intention to appoint a temporary operator.
Such notification shall include a description of the findings underlying
the intention to appoint a temporary operator, the identification of the
new operator when practicable, and the date of expected transfer of
operations. Such notice shall be made as soon as practicable under the
circumstances.
(iii) The commissioner, at any time he or she deems necessary and to
the extent practicable, shall consult and may involve the local social
services district.
(iv) Should the commissioner and the established operator be unable to
establish a plan of correction pursuant to subparagraph (i) of this
paragraph, or should the established operator fail to respond to the
commissioner's initial notification, there shall be an administrative
hearing on the commissioner's determination to appoint a temporary
operator to begin no later than thirty days from the date of the notice
to the established operator. Any such hearing shall be strictly limited
to the issue of whether the determination of the commissioner to appoint
a temporary operator is supported by substantial evidence. A copy of the
decision shall be sent to the established operator and the local social
services district.
(v) If the decision to appoint a temporary operator is upheld such
temporary operator shall be appointed as soon as is practicable and
shall provide emergency shelter pursuant to the provisions of this
section.
(7) Notwithstanding the appointment of a temporary operator, the
established operator shall remain obligated for the continued provision
of emergency shelter. No provision contained in this section shall be
deemed to relieve the established operator or any other person of any
civil or criminal liability incurred, or any duty imposed by law, by
reason of acts or omissions of the established operator or any other
person prior to the appointment of any temporary operator of the
building hereunder; nor shall anything contained in this section be
construed to suspend during the term of the appointment of the temporary
operator of the building any obligation of the established operator or
any other person for the maintenance and repair of the building,
provision of utility services, payment of taxes or other operating and
maintenance expenses of the building, nor of the established operator or
any other person for the payment of mortgages or liens.
* NB Repealed March 31, 2028
* (k) exercise such other powers and perform such other duties as may
be imposed by law.
* NB Repealed March 31, 2028
Powers and duties of the department.
2. The department shall, as provided in this chapter:
(a) administer all the forms of public welfare work for which the
state is responsible;
(b) supervise all social services work, as the same may be
administered by any local unit of government and the social services
officials thereof within the state, advise them in the performance of
their official duties and regulate the financial assistance granted by
the state in connection with said work;
(c) distribute, reimburse and grant as herein provided the funds
appropriated by the legislature for such participation and also such
funds as may be received from the federal government for such purpose or
purposes.
3. The department is authorized:
(a) to supervise local social services departments and in exercising
such supervision the department shall approve or disapprove rules,
regulations and procedures made by local social services officials
within thirty days after filing of same with the commissioner; such
rules, regulations and procedures shall become operative immediately
upon approval or on the thirtieth day after such submission to the
commissioner unless the commissioner shall specifically disapprove said
rule, regulation or procedure as being inconsistent with law or
regulations of the department;
(b) in accordance with the provisions of this chapter to make
reimbursements of local welfare costs on a participating basis
established by law, to advance grants of money for local welfare
purposes and to administer a discretionary fund for such purposes within
the limit of available appropriations;
(c) to pay such per centum as the legislature shall determine, of the
salaries of local administrative personnel as it shall determine to be
qualified to perform the duties assigned;
(d) to establish rules, regulations and policies to carry out its
powers and duties under this chapter;
(e) to withhold or deny state reimbursement, in whole or in part, from
or to any social services district or any city or town thereof, in the
event of the failure of either of them to comply with law, rules or
regulations of the department relating to public assistance and care or
the administration thereof;
(f) to promulgate any regulations the commissioner determines are
necessary, in accordance with the provisions of section one hundred
eleven-b of this chapter, and to withhold or deny state reimbursement,
in whole or in part, from or to any social services district, in the
event of the failure of any such district to comply with such
regulations relating to such district's organization, administration,
management or program. Upon withholding or denying state reimbursement,
the commissioner shall notify the temporary president of the senate, the
speaker of the assembly and the chairmen of the senate finance committee
and assembly ways and means committee;
(g) to formulate plans for the recruitment, utilization and training
of volunteers to assist in performing services and other duties in
social services districts for the purpose of improving participation in
public welfare programs;
(h) for the purpose of the proper administration of programs of public
assistance and care, to enter into agreements not inconsistent with
federal law, with public agencies responsible for the administration of
public assistance and care in any geographically contiguous state, to
receive information from such public agencies which is substantially
similar to information obtained by the department from the wage
reporting system operated by the state department of taxation and
finance pursuant to section one hundred seventy-one-a of the tax law
and, subject to the approval of the state department of taxation and
finance, to provide such public agencies with information obtained from
such wage reporting system; provided, however, that no such agreement
shall be entered into with a public agency of any geographically
contiguous state unless such state has by law established standards of
confidentiality which are substantially similar to those contained in
this chapter prohibiting the disclosure of such information. Upon
receipt of wage information from such public agencies, the department
shall furnish such information to the local social services districts;
(i) to assure conformance with federal law, by entering into
agreements with the federal social security administration and public
agencies in other states responsible for administering the food stamp
program or programs under title I, II, IV-A, IV-D, X, XIV, XVI, or XIX
of the social security act under which the department will provide such
agencies, when required by federal law and only to the extent so
required, with data which may be of use in establishing or verifying
eligibility for or benefit amounts in such programs or ability to pay
support for a person receiving support collection services including
data obtained from the wage reporting system operated by the state
department of taxation and finance pursuant to section one hundred
seventy-one-a of the tax law.
(j) to ensure the provision, on any form required to be completed at
application or recertification for the purpose of obtaining financial
assistance pursuant to this chapter, the form shall contain a check-off
question asking whether the applicant or recipient or a member of his or
her family served in the United States military, and an option to answer
in the affirmative. Where the applicant or recipient answers in the
affirmative to such question, the office of temporary and disability
assistance shall ensure that contact information for the state
department of veterans' services is provided to such applicant or
recipient addition to any other materials provided.
4. The Department shall not withhold state reimbursement from or deny
state reimbursement to a social services district, until written notice
is given to the commissioner of the social services district affected,
except when the reason for the proposed withholding or denying is that
such commissioner does not meet the minimum qualifications required for
such position, to the body or officer that appointed or purported to
appoint such commissioner:
(a) entirely for any period; or
(b) in whole or in part, on ten per centum or more of all the cases in
receipt of public assistance in such district in any period; or
(c) in whole or in part, on ten per centum or more of the cases in
receipt of a specific category of assistance in such district in any
period; or
(d) for any period, in an amount equal to or greater than ten per
centum of the state reimbursement otherwise due the district for such
period.
5. (a) In the case of the death of a child whose care and custody or
custody and guardianship has been transferred to an authorized agency,
other than a vulnerable person as defined in article eleven of this
chapter, or the death of a child for whom any local department of social
services has an open child protective services or preventive services
case, or in the case of a report made to the statewide central register
of child abuse and maltreatment involving the death of a child, the
office of children and family services shall (i) investigate or provide
for an investigation of the cause of and circumstances surrounding such
death, (ii) review such investigation, and (iii) prepare and issue a
report on such death, except where a report is issued by an approved
local or regional fatality review team in accordance with section four
hundred twenty-two-b of this chapter.
(b) Such report shall include (i) the cause of death, whether from
natural or other causes, (ii) identification of child protective or
other services provided or actions taken regarding such child and his or
her family, (iii) any extraordinary or pertinent information concerning
the circumstances of the child's death, (iv) whether the child or the
child's family had received assistance, care or services from the social
services district prior to such child's death, (v) any action or further
investigation undertaken by the department or by the local social
services district since the death of the child, (vi) as appropriate,
recommendations for local or state administrative or policy changes, and
(vii) written comments as may be provided by any local social services
district referenced in such report, to the extent that such comments:
(A) protect the confidentiality and privacy of the deceased child, his
or her siblings, the parent or other person legally responsible for such
child, any other members of such child's household and the source of any
report of suspected child abuse or maltreatment, and (B) are relevant to
the fatality reported and pertain to any of the provisions of
subparagraph (i), (ii), (iii), (iv), (v) or (vi) of this paragraph,
provided that any comments that pertain to subparagraphs (i), (ii),
(iii), (iv) or (v) of this paragraph must be factually accurate.
Such report shall contain no information that would identify the name
of the deceased child, his or her siblings, the parent or other person
legally responsible for the child or any other members of the child's
household, but shall refer instead to the case, which may be denoted in
any fashion determined appropriate by the department or a local social
services district. In making a fatality report available to the public
pursuant to paragraph (c) of this subdivision, the department may
respond to a child specific request for such report if the commissioner
determines that such disclosure is not contrary to the best interests of
the deceased child's siblings or other children in the household,
pursuant to subdivision five of section four hundred twenty-two-a of
this chapter. Except as it may apply directly to the cause of the death
of the child, nothing herein shall be deemed to authorize the release or
disclosure to the public of the substance or content of any
psychological, psychiatric, therapeutic, clinical or medical reports,
evaluations or like materials or information pertaining to such child or
the child's family.
(c) Twenty days prior to the release of the report the department
shall forward the proposed report to each local social services district
referenced in the report. Within ten days thereafter, each local social
services district may provide written comments in accordance with
subparagraph (vii) of paragraph (b) of this subdivision to the
department in the form and manner required by the department to be
included by the department within the report. No later than six months
from the date of the death of such child, the department shall forward
its report to the social services district, chief county executive
officer, chairperson of the local legislative body of the county where
the child's death occurred and the social services district which had
care and custody or custody and guardianship of the child, if different.
The department shall notify the temporary president of the senate and
the speaker of the assembly as to the issuance of such reports and, in
addition to the requirements of section seventeen of this chapter, shall
submit an annual cumulative report to the governor and the legislature
incorporating the data in the above reports and including appropriate
findings and recommendations. Such reports concerning the death of a
child and such cumulative reports shall immediately thereafter be made
available to the public after such forwarding or submittal.
(d) To enable the office of children and family services or a local or
regional fatality review team to prepare such report, the office of
children and family services or a local or regional fatality review team
may request and shall timely receive from departments, boards, bureaus
or other agencies of the state, or any of its political subdivisions, or
any duly authorized agency, or any other agency which provided
assistance, care or services to the deceased child such information as
they are authorized to provide.
6. The department is directed to seek appropriate approvals from
federal officials to permit commissioners of jurors and clerks of the
court or jury administrators of any United States district court in New
York state appointed pursuant to title twenty-eight of the United States
Code, section 1836(b)(2) in each social services district to obtain the
names and addresses of persons applying for or receiving aid to
dependent children, medicaid, or home relief authorized by this chapter
for purposes of identifying prospective jurors. Upon receiving such
approval or upon determining that no approval is necessary,
notwithstanding sections one hundred thirty-six and three hundred
sixty-nine of this chapter, the department shall provide lists of such
persons to the chief administrator of the courts, appointed pursuant to
section two hundred ten of the judiciary law, or the chief judge of any
United States district court in New York State appointed pursuant to
title twenty-eight of the United States Code. The lists shall be
provided for the sole purpose of integration into lists of prospective
jurors as provided by section five hundred six of the judiciary law or
title twenty-eight of the United States Code. The chief administrator of
the courts shall upon request provide information from the lists to the
commissioner of jurors in each county or, in a county within a city
having a population of one million or more, the county clerk of said
county, solely for the purpose of compiling lists of prospective jurors
for the appropriate county. The chief judge of such United States
district court shall make lists available to such clerk of the court or
jury administrator of a United States district court solely for the
purpose of compiling lists of prospective jurors for the United States
district court. The lists shall be provided only pursuant to a
cooperative agreement between the chief administrator of the courts or,
in the case of a United States district court, the chief judge of such
United States district court and the commissioner that guarantees that
all necessary steps shall be taken by the chief administrator of the
courts, the chief judge of such United States district court, the
commissioners of jurors and the county clerks or the clerk of the court
or jury administrator or court clerk of the United States district court
to ensure that the lists are kept confidential and that there is no
unauthorized use or disclosure of such lists. Furthermore, the lists
will be provided only if the chief administrator of the courts or the
chief judge of the United States district court determines that the
lists are needed for integration into lists of prospective jurors in one
or more counties or the district of such United States district court.
Commissioners of jurors and county clerks, and clerks of the court or
jury administrators or clerk of any United States district court
receiving such lists shall not use any information derived from such
lists for any purpose other than for the selection of jurors and shall
take appropriate steps to see that the confidentiality of such
information is maintained.
7. To the extent appropriations are available, the office of children
and family services shall conduct a public education campaign that
emphasizes zero tolerance for child abuse and maltreatment. Such
campaign shall include information about the signs and symptoms of child
abuse and maltreatment, the hotline available to report child abuse and
maltreatment, and services that are available to assist families with
underlying issues that may lead to child abuse and maltreatment
including, but not limited to, substance abuse services, domestic
violence services, mental health services for adults and services to
assist families with children in need of mental health treatment. Such
campaign may include, but not be limited to, educational and
informational materials in print, audio, video, electronic and other
media and public service announcements and advertisements.
8. (a) The office of temporary and disability assistance shall
promulgate rules and regulations for the administration of this
subdivision. The rules and regulations shall provide for the conditions
under which local social services officials determine the placement of
applicants for and recipients of public assistance for whom a notice
pursuant to section two hundred three of the correction law, has been
received and who are:
(i) determined to be in immediate need of shelter; and
(ii) designated a level two or level three sex offender pursuant to
article six-C of the correction law.
(b) When making determinations in regard to the placement of such
individuals in shelter, local social services officials shall consider
the following factors:
(i) the location of other sex offenders required to register pursuant
to the sex offender registration act, specifically whether there is a
concentration of registered sex offenders in a certain residential area
or municipality;
(ii) the number of registered sex offenders residing at a particular
property;
(iii) proximity of the entities with vulnerable populations;
(iv) accessibility to family members, friends or other supportive
services, including but not limited to locally available sex offender
treatment programs with preference for placement of such individuals
into programs that have demonstrated effectiveness in reducing sex
offender recidivism and increasing public safety; and
(v) investigation and approval of such placement by the department of
corrections and community supervision.
Local personnel; limitations on department's power.
Notwithstanding any inconsistent provision of this chapter, the board,
the commissioner or the department, acting singly or in unison, shall
not have the power, directly or indirectly to prescribe the number of
persons to be employed in any social services district providing the
district complies with the minimum federal standards relating thereto.
Plan for in-home care of senior citizens. On or before the
first day of April, nineteen hundred eighty-two the New York state
council for home care services, in consultation with the commissioner of
social services and the office for the aging, shall prepare a plan
designed to ease the burden of families providing care for elderly
parents in the home of the parents or the homes of their families.
Recommendations are to be made concerning, but not limited to, tax
exemptions and increased availability of supportive services.
Privatization. 1. (a) Except as otherwise specified in the
appropriation for system support and information services program in the
office of temporary disability assistance within the department of
family assistance, or as authorized by subdivision two-a of section
twenty-two of this article, the department shall not enter into any
contract with a private entity under which that entity would perform any
of the public assistance and care eligibility determination functions,
duties or obligations of the department as set forth in this chapter.
(b) Social services districts may enter into a contract or agreement
for the performance of functions, duties or obligations required to be
performed pursuant to this chapter, however, the collective bargaining
representative of employees who normally perform such functions or
provide such services for such social services district shall be
permitted the opportunity to competitively bid for any contract let
pursuant to this section with the overall cost and quality of the
proposal being major criteria in the selection.
2. No contract with a contractor for services pursuant to this section
shall be entered into by the office or district unless the office or
district contracting for such service has:
(a) Provided the certified collective bargaining organization
representing the permanent employees affected by the district's exercise
of its right to contract out with sixty days advance notice of its
intent to contract out for services pursuant to this section;
(b) Considered whether the proposed contract will result in actual
cost savings to the office; and
(c) Evaluated and made a favorable determination based upon a required
disclosure of information from the potential contractor regarding any
final actions relating to (a) the responsibility taken by any
contracting agency, law enforcement authority or the department of labor
against bidders, contractors or subcontractors and (b) debarments
pursuant to express statutory authorization.
3. A contract shall not be approved unless it contains a description
of the service quality expectations pursuant to the contract and a
description of the method by which the quality of services shall be
monitored and evaluated by the district based upon specific performance
measures contained in the contract. The proposed contract must include
specific provisions pertaining to the qualifications of the staff that
will perform the work under the contract. The proposed contract shall
contain specific information regarding the actual number of employees to
be retained, hours of work, wage rates and associated benefit levels,
titles, and job descriptions.
4. Existing rights. Nothing in this section shall be deemed to
diminish the rights, privileges, or remedies of any employee under any
other local law or under the applicable collective bargaining agreement.
5. The provisions of this section shall not impair, restrict or
otherwise modify applicable restrictions contained in federal law and
regulations promulgated thereto.
Training of direct care workers in adverse childhood
experiences. 1. As used in this section:
(a) "Direct-care employees" means the employees of domestic violence
shelters, safe dwellings, and domestic violence programs identified by
the certifying organization to receive training, which shall include,
but not be limited to, the directors and coordinators of such shelters,
dwellings, and programs, and any individual or employee performing or
required to perform similar responsibilities.
(b) "Certifying organization" means an organization designated by the
federal department of health and human services to coordinate statewide
improvements within local communities, social services systems, and
programming regarding the prevention and intervention of domestic
violence in New York state.
(c) "Adverse childhood experiences" or "ACEs" means stressful or
traumatic experiences experienced during childhood, which are strongly
related to the development and prevalence of a wide range of health
problems throughout a person's lifetime, including, but not limited to
physical or sexual abuse; domestic violence; parental mental illness;
substance abuse; and incarceration.
2. The office of temporary and disability assistance and the office of
children and family services shall, within amounts appropriated for such
purpose, contract exclusively with an entity, or with entities in
partnership, to develop a training program for direct-care employees to
identify individuals who have experienced ACEs, develop effective
strategies for assisting and interacting with such individuals, and
locate programs and services to which such individuals with ACEs may be
referred to help build the individual's resilience. Such entity, or
entities in partnership, shall be experienced in providing
trauma-informed, victim-centered training on domestic violence, child
abuse, and ACEs. Such entity, or entities in partnership, shall be
responsible for providing such training to direct-care employees.
3. All direct-care employees shall be required to participate in such
training program. Such training shall be provided at no cost to such
employees.
4. The office of temporary and disability assistance and the office of
children and family services shall, within amounts appropriated for such
purpose, contract with a certifying organization to provide a
certification of completion to each direct-care employee who satisfies
the requirements of such training program.
Welfare management system. 1. The department shall design and
implement a welfare management system which shall be capable of
receiving, maintaining and processing information relating to persons
who have applied for or been determined eligible for benefits under any
program for which the department has supervisory responsibilities under
this chapter, for the purpose of providing individual and aggregate data
to such districts to assist them in making eligibility determinations
and basic management decisions, to the department to assist it in
supervising the local administration of such programs, and to the
governor and the legislature as may be necessary to assist in making
major administrative and policy decisions affecting such programs. Such
system shall be designed so as to assist local districts and the state
in achieving the following goals:
a. reducing mismanagement in the administration of such program,
detecting fraudulent practices, and helping identify policies or
conditions that will reduce or deter fraud;
b. promoting efficiency in local district determinations of
eligibility for public assistance and care and other programs supervised
by the department, to expedite such determinations and to reduce
unauthorized or excessive payments;
c. achieving compliance with federal laws and regulations and
maximizing utilization of federal funds;
d. improving data collection and retention techniques and developing
uniform reporting forms and procedures;
e. initiating implementation of such a system for districts other than
the district comprising the city of New York, in a manner compatible
with expansion of such system to the district comprising the city of New
York;
f. being developed and implemented in each social services district,
to the extent possible consistent with statewide uniformity, in a manner
compatible with maximum utilization of existing data processing systems
and capabilities of such district and with minimum local participation
by such district in administrative expenditures directly attributable to
the design and implementation of such system; and
g. achieving such other goals consistent with this chapter and other
laws as are desirable for improving the administration of such programs.
2. The department shall promulgate regulations, specifying the types
of information to be collected and transmitted by each social services
district to the department, the methods for collection and transmittal
of such information, and the procedures for utilization by social
services districts of the data maintained by the welfare management
system. Any such regulations shall be published for comment at least
thirty days in advance of their promulgation and shall be filed with the
secretary of state at least sixty days in advance of the effective date
of any such requirement.
3. Information relating to persons applying for or receiving benefits
under programs pursuant to this chapter shall be considered confidential
and shall not be disclosed to persons or agencies other than those
considered entitled to such information in accordance with section one
hundred thirty-six of this chapter, when such disclosure is necessary
for the proper administration of such programs.
4. The commissioner of labor and his or her designees shall be
entitled to access to the welfare management system and the information
contained therein for the purpose of administration of the programs for
public assistance recipients set forth in title nine-B of article five
of this chapter. Use of the information relating to persons applying
for or receiving benefits under such programs by the department of labor
will be in accordance with the provisions of this chapter.
5. The commissioner of health and his or her designees shall be
entitled to access to the welfare management system and the information
contained therein for the purpose of administration of the program of
medical assistance for needy persons set forth in title eleven of
article five of this chapter. Use of the information relating to
persons applying for or receiving benefits under such program by the
department of health will be in accordance with the provisions of
section one hundred thirty-six of this chapter.
6. By no later than forty-five days following the end of each calendar
quarter after the second quarter of calendar year nineteen hundred
seventy-six, the department shall, until full implementation has been
achieved in all social services districts, report to the governor and
the legislature regarding the current status of the welfare management
system, summarizing the progress achieved during the previous quarter
and the anticipated major achievements of the succeeding two calendar
quarters. The report shall include the current and anticipated overall
expenditure and staffing levels for functions relating to the system,
and shall specify each district affected or anticipated to be affected
during the succeeding two calendar quarters and summarize the manner in
which each such district is, or is anticipated to be, affected.
7. (a) The full cost of expenditures by the state for the design,
development and implementation of the welfare management system shall be
borne by the state, utilizing any federal funds made available for such
purposes. Social services districts shall not be responsible for
participating in state expenditures for any of the following:
acquisition, installation, maintenance and operation of a state
computer; acquisition, installation and maintenance of the
telecommunications network and equipment; development and provision of
state mandated forms; modification of existing data processing
operations determined by the department to be necessary to assure
systems compatibility; and development and provision of training
materials and equipment, and costs of staff for training provided by the
state.
(b) Expenditures by a social services district for data entry
operators determined necessary by the department during the period of
conversion to full operation of the welfare management system for such
district shall be subject to reimbursement by the state in accordance
with section one hundred fifty-three of this chapter to the extent of
one hundred percentum of such expenditures after first deducting
therefrom any federal funds properly received or to be received on
account of such expenditures.
(c) Expenditures by a social services district other than those set
forth in this section shall be subject to state reimbursement as
administrative costs in accordance with section one hundred fifty-three
of this chapter to the extent of fifty percentum thereof, after first
deducting therefrom any federal funds properly received or to be
received on account of such expenditures.
(d) The department is hereby authorized to enter into written
agreements, subject to the approval of the director of the budget, with
not more than three social services districts by which such districts
agree to undertake additional administrative functions relating to
design, development and testing of the welfare management system,
subject to one hundred percent state reimbursement for administrative
costs attributable to such functions, after first deducting therefrom
any federal funds properly received or to be received on account of such
expenditures.
8. The department may enter into the case file of each applicant for
or recipient of benefits under the programs of food stamps, aid to
dependent children, home relief, veteran assistance, emergency
assistance to adults, or medical assistance for whom a case file has
been established on the welfare management system information it
receives from the appropriate governmental agency concerning a client
who has applied for or has been determined to be eligible for workers'
compensation benefits, unemployment insurance benefits, and benefits
being paid pursuant to titles two and sixteen of the federal social
security act (including supplemental state payments). The department may
rebudget any case for which it makes an entry where the information
received indicates that rebudgeting is appropriate. The department
shall immediately notify the appropriate social services district that
an applicant or recipient's case has been rebudgeted or of any other
direct entry of information into a case file. A social services
district shall not be held responsible for any costs incurred as a
result of data erroneously entered by the department into the welfare
management system.
Electronic benefit transfer system. Any electronic benefit
transfer system shall be implemented by the department on a statewide
basis and shall be administered pursuant to the provisions of this
section. For purposes of such electronic benefit transfer system, the
term "electronic benefit transfer" includes the use of a credit or debit
card service, automated teller machine, point-of-sale terminal, or
access to an online system for the withdrawal of funds or the processing
of a payment for merchandise or a service.
1. (a) Any contract entered into on behalf of local social services
districts for electronic benefit transfer services shall ensure that
there are a sufficient number of access points in each local social
services district to ensure an adequate distribution of such services.
Upon implementation of an electronic benefit transfer system in a local
social services district or in any political or other geographic
subdivision of such district, the department shall publish a list
identifying the number and location of access points within such
district or subdivision, and shall seek and accept public comment on the
adequacy of recipient access to electronic benefit transfer services
within such district or subdivision. The department shall seek to
maximize recipient access to electronic benefit transfer services by
working with the contractor to establish access points at a broad range
of businesses and community facilities including, but not limited to,
community centers, senior citizen centers, educational and job skills
training sites, and local housing authorities.
(b) Any electronic benefit transfer services for supplemental
nutrition assistance program (SNAP) benefits shall ensure that two
electronic benefit transfer credit or debit cards are issued for use by
any recipient household having more than one parent or guardian residing
in the household on a full-time basis, provided that at least two
parents or guardians residing in the household, or a combination
thereof, qualify for benefits pursuant to this chapter. No card shall be
issued to any person under the age of eighteen unless such person is a
parent or guardian of a minor child. The issuance of a second card shall
be consistent with federal requirements and is subject to the request
and approval by the head of household and shall not entitle the
recipients to any additional benefits. Benefit recipients shall not be
required to accept or utilize both cards. The department shall notify
existing and future benefit recipients of the availability of multiple
cards.
(c) Any interactive voice response system associated with an
electronic benefit transfer system which benefit recipients may call for
support or assistance shall include an option for benefit recipients to
cancel such benefit recipient's electronic benefit transfer card
permanently or lock or unlock such benefit recipient's electronic
benefit transfer card.
2. The department or the designated agent thereof shall utilize
appropriate materials and training to provide each recipient with
adequate instruction on the use of the electronic benefit transfer
system, which shall include, but not be limited to, the following:
(a) the types of transactions and services provided by means of an
electronic benefit transfer system, and any limitations thereon;
(b) the rights, responsibilities and liabilities applicable to
recipients that receive benefits by means of an electronic benefit
transfer system;
(c) the procedure for reporting the loss or theft of a system access
device, or any unauthorized transaction;
(d) the process for the replacement of a lost or stolen system access
device, and the procedure to access benefits, if needed, until such time
as such device can be replaced; and
(e) the procedure by which participants can access information about
their benefit account or accounts including, but not limited to, a
toll-free telephone number which would provide recipients with account
balances and transaction history.
Appeals and fair hearings; judicial review. 1. Any person
described in subdivision three of this section, or any individual
authorized to act on behalf of any such person, may appeal to the
department from decisions of social services officials or failures to
make decisions upon grounds specified in subdivision five of this
section. The department shall review the case and give such person an
opportunity for a fair hearing thereon. The department may also, on its
own motion, review any decision made or any case in which a decision has
not been made by a social services official within the time specified by
law or regulations of the department. The department may make such
additional investigation as it may deem necessary, and the commissioner
shall make such decision as is justified and is in conformity with the
provisions of this chapter, the regulations of the department, a
comprehensive annual services program plan then in effect pursuant to
title twenty of the federal social security act and any other applicable
provisions of law.
2. In connection with any appeal pursuant to this section, with or
without a fair hearing, the commissioner may designate and authorize one
or more appropriate members of his staff to consider and decide such
appeals. Any staff member so designated and authorized shall have
authority to decide such appeals on behalf of the commissioner with the
same force and effect as if the commissioner had made the decisions.
Fair hearings held in connection with such appeals shall be held on
behalf of the commissioner by members of his staff who are employed for
such purposes or who have been designated and authorized by him
therefor. The provisions of this subdivision shall apply to fair
hearings conducted pursuant to subdivision eight of section four hundred
twenty-two of this chapter, and to any hearing required pursuant to this
chapter concerning the denial, suspension or revocation of any permit,
certificate or license, and to any hearing held pursuant to section four
hundred fifty-five of this chapter.
* 2-a. With regard to fair hearings held in connection with appeals
for integrated fair hearing and appeals processes for individuals dually
eligible for medical assistance and benefits available under titles
XVIII and XIX of the federal social security act, the commissioner may
contract for the sole purpose of assisting staff of the office for such
purpose.
* NB Expires January 1, 2028
3. Persons entitled to appeal to the department pursuant to this
section shall include:
(a) Applicants for or recipients of aid to dependent children,
emergency assistance for families with dependent children, home relief,
veteran assistance, medical assistance for needy persons and any service
authorized or required to be made available in the geographic area in
which such person resides, pursuant to the provisions of this chapter;
(b) Applicants for or participants in the food stamp program, pursuant
to section ninety-five of this chapter and regulations of the
department;
(c) Applicants for or recipients of emergency assistance for aged,
blind and disabled persons, pursuant to title eight of article five of
this chapter, so long as such emergency assistance is available pursuant
to such law;
(d) Aggrieved persons described in section four hundred of this
chapter;
* (e) Aggrieved persons, agencies or social services districts
described in section three hundred seventy-two-e of this chapter;
* NB Effective until June 30, 2027
* (e) Aggrieved persons, agencies or social services districts
described in sections one hundred fifty-three-d, three hundred
seventy-two-e and three hundred ninety-eight-b of this chapter;
* NB Effective June 30, 2027
(f) Unless an agreement is in effect for federal administration of
additional state payments pursuant to section two hundred eleven of this
chapter, applicants for and recipients of additional state payments as
defined in subdivision two of section two hundred eight of this chapter;
and
(g) Other persons entitled to an opportunity for fair hearings
pursuant to regulations of the department.
4. (a) Except as provided in paragraph (c) of subdivision two of
section four hundred twenty-four-a of this chapter and in paragraph (b)
of this subdivision, any appeal pursuant to this section must be
requested within sixty days after the date of the action or failure to
act complained of.
(b) Unless a different period is mandated by federal law or
regulations, a person is allowed to request a fair hearing on any action
of a social services district relating to food stamp benefits or loss of
food stamp benefits which occurred in the ninety days preceding the
request for a hearing. For purposes of this paragraph, such action
includes a denial of a request for restoration of any benefits lost more
than ninety days but less than a year prior to the request. In addition,
at any time within the period for which a person is certified to receive
food stamp benefits, such person may request a fair hearing to dispute
the current level of benefits.
5. Grounds for such appeals shall be specified in regulations of the
department, but shall include at least the following:
(a) Denial of any application.
(b) Failure to act upon any application within thirty days after
filing, except applications for home relief, or failure to comply with
laws and regulations requiring that priority be given to certain
applications for assistance, or failure to act on any application for
home relief within forty-five days after filing.
(c) Inadequacy in amount or manner of payment of assistance.
(d) Discontinuance in whole or in part of assistance, or termination
of a service authorized or required to be made available pursuant to the
comprehensive annual services program plan then in effect.
(e) Failure to permit a parent or guardian to visit the child or
failure to provide supportive services, which shall include preventive
and other supportive services authorized to be provided pursuant to the
state consolidated services plan, to the child and to the parent or
guardian, pursuant to an instrument executed under section three hundred
eighty-four-a of this chapter.
(f) Failure to provide adoption services or assistance to a
prospective adoptive parent on behalf of a child freed for adoption as
defined in subdivision (b) of section one thousand eighty-seven of the
family court act pursuant to section three hundred seventy-two-b of this
chapter and the local social services district's consolidated services
plan.
6. In scheduling fair hearings on appeals concerning applications for
emergency assistance pursuant to section three hundred fifty-j or title
eight of article five of this chapter, the department shall give
priority to the hearing and determination of such appeals.
7. For the purposes of this section, except subdivision nine, social
services officials shall include the persons described in subdivision
fourteen of section two of this chapter and also the head of any bureau
of the department which exercises responsibility pursuant to this
chapter for determining eligibility for and furnishing public assistance
and care to persons in family care pursuant to section one hundred
thirty-eight-a of this chapter, or for determining eligibility for and
furnishing medical assistance pursuant to subdivision two, three or four
of section three hundred sixty-five of this chapter, or for determining
eligibility for and furnishing services pursuant to section two hundred
fifty-three of this chapter.
8. The department shall promulgate such regulations, not inconsistent
with federal or state law, as may be necessary to implement the
provisions of this section. Such regulations shall require that a copy
of all decisions made concerning appeals pursuant to this section shall
be sent to each party to such appeals and their representatives, if any.
9. (a) All decisions of the commissioner pursuant to this section
shall be binding upon the social services districts involved and shall
be complied with by the social services officials thereof.
(b) Any aggrieved party to an appeal, including a social services
official provided an application by any such social services official
has not been determined by any federal agency to be in violation of
federal law, may apply for review as provided in article seventy-eight
of the civil practice law and rules.
(c) The provisions of paragraph (a) shall be applicable to a social
services official after the decision of the commissioner becomes final
and binding unless a court stays such decision. No such stay shall be
issued by any court unless the social services official establishes that
irreputable harm will result if a stay is not granted, and the
probability that he will succeed on the merits. In an action or
proceeding to review a decision of the commissioner, the applicant or
recipient and his representative, if any, shall be served with copies of
all pleadings and shall be allowed to intervene in such action or
proceeding as a matter of right. Notwithstanding any provision of the
civil practice law and rules or any other law to the contrary, any
application by a social services official for a stay in a proceeding
commenced by such official pursuant to this section shall be determined
by the appropriate appellate division, and not by a justice of the
supreme court. Whenever the commissioner has sustained an appeal by a
recipient of public assistance or care with respect to benefits which
were continued pending the fair hearing decision, the appellate division
shall not stay the fair hearing decision prior to the initial
determination of the proceeding initiated pursuant to this section for
the review of such fair hearing decision.
(d) Every person entitled to a benefit pursuant to a decision of the
commissioner under this section, shall be advised to contact the
department in a manner specified by department regulations, in the event
that a local social services district does not comply with such
decision.
10. In connection with every determination of an appeal pursuant to
this section, the department shall inform every party thereto, and his
representative, if any, of the availability of judicial review and the
time limitation thereon.
11. The provisions of subdivisions three and four of section twenty of
this chapter shall be applicable to state reimbursement otherwise
payable to any social services district in the event of the failure of a
social services official to comply with a commissioner's determination
upon an appeal within the time required by regulations of the department
or such additional time as the commissioner may allow. In the event that
the court stays any such determination in a proceeding pursuant to
article seventy-eight of the civil practice law and rules, state
reimbursement shall not be withheld or denied pursuant to this
subdivision for non-compliance during such stay. Nothing in this
subdivision shall limit the power of a court in a proceeding pursuant to
article seventy-eight of the civil practice law and rules to order a
social services official to comply with a commissioner's determination
upon an appeal.
12. Every applicant or recipient of public assistance and care shall
be informed in writing, through the distribution of an informational
pamphlet, at the time of application and at the time of any action
affecting his receipt of assistance or care:
(a) of his right to an appeal or fair hearing;
(b) of the method by which he may obtain an appeal or fair hearing;
(c) of his right to representation by legal counsel, or by a relative,
friend, or other spokesmen, or that he may represent himself;
(d) of the availability of community legal services to assist him in
the appeal or fair hearings process;
(e) of the nature of the precedures to be followed throughout an
appeal or fair hearing;
(f) of the types of information he may wish to submit at an appeal or
fair hearing;
(g) of any additional information which would clarify the appeals and
fair hearings procedure for applicants and recipients of public
assistance and care, and would assist such persons in more adequate
preparation for such hearings.
13. Whenever under other provisions of this chapter an applicant or
recipient of public assistance or care may appeal to the department a
decision of a social services official, or the failure of such official
to act on his application within the required period, and may request a
fair hearing thereon, if such applicant or recipient requires legal
services in connection with such an appeal and fair hearing and such
services are not otherwise available to him, the social services
official shall, upon request, make provision for payment for such legal
services if required by federal law or regulations.
14. To provide an analysis of the outcome of the fair hearings process
within the office of temporary and disability assistance to identify
inadequacies and potential improvements in the functioning of the fair
hearings system, such office shall prepare for inclusion in the annual
report required by subdivision (d) of section seventeen of this article
to be filed with the governor and the legislature prior to the fifteenth
day of December of each year, a report containing with respect to income
maintenance programs, including the family assistance program, the
safety net assistance program, the medical assistance program and any
other program, the number of affirmations and reversals by local
districts and by program including a breakdown by local districts of the
number of fair hearings requested by program and the number of fair
hearings held by program, formal requests by local districts and
recipients for reconsideration or rehearing of appeals, and a summary of
court actions on hearing decisions.
Wage reporting system. 1. The department is authorized to
provide information obtained from the wage reporting system as operated
by the state department of taxation and finance:
(a) to social services districts:
(i) with respect to applicants for and recipients of public assistance
and care or other benefits pursuant to this chapter for which such
districts are responsible;
(ii) with respect to any person legally responsible for the support of
such applicants and recipients;
(iii) with respect to any person legally responsible for the support
of a recipient of services under section one hundred eleven-g of this
chapter or to any agent of any entity that is under contract with the
child support program pursuant to title six-A of article three of this
chapter; and
(iv) with respect to the parents, the stepparents, the child and the
siblings of the child who were living in the same household as a child
who is in the custody, care and custody or custody and guardianship of a
local social services district or of the office of children and family
services during the month that the court proceedings leading to the
child's removal from the household were initiated, or the written
instrument transferring care and custody of the child pursuant to the
provisions of section three hundred fifty-eight-a of this chapter or
section three hundred eighty-four-a of this chapter was signed, provided
however, that such social services district shall only use the
information obtained pursuant to this subdivision for the purpose of
determining the eligibility of such child for federal payments for
foster care and adoption assistance pursuant to the provisions of title
IV-E of the federal social security act,
(b) to a public agency responsible for the administration of public
assistance and care in any geographically contiguous state with which
the department has an agreement with respect to wage information
pursuant to paragraph (h) of subdivision three of section twenty of this
article,
* (c) to social services districts with respect to participants in
employment or training programs authorized pursuant to this chapter who
are current recipients of public assistance and care or who are former
recipients of public assistance and care, (except that with regard to
former recipients, information which relates to a particular former
recipient shall be provided with client identifying data deleted) for
the purpose of evaluating the effect of participation in such programs
on such current and former recipients, and
* NB There are 2 par (c)'s
* (c) to the federal parent locator service, maintained by the federal
department of health and human services, as required by section one
hundred twenty-four of the federal family support act of nineteen
hundred eighty-eight, for the purpose of enabling the department to
fulfill obligations and responsibilities otherwise incumbent upon the
state department of labor.
* NB There are 2 par (c)'s
(d) to the federal social security administration or public agency of
another state with which the department has an agreement with respect to
wage information pursuant to paragraph (i) of subdivision three of
section twenty of this article.
2. Notwithstanding any law to the contrary, the department, upon
request by the office of welfare inspector general, shall provide said
office with such information it receives from the wage reporting system
operated by the department of taxation and finance that the office of
welfare inspector general deems necessary to carry out its functions and
duties under article four of the executive law.
3. Information obtained by the office of temporary and disability
assistance from the wage reporting system operated by the state
department of taxation and finance shall be considered confidential and
shall not be disclosed to persons or agencies other than those
considered entitled to such information when such disclosure is
necessary for the proper administration of programs of public assistance
and care or for the proper administration of the child support program
pursuant to title six-A of article three of this chapter, or of
eligibility assessments of children for federal payments for foster care
and adoption assistance pursuant to the provisions of title IV-E of the
federal social security act. For the purpose of this subdivision, any
disclosure made pursuant to subdivision one of this section shall be
considered necessary for the proper administration of programs of public
assistance and care, or of eligibility assessments of children for
federal payments for foster care and adoption assistance pursuant to the
provisions of title IV-E of the federal social security act; and the
federal parent locator service shall be considered an agency entitled to
such information as is necessary for the proper administration of the
child support program pursuant to title six-A of article three of this
chapter.
Gifts and bequests. The department may receive and retain any
money or other personal property given or bequeathed to the department
or a division or bureau thereof and shall expend the same in accordance
with the general powers and duties of the department for the purposes
for which it is given or, if unaccompanied by conditions or limitations,
for such purposes as it may determine.
Federal agency. The department, with the approval of the
governor, may accept a designation from, and act as, the agent of the
federal security agency or other duly authorized federal agency in the
administration of relief and related activities, activities affecting
the welfare of individuals and communities, and the disbursement or
expenditure of federal funds or commodities in relation thereto within
the state of New York.
Continuation of salaries of local and state welfare employees
receiving training for the better performance of their duties. Subject
to the approval of the department, the board of supervisors of a county
and the appropriating body of a city or town may include in its
appropriations moneys for the continuation of the salaries of their
local welfare employees who are on leave receiving additional training
for the better performance of their duties, provided that no such
salaries shall be so continued to a greater extent than will reimburse
such employee for the loss of earnings while on such leave. Salaries of
the employees of the department may be continued in a similar fashion.
Fellowships and scholarships for local and state public welfare
employees. The department, under regulations which it shall prescribe,
and from moneys received or appropriated for such purpose, is authorized
to grant fellowships and scholarships to local and state public welfare
employees to enable them to receive additional training for the better
performance of their duties.
Reciprocal agreements. The department is authorized to enter
into reciprocal agreements with corresponding state agencies of other
states regarding interstate transportation of dependent and indigent
persons, and to arrange with the propert officials in this state for the
acceptance, transfer and support of persons receiving public assistance
and care in other states in accordance with the terms of such reciprocal
agreements, but this state shall not nor shall any county or other
political subdivision of this state be committed to the support of
persons who are not, in the opinion of the department, entitled to
public support by the laws of this state. No agreement made pursuant to
the provisions of this section shall become effective until the
attorney-general has approved its form and sufficiency and determined
its legal effect.
Contracts for supplies and commodities needed in the
administration of assistance. The department may
(a) make agreements for supplies and commodities needed in the
administration of assistance and care, under which local welfare units
may, subject to the approval of the department, purchase such supplies
and commodities; and
(b) in accordance with requisitions duly approved by the commissioner
of general services, purchase as the agent of local welfare units and on
their request, supplies or commodities needed in the administration of
assistance and care and make payments therefor after making proper
deductions from state reimbursements due the local units which avail
themselves of the provisions of this subdivision.
General powers and duties of the commissioner. 1. The
commissioner of social services shall be the chief administrative
officer of the department.
2. All the administrative and executive powers and duties of the
department shall be vested in the commissioner.
3. The commissioner shall
(a) continue to have, exercise, and perform the functions, powers and
duties conferred by law upon the commissioner of social services;
(b) execute and issue the determinations, decisions, orders, notices,
licenses and certificates of the department as may be required in the
exercise and performance of the functions, powers and duties conferred
upon or vested in the department;
(c) take cognizance of the interests of health and welfare of the
inhabitants of the state who lack or are threatened with the deprivation
of the necessaries of life and of all matters pertaining thereto;
(d) exercise general supervision over the work of all local welfare
authorities;
(e) enforce this chapter and the regulations of the department within
the state and in the local governmental units;
(f) establish regulations for administration of public assistance and
care within the state both by the state itself and by the local
governmental units, in accordance with law;
(g) provide technical assistance, advisory and consultative services
to business, industry and labor to encourage their sponsorship of day
care centers;
(h) in consultation with the department of education, the department
of health, the division for youth, the office for people with
developmental disabilities and the office of mental health, establish
guidelines for the acceptance by social services officials of notices
that children in foster care are at risk of educational placements, as
provided for in subparagraph four of paragraph b of subdivision one of
section forty-four hundred two of the education law. Such guidelines
shall be designed to assure that the social services district receiving
such a notice inquire into the educational needs of the child and the
circumstances of the foster care placement, and to assure that the
social services district responds as appropriate to any request by a
committee on special education to participate in the proceedings of the
committee;
(i) exercise such other powers and perform such other duties as may be
required by law.
4. Notwithstanding any inconsistent provision of the civil service
law, the commisioner may, if he finds that the chief executive officer
of any county or city social services department has failed properly to
perform his duties as required by law or rules and regulations of the
department, present charges and specifications thereof to the appointing
officer or authority of such county or city social services district.
Such appointing officer or authority shall, upon receipt of such charges
or specifications give notice thereof to the chief executive officer of
the social services department and shall make inquiry into the merits of
such specifications at a hearing thereon. The commissioner may present
his evidence at such hearing and recommend removal or other appropriate
sanctions. In the event the appointing authority finds the charges and
specifications made by the comissioner are substantiated, the appointing
officer or authority shall forthwith remove such chief executive officer
or apply other sanctions. Any deputy or other employee of any such
officer may also be removed or sanctioned upon the recommendation of the
commissioner, in the same manner. Such removal or other sanction may not
be appealed to a civil service commission, but may be subject to review
pursuant to article seventy-eight of the civil practice law and rules.
The provisions of this section shall not be deemed to preclude the
exercise of the power of removal or sanction by the officer or authority
having the power of appointment.
5. The commissioner or any official by him authorized so to do
(a) may conduct any inquiry pertinent or material to the discharge of
the duties imposed upon him by law;
(b) is empowered to subpoena witnesses, administer oaths, take
testimony and compel the production of such books, papers, records and
documents as may be relevant to any such investigation.
6. The commissioner may exercise such additional powers and duties as
may be required for the effective administration of the department and
of the state system of public aid and assistance.
Services planning requirements. 1. (a) Each social services
district shall prepare a multi-year consolidated services plan
encompassing adult services and family and children's services, which
shall include diversion services provided pursuant to section seven
hundred thirty-five of the family court act.
(b) Commencing with the years following preparation of the multi-year
consolidated services plan, each local district shall also be required
to prepare an annual implementation report.
2. (a) The commissioner shall have authority to promulgate regulations
specifying the contents of both the multi-year services plan and the
annual implementation reports, provided however that such regulations
shall not be inconsistent with the standards of review by the
commissioner of such plan and reports specified in subdivision four of
this section.
(b) The regulations promulgated pursuant to paragraph (a) of this
subdivision shall require the multi-year services plan and where
appropriate the annual implementation reports, to include a summary of
the understanding between the local social services district and the
district attorney's office, which outlines the cooperative procedures to
be followed by both parties in investigating incidents of child abuse
and maltreatment, consistent with their respective obligations for the
investigation or prosecution of such incidents, as otherwise required by
law.
3. (a) There shall be a public hearing on the multi-year services plan
or each annual implementation report. Commencing in nineteen hundred
eighty-two, such public hearing shall be held only after fifteen days
notice is provided in a newspaper of general circulation within the
county. Such notice shall specifically identify the times of the public
hearing in which the child protective services and other services
components of the multi-year services plan or annual implementation
reports are to be considered.
(b) Commencing in nineteen hundred eighty-two, after such hearing, the
multi-year services plan or the annual implementation reports shall be
submitted for approval to the chief executive officer of the county or
to the legislative body in those counties without a chief executive
officer. Full approval of the multi-year services plan or of the annual
implementation report by the chief executive officer or legislative body
shall be required before submission of such plan or report to the
commissioner.
(c) Commencing in nineteen hundred eighty-two, the multi-year services
plan or the annual implementation reports shall not be forwarded to the
commissioner until at least fifteen days have passed from the date of
the public hearing thereon.
4. (a) Except as provided in paragraph (b) of this subdivision, the
commissioner shall review both the multi-year services plan and the
annual implementation reports submitted by the social services district,
using standards consistent with the provisions of sections one hundred
thirty-one-1, four hundred nine-d and four hundred twenty-three of this
chapter, and shall notify such district, in writing, of approval of such
plan or reports in whole or in part; provided, however, that for any
portions not approved, the commissioner shall in writing to the district
specify the portions not approved, the reasons for such determination,
the actions required for resubmittal of such portions, and the time
period of resubmittal; and provided further, that disapproval of a
portion of such plan or report shall not render the entire plan or
report invalid. No portion of the multi-year services plan or of the
annual implementation reports shall be finally disapproved until the
district has had at least one opportunity for resubmittal. Upon
resubmittal, or if no resubmittal is made within the time specified, the
commissioner may grant further extensions to the district to allow it to
resubmit any unapproved portions, or may finally disapprove such
portions. Any social services district aggrieved by a final disapproval
of the commissioner under this section shall have the right to a fair
hearing in accordance with the appropriate provisions of this chapter.
An adverse fair hearing decision shall be reviewable pursuant to article
seventy-eight of the civil practice law and rules. State reimbursement
may be withheld for all or a portion of a local district's activities,
if the multi-year services plan, annual implementation report, or
portions of either are disapproved.
(b) The commissioner of the office of children and family services
shall review and approve or disapprove the diversion services portion of
the plan jointly with the director of the office of probation and
correctional alternatives or any other successor agency or entity. The
requirements for the portion of the plan and report regarding the
provision of diversion services shall be jointly established by the
commissioner of the office of children and family services and the
director of the office of probation and correctional alternatives or any
other successor agency or entity. The multi-year services plan and where
appropriate the annual implementation reports shall be based upon a
written understanding between the local social services district and the
probation department which outlines the cooperative procedures to be
followed by both parties regarding diversion services pursuant to
section seven hundred thirty-five of the family court act, consistent
with their respective obligations as otherwise required by law.
5. The commissioner shall promulgate regulations concerning the time
by which:
(a) each local social services district shall submit its multi-year
services plan and annual implementation report;
(b) the commissioner shall, in writing, notify a local district of
approval or disapproval of all or parts of such district's multi-year
services plan or annual implementation reports; and
(c) each local social services district shall submit a revised version
of its multi-year services plan or annual implementation report, or
parts thereof.
6. (a) Notwithstanding any other provision of law, the office of
children and family services shall plan for the statewide
implementation, by the thirty-first day of December, two thousand eight,
of the use by counties of a child and family services plan that combines
the multi-year consolidated services plan required by this section and
the comprehensive plan required by section four hundred twenty of the
executive law into a single plan.
(b) All counties shall implement a county child and family services
plan prior to or by the two thousand eight plan year in accordance with
a schedule developed by the office of children and family services and
shall continue to implement such a plan thereafter. With the approval of
such office, a county may implement such a plan before the date required
by such schedule.
(c) The office of children and family services may waive any
regulatory requirements relating to the content and timing of multi-year
consolidated services plans and annual implementation reports that may
impede the ability of a county to implement a county child and family
services plan.
(d) Nothing in this subdivision shall be deemed to affect county
planning requirements under the mental hygiene law.
7. (a) From monies appropriated to the office of children and family
services for the family and children's services foster care and adoption
program, the office shall give assistance to local social services
districts to enable them to collect statistics and to describe the steps
being taken regarding: the number of families needing preventive
services as provided for in title four of article six of this chapter
for which services are provided; the effectiveness of specific
preventive services in preventing unnecessary foster care placements and
reducing the length of stay in foster care; the efforts made to prevent
unnecessary placements; the use of the least restrictive settings and
the proximity of foster care placements to the child's home; the use of
kinship placements; the placement of siblings with one another at
initial placement or as soon thereafter as possible; the number of
transfers of children in foster care placements and the reasons for
those transfers; the number of families reunited in fulfillment of the
child's service goal plan and the length of placement prior to
reunification; the number of children prepared for independent living;
the number of children with adoption as a service plan goal; the number
of children freed for adoption and the length of time taken to secure
terminations of parental rights; the number of children placed in
pre-adoptive homes and the number of adoptions completed and the length
of time taken to complete them.
(b) Such data submitted to the office of children and family services
shall be aggregated and submitted with a narrative report on these
children's services, to the governor and the majority leader of the
senate and the speaker of the assembly on or before July first, two
thousand five and semiannually thereafter.
8. The commissioner of the office of children and family services
shall, in conjunction with the commissioner of education, develop model
practices and procedures for local social services districts and school
districts regarding the reporting and investigation of educational
neglect. Such model practices and procedures shall be available to
social services districts and school districts and shall be posted on
the office of children and family services website and the state
department of education website by September first, two thousand seven.
Each social services district shall, in conjunction with local school
districts within its district, submit written policies and procedures
regarding the reporting of educational neglect by each school district
within such social services district and the investigation of
educational neglect allegations by child protective services. Such
policies and procedures shall be submitted to the office of children and
family services for review by January first, two thousand eight and the
office shall approve or disapprove such local policies and procedures,
based upon the model practices and procedures established in conjunction
with the state department of education, within sixty days of submission.
9. (a) If a social services district proposes an amendment to the
child care portion of its child and family services plan that reduces
eligibility or increases the family share percentage for child care
services such district must: (i) no later than the first day the public
notice appears in a newspaper pursuant to subdivision three of this
section or the regulations of the office of children and family
services, as applicable, prominently post on the district's website a
notice of the proposed amendment describing the categories of families
whose cases will be impacted; and (ii) at the time the public notice is
submitted to the newspaper for publication in accordance with
subdivision three of this section or the regulations of the office of
children and family services, as applicable, provide a copy of such
notice to the office of children and family services.
(b) If a social services district implements its process for closing
child care cases, as set forth in its approved child and family services
plan, due to the district determining that it cannot maintain its
current caseload because all of the available funds are projected to be
needed for open cases, the district must: (i) no later than the day the
social services district begins to send individual notices to impacted
families in accordance with subdivision eight of section four hundred
ten-w of this chapter, prominently post a notice on their website that
states that such district is implementing the child care case closing
process set forth in its approved child and family services plan and
that describes the categories of families whose cases will be closed;
and (ii) immediately provide a copy of such notice to the office of
children and family services.
(c) The office of children and family services shall prominently post
notices received pursuant to paragraphs (a) or (b) of this subdivision
on its website.
Legal representation of individuals whose federal disability
benefits have been denied or may be discontinued. 1. The commissioner
shall establish criteria for selection of grant applications, review
applications awarded pursuant to the provisions of this section, and
exercise and perform such other functions as are related to the purposes
of this section.
2. The commissioner shall make grants, within the amounts appropriated
for that purpose, to not-for-profit legal services corporations and
not-for-profit agencies serving the disabled and local social services
districts, to provide for representation of persons whose federal
disability benefits including supplemental security income and social
security disability insurance have been denied or may be discontinued
for the purpose of representing these persons in appropriate
proceedings. When the commissioner has contracted with a local social
services district to provide such representation, the legislative body
of such district may authorize and make provision for the commissioner
of social services of the district to obtain necessary legal services on
a fee for services basis or other appropriate basis which the department
may approve. Such legal services may be provided by not-for-profit legal
services corporations, not-for-profit agencies serving the disabled or
private attorneys.
3. The commissioner shall submit a report to the chairman of the
senate finance committee and the chairman of the assembly ways and means
committee on or before the first day of October, nineteen hundred
ninety-eight and biannually thereafter. Such a report shall include but
not be limited to a review of the basis for selection of participating
entities; the administrative method used to carry out the program; the
number of cases appealed by district; the disposition of such appeals;
an identification of the savings and costs of the program to the state
and localities by district; an evaluation of the continuing need for
legal representation provided by the program and recommendations for
possible federal and state legislative and regulatory actions relating
thereto.
4. Responsibility for local financial participation shall be
determined by the commissioner based on either costs of and the number
of district residents served by each local entity or the alternative
cost allocation procedure deemed appropriate by the commissioner.
Studies. The department shall, in so far as available
appropriations will permit, study and collect information in relation to
(a) the number and conditions of persons who lack or are threatened
with the deprivation of the necessaries of life, or seek, or are
receiving public assistance or care and all matters pertaining thereto,
including the causes thereof and advise measures for their relief, and
also for the relief of those in receipt of aid from private charity;
(b) unemployment, poverty, economic distress and other problems of
social welfare generally as may be useful in the discharge of its duties
or contribute to the promotion of social and economic security;
(c) the number of recipients of aid in, and the receipts and
expenditures of, each public welfare district;
(d) dependency and local conditions relative thereto;
(e) such other matters in respect to public and private charities as
it may deem advisable;
and shall publish such information as it deems of public concern and
which may be of value in the performance of its duties.
Department research and demonstration projects. 1. The
department is authorized to sponsor, conduct and participate in research
and demonstration projects designed to ascertain and eliminate the
causes of dependency and to rehabilitate recipients of public assistance
and care or to demonstrate the utilization of research in the
administration of public assistance and care.
2. Except where a specific appropriation has been made therefor, no
such research or demonstration project requiring the expenditure of
state funds shall be instituted without prior approval of the director
of the budget.
3. The department may request the cooperation of any county or city
social services district in connection with any such research or
demonstration project sponsored or conducted by the department.
* 4. The commissioner shall seek any federal waiver or waivers from
the United States department of agriculture that may be necessary to
exclude income provided to an individual as part of their participation
in a pilot program authorized under section one hundred thirty-one-a of
this chapter for supplemental nutrition assistance program eligibility
determination purposes.
* NB Repealed March 23, 2029
Local flexibility incentive pilot program. 1. The
department, in cooperation with the department of labor, is authorized
to establish the local flexibility incentive pilot program to enable
social services districts or groups of social services districts, at
local option, to demonstrate innovations and efficiencies to aid public
assistance recipients in attaining self-sufficiency.
2. Upon application of a social services district, the department, in
cooperation with the department of labor, is authorized to approve
funding for pilot programs subject to the approval of the director of
the budget, separate from state aid that said social services district
or social services districts would otherwise be eligible to receive, and
to waive state regulations that would impede the successful completion
of a project, provided that the demonstration project is consistent with
applicable state and federal statutes and will not impair the general
health or welfare of the people receiving services under such project or
others receiving services in the applying social services district. The
department is authorized, in consultation with the department of labor
where appropriate to impose appropriate alternative standards in place
of any waived requirements.
3. Applications for pilot project approval shall include, but not be
limited to, the name of the applying social services district or group
of social services districts, the population, size of its
welfare-related programs including medical assistance, family
assistance, safety net assistance, emergency assistance to families or
its successor programs; size of the population to be subject to the
pilot project, the project proposed, with quantified cost savings and an
explanation of how such project, if approved, would result in cost
containment of the amounts described in the application or improvements
in the delivery of services and benefits; the start date and completion
date of the project; whether, if successful, the project would require
funding in future years; and identification, as necessary, of any rules,
regulations or statutory requirements that could impede the successful
completion of the project.
4. If a project is approved, then, notwithstanding any inconsistent
provision of law, the department shall provide funding of the project
within amounts available by appropriation therefor, provided that no
social services district or group of social services districts shall
receive more than twenty-five percent of the funds available in any
single year. No payment will be made until thirty days after the
agreement has been executed. An approved applicant that shall achieve
its cost-savings goal shall receive full reimbursement for the costs of
such project as such amount shall have been approved by the department
in cooperation with the department of labor. In no case shall the state
or any of its agencies require remission or repayment of funds saved by
any applicant. Reimbursement for successful applicants pursuant to the
provisions of this section shall not take place until the department
shall have been satisfied as to the savings levels actually achieved.
5. Each social services district or group of social services
districts implementing a pilot project under this section shall
establish an on-going program evaluation and assessment program
employing objective measurements and systematic analysis to determine
the manner and extent to which the project is achieving the intended
primary objective of the project. Each evaluation and assessment
program shall include an annual performance plan with goals which
establish target levels of performance expressed as tangible, measurable
objectives against which actual achievement can be compared, including a
goal expressed as a qualitative standard, value or rate. Each
participating social services district or group of social services
districts shall submit an annual program performance report for the
prior fiscal year to the department, the department of labor and to the
governor, the speaker of the assembly and the majority leader of the
senate documenting the performance achieved compared with the
performance goals established for the pilot project, improvements in the
quality of services provided and any cost savings; an explanation if a
performance goal was not met and an assessment of the effectiveness in
achieving performance goals.
6. Notwithstanding any provision of law to the contrary, state
reimbursement for expenditures made by a social services district for
administration of any project, including expenditures made in connection
with the development, if performed by a county employee or employees,
implementation and operation thereof, shall not be subject to any
limitations on administrative expenditures, ceilings or caps which
otherwise would apply to the reimbursement of such administrative
expenditures.
* § 36-c. Savings plan for the city of New York. 1. Notwithstanding
any other provision of law to the contrary, in any social services
district with a city having a population of five million or more, the
social services district shall conduct a demonstration project as set
forth in this section, and shall evaluate and report on such project
annually, pursuant to a plan approved by the office of temporary and
disability assistance and the division of budget. A comprehensive report
shall be provided to the governor, the temporary president of the senate
and the speaker of the assembly by December thirty-first, two thousand
twenty-one. Such report shall include but not be limited to information
regarding the program such as the number of participants for the
previous three years; the percentage of participation as measured by the
number of participants making contributions into such savings plan; the
average amount payable to a participant upon leaving the program; the
average length of time a participant remained in the program; the number
of situations in which the participant moved out of the program but
reengaged in the program within the previous twelve months; the number
of participants leaving the program voluntarily and the number of
participants removed due to failure to comply; and any other
demonstrated outcomes of such program.
2. Such social services district, in lieu of applying that portion of
a temporary housing assistance recipient's earned income that, but for
the provisions of this section, would be applied to reduce the need for
the shelter component of temporary housing assistance provided in a
temporary emergency shelter, shall direct such a recipient to
participate in a savings plan with such funds and, as long as such funds
are not withdrawn, they shall not be applied to reduce the need for the
shelter component of the temporary housing assistance granted for the
duration of his or her residence in temporary emergency shelter;
provided, however, that the provisions of this section shall only apply
to a person receiving temporary housing assistance in a shelter or other
facility overseen by the New York city department of homeless services
or the New York city department of housing preservation and development.
Failure by a recipient of temporary housing assistance to contribute to
such a savings plan shall result in the discontinuance of temporary
housing assistance. Provided however, such discontinuance shall be
immediately curable by compliance with this section.
3. In such social services district, any such funds collected from the
earned income of a recipient of temporary housing assistance while he or
she is residing in a temporary emergency shelter shall be deposited in a
savings plan approved by the office of temporary and disability
assistance and the division of budget; shall be payable to the recipient
for the recipient's use to facilitate his or her transition to, or
stabilize his or her residence in, permanent housing upon his or her
discharge from shelter or upon verification of such recipient's date of
discharge from shelter; and shall be considered exempt as income or a
resource until the twelfth month following the month in which the
recipient ceases receiving temporary housing assistance in temporary
emergency shelter. Funds collected in such savings plans shall be
pooled, tracked individually, and maintained in a savings or
money-market account at interest rates set by the institution with which
such funds are deposited. Any savings and interest accrued in such
account or accounts shall be distributed to a temporary housing
assistance recipient upon his or her discharge from temporary emergency
shelter or upon verification of such recipient's date of discharge from
shelter, in accordance with the provisions of this section.
4. Such social services district shall be deemed in compliance with
section one hundred thirty-one-a of this chapter for reimbursement of
expenditures made for temporary housing assistance, provided the
district is conducting the project fully in accordance with the
provisions of this section. Unearned income of a recipient of temporary
housing assistance in such social services district shall not be applied
to the savings plan, and shall not be required to be applied to that
portion of the shelter costs not paid for with public assistance.
Temporary housing assistance recipients shall not be required to
contribute to the cost of such shelter, as provided for in this section.
Such project shall not be implemented so as to compromise the federal
benefits of a recipient or any of his or her household members.
5. Upon the effective date of this subdivision, such social services
district shall suspend implementation of the demonstration program,
provided that (a) the recipient's need for the shelter component of
temporary housing assistance shall not be reduced by the portion of a
recipient's earned income that the recipient would have been required
under subdivision two of this section to deposit in a savings plan, and
(b) funds collected from recipients pursuant to this section prior to
the effective date of this subdivision shall continue to be treated and
made payable to recipients in accordance with the provisions of
subdivision three of this section.
* NB Repealed March 31, 2030
Reports of and to department. The department may collect and,
so far as it shall deem advantageous, embody in its annual reports
information relating to the best manner of dealing with those who
require assistance from public funds, or who receive aid from private
charity and represent its views as to the best methods of caring for
dependent children and such other matters as the commissioner may deem
advisable.
Commission for the blind. The New York state commission for the
blind shall continue to exercise and perform its duties, as prescribed
by law, and the regulations of the office of children and family
services subject to the supervision and control of the commissioner; and
such commission shall be a bureau of the office of children and family
services.
Indian affairs. 1. Powers and duties, if any, conferred or
imposed, in terms, by laws now in force, on the governor, commissioners
of the land office and the superintendent of purchase or fiscal
supervisor of state charities, so far only as they relate to affairs of
Indians, or on the commissioner of education, so far only as they relate
to affairs of Indians other than the education of children upon the
Indian reservations, except such powers and duties, if any, as may have
been conferred or imposed, in terms, on either of such officers, in
relation to such affairs, by laws enacted and in effect since July
first, nineteen hundred and twenty-four, shall continue to be exercised
and performed by the department, instead of by the officers named.
2. The office of children and family services may enter into an
agreement with an Indian tribe for the provision of foster care,
preventive and adoptive services to Indian children as defined in
subdivision thirty-six of section two of this chapter and for the
provision of adult and child protective services to Indians residing
upon the tribe's reservation in the state, after the Indian tribe has
submitted to the office of children and family services a plan that
satisfactorily demonstrates that such tribe is able to meet the
applicable standards for foster care services, preventive services,
adoptive services, and adult and child protective services set forth in
the applicable federal and state law and regulations. The office of
children and family services is authorized to reimburse such tribe for
the full cost of foster care, preventive services, adult and child
protective services, and adoptive services and care, after deducting any
federal funds properly received on account thereof.
3. Any Indian tribe designated as such by the Secretary of the
Interior which became subject to the jurisdiction of courts of the state
of New York pursuant to sections two hundred thirty-two and two hundred
thirty-three of title twenty-five of the United States code or any other
federal law, may reassume jurisdiction over those child custody
proceedings provided for in articles three, seven, ten, and ten-A of the
family court act and sections three hundred fifty-eight-a and three
hundred eighty-four-b of this chapter involving Indian children provided
that the Secretary of the Interior has granted approval pursuant to and
in accordance with the applicable sections of title twenty-five of the
United States code.
4. Any Indian tribe designated as such by the state of New York which
is subject to the jurisdiction of the courts of the state of New York,
may reassume jurisdiction over those child custody proceedings provided
for in articles three, seven, ten, and ten-A of the family court act,
and sections three hundred fifty-eight-a and three hundred eighty-four-b
of this chapter involving Indian children provided that the local
commissioner has granted approval in accordance with rules and
regulations established by the department.
5. (a) An Indian tribe approved to assume jurisdiction shall have
exclusive jurisdiction over any child custody proceeding involving an
Indian child who resides or is domiciled within the reservation of such
tribe, except where such jurisdiction is otherwise vested in the courts
of the state of New York by existing federal law. Where an Indian child
is a ward of a tribal court, the Indian tribe shall retain exclusive
jurisdiction, notwithstanding the residence or domicile of the child.
(b) Notwithstanding the provisions of paragraph (a) of this
subdivision, nothing herein shall be construed to prevent the emergency
removal of an Indian child who is a resident of or is domiciled on a
reservation, but temporarily located off the reservation, from his
parents or Indian custodian or the emergency placement of such child in
a foster home or institution, under applicable state law in order to
prevent imminent physical damage or harm to the child. The state
authority, official or agency shall insure that the emergency removal or
placement terminates immediately when such removal or placement is no
longer necessary to prevent imminent physical damage or harm to the
child and shall expeditiously initiate a child custody proceeding
subject to the provisions of this section, transfer the child to the
jurisdiction of the appropriate Indian tribe, or restore the child to
the parent or Indian custodian as may be appropriate.
6. In any state court child custody proceeding involving the foster
care placement of, or termination of parental rights to an Indian child
not domiciled or residing within the reservation of the Indian child's
tribe, the court, in the absence of good cause to the contrary, shall
transfer such proceeding to the jurisdiction of the tribe, absent
objection by either parent, upon the petition of either parent or the
Indian custodian or the Indian child's tribe; provided, however, that
such transfer shall be subject to declination by the tribal court of
such tribe.
7. In any state court proceeding involving the foster care placement
of or the termination of parental rights to an Indian child, the Indian
custodian of the child and the Indian tribe shall have a right to
intervene at any point in the proceeding.
8. The department may enter into an agreement, contract or compact
with an Indian tribe or intertribal consortium for the provision of
welfare related services by social services districts or by any tribe or
tribes in connection with a tribal plan for direct tribal funding and
administration of federal temporary assistance to needy families block
grant monies.
Real property; purchase or acquisition. 1. The commissioner,
when an appropriation therefor has been made by the legislature, may
acquire any real property which he may deem necessary for any
departmental purpose by purchase or, in the manner provided in the
eminent domain procedure law. Title to any such real property shall be
taken in the name of and be vested in the people of the state of New
York; provided, however, that no real property shall be so acquired by
purchase unless the title thereto shall be approved by the attorney
general.
2. Whenever real property is to be acquired pursuant to the eminent
domain procedure law, the commissioner shall cause to be made by the
state department of transportation an accurate acquisition map as so
provided in such law.
3. On the approval of such map by the commissioner, the original
tracing of such map shall be filed in the main office of the department
pursuant to the eminent domain procedure law.
4. If the commissioner shall determine, prior to the filing of such
map in the office of the clerk or register of the county, that changes,
alterations or modifications of such map as filed in the office of the
department should be made, he or she shall, subject to the provisions of
article two of the eminent domain procedure law, if applicable, direct
the preparation by the department of transportation of an amended map.
On the approval of such amended map by the commissioner, it shall be
filed in the main office of the department and the amended map shall
thereupon in all respects and for all purposes supersede the map
previously filed.
5. If the commissioner shall determine, prior to the filing of a copy
of such acquisition map in the office of the county clerk or register as
provided in paragraph three of subdivision (A) of section four hundred
two of the eminent domain procedure law, that such map should be
withdrawn, he or she may file a certificate of withdrawal in the offices
of the department and of the department of law. Upon the filing of such
certificate of withdrawal, the map to which it refers shall be
cancelled, and all rights thereunder shall cease and determine.
6. The commissioner shall deliver to the attorney general a copy of
such acquisition map, whereupon it shall be the duty of the attorney
general to advise and certify to the commissioner the names of the
owners of the property, easements, interests or rights described in the
said acquisition map, including the owners of any right, title or
interest therein, pursuant to the requirements of section four hundred
three of the eminent domain procedure law.
7. If, at or after the vesting of title to such property in the
people of the state of New York as provided for in the eminent domain
procedure law, the commissioner shall deem it necessary to cause the
removal of an owner or occupancy from any real property so acquired, he
may cause such owner or occupant to be removed therefrom by proceeding
in accordance with section four hundred five of the eminent domain
procedure law. The proceeding shall be brought in the name of the
commissioner as agent of the state and the attorney general shall
represent the petitioner in the proceedings. No execution shall issue
for costs, if any, awarded against the state or the commissioner, but
they shall be part of the costs of the acquisition of the real property
and be paid in like manner. Proceedings may be brought separately
against one or more of the owners or occupants of any such property, or
one proceeding may be brought against all or several of the owners or
occupants of any or all such property within the territorial
jurisdiction of the same court, justice or judge; judgment shall be made
for immediate removal of persons defaulting in appearance or in
answering, or withdrawing their answers, if any, without awaiting the
trial or decision of issues raised by contestants, if any.
8. Upon making any agreement provided for in section three hundred
four of the eminent domain procedure law, the commissioner shall deliver
to the comptroller such agreement and a certificate stating the amount
due such owner or owners thereunder on account of such acquisition of
his or their property and the amounts so fixed shall be paid out of the
state treasury after audit by the comptroller from moneys appropriated
for the acquisition of such real property, but not until there shall
have been filed with the comptroller a certificate of the attorney
general showing the person or persons claiming the amount so agreed upon
to be legally entitled thereto.
9. Application for reimbursement of incidental expenses as provided
in section seven hundred two of the eminent domain procedure law shall
be made to the commissioner upon forms prescribed by him and shall be
accompanied by such information and evidence as the commissioner may
require. Upon approval of such application, the commissioner shall
deliver a copy thereof to the comptroller together with a certificate
stating the amount due thereof, and the amount so fixed shall be paid
out of the state treasury after audit by the comptroller from monies
appropriated for the acquisition of property under this section.
10. The commissioner, with the approval of the director of the
budget, shall establish and may from time to time amend rules and
regulations authorizing the payment of actual reasonable and necessary
moving expenses of occupants of property acquired pursuant to this
section; of actual direct losses of tangible personal property as a
result of moving or discontinuing a business or farm operation, but not
exceeding an amount equal to the reasonable expenses that would have
been required to relocate such property, as determined by the
commissioner; and actual reasonable expenses in searching for a
replacement business or farm; or in hardship cases for the advance
payment of such expenses and losses. For the purposes of making payment
of such expenses and losses only the term "business" means any lawful
activity conducted primarily for assisting in the purchase, sale,
resale, manufacture, processing or marketing of products, commodities,
personal property or services by the erection and maintenance of an
outdoor advertising display or displays, whether or not such display or
displays are located on the premises on which any of the above
activities are conducted. Such rules and regulations may further define
the terms used in this subdivision. In lieu of such actual reasonable
and necessary moving expenses, any such displaced owner or tenant of
residential property may elect to accept a moving expense allowance,
plus a dislocation allowance, determined in accordance with a schedule
prepared by the commissioner and made a part of such rules and
regulations. In lieu of such actual reasonable and necessary moving
expenses, any such displaced owner or tenant of commercial property who
relocates or discontinues his business or farm operation may elect to
accept a fixed relocation payment in an amount equal to the average
annual net earnings of the business or farm operation, except that such
payment shall be not less than two thousand five hundred dollars nor
more than ten thousand dollars. In the case of a business, no such
fixed relocation payment shall be made unless the commissioner finds and
determines that the business cannot be relocated without a substantial
loss of its existing patronage, and that the business is not part of a
commercial enterprise having at least one other establishment, which is
not being acquired by the state or the United States, which is engaged
in the same or similar business. In the case of a business which is to
be discontinued but for which the findings and determinations set forth
above cannot be made, the commissioner may prepare an estimate of what
the actual reasonable and necessary moving expenses, exclusive of any
storage charges, would be if the business were to be relocated and enter
into an agreed settlement with the owner of such business for an amount
not to exceed such estimate in lieu of such actual reasonable and
necessary moving expenses. Application for payment under this
subdivision shall be made to the commissioner upon forms prescribed by
him and shall be accompanied by such information and evidence as the
commissioner may require. Upon approval of such application, the
commissioner shall deliver a copy thereof to the comptroller together
with a certificate stating the amount due thereunder, and the amount so
fixed shall be paid out of the state treasury after audit by the
comptroller from moneys appropriated for the acquisition of property
under this section. As used in this subdivision the term "commercial
property" shall include property owned by an individual, family,
partnership, corporation, association or a nonprofit organization and
includes a farm operation. As used in this subdivision the term
"business" means any lawful activity, except a farm operation, conducted
primarily for the purchase, sale, lease and rental of personal and real
property, and for the manufacture, processing, or marketing of products,
commodities, or any other personal property; for the sale of services to
the public; or by a nonprofit organization.
11. Authorization is hereby given to the commissioner to make
supplemental relocation payments, separately computed and stated, to
displaced owners and tenants of residential property acquired pursuant
to this section who are entitled thereto, as determined by him. The
commissioner, with the approval of the director of the budget, may
establish and from time to time amend rules and regulations providing
for such supplemental relocation payments. Such rules and regulations
may further define the terms used in this subdivision. In the case of
property acquired pursuant to this section which is improved by a
dwelling actually owned and occupied by the displaced owner for not less
than one hundred eighty days immediately prior to initiation of
negotiations for the acquisition of such property, such payment to such
owner shall not exceed fifteen thousand dollars. Such payment shall be
the amount, if any, which, when added to the acquisition payment equals
the average price, established by the commissioner on a class, group or
individual basis, required to obtain a comparable replacement dwelling
that is decent, safe and sanitary to accommodate the displaced owner,
reasonably accessible to public services and places of employment and
available on the private market, but in no event shall such payment
exceed the difference between acquisition payment and the actual
purchase price of the replacement dwelling. Such payment shall include
an amount which will compensate such displaced owner for any increased
interest costs which such person is required to pay for financing the
acquisition of any such comparable replacement dwelling. Such amount
shall be paid only if the dwelling acquired pursuant to this section was
encumbered by a bona fide mortgage which was a valid lien on such
dwelling for not less than one hundred eighty days prior to the
initiation of negotiations for the acquisition of such dwelling. Such
amount shall be equal to the excess in the aggregate interest and other
debt service costs of that amount of the principal of the mortgage on
the replacement dwelling which is equal to the unpaid balance of the
mortgage on the acquired dwelling, over the remainder term of the
mortgage on the acquired dwelling, reduced to discounted present value.
The discount rate shall be the prevailing interest rate paid on savings
deposits by commercial banks in the general area in which the
replacement dwelling is located. Any such mortgage interest
differential payment shall, notwithstanding the provisions of section
twenty-six-b of the general construction law, be in lieu of and in full
satisfaction of the requirements of such section. Such payment shall
include reasonable expenses incurred by such displaced owner for
evidence of title, recording fees and other closing costs incident to
the purchase of the replacement dwelling, but not including prepaid
expenses. Such payment shall be made only to a displaced owner who
purchases and occupies a replacement dwelling which is decent, safe and
sanitary within one year subsequent to the date on which he is required
to move from the dwelling acquired pursuant to this section or the date
on which he receives from the state final payment of all costs of the
acquired dwelling, whichever occurs later, except advance payment of
such amount may be made in hardship cases. In the case of property
acquired pursuant to this section from which an individual or family,
not otherwise eligible to receive a payment pursuant to the above
provisions of this subdivision, is displaced from any dwelling thereon
which has been actually and lawfully occupied by such individual or
family for not less than ninety days immediately prior to the initiation
of negotiations for the acquisition of such property, such payment to
such individual or family shall not exceed four thousand dollars. Such
payment shall be the amount which is necessary to enable such individual
or family to lease or rent for a period not to exceed four years, a
decent, safe, and sanitary dwelling of standards adequate to accommodate
such individual or family in areas not generally less desirable in
regard to public utilities and public and commercial facilities and
reasonably accesible to his place of employment, but shall not exceed
four thousand dollars, or to make the down payment, including reasonable
expenses incurred by such individual or family for evidence of title,
recording fees, and other closing costs incident to the purchase of the
replacement dwelling, but not including prepaid expenses, on the
purchase of a decent, safe and sanitary dwelling of standards adequate
to accommodate such individual or family in areas not generally less
desirable in regard to public utilities and public and commercial
facilities, but shall not exceed four thousand dollars, except if such
amount exceeds two thousand dollars, such person must equally match any
such amount in excess of two thousand dollars, in making the down
payment. Such payments may be made in installments as determined by the
commissioner. Application for payment under this subdivision shall be
made to the commissioner upon forms prescribed by him and shall be
accompanied by such information and evidence as the commissioner may
require. Upon approval of such application, the commissioner shall
deliver a copy thereof to the comptroller, together with a certificate
stating the amount due thereunder, and the amount so fixed shall be paid
out of the state treasury after audit by the comptroller from moneys
appropriated for the acquisition of property under this section.
12. The owner of any real property so acquired may present to the
court of claims, pursuant to subdivision (A) of section five hundred
three of the eminent domain procedure law, a claim for the value of such
property and for other legal damages as provided by law for the filing
of claims with the court of claims. Awards and judgments of the court
of claims shall be paid in the same manner as awards and judgments of
that court for the acquisition of lands generally and shall be paid out
of the state treasury after audit by the comptroller from moneys
appropriated for the acquisition of such real property.
13. Expenses incurred in the acquisition of the property, including
the cost of title searches, service and publication of notices, and
expenses incurred in proceedings for the removal of owners or occupants,
shall be deemed to be part of the cost of the acquisition of such real
property and shall be paid accordingly out of any moneys appropriated
for the acquisition of such property.
14. If the commissioner shall determine subsequent to the acquisition
of a temporary easement in any real property that the purposes for which
such easement right was acquired have been accomplished and that the
exercise of such easement is no longer necessary, he shall make his
certificate that the exercise of such easement is no longer necessary
and that such easement right is therefore terminated, released and
extinguished. The commissioner shall cause such certificate to be filed
in the office of the department of state and upon such filing all rights
acquired by the state in such property shall cease and determine. The
commissioner shall cause a certified copy of such certificate as so
filed in the office of the department of state to be mailed to the owner
of the property affected, as certified by the attorney general, if the
place of residence of such owner is known or can be ascertained by a
reasonable effort and such commissioner shall cause a further certified
copy of such certificate to be filed in the office of the recording
officer of each county in which the property affected or any part
thereof is situated. On the filing of such certified copy of such
certificate with such recording officer, it shall be his duty to record
the same in his office in the books used for recording deeds and to
index the same against the name of the people of the state of New York
as grantor.
ARTICLE 2-A Shelter and Supported Housing Programs
TITLE 1 Homeless Housing and Assistance Program
Legislative findings and purpose. The legislature hereby finds
that large numbers of people in communities across our state are unable
to secure housing for themselves and are living in the streets or in
emergency shelters, despite current efforts by public and private
agencies to provide adequate housing for those in need; that the present
condition is contrary to the public interest and threatens the health,
safety, welfare, comfort and security of the people of the state; that
communities across the state must each do their share to assist the
homeless; and that the public interest requires that state financial
assistance be provided to construct or rehabilitate housing units for
the homeless in communities throughout New York state and to explore
alternative means of meeting their long-term housing needs, consistent
with the fiscal constraints faced by New York state. The legislature,
therefore, finds that a special fund should be established, to fund
capital programs sponsored by not-for-profit corporations, charitable
organizations, wholly owned subsidiaries of not-for-profit corporations
or of charitable organizations, public corporations and municipalities
that will expand and improve the supply of shelter and other housing
arrangements for homeless persons.
Definitions. As used in this article, the following terms shall
have the following meanings unless the context clearly requires
otherwise:
1. "Homeless project" shall mean a specific facility, including lands,
buildings and improvements acquired, constructed, renovated or
rehabilitated and operated by a not-for-profit corporation, charitable
organization, wholly owned subsidiary of a not-for-profit corporation or
of a charitable organization, public corporation or a municipality to
increase the availability of housing for homeless persons, which may
include other non-housing services such as but not limited to dining,
recreational, sanitary, social, medical and mental health services as
may be deemed by the commissioner to be essential to such a project.
2. "Homeless person" shall mean an undomiciled person who is unable
to secure permanent and stable housing without special assistance, as
determined by the commissioner.
3. "Project cost" shall mean the cost of any or all undertakings
necessary for planning, financing, land acquisition, demolition,
construction, rehabilitation, equipment and site development.
4. "Not-for-profit corporation" and "charitable organization" shall
mean entities established pursuant to the not-for-profit corporation law
or otherwise established pursuant to law.
5. "Public corporation" shall mean a municipal corporation, a district
corporation, or a public benefit corporation.
Homeless housing and assistance contracts. 1. Within the limits
of funds available in the homeless housing and assistance fund, the
commissioner is hereby authorized to enter into contracts with
municipalities to provide state financial assistance for the project
costs attributable to the establishment of homeless housing projects.
The municipalities that enter into contracts with the commissioner shall
undertake the establishment of the homeless housing project or shall
contract with a not-for-profit corporation or charitable organization to
undertake the project, pursuant to this article.
2. Subject to the approval of the director of the budget, the
commissioner is hereby authorized to enter into contracts with
not-for-profit corporations or subsidiaries thereof, public corporations
or charitable organizations or subsidiaries thereof to provide state
financial assistance for the project costs attributable to the
establishment of homeless projects.
3. The state financial assistance shall be in the form of grants,
loans or loan guarantees, as the commissioner may determine provided,
however, that financial assistance to a for-profit subsidiary of a
not-for-profit corporation or of a charitable organization must be in
the form of a loan or loan guarantee. Any loan to a for-profit
subsidiary shall be repaid under such terms as will protect the
financial viability of the project. Subject to the approval of the
division of the budget, the commissioner may contract with other state
agencies, public benefit corporation's or private institutions to
administer a loan or loan guarantee program pursuant to regulations to
be promulgated by the commissioner.
4. The commissioner shall require that, in order to receive funds
pursuant to this article, the municipality, not-for-profit corporation
or subsidiary thereof, public corporation or charitable organization or
subsidiary thereof must submit an operating plan. Such plan shall
include:
(a) the manner in which the operating expenses of the project shall be
met;
(b) the services that will be provided to homeless persons, including
procedures for intake, referral and outreach;
(c) the responsibilities of the municipality and social services
district for the operation of the project;
(d) the specific population that will be served by the project and how
the project will address the population's special needs;
(e) the category of facility proposed to be established; and
(f) evidence demonstrating that such project complies or will comply
with existing local, state and federal laws and regulations.
5. The commissioner may use up to one percent of the appropriation for
any fiscal year to pay for technical assistance in support of project
development and operation. Technical assistance may include assistance
with general project development and operation, support services
development, architecture and engineering, legal services and financial
services and may be provided by individuals and not-for-profit or
business corporations. The providers of technical assistance shall be
chosen by the department based on such information as the department
shall require in a request for proposals or in any other competitive
process which satisfies the provisions of the state finance law.
6. Prior to entering into a contract for the establishment and
operation of a homeless project pursuant to this section, the
commissioner shall determine that the not-for-profit corporation or
subsidiary thereof, public corporation or charitable organization or
subsidiary thereof that proposes to undertake the homeless project is a
bona fide organization which shall have demonstrated by its past and
current activities that it has the ability to maintain, manage or
operate homeless projects, that the organization is financially
responsible, that the proposed project is financially viable and that
the project plan has been determined to be appropriate for the needs of
the homeless in the relevant community.
7. Every contract entered into for the establishment and operation of
a homeless project pursuant to this article shall contain a provision
that in the event the property which is the subject of such contract
ceases to be used as a homeless project during a seven-year period
commencing with the date of the commissioner's written approval of
occupancy of the homeless project, or such longer period of time as may
be established in the contract, or in case of any other substantial
violation, the commissioner may terminate the contract and may require
the repayment of any moneys previously advanced to the municipality,
not-for-profit corporation or subsidiary thereof, public corporation or
charitable organization or subsidiary thereof pursuant to the terms of
such contract. Where the municipality has entered into a contract with
a not-for-profit corporation or subsidiary thereof, public corporation
or charitable organization or subsidiary thereof, the commissioner may,
pursuant to this subdivision, require that the municipality terminate
the contract with such corporation. Any money repaid pursuant to this
subdivision shall be returned to the homeless housing and assistance
fund.
8. Each contract entered into for the establishment and operation of a
homeless project pursuant to this article shall be subject to the
approval of the director of the budget and shall provide for payment to
the municipality, not-for-profit corporation or subsidiary thereof,
public corporation or charitable organization or subsidiary thereof for
the project costs related to the homeless project to be established by
it, pursuant to a payment schedule. The full amount of the contract, or
any appropriate portion thereof, as determined by the commissioner and
subject to the approval of the director of the budget, shall be
available for payment at any time on or after the effective date of the
contract.
9. Notwithstanding any other provision of this article, the
commissioner may, subject to the approval of the director of the budget,
enter into contracts to provide financial assistance for other than
project costs where such financial assistance can be demonstrated to be
necessary; provided, however, that no more than twenty-five per centum
of the total amount appropriated for the purposes of this article in any
fiscal year shall be allocated in contracts for other than project
costs. In determining whether financial assistance for other than
project costs is necessary, the commissioner shall consider the proposed
project's plan for meeting operating expenses, the efforts made by the
contracting organizations to secure alternative sources of funding for
other than project costs, and such other factors as the commissioner
shall deem appropriate.
10. Notwithstanding any other provision of this article, the state
shall not, in the exercise of its responsibilities pursuant to this
article, assume the legal title to projects developed pursuant to this
article.
11. The municipality, not-for-profit corporation or subsidiary
thereof, public corporation or charitable organization or subsidiary
thereof seeking financial assistance pursuant to this article shall,
within thirty days of its application for such assistance, notify the
local planning board, as defined by section twenty-seven of the general
city law, section two hundred seventy-one of the town law, section 7-718
of the village law, or section eighty-four of the charter of the city of
New York, appropriate for the geographic area in which the proposed
homeless project would be located, and shall provide such board with
information regarding the proposed homeless project.
General and administrative provisions. 1. The department, in
consultation with the division of housing and community renewal, the
office of mental health and other appropriate agencies, shall issue and
promulgate rules and regulations for the administration of this article.
The rules and regulations shall provide that state financial assistance
pursuant to this article will not be available unless an application has
been filed by the municipality, not-for-profit corporation or subsidiary
thereof, public corporation or charitable organization or subsidiary
thereof with the department pursuant to a request for proposals issued
by the commissioner. The rules and regulations shall include provisions
concerning eligibility of municipalities and contracting not-for-profit
corporations or subsidiaries thereof, public corporations and charitable
organizations or subsidiaries thereof for state financial assistance;
the form of the applications for contracts; funding criteria and the
funding determination process; the form of the contracts; supervision
and evaluation of the contracting municipalities or corporations;
reporting, budgeting and record-keeping requirements; provisions for
modification, termination, extension and renewal of contracts; and such
other matters not inconsistent with the purposes and provisions of this
article as the commissioner shall deem necessary, proper or appropriate.
2. The commissioner may provide that preference be given to contract
applications that (a) involve other sources of funds (municipal, federal
or any source other than the state), in-kind contributions made by such
sources, or involve projects receiving state financial assistance
pursuant to chapters three hundred thirty-eight, three hundred
thirty-nine and five hundred forty-nine of the laws of nineteen hundred
eighty-two, in order to maximize the effect of state financial
assistance or (b) involve innovative and cost-effective homeless
projects that may help resolve the long-term problems of the homeless or
(c) involve the rehabilitation of existing structures.
3. The commissioner shall, in consultation with the commissioner of
housing and community renewal, the commissioner of mental health and the
commissioners of other appropriate agencies, evaluate the need for
homeless projects in various areas of the state and among various
populations, including, but not limited to, homeless men, women,
families and runaway youth, and shall allocate funds, to the extent
practicable, to meet these needs; provided, however, that no more than
fifty per centum of the total amount appropriated pursuant to this
article in any fiscal year shall be allocated to contracts with any
single municipality.
4. The department shall provide for the review, at periodic intervals,
of the performance of the municipalities, not-for-profit corporations or
subsidiaries thereof, public corporations and charitable organizations
or subsidiaries thereof receiving financial assistance pursuant to this
article. Such review shall, among other things, be for the purposes of
ascertaining conformity to contractual provisions, the financial
integrity and efficiency of the organizations and the evaluation of the
project. Contracts entered into pursuant to this article may be
terminated by the commissioner upon a finding of substantial
nonperformance or other breach by the organization of its obligations
under its contract with the municipality.
5. The commissioner shall require that all homeless projects that
received financial assistance pursuant to this article shall comply with
all regulations applicable to projects of this type promulgated by the
department, by the division of housing and community renewal and other
municipal, state and federal regulations and laws. The commissioner may
terminate any contract upon a finding that a substantial violation of
such regulations or laws has remained uncorrected for a substantial
period of time.
6. In order to further the purposes of this article, social services
districts shall, in accordance with regulations promulgated by the
department, undertake such efforts as may be necessary and practicable
to assist homeless persons apply for and obtain appropriate governmental
assistance.
7. On or before February first, nineteen hundred eighty-four and on or
before February first of each year thereafter in which contracts under
this section are in force, the commissioner shall submit to the
governor, the temporary president of the senate and the speaker of the
assembly a report detailing progress and evaluating results, to date, of
the program.
8. Notwithstanding the provisions of any general or special law, the
director of the budget is authorized to transfer to the homeless housing
and assistance account funds otherwise appropriated or reappropriated to
the department of social services for the fiscal years beginning on and
after April one, nineteen hundred ninety, in an amount or amounts the
director of the budget determines to be necessary to carry out the
provisions of the homeless housing and assistance program.
TITLE 2 Single Room Occupancy Support Services Program
Definitions. As used in this title, the following terms shall
have the following meanings unless the context clearly requires
otherwise:
1. "Eligible cost" shall mean the cost to deliver one or more services
to eligible residents to assist such residents to live independently,
including information and referral, resident services coordination,
crisis intervention, and other like services. Eligible cost shall not
include: those costs associated with maintenance and operation of
physical plant; those costs associated with support services or
maintenance provided or financially assisted by other state or municipal
programs; or those costs associated with support services provided in
residential care programs licensed by a state department or agency. When
two or more eligible projects exist in the same geographic area,
services shall be provided in common among such projects whenever
feasible.
2. "Eligible applicant" shall mean a not-for-profit corporation or
charitable organization which operates single room occupancy units
qualifying as an eligible project.
3. "Eligible resident" shall mean a person residing in a single room
occupancy unit who is in need of services to live independently. In the
event that the income of such resident exceeds one hundred fifty percent
of the poverty level, the eligible project may charge a service fee to
the eligible resident not to exceed fifty percent of the total cost of
services provided pursuant to this title in such project divided by the
number of eligible residents in the project.
4. "Eligible project" shall mean those single room occupancy units
occupied by eligible residents, within a building or portion thereof
which is operated by an eligible applicant.
5. "Single room occupancy unit" shall mean a private room providing
living and sleeping space for no more than two persons with access to
bathing and toilet facilities, within a building or portion thereof
which is operated by an eligible applicant; provided, however, that in
no event shall such unit be located in:
(a) hotels, motels or other dwellings occupied transiently;
(b) shelters for families or adults, as defined by the commissioner;
(c) residential facilities or institutions which are required to be
licensed by any state agency;
(d) college or school dormitories;
(e) clubhouses;
(f) housing intended for use primarily or exclusively by the employees
of a single company or institution; or
(g) convents or monasteries.
The unit itself may contain a kitchen and/or a bathroom.
6. "In-kind expenditures" shall mean the cash value of eligible costs
that are not reimbursed under this title and may include but not be
limited to materials, equipment, space or paid or volunteer staff.
Single room occupancy support services program. There is
hereby established under the administration of the commissioner a single
room occupancy support services program, to provide financial
assistance, subject to limitations stated in appropriations therefor, in
the form of grants, to eligible applicants for eligible costs of
services to assist eligible residents of single room occupancy units to
live independently. The commissioner, subject to the approval of the
director of the budget and within amounts appropriated therefor, shall
request proposals from local social services districts for funds to
support grants made pursuant to this title. Copies of such requests for
proposals shall be simultaneously distributed to eligible applicants
known to the commissioner and the availability of such proposals shall
be publicized by the department. Local social services districts will be
chosen competitively based upon such proposals for funding. Criteria to
be used by the commissioner in awarding funding among local social
services districts shall include but not be limited to the anticipated
need for single room occupancy units within each district; the ability
of the local social services district to properly supervise the single
room occupancy support services program; and the appropriateness of the
support services for the population to be served.
Notice of funding availability; contracts. A local social
services district that receives funding pursuant to this title shall
issue notices of funding availability together with application forms
for financial assistance under this title, provided that such notices,
application forms and competitive award procedures are approved in
advance by the department. When such applications are approved, the
local social services official is authorized to enter into contracts
with eligible applicants to provide financial assistance in the form of
grants for eligible costs.
Direct application by eligible applicants. Upon receipt of a
copy of the request for proposals issued pursuant to section
forty-five-a of this title, an eligible applicant may notify the local
social services district in which its eligible project is located of its
desire to participate in the single room occupancy support services
program. In the event that the local social services district does not
submit a proposal pursuant to section forty-five-a of this title, such
eligible applicant that has notified the local social services district
of its desire to participate may submit an application directly to the
commissioner for financial assistance under this title. Criteria to be
used by the commissioner in awarding funding directly to such eligible
applicants shall include but not be limited to the anticipated need for
single room occupancy units within the district where the eligible
project is located, and the appropriateness of the support services for
the population to be served. Before directly awarding any funding to
eligible applicants, the commissioner shall consult with the local
social services district where the eligible project is located regarding
the need for single room occupancy units within such district, the
ability of the eligible project to provide single room occupancy
services and any other factors which are necessary to effectively
evaluate direct application by eligible projects. When such applications
are approved, the commissioner, within the amounts appropriated under
this title, and subject to the limitations set forth in this section and
section forty-five-d of this title, is authorized to enter into
contracts with eligible applicants, to provide financial assistance in
the form of grants for eligible costs.
Operating plans. 1. Contracts with not-for-profit corporations
and charitable organizations shall be approved by the social services
district, or the commissioner in the case of direct applications, in
accordance with an operational plan submitted pursuant to the provisions
of subdivision two of this section.
2. The social services district, or the commissioner in the case of
direct applications, shall require that, in order to receive funds
pursuant to this title, the not-for-profit corporation or charitable
organization must submit an operating plan. Preference shall be given to
plans which demonstrate that existing state, federal, local and private
dollars will be utilized to the fullest extent possible to fund the
service costs of the project. Such plans shall include but not be
limited to:
(a) the manner in which the capital expenses of the project shall be
met;
(b) the services that will be provided to the residents of the
project;
(c) the specific population that will be served by the project and how
the project will address the population's special needs;
(d) a description of the manner in which coordination with other
federal, state, local and private funding sources shall be achieved;
(e) the cost per month per eligible resident of the services to be
provided; and
(f) evidence demonstrating that such project complies or will comply
with existing local, state and federal laws and regulations.
3. Prior to entering into a contract pursuant to this title, the
social services district, or the commissioner in the case of direct
applications, shall determine that the not-for-profit corporation or
charitable organization submitting such plan is a bona fide organization
which shall have demonstrated by its past and current activities that it
has the ability to maintain, manage or operate such project, that the
organization is financially responsible, that the proposed project is
financially viable and that the project has been determined to be
appropriate for the needs of the homeless in the relevant community.
Reimbursement. Expenditures made by a social services district
for grants made pursuant to this title shall be reimbursed by the state
at the rate of fifty per centum, after first deducting therefrom any
federal funds properly received or to be received on account thereof;
provided, however, that in lieu of local financial participation
required by this section, the commissioner may permit a social services
district to substitute actual or in-kind expenditures incurred by
eligible applicants in the operation of eligible projects if the
commissioner determines that:
(a) local social services district financial participation is
unavailable in all or a portion of such expenditures although such
district financial participation in the single room occupancy support
services program equals or exceeds such financial participation in the
previous program year; and
(b) such eligible projects require financial assistance under this
title to ensure the financial viability of supportive services programs.
Actual or in-kind expenditures made by an eligible applicant receiving
assistance pursuant to section forty-five-c of this title shall be
reimbursed by the state at the rate of fifty per centum after first
deducting therefrom any federal funds properly received or to be
received on account thereof.
Administration. 1. The commissioner shall promulgate rules and
regulations for the administration of this title. Such rules and
regulations shall include but not be limited to provisions concerning
eligibility of not-for-profit corporations and charitable organizations
for single room occupancy support project assistance, funding criteria
and the funding determination process, supervision and evaluation of the
contracting corporations and organizations and any other matters
consistent with the purposes of this title.
2. The social services district, or the commissioner in the case of
direct applications, shall provide for the review, at periodic
intervals, of the performance of the not-for-profit corporations and
charitable organizations receiving financial assistance pursuant to this
title. Such review shall, among other things, be for the purpose of
ascertaining conformity to contractual provisions, the financial
integrity and efficiency of the organizations and the evaluation of the
project. Contracts entered into pursuant to this title may be terminated
by the social services district, or the commissioner in the case of
direct applications, upon a finding of substantial nonperformance or
other breach by the corporation or organization of its obligations under
its contract.
3. In order to further the purposes of this article, social services
districts shall, in accordance with regulations promulgated by the
department, undertake such efforts as may be necessary and practicable
to assist eligible residents to apply for and obtain appropriate
governmental assistance.
4. The department, subject to the approval of the director of the
budget, may retain up to five percent of the total amount appropriated
pursuant to this title in any fiscal year for administrative purposes.
Annual report. Beginning October first, nineteen hundred
eighty-eight, and each year thereafter, the commissioner shall report to
the governor and legislature on the success of the single room occupancy
support services program in assisting eligible residents to live
independently.
TITLE 4 Homelessness Intervention Program
Legislative intent. The legislature finds that there are a
significant number of homeless and at-risk households living in
temporary and unstable conditions which would benefit from the provision
of a comprehensive assistance program. The legislature further finds
that the current system of providing services to such households would
be improved by ensuring that a broad range of flexible, individualized
assistance is available to stabilize households and to better meet
divergent local needs. The legislature, therefore, finds that state
financial assistance should be made available for the purpose of
providing supportive services designed to stabilize households by
attempting to avoid homelessness and, for those who are currently
homeless, by facilitating the transition form homelessness to permanent
housing.
Definitions. For the purposes of this title, the following terms
shall have the following meanings:
1. "Homeless" shall mean an undomiciled household which is unable to
secure permanent and habitable housing without special assistance, as
determined by the commissioner, including but not limited to households
temporarily residing in emergency shelters, transitional facilities,
hotels/motels, or substandard conditions.
2. "Household" shall mean a single individual or family, including
couples without dependent children who, or which, are eligible to
receive public assistance.
3. "Eligible applicant" shall mean local social services districts or
not-for-profit corporations serving homeless and at-risk households.
4. "At-risk" shall mean a household threatened with homelessness and
those with a history of frequent moves.
5. "Homelessness intervention services" shall mean services which are
designed to stabilize at-risk and homeless households by avoiding
homelessness or assisting households to secure permanent and habitable
housing. Such services may include, but need not be limited to the
following:
(a) services to resolve conflicts between landlords and tenants and to
facilitate fair and workable solutions;
(b) legal services to households threatened with the loss of their
homes through eviction, harassment or other means;
(c) tenant activities to educate households in the areas of tenant
rights and responsibilities, and to organize tenants to remedy housing
problems such as code violations, landlord abandonment and harassment;
(d) benefits/entitlements advocacy to ensure that households are
receiving all federal, state and local benefits to which they are
entitled, such as temporary assistance to needy families, safety net
assistance, food stamps, supplemental security income, rent security
deposits, furniture and household moving expenses;
(e) relocation assistance which provides for the identification of and
referral to permanent and habitable housing, transportation services,
landlord/tenant lease negotiation services and assistance in
establishing utility services; and
(f) the provision of or referral to support services designed to
stabilize households in permanent and habitable housing including
services related to substance abuse, domestic violence, housekeeping,
budgeting, education, day care, employment, parenting, mental health,
physical health, and such other services deemed necessary by the office
of temporary and disability assistance. Service provided to homeless
households pursuant to this paragraph must be provided for a period of
at least six months beginning the first day of the month following the
month in which such household secured permanent housing.
Homeless intervention contracts. 1. The commissioner shall,
within the amounts appropriated therefor, select through a competitive
request-for-proposal process, local social services districts and
not-for-profit corporations serving homeless and at-risk households to
provide homelessness intervention services to homeless and at-risk
households. In order to ensure that contracts are awarded and services
provided in geographic areas of the state to homeless and at risk
households in greatest need, and to maximize the effect of state funds,
the commissioner shall, prior to entering into a contract with an
eligible applicant pursuant to this section, consider the extent to
which existing homelessness intervention services are available in the
local social services district and the extent to which these services
should be expanded.
2. The commissioner shall require eligible applicants to submit
operating plans in order to receive funding pursuant to this article.
Such plans shall include:
(a) a description of the homeless intervention services to be
provided, including procedures for intake, referral, outreach, the
provision of services, follow-up and anticipated outcomes;
(b) the specific population that will be served and how the services
provided will address the population's special needs;
(c) a description of the manner in which coordination with other
federal, state, local and privately funded services will be achieved;
and
(d) a description of how the services will be designed to assist
households transition from a reliance on outside interventions and move
toward housing stability and economic self reliance.
3. Prior to entering into a contract pursuant to this section, the
commissioner shall determine that the eligible applicant is a bona fide
organization which shall have demonstrated by its past and current
activities that it has the ability to provide such services, that the
organization is financially responsible and that the operating plan is
appropriate for the needs of households to be served.
Regulations. The office of temporary and disability assistance
shall, in consultation with other agencies deemed appropriate by the
commissioner, promulgate such rules and regulations as are necessary to
carry out the provisions of this article.
Reports. On or before February first, nineteen hundred
eighty-nine and on or before February first of each year thereafter in
which contracts under this article are in force, the commissioner shall
submit to the governor, the temporary president of the senate and the
speaker of the assembly a report detailing progress and evaluating
results, to date, of the program. Such report shall include, but not be
limited to a review of the basis for selection of eligible applicants;
the number of persons served; a review of the efforts made to prevent
homelessness and to provide permanent housing for homeless households,
including a list of the number of persons and families, by project, who
received services; an identification of the estimated savings and costs
of the program to the state and localities; and an evaluation of
continuing needs for homelessness intervention services.
ARTICLE 3 Local Public Welfare Organization; Powers and Duties
TITLE 1 Application
City social services districts. The city of New York shall
have all the powers and duties of a social services district insofar as
consistent with the provisions of the special and local laws relating to
such city. The officers thereof charged with the administration of
public assistance and care shall have additional powers and duties of a
commissioner of social services not inconsistent with the laws relating
to said city.
Cities in county social services districts. Each city, other
than the city of New York, shall form part of the county social services
district of the county in which it is situated and shall not assume any
powers and responsibilities for the administration or expense of public
assistance and care, in addition to those specified in subdivision two
of section sixty-nine, except pursuant to the provisions of sections
seventy-four and seventy-four-a of this chapter.
Application. Nothing in this chapter shall be deemed to take
away the jurisdiction or any power or duty of the family court, the
department, the state department of education or the state department of
health.
TITLE 2 Public Welfare Districts and Their Responsibility For Public Assistance and Care
Social services districts. For the purpose of administration
of public assistance and care the state shall be divided into county and
city social services districts as follows:
1. The city of New York is hereby constituted a city social services
district.
2. Each of the counties of the state not included in subdivision one
of this section is hereby constituted a county social services district.
Responsibility for public assistance and care. 1. Subject to
reimbursement in the cases hereinafter provided for, each public welfare
district shall be responsible for the assistance and care of any person
who resides or is found in its territory and who is in need of public
assistance and care which he is unable to provide for himself.
5. This section is subject to the following exceptions:
(a) Notwithstanding any other provisions of this chapter, in the event
a recipient removes from one to another social services district in the
state, a social services official administering safety net assistance or
family assistance to such recipient shall continue such assistance for
such recipient for a period ending on the last day of the calendar month
next succeeding the calendar month in which such removal occurred,
provided such recipient is otherwise eligible for such assistance and
has not become a recipient of public assistance in the district to which
he or she has removed.
(a-1) Notwithstanding any other provisions of this chapter, in the
event a recipient removes from one to another social services district
in the state, a social services official administering medical
assistance to such recipient shall continue such assistance for a period
ending on the last day of the calendar month next succeeding the
calendar month in which such removal is reported by the recipient to the
social services district, provided that the recipient: has informed the
district of his or her new address and any material changes in
circumstances affecting medical assistance eligibility; is otherwise
eligible for medical assistance; and has not become a recipient of
medical assistance in the district to which he or she has removed. After
the last day of the calendar month next succeeding the calendar month in
which such removal is reported, the recipient shall be eligible without
further application for medical assistance administered by the social
services district to which the recipient has removed. Continued
provision of medical assistance under this paragraph is dependent on the
recipient meeting all applicable requirements of titles eleven and
eleven-D of article five of this chapter. This paragraph shall not apply
to a recipient who is institutionalized in a medical facility and who
removes from one social services district to another district in the
state.
(b) If a public welfare district, town or city provides care for a
person in a family home, boarding home, nursing home, convalescent home,
hospital or institution outside of its territory and pays for such care
directly or through a grant made to the recipient, the public welfare
district, town or city making such provision shall continue to be
responsible for payment for such care as long as the recipient is in
need thereof. In the event any other type of public assistance and care
is needed by a person receiving such care, it shall be furnished and
paid for by the public welfare district, town or city which would be
responsible for such required assistance and care if such person had
remained in the territory of the district, town or city making such
provision; the public welfare district, town or city making such
provision shall likewise be responsible for the care, removal and burial
of the body of any such person who shall die, and the expense thereof.
The public welfare district, town or city which, pursuant to the
provisions of this paragraph, is providing public assistance and care
for the mother of an infant, on the date of birth of such infant, shall
be responsible for providing public assistance or care required by such
infant on and after the date of his birth; and such public welfare
district, town or city shall be deemed to have made provision for the
care of such infant outside of its territory.
When a child who has been cared for away from his own home by or on
behalf of a public welfare district, pursuant to title two of article
six or other provisions of this chapter, the family court act of the
state of New York, or other provisions of law, is discharged, pursuant
to law, to his parents or parent, brother, sister, uncle, aunt or legal
guardian, who are or is then residing outside the territory of such
public welfare district, such discharge shall terminate the
responsibility of such public welfare district to furnish public
assistance and care for such child pursuant to this paragraph; and upon
such discharge it shall become the responsibility of the public welfare
district wherein such child is thereafter to reside with his relative or
legal guardian to provide necessary public assistance and care for him
as in the case of any other child residing therein.
The provisions of this paragraph shall not be deemed to authorize or
empower towns or cities of a county public welfare district to exercise
responsibilities with relation to public assistance and care
inconsistent with the responsibilities imposed or conferred on them by
other provisions of this chapter.
(c) When a person with a mental illness or developmental disability is
in need of public assistance or care while on convalescent status or
community status from a state hospital or institution under the
provisions of section 29.15 of the mental hygiene law, the public
welfare district, town or city from which he was admitted to such
hospital or institution shall be responsible for providing and paying
for such assistance or care as in the case of other persons requiring
public assistance and care, except that such responsibility shall
continue during any period such person is on convalescent status or
community status outside the territory of such public welfare district,
town or city and shall continue thereafter in accordance with the
provisions of this paragraph and paragraph (b) of this subdivision if
such person was receiving or should have been receiving public
assistance or care from such public welfare district, town or city
outside its territory at the time he was discharged from such
convalescent status or community status.
(d) When a person, either upon admission to a hospital, nursing home,
intermediate care facility, adult home, enriched housing program or
residence for adults located in a social services district other than
the district in which he was then residing, or while in such hospital,
nursing home, intermediate care facility, adult home, enriched housing
program or residence for adults, is or becomes in need of medical
assistance, the social services district from which he was admitted to
such hospital, nursing home, intermediate care facility, adult home,
enriched housing program or residence for adults shall be responsible
for providing such medical assistance for so long as such person is
eligible therefor. If while such person is receiving care in such
hospital, nursing home, intermediate care facility, adult home, enriched
housing program or residence for adults or when discharged therefrom, is
in need of any other type of public assistance or care, the social
services district, town or city from which the person was admitted to
such hospital, nursing home, intermediate care facility, adult home,
enriched housing program or residence for adults shall be responsible
for providing and paying for such public assistance or care as in the
case of other persons requiring public assistance and care in its
territory, and such responsibility shall continue thereafter in
accordance with the provisions of this paragraph and paragraph (b) of
this subdivision if such person was receiving or should have been
receiving public assistance or care from such social services district,
town or city; such social services district, town or city shall likewise
be responsible for the care, removal or burial of the body of any such
person who shall die, and for the expense thereof. The provisions of
this paragraph shall likewise be applicable to the care of an eligible
person who, while temporarily absent from the social services district
in which he then resided, was admitted to a hospital or nursing home in
another social services district prior to the effective date hereof.
(e) A public welfare district which provides medical assistance for
needy persons pursuant to the provisions of title eleven of article five
of this chapter, shall not charge back any part of the cost of such
assistance to another public welfare district.
(f) (1) The social services district in which a victim of domestic
violence, as defined in article six-A of this chapter, was residing at
the time of the alleged domestic violence shall be responsible, in
accordance with section one hundred thirty-one-u of this chapter, for
the cost of emergency shelter and care provided to such victim and his
or her minor children at a residential program for victims of domestic
violence, as defined in article six-A of this chapter, whether or not
such program is located in the social services district or in another
social services district if such victim:
a. was receiving public assistance at the time of entry to the program
or
b. applies for public assistance and care during the time the victim
was residing in such program.
(2) The social services district to which such application is
submitted shall forward the completed application to the district in
which the victim resided at the time of the alleged domestic violence.
(3) Responsibility for the cost of shelter and care pursuant to this
paragraph shall be limited to the period during which the victim and his
or her children, if any, reside in such program. Responsibility for
public assistance and care for any period after termination of such
residency shall be determined pursuant to other provisions of this
section.
(g) (1) When a person applies for medical parole, and is in need of
public assistance, including medical assistance, the department of
corrections and community supervision shall cause an application for
such assistance to be forwarded to the department of social services.
(2) Upon receipt of an application for public assistance, including
medical assistance, forwarded by the department of corrections and
community supervision for persons meeting the conditions of medical
parole, financial eligibility for such assistance and care shall be
determined by the New York state department of social services prior to
the person's parole.
(3) Determination of continuing eligibility for public assistance,
including medical assistance, and care will be the responsibility of the
social services district into which such person is released.
(4) Any inconsistent provision of this chapter or other law
notwithstanding, when a person is released on medical parole pursuant to
section two hundred fifty-nine-r or two hundred fifty-nine-s of the
executive law and is in need of public assistance, including medical
assistance, the social services district in which such person was
convicted and from which he or she was committed to the custody of the
department of corrections and community supervision shall be responsible
for the administrative costs of the initial and any subsequent
eligibility determination and the costs of any public assistance,
including medical assistance, following such persons release on medical
parole for so long as such person is eligible therefor.
6. Homeless children. (a) Notwithstanding any other provision of law
to the contrary, the social services district which provides assistance
or services to a homeless child in temporary housing located outside the
school district of origin shall notify the commissioner of education,
the school district of origin and the school district designated by the
child, parent or person in parental relation pursuant to subdivision two
of section thirty-two hundred nine of the education law within five days
of such designation as the school district which such child shall attend
upon instruction. Such notice shall include the name of the child, the
name of the parent or person in parental relation to the child, if any,
the name and location of the temporary housing arrangement, the name of
the school district of origin and any other information required by the
commissioner of education.
(b) For the purposes of this subdivision the terms "homeless child",
and "school district of origin" shall be as defined in section
thirty-two hundred nine of the education law.
(c) A social services district shall provide for the transportation of
each homeless child who is eligible for benefits pursuant to section
three hundred fifty-j of this chapter to and from a temporary housing
location in which the child was placed by the social services district
and the school attended by such child pursuant to section thirty-two
hundred nine of the education law, if such temporary housing facility is
located outside of the designated school district pursuant to paragraph
a of subdivision two of section thirty-two hundred nine of the education
law. A social services district shall be authorized to contract with a
board of education or a board of cooperative educational services for
the provision of such transportation. This paragraph shall apply to
placements made by a social services district without regard to whether
a payment is made by the district to the operator of the temporary
housing facility.
7. The provisions of subdivision five of this section shall not apply
with respect to the medical assistance eligibility of persons described
in subparagraph two of paragraph (a) of subdivision one of section three
hundred sixty-six of this chapter.
Separation of social services from eligibility and assistance
payments functions. Notwithstanding any provision of law, rule or
regulation every social services district shall be organized to effect a
separation of social services from eligibility and assistance payments
functions as follows:
1. The commissioner shall issue within ten days of the effective date
hereof, guidelines to the social services districts of the state
outlining the principles and purposes to be attained in the separation
of social services from the functions of eligibility and assistance
payments, and defining the content of services which may be included
under the term "social services" and of the functions associated with
eligibility and assistance payments.
2. Each social services district shall submit to the commissioner by
July first, nineteen hundred seventy-one, its own plan for separation,
together with its timetable for implementation of the plan.
3. Upon finding that the plan conforms to the applicable minimum
federal requirements, the commissioner shall approve such plan.
4. Each social services district shall submit to the commissioner, in
accordance with applicable federal law and regulations, modifications of
its approved plan for separation of social services from eligibility and
assistance payments functions. Each social services district shall
prepare, in accordance with applicable federal law and regulations, for
the effective operation of such approved plan as so modified.
TITLE 3 County Public Welfare Districts
County commissioners of public welfare. 1. There shall be a
county commissioner of public welfare in each county public welfare
district who shall administer the public assistance and care for which
the county public welfare district is responsible and shall have general
supervision and care of persons in need in the territory over which he
has jurisdiction.
2. The county commissioner shall be responsible for the administration
of all the assistance and care for which the county is responsible.
3. The county commissioner shall act as the agent of the department in
all matters relating to assistance and care administered or authorized
by the town public welfare officers.
4. The county commissioner shall be appointed in accordance with the
provisions of section one hundred sixteen of this chapter or other
provisions of law relating to the appointment of such commissioner.
6. (a) A county commissioner is authorized and required to provide
safety net assistance for persons residing or found in a city or town of
the county when in his judgment they are eligible for and in immediate
need of such assistance and either: the city or town public welfare
officer, as the case may be, is absent from his city or town under
circumstances indicating his absence may extend beyond two days and such
officer has no deputy or assistant authorized to grant such assistance
or his or her deputy or assistant is also absent from such city or town
under circumstances indicating his or her absence may also be for a
period of more than two days; or, such county commissioner shall have
appealed to the department, pursuant to section seventy-four-h, the
decision of the social services official of such city or town not to
grant the safety net assistance recommended by such commissioner after
his or her staff shall have investigated the application for assistance
pursuant to the provisions of section one hundred thirty-two. Such
county commissioner may continue to grant safety net assistance in the
former case until the city or town public welfare officer or his or her
deputy or assistant returns to such city or town, and in the latter case
until the department shall have decided the appeal of the county
commissioner.
(b) Expenditures of a county for safety net assistance pursuant to
this section may be made from county social services funds appropriated
or otherwise made available therefor and shall be subject to
reimbursement by the state in accordance with and to the extent
authorized by section one hundred fifty-three; and the local share of
such expenditures shall become a charge on, and shall be reimbursed to
the county by the city or town which was otherwise responsible for
furnishing the safety net assistance for which the expenditure was made,
provided the county commissioner shall give appropriate written notice
thereof to the appropriate city or town public welfare officer within
thirty days of the date the expenditure was made by the county and
provided further that in the case of an appeal to the department that
such appeal shall be decided in favor of the county.
7. (a) In the event of a vacancy in the office of county commissioner
of social services the appointing authority may, subject to the
provisions of paragraph (b) of this subdivision, appoint as acting
commissioner of social services any employee of the county social
services agency. Such appointment shall be for no longer than one year.
(b) Prior to filling a vacancy in the office of county commissioner of
social services the appointing authority shall certify to the state
commissioner of social services: (i) that there is an unavailability of
qualified candidates; (ii) that the district is making continued efforts
to recruit qualified candidates; (iii) that the appointment shall be
effective only until a qualified person becomes available; and (iv) that
a waiver by the appointing authority of any specific qualification
required by section one hundred sixteen of this chapter shall not be
effective without the consent of the state commissioner of social
services.
(c) The acting commissioner may be paid compensation in addition to
his normal salary during the period of time that he serves as acting
commissioner.
(d) The acting commissioner shall have the same power as a
commissioner during the period of time that he serves as acting
commissioner.
(e) Service as an acting commissioner shall in no way affect the
permanent civil service status, or any other employment rights of the
appointee.
8. Notwithstanding any other law, rule, or regulation to the contrary,
each county commissioner of social services is hereby authorized and
directed to ensure that their social services district allows
individuals submitting an application or other paperwork relating to
public assistance and care to do so electronically.
County appointments and bonds. 1. The legislative body of the
county may authorize the appointment of any number of deputy
commissioners of social services, physicians to care for sick persons in
their homes, other assistants and employees, including attorneys to
perform duties it considers necessary to carry out the provisions of
this chapter. However, such legislative body may also authorize that
such attorneys, in addition to performing the duties assigned to them by
the county commissioner, may be deputized by the county attorney to
perform duties on his behalf in connection with the work of the social
services department.
2. The county commissioner shall appoint deputy commissioners,
physicians, assistants and employees so authorized and direct their
work.
3. Each county commissioner and deputy commissioner shall be required
to give bond before entering upon his duties. The board of supervisors
shall fix the amount of such bond and may require and fix the amount of
bond to be given by any other assistant or employee whose appointment is
authorized. The expense of any bond required in connection with the
work of a county public welfare official or employee shall be paid from
county public welfare funds.
4. In accordance with federal and state regulations each county
social services commissioner shall appoint a citizens advisory committee
or committees to exercise and perform such functions, powers, and duties
as the regulations of the department may require.
Town public welfare officers; appointment of staff. 1. The
town board of each town responsible for the expense of providing safety
net assistance for persons residing or found in such town shall appoint
a social services official or authorize a supervisor of the town to act
as such official. It may in its discretion appoint an assistant town
social services official and other employees to assist the town social
services official in carrying out his or her duties. The town social
services official, his or her assistant and other employees shall hold
office during the pleasure of the town board. The town board shall fix
the salary to be paid a town social services official, his or her
assistant or other employees or fix the amount per hour to be paid them
when they are performing any duty connected with their office.
2. The town public welfare officer shall be responsible for the
authorization of the assistance and care for which the town is
responsible and shall assist the county commissioner in the
administration of assistance and care to persons residing or found in
his town for whose care the county public welfare district is
responsible. Except as otherwise agreed and arranged by and between the
county commissioner and the town public welfare officer, the town public
welfare officer shall receive all applications for public assistance and
care made in his town by residents of such town, and he shall forward
each such application to the county commissioner immediately after the
receipt of the same. He shall have all the powers and perform all the
duties of a public welfare official applicable to the work hereby
assigned.
3. In case of emergency and until it is possible for the county
commissioner either to take charge of the case or to make a complete
investigation, the town public welfare officer may grant such temporary
assistance and care as may be necessary. All such grants made by the
town public welfare officer shall be made in accordance with the rules
and regulations of the department and the regulations established by the
county commissioner of public welfare.
Responsibility for public assistance and care in a county social
services district. The responsibility for the administration of public
assistance and care in a county social services district and the expense
thereof may either be borne by the county social services district or
be divided between such district and the towns and cities therein as
hereinafter provided.
1. Unless otherwise determined by the board of supervisors as
hereinafter provided, each town shall be responsible for the expense of
providing safety net assistance for persons residing or found in such
town.
2. Unless otherwise determined by the board of supervisors as
hereinafter provided, a city forming a part of a county social services
district shall be responsible for the expense of providing safety net
assistance for any person residing or found in its territory.
3. A county social services district shall be responsible for the
expense of providing all assistance and care for persons residing or
found in a town or city in its territory for which such town or city is
not responsible under the provisions of subdivisions one and two of this
section. The expense of such assistance and care granted by a county
social services district shall be subject to reimbursement by the state
in the cases provided for by section sixty-two or by any other provision
of this chapter.
Commitments. Commitments to a county home may be made by such
town and city public welfare officers as are authorized by the county
commissioner. All other commitments to hospitals or other institutions
at the expense of the county public welfare district shall be made by
the county commissioner, or by such other official as may be authorized
pursuant to the provisions of this chapter.
Power of the board of supervisors to assume responsibility for
assistance and care. 1. The board of supervisors of the county may, by
resolution adopted by a majority vote, direct that the cost of all or
any part of the assistance and care for which the towns and cities are
made responsible under the provisions of subdivisions one and two of
section sixty-nine shall be a charge on the county social services
district and administered under the direction of the county
commissioner.
2. Copies of any such resolution shall be sent to each town clerk and
to the mayor and clerk of each city in the county social services
district within ten days after the adoption of the resolution. However,
no resolution adopted by the board of supervisors pursuant to
subdivision one of this section shall take effect in a city in the
county social services district until confirmed by the legislative body
of the city.
Power of the board of supervisors to change the administrative
system of the county social services district. When pursuant to section
seventy-two, the board of supervisors has adopted a resolution directing
that the cost of all public assistance and care shall be a charge on the
county social services district:
1. The county social services district shall, after the date fixed by
such resolution, be responsible for administration of public assistance
and care in all of the towns of its district and thereafter all
provisions of this chapter as to the powers and duties of towns and of
town social services officers shall be inoperative in such county social
services district. The appointment of all town social services officers
and employees shall terminate on the date when such resolution takes
effect.
2. (a) Such resolution shall not take effect in a city in a county
social services district unless it is confirmed by act of the
legislative body of the city in accordance with the provisions of this
paragraph. The legislative body of such a city may confirm the
resolution of the board of supervisors (1) on or before the first day of
October in the year in which such resolution was adopted by the board of
supervisors, and make such confirmation effective on the first day of
January next succeding such confirmation, provided the resolution of the
board of supervisors takes effect in the towns of the county on or
before such first day of January, or (2) at any other time or date, and
make such confirmation effective on any date not earlier than the date
the resolution of the board of supervisors takes effect in the towns of
the county, provided the board of supervisors shall by resolution
specifically approve such confirmation.
(b) On the day after a city confirms a resolution of the board of
supervisors pursuant to paragraph (a), the mayor or the city clerk shall
send a written notice of such confirmation to the clerk of the board of
supervisors of the county. He shall also send a copy of such notice to
the county commissioner of social services and the county commissioner
shall thereupon notify the department.
(c) If a city in the county social services district shall confirm
the resolution of the board of supervisors in accordance with the
provisions of paragraph (a), the county social services district shall,
on and after the effective date of such confirmation be responsible for
administration of public assistance and care in such city, and
thereafter all provisions of this chapter as to the powers and duties of
a city in a county social services district and of city social services
officers shall be inoperative in such city.
(d) Unless and until a city in the county social services district
shall confirm the resolution of the board of supervisors in accordance
with the provisions of paragraph (a), the responsibility of such city
for assistance and care in its territory shall not be affected by such
resolution, and the city shall be governed by the provisions of this
chapter and other laws relating to cities which form part of a county
social services district and to city social services officers; and the
city shall continue to be responsible for the cost of public assistance
and care under the provisions of subdivision two of section sixty-nine,
except as otherwise provided in title three-a of this article. The cost
of any assistance and care given to local charges residing or found in
such city, paid by the county social services district under the
provisions of subdivision three of section sixty-nine, shall be a charge
on the county social services district.
3. The board of supervisors shall make such additional appropriations
and authorize the appointment of such number of deputy commissioners,
other assistants and employees as it may deem necessary to provide
adequate administration of the public assistance and care for which the
county social services district is made responsible under the provisions
of this section.
TITLE 3-A Integration of Local Public Welfare Administration
Administration of assistance by or on behalf of certain cities.
1. Each city, other than the city of New York, which is responsible for
one or more types of public assistance and care on the date this section
becomes effective shall function under section seventy-four-a of this
chapter.
2. Any city subject to the provisions of subdivision one of this
section may confirm and make effective therein, pursuant to subdivision
two of section seventy-three of this chapter, a resolution of the county
legislative body adopted pursuant to section seventy-two of this chapter
directing that the cost of all public assistance and care shall be a
charge on the county social services district.
Administration of assistance by county for city;
reimbursements and advances; cost to county to be raised by tax on
taxable property of city and to be included in county tax levy. 1. The
county shall administer in and for the city the public assistance and
care for the administration of which the city is responsible and shall
be entitled to all reimbursements and advances against reimbursements on
account of the assistance and care so administered to which the city
would otherwise be entitled and which would otherwise be payable to the
city in accordance with the provisions of this chapter.
2. The cost to the county of all assistance and care thus
administered by the county in and for the city shall be a charge against
and be levied as a tax upon the taxable property of the city and the
amount to be so raised by tax shall be included by the county in its
next ensuing tax levy.
3. This section is applicable only to those cities described in
subdivision one of section seventy-four of this chapter.
Appeals and reviews. 1. A social services official
responsible in an individual case for either the authorization of
assistance or the investigation of the application for assistance and
the making of a recommendation relative to such application shall have
the right to appeal to the department from a decision made in such case
by another social services official.
Upon receiving such an appeal, the department shall issue a written
determination which shall be binding on all the social services
officials involved in such appeal.
2. The department on its own motion may review any case for the
purpose of determining whether assistance and care has been adequately
or properly provided. After making such a review, the department may
issue such written determination as it may deem proper, and such
determination shall be binding on all the social services officials
concerned.
Transfer of personnel; county, city and town. 1. When,
pursuant to the provisions of this chapter or of any other law, the
functions, powers and duties exercised by a city or town in the
administration of public assistance and care, are transferred or
assigned, in whole or in part, to a county, provision shall be made for
the county to employ so much of the staff employed by such city or town
in the administration and execution of the functions, powers and duties
so transferred or assigned as may be practicable and necessary.
Officers and employees shall be transferred without further examination
or qualification and they shall retain their respective civil service
classification and status provided that, in determining the officers and
employees to be transferred to a county, such officers and employees
shall be selected within each grade of each class of positions in the
order of their original appointment in the service of the city or town,
as the case may be. Officers and employees in the competitive class of
the civil service of the city or town who are not transferred to the
county shall have their names entered upon appropriate city or town
preferred lists, as the case may be, pursuant to section thirty-one of
the civil service law. Temporary and provisional employees may be
transferred and shall, thereafter, be subject to such examinations as
are required by law. If the functions transferred are retransferred in
accordance with the provisions of this chapter, upon such retransfer,
the officers or employees who were transferred and who are employed by
the county on the date of such retransfer shall likewise be
retransferred; and, thereafter, they shall be deemed officers and
employees of the city or town from which they were originally
transferred, and they shall retain their civil service status, rights
and privileges.
2. When, pursuant to the provisions of this chapter, the functions,
powers and duties exercised by a county in the administration of public
assistance and care are transferred or assigned, in whole or in part, to
a city, or are assumed in part by a city or town which elects, pursuant
to this chapter or any other law, to constitute itself a public welfare
district, provision shall be made for the city or town to employ so much
of the staff employed by such county in the administration and execution
of the functions, powers and duties so transferred, assigned or assumed
as may be practicable and necessary. Officers and employees shall be
transferred without further examination or qualification and they shall
retain their respective civil service classification and status provided
that, in determining the officers and employees to be transferred to the
city or town, such officers and employees shall be selected within each
grade of each class of positions in the order of their original
appointment in the service of the county. Officers and employees in the
competitive class of the civil service of the county who are not
transferred to the city or town shall have their names entered upon
appropriate county preferred lists, pursuant to section thirty-one of
the civil service law. Temporary and provisional employees may be
transferred and shall, thereafter, be subject to such examinations as
are required by law. If the functions transferred are retransferred in
accordance with the provisions of this chapter, upon such retransfer,
the officers and employees who are transferred and who are employed by
the city on the date of such retransfer shall likewise be retransferred;
and, thereafter, they shall be deemed officers and employees of the
county, and they shall retain their civil service status, rights and
privileges.
TITLE 4 City Public Welfare Districts
City commissioners of public welfare; appointment of staff. 1.
There shall be a city commissioner of public welfare in each city public
welfare district, who shall administer the public assistance and care
for which the city public welfare district is responsible.
2. The officer appointed, in accordance with section one hundred
sixteen of this chapter, to administer public assistance and care in a
city which is constituted a city public welfare district, shall have the
powers and perform the duties of the city commissioner of public
welfare.
3. When the duties of a city commissioner are by the provisions of
special or local law relating to the city assigned to more than one
department of the city government, the administrative officer of each
such department shall have such of the powers and perform such of the
duties of a city commissioner as may be applicable to the work assigned
to such department, and all the provisions of this chapter shall be so
interpreted.
4. The city commissioner of public welfare shall appoint deputy
commissioners, assistants and employees authorized by the legislative
body of the city and shall direct their work. When authorized by such
legislative body such city commissioner may appoint attorneys to perform
duties other than those assigned to the corporation counsel or city
attorney. However, if such city commissioner shall approve and if
authorized by such legislative body, such attorneys may, in addition to
performing the duties assigned to them by such city commissioner, be
deputized by the corporation counsel or city attorney to perform duties
on his behalf in connection with the work of the welfare department.
The city commissioner shall appoint physicians to visit sick persons in
their homes when authorized by the legislative body of such city.
Citizens advisory committees. In accordance with federal and
state regulations, each city social services commissioner shall appoint
a citizens advisory committee or committees to exercise and perform such
functions, powers and duties as the regulations of the department may
require.
Plan for the homeless. The mayor of New York city shall submit
to the legislature and the governor a copy of the revised and updated
five-year plan for housing the homeless in New York city which is
required under section 21-121 of the administrative code of the city of
New York, no later than February fourteenth of each year.
TITLE 5 Records, Reports, Funds and Appropriations
Records. All social services officials shall keep the records
required by this chapter and the department.
Reports. 1. The county commissioner shall make: (a) Such
reports and furnish such information to the department with respect to
the work of the county social services district as is required by this
chapter and the department.
(b) An annual report to the board of supervisors concerning the work
of the county social services district and additional reports at such
times and covering such facts as the board of supervisors may require.
(c) If any of the cost of assistance and care paid for by the county
social services district is charged back to the towns and cities
thereof, a report to the county treasurer at the end of the fiscal year,
stating the per capita maintenance cost per day in the county home and
an itemized statement of the amount to be charged each town and city for
the assistance and care given either in the county home or elsewhere to
persons residing or found in each town or city and a statement of all
expenditures and receipts in behalf of such persons.
(d) Current reports to the city and town social services officers of
persons residing in their cities and towns who are in receipt of public
assistance and care from the county.
2. A town social services officer shall make:
(a) An annual report to the town board concerning his work and
additional reports at such times and covering such facts as the town
board may require.
(b) An annual report to the county commissioner and any additional
reports at such time and covering such facts as may be required by the
county commissioner or the department.
3. A city commissioner of social services shall make:
(a) Such reports to the department with respect to his work as are
required by this chapter and the department.
(b) An annual report to the mayor of the city or to any other
official or board authorized to receive such report and additional
reports at such times and covering such facts as may be required.
4. Such annual reports shall include an itemized statement of all
money received by the social services official and all money expended by
him, and a detailed statement in regard to the recipients of public
assistance and care. Town and city social services officers shall
furnish the county commissioner with all data, relating to their work
and persons in receipt of public assistance and care, necessary to
enable the county commissioner to make the reports required by the
department.
Accounts. All social services officials shall keep such
accounts regarding the receipt and disbursements of the social services
funds, and of any trust funds, as may be required by law or directed by
the department.
County social services funds. 1. The county treasurer shall
be the treasurer of the county social services district.
2. Except as hereinafter provided, disbursements for administration
and public assistance and care from county social services funds shall
be made only on warrants drawn by the county commissioner for the
payment of bills and claims, in accordance with the provisions of law
relating to such county and after audit by such county commissioner,
except that in counties having a county comptroller or a county auditor
such claims shall be audited by the county comptroller or county auditor
after approval by the county commissioner.
3. Payments for board and incidental expenses of children cared for
in boarding homes or in the homes of relatives or in institutions
maintained by an authorized agency provided under title two of article
six or on order of the family court of the county, may be made upon
schedules showing the names of the persons or institutions with whom
such children are boarded, the names of children boarded with each of
them, the monthly rate of board to be paid for each such child, the
period covered by each such schedule, the amount due for the board of
each child during such period, an itemized account of the amount allowed
for incidentals, if any, in the case of each child, and the total amount
due to each such person or institution, verified by the commissioner and
audited as hereinbefore provided and without the presentation of
verified bills or claims by such persons or institutions.
County commissioner's revolving fund. A board of supervisors
may authorize the county treasurer to furnish the county commissioner
with an emergency revolving fund. Moneys from this fund shall be used
only where it would be a hardship on the applicant or recipient to wait
for the issuance of a grant in accordance with regularly established
disbursement procedures. Reimbursement of expenditures from this fund
shall be made at least monthly upon the presentation of itemized
statements or vouchers chargeable to the appropriate programs of
assistance in accordance with established procedures.
Monthly reports of county commissioner to county treasurer.
The county commissioner shall pay over to the county treasurer on or
before the tenth day of each month all money received by him in
connection with the work of his public welfare district and make a
report giving the source of all such receipts during the preceding
calendar month.
Town public welfare funds. 1. The taxes levied for public
assistance and care in a town shall be paid to the town supervisor, who,
without prior audit, shall disburse them on written order of the town
public welfare officer for the payment of bills and claims submitted in
accordance with the provisions of law relating to such town. All such
bills and claims shall be filed annually with the town clerk.
2. The town supervisor shall, without prior audit, issue individual
checks to persons as authorized by the town welfare officer on forms as
either prescribed or approved by the state department of social welfare,
or such supervisor shall pay over to the town welfare officer for use as
a revolving fund such amount as the town board authorizes. When a
revolving fund has been established, the town welfare officer shall,
furnish to the town a bond in such penal sum and with such sureties as
the town board may approve, conditioned upon the faithful discharge of
his duties. Whenever a revolving fund has been established the welfare
officer shall pay all welfare claims for which the town is legally
responsible excepting salaries and other compensations from such
revolving fund. Upon receiving such revolving fund the town welfare
officer shall deposit such sum of money received in an official bank
account, in the bank or trust company designated for such purpose by the
town board, and he shall also enter in a suitable book or books kept by
him for that purpose a record of the receipts and payments of such
revolving fund. From appropriations for town welfare purposes the town
supervisor shall, each month, on presentation by the town welfare
officer of bills and claims, submitted in accordance with the provisions
of law relating to such town, and statements of other disbursements on
forms as either prescribed or approved by the state department of social
welfare, reimburse such revolving fund for the amount of disbursements
therefrom during the preceding month.
City public welfare funds. The taxes levied for public
assistance and care in a city, or in a city public welfare district,
shall be paid to the city treasurer, or the commissioner of finance in
the city of New York, and disbursed in accordance with the provisions of
law relating to such city for the payment of bills and claims, provided
such provisions of law are not inconsistent with the provisions of this
chapter.
Special funds. 1. When a county commissioner shall receive any
money as guardian of a minor or to be used for some particular person or
purpose, he shall deposit it with the county treasurer, who shall keep
such money in a special account to be drawn on by the county
commissioner for the person or purpose designated.
2. When a town social services officer shall receive such money he
shall deposit it in a bank approved by the town supervisor to be drawn
on by the town social services officer and the town supervisor jointly
for the person or purpose designated.
3. When a city commissioner of social services shall receive such
money, he shall deposit it with the official having charge of the funds
of such city, who shall keep it either in a separate account to be
requisitioned by the city commissioner or in one or more common trust
funds established and maintained pursuant to the charter of such city.
Responsibility for adequate appropriations. It shall be the
duty of the board of supervisors of a county, the town board of a town
and the appropriating body of a city to make adequate appropriations and
to take such action as may be necessary to provide the public assistance
and care required by this chapter.
Estimates in county public welfare districts. 1. The county
commissioner shall submit annually, in the manner prescribed by and on
or before the date fixed by or pursuant to law, an itemized estimate of
revenues and the amount of money needed for the ensuing fiscal year for
the public assistance and care for which the county is responsible, and
for the administration thereof.
2. A town social services officer shall prepare and file annually with
the town budget officer and the county commissioner of social services,
at the time specified in section one hundred four of the town law, an
itemized estimate of the amount needed for the ensuing year for
administration and for public assistance and care. The town board shall
include the amount necessary to be raised by tax in the annual estimate
submitted to the board of supervisors as provided by the town law.
3. (a) A city public welfare officer shall submit an itemized estimate
of the amount needed for the ensuing year for administration and public
assistance and care to the mayor or other authority provided by law and
to the county commissioner of public welfare.
(b) When, pursuant to the provisions of title three-a of this article,
the county commissioner is administering the public assistance and care
for which a city is responsible, and there is no city public welfare
officer, the county commissioner shall make and submit an estimate for
the city in the place and stead of a city public welfare officer.
Appropriations in county public welfare districts. 1. (a)
The board of supervisors shall appoint a committee of its members to
consider the estimates presented by the town boards in the county public
welfare district. If any town shall fail to submit an estimate as
provided by the previous section, the county commissioner shall prepare
and submit to such committee an estimate of the amount needed for
administration and public assistance and care in such town. The
committee shall recommend to the board of supervisors the amount it
considers necessary for the ensuing fiscal year for the various forms of
public assistance and care and administrative expenses in each of the
towns in the county public welfare district.
(b) The board of supervisors shall approve an estimate for each town
in the county public welfare district and shall levy taxes in each such
town for the amount of the approved estimate for such town.
2. The legislative body of a city forming part of a county public
welfare district shall appropriate the amount it considers necessary for
administration and public assistance and care in such city and shall
cause taxes to be levied for the amount of such appropriation.
Nothing contained in this section shall be construed to prevent the
financing of any such expenditure, in whole or in part, pursuant to the
local finance law.
3. The board of supervisors shall appropriate, in the manner provided
by law, the amount it considers necessary for the ensuing fiscal year
for the various forms of public assistance and care and administrative
expenses in the county public welfare district and shall cause the
necessary taxes to be levied therefor in the territory of the county
public welfare district.
Taxes for county public welfare districts. Taxes for each
form of assistance or care administered by the county public welfare
district shall be levied only in the territory in which the county
public welfare district is responsible for the administration of such
form thereof.
Estimates and appropriations in city public welfare districts.
The city commissioner of public welfare shall present to the mayor or
other authority provided by law in such city an itemized estimate of the
amount of money needed for the ensuing year for the administration of
the city public welfare district and for public assistance and care.
The legislative body of the city public welfare district shall
appropriate the amount necessary for such purpose and shall cause taxes
to be levied for the amount of such appropriation.
Nothing contained in this section shall be construed to prevent the
financing of any such expenditure, in whole or in part, pursuant to the
local finance law.
Deficiency appropriations. 1. (a) Should the sums
appropriated for medical assistance for needy persons, family
assistance, or care and protection of children pursuant to article six
of this chapter and their administration be expended or contracted or
become exhausted during the year for the purposes for which they were
appropriated, or should no appropriation have been made, additional sums
shall be appropriated by the proper appropriating bodies, as occasion
demands, to carry out the provisions of this chapter.
(b) In cities such additional sums if appropriated shall be paid from
unexpended balances not required by law to be expended for a specific
purpose, or from contingent funds when such exist.
(c) In counties, such additional appropriations shall be paid from
funds in the county treasury available therefor, provided that such
funds were raised by taxes levied in a territory identical with that in
which such sums may be expended, and then only to the extent of any
excess thereof not needed for other purposes under other provisions of
this chapter.
(d) Nothing contained in this section, however, shall be construed to
prevent the financing of such deficiency appropriations pursuant to the
local finance law.
2. All the provisions of subdivision one in regard to cities shall be
applicable to towns in Dutchess county, and, in every city or town
thereof, except in the city of Poughkeepsie, the amount of such
additional sums must first be approved by the county commissioner of
public welfare by writing filed with the city or town clerk.
Provisions for financing home relief. 1. Definitions. When
used in this section:
(a) Home relief means home relief as defined in section one hundred
fifty-seven and also includes all administrative expenses of home
relief.
(b) Local share of home relief means the total cost or estimated cost
of home relief after deducting the amount or the estimated amount of
state aid received or to be received therefor under the then existing
law and rules.
(d) City means any city responsible for the administration of home
relief.
2. Estimates and appropriations. Each county, city and town shall
make an annual estimate and appropriation of the total amount required
for the fiscal year for home relief in accordance with this article.
Such estimates shall show not only the total amount so required, but the
estimated state aid to be received, and the estimated local share of
home relief.
3. Additional appropriations to supply deficiencies in the annual
appropriations. Should the sum or the aggregate of the sums
appropriated or amounts available and authorized to be expended in any
county, city or town be less than the amount required in any year for
home relief, supplemental appropriations may be made from time to time,
and in that case not less than the same percentage of the local share of
home relief included in such supplemental appropriations may be raised
by taxes levied for the next fiscal year as would have been raised by
taxes for the current fiscal year if the amount of supplemental
appropriation had been contained in the annual appropriation for the
current fiscal year.
6. County taxes. County taxes for the payment of obligations and
interest thereon, issued for home relief shall be a charge upon the
entire county but shall be levied in the first instance against all the
taxable property in the territory in which the county public welfare
district is responsible for the administration of such home relief.
8. Notwithstanding any inconsistent provision of this section, until
the commencement of the fiscal year in any county, city or town next
following December first, nineteen hundred forty-six, the local share of
the cost of home relief in any year, in lieu of being raised by tax, may
be paid from any other funds available, provided, however, no monies
shall be borrowed to pay the cost of home relief.
Federal donated commodities. 1. (a) Until his social services
district has been included in the food stamp distribution program or
programs under section ninety-five, each commissioner of social services
is authorized and required, in accordance with regulations of the
department, to assist needy families and individuals of his social
services district to obtain federal donated commodities for their use,
by certifying, when such is the case, that they are eligible to receive
such commodities, and by distributing such commodities to eligible
families and individuals. However, only those who are receiving or are
eligible for public assistance or care and such others as may qualify in
accordance with federal requirements and standards promulgated by the
department shall be certified as eligible to receive such commodities.
(b) Each commissioner of social services shall develop and submit to
the department for its approval a plan describing his district's
operations under this section, which plan shall accord with federal and
state requirements.
2. Federal donated commodities shall not be deemed or construed to be
public assistance and care or a substitute, in whole or in part,
therefor; and the receipt of such commodities by eligible families and
individuals shall not subject them, their legally responsible relatives,
their property or their estates to any demand, claim or liability on
account thereof.
3. A person's need or eligibility for public assistance or care shall
not be affected by his receipt of federal donated commodities.
4. Any inconsistent provisions of law notwithstanding, expenditures
made by social services districts for the purpose of certifying
eligibility of needy families and individuals for federal donated
commodities and for distributing such commodities to them shall be
deemed to be expenditures for the administration of public assistance
and care and shall be subject to reimbursement by the state in
accordance with the provisions of section one hundred fifty-three to the
extent of one hundred percentum thereof.
Supplemental nutrition assistance program (SNAP). 1. (a) The
office is authorized to submit any plan required by the federal
government to participate in the supplemental nutrition assistance
program (SNAP) to the secretary of the United States department of
agriculture for approval, and to act for the state in any negotiations
relative to the submission and approval of such plan, and may make such
arrangements and take such action, not inconsistent with law, as may be
required to obtain and retain such approval, to implement such plan, and
to secure for the state the benefits available.
(b) The office is authorized to accept a designation, in accordance
with the provisions of section twenty-nine of this chapter, under any
other federal law which may make SNAP benefits available for needy
families and individuals, and to perform such functions as may be
appropriate, permitted or required by or pursuant to such law.
2. The office is empowered, with the consent and approval of the
governor, to delegate or assign to any other office or agency of the
state the performance of such function or functions under the plan or
designation as may be appropriate and permitted or required by the
appropriate federal law or regulations. Any state department or agency
is hereby empowered and required to perform the function or functions so
delegated or assigned to it.
3. (a) Each commissioner of social services is authorized and
required, in accordance with regulations of the office, to make
application for inclusion of his or her social services district in the
federal supplemental nutrition assistance program plan or plans and to
assist needy families and individuals of his or her social services
district to obtain nutritionally adequate diets through participation in
such federal plan or plans. However, only those persons who qualify for
SNAP benefits in accordance with federal and state requirements, and
standards promulgated by the office, shall be certified as eligible to
receive such benefits.
(b) Each commissioner of social services is authorized and required,
subject to state and federal requirements therefor, to act on behalf of
the office and receive, store, and issue SNAP benefits, either directly,
or with the approval of the office, through a banking institution and/or
other appropriate public or private agency.
(c) Each commissioner of social services shall develop and submit to
the office for its approval a plan describing his or her district's
operations under this section, which plan shall accord with federal and
state requirements.
4. A person's need or eligibility for public assistance and care shall
not be affected by his or her receipt of SNAP benefits.
5. Any inconsistent provision of law notwithstanding, the value of any
SNAP benefits provided an eligible person shall not be considered income
or resources for any purpose, including taxation.
6. (a) Any inconsistent provision of law notwithstanding, expenditures
made by a social services district for the purpose of certifying
eligibility of needy families and individuals, including those who are
not in receipt of public assistance and care, for SNAP benefits, and for
distributing and redeeming such benefits shall be deemed to be
expenditures for the administration of public assistance and care, and
shall be subject to reimbursement by the state in accordance with the
provisions of section one hundred fifty-three of this chapter to the
extent of one hundred percent in accordance with paragraph (b) of this
subdivision.
(b) Such expenditures for supplemental nutrition assistance program
administrative costs shall be subject to reimbursement by the state in
accordance with regulations to be promulgated by the office, which
regulations shall be subject to the approval of the director of the
budget, shall be consistent with federal law and regulations, and shall
be based on:
(i) an allocation of administrative costs attributable to both SNAP
benefits and safety net assistance to permit maximum use of federal
funds; and
(ii) an allocation of administrative costs attributable to both SNAP
benefits and temporary assistance for needy families such that only
those administrative costs that cannot be allocated to temporary
assistance for needy families are allocated to supplemental nutrition
assistance program, provided, however, that if federal law, regulations,
or cost allocation procedures require those administrative costs that
may be allocated to be allocated between temporary assistance for needy
families and SNAP benefits, then the administrative costs so allocated
to SNAP benefits shall be reimbursed as costs of public assistance and
care in accordance with the provisions of paragraphs a and d of
subdivision one of section one hundred fifty-three of this chapter.
7. a. When an eligible recipient under this section is issued an
authorization to participate in the supplemental nutrition assistance
program by written or electronic means, such authorization to
participate:
(i) May be redeemed for SNAP benefits at designated redemption centers
by the recipient or by an authorized representative. When an eligible
recipient under this section is issued SNAP benefits, such SNAP benefits
may be used to purchase food items from a food distributor by the
recipient or by an authorized representative. Any other transfer or
sale of authorizations to participate or SNAP benefits shall constitute
an unauthorized use of said authorizations or benefits;
(ii) Shall require the office of temporary and disability assistance
to provide the state education department a dataset which contains a
listing of students ages three to eighteen who receive federal
assistance through the supplemental nutrition assistance program (SNAP)
and temporary assistance to needy families (TANF).
(iii) The state education department shall make such dataset available
to all schools (public and nonpublic) that participate in: the National
School Lunch, School Breakfast, Summer Food Service, or Special Milk
programs with a free milk option of the availability of such dataset.
(iv) All schools identified in subparagraph (iii) of this paragraph
shall access such dataset outlined in subparagraph (ii) of this
paragraph at least three times a year and identify such child as
eligible for free meals/milk and such child may receive free meals/milk
without further application. Upon identification, such school shall
notify the student's parent or guardian of such eligibility. Such
notification shall also contain an opportunity to decline the receipt of
free meals/milk. In the event a school receives notification to decline
the free meals/milk benefit the child shall be removed from the free
eligibility list in such program.
(b) For the purposes of this subdivision, "authorized representative"
shall be defined in regulations promulgated by the commissioner.
8. Except as part of a transaction pursuant to subdivision seven of
this section or as necessary for a food distributor to redeem SNAP
benefits subsequent to such a transaction, any acquisition, acceptance,
purchase, possession, sale, transfer, alteration or manufacture of
authorizations to participate or SNAP benefits, real or counterfeit, by
any person shall constitute an unauthorized use of said authorizations
or benefits. For purposes of this subdivision, the term "person" shall
mean any individual, corporation, partnership, association, agency, or
other legal entity, or any part thereof.
9.(a) The parent or other individual who is living with and exercising
parental control over a child under the age of eighteen who has an
absent parent is not eligible to participate in the supplemental
nutrition assistance program if such person refuses to cooperate with
the office in establishing the paternity of the child (if the child is
born out of wedlock) and in obtaining support for the child or the
parent (or other individual) and the child. This paragraph does not
apply to the parent (or other individual) if the office determines that
there is good cause for the refusal to cooperate.
(b) A putative or identified noncustodial parent of a child under the
age of eighteen is not eligible to participate in the supplemental
nutrition assistance program if such individual refuses to cooperate
with the office in establishing the paternity of the child (if the child
is born out of wedlock) and in providing support for the child. The use
of the information collected pursuant to this paragraph shall be limited
to the purposes for which the information is collected and is subject to
the confidentiality provisions set forth in section one hundred
thirty-six of this chapter.
(c) To the extent not inconsistent with federal law and regulations,
an individual is not eligible to participate in the supplemental
nutrition assistance program as a member of any household if the
individual is under court order to pay child or combined child and
spousal support and has accumulated support arrears equivalent to or
greater than the amount of current support due for a period of four
months.
10. Notwithstanding any other provision of law to the contrary, the
office shall develop a brief, simplified application form for the
supplemental nutrition assistance program only. The office shall develop
the form in consultation with food stamp outreach organizations and
consider how the form may be used to reach as many potential applicants
as possible, especially those over sixty years of age and those who are
employed.
11. (a) Notwithstanding any other provision of law to the contrary,
the office shall establish a statewide restaurant meals program as part
of SNAP. Under the restaurant meals program, households containing
elderly or disabled members, and their spouses, as defined in 7 U.S.C.
2012(j), or homeless individuals, as defined in 7 U.S.C. 2012(l), shall
have the option in accordance with 7 U.S.C. 2012(k) to redeem their SNAP
benefits at private establishments that contract with the office to
offer meals for eligible individuals at concessional prices subject to 7
U.S.C. 2018(h).
(b) The office shall adopt any rules necessary to implement the
provisions of this subdivision.
State food stamp outreach program. 1. In accordance with
federal requirements and to the extent that federal matching funds are
available, the department shall develop and implement an outreach plan
to inform low-income households potentially eligible to receive food
stamps and to encourage the participation of eligible households that
wish to participate.
2. In developing and implementing such a plan the department and/or
its local districts are authorized and empowered, subject to the
approval of the director of the budget and provided that federal aid is
available therefor, to enter into contractual agreements with public
and/or private organizations to develop and implement local, regional,
and statewide outreach programs.
3. Each commissioner of social services shall develop and submit to
the department on an annual basis for its approval, a local outreach
plan governing the use of local social services personnel and services
provided by federally funded and other agencies and organizations to
inform potentially eligible households of the availability and benefits
of the program and to encourage and facilitate the participation of
eligible households. The department shall provide commissioners of
social services with technical assistance as needed to carry out the
provisions of this subdivision.
4. As part of each local outreach plan, social services officials
shall take all steps necessary to maintain a supply of information
leaflets in public buildings, including but not limited to local
unemployment insurance and employment services offices of the department
of labor, institutions and facilities under the supervision or control
of the department of health, food stores, union halls, community centers
and local agencies providing services to the elderly to help insure that
eligible persons are informed of the food stamp program.
5. The department shall periodically distribute to all newspapers, and
to television and radio stations throughout the state, public service
announcements describing the food stamp program, including the toll-free
telephone numbers for food stamp information, and shall promptly inform
such media of significant changes in the program affecting eligibility
requirements and/or the amount of the food stamp bonus.
6. The department shall establish procedures in cooperation with the
industrial commissioner of the department of labor to ensure that
informational leaflets about the food stamp program are sent to each
local employment services office for distribution pursuant to section
five hundred and forty of the labor law. Each leaflet shall include but
not be limited to: the phone number for the New York State food stamp
hotline, estimated maximum income eligibility levels by household size
for participation in the food stamp program and the availability of
local social services departments to provide additional information
about the program.
7. In accordance with applicable federal laws, rules and regulations
the department shall make available appropriate bilingual materials so
that potentially eligible non English speaking individuals may be
informed about the food stamp program.
8. The department shall promulgate rules and regulations, and take all
other actions necessary for the effective implementation of this
section.
Use of subprofessional staff. Any inconsistent provision of
law, general, special or local notwithstanding, a local social services
district shall provide for the training and use of subprofessional
staff, with particular emphasis on the use of public assistance
recipients in accordance with state and federal requirements.
Low-income home energy assistance program. 1. The department is
authorized to develop and submit to the governor the application and
plan required by title twenty-six of the federal omnibus budget
reconciliation act of nineteen hundred eighty-one, and to amend and to
take whatever other action may be necessary with respect to such plan,
including, but not limited to, acting for the state in any negotiations
relative to the submission of such plan, and making such arrangements
and taking such action, not inconsistent with law, as may be required to
submit, implement, administer and operate such plan, and to secure for
the state the benefits available under such act.
2. Each social services district shall be required, in accordance with
the state plan and federal regulations, to participate in the federal
low-income home energy assistance program and to assist eligible
households found in such districts to obtain low-income home energy
assistance. However, only those persons who qualify for low-income home
energy assistance in accordance with federal and state requirements, and
standards promulgated by the department, shall be certified as eligible
for and entitled to receive said home energy assistance. No person,
however, shall be certified as eligible for and entitled to receive said
home energy assistance if no federal funds are available for such
purpose.
3. Any inconsistent provision of law notwithstanding, the amount of
any home energy assistance payments or allowances provided to an
eligible household under said plan shall not be considered income or
resources of such households, or of any member thereof, for any purpose
under any federal or state law, including any law relating to taxation,
food stamps, public assistance or other benefits available pursuant to
this chapter.
4. Expenditures made by a social services district pursuant to the
federal low-income home energy assistance program, including the costs
of administration, shall be subject to one hundred percent reimbursement
by the state, if and for so long as federal funds are available for the
full amount of such expenditures.
5. No less than fifteen percent of the funds available to New York
state under the federal low-income home energy assistance program shall
be used for low-cost residential weatherization or other energy-related
home repair for low-income households, as follows:
a. No less than ten percent of the funds available to New York state
under the federal low-income home energy assistance program shall be
allocated to the division of housing and community renewal, the housing
trust fund corporation, or the housing finance agency as designated by
the division of housing and community renewal for the weatherization
assistance program and other low-cost residential weatherization or
other energy-related home repair for low-income households. All such
programs and expenditures shall be provided in the annual New York state
weatherization assistance program state plan or by agreement with the
office of temporary and disability assistance.
b. Administrative funds to implement the program described in this
subdivision at the state and local levels shall be set at ten percent of
the total amount allocated to the division of housing and community
renewal. Administrative monies shall be derived from funds identified by
the division of the budget as that portion of the home energy assistance
program grant reported to the federal department of health and human
services for state administration of such program.
TITLE 6 Powers to Enforce Support
Liability of relatives to support. 1. Except as otherwise
provided by law, the spouse or parent of a recipient of public
assistance or care or of a person liable to become in need thereof
shall, if of sufficient ability, be responsible for the support of such
person, provided that a parent shall be responsible only for the support
of a child under the age of twenty-one years. Step-parents shall in
like manner be responsible for the support of step-children under the
age of twenty-one years. Nothing herein shall impose any liability upon
a person to support the adopted child of his or her spouse if such child
was adopted after the adopting spouse is living separate and apart from
the non-adopting spouse pursuant to a legally recognizable separation
agreement or decree under the domestic relations law. Such liability
shall not be imposed for so long as the spouses remain separate and
apart after the adoption.
2. The liability imposed by this section shall be for the benefit of
the public welfare district concerned or any legally incorporated
non-profit institution which receives payments from any governmental
agency for the care of medically indigent persons, and such liability
may be enforced by appropriate proceedings and actions in a court of
competent jurisdiction. Such proceedings and actions may be brought by
such an institution in any court wherein a similar proceeding or action
could be brought by a public welfare official.
3. The expiration of any period of time for the payment of maintenance
by a court in a matrimonial action shall not be a bar to the enforcement
of the liability imposed by this section.
Proceedings to compel support by persons in need thereof. A
recipient of public assistance or care or a person liable to become in
need thereof may bring proceedings in a court of competent jurisdiction
against any person responsible for his or her support as provided in
section one hundred one of this chapter to compel any such person so
responsible to provide for or contribute to such support.
Powers of public welfare officials to bring and defend suits.
A public welfare official responsible, by or pursuant to any provision
of this chapter, for the administration of the public assistance or care
granted or applied for is empowered to bring proceedings in a court of
competent jurisdiction
1. to compel any person liable by law for support to contribute to
the support of any person cared for at public expense, or person liable
to become so dependent. A bond may be required of such person liable
for support to indemnify the public welfare district against the cost of
the support of such person;
2. to recover penalties, forfeitures and prosecute any bonds,
undertakings and recognizances;
3. and defend in any court all matters relating to the support of
persons at public expense.
Seizure of property of persons liable for support. The
responsible public welfare official may apply to a court having
jurisdiction in actions involving an amount equal to the value of
property to be seized for a warrant to seize the real or personal estate
of a person who absents himself, leaving any one for whose support he is
liable dependent upon public support or liable to become so dependent.
If such a warrant be issued, the public welfare official may seize the
property and apply the proceeds as directed by the court.
Recovery from a person discovered to have property. 1. A public
welfare official may bring action or proceeding against a person
discovered to have real or personal property, or against the estate or
the executors, administrators and successors in interest of a person who
dies leaving real or personal property, if such person, or any one for
whose support he is or was liable, received assistance and care during
the preceding ten years, and shall be entitled to recover up to the
value of such property the cost of such assistance or care. Any public
assistance or care received by such person shall constitute an implied
contract. No claim of a public welfare official against the estate or
the executors, administrators and successors in interest of a person who
dies leaving real or personal property, shall be barred or defeated, in
whole or in part, by any lack of sufficiency of ability on the part of
such person during the period assistance and care were received.
Nor shall the claim asserted by a public welfare official against any
person under this section be impaired, impeded, barred or defeated, in
whole or in part, on the grounds that another person or persons may also
have been liable to contribute.
In all claims of the public welfare official made under this section
the public welfare official shall be deemed a preferred creditor.
2. No right of action shall accrue against a person under twenty-one
years of age by reason of the assistance or care granted to him unless
at the time it was granted the person was possessed of money and
property in excess of his reasonable requirements, taking into account
his maintenance, education, medical care and any other factors
applicable to his condition.
3. To the extent described in section 7-1.12 of the estates, powers
and trusts law, the trustee of a supplemental needs trust which conforms
to the provisions of such section 7-1.12 shall not be deemed to be
holding assets for the benefit of a beneficiary who may otherwise be the
subject of a claim under this section and no action may be brought
against either the trust or the trustee to recover the cost of
assistance or care provided to such person, or anyone for whose support
such person is or was liable.
4. Any inconsistent provision of this chapter or of any other law
notwithstanding, a social services official may not assert any claim
under any provision of this chapter to recover payments of public
assistance if such payments were reimbursed by child support
collections.
Transfer of property for the purpose of qualifying for
assistance; presumption. For the purposes of the provisions of this
chapter disqualifying a person from eligibility for a category of public
assistance or care by reason of his voluntary transfer of property, a
transfer of property made within one year from the date of the person's
application for such assistance shall be presumed to have been made for
the purpose of qualifying for such assistance.
Liens for public assistance and care on claims and suits for
personal injuries. 1. If a recipient of public assistance and care shall
have a right of action, suit, claim, counterclaim or demand against
another on account of any personal injuries suffered by such recipient,
then the public welfare official for the public welfare district
providing such assistance and care shall have a lien for such amount as
may be fixed by the public welfare official not exceeding, however, the
total amount of such assistance and care furnished by such public
welfare official on and after the date when such injuries were incurred.
In all such cases, notice of the commencement of such an action shall be
served upon the public welfare district that has provided or is
providing such assistance and care, or upon the department of health.
The commissioner shall endeavor to ascertain whether such person, firm
or corporation alleged to be responsible for such injuries is insured
with a liability insurance company, as the case may be, and the name
thereof.
2. No such lien shall be effective, however, unless a written notice
containing the name and address of the injured recipient, the date and
place of the accident, and the name of the person, firm or corporation
alleged to be liable to the injured party for such injuries, together
with a brief statement of the nature of the lien, the amount claimed and
that a lien is claimed upon the said right of action, suit, claim,
counterclaim or demand by the public welfare official be served prior to
the payment of any moneys to such injured party, by certified with
return receipt or registered mail upon such person, firm or corporation,
and his or her, its or their attorney, if known, and upon any insurance
carrier which has insured such person, firm or corporation against such
liability. A copy of the notice of lien shall be mailed to such carrier
at least twenty days prior to the date on which such carrier makes a
payment to the injured party. Except as against such carrier, the
effectiveness of the lien against any other party shall not be impaired
by the failure to mail the required notice to such carrier. In addition,
a true copy of such notice shall be served by regular mail to the
welfare recipient and to his or her attorney, if known. Such mailing
shall be deemed to be effective, notwithstanding any inaccuracy or
omission, if the information contained therein shall be sufficient to
enable those to whom the notice is given to identify the injured
recipient and the occurrence upon which his or her claim for damages is
based.
3. Upon the service of the notice, as aforesaid, the local public
welfare official shall file a true copy thereof in the office of the
clerk of the county in which his office is located, and, thereupon the
lien of the public welfare official in the amount therein stated shall
attach to any verdict, decision, decree, judgment, award or final order
in any suit, action or proceeding in any court or administrative
tribunal of this state respecting such injuries, as well as the proceeds
of any settlement thereof, and the proceeds of any settlement of any
claim or demand respecting such injuries prior to suit or action.
4. An amended notice of lien may be served and filed by such public
welfare official in the same manner and subject to the provisions of
this section governing the notice of lien originally served and filed
pursuant to this section.
5. (a) The person, firm, corporation or insurance carrier, having
notice that a social services official has served and filed a notice of
lien, and intending to make payment on the personal injury claim upon
which the lien was filed, shall notify the social services official by
certified or registered mail, at least ten days prior to the date such
payment is proposed to be made, of the amount and date thereof.
(b) Notwithstanding any inconsistent provision of this section, the
social services official shall have the right to serve and file by
certified or registered mail, within five days after receipt of such
notice, excluding Saturdays, Sundays, and holidays, an amended notice of
lien to include the amount of public assistance and care furnished to
the recipient after the date such official served and filed the notice
of lien or the last previous amendment thereof.
(c) A person, firm, corporation or insurance carrier that fails to
give the notice required by paragraph (a) of this subdivision shall be
liable to the social services official to the same extent that it would
have been liable had such notice been given and the social services
official had filed the amended notice of lien provided for in paragraph
(b) of this subdivision.
6. Such lien may be enforced by action against those alleged to be
liable for such injuries, as aforesaid, by the local public welfare
official in any court of appropriate jurisdiction.
7. The aforesaid lien shall be valid and effective, when the notice
thereof and the statement are served and filed as aforesaid, and shall
continue until released and discharged by the local public welfare
official by an instrument in writing and filed in the said county
clerk's office, and no release, payment, discharge or satisfaction of
any such claim, demand, right of action, suit or counterclaim shall be
valid or effective against such lien.
8. The county clerk shall, at the expense of the county, provide a
suitable book with proper index, to be called the public welfare lien
docket, in which he shall enter the names of the public welfare official
and the recipient, the date and place of the accident and the name or
names of those alleged to be liable for such injuries, as aforesaid.
9. The provisions of this section to the contrary notwithstanding, the
lien herein created shall be subject and subordinate to the lien on the
amount recovered by verdict, report, decision, judgment, award or
decree, settlement or compromise, of any attorney or attorneys retained
by any such injured person to prosecute his claim for damages for
personal injuries, having or acquiring by virtue of such retainer a lien
on the cause of action of any such injured person, or on the verdict,
report, decision, judgment, decree made in, or any settlement or
compromise of, any such action or claim for damages for personal
injuries.
10. The provisions of this section to the contrary notwithstanding,
the lien herein created shall be subordinate to the lien of any hospital
claimed under and to the extent recognized by section one hundred
eighty-nine of the lien law, but only for treatment, care and
maintenance given, prior to or in excess of the public assistance and
care granted by the public welfare official.
11. The provisions of this section shall not be deemed to adversely
affect the right of a public welfare official who has taken an
assignment of the proceeds of any such right of action, suit, claim,
counterclaim or demand, to recover under such assignment the total
amount of assistance and care for which such assignment was made.
12. The provisions of this section to the contrary notwithstanding,
the lien herein created shall not apply with respect to any claim or
benefits payable to the recipients of any form of public assistance or
care, part of which is paid for by the government of the United States
or any agency thereof when, in the opinion of the commissioner, such
lien would jeopardize the continuation of such federal contribution.
13. The provisions of this section to the contrary notwithstanding,
the public welfare official may in his discretion release to the injured
person an amount not to exceed the cost of two years' maintenance from
the lien herein created.
14. Any inconsistent provision of this chapter or of any other law
notwithstanding, a social services official may not assert any claim
under any provision of this chapter to recover payments of public
assistance if such payments were reimbursed by child support
collections.
This section shall not apply to any claim or award which is or may be
allowed pursuant to the provisions of the workers' compensation law or
the volunteer firefighters' benefit law.
Claim on insurance. If a person, who has received public
assistance or care, shall die leaving insurance, and the estate of the
assured is named as beneficiary, or no beneficiary is named, the social
services official shall be entitled to a preferred claim to be paid out
of such insurance to the amount of the cost of such assistance and care,
and for funeral expenses not to exceed two hundred fifty dollars. If
the insured leaves a surviving spouse or children under the age of
twenty-one years who are, or are liable to become, public charges, the
social services official may, in his discretion, waive his claim to such
insurance or any part thereof to which he would otherwise be entitled.
Exemption from payment of fees for instruments affecting
real or personal property; exemption of mortgages from mortgage
recording tax. Any inconsistent provision of law notwithstanding, a
social services official shall not be required to pay any fee to any
clerk, register or other public officer for entering, filing,
registering or recording any instrument affecting real or personal
property or to the surrogate court when such official in taking any
proceeding with respect to the estate of a person who was a recipient of
benefits from social services pertaining to the exercise by the social
services official of any of the powers conferred or duties imposed upon
him by any of the provisions of this chapter. Mortgages on real
property taken by social services officials pursuant to this chapter for
assistance and care of persons at public expense shall be exempt from
the mortgage recording taxes imposed by article eleven of the tax law.
The exemption from mortgage recording taxes herein provided shall also
apply to all mortgages heretofore taken by social services officials and
recorded without payment of mortgage taxes, retroactively to the date of
recording of such mortgages.
Adjustment for incorrect payments. Any inconsistent
provision of law notwithstanding, a social services official shall, in
accordance with the regulations of the department and consistent with
federal law and regulations, take all necessary steps to correct any
overpayment or underpayment to a public assistance recipient; provided,
however, that a social services official may waive recovery of a past
overpayment, in the case of an individual who is not currently a
recipient of public assistance, where the cost of recovery is greater
than the cost of collections as determined in accordance with department
regulations consistent with federal law and regulations. For purposes
of this section, overpayment shall include payments made to an eligible
person in excess of his needs as defined in this chapter and payments
made to ineligible persons (including payments made to such persons
pending a fair hearings decision). The commissioner shall promulgate
regulations to implement procedures for correcting overpayments and
underpayments. The procedures for correcting overpayments shall be
designed to minimize adverse impact on the recipient, and to the extent
possible avoid undue hardship. Notwithstanding any other provision of
law to the contrary, no underpayment shall be corrected with respect to
a person who is currently not eligible for or in receipt of home relief
or aid to dependent children, except that corrective payments may be
made with respect to persons formerly eligible for or in receipt of aid
to dependent children to the extent that federal law and regulations
require.
Crediting of overpayment of tax to obligation of public
assistance recipients. 1. The commissioner shall enter into an agreement
with the commissioner of taxation and finance which shall set forth the
procedures for the crediting of overpayments of tax owed to an
individual taxpayer, estate or trust to the repayment of overpayments of
grants and allowances owed to the department or a social services
district by such person pursuant to the provisions of section one
hundred seventy-one-f of the tax law and is authorized to furnish to the
commissioner of taxation and finance such information and to take such
other actions as may be necessary to carry out the agreement provided
for in such section, for the crediting of overpayments of tax to
repayment of overpayments of public assistance.
The department shall by regulation establish procedures by which any
individual, estate or trust which is the subject of a certification to
the department of taxation and finance in accordance with such agreement
may contest such certification. Such regulations and the notice required
by subdivision three of section one hundred seventy-one-f of the tax law
shall set forth defenses which may be available to the individual,
estate or trust to contest such certification and the manner in which a
review of the certification based on such defenses may be obtained.
2. In accordance with such agreement and the provisions of section one
hundred seventy-one-f of the tax law, the department shall be entitled
to receive payments to satisfy the payment obligation of a person
receiving or who has received grants and allowances pursuant to section
one hundred thirty-one-a, section one hundred thirty-one-s, section
three hundred one, and section three hundred fifty-j of this chapter, in
accordance with a written final determination of the department or a
social services district, provided that no proceeding for administrative
or judicial review shall then be pending and the time for initiation of
such proceeding shall have expired.
Disposal of seized property and penalties collected. All
properties seized and penalties collected shall be administered in
accordance with the direction of the court having jurisdiction. After
the expenses approved by the court have been paid the balance shall be
used for the maintenance of such person, or to reimburse the public
welfare fund for expenditures previously made for his assistance or
care.
Appointment of guardians for minors; notice of accounting. If
the beneficiary of such seized property or penalty which is collected
shall be a minor who is not in the custody of a parent and for whom no
guardian has been appointed, the court having jurisdiction over the
matter shall appoint a guardian of the property for such minor. Notice
of the accounting shall be given to the person, or the executors,
administrators or successors in interest of the person, for whose
support the property has been seized or the penalty collected, and to
the guardian of any minor affected thereby.
Trust funds to be established. A public welfare official
shall deposit any funds received from the seizure of property or
collection of penalties for the support of a living person. Such fund
shall, as provided in section eighty-seven, be held and used upon such
terms as the court shall direct for the benefit of such person. If the
beneficiary of the fund is a minor, the court may require the public
welfare official to give security and to report.
Special provisions for legal services to enforce support to
recover costs of public assistance and care and to establish paternity.
1. Any inconsistent provision of law notwithstanding, the appropriating
body of a social services district may authorize and make provision for
the social services commissioner of such district to obtain: (a)
necessary legal services on a fee for service basis or other appropriate
basis which the department may approve, to obtain support from spouses
and parents, to recover costs of public assistance and care granted, to
establish paternity, and to initiate and prosecute proceedings for the
commitment of the guardianship and custody of destitute or dependent
children to authorized agencies, pursuant to the provisions of this
chapter and the domestic relations law, the family court act and other
laws, and (b) necessary services of private investigators, licensed
pursuant to section seventy of the general business law, on a fee for
service or other appropriate basis which the department may approve, to
provide investigative assistance in efforts of the district to locate
absent parents and fathers of children born out of wedlock.
2. Expenditures made by a social services district for the costs of
such services shall be subject to reimbursement by the state pursuant to
the provisions of section one hundred fifty-three or other appropriate
provisions of this chapter.
Recovery from a person discovered to have property; notice.
Notwithstanding any law, rule or regulation to the contrary, an
applicant for public assistance shall be fully informed in writing that
he or she may be liable to reimburse the state for public assistance
benefits received, as provided for in this title. Notice may be given as
part of an informational booklet promulgated by the office of temporary
and disability services and as a standalone document on his or her
rights and responsibilities. Nothing in this section shall be deemed to
prevent the local social services district from maintaining its records
electronically.
Functions of the department. To assist welfare departments to
carry out their responsibilities, powers and duties to enforce the
liability of persons for the support of certain of their dependents who
are applicants for or recipients of public assistance or care or who are
in receipt of child support services pursuant to section one hundred
eleven-g of this chapter, the department shall:
1. Continue to act as, and perform the functions of, state
information agent for the purposes of the uniform interstate family
support act of this state (article 5-B of the family court act) and
reciprocal laws of other states.
2. As required by section three hundred seventy-two-a, aid in the
location of deserting parents and, for such purpose, operate a central
registry of deserting parents, obtain and transmit pertinent information
and data from public officials and agencies and assist in the training
of local personnel employed to locate such parents.
3. Stimulate and encourage cooperation, through the holding of
meetings and the exchange of information, between and among public
officials, law enforcement agencies and courts having powers and duties
relating to the enforcement of the liability of persons for the support
of indigent members of their families, including cooperation with public
officials, agencies and courts of other states.
4. Upon request, or when required to do so by other provisions of
law, advise such officials in the performance of their duties
hereinabove referred to.
5. Develop or assist in the development of appropriate forms, guides,
manuals, handbooks and other material which may be necessary or useful
effectively to accomplish the foregoing and the purposes therefor.
TITLE 6-A Establishment of Paternity and Enforcement of Support
Federal aid; state plan. 1. The department is hereby
designated as the single state agency to supervise the administration of
the state's child support program provided for by this title, and a
single organizational unit shall be established within the department
for such purposes.
2. The department shall develop and submit a state child support
program plan as required by part D of title IV of the federal social
security act to the federal department of health, education and welfare
for approval pursuant to such part in order to qualify the state for
federal aid under such part. The department shall act for the state in
any negotiations relative to the submission and approval of such plan
and shall make such arrangements as may be necessary to obtain and
retain such approval and to secure for the state the benefits of the
provisions of such federal act relating to child support programs. The
department shall promulgate regulations not inconsistent with law as may
be necessary to assure that such plan conforms to the provisions of such
part and any federal regulations adopted pursuant thereto. The
department shall make all reports required by law to be made to such
federal department in the form and manner required by federal
regulations.
Functions, powers and duties of the department. 1. The single
organizational unit within the department shall be responsible for the
supervision of the activities of state and local officials relating to
establishment of paternity of children born out-of-wedlock, location of
absent parents and enforcement of support obligations of legally
responsible relatives to contribute for the support of their dependents.
2. The department is hereby authorized to accept, on behalf of the
state and the social services districts concerned, assignments of
support rights owed to persons receiving (i) aid to dependent children
pursuant to title ten of article five of this chapter or, (ii) where
appropriate, foster care maintenance payments made pursuant to title
IV-E of the federal social security act; provided however, that it will
not be appropriate where such requirement will have a negative impact
upon the health, safety or welfare of such child or other individuals in
the household or impair the likelihood of the child returning to his or
her family when discharged from foster care or, (iii) home relief
pursuant to title three of article five of this chapter. Notwithstanding
any inconsistent provisions of title six of this article or any other
provisions of law, the department may enforce such assigned support
rights either directly, through social services officials or, if there
is in effect an approved agreement between the social services official
and another governmental agency, through such other agency. In any
proceeding to enforce such assignment, the official bringing such
proceeding shall have the same rights as if the proceeding were being
brought to enforce section four hundred fifteen of the family court act.
2-a. The department shall prepare a notice which shall be distributed
by social services officials to persons who may be required to assign
support rights which notice shall explain the rights and obligations
that may result from the establishment of paternity and the right of the
assignor to be kept informed, upon request, of the time, date and place
of any proceedings involving the assignor and such other information as
the department believes is pertinent. The notice shall state that the
attorney initiating the proceeding represents the department.
3. In appropriate cases, the department is authorized to utilize
support enforcement and collection and location services made available
through the secretary of health and human services, including the
services of federal courts, the federal parent locator service, the
federal case registry of child support orders, the national directory of
new hires, and the treasury department, if and so long as authorized and
required by federal law.
4. The department shall maintain and operate a parent locator service
with respect to cases being provided services pursuant to this title.
To effectuate the purposes of this subdivision, the commissioner shall
request and receive from the departments, authorities, boards, bureaus,
commissions, corporations, councils, funds, offices, or other agencies
of the state, or any of its political subdivisions, and all such
organizational entities of the state and social services districts are
hereby directed, to provide and the political subdivisions are hereby
authorized to provide, such assistance and data as will enable the
department and social services districts to properly carry out their
powers and duties to locate such parents and to enforce their liability
for the support of their children. Any records established pursuant to
the provisions of this section shall be available only to the secretary
of health and human services, office of the inspector general, social
services districts, district attorneys, county attorneys, corporation
counsels, and courts having jurisdiction in any proceeding under article
four, five, five-A, or five-B of the family court act; provided,
however, no organizational entity of the state need make available any
data or information which is otherwise required by statute to be
maintained in a confidential manner.
4-a. (a) The department shall maintain and operate a state case
registry that contains records with respect to:
(1) each case receiving services pursuant to this title; and
(2) each support order established or modified in the state on or
after the first day of October, nineteen hundred ninety-eight.
(b) For the purpose of subparagraph two of paragraph (a) of this
subdivision, the term support order means a judgment, decree, or order,
whether temporary, final, or subject to modification, issued by a court
or an administrative agency of competent jurisdiction, including any
adjusted order issued by a support collection unit, for the support and
maintenance of a child, including a child who has attained the age of
majority under the law of the issuing state, or a child and the parent
with whom the child is living, which provides for monetary support,
health care, arrearages, or reimbursement, and which may include related
costs and fees, interest and penalties, income withholding, attorney's
fees, and other relief.
(c) Each case record in the state case registry with respect to cases
described in subparagraph one of paragraph (a) of this subdivision for
which a support order has been established shall include a record of:
(1) the amount of monthly (or other periodic) support owed under the
order, and other amounts (including arrearages, interest or late payment
penalties, and fees) due or overdue under the order;
(2) any amount described in subparagraph one of this paragraph that
has been collected;
(3) the distribution of such collected amounts;
(4) the birth date of any child for whom the order requires the
provision of support; and
(5) the amount of any lien imposed with respect to the order pursuant
to section one hundred eleven-u of this article.
(d) The department shall update and monitor each case record in the
state registry described in subparagraph one of paragraph (a) of this
subdivision on the basis of:
(1) information on administrative actions and administrative and
judicial proceedings and orders relating to paternity and support;
(2) information obtained from comparison with federal, state or local
sources of information;
(3) information on support collections and distributions; and
(4) any other relevant information.
(e) Information maintained as part of the state case registry shall be
made available to other state and federal agencies as provided for in
federal statutes and regulations promulgated by the federal secretary of
health and human services.
5. (a) There shall be established for each state fiscal year a
statewide child support collections goal for amounts of collections of
support obligations pursuant to this title, which goal shall be set
forth in that portion of the state's local assistance budget intended
for the appropriation of reimbursement to social services districts
pursuant to this chapter. The commissioner shall, subject to the
approval of the director of the budget, annually allocate a portion of
the statewide goal to each social services district, which portion shall
be based upon the district's portion of the statewide aid to dependent
children program and other relevant factors.
(b) Notwithstanding any inconsistent provision of section one hundred
fifty-three of this chapter, for each social services district which
fails to meet its portion of the collection goal established by this
section, the commissioner shall deny state reimbursement for such
district's expenditures for aid to dependent children, in an amount
equal to the difference between the amount of non-federal funds such
district is required to repay to the state out of collections actually
made and the amount of non-federal funds such district would have been
required to repay to the state had it met its collection goal.
(c) Any social services district which has been determined to have
failed to meet its portion of the collection goal may request a
redetermination by the commissioner or his designee in a manner to be
established by department regulations. Upon a showing by such district
that such failure was due in whole or in part to factors other than
those administrative and processing functions or organizations which are
subject to the jurisdiction of such district's local legislative body,
the commissioner shall waive such failure in whole or in part and shall
restore all or a corresponding portion of any state reimbursement
previously denied pursuant to this section.
(d) For purposes of determining the amount of child support
collections which are attributable toward meeting a district's portion
of the statewide collections goal, any amounts collected by one social
services district on behalf of another shall be credited to the district
to which support payments have been assigned. Support payments collected
on behalf of another state or on behalf of persons not in receipt of aid
to dependent children shall not be taken into consideration in
determining whether such district has met its goal.
(e) The department may for purposes of administrative convenience set
monthly or quarterly goals based upon each district's annual goal and
may deny reimbursement on a monthly or quarterly basis, subject to a
final adjustment at the end of each year reflecting the extent to which
each such district has met its portion of the statewide annual goal.
6. When the commissioner has determined that a social services
district has failed to meet its portion of the statewide child support
collections goal, as determined in accordance with the provisions of
subdivision five of this section, or has failed to comply with the
applicable provisions of federal law and regulations, he shall notify
such district and the appropriate local legislative body of such
determination and may promulgate any regulations he determines are
necessary to improve such district's organization, administration,
management or program. Such regulations shall be fully complied with by
the effective date of such regulations.
7. The department, through the commissioner, shall enter into the
agreement provided for in section one hundred seventy-one-c of the tax
law and is authorized to furnish to the commissioner of taxation and
finance and the state tax commission such information and to take such
other actions as may be necessary to carry out the agreement provided
for in such section, for the crediting of overpayments of tax to
past-due support which is owed to persons receiving services pursuant to
this title and title six-B of this article. A person receiving services
under this title shall receive a pro rata share of the overpayment of
tax, based on the amount of past-due support owed to such person as
certified to the tax commission by the department pursuant to section
one hundred seventy-one-c of the tax law, in cases where the individual,
estate or trust owing past-due support to such person owes past-due
support to other persons or entities so certified to the tax commission
by the department. Amounts certified to the state tax commission under
such agreement may include amounts specified in subdivision eight of
this section. The amount paid by the state comptroller to the department
pursuant to subdivision one of section one hundred seventy-one-c of the
tax law shall be distributed in accordance with applicable provisions of
this chapter and the department's regulations. To the extent permitted
by federal law, the department may also certify amounts to the federal
department of health and human services for tax interception to the same
extent as it certifies amounts pursuant to such section of the tax law.
The department shall by regulation establish procedures by which any
individual, estate or trust which is the subject of a certification to
the state tax commission in accordance with such agreement may contest
such certification based on defenses that are not subject to family
court jurisdiction. Such regulations and the notice required by
subdivision four of section one hundred seventy-one-c of the tax law
shall set forth defenses which may be available to the individual,
estate or trust to contest such certification, and the manner in which a
review of the certification based on such defenses may be obtained.
8. (a) Amounts certified to the state tax commission under the
agreement described in subdivision seven of this section for persons who
are receiving services pursuant to this title may include:
(i) amounts representing delinquencies which have accrued under a
court order of support;
(ii) with respect to any court order of support made before September
first, nineteen hundred eighty-four which provided for periodic payments
toward an established arrears amount, the entire amount of such arrears
where the respondent is, at any time after September first, nineteen
hundred eighty-four, delinquent in making such periodic payments; and
(iii) with respect to any court order of support made on or after
September first, nineteen hundred eighty-four which establishes an
arrears amount, the entire amount of such arrears, unless such order
includes a finding that anticipated tax refunds pursuant to the most
recently filed state and federal tax returns have been considered by the
court and taken into account in determining the amount of periodic
payments to be made toward the arrears amount, or in determining the
amount of the current support order, and expressly provides that such
arrears are not to be so certified.
(b) For the purpose of the state child support program any payment
made by a respondent which is insufficient to fully satisfy both a
current court order of support and a periodic payment toward the balance
of any arrears amount established by court order shall be first applied
toward the current order of support or any delinquency thereon and then
toward the periodic payment on any arrears amount established by court
order unless otherwise required by federal regulation.
* 10. (a) The department, through the commissioner, shall enter into
the agreement provided for in section sixteen hundred thirteen-a of the
tax law and is authorized to furnish to the director of the lottery and
the division of the lottery such information and to take such other
actions as may be necessary to carry out the provisions of the agreement
provided for in such section, for the crediting of lottery prizes of six
hundred dollars or more to past-due support which is owed to persons
receiving services pursuant to this title. A person receiving services
under this title shall receive a pro rata share of the prize winning
based on the amount of past-due support owed to such person as provided
to the division of the lottery by the department pursuant to section
sixteen hundred thirteen-a of the tax law, in cases where the
individual, estate or trust owing past-due support to such person owes
past-due support to other persons or entities so provided to the
division of the lottery by the department. Amounts provided to the
division of the lottery under such agreement may include amounts
specified in this subdivision. The amount paid by the state comptroller
to the department pursuant to subdivision one of section sixteen hundred
thirteen-a of the tax law shall be distributed in accordance with
applicable provisions of this chapter and the department's regulations.
(b) The department shall by regulation establish procedures by which
any individual, estate or trust which is the subject of crediting of any
lottery prize of six hundred dollars or more to the state division of
the lottery in accordance with such agreement may contest such crediting
based on defenses that are not subject to family court jurisdiction.
Such regulations shall require that notice be given to the individual,
estate or trust which shall set forth:
(i) defenses which may be available to the individual, estate or trust
to contest such crediting;
(ii) the manner in which a review of the crediting of lottery prizes
of six hundred dollars or more based on such defenses may be obtained;
(iii) the address and telephone number of the local department of
social services' support collection unit which may be contacted with
respect to correction of any error in such crediting concerning such
individual's, estate's or trust's liability for past-due support or with
respect to payment of such liability; and
(iv) the time frame by which such a defense must be made.
* NB There are 2 sb 10's
* 10. The commissioner must review the child support standards act at
least once every four years to ensure that its application results in
the determination of appropriate child support amounts. As part of such
review, the commissioner must consider economic data on the cost of
raising children and analyze case data, gathered through sampling or
other methods, on the application of, and deviations from the basic
child support obligation. The analysis of the data must be used to
ensure that such deviations are limited and, if appropriate, necessary
revisions to the child support standards act must be submitted to the
legislature to accomplish such purpose.
* NB There are 2 sb 10's
11. (a) Amounts certified to the division of the lottery under the
agreement described in subdivision ten of this section for persons who
are receiving services pursuant to this title may include:
(i) amounts representing delinquencies which have accrued under a
court order of support;
(ii) with respect to any court order of support made which establishes
an arrears amount, the entire amount of such arrears.
(b) For the purpose of the state child support program any payment
made by a respondent which is insufficient to fully satisfy both a
current court order of support and a periodic payment toward the balance
of any arrears amount established by court order shall be first applied
toward the current order of support or any delinquency thereon and then
toward the periodic payment on any arrears amount established by court
order unless otherwise required by federal regulation.
* 12. (a) The department, through the commissioner, shall enter into
the agreement provided for in section five hundred ten of the vehicle
and traffic law and is authorized to furnish to the commissioner of
motor vehicles such information and to take such actions as may be
necessary to carry out the agreement provided for in such section, for
the enforcement of child support orders through the suspension of
delinquent obligors' driving privileges.
(b) (1) When a support obligor who is or was under a court order to
pay child support or combined child and spousal support to a support
collection unit on behalf of persons receiving services under this title
has accumulated support arrears equivalent to or greater than the amount
of support due pursuant to such order for a period of four months, the
office of temporary and disability assistance shall notify the support
obligor in writing that his or her continued failure to pay the support
arrears shall result in notification to the department of motor vehicles
to suspend the support obligor's driving privileges unless the support
obligor complies with the requirements set forth in paragraph (e) of
this subdivision. For purposes of determining whether a support obligor
has accumulated support arrears equivalent to or greater than the amount
of support due for a period of four months, the amount of any
retroactive support, other than periodic payments of retroactive support
which are past due, shall not be included in the calculation of support
arrears pursuant to this section; however, if at least four months of
support arrears have accumulated subsequent to the date of the court
order, the entire amount of any retroactive support may be collected
pursuant to the provisions of this subdivision or as otherwise
authorized by law.
(2) The department shall provide the notice required by subparagraph
one of this paragraph by first class mail to the support obligor's last
known address or such other place where the support obligor is likely to
receive notice, or in the same manner as a summons may be served.
Forty-five days after the date of such notice, if the support obligor
has not challenged the determination of the support collection unit
pursuant to subparagraph one of paragraph (d) of this subdivision or if
the support obligor has failed to satisfy the arrears/past due support
or to otherwise comply with the requirements set forth in paragraph (e)
of this subdivision, the department shall notify the department of motor
vehicles that the support obligor's driving privileges are to be
suspended pursuant to section five hundred ten of the vehicle and
traffic law. Upon the support obligor's compliance with the provisions
of paragraph (e) of this subdivision, the department shall advise the
department of motor vehicles within five business days that the
suspension of the support obligor's driving privileges shall be
terminated. If the support obligor appears in person at the support
collection unit to satisfy the requirements of paragraph (e) of this
subdivision, the support collection unit shall immediately provide a
notice of compliance to the support obligor, in addition to the notice
sent directly to the department of motor vehicles.
(3) Notwithstanding the requirements of this subdivision, no notice
shall be issued by the department pursuant to subparagraph one of this
paragraph to a support obligor from whom support payments are being
received by the support collection unit as a result of an income
execution or an income deduction order issued pursuant to section five
thousand two hundred forty-one or five thousand two hundred forty-two of
the civil practice law and rules.
(c) The notice provided to a support obligor by the department
pursuant to paragraph (b) of this subdivision shall contain the caption
of the order of support, the date the order of support was entered, the
court in which it was entered, the amount of the periodic payments
directed, and the amount of arrears/past due support. In addition, the
notice shall include:
(1) an explanation of the action required pursuant to paragraph (e) of
this subdivision to be taken by the support obligor to avoid the
suspension of his or her driving privileges;
(2) a statement that forty-five days after the date of the notice, the
department of motor vehicles will be notified to suspend the support
obligor's driving privileges unless the support obligor may challenge
the support collection unit's determination as set forth in paragraph
(d) of this subdivision within forty-five days of the date of such
notice; a statement of the manner in which the support obligor may
challenge the determination, and a statement that if the support obligor
challenges the determination, a review will be completed by the support
collection unit within seventy-five days of the date of the notice;
(3) a statement that if the support obligor does not challenge the
support collection unit's determination then the department of motor
vehicles shall be notified to suspend the support obligor's driving
privileges unless the support obligor contacts the support collection
unit to arrange for full payment or commencement of satisfactory payment
arrangements on the arrears/past due support, or to comply otherwise
with the requirements set forth in paragraph (e) of this subdivision,
within forty-five days of the date of the notice;
(4) the address and telephone number of the support collection unit
that the support obligor may contact to request information about a
challenge or to comply with the requirements set forth in paragraph (e)
of this subdivision;
(5) a statement that the suspension of driving privileges will
continue until the support obligor pays the support arrears or complies
otherwise with the requirements set forth in paragraph (e) of this
subdivision; and
(6) a statement printed in boldface type that the support obligor's
intentional submission of false written statements to the support
collection unit for the purpose of frustrating or defeating the lawful
enforcement of support obligations is punishable pursuant to section
175.35 of the penal law.
(d) (1) A support obligor may challenge in writing the correctness of
the determination of the support collection unit that the obligor's
driving privileges should be suspended, and in support of the challenge
may submit documentation demonstrating mistaken identity, error in
calculation of arrears, financial exemption from license suspension
pursuant to the conditions enumerated in paragraph (e) of this
subdivision, the absence of an underlying court order to support such
determination, or other reason that the person is not subject to such
determination. Such documents may include but are not limited to a copy
of the order of support pursuant to which the obligor claims to have
made payment, other relevant court orders, copies of cancelled checks,
receipts for support payments, pay stubs or other documents identifying
wage withholding, and proof of identity. The support collection unit
shall review the documentation submitted by the support obligor, shall
adjust the support obligor's account if appropriate, and shall notify
the support obligor of the results of the review initiated in response
to the challenge within seventy-five days from the date of the notice
required by paragraph (b) of this subdivision. If the support collection
unit's review indicates that the determination to suspend driving
privileges was correct, the support collection unit shall notify the
support obligor of the results of the review and that the support
obligor has thirty-five days from the date of mailing of such notice to
satisfy the full amount of the arrears or commence payment of the
arrears/past due support as specified in paragraph (e) of this
subdivision and if the support obligor fails to do so, the support
collection unit shall notify the department of motor vehicles to suspend
the support obligor's driving privileges pursuant to section five
hundred ten of the vehicle and traffic law. The support obligor shall be
further notified that if the support obligor files objections with the
family court and serves these objections on the support collection unit
within thirty-five days from the date of mailing of the notice denying
the challenge pursuant to subdivision five of section four hundred
fifty-four of the family court act, the support collection unit shall
not notify the department of motor vehicles to suspend the support
obligor's driving privileges until fifteen days after entry of judgement
by the family court denying the objections.
(2) A support obligor may within thirty-five days of mailing of the
notice denying his or her challenge by the support collection unit
request that the family court review the support collection unit's
determination pursuant to subdivision five of section four hundred
fifty-four of the family court act. If the support obligor requests the
family court to review the determination of the support collection unit,
the support collection unit shall not notify the department of motor
vehicles to suspend the support obligor's driving privileges until
fifteen days after mailing of a copy of the judgment by the family court
to the support obligor denying the objections.
(e) A support obligor who has received a notice that his or her
driving privileges shall be suspended may avoid the suspension by:
(1) making full payment of all arrears/past due support to the support
collection unit; or
(2) making satisfactory payment arrangements with the support
collection unit for payment of the arrears/past due support and the
current support obligation. "Satisfactory payment arrangements" shall
mean:
(i) execution of a confession of judgment for the total balance of the
arrears/past due support; and
(ii) execution of a verified statement of net worth on a form
prescribed by the commissioner setting forth the obligor's income from
all sources, liquid assets and holdings, copies of the obligor's drivers
license, most recent federal and state tax return, and a representative
pay stub, and an eighteen month employment history; and
(iii) execution and verification of a stipulation that the obligor
will notify the support collection unit of all future changes of address
until such time as the obligation to pay support is terminated; and
(iv) payment of support to the support collection unit by income
execution pursuant to section five thousand two hundred forty-one of the
civil practice law and rules, which shall include deductions sufficient
to ensure compliance with the direction in the order of support and
shall include an additional amount to be applied to the reduction of
arrears as required by subdivision (b) of such section, or by execution
of an agreement for payment of the arrears/past due support and any
current support directly to the support collection unit in an amount
which is consistent with that which would have been made under such an
income execution; provided however, that where the support obligor fails
to comply with the agreement, he/she may avoid or terminate the
suspension of driving privileges only by making at least fifty percent
payment of all arrears/past due support to the support collection unit
and in addition, entering into a payment plan pursuant to this
subdivision with the support collection unit within fifteen days.
However, in any case when the support obligor fails to comply with a
payment plan as described herein more than once within twelve months,
the obligor must pay the balance of all arrears/past due support to
avoid or terminate license suspension. "Failure to comply" for these
purposes shall mean missing payments in an amount equivalent to four
months of support under the payment plan, unless the support obligor
demonstrates that he or she has filed a petition for modification that
is pending; or
(3) providing documentation that shows the support obligor is
receiving public assistance or supplemental security income; or
(4) providing to the support collection unit the documentation
required by clauses (i) through (iii) of subparagraph two of this
paragraph, where such documentation is sufficient for the support
collection unit to determine:
(i) that the support obligor's income, as defined by subparagraph five
of paragraph (b) of subdivision one of section four hundred thirteen of
the family court act, falls below the self-support reserve as defined by
subparagraph six of paragraph (b) of subdivision one of section four
hundred thirteen of the family court act; or
(ii) that the amount of the support obligor's income, as defined by
subparagraph five of paragraph (b) of subdivision one of section four
hundred thirteen of the family court act, remaining after the payment of
the current support obligation would fall below the self-support reserve
as defined by subparagraph six of paragraph (b) of subdivision one of
section four hundred thirteen of the family court act.
(f) A support obligor who alleges that he or she has not received
actual notice pursuant to paragraph one of subdivision (b) of this
section and whose driving privileges were suspended may at any time
request a review pursuant to subdivision (d) of this section or comply
with the requirements of subdivision (e) of this section, and upon a
determination that he or she has not accumulated support arrears
equivalent to or greater than the amount of support due for a period of
four months or that he or she meets the requirements of subdivision (e)
of this section, the department shall notify the department of motor
vehicles that the suspension of driving privileges shall be terminated.
* NB Repealed August 31, 2027
13. (a) The commissioner shall enter into the agreement provided for
in section one hundred seventy-one-g of the tax law and is authorized to
furnish to the commissioner of taxation and finance any information, and
to take such other actions, as may be necessary to carry out the
agreement provided for in such section, for the purpose of reviewing
support orders pursuant to subdivision twelve of section one hundred
eleven-h of this title.
(b) Information obtained under paragraph (a) of this subdivision shall
be confidential and shall not be disclosed to persons or agencies other
than those entitled to such information when such disclosure is
necessary for the proper administration of the child support enforcement
program pursuant to this title.
14. For purposes of this subdivision, the department or, pursuant to
contract, a fiscal agent is authorized to collect and disburse any
support paid pursuant to any order of child support or combined child
and spousal support issued on or after the first day of January,
nineteen hundred ninety-four under the provisions of section two hundred
thirty-six or two hundred forty of the domestic relations law, or
article four, five, five-A or five-B of the family court act, and which
the court has ordered to be paid pursuant to an income execution issued
by the sheriff, the clerk of the court, or the attorney for the creditor
pursuant to subdivision (c) of section five thousand two hundred
forty-one of the civil practice law and rules or an income deduction
order issued by the court pursuant to subdivision (c) of section five
thousand two hundred forty-two of the civil practice law and rules. Such
support received shall be disbursed within two business days of receipt.
The department shall maintain records of its collection and disbursement
of such support and furnish such records to the parties to the order
upon request. The department shall be entitled to collect an annual
service fee not to exceed the maximum fee permitted pursuant to federal
law for its provision of such services. Funds received in satisfaction
of such fee shall be deposited in an account and shall be made available
to the department for costs incurred in the implementation of this
section. The department shall not furnish any additional services to the
parties; however, a party seeking child support services may apply for
such services pursuant to section one hundred eleven-g of this title.
The department shall not be responsible for the collection and
disbursement of any support until after it has received a copy of the
income execution from the sheriff, the clerk of the court, or the
attorney for the creditor or a copy of the income deduction order issued
by the court and the person entitled to the payment of support pursuant
to the order of support has submitted payment of the annual service fee
if any, and unless its records show that it has received such support on
behalf of the parties to the order, and that the party to whom the funds
are to be disbursed has provided the department with any address
changes.
15. (a) The department, through the commissioner, shall enter into the
agreement provided for in section one hundred seventy-one-i of the tax
law and is authorized to furnish to the commissioner of taxation and
finance such information and to take such other actions as may be
necessary to carry out such agreement.
(b) (1) When a support obligor who is or was under a court order to
pay child support or combined child and spousal support to a support
collection unit on behalf of persons receiving services under this title
has accumulated support arrears equivalent to or greater than the amount
of support due pursuant to such order for a period of four months, the
office of temporary and disability assistance shall notify the support
obligor in writing that his or her continued failure to fully pay the
support arrears shall result in notification to the department of
taxation and finance that they are authorized to collect such arrearage.
For purposes of determining whether a support obligor has accumulated
support arrears equivalent to or greater than the amount of support due
for a period of four months, the amount of any retroactive support,
other than periodic payments of retroactive support which are past due,
shall not be included in the calculation of support arrears pursuant to
this section; however, if at least four months of support arrears have
accumulated subsequent to the date of the court order, the entire amount
of any retroactive support may be collected pursuant to the provisions
of this subdivision or as otherwise authorized by law.
(2) The department shall provide the notice required by subparagraph
one of this paragraph by first class mail to the support obligor's last
known address or such other place where the support obligor is likely to
receive notice by first class mail. Forty-five days after the date of
such notice, if the support obligor has not challenged the determination
of the support collection unit pursuant to subparagraph one of paragraph
(d) of this subdivision or if the support obligor has failed to satisfy
the arrears, the department shall notify the department of taxation and
finance that the support obligor's support arrearage are authorized to
be collected as prescribed in subparagraph one of this paragraph.
(3) Notwithstanding the requirements of this subdivision, no notice
shall be issued by the department pursuant to subparagraph one of this
paragraph to a support obligor from whom support payments are being
received by the support collection unit as a result of an income
execution or an income deduction order issued pursuant to section five
thousand two hundred forty-one or five thousand two hundred forty-two of
the civil practice law and rules.
(c) The notice provided to a support obligor by the department
pursuant to paragraph (b) of this subdivision shall contain the caption
of the order of support, the date the order of support was entered, the
court in which it was entered, the amount of the periodic payments
directed, and the amount of arrears. In addition, the notice shall
include:
(1) a statement that unless the support arrears are satisfied within
forty-five days after the date of the notice, the department of taxation
and finance will be notified that they are authorized to commence
collection action unless the support obligor challenges the support
collection unit's determination as set forth in paragraph (d) of this
subdivision within forty-five days of the date of such notice; a
statement of the manner in which the support obligor may challenge the
determination, and a statement that if the support obligor challenges
the determination, a review will be completed by the support collection
unit within seventy-five days of the date of the notice;
(2) a statement that if the support obligor does not challenge the
support collection unit's determination then the department of taxation
and finance shall be notified that they are authorized to commence
collection action unless the support obligor contacts the support
collection unit to arrange for full payment of the arrears;
(3) the address and telephone number of the support collection unit
that the support obligor may contact to request information about a
challenge to the determination of the support collection unit;
(4) a statement that the collection actions by the department of
taxation and finance is authorized to continue until the support obligor
pays the support arrears; and
(5) a statement printed in boldface type that the support obligor's
intentional submission of false written statements to the support
collection unit for the purpose of frustrating or defeating the lawful
enforcement of support obligations is punishable pursuant to section
175.35 of the penal law.
(d) A support obligor who has received a notice that his or her
support arrearage shall be referred to the department of taxation and
finance for collection action may avoid such action by making payment of
all arrears to the support collection unit; providing documentation that
shows the support obligor is receiving public assistance, medical
assistance, food stamps or supplemental security income; or providing to
the support collection unit the documentation sufficient for the support
collection unit to determine:
(1) an error in the calculation of the obligor's support arrears which
would render the obligor ineligible for collection by the department of
taxation and finance; or
(2) a mistake in the identity of the obligor showing that the
individual making the challenge is not the obligor identified by the
department; or
(3) the absence of an underlying court order for support pursuant to
which the obligor's arrears gave rise to eligibility for collection
action on such arrears by the department of taxation and finance.
16. Bureaus of special hearings; child support unit. (a) The
department is authorized to establish a bureau of special hearings;
child support unit solely for the purposes of providing administrative
law judges to decide objections to the determination of a support
collection unit to refer an obligor's arrears to the department of
taxation and finance for collection pursuant to subdivision nineteen of
section one hundred eleven-h of this title. The administrative law
judges employed by the unit shall serve exclusively within the unit and
shall not be utilized for any purpose other than those described in this
subdivision and shall be salaried employees of the department and shall
not be removed from such unit except for cause.
(b) The unit shall review a support collection unit's denial of a
challenge made by a support obligor pursuant to paragraph two of
subdivision nineteen of section one hundred eleven-h of this title if
objections thereto are filed by a support obligor who has received
notice that the department intends to notify the department of taxation
and finance to collect such support obligor's support arrears. Specific
written objections to a support collection unit's denial must be
submitted by the support obligor to the unit within thirty days of the
date of the notice of the support collection unit's denial. A support
obligor who files such objections shall serve a copy of the objections
upon the support collection unit, which shall have ten days from such
service to file a written rebuttal to such objections and a copy of the
record upon which the support collection unit's denial was made,
including all documentation submitted by the support obligor. Proof of
service shall be filed with the unit at the time of filing of objections
and any rebuttal. The unit's review shall be based solely upon the
record and submissions of the support obligor and the support collection
unit upon which the support collection unit's denial was made. Within
fifteen days after the rebuttal, if any, is filed, an administrative law
judge of the unit shall (i) deny the objections and remand to the
support collection unit or (ii) affirm the objections if the
administrative law judge finds the determination of the support
collection unit is based upon an erroneous determination of fact by the
support collection unit. Such decision shall pertain solely to the
mistaken identity of the obligor, a prejudicial error in the calculation
of the obligor's arrears, the obligor's financial exemption from
collection of support arrears by the department of taxation and finance
or the absence of an underlying court order establishing arrears to
support eligibility for such enforcement. Upon an affirmation of the
objections the administrative law judge shall direct the support
collection unit not to notify the department of taxation and finance of
their authority to collect the support obligor's arrears. Provisions set
forth in this subdivision relating to procedures for hearing objections
by the unit shall apply solely to such cases and not affect or modify
any other procedure for review or appeal of administrative enforcement
of child support requirements. The decision of the administrative law
judge pursuant to this section shall be final and not reviewable by the
commissioner, and shall be reviewable only pursuant to article
seventy-eight of the civil practice law and rules.
17. Special services for review and adjustment. The department shall
develop procedures for and require local social services districts to
dedicate special staff to the review and adjustment of child support
orders entered prior to September fifteenth, nineteen hundred
eighty-nine on behalf of children in receipt of public assistance or
child support services pursuant to section one hundred eleven-g of this
title. Such review and adjustment shall be performed pursuant to
subdivisions twelve, thirteen, fourteen, fifteen and sixteen of section
one hundred eleven-h of this title. All such cases shall be reviewed and
if necessary adjusted no later than December thirty-first, two thousand.
Functions, powers and duties of social services officials.
1. Each social services district shall establish a single organizational
unit which shall be responsible for such district's activities in
assisting the state in the location of absent parents, establishment of
parentage and enforcement and collection of support in accordance with
the regulations of the department.
2. Each social services district shall:
a. obtain assignments to the state and to such district of support
rights of each applicant for or recipient of public assistance required
to execute such an assignment as a condition of receiving assistance;
b. report to the state all recipients of public assistance with
respect to whom a parent has been reported absent from the household;
c. obtain information regarding the income and resources of absent
parents whose whereabouts are known, and shall have access to the
statement of net worth filed pursuant to section four hundred
twenty-four-a of the family court act and supporting documentation in
any case where support collection services are being provided as may be
necessary to ascertain their ability to support or contribute to the
support of their dependents;
d. enforce support obligations owed to the state and to the social
services district pursuant to subdivision two of section one hundred
eleven-b of this title; and disburse amounts collected as support
payments in accordance with the provisions of this chapter and the
regulations of the department, including the disbursement to the family
in receipt of public assistance of up to the first one hundred dollars
for one child, and up to the first two hundred dollars for two or more
children, collected as current support;
e. make periodic reports and perform such other functions in
accordance with the regulations of the department as may be necessary to
assure compliance with federal child support program requirements.
f. confer with a potential respondent, respondent or other interested
person in a proceeding under article four, five, five-A or five-B of the
family court act in an attempt to obtain support payments from such
potential respondent or respondent;
g. obtain from respondent, when appropriate and in accordance with the
procedures established by section one hundred eleven-k of this chapter,
an acknowledgement of parentage or an agreement to make support
payments, or both;
h. report periodically to consumer reporting agencies (as defined in
section 603(f) of the Fair Credit Reporting Act (15 U.S.C. 1681a(f))
information regarding past-due support owed by the parent owing support.
Such information must be made available whenever a parent who owes
past-due support, and shall indicate the name of the parent and the
amount of the delinquency. However, such information shall not be made
available to (i) a consumer reporting agency that the office determines
does not have sufficient capability to systematically and timely make
accurate use of such information, or (ii) an entity that has not
furnished evidence satisfactory to the office that the entity is a
consumer reporting agency. In determining whether a consumer reporting
agency lacks sufficient capability to systematically and timely make
accurate use of such information, the office may require such agency to
demonstrate its ability to comply with the provisions of section three
hundred eighty-j of the general business law and any other requirements
the office may prescribe by regulation. A social services official, at
least ten days prior to making the information available to a consumer
reporting agency, must provide notice to the parent who owes the support
informing such parent of the proposed release of the information to the
consumer reporting agency and informing such parent of the opportunity
to be heard and the methods available for contesting the accuracy of the
information.
3. Notwithstanding the foregoing, the social services official shall
not be required to establish the parentage of any child born
out-of-wedlock, or to secure support for any child, with respect to whom
such official has determined that such actions would be detrimental to
the best interests of the child, in accordance with procedures and
criteria established by regulations of the department consistent with
federal law.
4. a. A social services district represents the interests of the
district in performing its functions and duties as provided in this
title and not the interests of any party. The interests of a district
shall include, but are not limited to, establishing parentage, and
establishing, modifying and enforcing child support orders.
b. Notwithstanding any other provision of law, the provision of child
support services pursuant to this title does not constitute nor create
an attorney-client relationship between the individual receiving
services and any attorney representing or appearing for the district. A
social services district shall provide notice to any individual
requesting or receiving services that the attorney representing or
appearing for the district does not represent the individual and that
the individual has a right to retain his or her own legal counsel.
c. A social services district may appear in any action to establish
parentage, or to establish, modify, or enforce an order of support when
an individual is receiving services under this title.
State reimbursement. 1. The provisions of section one
hundred fifty-three of this chapter shall be applicable to expenditures
by social services districts for activities related to the establishment
of paternity of children born out-of-wedlock, the location of deserting
parents and the enforcement and collection of support obligations owed
to recipients of aid to dependent children and persons receiving
services pursuant to section one hundred eleven-g of this title.
2. The local share of expenditures incurred by the department for the
provision of centralized collection and disbursement services pursuant
to section one hundred eleven-h of this title shall be charged back to
social services districts. The local share shall be fifty per centum of
the amount expended by the department after first deducting therefrom
any federal funds properly received or to be received on account
thereof; provided, however, that a social services district's share of
the costs related to the centralized collection and disbursement
functions shall not exceed those incurred for the year immediately
preceding implementation of such functions, except to the extent to
which those costs would have increased had centralization of collection
and disbursement functions not occurred.
Reimbursement to the state. 1. A share of any support
payments collected by the social services official, less any amount
disbursed to the family receiving family assistance, shall, subject to
section one hundred eleven-f, be paid to the state as reimbursement
toward the amount contributed by the state and federal governments to
assistance furnished to such family. Such share shall bear the same
ratio to the amounts collected as the state and federal funds bear to
assistance granted.
2. Whenever one social services district makes collections on behalf
of a person or family for whom another social services district or
another state is responsible for providing assistance, the amount
collected shall be paid to the district or such other state responsible
for providing such assistance, in accordance with the regulations of the
department.
Federal incentives. The department is authorized to
distribute to local districts the full amount of federal incentive
payments received under title IV-D of the federal social security act.
Availability of paternity and support services. 1. The office
of temporary and disability assistance and the social services
districts, in accordance with the regulations of the office of temporary
and disability assistance, shall make services relating to the
establishment of paternity and the establishment and enforcement of
support obligations available to persons not receiving family assistance
upon application by such persons. Such persons must apply by (i)
completing and signing a form as prescribed by the office of temporary
and disability assistance, or (ii) filing a petition with the court or
applying to the court in a proceeding for the establishment of paternity
and/or establishment and/or enforcement of a support obligation, which
includes a statement signed by the person requesting services clearly
indicating that such person is applying for child support enforcement
services pursuant to this title.
2. The office of temporary and disability assistance may, by
regulation, require payment of an application fee for such services and
the deduction of costs in excess of such fee from amounts collected on
behalf of such persons.
3. (a) A person who is receiving child support services pursuant to
this section who has never received assistance pursuant to title IV-A of
the federal social security act shall be subject to an annual service
fee of thirty-five dollars for each child support case if at least five
hundred fifty dollars of support has been collected in the federal
fiscal year. Where a custodial parent has children with different
noncustodial parents, the order payable by each noncustodial parent
shall be a separate child support case for the purpose of imposing an
annual service fee. The fee shall be deducted from child support
payments received on behalf of the individual receiving services.
(b) In international cases under section 454(32) of the federal social
security act which meet the criteria for imposition of the annual
service fee under paragraph (a) of this subdivision, the annual service
fee shall be imposed but may not be collected from the country
requesting services or a person living in another country unless
permitted by federal law or regulation.
Support collection unit. 1. Each social services district
shall establish a support collection unit in accordance with regulations
of the department to collect, account for and disburse funds paid
pursuant to any order of child support or child and spousal support
issued under the provisions of section two hundred thirty-six or two
hundred forty of the domestic relations law, or article four, five,
five-A or five-B of the family court act; provided however, that the
department, subject to availability of funds, shall furnish centralized
collection and disbursement services for and on behalf of each social
services district. Until such time as the department performs collection
and disbursement functions for a particular social services district,
that social services district shall continue to perform those functions.
* 2. The support collection unit shall inform the petitioner and
respondent of any case in which a required payment has not been made
within two weeks after it was due and shall assist in securing voluntary
compliance with such orders or in preparation and submission of a
petition for a violation of a support order. Upon the written request of
the debtor, the support collection unit shall issue an income execution
as provided in section fifty-two hundred forty-one of the civil practice
law and rules, except that the provisions of subdivisions (d) and (e)
thereof shall not apply. Upon receipt of written revocation of such
request, the support collection unit shall notify the employer or income
payor that the levy is no longer effective, and the execution shall be
returned.
* NB There are 2 sb 2's
* 2. The support collection unit shall establish a system that will
allow it to inform the petitioner and respondent of any case in which a
required payment has not been made within two weeks after it was due and
to assist in securing voluntary compliance with such orders or in
preparation and submission of a petition for a violation of a support
order, and shall implement such system no later than July first,
nineteen hundred seventy-eight based on a plan submitted to and approved
by the department on or before December first, nineteen hundred
seventy-seven.
* NB Expired January 1, 1978 (There are 2 sb 2's)
3. The support collection unit shall require that a person applying
for child support enforcement services provide his or her name, address
and social security number and disclose whether he or she is in receipt
of safety net assistance or family assistance; provided, however, that a
social security number may be required only where permitted under
federal law.
4. Any and all moneys paid into the support collection unit pursuant
to an order of support made under the family court act or the domestic
relations law, where the petitioner is not a recipient of public
assistance, shall upon payment into such support collection unit be
deemed for all purposes to be the property of the person for whom such
money is to be paid.
5. Except as provided in subdivision six of this section, any funds
paid to a support collection unit established by a social services
district which have not been disbursed after two years of diligent
efforts to locate the person entitled to such funds shall be paid to the
state comptroller in accordance with subdivision seven of this section
unless information has been received that is likely to lead to the
location of the person who is entitled to such funds; provided, however,
where the support collection unit determines that the person entitled to
the funds is deceased and cannot locate an estate for the person
entitled to the funds, or the estate does not claim the funds, such
funds may be paid to the state comptroller in accordance with
subdivision seven of this section without two years of diligent efforts.
6. Any funds paid to a support collection unit established by a social
services district for which the remitter of such funds has not provided
sufficient identifying information to associate the funds with an
existing or previously existing child support account, and such
information cannot be determined after diligent efforts, shall be paid
to the state comptroller in accordance with subdivision seven of this
section.
7. In the month of April, on or before the tenth day thereof, such
payment shall be delivered to the state comptroller pursuant to section
thirteen hundred eighteen of the abandoned property law, and shall be
accompanied by a written report, affirmed as true and accurate under the
penalty of perjury, classified as the state comptroller shall prescribe,
setting forth: (a) the names and last known addresses, if any, of the
persons entitled to receive such abandoned property; (b) the title of
any proceeding relating to such abandoned property; and (c) such other
identifying information as the state comptroller may require.
8. Banks and other fiduciary institutions are authorized and required
to report to the support collection unit, when so requested, full
information relative to any fund therein deposited by a petitioner or
respondent in a proceeding under section two hundred thirty-six or two
hundred forty of the domestic relations law or article five-B of the
family court act, where there is an order of support payable through the
support collection unit or article four, five or five-A of the family
court act.
9. Employers are authorized and required to report to the support
collection unit, when so requested, full information as to the earnings
of a petitioner or respondent in a proceeding under section two hundred
thirty-six or two hundred forty of the domestic relations law or article
five-B of the family court act, where there is an order of support
payable through the support collection unit or article four, five,
five-A or five-B of the family court act. Employers also are authorized
and required to report to the support collection unit, when so
requested, information relating to any group health plans available for
the provision of care or other medical benefits by insurance or
otherwise for the benefit of the employee and/or the child or children
for whom such parties are legally responsible for support.
10. The support collection unit is authorized and required to report
to the family court, when so requested, full information relative to
amounts paid or any arrearages by a respondent in a proceeding under
articles four, five, five-A or article five-B of the family court act.
11. The department may provide for the performance of the collection
and disbursement functions of the support collection units by contract
with a fiscal agent. For purposes of any reference to support collection
unit in this chapter or any other law, the fiscal agent under contract
with the department shall be deemed to be part of all support collection
units for which the fiscal agent performs collection and disbursement
functions.
12. The support collection unit shall undertake a public service
campaign as soon as practicable to inform citizens of the possibility of
driver, business and professional license suspension for support
enforcement.
13. (1) A support obligor may challenge in writing the correctness of
the determination of the support collection unit pursuant to this
section and section one hundred seventy-one-i of the tax law that the
obligor's arrearage should be collected through the department of
taxation and finance, and in support of the challenge may submit
documentation demonstrating mistaken identity, error in calculation of
arrears, financial exemption from such collection, the absence of an
underlying court order establishing arrears to support such
determination. Such documents may include a copy of the order of support
pursuant to which the obligor claims to have made payment, other
relevant court orders, copies of cancelled checks, receipts for support
payments, pay stubs or other documents identifying wage withholding,
proof of identity, and like documents. The support collection unit shall
review the documentation submitted by the support obligor, shall adjust
the support obligor's account if appropriate, and shall notify the
support obligor of the results of the review initiated in response to
the challenge within seventy-five days from the date of the notice
required. If the support collection unit's review indicates that the
determination to refer to the department of taxation and finance for
collection was correct, the support collection unit shall notify the
support obligor of the results of the review and that the support
obligor has thirty days from the date of such notice to satisfy the full
amount of the arrears. If the support obligor fails to do so, the
support collection unit shall notify the department of taxation and
finance that they are authorized to commence collection of the arrears.
The support obligor shall be further notified that if the support
obligor files objections to the review determination of the support
collection unit with the bureau of special hearings; child support unit
of the department pursuant to subdivision sixteen of section one hundred
eleven-b of this title, and serves these objections on the support
collection unit within thirty days from the date of notice denying the
challenge, the support collection unit shall not notify the department
of taxation and finance of their authority to collect the arrearages
until fifteen days after receipt of a decision by the administrative law
judge pursuant to such section.
(2) A support obligor may within thirty days of the date of notice
denying his or her challenge by the support collection unit file
objections to such denial with the bureau of special hearings; child
support unit of the department which shall review the support collection
unit's determination to refer the obligor's case to the department of
taxation and finance for collection pursuant to subdivision sixteen of
section one hundred eleven-b of this title. If the support obligor
timely files such objections with such bureau the support collection
unit shall not notify the department of taxation and finance of their
authority to collect the arrearages until fifteen days after entry of an
order by the administrative law judge denying the objections.
14. If the support obligor is required to participate in work programs
pursuant to section four hundred thirty-seven-a of the family court act,
and the court enters an order of support on behalf of the persons in
receipt of public assistance, the support collection unit shall not file
a petition to increase the support obligation for twelve months from the
date of entry of the order of support if the support obligor's income is
derived from participation in such programs.
Child support standards. 1. Each social services district
shall ascertain the ability of an absent parent to support or contribute
to the support of his or her children, in accordance with the statewide
child support standards as set forth in subdivision one of section four
hundred thirteen of the family court act.
2. (a) The commissioner shall publish annually a child support
standards chart. The child support standards chart shall include: (i)
the revised poverty income guideline for a single person as reported by
the federal department of health and human services; (ii) the revised
self-support reserved as defined in section two hundred forty of the
domestic relations law; (iii) the dollar amounts yielded through
application of the child support percentage as defined in section two
hundred forty of the domestic relations law and section four hundred
thirteen of the family court act; and (iv) the combined parental income
amount.
(b) The combined parental income amount to be reported in the child
support standards chart and utilized in calculating orders of child
support in accordance with subparagraph two of paragraph (c) of
subdivision one of section four hundred thirteen of the family court act
and subparagraph two of paragraph (c) of subdivision one-b of section
two hundred forty of the domestic relations law as of January
thirty-first, two thousand fourteen shall be one hundred forty-one
thousand dollars; provided, however, beginning March first, two thousand
sixteen and every two years thereafter, the combined parental income
amount shall increase by the sum of the average annual percentage
changes in the consumer price index for all urban consumers (CPI-U) as
published by the United States department of labor bureau of labor
statistics for the prior two years multiplied by the current combined
parental income amount and then rounded to the nearest one thousand
dollars.
(c) The commissioner shall publish the child support standards chart
on an annual basis by April first of each year and in no event later
than forty-five days following publication of the annual poverty income
guideline for a single person as reported by the federal department of
health and human services.
Interception of unemployment insurance benefits. 1. (a) The
department shall determine on a periodic basis whether any individual
receiving unemployment insurance benefits pursuant to article eighteen
of the state's labor law owes child support obligations which are being
enforced by the department or the child support enforcement unit of a
social services district and shall enforce any child support obligations
which are owed by such individual but are not being met through an
agreement with such individual to have specific amounts withheld from
such benefits otherwise payable to such individual and by submitting a
copy of such agreement to the New York state department of labor.
(b) In the absence of such an agreement, the department shall enforce
any such child support obligations as authorized by the court in any
order establishing such obligations and as otherwise provided by law.
2. Any amounts of unemployment insurance benefits deducted, withheld
and paid over by the department of labor pursuant to section five
hundred ninety-six of the labor law shall be treated as if it were paid
to the person entitled to such compensation and paid by such person to
the department or appropriate child support collection unit toward
satisfaction of such person's child support obligations. Each agency or
district receiving payments deducted by the department of labor shall
reimburse that department for the administrative costs attributable
thereto.
Procedures relating to acknowledgments of parentage,
agreements to support, and genetic tests. 1. A social services official
or his or her designated representative who confers with a potential
respondent or respondent, hereinafter referred to in this section as the
"respondent", the mother of a child born out of wedlock and any other
interested persons, pursuant to section one hundred eleven-c of this
title, may obtain:
(a) an acknowledgment of parentage of a child, as provided for in
article five-B or section five hundred sixteen-a of the family court
act, by a written statement, witnessed by two people not related to the
signator or as provided for in section four thousand one hundred
thirty-five-b of the public health law. Prior to the execution of such
acknowledgment by the child's mother and the respondent, they shall be
advised, orally, which may be through the use of audio or video
equipment, and in writing, of the consequences of making such an
acknowledgment. Upon the signing of an acknowledgment of parentage
pursuant to this section, the social services official or his or her
representative shall file the original acknowledgment with the
registrar.
(b) an agreement to make support payments as provided in section four
hundred twenty-five of the family court act. Prior to the execution of
such agreement, the respondent shall be advised, orally, which may be
through the use of audio or video equipment, and in writing, of the
consequences of such agreement, that the respondent can be held liable
for support only if the family court, after a hearing, makes an order of
support; that respondent has a right to consult with an attorney and
that the agreement will be submitted to the family court for approval
pursuant to section four hundred twenty-five of the family court act;
and that by executing the agreement, the respondent waives any right to
a hearing regarding any matter contained in such agreement.
2. (a) When the paternity of a child is contested, a social services
official or designated representative may order the mother, the child,
and the alleged father to submit to one or more genetic marker or DNA
tests of a type generally acknowledged as reliable by an accreditation
body designated by the secretary of the federal department of health and
human services and performed by a laboratory approved by such an
accreditation body and by the commissioner of health or by a duly
qualified physician to aid in the determination of whether or not the
alleged father is the father of the child. The order may be issued prior
or subsequent to the filing of a petition with the court to establish
paternity, shall be served on the parties by certified mail, and shall
include a sworn statement which either (i) alleges parentage and sets
forth facts establishing a reasonable possibility of the requisite
sexual contact between the parties, or (ii) denies parentage and sets
forth facts establishing a reasonable possibility that the party is not
the father. The parties shall not be required to submit to the
administration and analysis of such tests if they sign a voluntary
acknowledgment of parentage in accordance with paragraph (a) of
subdivision one of this section, or if there has been a written finding
by the court that it is not in the best interests of the child on the
basis of res judicata, equitable estoppel, the child was conceived
through assisted reproduction or the presumption of legitimacy of a
child born to a married person.
(b) The record or report of the results of any such genetic marker or
DNA test may be submitted to the family court as evidence pursuant to
subdivision (e) of rule forty-five hundred eighteen of the civil
practice law and rules where no timely objection in writing has been
made thereto.
(c) The cost of any test ordered pursuant to this section shall be
paid by the social services district provided however, that the alleged
father shall reimburse the district for the cost of such test at such
time as the alleged father's parentage is established by a voluntary
acknowledgment of parentage or an order of filiation. If either party
contests the results of genetic marker or DNA tests, an additional test
may be ordered upon written request to the social services district and
advance payment by the requesting party.
(d) The parties shall be required to submit to such tests and appear
at any conference scheduled by the social services official or designee
to discuss the notice of the allegation of paternity or to discuss the
results of such tests. If the alleged genetic parent fails to appear at
any such conference or fails to submit to such genetic marker or DNA
tests, the social services official or designee shall petition the court
to establish parentage, provide the court with a copy of the records or
reports of such tests if any, and request the court to issue an order
for temporary support pursuant to section five hundred forty-two of the
family court act.
3. Any reference to an acknowledgment of paternity in any law of this
state or any similar instrument signed in another state consistent with
the law of that state shall be interpreted to mean an acknowledgment of
parentage executed pursuant to this section, section four thousand one
hundred thirty-five-b of the public health law or signed in another
state consistent with the law of that state.
Agreement relating to information obtained by the state
directory of new hires. The department, through the commissioner, shall
enter into the agreement provided for in section one hundred
seventy-one-h of the tax law, and shall take such other actions as may
be necessary to carry out the agreement provided for in such section for
matching recipient records of public assistance and of the child support
enforcement program with information provided by employers to the state
directory of new hires for the purposes of verifying eligibility for
such public assistance programs and for the administration of the child
support enforcement program.
Review and cost of living adjustment of support orders. 1.
Orders subject to review. In accordance with the timeframes set forth in
subdivision three of this section, the support collection unit shall
conduct a review for adjustment purposes of:
(a) all orders of support being enforced pursuant to this title on
behalf of persons in receipt of family assistance; and
(b) those orders of support being enforced pursuant to this title on
behalf of persons not in receipt of family assistance, for which a
request for a cost of living adjustment review has been received from
either party to the order.
2. Definitions. For purposes of this section, the following
definitions shall be used:
(a) "Adjusted child support obligation amount" shall mean the sum of
the cost of living adjustment and the support obligation amount
contained in the order under review.
(b) "Adjusted order" shall mean an order issued by the support
collection unit reflecting a change to the obligation amount of the most
recently issued order of support made on behalf of a child in receipt of
family assistance or child support enforcement services pursuant to
section one hundred eleven-g of this title.
(c) "Cost of living adjustment" shall mean the amount by which the
support obligation is changed as the result of a review, and shall be
determined based upon annual average changes to the consumer price index
for all urban consumers (CPI-U), as published by the United States
department of labor bureau of labor statistics, for the years preceding
the year of the review, as follows:
(1) Identify the CPI-U "percent change from the previous annual
average" for each year preceding the year of the review, beginning with
and including the later of the year in which the most recent order was
issued or nineteen hundred ninety-four, and calculate the sum of the
percentages for those years.
(2) Where the sum as calculated pursuant to subparagraph one of this
paragraph equals or exceeds ten percent, multiply the support obligation
in the order under review by such percentage. The product is the cost of
living adjustment.
(d) "Order" shall mean an original, modified, or adjusted order of
support; or, after a hearing in response to objections to a cost of
living adjustment as set forth in an adjusted order of support, the
order of support reflecting the application of the child support
standards pursuant to section two hundred forty of the domestic
relations law or section four hundred thirteen of the family court act,
or an order of no adjustment.
(e) "Review" shall mean the calculation of the cost of living
adjustment and the adjusted child support obligation amount by the
support collection unit for the most recently issued order of support
made on behalf of a child in receipt of family assistance, or child
support enforcement services pursuant to section one hundred eleven-g of
this title.
3. Timeframes. The review of support orders for cost of living
adjustment purposes shall be conducted by the support collection unit in
accordance with the following timeframes:
(a) For all orders of support on behalf of persons in receipt of
family assistance, a review shall be conducted during the second
calendar year following the year in which the order was issued, or the
current year, whichever is later. Any cost of living adjustment
resulting from a review shall be effective sixty days following the date
of the adjusted order, or twenty-four months after the date of the order
under review, whichever is later.
(b) For all orders of support on behalf of persons not in receipt of
family assistance, a review shall be conducted during the second
calendar year following the year in which the order was issued, or the
current year, whichever is later; provided, however, that no such review
shall occur unless a request for such review has been received from a
party to the order. Any cost of living adjustment resulting from a
review shall be effective sixty days following the date of the adjusted
order, or twenty-four months after the date of the order under review,
whichever is later.
4. Adjustment process. (a) A cost of living adjustment shall be made
by the support collection unit with respect to each order of support
under review, if the sum of the annual average changes of the consumer
price index for all urban consumers (CPI-U), as published by the United
States department of labor bureau of labor statistics, is ten percent or
greater. The child support obligation amount, as increased by the cost
of living adjustment calculated during the review, shall be rounded to
the nearest dollar. In the event that the sum of the annual average
changes of the CPI-U is less than ten percent, no cost of living
adjustment shall occur.
(b) Upon the conclusion of the adjustment review, the support
collection unit shall issue and send an adjusted order by first class
mail to the parties. The cost of living adjustment and the adjusted
child support obligation amount as calculated by the review shall be
reflected in the adjusted order. The child support obligation amount
contained in the adjusted order shall be due and owing on the date the
first payment is due under the terms of the order of support which was
reviewed and adjusted occurring on or after the effective date of the
adjusted order.
(c) The support collection unit shall provide a copy of the adjusted
order to the court which issued the most recent order of support, which
shall append it to the order.
5. Objections. (a) Where there is an objection to a cost of living
adjustment, either party or the support collection unit shall have
thirty-five days from the date of mailing of the adjusted order by the
support collection unit to submit to the court identified thereon
written objections, requesting a hearing on the adjustment of the order
of support.
(b) If objections are submitted timely to the court, the cost of
living adjustment shall not take effect, and a hearing shall be
scheduled by the court. The hearing shall be conducted and a
determination made by the court pursuant to section two hundred forty-c
of the domestic relations law or section four hundred thirteen-a of the
family court act.
(c) Where no objection has been timely raised to a cost of living
adjustment as reflected in an adjusted order, such adjusted order shall
become final without further review by the court or any judge or support
magistrate thereof.
6. Adjusted order - form. The adjusted order shall contain the
following information:
(a) the caption of the order of support subject to the review, the
date of such order, and the court in which it was entered;
(b) the identification, telephone number, and address of the support
collection unit which conducted the review;
(c) the cost of living adjustment and the adjusted child support
obligation amount as calculated during the review of the order, and a
statement that such amount shall be due and owing on the date the first
payment is due under the term of the order of support which was reviewed
and adjusted, occurring on or after the effective date of the adjusted
order;
(d) the definition of cost of living adjustment;
(e) a statement that the child support obligation amount, as increased
by the cost of living adjustment, has been rounded to the nearest
dollar;
(f) a statement that all other provisions of the order of support
which was reviewed and adjusted remain in full force and effect;
(g) a statement that the application of a cost of living adjustment in
no way limits, restricts, expands, or impairs the rights of any party to
file for a modification of a child support order as otherwise provided
by law;
(h) a statement that where either party objects to the cost of living
adjustment, the party has the right to be heard by the court and to
present evidence to the court which the court will consider in adjusting
the child support order in compliance with section four hundred thirteen
of the family court act or section two hundred forty of the domestic
relations law, known as the child support standards act; provided,
however, that written objections are filed with the court within
thirty-five days from the date the adjusted order was mailed by the
support collection unit; that when filing objections the objecting party
should attach a copy of the adjusted order, if available; and
(i) a statement that where any party fails to provide, and update upon
any change, the support collection unit with a current address to which
an adjusted order can be sent, the support obligation amount contained
therein shall become due and owing on the date the first payment is due
under the order of support which was reviewed and adjusted occurring on
or after the effective date of the adjusted order, regardless of whether
or not the party has received a copy of the adjusted order.
7. Notice of right to review. On or after the first day of January,
nineteen hundred ninety-eight, any order of support twenty-four or more
months old which was issued on behalf of a child in receipt of family
assistance or child support enforcement services pursuant to section one
hundred eleven-g of this title, is eligible for a cost of living
adjustment every two years. The support collection unit shall notify the
parties to the order of their right to make a written request to the
support collection unit for a cost of living adjustment of such support
order. Such notice shall contain the amount of the cost of living
adjustment, the amount of the adjusted child support obligation, the
applicable CPI-U used in the calculation of that amount, the address and
telephone number of the support collection unit where assistance can be
obtained in commencing an adjustment review, and other information
deemed necessary and relevant by the department, and shall be sent to
the parties by first class mail at their last known address, and shall
contain a reply form and envelope with postage pre-paid. The support
collection unit shall provide the notice described herein not less than
once every two years.
Data matches with financial institutions. The department or
a social services district, through the commissioner, is authorized to
enter into agreements with financial institutions as provided for in
subdivision two of section four of the banking law and subsection (e) of
section three hundred twenty of the insurance law, and is authorized to
furnish to and receive from those and any other financial institutions,
as defined in paragraph one of subdivision (d) of section four hundred
sixty-nine A of the federal social security act, such information as may
be necessary to carry out the agreements provided for in section four of
the banking law and section three hundred twenty of the insurance law,
for the enforcement of child support orders.
Authority to issue subpoenas. The department or the child
support enforcement unit coordinator or support collection unit
supervisor of a social services district, or his or her designee, or
another state's child support enforcement agency governed by title IV-D
of the social security act, shall be authorized, whether or not a
proceeding is currently pending, to subpoena from any person, public or
private entity or governmental agency, and such person, entity or agency
shall provide any financial or other information needed to establish
paternity and to establish, modify or enforce any support order. If a
subpoena is served when a petition is not currently pending, the supreme
court or a judge of the family court may hear and decide all motions
relating to the subpoena. If the subpoena is served after a petition has
been served, the court in which the petition is returnable shall hear
and decide all motions relating to the subpoena. Any such person,
entity, or agency shall provide the subpoenaed information by the date
as specified in the subpoena. Such subpoena shall be subject to the
provisions of article twenty-three of the civil practice law and rules.
The department or district may impose a penalty for failure to respond
to such information subpoenas pursuant to section twenty-three hundred
eight of the civil practice law and rules.
Voiding of fraudulent transfers of income or property. The
department or a social services district, or its authorized
representative, after obtaining information that a debtor has
transferred income, property or other assets to avoid payment to a child
support creditor shall, pursuant to article ten of the debtor and
creditor law (1) commence a proceeding to void such transfer; or (2)
obtain a settlement that is in the best interests of the child support
creditor. Provided, however, that no settlement shall reduce or annul
any arrears of child support which have accrued prior to the date of
settlement.
Requirement to respond to requests for information. All
employers, as defined in section one hundred eleven-m of this article
(including for-profit, not-for-profit and governmental employers), are
required to provide information promptly on the employment, compensation
and benefits of any individual employed by such employer as an employee
or contractor, when the department or a social services district or its
authorized representative, or another state's child support enforcement
agency governed by title IV-D of the social security act, requests such
information for the purpose of establishing paternity, or establishing,
modifying or enforcing an order of support. To the extent feasible,
such information shall be requested and provided using automated
systems, and shall include, but is not limited to, information regarding
the individual's last known address, date of birth, social security
number, plans providing health care or other medical benefits by
insurance or otherwise, wages, salaries, earnings or other income of
such individual. Notwithstanding any other provision of law to the
contrary, such officials are not required to obtain an order from any
judicial or administrative tribunal in order to request or receive such
information. The department shall be authorized to impose a penalty for
failure to respond to such requests of five hundred dollars for an
initial failure and seven hundred dollars for the second and subsequent
failure.
Access to information contained in government and private
records. 1. For the purpose of establishing paternity, or
establishing, modifying or enforcing an order of support, the department
or a social services district or its authorized representative, and
child support enforcement agencies of other states established pursuant
to title IV-D of the social security act, without the necessity of
obtaining an order from any other judicial or administrative tribunal
and subject to safeguards on privacy and information security, shall
have access to information contained in the following records:
(a) records of other state and local government agencies including:
(i) vital statistics (including records of marriage, birth and
divorce);
(ii) state and local tax and revenue records (including information
on residence address, employer, income and assets);
(iii) records concerning real and titled personal property;
(iv) records of occupational and professional licenses, and records
concerning the ownership and control of corporations, partnerships and
other business entities;
(v) employment security records;
(vi) records of agencies administering public assistance programs;
(vii) records of the department of motor vehicles; and
(viii) corrections records; and
(b) certain records held by private corporations, companies, or other
entities with respect to individuals who owe or are owed support (or
against or with respect to whom a support obligation is being sought),
consisting of:
(i) pursuant to an administrative subpoena authorized by section one
hundred eleven-p of this title, the names, addresses, telephone numbers
and dates of birth of such individuals, and the names and addresses of
the employers of such individuals, as appearing in customer records of
public utilities companies and corporations, including, but not limited
to, cable television, gas, electric, steam, and telephone companies and
corporations, as defined in section two of the public service law, doing
business within the state of New York; and
(ii) information on such individuals held by financial institutions,
including information regarding assets and liabilities.
2. Notwithstanding any other provision of law to the contrary, any
government or private entity to which a request for access to
information is directed pursuant to subdivision one of this section, is
authorized and required to comply with such request. To the extent
feasible, access to such information shall be requested and provided
using automated systems. Any government or private entity which
discloses information pursuant to this section shall not be liable under
any federal or state law to any person for such disclosure, or for any
other action taken in good faith to comply with this subdivision.
Authority to secure assets. The department or a social
services district or its authorized representative, or another state's
child support enforcement agency governed by title IV-D of the social
security act, for the purpose of collecting overdue support, shall be
authorized in accordance with all applicable provisions of law, to
secure assets otherwise due a support obligor by:
1. intercepting or seizing periodic or lump sum payments due such
obligor from:
(a) a state or local agency, including unemployment compensation,
workers' compensation, and other benefits; and
(b) judgments, settlements and lottery winnings;
2. attaching and seizing assets of such obligors which are held in
financial institutions;
3. attaching public and private retirement funds of such obligors;
and
4. imposing liens against real and personal property owned by such
obligors; and where appropriate, forcing the sale of property owned by
such obligors and distributing proceeds from the sale of such
properties.
Liens. 1. The office of temporary and disability assistance,
or a social services district, or its authorized representative shall
have a lien against real and personal property owned by a support
obligor when such support obligor is or was under a court order to pay
child support or combined child and spousal support to a support
collection unit on behalf of persons receiving services under this
title, and such obligor has accumulated support arrears/past due in an
amount equal to or greater than the amount of support due pursuant to
such order for a period of four months. Such lien shall incorporate
unpaid support which accrues in the future.
2. For the purposes of determining whether a support obligor has
accumulated support arrears/past due support for a period of four
months, the amount of any retroactive support, other than periodic
payments of retroactive support which are past due, shall not be
included in the calculation of arrears/past due support pursuant to this
section; however, if at least four months of support arrears/past due
support have accumulated subsequent to the date of the court order, the
entire amount of any retroactive support may be collected pursuant to
the provisions of this subdivision or as otherwise authorized by law.
3. When the office of temporary and disability assistance, or a social
services district, or its authorized representative on behalf of a
person receiving services pursuant to this title determines that the
requisite amount of child support is past due, it shall send, by first
class mail, a notice of intent to file a lien to the support obligor.
The obligor may assert a mistake of fact and shall have an opportunity
to make a submission in support of the assertion. The assertion and any
supporting papers shall be submitted within thirty-five days from the
date a notice was mailed. Thereafter, the social services district shall
determine the merits of the assertion, and shall notify the obligor of
its determination within ninety days after notice to the obligor was
mailed.
4. If the social services district finds no mistake of fact exists or,
the obligor fails to assert a mistake of fact within the thirty-five
days, the social services district may file a notice of lien, which
shall contain the caption of the support order and a statement of
arrears and which shall constitute a lien on the property. The social
services district shall not enforce its lien until after expiration of
any applicable period for review of an administrative action or, if the
obligor has initiated a proceeding pursuant to article seventy-eight of
the civil practice law and rules, until completion of such review.
5. Filing of the notice of the lien shall be as provided in sections
sixty-five and two hundred eleven of the lien law, article forty-six of
the vehicle and traffic law, or as otherwise authorized by law.
6. Within five days before or thirty days after filing the notice of
the lien, the social services district shall send by first class mail a
copy of such notice upon the owner of the property.
Confidentiality, integrity, and security of information. 1.
The department, in consultation with appropriate agencies including but
not limited to the New York state office for the prevention of domestic
violence, shall by regulation prescribe and implement safeguards on the
confidentiality, integrity, accuracy, access, and the use of all
confidential information and other data handled or maintained, including
data obtained pursuant to section one hundred eleven-o of this article
and including such information and data maintained in the automated
child support enforcement system. Such information and data shall be
maintained in a confidential manner designed to protect the privacy
rights of the parties and shall not be disclosed except for the purpose
of, and to the extent necessary to, establish paternity, or establish,
modify or enforce an order of support.
2. These safeguards shall include provisions for the following:
(a) Policies restricting access to and sharing of information and
data, including:
(1) safeguards against unauthorized use or disclosure of information
relating to procedures or actions to establish paternity or to establish
or enforce support;
(2) prohibitions against the release of information on the whereabouts
of one party to another party against whom an order of protection with
respect to the former party has been entered; and
(3) prohibitions against the release of information on the whereabouts
of one party to another party if the department has reason to believe
that the release of the information may result in the physical or
emotional harm to the former party.
(b) Systems controls to ensure strict adherence to policies.
(c) Monitoring of access to and use of the automated system to prevent
unauthorized access or use.
(d) Training in security procedures for all staff with access, and
provisions of information regarding these requirements and penalties.
(e) Administrative penalties for unauthorized access, disclosure, or
use of confidential data.
3. If any person discloses confidential information in violation of
this section, any individual who incurs damages due to the disclosure
may recover such damages in a civil action.
4. Any person who willfully releases or permits the release of any
confidential information obtained pursuant to this title to persons or
agencies not authorized by this title or regulations promulgated
thereunder to receive it shall be guilty of a class A misdemeanor.
5. The safeguards established pursuant to this section shall apply to
staff of the department, local social services districts, and any
contractor.
TITLE 6-B Services For Enforcement of Support Provided By the Department of Social Services
Spousal support; crediting of overpayments of tax to past-due
support. 1. The department shall provide services for the crediting of
overpayments of tax to past-due support, pursuant to section one hundred
seventy-one-c of the tax law, which is owed to any current or former
spouse entitled to enforce an order of support, who applies to the
department for such services, if such spouse is not eligible to receive
services pursuant to title six-A of this article. For purposes of this
section, "order of support" means any final order, decree or judgment in
a matrimonial action or family court proceeding, or any foreign support
order, decree or judgment which is registered pursuant to article 5-B of
the family court act which requires the payment of alimony, maintenance
or support.
2. (a) An applicant for services under this section shall provide the
department with the following:
(i) a certified transcript of a money judgment for a sum certain for
arrears accrued under an order of support;
(ii) a sworn statement that the order of support is no longer subject
to appellate judicial review and that the sum set forth as uncollected
on the judgment is accurate;
(iii) the name and address of the applicant; and
(iv) the name, last known address and social security number of the
person or entity owning past-due support against whom a judgment has
been obtained.
(b) If an application for services is rejected by the department, the
department shall inform the applicant in writing of the reason for such
rejection.
3. An applicant for services under this section shall receive a pro
rata share of the overpayment of tax, based on the amount of past-due
support owed to such applicant as certified to the tax commission by the
department pursuant to section one hundred seventy-one-c of the tax law,
in cases where the individual, estate or trust owing past-due support to
such applicant owes past-due support to other persons or entities so
certified to the tax commission by the department.
4. The department shall promulgate such regulations as are necessary
to carry out the provisions of this section, including regulations as to
the date by which an applicant for services under this section shall
provide the department with the information and documentation required
in subdivision two of this section.
Spousal and child support; crediting of overpayments of tax
to past-due support. 1. The department shall provide services for the
crediting of overpayments of tax to past-due support, pursuant to
section one hundred seventy-one-c of the tax law, which is owed to
persons entitled to enforce an order of support, for persons not
receiving public assistance who are eligible to receive services
pursuant to title six-A of this article, but who do not receive such
services. For purposes of this section, "order of support" shall mean
any final order, decree or judgment in a matrimonial action or family
court proceeding, or any foreign support order, decree or judgment which
is registered pursuant to article five-B of the family court act which
requires the payment of alimony, maintenance, support or child support.
2. (a) An applicant for services under this section shall provide the
department with the following:
(i) a certified transcript of a money judgment for a sum certain for
arrears accrued under an order of support;
(ii) a sworn statement that the order of support is no longer subject
to appellate judicial review and that the sum set forth as uncollected
on the judgment is accurate;
(iii) the name and address of the applicant; and
(iv) the name, last known address and social security number of the
person or entity owing past-due support against whom a judgment has been
obtained.
(b) If an application for services is rejected by the department, the
department shall inform the applicant in writing of the reason for such
rejection.
(c) The department shall inform applicants for services under this
section of the support collection and enforcement services available
through the support collection units pursuant to title six-A of this
article.
3. An applicant for services under this section shall receive a pro
rata share of the overpayment of tax, based on the amount of past-due
support owed to such applicant as certified to the tax commission by the
department pursuant to section one hundred seventy-one-c of the tax law,
in cases where the individual, estate or trust owing past-due support to
such applicant owes past-due support to other persons or entities so
certified to the tax commission by the department.
4. The department may charge an applicant for services under this
section a fee based on cost, but not to exceed the lesser of twenty-five
dollars or the amount of overpayment of tax received by the department.
The department shall recover such fee from such overpayment and pay any
balance to the applicant. The fee provided for herein shall not be a
charge against the individual, estate or trust owing past-due support.
5. The department shall promulgate such regulations as are necessary
to carry out the provisions of this section, including regulations as to
the date by which an applicant for services under this section shall
provide the department with the information and documentation required
in subdivision two of this section.
TITLE 7 Local Personnel Training; Research and Demonstration Projects; Special State Reimbursement
Local personnel training. Each public welfare district shall
make provision, with the assistance and cooperation of the department,
for suitable training of employees of its welfare department. Such
provision shall include such of the following as the department may
approve or require for such district: employment of qualified training
directors and/or teachers; the granting of scholarships and fellowships;
continuing salaries of employees while undergoing training, pursuant to
section thirty; contracting with approved schools, colleges and
universities for courses of instruction and/or classes or special
classes; sponsoring, conducting and participating in seminars, workshops
and meetings and allowing or requiring attendance of selected employees;
payment of stipends and expenses, within prescribed limits, of employees
undergoing training.
Participation in research and demonstration projects. Public
welfare districts are authorized to sponsor, conduct and participate in
the operation of such research and demonstration projects as the
department may approve, for the purpose of reducing dependency and
eliminating the causes thereof. Public welfare districts shall
cooperate with the department in the conduct of such projects whenever
the department shall request or require such participation and
cooperation.
Special state reimbursement. Any inconsistent provision of
sections one hundred fifty-three, two hundred fifty-seven or other
provisions of this chapter notwithstanding, expenditures made by public
welfare districts for salaries of qualified training directors pursuant
to section one hundred twelve and for salaries of employees while on
educational leave pursuant to section thirty and one hundred twelve
shall, if approved by the department, be subject to reimbursement by the
state in accordance with the regulations of the department as follows:
there shall be paid to each such district
(a) the amount of federal funds, if any, properly received or to be
received on account of such expenditures;
(b) the full amount expended for such purposes, after first deducting
therefrom any federal funds properly received or to be received on
account thereof.
Training and utilization of volunteers. Subject to the
approval of the department, public welfare districts are authorized to
sponsor and conduct programs for the recruitment, training and
utilization of volunteers to assist welfare district employees in the
performance of office duties and to aid in performing services in
welfare districts including but not limited to the following:
(a) friendly visiting of the indigent aged;
(b) finding homes for foster children;
(c) escorting and transporting recipients to clinics and other
destinations;
(d) aiding in location of improved housing;
(e) teaching homemaking skills and aiding in budgeting and care of
the household;
(f) providing tutoring and other educational aid; and
(g) giving information, screening requests and performing other
services in waiting rooms of welfare centers.
TITLE 7-B Chief Executive Officers of Local Welfare Departments: Appointment
Chief executive officers of local welfare departments;
qualifications; appointment and removal; term. 1. Any inconsistent
provision of law, notwithstanding, the position of the chief executive
officer of a county or city social services department, whether referred
to as commissioner or by other title, shall be in the non-competitive
class of the civil service, except any which is or may hereafter be in
the competitive class. Appointments to such positions in the
non-competitive class shall be for terms of five years and shall be made
by the appropriate county or city body or officer. However, no person
may be appointed to or serve in any such position who does not meet the
minimum qualifications required therefor by the state commissioner of
social services pursuant to section seventeen.
2. Any inconsistent provision of law, general, special or local,
notwithstanding, the chief executive officer of a county or city social
services department shall also be subject to removal or sanction in
accordance with the provisions of section thirty-four of this chapter.
3. As used in subdivision one "the appropriate county or city body or
officer" shall mean and refer:
(a) in the case of a county, to the board of supervisors thereof,
except when the county has a county executive, county president, county
manager or other officer or board authorized to appoint heads of
administrative departments or the chief executive officer of the social
services department, in which case it shall mean such executive,
president, manager, other officer or board;
(b) in the case of a city, to the mayor, manager, other officer, or
the board having authority to appoint department heads or the chief
executive officer of the social services department.
ARTICLE 4 Residence and Removal
State residence. 1. Any person who shall reside in the state
continuously for one year under the conditions hereinafter specified
shall be deemed to have state residence. State residence so acquired
shall continue until such person shall have removed from the state and
remained therefrom for one year; provided, however, that no person shall
lose state residence by absence from the state while serving in the
armed forces of the United States or in the United States merchant
marine, or while attached to and serving with the armed forces of the
United States and, provided further, that no member of the family of any
such person shall lose state residence by absence from the state while
living with or near such person during the period of such service and on
account thereof.
2. An infant shall, at the time of birth, whether within or without
the state, be deemed to have state residence if he is in the custody of
both birth parents and either of them has state residence or if the
birth parent having his custody has state residence. State residence so
acquired by a child born within the state shall continue until the child
shall have removed from the state and remained therefrom for one year.
State residence so acquired by a child born without the state shall
terminate when he becomes one year of age if he remains without the
state during such year. For the purpose of this subdivision and section,
a child born out of wedlock whose birth parents were living together on
the date of his birth shall be deemed to have been in the custody of
both his parents on such date if his birth father has acknowledged or
been adjudicated to be such.
3. (a) Notwithstanding any other provision of law, no public
assistance benefits shall be paid to or for any person who is not a
resident of the state as provided in this article, except that
assistance shall be provided to a person who is otherwise eligible
during the first twelve months in the state at a rate not exceeding the
higher of fifty percent of the amount otherwise payable or the standard
of need applicable to the person under the laws of the state, if any, in
which he or she resided immediately prior to arrival in this state, but
under no circumstances may such allowances exceed the amounts payable to
a resident under this chapter; and no assistance shall be provided for
any noncitizen during the first twelve months such person resides in the
United States, except as set forth in paragraph (b) of this subdivision
and except persons domiciled in the state on the effective date of this
section, and except as otherwise required by federal law. For purposes
of this section, the standard of payment applicable in another state
shall refer to a schedule of comparative grants to be promulgated
biennially, setting forth the amount of that state's maximum standard of
payment with respect to each such program, if any, for each household
size for any state which financially participates in or mandates a
program under title IV-A of the federal social security act or a general
assistance or disability assistance program.
(b) This subdivision shall not apply to any person entitled to
federally funded refugee cash assistance under Title IV of the
Immigration and Nationality Act or to any person participating in a
project authorized under section 412(e) of the Immigration and
Nationality Act.
Qualification on residence. The continuous residence required
to acquire state residence or to establish liability for payment for
hospital or other institutional care shall not include any period during
which the person was (a) a patient in a hospital, or
(b) an incarcerated individual of any public institution or any
incorporated private institution, or
(c) if a child under the age of twenty-one years, in a boarding home
under the care of an authorized agency, or
(d) residing on any military reservation.
If, however, the periods of residence immediately prior and subsequent
to the period specified in a, b, c, or d, shall together equal the
required period of residence, such person shall be deemed to have had
the required continuous residence.
Family court cases; state charges. In the event a child who
is residing on any Native American reservation within the state is
committed or placed by a court of competent jurisdiction as a
delinquent, abused, neglected, or abandoned child, or person in need of
supervision, or upon any ground specified in section three hundred
eighty-four-b of this chapter, the state, shall reimburse the social
services district from which the child was committed for the full cost
of care and maintenance of the child.
Removal of persons to another state or country. 1. When any
person who is cared for at the expense of the state or of any public
welfare district has settlement or residence or otherwise belongs to or
has legally responsible relatives able or friends willing to undertake
the obligations to support him or to aid in supporting him in any other
state or country, the department may furnish him with transportation to
such state or country, provided, in its judgment the interest of the
state and the welfare of such person will be thereby promoted.
2. The expense of such removal shall be paid from the state treasury
on the audit and warrant of the comptroller pursuant to a verified
account submitted by the department and in accordance with the
provisions of paragraph d of subdivision one of section one hundred
fifty-three of this chapter.
Noncitizens. 1. Notwithstanding any law to the contrary, no
person except a citizen or a noncitizen who has been duly naturalized as
a citizen shall be eligible for additional state payments for aged,
blind and disabled persons, family assistance, safety net assistance,
services funded under title XX of the federal social security act, or
medical assistance, subject to the following exceptions:
(a) The following persons shall, if otherwise eligible, receive
benefits under such programs:
(i) a refugee who entered the United States within the previous five
years with respect to benefits under the temporary assistance to needy
families block grant program and the safety net assistance program and
within the previous seven years with respect to medical assistance;
(ii) an asylee who was granted asylum within the previous five years
with respect to benefits under the temporary assistance to needy
families block grant program and the safety net assistance program and
within the previous seven years with respect to medical assistance;
(iii) a person for whom deportation was withheld within the previous
five years with respect to benefits under the temporary assistance to
needy families block grant program and the safety net assistance program
and within the previous seven years with respect to medical assistance;
(iv) except as otherwise required by federal law, a person lawfully
admitted for permanent residence who has worked for or can be credited
with forty qualifying quarters as defined under title II of the federal
Social Security Act, exclusive of any quarter after the thirty-first day
of December, nineteen hundred ninety-six in which such person or such
person's parent or spouse received any federal means tested assistance;
(v) any noncitizen lawfully residing in the state who is on active
duty in the armed forces (other than active duty for training) or who
(1) has received an honorable discharge (and not on account of
noncitizen status) from the armed forces, or (2) has a qualifying
condition, as defined in section one of the veterans' services law, and
has received a discharge other than bad conduct or dishonorable (and not
on account of noncitizen status) from the armed forces, or (3) is a
discharged LGBT veteran, as defined in section one of the veterans'
services law, and has received a discharge other than bad conduct or
dishonorable (and not on account of noncitizen status) from the armed
forces, or the spouse, unremarried surviving spouse or unmarried
dependent child of any such noncitizen, if such noncitizen, spouse or
dependent child is a qualified alien as defined in section 431 of the
federal personal responsibility and work opportunity reconciliation act
of 1996 (8 U.S. Code 1641), as amended;
(vi) a noncitizen granted status as a Cuban and Haitian entrant as
defined in section 501(e) of the federal Refugee Education Act of 1980
within the previous five years with respect to benefits under the
temporary assistance to needy families block grant program, and safety
net assistance and within the previous seven years with respect to
medical assistance; and
(vii) a noncitizen admitted to the United States as an Amerasian
immigrant as described in section 402(a)(2)(A) of the federal personal
responsibility and work opportunity reconciliation act of 1996 within
the previous five years with respect to benefits under the temporary
assistance to needy families block grant program, and safety net
assistance and within the previous seven years with respect to medical
assistance.
(b) The following persons, not described in paragraph (a) of this
subdivision, shall, if otherwise eligible, be eligible for family
assistance, medical assistance, and safety net assistance:
(i) a noncitizen who is a qualified alien as defined in section 431 of
the federal personal responsibility and work opportunity reconciliation
act of 1996 (8 U.S. Code 1641), as amended, who entered the United
States before the twenty-second day of August, nineteen hundred
ninety-six and continuously resided in the United States until attaining
qualified status; and
(ii) a qualified alien who entered the United States five years or
more earlier with a status within the meaning of the term "qualified
alien" as defined in section 431 of the federal personal responsibility
and work opportunity reconciliation act of 1996 (8 U.S. Code 1641), as
amended, if such entry occurred on or after the twenty-second day of
August, nineteen hundred ninety-six.
(c) The following persons, not described in paragraph (a) or (b) of
this subdivision, shall, if otherwise eligible, be eligible for safety
net assistance and medical assistance, except that medical assistance
shall be limited to care and services (not including care and services
related to an organ transplant procedure) necessary for the treatment of
an emergency medical condition as that term is defined in section 1903
of the federal social security act unless and until federal financial
participation is available for the costs of providing medical assistance
provided, however, that any such person who, on the fourth day of
August, nineteen hundred ninety-seven was residing in a residential
health care facility licensed by the department of health or in a
residential facility licensed, operated or funded by the office of
mental health or the office for people with developmental disabilities,
and was in receipt of a medical assistance authorization based on a
finding that he or she was a person permanently residing in the United
States under color of law shall, if otherwise eligible, be eligible for
medical assistance and provided, further, that any such person who, on
the fourth day of August, nineteen hundred ninety-seven, was diagnosed
as having AIDS, as defined in subdivision one of section two thousand
seven hundred eighty of the public health law, and was in receipt of
medical assistance authorization pursuant to title eleven of article
five of this chapter based on a finding that he or she was a person
permanently residing in the United States under color of law shall, if
otherwise eligible, be eligible for medical assistance:
(i) a qualified alien who entered the United States less than five
years earlier or for less than five years has had a status within the
meaning of the term "qualified alien" as defined in section 431 of the
federal personal responsibility and work opportunity reconciliation act
of 1996 (8 U.S. Code 1641), as amended, if such entry occurred on or
after the twenty-second day of August, nineteen hundred ninety-six; and
(ii) a noncitizen whose status is not within the meaning of the term
"qualified alien" as defined in section 431 of the federal personal
responsibility and work opportunity reconciliation act of 1996 (8 U.S.
Code 1641), as amended, but who is otherwise permanently residing in the
United States under color of law.
(d) A person paroled into the United States for a period of less than
one year shall, if otherwise eligible, be eligible to receive any state
or local non-federal assistance provided under this chapter on the same
terms as such programs are available to persons who are qualified aliens
as defined in section 431 of the federal personal responsibility and
work opportunity reconciliation act of 1996 (8 U.S. Code 1641), as
amended.
(e) Nothing herein shall preclude the receipt by any noncitizen of
community based non-cash assistance in accordance with the directions of
the United States attorney general or the receipt of medical assistance
for care and services (not including care and services related to an
organ transplant procedure) necessary to treat an emergency medical
condition as that term is defined in section 1903 of the federal social
security act.
(f) A noncitizen who is not ineligible for federal supplemental
security income benefits by reason of noncitizen status shall, if
otherwise eligible, be eligible to receive additional state payments for
aged, blind or disabled persons under section two hundred nine of this
chapter.
(g) Noncitizens receiving supplemental security income benefits or
additional state payments for aged, blind and disabled persons under
section two hundred nine of this chapter shall be eligible for medical
assistance if otherwise eligible.
(h) Qualified aliens as defined in section 431 of the federal personal
responsibility and work opportunity reconciliation act of 1996 (8 U.S.
Code 1641), as amended, if otherwise eligible and except as otherwise
provided by federal law, shall be eligible for services pursuant to
title XX of the federal social security act.
2. Any noncitizen, including a noncitizen who is not a qualified alien
as defined in section 431 of the federal personal responsibility and
work opportunity reconciliation act of 1996 (8 U.S. Code 1641), as
amended, is eligible for adult protective services and services and
assistance relating to child protection to the extent that such person
is otherwise eligible pursuant to this chapter and the regulations of
the department.
3. Each social services district shall report to the department, in
accordance with regulations of the department, the name and address and
other identifying information known to it with respect to any noncitizen
known to be unlawfully in the United States.
4. To the extent permitted by federal law and regulation, the income
and resources of a sponsor of a noncitizen, who has signed an affidavit
of support pursuant to section 213A of the immigration and
naturalization act, and the income and resources of such sponsor's
spouse, shall be deemed available to such noncitizen for purposes of
determining the eligibility of such noncitizen for assistance funded
under the temporary for assistance funded under the temporary assistance
to needy families block grant and medical assistance.
5. If and to the extent that the family assistance, safety net
assistance, state additional payments in the supplemental security
income program, emergency assistance to aged, blind or disabled adults
or medical assistance is paid to or on behalf of a noncitizen for whom
an affidavit of support pursuant to section 213A of the immigration and
naturalization act has been signed, the social services district shall
request reimbursement by the sponsor in the amount of such assistance,
and, if the sponsor does not within forty-five days of such request
indicate a willingness to commence payments, such social services
district may commence an action against the sponsor pursuant to the
affidavit. Remedies available to enforce an affidavit of support include
all of the remedies described in sections 3201, 3202, 3204 and 3205 of
title 28 of the United States Code, as well as an order for specific
performance and payment of legal fees and other costs of collection, and
include corresponding remedies available under state law; provided,
however, that no action shall be brought more than ten years after
assistance was last given.
6. Nothing in this section shall be interpreted as affecting the
eligibility for pre-natal care benefits for persons otherwise eligible
for such benefits.
ARTICLE 5 Assistance and Care
TITLE 1 General Provisions
Assistance, care and services to be given. 1. It shall be the
duty of social services officials, insofar as funds are available for
that purpose, to provide adequately for those unable to maintain
themselves, in accordance with the requirements of this article and
other provisions of this chapter. They shall, whenever possible,
administer such care, treatment and service as may restore such persons
to a condition of self-support or self-care, and shall further give such
service to those liable to become destitute as may prevent the necessity
of their becoming public charges.
2. It shall be the duty of social services officials, insofar as funds
are available for that purpose, to cooperate with the directors of state
department of mental hygiene facilities in order to assist patients
discharged or about to be discharged from mental hygiene institutions in
their transition to a condition of self-support and self-care in the
community.
3. As far as possible families shall be kept together, they shall not
be separated for reasons of poverty alone, and they shall be provided
services to maintain and strengthen family life. In providing such
services, the public welfare official may utilize appropriate community
resources, including non-profit private agencies. Whenever practicable,
assistance and service shall be given a needy person in his own home.
The commissioner of public welfare may, however, in his discretion,
provide assistance and care in a boarding home, a home of a relative, a
public or private home or institution, or in a hospital.
4. For needy persons who are members of a family household, the
standard of need for determining their eligibility for public assistance
shall be as prescribed by section one hundred thirty-one-a of this
chapter and applicable federal requirements. For needy persons who are
not members of a family household, the department shall continue to
determine the standard of need for determining their eligibility for
public assistance pursuant to the provisions of this chapter and
applicable federal requirements.
5. No public assistance shall be given to an applicant for or
recipient of public assistance who has failed to comply with the
requirements of this chapter, or has refused to accept employment in
which he or she is able to engage.
5-a. The state commissioner of labor, in cooperation with the
commissioner and with individual local social services officials, is
hereby authorized to locate jobs services personnel wherever
appropriate, in order to achieve the employment objectives of this
chapter. Local social services officials, in cooperation with the
commissioner and the commissioner of labor, are authorized to locate
social services personnel wherever appropriate, in order to achieve the
employment objectives of this chapter.
6. No individual who is under the age of eighteen and is not married,
who resides with and provides care for his or her dependent child or is
pregnant and otherwise entitled to family assistance shall receive
family assistance for himself or herself unless the individual,
individual and child or pregnant woman resides in a place of residence
maintained as a home by the individual's parent, legal guardian or other
adult relative or in an adult-supervised supportive living arrangement.
Where possible, any such benefits to be paid on behalf of such
individual, individual and child or pregnant woman shall be provided by
the social services district to the parent, legal guardian or other
adult relative with whom such individual, individual and child or
pregnant woman resides. The requirement to reside with a parent,
guardian or adult relative shall not apply if (a) the individual has no
living parent, legal guardian or other appropriate adult relative who is
living or whose whereabouts are known or (b) no living parent or legal
guardian of such individual allows the individual to live in his or her
home or (c) the individual or minor child is being or has been subjected
to serious physical or emotional harm, sexual abuse or exploitation in
the residence of the parent or guardian or (d) substantial evidence
exists of imminent or serious harm if such individual or dependent child
were to live in the same residence with the individual's parent or legal
guardian or (e) it is in the minor child's best interests to waive such
requirement with respect to the individual or minor child, as determined
in accordance with department regulations, consistent with federal law
and regulations. Unless the individual's current living arrangement is
appropriate, an individual and his or her minor child who are not
required hereunder to reside with a parent, guardian or adult relative
shall be required as a condition of assistance to reside in an adult
supervised supportive living arrangement approved by the district in
accordance with standards set by the department and taking into account
the needs and concerns of the individual, including but not limited to a
second chance home or maternity home. A "second chance home" is a
facility which provides teen parents with a supportive and supervised
living arrangement in which they are required to learn parenting skills,
including child development, family budgeting, health and nutrition and
other skills to promote long-term economic independence and the
well-being of their children. Social services districts shall provide
adult supervised supportive living arrangements or assist individuals in
locating them. If a child subject to the requirements of this
subdivision alleges facts which, if true, would render the requirement
to live with a parent, guardian or other adult relative inapplicable by
reason of paragraph (c) or (d) of this subdivision, a social services
district shall take no action to deny assistance under the authority of
this subdivision unless it has duly investigated in accordance with
section four hundred twenty-four of this chapter and made a contrary
finding. If a social services district denies assistance after a child
alleges facts which, if true, would render this subdivision inapplicable
by reason of paragraph (c) or (d) of this subdivision, the applicant
shall be entitled to a fair hearing pursuant to section twenty-two of
this chapter held within thirty days of the request, if the request is
timely made.
7. a. Care, treatment and service as provided in subdivision one of
this section may include, in accordance with applicable federal and
state requirements, if any, medical care, instruction and work training
to restore health, aptitudes and capabilities or develop new aptitudes
and skills for the purpose of preparing individuals for gainful
employment.
b. A public welfare official responsible for the assistance and care
of a person who, in the judgment of such official, is employable or
potentially employable, may require such person to receive suitable
medical care and/or undergo suitable instruction and/or work training.
Any such person who wilfully refuses to accept such medical care,
refuses or fails to report for or cooperate in a program of instruction
and/or work training as required by the public welfare official, shall
be ineligible to receive public assistance and care. However, the
requirements of this provision relating to instruction and work training
shall not apply in the case of a person who is not available for
employment by reason of age, health or other disability.
c. The provisions of this section shall not confer authority on a
social services official to provide instruction which is available
through the public school system, but regulations of the department may
make provision for such authority when special need therefor is
demonstrated.
8. This section shall be construed to require the employment of such
employees as may be necessary and qualified to perform or provide the
specialized services indicated by federal or state requirements.
9. Upon determining that a person is eligible for any form or category
of public assistance, the social services official shall issue to any
such person to whom payment is to be made, an appropriate payment access
card, in a form approved by the office of temporary and disability
assistance, which shall be used as the office of temporary and
disability assistance, by regulation, may prescribe for improved
administration.
10. Any applicant who voluntarily terminated his or her employment or
voluntarily reduced his or her earning capacity for the purpose of
qualifying for public assistance or a larger amount thereof shall be
disqualified from receiving such assistance for ninety days from such
termination or reduction, unless otherwise required by federal law or
regulation. Any applicant who applies for public assistance within
ninety days after voluntarily terminating his or her employment or
reducing his or her earning capacity shall, unless otherwise required by
federal law or regulation, be deemed to have voluntarily terminated his
or her employment or reduced his or her earning capacity for the purpose
of qualifying for such assistance or a larger amount thereof, in the
absence of evidence to the contrary supplied by such person.
11. Social services officials are hereby authorized to furnish
assistance which duplicates assistance already granted, but, unless
otherwise specifically required by the provisions of title eight of
article five of this chapter, (i) in no event shall such officials be
required to furnish such assistance and (ii) in no event shall state
reimbursement be available for such expenditures, provided, however,
that any payment required by a court of competent jurisdiction shall be
subject to state reimbursement.
12. Notwithstanding any provision of this chapter or other law to the
contrary, no public assistance or food stamps shall be given to any
individual during the ten-year period that begins on the date the
individual is convicted in federal or state court of having made a
fraudulent statement or representation with respect to his or her place
of residence in order to receive public assistance, medical assistance
or food stamps simultaneously from two or more states or supplemental
security income in two or more states. The preceding sentence shall not
apply with respect to a conviction of an individual in any month
beginning after the president of the United States grants a pardon with
respect to the conduct which was the subject of the conviction.
13. Social services districts shall provide all applicants and
recipients of public assistance with children five years of age or less
with information and a schedule regarding age-appropriate immunizations
for children in accordance with the recommendations of the department of
health. The telephone number of the local county health department shall
be included on the immunization schedule.
14. (a) Notwithstanding any provision of this chapter or other law to
the contrary, no public assistance shall be given to any individual who
is (i) fleeing to avoid prosecution or custody or conviction under the
laws of the place from which the individual flees for a crime, or an
attempt to commit a crime, which is a felony under the laws of the place
from which the individual flees or which, in the case of the state of
New Jersey, is a high misdemeanor under the laws of such state or (ii)
violating a condition of probation or parole imposed under federal or
state law.
(b) For purposes of this section, if and to the extent permitted by
federal law, a person shall be considered to be violating a condition of
probation or parole only if:
(i) he or she is currently an absconder from probation or parole
supervision and a warrant alleging such a violation is outstanding; or
(ii) he or she has been found by judicial determination to have
violated probation or by administrative adjudication by the department
of corrections and community supervision to have violated parole.
Such person shall be considered to be violating a condition of
probation or parole only until he or she is restored to probation or
parole supervision or released from custody, or until the expiration of
the person's maximum period of imprisonment or supervision, whichever
occurs first.
(c) A person considered to be violating a condition of probation or
parole under this section shall include a person who is violating a
condition of probation or parole imposed under federal law.
(d) For purposes of this section, probation or parole shall include
conditional release, wherever applicable.
15. Notwithstanding any provision of this chapter or other law to the
contrary, no public assistance shall be given to or for any minor child
who has been or is expected to be absent from the home of his or her
parent or other caretaker relative for a consecutive period of
forty-five days or more without good cause as set forth in regulations
of the department, nor shall any assistance be given to any parent or
other caretaker relative who fails to notify the social services
district of the absence of the minor child within five days after it
becomes clear to the parent (or relative) that the child will be absent
for a consecutive period of forty-five days or more. Good cause shall
include absence for placement in foster care if the goal set forth in
the child service plan under section four hundred nine-e of this chapter
is the return of the child to a member of the household, or attendance
at school or hospitalization, if it is in the best interests of the
child to return home and return is expected within a reasonable time.
16. If, in accordance with section one hundred fifty-eight, three
hundred forty-nine-b or other provisions of this chapter, the social
services official determines that an individual is not cooperating in
establishing paternity or in establishing, modifying, or enforcing a
support order with respect to a child of the individual, and the
individual does not have good cause for such failure or is not otherwise
excepted from so cooperating in accordance with regulations of the
department, the assistance given to the household shall be reduced by
twenty-five percent.
18. Notwithstanding any provision of this chapter or other law to the
contrary, no public assistance shall be given to any parent under the
age of eighteen, who is not married and has a minor child twelve weeks
of age or more in his or her care and who has not successfully completed
a high school education or its equivalent if such individual does not
participate in educational activities directed toward the attainment of
a high school diploma or its equivalent or an alternative educational or
training program directly related to employment and approved by the
social services district. No person shall be denied assistance under
this subdivision during any period of time in which enrollment in
required educational activities is not available. Nothing herein shall
prohibit a social services district from requiring any person to work
toward attaining a secondary school diploma or its equivalent unless
such person has been determined by a medical, psychiatric or other
appropriate professional to lack the requisite capacity to complete
successfully such a course of study.
19. When a recipient claims that his or her system access device has
been lost, stolen, or destroyed, or that the security features of the
card have been compromised, the local social services district, subject
to reasonable terms and conditions set forth in department regulations
and policies, shall provide the recipient with a replacement card within
forty-eight hours exclusive of weekends and holidays.
20. In accordance with the provisions of this subdivision and the
regulations of the office of temporary and disability assistance, social
services districts shall make all applicants for and recipients of
public assistance aware of their option to receive an information packet
appropriate for victims of sexual assault. Such information packet shall
be made available to all individuals who demonstrate a need for or who
are interested in receiving services appropriate for victims of sexual
assault, and shall include referral and contact information for all
local programs that provide services to victims of sexual assault
including, but not limited to:
(a) sexual assault examiner programs, including a list of any local
hospitals offering sexual assault forensic examiner services certified
by the department of health;
(b) rape crisis centers; and
(c) other advocacy, counseling, and hotline services appropriate for
victims of sexual assault.
Monthly grants and allowances of public assistance. 1. Any
inconsistent provision of this chapter or other law notwithstanding,
social services officials shall, in accordance with the provisions of
this section and regulations of the department, provide public
assistance to needy persons who constitute or are members of a family
household, who are determined to be eligible in accordance with
standards of need established in subdivision two. Provision for such
persons, for all items of need, less any available income or resources
which are not required to be disregarded by other provisions of this
chapter, shall be made in accordance with this section. Such provision
shall be made in monthly or semi-monthly allowances and grants within
the limits of the schedules included in subdivision three of this
section except for additional amounts which shall be included therein
for shelter, fuel for heating, additional cost of meals for persons who
are unable to prepare meals at home and for other items for which
specific provision is otherwise made in article five. As used in this
section the term "shelter" may include a grant not to exceed two
thousand five hundred dollars toward the purchase of an interest in a
cooperative. A social services official shall require assignment of
recipient's equity in such cooperative housing in accordance with the
rules of the board and regulations of the department.
2. (a) Through June thirtieth, two thousand nine, the following
schedule shall be the standard of monthly need for determining
eligibility for all categories of assistance in and by all social
services districts:
Number of Persons in Household
One Two Three Four Five Six
$112 $179 $238 $307 $379 $438
For each additional person in the household there shall be added an
additional amount of sixty dollars monthly.
(a-1) For the period beginning July first, two thousand nine and
ending June thirtieth, two thousand ten, the following schedule shall be
the standard of monthly need for determining eligibility for all
categories of assistance in and by all social services districts:
Number of Persons in Household
One Two Three Four Five Six
$126 $201 $268 $345 $426 $492
For each additional person in the household there shall be added an
additional amount of sixty-seven dollars monthly.
(a-2) For the period beginning July first, two thousand ten and ending
June thirtieth, two thousand twelve, the following schedule shall be the
standard of monthly need for determining eligibility for all categories
of assistance in and by all social services districts:
Number of Persons in Household
One Two Three Four Five Six
$141 $225 $300 $386 $477 $551
For each additional person in the household there shall be added an
additional amount of seventy-five dollars monthly.
(a-3) For the period beginning July first, two thousand twelve and
ending September thirtieth, two thousand twelve, the following schedule
shall be the standard of monthly need for determining eligibility for
all categories of assistance in and by all social services districts:
Number of Persons in Household
One Two Three Four Five Six
$150 $239 $317 $409 $505 $583
For each additional person in the household there shall be added an
additional amount of eighty dollars monthly.
(a-4) For the period beginning October first, two thousand twelve and
thereafter, the following shall be the standard of monthly need for
determining eligibility for all categories of assistance in and by all
social services districts:
Number of Persons in Household
One Two Three Four Five Six
$158 $252 $336 $433 $534 $617
For each additional person in the household there shall be added an
additional amount of eighty-five dollars monthly.
(b) In addition to the above, the standard of need shall include
amounts for shelter and fuel for heating, amounts for home energy
payments (including amounts for supplemental home energy grants),
amounts for additional cost of meals for persons who are unable to
prepare meals at home and amounts for other items when required by
individual case circumstances for which specific provision is otherwise
made in article five of this chapter. For purposes of determining the
amount to be included in the standard of need for shelter and fuel for
heating, to the extent that federal reimbursement is available therefor,
social services officials shall include in the household any child who
has entered foster care pursuant to section three hundred eighty-four-a
of this chapter who was eligible for and in receipt of assistance and
care as a member of the household in and for the month of entry into
foster care and for whom the family service plan, as defined in section
four hundred nine-e of this chapter, includes a goal of discharge to a
member of the household.
(c) Notwithstanding the provisions of this chapter or of any other law
or regulation to the contrary, on and after the effective date of this
paragraph, the amount to be included in the standard of need for shelter
for an eligible tenant residing in city, state or federal public housing
shall be the greater of (i) the shelter allowance for public housing
prescribed by regulations of the department, (ii) the amount payable
pursuant to a modified shelter allowance schedule prescribed by
regulations of the department for the particular housing authority, or
(iii) an amount equal to fifty percent of the maximum shelter allowance
prescribed by regulations of the department for non-public housing
located in the social services district in which the public housing is
located. Commencing one year after such effective date, such shelter
allowance shall be the greater of (i) the shelter allowance for public
housing prescribed by regulations of the department, (ii) the amount
payable pursuant to a modified shelter allowance schedule prescribed by
regulations of the department for the particular housing authority, or
(iii) an amount equal to seventy-five percent of the maximum shelter
allowance prescribed by regulations of the department for non-public
housing located in the social services district in which the public
housing is located. Commencing two years after such effective date, the
amount to be included in the standard of need for shelter for an
eligible tenant residing in city, state or federal public housing shall
be the maximum shelter allowance prescribed by regulations of the
department for non-public housing located in the social services
district in which the public housing is located.
(d) If by the application of the standard of need as provided for in
this subdivision the monthly need of an individual or household is less
than ten dollars, such individual or household shall not be considered
in need of cash assistance but shall be deemed to be a recipient of
assistance for all other purposes including determining eligibility for
medical assistance and social rehabilitative services.
(e) The standard of monthly need, when not a whole dollar amount,
shall be rounded to the next lower whole dollar amount.
3. (a) Through June thirtieth, two thousand nine, persons and families
determined to be eligible by the application of the standard of need
prescribed by the provisions of subdivision two of this section, less
any available income or resources which are not required to be
disregarded by other provisions of this chapter, shall receive maximum
monthly grants and allowances in all social services districts, in
accordance with the following schedule, for public assistance:
Number of Persons in Household
One Two Three Four Five Six
$112 $179 $238 $307 $379 $438
For each additional eligible needy person in the household there shall
be an additional allowance of sixty dollars monthly.
(a-1) For the period beginning July first, two thousand nine and
ending June thirtieth, two thousand ten, persons and families determined
to be eligible by the application of the standard of need prescribed by
the provisions of subdivision two of this section, less any available
income or resources which are not required to be disregarded by other
provisions of this chapter, shall receive maximum monthly grants and
allowances in all social services districts, in accordance with the
following schedule, for public assistance:
Number of Persons in Household
One Two Three Four Five Six
$126 $201 $268 $345 $426 $492
For each additional person in the household there shall be added an
additional amount of sixty-seven dollars monthly.
(a-2) For the period beginning July first, two thousand ten and ending
June thirtieth, two thousand twelve, persons and families determined to
be eligible by the application of the standard of need prescribed by the
provisions of subdivision two of this section, less any available income
or resources which are not required to be disregarded by other
provisions of this chapter, shall receive maximum monthly grants and
allowances in all social services districts, in accordance with the
following schedule, for public assistance:
Number of Persons in Household
One Two Three Four Five Six
$141 $225 $300 $386 $477 $551
For each additional person in the household there shall be added an
additional amount of seventy-five dollars monthly.
(a-3) For the period beginning July first, two thousand twelve and
ending September thirtieth, two thousand twelve, persons and families
determined to be eligible by the application of the standard of need
prescribed by the provisions of subdivision two of this section, less
any available income or resources which are not required to be
disregarded by other provisions of this chapter, shall receive maximum
monthly grants and allowances in all social services districts, in
accordance with the following schedule, for public assistance:
Number of Persons in Household
One Two Three Four Five Six
$150 $239 $317 $409 $505 $583
For each additional person in the household there shall be added an
additional amount of eighty dollars monthly.
(a-4) For the period beginning October first, two thousand twelve and
thereafter, persons and families determined to be eligible by the
application of the standard of need prescribed by the provisions of
subdivision two of this section, less any available income or resources
which are not required to be disregarded by other provisions of this
chapter, shall receive maximum monthly grants and allowances in all
social services districts, in accordance with the following schedule,
for public assistance:
Number of Persons in Household
One Two Three Four Five Six
$158 $252 $336 $433 $534 $617
For each additional person in the household there shall be added an
additional amount of eighty-five dollars monthly.
(b) Notwithstanding the provisions of this section or any other law to
the contrary, no payment of public assistance shall be made for any
month if the amount of such payment would be less than ten dollars per
month.
(c) The amount of the monthly grant and allowance, when not a whole
dollar amount, shall be rounded to the next lower whole dollar amount.
3-c. Commencing July first, nineteen hundred eighty-one, persons and
families determined to be eligible by the application of the standard of
need prescribed by the provision of subdivision two of this section,
shall receive a home energy grant equal to the following monthly
amounts:
Number of Persons in Household
One Two Three Four Five Six
$14.10 $22.50 $30.00 $38.70 $47.70 $55.20
For each additional needy person in the household, there shall be added
an additional amount of seven dollars and fifty cents.
3-d. Commencing January first, nineteen hundred eighty-six, for
persons and families determined to be eligible by the application of the
standard of need prescribed by the provisions of subdivision two of this
section, the amounts set forth in paragraph (a) of subdivision three of
this section, after application of subdivision three-c of this section,
shall be increased by the following amounts as a monthly supplemental
home energy grant:
Number of Persons in Household
One Two Three Four Five Six
$11 $17 $23 $30 $37 $42
For each additional needy person in the household, there shall be added
an additional amount of five dollars monthly.
4. If federal requirements make it necessary to adjust any schedule of
grants and allowances, or part thereof, the department shall make such
adjustments but the adjusted schedule of grants and allowances shall not
exceed the schedule of monthly amounts in subdivision two above.
5. Notwithstanding any other provisions of this chapter or other law,
a social services official may make provisions for the following items
and services: (a) replacement of necessary furniture and clothing for
persons in need of public assistance who have suffered the loss of such
items as the result of fire, flood or other like catastrophe, provided
provisions therefor cannot otherwise be made;
(b) purchase of necessary and essential furniture required for the
establishment of a home for persons in need of public assistance,
provided provision therefor cannot otherwise be made;
(c) essential repair of heating equipment, cooking stoves, and
refrigerators used by persons in need of public assistance in their
homes, provided provision therefor cannot otherwise be made except that
replacement may be authorized when less expensive than repair;
(d) camp fees for a camp operated by a not-for-profit organization,
corporation or agency, which has been issued an operating certificate by
the appropriate health official in whose jurisdiction such camp is
located, when in the judgment of the social services official it is
advisable for the welfare of a child receiving family assistance or
safety net assistance to attend such camp, provided, however, that funds
cannot be obtained from other sources and such assistance is not in
excess of maximum fees as established by regulations of the office of
temporary and disability assistance; life insurance premiums provided
the policy is assigned to the office of temporary and disability
assistance, or in cases where the recipient is aged, his or her life
expectancy is short, or he or she is deemed uninsurable;
(e) Provision of allowances as prescribed by regulations of the
department to meet the needs of a pregnant woman, beginning with the
fourth month of pregnancy which has been medically verified.
(f-1) a one-time benefit to public assistance recipients upon the
birth of a new child, as prescribed by regulations of the department.
7. Whenever a social services official finds that a recipient of
public assistance has failed to fully apply the amount allowed in his
grant for shelter to the payment of rent for his housing accommodations,
unless rent is being withheld pursuant to law or court order, the social
services official shall furnish such recipient's shelter allowance in
the form of direct payments to the owner of such housing accommodations
or his or her designated agent.
8. (a) In determining the need for aid provided pursuant to the public
assistance programs, the following income earned during a month by
applicants for or recipients of such aid shall be exempt and
disregarded:
(i) all of the earned income of a dependent child receiving such aid
or for whom an application for such aid has been made, who is a
full-time student or part-time student attending a school, college, or
university, or a course of vocational or technical training designed to
fit him for gainful employment;
(ii) fifty percent of the earned income for such month of any
recipient; provided, however, that such percentage amount shall be
adjusted in June of each year to reflect changes in the most recently
issued poverty guidelines of the United States Bureau of the Census,
such that a household of three without special needs, living in a heated
apartment in New York city and without unearned income would become
ineligible for assistance with gross earnings equal to the poverty level
in such guidelines;
(iii) from the earned income of any child, applicant, recipient, or
relative applying for or receiving aid pursuant to such program, or of
any other individual living in the same household as such relative and
child whose needs are taken into account in making such determination,
one hundred fifty dollars of the earned income for such month that
remains after application of subparagraph (ii) of this paragraph;
(v) the first one hundred dollars received in such month which
represent support payments timely paid in and for such month for one
child, and the first two hundred dollars received in such month which
represent support payments timely paid in and for such month for two or
more children, and the first one hundred dollars received in such month
which represent support payments timely paid in and for each of any
prior months for one child, and the first two hundred dollars received
in such month which represent support payments timely paid in and for
each of any prior months for two or more children, in any household
applying for or receiving public assistance, including support payments
collected and paid to the public assistance household by the social
services district;
(vi) in any calendar year, all of the earned income of a dependent
child receiving such aid who is a full-time student;
(vii) all of the income of a dependent child living with a parent or
other caretaker relative, who is receiving such aid or for whom an
application for such aid has been made, which is derived from
participation in a program carried out under the federal job training
partnership act (P.L. 97-300) or any successor act, provided, however,
that in the case of earned income such disregard must be applied for at
least, but no longer than, six months per calendar year for each such
child.
(viii) any federal income taxes refunded by reason of section
thirty-two of the Internal Revenue Code of nineteen hundred eighty-six
relating to the earned income tax credit or any payment by an employer
under section three thousand five hundred seven of such code relating to
advance payment of the earned income tax credit.
(ix) all of the income derived from participation in the summer youth
employment program, provided however, that such income shall be exempt
only for an individual who is not older than age twenty-four at the time
of enrollment in the summer youth employment program and such disregard
must be applied for the length of the individual's participation in such
program.
(x) all of the income of a head of household or any person in the
household, who is receiving such aid or for whom an application for such
aid has been made, which is derived from the health care and mental
hygiene worker bonuses under section three hundred sixty-seven-w of this
article or under the chapter of the laws of two thousand twenty-two
which added this subparagraph.
* (xi) Any financial assistance received by individuals as part of
their participation in a pilot program that has developed a plan to
study and evaluate the impact and potential benefits of direct cash
transfers. Such exemption and disregard shall be applicable for the
length of time the individual participates in the program, but not
longer than sixty months.
* NB Repealed March 23, 2029
(xii) all of the earned income of a recipient of public assistance
that is derived from participation in a qualified work activity or
training program as determined by the office of temporary and disability
assistance, to the extent that such earned income has not already been
disregarded pursuant to subparagraph (vii) of this paragraph, provided
that the recipient's total income shall not be more than two hundred
percent of the federal poverty level.
(xiii) once during the lifetime of a recipient of public assistance,
all of the earned income of such recipient will be disregarded following
job entry, provided that such exemption of income for purposes of public
assistance eligibility shall be for no more than six consecutive months
from the initial date of obtaining such employment and that the
recipient's total income shall not be more than two hundred percent of
the federal poverty level. In the event a recipient moves from one to
another social services district, this disregard shall follow the
recipient.
(b) Notwithstanding the provisions of paragraph (a) of this
subdivision, there shall not be disregarded under subparagraphs (ii) and
(iii) of such paragraph any earned income of any of the persons to which
subparagraph (ii) of such paragraph applies if such person:
(i) terminated his employment or reduced his earned income without
good cause, within a period of not less than seventy-five days, or such
other period of time as required by federal law or regulation, prior to
a determination of need for public assistance;
(ii) refused without good cause, within such seventy-five day period,
to accept employment in which he is able to engage, which is offered
through the public employment office of the New York state department of
labor or refused to accept employment otherwise offered by an employer
if the offer of such employer is determined by an appropriate social
services official to be a bona fide offer of employment; or
(iii) failed without good cause to make a timely report to the
appropriate social services district of earned income received in the
month a determination of need is made.
(c) There shall not be disregarded under subparagraph (iii) of
paragraph (a) of this subdivision any earned income of any of the
persons specified in subparagraph (ii) of such paragraph, if the income
of such person was in excess of his or her need, unless such person
received public assistance in one or more of the four months preceding
the month of need determination.
9. In determining the eligibility of a child for public assistance and
the amount of such assistance for any month there shall be taken into
consideration so much of the income of such dependent child's stepparent
living in the same household as such child as exceeds the sum of:
(a) the first seventy-five dollars of the total of the stepparent's
earned income for such month, or such lesser amount as the department
may prescribe in the case of a stepparent not engaged in full-time
employment or not employed throughout such month consistent with federal
law and regulations;
(b) the standard of need as contained in this section for a family of
the same composition as the stepparent and those other individuals
living in the same household as the child who are not applying for or
receiving benefits and are claimed by such stepparent as dependents for
purposes of determining such stepparent's federal income tax liability;
(c) amounts paid by the stepparent to individuals not living in such
household and claimed by such stepparent as dependents for purposes of
determining such stepparent's federal personal income tax liability; and
(d) payments of alimony or child support made by such stepparent with
respect to individuals not living in such household.
12. (a) No public assistance household having income which, after
application of applicable disregards, exceeds the household standard of
need, because of the receipt in any month of a nonrecurring lump sum of
earned or unearned income, shall be eligible for public assistance for a
period equal to the full number of months derived by dividing (i) the
sum of the lump sum income and all other income received in such month
which is not excluded under subdivision eight of this section; by (ii)
the standard of need for a family size which consists of the public
assistance household plus any other individuals whose lump sum income is
considered available to such household. Any income remaining from this
calculation is income in the first month following such period of
ineligibility.
(b) At any time after determining the period of ineligibility as
required in paragraph (a) of this subdivision, the social services
official shall recalculate the remaining period of ineligibility in such
circumstances and under such conditions as the department shall
prescribe by regulation, subject to paragraph (c) of this subdivision
and consistent with federal law and regulations.
(c) The social services official shall exclude from any lump sum
income any amounts which are exempt and disregarded as cash and liquid
or nonliquid resources pursuant to section one hundred thirty-one-n of
this title and shall recalculate the period of ineligibility caused by
receipt of a nonrecurring lump sum of income subject to this subdivision
to the extent that such income is applied to any or all of the following
within ninety days of receipt: an automobile needed for the applicant or
recipient to seek or retain employment or for travel to and from work
activities as defined in section three hundred thirty-six of this
chapter, a bank account or accounts, or a burial plot or plots, or a
funeral agreement or agreements, the values of which are exempt and
disregarded as a resource pursuant to section one hundred thirty-one-n
of this title.
13. Pursuant to regulations of the office of temporary and disability
assistance, public assistance eligibility shall, to the extent permitted
by federal law, not lapse solely by reason of the death of the adult
relative caretaker of a minor child, until arrangements are completed
for the addition of the child to another public assistance household,
reclassification of the case, foster care or other appropriate financial
support. For purposes of subdivision eight of section one hundred
fifty-three of this article, safety net assistance given to such a child
during the first forty-five days after application therefor shall be
regarded as being given to meet emergency circumstances.
14. In determining the need for aid provided pursuant to public
assistance programs, each person living with medically diagnosed HIV
infection as defined by the AIDS institute of the department of health
in social services districts with a population over five million who is
receiving services through such district's administrative unit providing
HIV/AIDS services, public assistance and earned and/or unearned income,
shall not be required to pay more than thirty percent of his or her
monthly earned and/or unearned income toward the cost of rent that such
person has a direct obligation to pay; this provision shall not apply to
room and board arrangements.
15. In determining the need for aid provided pursuant to public
assistance programs, each public assistance recipient living with
medically diagnosed HIV infection as defined by the AIDS institute of
the department of health in social services districts with a population
of five million or fewer, at local option and in accordance with a plan
approved by the office of temporary and disability assistance, may not
be required to pay more than thirty percent of his or her monthly earned
and/or unearned income toward the cost of rent that such person has a
direct obligation to pay; this provision shall not apply to room and
board arrangements.
Monthly statistical reports. 1. Reporting requirements. The
commissioner of the office of temporary and disability assistance shall
issue, within sixty days of the end of each month, a monthly statistical
report containing each of the tables in the March two thousand four
Temporary and Disability assistance statistics report as provided on the
office of temporary and disability assistance website. Such report shall
also include aggregate total claims for both New York city and the rest
of the state related to temporary and disability assistance not already
included in the March 2004 Temporary and Disability Assistance
Statistics report as provided on the office of temporary and disability
assistance website. The commissioner may also include similar tables
containing statistical information including, but not limited to,
temporary and disability assistance claims on emergency child care,
family shelter, shelter for victims of domestic violence, eviction
prevention including, but not limited to, security deposits and brokers
fees, supplemental claims, cancellations or refunds, drug or alcohol
treatment, and increased costs associated with cases for individuals
with AIDS. The commissioner may also include any other statistical
information related to temporary and disability assistance that he or
she deems to be appropriate. The commissioner shall also, within sixty
days of the completion of each quarter of the state fiscal year, issue
an update of monthly temporary and disability assistance claims for each
of the previous twenty-four months based on actual claims received by
the end of such quarter; provided, however, the update following the
third quarter of the state fiscal year shall be completed within thirty
days. Such update shall include the total number of recipients, the
monthly average payment, and total claims, received by the end of such
quarter, for New York city, the rest of the state, and total state
claims.
2. Additional reporting requirements. In addition to the information
required to be included in the monthly statistical report pursuant to
subdivision one of this section, the commissioner of the office of
temporary and disability assistance shall include in such monthly
statistical report detailed tables with comprehensive data for federally
participating family assistance and safety net cases, safety net
non-maintenance of effort cases, and safety net maintenance of effort
cases, for each county and New York city, according to the following
categories:
(a) Work participation rates. A statistical table containing data
related to federally required work participation rates including, but
not limited to, the numerator applied to the required federal
calculation for work participation and the denominator applied to the
federal calculation for work participation; and any other information
that the commissioner deems to be appropriate.
(b) Earned income. A statistical table containing data related to the
aggregate amount of earned income reported by public assistance
recipients including, but not limited to, aggregate earned income used
in the calculation of public assistance benefits, both before and after
the earnings disregard is applied to such benefits, the number of cases
for which earned income is applied to the calculation of such benefits,
both before and after the earnings disregard, and any other information
that the commissioner deems to be appropriate.
(c) Sanctioned cases. A statistical table containing data related to
the number of cases in sanction status and the reason for such sanction
including, but not limited to, the number of sanctioned cases included
in the federal work participation calculation, the number of sanctioned
cases not included in the federal work participation calculation, and
any other information that the commissioner deems to be appropriate.
(d) Home energy assistance program (HEAP). For each county and New
York city, a statistical table containing data related to the allocation
of federal and state monies for the HEAP program and the number and
dollar amount of benefits provided including, but not limited to, the
number, dollar amount and average dollar amount of regular autopay
benefits, regular non-autopay benefits, emergency benefits, allocation
for administrative costs, and any other information that the
commissioner deems to be appropriate.
3. Upon issuance, the reports required by this section shall be posted
on the office of temporary and disability assistance website, and shall
also be submitted by the commissioner to the governor, the temporary
president of the senate, the speaker of the assembly, the chair of the
senate finance committee and the chair of the assembly ways and means
committee.
Availability of adverse childhood experiences services.
Each local social services district shall be required to make available
to applicants and recipients of public assistance who are a parent,
guardian, custodian or otherwise responsible for a child's care,
educational materials developed pursuant to subdivision two of section
three hundred seventy-c of this article to educate them about adverse
childhood experiences, the importance of protective factors and the
availability of services for children at risk for or suffering from
adverse childhood experiences. The educational materials may be made
available electronically and shall be offered at the time of application
and recertification.
Fees for services. If and only to the extent the
imposition of a fee is required by federal law and regulation to insure
continued full federal financial participation in the state's plan for
services under applicable federal law and regulations, the department
shall, by regulation, require a local social services district to impose
a fee for any service made available by that district to an individual
who is not a recipient of public assistance and care. This section
shall not apply to fees for day care services as authorized by title
five of article six of this chapter.
Family homelessness and eviction prevention supplement
program. Notwithstanding any other provision of law to the contrary, for
a local social services district with a population of five million or
more, the commissioner shall designate such local social services
district to make vouchers available to eligible families under the
family homelessness and eviction prevention supplement ("FHEPS")
program, and to administer the program in accordance with a plan
approved pursuant to 18 N.Y.C.R.R. § 352.3(a)(3), provided however, that
the maximum rent for such vouchers shall be set at the United States
department of housing and urban development's fair market rent level.
The state shall reimburse the local social services district for
payments made under the FHEPS program in a manner consistent with title
two of this article.
Inclusion of parents and siblings of a minor in the public
assistance household. 1. For the purposes of determining eligibility for
and the amount of assistance payable, the social services district
shall, when a minor is named as an applicant for public assistance,
require that his or her parents and minor brothers and sisters also
apply for assistance and be included in the household for purposes of
determining eligibility and grant amounts, if such individuals reside in
the same dwelling unit as the minor applying for assistance. Any income
of or available for such parents, brothers and sisters which is not
disregarded under subdivision eight of section one hundred thirty-one-a
of this article, shall be considered available to such household. The
provisions of this subdivision shall not apply to individuals who are
recipients of federal supplemental security income benefits or
additional state payments pursuant to this chapter, or to individuals
whose relationship to the minor is that of stepbrother or stepsister, or
to any other individuals whose needs are excluded pursuant to department
regulations consistent with federal law and regulations.
2. For the purposes of determining eligibility for and the amount of
assistance payable, the social services district shall deem available to
any minor whose parent or legal guardian is a minor, any income of the
parent or legal guardian of such minor parent or legal guardian residing
in the same dwelling unit, to the same extent that the income of a
stepparent would be included pursuant to subdivision nine of section one
hundred thirty-one-a of this article.
3. For the purposes of this section a minor is a child under the age
of eighteen.
Substance abuse rehabilitative and preventive services.
1. Any inconsistent provision of this chapter or other law
notwithstanding, social services officials shall provide substance abuse
services, to eligible needy substance abusers and persons who are
substance dependent, under aid to dependent children, in accordance with
regulations of the department, if and so long as federal aid is
available therefor.
2. Each social services official shall provide such services either
directly or by purchase from a public or private non-profit agency;
provided, however, that such services are approved by the state division
of substance abuse services and that any facility furnishing such
services is supervised and approved by the state division of substance
abuse services.
3. If and so long as federal funds are available therefor, the
department shall be responsible for providing eligible services pursuant
to this section, provided, however, such services shall be furnished
through a cooperative agreement with the state division of substance
abuse services. Provided, further that the scope of the responsibility
of the department hereunder shall not extend beyond the authorization of
such division to furnish such services either directly or through
contract.
4. There shall be such cooperative agreements, between the department
and the state division of substance abuse services and other appropriate
state departments and agencies as shall be necessary to assure that
there will be a maximum utilization of existing rehabilitative and
preventive services and that the purposes and objectives of this section
will be effectively accomplished.
5. Any inconsistent provision of law notwithstanding, expenditures
made by a social services official under this section shall be deemed
expenditures for and administration of public assistance and care, and
shall be subject to reimbursement by the state in accordance with the
provisions of section one hundred fifty-three of this chapter.
Family planning services. Each social services commissioner
shall require that appropriate members of his staff personally advise
eligible needy persons periodically of the availability at public
expense of family planning services for the prevention of pregnancy and
inquire whether such persons desire to have such services furnished to
them. In those cases where such services are desired, they shall be
made available at public expense under appropriate provisions of this
chapter. Nothing herein shall be construed, however, to require or
permit coercion of such persons to request or receive family planning
services.
Retroactive social security benefit increases. Any
inconsistent provisions of this title, other provisions of this chapter
or of any other law notwithstanding, in determining the need for family
assistance, a social services official shall disregard, in addition to
any other amounts which are required or permitted to be disregarded in
determining such need, any retroactive lump sum payment made to an
individual under title II of the social security act (or under the
railroad retirement act of nineteen hundred thirty-seven by reason of
the first proviso in section three (e) thereof), as a result of an
increase in monthly benefits under the old age, survivors, and
disability insurance system.
Authority to accept public and private gifts. The
department or a social services district shall have the power to apply
for, accept, receive and expend public and private gifts or grants of
money, property or services for any purpose provided for by this
chapter.
Authority to operate family homes for adults. A social
services official may be authorized to operate family homes for adults,
in compliance with the regulations of the department, if such official
applies for such authority and demonstrates the need therefor and that
suitable care is not otherwise available.
* § 131-i. Social services districts; agreements. Subject to the
provisions of section one hundred nineteen-o of the general municipal
law, social services districts may enter into agreements for the
performance among themselves or of one for another of any of their
respective functions, powers and duties on a cooperative or contract
basis or for the provision of a joint service; provided, however, that
no such agreement shall result in any relocation of offices which would
unreasonably diminish access to necessary services or unreasonably
increase unreimbursed travel for applicants for or recipients of public
assistance or services.
* NB There are 2 § 131-i's.
Certain utility deposits. Any inconsistent provision of
this chapter or other law notwithstanding, a public assistance recipient
shall not be required by any corporation subject to the provisions of
article four of the public service law to pay a security deposit as a
condition of receiving any utility service provided by such utility
company. This section shall apply to recipients of supplemental
security income benefits or additional state payments, as defined in
section three hundred of this chapter, and such persons shall be deemed
public assistance recipients for the purposes of this section.
Undocumented noncitizens. An otherwise eligible applicant or
recipient who has been determined to be ineligible for aid to dependent
children, home relief or medical assistance because such individual is a
noncitizen unlawfully residing in the United States or because such
individual failed to furnish evidence that such individual is lawfully
residing in the United States shall be immediately referred to the
United States immigration and naturalization service, or the nearest
consulate of the country of the applicant or the recipient for such
service or consulate to take appropriate action or furnish assistance.
Exclusion of agent orange benefits. A social services
official shall disregard as income and resources in any program of
public assistance such sums as are required to be disregarded under
section two hundred thirty-five-a of the military law with respect to
exposure to agent orange or phenoxy herbicides.
Information on resource referral services. 1. Each social
services district shall furnish social services information and resource
referral services, in accordance with the provisions of this section and
the regulations of the department.
2. Such services shall be furnished without charge to any person who
is in need of and requests such services, without regard to such
person's eligibility for public assistance.
3. Each social services district shall designate staff having
administrative responsibility for assuring the furnishing of information
and referral regarding the following services and programs and for
making appropriate inquiries related to the actual receipt of such
services: financial assistance programs, health care and services,
social services, employment services and other community services,
including legal, education and consumer services.
* § 131-n. Exemption of income and resources. 1. The following
resources shall be exempt and disregarded in calculating the amount of
benefits of any household under any public assistance program: (a) cash
and liquid or nonliquid resources up to two thousand five hundred
dollars for applicants, three thousand seven hundred fifty dollars for
applicants in households in which any member is sixty years of age or
older or is disabled or ten thousand dollars for recipients, (b) an
amount up to four thousand six hundred fifty dollars in a separate bank
account established by an individual while currently in receipt of
assistance for the sole purpose of enabling the individual to purchase a
first or replacement vehicle for the recipient to seek, obtain or
maintain employment, so long as the funds are not used for any other
purpose, (c) an amount up to one thousand four hundred dollars in a
separate bank account established by an individual while currently in
receipt of assistance for the purpose of paying tuition at a two-year or
four-year accredited post-secondary educational institution, so long as
the funds are not used for any other purpose, (d) the home which is the
usual residence of the household, (e) one automobile, up to ten thousand
dollars fair market value, through March thirty-first, two thousand
seventeen; one automobile, up to eleven thousand dollars fair market
value, from April first, two thousand seventeen through March
thirty-first, two thousand eighteen; and one automobile, up to twelve
thousand dollars fair market value, beginning April first, two thousand
eighteen and thereafter, or such other higher dollar value as the local
social services district may elect to adopt, (f) one burial plot per
household member as defined in department regulations, (g) bona fide
funeral agreements up to a total of one thousand five hundred dollars in
equity value per household member, (h) funds in an individual
development account established in accordance with subdivision five of
section three hundred fifty-eight of this chapter and section four
hundred three of the social security act, (i) for a period of six
months, real property which the household is making a good faith effort
to sell, in accordance with department regulations and tangible personal
property necessary for business or for employment purposes in accordance
with department regulations, and (j) funds in a qualified tuition
program that satisfies the requirement of section 529 of the Internal
Revenue Code of 1986, as amended, and (k) funds in a New York achieving
a better life experience savings account established in accordance with
article eighty-four of the mental hygiene law.
If federal law or regulations require the exemption or disregard of
additional income and resources in determining need for family
assistance, or medical assistance not exempted or disregarded pursuant
to any other provision of this chapter, the department may, by
regulations subject to the approval of the director of the budget,
require social services officials to exempt or disregard such income and
resources. Refunds resulting from earned income tax credits shall be
disregarded in public assistance programs.
2. If and to the extent permitted by federal law and regulations,
amounts received under section 105 of Public Law 100-383 as reparation
payments for internment of Japanese-Americans and payments made to
individuals because of their status as victims of Nazi persecution as
defined in P.L. 103-286 shall be exempt from consideration as income or
resources for purposes of determining eligibility for and the amount of
benefits under any program provided under the authority of this chapter
and under title XX of the Social Security Act.
3. The department is authorized to establish regulations defining
income and resources. The department is further authorized to promulgate
regulations it deems necessary to prevent the improper establishment and
use of accounts for purchase of first or replacement vehicles.
* NB Effective until August 22, 2027
* § 131-n. Additional exemption of income and resources pursuant to
federal law and regulations. 1. If federal law or regulations require,
as a condition of qualifying for federal financial participation, the
exemption or disregard of income and resources in determining need for
aid to dependent children, or medical assistance not exempted or
disregarded pursuant to any other provision of this chapter, the
department may, by regulations subject to the approval of the director
of the budget, require social services officials to exempt or disregard
such income and resources. Such exemptions and disregards shall be
limited solely to income resulting from increases in social security
benefits authorized by Public Law 92-336, and refunds required to be
disregarded in federally aided programs by Public Law 94-164 for months
prior to July first, nineteen hundred seventy-six, or any other federal
law extending the requirement that refunds resulting from earned income
tax credits be disregarded in federally aided programs.
2. If and to the extent permitted by federal law and regulations,
amounts received under section 105 of Public Law 100-383 as reparation
payments for internment of Japanese-Americans and payments made to
individuals because of their status as victims of Nazi persecution as
defined in P.L. 103-286 shall be exempt from consideration as income or
resources for purposes of determining eligibility for and the amount of
benefits under any program provided under the authority of this article
and under title XX of the Social Security Act; provided, however, that
such treatment shall be applied in the home relief program only to the
extent that it is permitted under federal law in the program of aid to
dependent children.
* NB Effective August 22, 2027
Personal allowances accounts. 1. Each individual receiving
family care, residential care or care in a school for individuals with
developmental disabilities, or enhanced residential care as those terms
are defined in section two hundred nine of this chapter, and who is
receiving benefits under the program of additional state payments
pursuant to this chapter while receiving such care, shall be entitled to
a monthly personal allowance out of such benefits in the following
amount:
* (a) in the case of each individual receiving family care, an amount
equal to at least $186.00 for each month beginning on or after January
first, two thousand twenty-five.
* NB Effective until December 31, 2026
* (a) in the case of each individual receiving family care, an amount
equal to at least $191.00 for each month beginning on or after January
first, two thousand twenty-six.
* NB Effective December 31, 2026
* (b) in the case of each individual receiving residential care, an
amount equal to at least $213.00 for each month beginning on or after
January first, two thousand twenty-five.
* NB Effective until December 31, 2026
* (b) in the case of each individual receiving residential care, an
amount equal to at least $219.00 for each month beginning on or after
January first, two thousand twenty-six.
* NB Effective December 31, 2026
* (c) in the case of each individual receiving enhanced residential
care, an amount equal to at least $255.00 for each month beginning on or
after January first, two thousand twenty-five.
* NB Effective until December 31, 2026
* (c) in the case of each individual receiving enhanced residential
care, an amount equal to at least $262.00 for each month beginning on or
after January first, two thousand twenty-six.
* NB Effective December 31, 2026
* (d) for the period commencing January first, two thousand
twenty-six, the monthly personal needs allowance shall be an amount
equal to the sum of the amounts set forth in subparagraphs one and two
of this paragraph:
(1) the amounts specified in paragraphs (a), (b) and (c) of this
subdivision; and
(2) the amount in subparagraph one of this paragraph, multiplied by
the percentage of any federal supplemental security income cost of
living adjustment which becomes effective on or after January first, two
thousand twenty-six, but prior to June thirtieth, two thousand
twenty-six, rounded to the nearest whole dollar.
* NB Effective until December 31, 2026
* (d) for the period commencing January first, two thousand
twenty-seven, the monthly personal needs allowance shall be an amount
equal to the sum of the amounts set forth in subparagraphs one and two
of this paragraph:
(1) the amounts specified in paragraphs (a), (b) and (c) of this
subdivision; and
(2) the amount in subparagraph one of this paragraph, multiplied by
the percentage of any federal supplemental security income cost of
living adjustment which becomes effective on or after January first, two
thousand twenty-seven, but prior to June thirtieth, two thousand
twenty-seven, rounded to the nearest whole dollar.
* NB Effective December 31, 2026
2. The personal allowance described in subdivision one of this section
shall be made directly available to the individual for his own use in
obtaining clothing, personal hygiene items, and other supplies and
services for his personal use not otherwise provided by the residential
facility. Any waiver of the right to a personal allowance by an
individual entitled to it shall be void. The facility shall, for each
such individual, offer to establish a separate account for the personal
allowance. Each individual electing to utilize such an account shall be
entitled to a statement upon request, and in any case quarterly, setting
forth the deposits and withdrawals, and the current balance of the
account. A facility shall not demand, require or contract for payment of
all or any part of the personal allowance in satisfaction of the
facility rate for supplies and services and shall not charge the
individual or the account for any supplies or services that the facility
is by law, regulation or agreement with the individual required to
provide or for any medical supplies or services for which payment is
available under medical assistance, pursuant to this title, medicare
pursuant to title XVIII of the federal social security act, or any third
party coverage. Any service or supplies provided by the facility,
charged to the individual or the account shall be provided only with the
specific consent of the individual, who shall be furnished in advance of
the provision of the services or supplies with an itemized statement
setting forth the charges for the services or supplies. Whenever a
resident authorizes an operator of a facility to exercise control over
his or her personal allowance such authorization shall be in writing and
subscribed by the parties to be charged. Any such money shall not be
mingled with the funds or become an asset of the facility or the person
receiving the same, but shall be segregated and recorded on the
facility's financial records as independent accounts.
3. Any individual who has not received or been able to control
personal allowance funds to the extent and in the manner required by
this section may maintain an action in his own behalf for recovery of
any such funds, and upon a showing that the funds were intentionally
misappropriated or withheld to other than the intended use, for recovery
of additional punitive damages in an amount equal to twice the amount
misappropriated or withheld. The department may investigate any
suspected misappropriation or withholding of personal allowance funds
and may maintain an action on behalf of any individual to recover any
funds so misappropriated, including any punitive damages. Any funds
obtained as a result of such an action shall be disregarded in
determining such individual's eligibility for or amount of benefits
available pursuant to this chapter, to the extent permitted by federal
law and regulation.
4. Each facility subject to the provisions of this section shall
maintain in accordance with department regulations complete records and
documentation of all transactions involving resident personal allowance
accounts, and shall make such records available to the department and to
any other agency responsible for the inspection and supervision of the
facility upon request, with respect to any individual who is receiving
additional state payments.
5. Any agency having supervisory responsibilities over any facility
subject to the provisions of this section shall, at the time of any
inspection of such a facility, inquire into the furnishing of and
accounting for resident personal allowances, and shall report any
violations or suspected violations of this section to the department.
The department shall have primary responsibility for monitoring the
personal allowance requirements of this section; provided, however, that
the department may by cooperative agreement delegate such monitoring and
enforcement functions, in whole or in part, with respect to any
facility, to any other state agency having supervisory responsibilities
over such facility.
6. At the time an individual ceases to be a resident at the facility
maintaining a resident personal allowance account on his behalf, the
funds in such account shall be transferred to such individual or another
appropriate individual or agency for use on his behalf, in accordance
with department regulations.
7. Any facility subject to the provisions of this section shall assure
that any income of an individual residing therein that not considered in
determining such individual's eligibility for or amount of benefits
under the program of additional state payments pursuant to title six of
article five of this chapter, other than unearned income paid from
non-public sources for the purpose of meeting the cost, in part or in
whole, of such person's care and maintenance in such a facility, is
treated in the same manner as the personal allowance required to be made
available to the individual pursuant to this section.
8. In any case in which a person receives a payment of additional
state payment benefits for a month other than the month in which the
payment is received, the full monthly personal allowance for the months
to which the payment is attributable shall be made available to the
individual at such time as the payment has been received; in no event
shall the facility be found to have failed to comply with the provisions
of this section solely by reason of having failed to make such monthly
personal allowance available prior to the time such payment is actually
received.
9. In addition to any damages or civil penalties to which a person may
be subject;
(a) any person who intentionally withholds a resident's personal
allowance, or who demands, beneficially receives, or contracts for
payment of all or any part of a resident's personal allowances in
satisfaction of the facility rate for supplies and services shall be
guilty of a class A misdemeanor;
(b) any person who commingles, borrows from or pledges any personal
allowance funds required to be held in a separate account shall be
guilty of a class A misdemeanor.
Group health insurance benefits; condition of eligibility.
Notwithstanding any other inconsistent provision of law and to the
extent permissible under federal law, any applicant for or recipient of
safety net assistance or family assistance who is or becomes employed
and whose employer provides group health insurance benefits, including
benefits for a spouse and dependent children of such applicant or
recipient, shall apply for and utilize such benefits as a condition of
eligibility for safety net assistance or family assistance. Such
applicant or recipient shall also utilize such benefits provided by
former employers as long as such benefits are available. The department
shall promulgate regulations to determine the eligibility requirements
of those applicants and recipients who have more than one employer
offering group health insurance benefits.
The provisions of this section shall apply to such applicants upon
their initial certification for family assistance or safety net
assistance and to such recipients upon their recertifications for such
assistance following the date on which this section becomes effective.
The cost of premiums paid by such applicants or recipients for such
coverage shall be deducted from such applicant's or recipient's earnings
as an expense incident to his or her employment.
Electronic payment file transfer system pilot project. * 1.
The commissioner is empowered to authorize the city social services
district of the city of New York to continue the pilot project for the
design, development, implementation and operation of an electronic
payment file transfer system, in accordance with regulations of the
department, as an alternative means of delivery of grants and allowances
to public assistance recipients.
* NB Expired July 1, 1984
2. The city social services district is authorized to initiate
activities to prepare for a city-wide conversion to the electronic
payment file transfer system provided, however, the department shall
conduct a hearing to elicit information concerning the effectiveness of
such system and the impact of such system upon recipients, and such
other matters as the department may deem relevant. Following such
hearing, the commissioner may authorize city-wide implementation of such
system.
3. A recipient residing in the city social services district in a
geographical area where the electronic payment file transfer system is
in operation shall be required to receive his public assistance grants
and allowances at a location designated by the social services district.
A recipient who is subject to the provisions of this chapter relating to
work requirements shall remain subject to such provisions regardless of
the location where he receives his public assistance grants and
allowances.
4. The provisions of subdivision one of this section shall expire on,
and be of no further force and effect after July first, nineteen hundred
eighty-four.
Liability for reimbursement of public assistance benefits. 1.
Any person who is receiving or has received, within the previous ten
years, public assistance pursuant to the provisions of this article, and
who wins a lottery prize of six hundred dollars or more shall reimburse
the department from the winnings, for all such public assistance
benefits paid to such person during the previous ten years; provided,
however, that such crediting to the department shall in no event exceed
fifty percent of the amount of the lottery prize. The commissioner shall
enter into an agreement with the director of the lottery, pursuant to
section sixteen hundred thirteen-b of the tax law, for the crediting of
lottery prizes against public assistance benefits. Nothing herein shall
limit the ability of a social services district to make recoveries
pursuant to section 104 or section 106-b of this chapter.
2. Any inconsistent provision of this chapter or of any other law
notwithstanding, a social services official may not assert any claim
under any provision of this chapter to recover payments of public
assistance if such payments were reimbursed by child support
collections.
Payments made for utility service for recipients of public
assistance benefits, supplemental security income benefits or additional
state payments. 1. In the case of a person applying for public
assistance, supplemental security income benefits or additional state
payments pursuant to this chapter, the social services official of the
social services district in which such person resides shall, unless
alternative payment or living arrangements can be made, make a payment
to a gas corporation, electric corporation or municipality for services
provided to such person during a period of up to, but not exceeding,
four months immediately preceding the month of application for such
assistance or benefits if such payment is needed to prevent shut-off or
to restore service. Persons whose gross household income exceeds the
public assistance standard of need for the same size household must sign
a repayment agreement to repay the assistance within two years of the
date of payment as a condition of receiving assistance, in accordance
with regulations established by the department. Such repayment agreement
may be enforced in any manner available to a creditor, in addition to
any rights the district may have pursuant to this chapter.
2. In the case of a person receiving public assistance, supplemental
security income benefits or additional state payments pursuant to this
chapter, the social services official of the social services district in
which such person resides shall, unless alternative payment or living
arrangements can be made, make a payment to a gas corporation, electric
corporation or municipality for services provided to such person for the
most recent four months in which service was rendered prior to the
application for a utility payment pursuant to this section, provided
that no such payment shall be made for services rendered more than ten
months prior to the application for such a payment, and provided further
that:
(a) such person does not have any funds to pay for such service and
such payment is needed to prevent termination or to restore service and
such person has fully applied his public assistance grant, if any, to
purposes intended to be included in such grant, or
(b) such person in receipt of public assistance has made a written
request of such official for an advance allowance for utility services
already received pursuant to department regulations and has also made a
written request that his monthly assistance grant be reduced by a
portion of the amount of the advanced allowance, in such amounts as not
to cause undue hardship. Such payment shall be in addition to any direct
payment or any guarantee of payment for utility service for the month
for which timely payment may still be made. In no event may any part of
such payment subject to recoupment be made unless the social services
official first determines under the particular circumstances that the
recipient is not entitled, at the time of requesting such payment, to a
grant pursuant to titles one, three, eight or ten of this article or any
other provision of this chapter which could be utilized to cover all or
a portion to be advanced. If during the period of recoupment, the
recipient becomes entitled to a grant, pursuant to titles one, three,
eight or ten of this article or any other provision of this chapter,
which could be utilized to cover all or a portion of the amount to be
recovered, such grant shall be so utilized.
3. If and for so long as a person who has received a grant pursuant to
subdivision two of this section continues to receive public assistance
benefits, supplemental security income benefits or additional state
payments, the social services official shall, to the extent authorized
by applicable provisions of this chapter and regulations promulgated
thereto, either:
(a) make payments directly to the gas corporation, electric
corporation or municipality for utility services furnished to such
person during a period in which such person has been determined unable
to manage his own financial affairs; or
(b) act as guarantor of payment for the month in which the social
services official is advised of the nonpayment and for such period of
time thereafter as may be established by department regulations to the
extent that such person fails to pay for utility services provided
during any such month. Such guarantee of payment provided by the social
services official shall not extend for a period exceeding two years for
any person receiving public assistance, supplemental security income
benefits or additional state payments.
(c) Payments made for recipients of public assistance pursuant to this
subdivision shall be deemed to be advance allowances subject to
recoupment in accordance with department regulations. In no event may
any part of such payment subject to recoupment be made unless the social
services official first determines under the particular circumstances
that the recipient is not entitled, at the time of requesting such
payment, to a grant pursuant to titles one, three, eight or ten of this
article or any other provision of this chapter which could be utilized
to cover all or a portion to be advanced. If during the period of
recoupment, the recipient becomes entitled to a grant, pursuant to
titles one, three, eight or ten of this article or any other provision
of this chapter, which could be utilized to cover all or a portion of
the amount to be recovered, such grant shall be so utilized.
(d) Whenever a public assistance recipient, for whom a guarantee of
payment has been provided pursuant to this subdivision, ceases to
receive public assistance, the social services official shall notify the
gas corporation, electric corporation or municipality of the cessation
date in writing within fifteen days of such occurrence. In the case of a
recipient of supplemental security income benefits, the social services
official shall make such notification within fifteen days after
receiving official notice that the recipient's benefits have ceased. The
original terms and conditions of any guarantee made pursuant to this
subdivision shall remain in full force and effect only until the end of
any month in which the required notice is given.
4. The department shall establish by regulation the manner in which a
person receiving public assistance, supplemental security income
benefits or additional state payments pursuant to this chapter shall
advise the appropriate social services official that payment for utility
services furnished such person has not been made.
5. The social services official shall not make payments pursuant to
this section with respect to any disputed amounts for utility service
furnished for which a complaint has been filed with the gas corporation,
electric corporation or municipality and no determination has been
rendered by the gas corporation, electric corporation or municipality or
for which a complaint has been filed with the public service commission
and no determination has been made except to the extent payments are
required by the commission or its staff pending resolution of the
dispute by the commission. For purposes of applying the limitation on
payments pursuant to subdivision two of this section in any case in
which such a complaint has been filed with the public service
commission, the date of any application made pursuant to this section
shall be deemed to be the date on which the complaint was filed,
provided such application is made no later than thirty days from the
date of resolution by the public service commission.
6. All monies owed the gas corporation, electric corporation or
municipality by such person in excess of such payment as made by the
social services official pursuant to this section while such person is
in receipt of public assistance, supplemental security income benefits
or additional state payments pursuant to this chapter may be reduced to
a judgment, but shall be exempt from collection for so long as such
person continues to receive or would become in need of public
assistance, supplemental security income benefits or additional state
payments if the collection was made. The claim of the gas corporation,
electric corporation or municipality shall in all other respects remain
unaffected.
Automated identification of OTDA assistance program
participants. 1. Definitions. For the purposes of this section, the
following terms shall have the following meanings:
(a) "Commissioner" shall mean the commissioner of the office of
temporary and disability assistance.
(b) "Office" or "OTDA" shall mean the office of temporary and
disability assistance.
(c) "OTDA assistance program participant" shall mean a household that
is determined to be eligible by the office for any of the following
programs, provided, however, that the office may require written consent
from OTDA assistance program participants before using data obtained
from any of the following programs for the purposes of this section:
(i) Public assistance;
(ii) Home energy assistance program; and
(iii) Any other income-based assistance program identified by the
public service commission that is administered and approved for
inclusion under this section by the office.
(d) "Utility corporation" shall include utility companies, utility
corporations, public utility companies, public utility corporations, gas
corporations, electric corporations, municipalities as defined in
section two of the public service law and regulated pursuant to the
public service law, water-works corporations subject to section fifty of
the public service law, a municipal corporation that provides public
utility services, a rural electric cooperative, or a state public
authority that provides utility services.
(e) "Utility corporation affordability programs" shall be defined by
the public service commission and shall be limited to utility
corporation programs which are intended to assist customers with energy
or water service affordability by reducing customers' energy or water
service burden, as applicable.
2. Within one year of the effective date of this section, the
commissioner shall provide for automated identification of OTDA
assistance program participants for participation in utility corporation
affordability programs for energy affordability pursuant to subdivision
four of this section. Within one year and six months of the effective
date of this section, the commissioner shall provide for automated
identification of OTDA program participants for participation in utility
corporation affordability programs for water service affordability
pursuant to subdivision four of this section.
3. The utility corporation shall be responsible for working with the
office to facilitate and implement the technological capabilities to
allow for the secure transmission of data through an interface with the
office's information technology infrastructure.
4. (a) To the extent permitted by federal law, regulations and
policies, the office, upon the utility corporation agreeing to and
signing the office's data terms and upon receipt of the required data
elements from the utility corporation, as such data elements are defined
by the office, shall conduct automated file matching to identify utility
corporation customer accounts that are also OTDA assistance program
participants and, if permitted by federal law, regulations and policies,
such information shall be provided to utility corporations no less than
semi-annually. Utility corporation customer accounts identified by the
office as potentially eligible for participation in available utility
corporation affordability programs as a result of such file matching
shall be, if confirmed as eligible for such utility corporation
affordability programs by the utility corporation, enrolled in such
utility corporation affordability programs by the utility corporation
within sixty days of receipt by the utility corporation of the results
of the automated file match. Any information provided to the utility
corporations related to OTDA assistance program participants pursuant to
this section shall not be redisclosed by the utility corporation and
shall only be utilized for the purpose of confirming eligibility in the
utility corporation affordability program and providing notifications
pursuant to paragraph (b) of this subdivision.
(b) Upon automatic enrollment in the utility corporation affordability
program, the utility corporation shall provide written notification to
the utility corporation affordability program participant of their
enrollment in such program.
(c) Except as prohibited by federal law, regulation, or policy, and
notwithstanding any provision of state or local law, regulation, or
policy to the contrary, a utility corporation is authorized to share the
required data elements for the purposes of and as provided for by this
section.
5. The commissioner may adopt, on an emergency basis pursuant to
article two of the state administrative procedure act, any rules
necessary to carry out the provisions of this article.
6. The commissioner may delegate the administration of any portion of
this section to any state agency, social services official, city,
county, town, contractor or non-profit organization in accordance with
the provisions of this article and applicable federal requirements.
Provided however, such privacy and confidentiality limitations
prescribed in this section shall apply to any entity to which the
commissioner delegates the administration of any portion of this
section.
Periodic reporting. A social services official shall require
each public assistance or food stamp household which currently is
receiving or received earned income to submit periodic reports relating
to factors affecting eligibility, to the extent and in the manner
required by department regulations.
Domestic violence services. 1. Notwithstanding any
inconsistent provision of law, a social services district shall, in
accordance with the provisions of this section and regulations of the
department, offer and provide emergency shelter and services at a
residential program for victims of domestic violence, as defined in
article six-A of this chapter, to the extent that such shelter and
services are necessary and available to a victim of domestic violence,
as defined in article six-A of this chapter, and in need of emergency
shelter and services, who was residing in the social services district
at the time of the alleged domestic violence.
2. The department shall annually establish, subject to the approval of
the director of the budget, a daily rate of reimbursement for each
residential program for victims of domestic violence, as defined in
article six-A of this chapter, certified by the department which
provides emergency shelter and services to persons eligible for such
emergency shelter and services pursuant to this section. A social
services district financially responsible for a victim of domestic
violence shall reimburse a residential program for victims of domestic
violence for the costs of emergency shelter and services provided to
such victim at the daily reimbursement rate established by the
department reduced by any other reimbursement available for such costs.
Temporary emergency shelter. 1. Notwithstanding any
inconsistent provision of law, and to the extent consistent with federal
law, a social services official may contract with a non-profit
corporation or charitable organization to provide temporary emergency
shelter for eligible homeless households in dwelling units owned or
leased, and operated by such corporations or organizations.
2. An allowance for such shelter may be made for households dwelling
in such units if:
(a) no other suitable privately owned housing which meets the
department's standards for health and safety is available, other than a
more expensive hotel or motel; and
(b) no household was evicted to produce such units.
3. The continued need for such shelter shall be reviewed, evaluated
and authorized monthly by a social services official. Such allowance
shall not be available for more than six months unless the commissioner
of the social services district determines on an annual basis that
permanent housing is not readily available in the district and submits
to the department such determination on an annual basis.
4. The social services district shall submit for approval by the
department health and safety standards that such units must satisfy and
shall inspect such units regularly to ensure that such standards are
satisfied.
5. Such non-profit corporation or charitable organization shall, at a
minimum, provide such households with assistance in obtaining permanent
housing and with information regarding available counseling services,
employment assessment, job training and job placement services, and
child care services.
6. This section shall not be construed to limit other means of
providing temporary emergency shelter otherwise permitted under this
chapter and regulations promulgated thereunder.
Limitations in the payment of rent arrears. Districts shall
not provide assistance to pay rent arrears, property taxes or mortgage
arrears for persons not eligible for home relief, aid to dependent
children, emergency assistance to needy families with children or
emergency assistance for aged, blind and disabled persons, except to
persons who are without income or resources immediately available to
meet the emergency need, whose gross household income does not exceed
one hundred twenty-five percent of the federal income official poverty
line and who sign a repayment agreement agreeing to repay the assistance
in a period not to exceed twelve months. The districts shall enforce
the repayment agreements by any legal method available to a creditor, in
addition to any rights it has pursuant to this chapter. The department
shall promulgate regulations to implement this section which shall,
among other things, establish standards for the contents of repayment
agreements and establish standards to ensure that assistance is provided
only in emergency circumstances.
Reverse mortgage loans. Notwithstanding any other
inconsistent provisions of law and to the extent permissible under
federal law, regulation or waiver, the proceeds of a reverse mortgage
loan made in conformity with the requirements of section two hundred
eighty or two hundred eighty-a of the real property law or exempted
therefrom pursuant to subdivision four of section two hundred eighty or
subdivision four of section two hundred eighty-a of the real property
law shall not be considered as income or resources of the mortgagor for
any purpose under any law relating to food stamps, public assistance,
veteran assistance, safety net assistance, low-income home energy
assistance, federal supplemental security income benefits and/or
additional state payments, medical assistance, any prescription drug
plan or other payments, allowances, benefits or services available
pursuant to this chapter; provided, however, that for applicants or for
recipients of safety net assistance, any such reverse mortgage loan
proceeds shall be disregarded as income and/or resources only in the
event that, and for so long as, federal laws and regulations exempt loan
proceeds in the determination of eligibility for both the aid to
families with dependent children and supplemental security income
programs.
Child assistance program. 1. Notwithstanding any other
provision of law to the contrary, any district may operate a child
assistance program as part of the family assistance program with the
approval of the department. Approved expenditures for such child
assistance program shall be subject to federal and state reimbursement
as expenditures under the family assistance program in accordance with
section one hundred fifty-three of this chapter. Provided, however, on
or after January first, nineteen hundred ninety-eight the department
shall reimburse social services districts for the administrative costs
of this program in accordance with the provisions of subdivision sixteen
of section one hundred fifty-three of this chapter. All custodial parent
families receiving family assistance benefits shall be eligible for this
program, provided they satisfy the requirements of this section, if they
reside in a district which operates such a program.
2. Where a program has been authorized, child assistance payments
pursuant to the provisions of this section may be made to custodial
parents on behalf of minor children in accordance with the criteria
specified in subdivisions three, four, five and six of this section in
lieu of allowances determined in accordance with section one hundred
thirty-one-a of this article. The amount of such child assistance
payments shall be at least the sum of three thousand three hundred sixty
dollars per annum for the first minor child and one thousand one hundred
sixteen dollars per annum for each additional minor child, provided that
such payments shall be reduced by the amounts specified in paragraph (a)
of subdivision six of this section. The commissioner may develop a
methodology which will provide for the periodic adjustment of the
benefit level to reflect changes in maximum monthly grants and
allowances authorized pursuant to section one hundred thirty-one-a of
this article for the family assistance program. In addition, the child
assistance payments shall be established so that the payments combined
with earnings from full-time employment shall result in a family of
three having income at or above the poverty level for nineteen hundred
eighty-seven as reported by the federal department of health and human
services.
3. No custodial parent who resides in a social services district or
portion of such district in which a child assistance program is operated
shall be eligible under this program for receipt of child assistance
payments for a child, unless:
(a) An order of child support for such child has been made by a court
of competent jurisdiction;
(b) The order of child support is payable through a support collection
unit as created by section one hundred eleven-h of this chapter or such
other administrative mechanism as may be designated by the commissioner;
or the custodial parent has cooperated in taking the necessary steps to
ensure that the child support order is payable through a support
collection unit or other administrative mechanism;
(c) The parent subject to a support order described in paragraphs (a)
and (b) of this subdivision is absent from the home;
(d) The custodial parent and the child for whom, or on whose behalf an
application for child assistance program payments is made is at such
time, a recipient of family assistance benefits; and
(e) The custodial parent has not withdrawn from the program within the
three months prior to the date of reapplication for benefits under this
program.
4. Notwithstanding the provisions of subdivision three of this
section, a custodial parent may be eligible under this program even
though the custodial parent has failed to obtain an order of child
support because:
(a) The other parent is deceased;
(b) The custodial parent has demonstrated to the satisfaction of the
commissioner, a diligent effort to obtain a child support order,
including providing the local social services district with the
information necessary to file a petition for child support, but due to
reasons outside of the control of the custodial parent, a child support
order is not obtainable in a reasonable period of time;
(c) The custodial parent has good cause as defined in regulations, not
to cooperate in obtaining a child support order; or
(d) The child resides with both parents and paternity has either been
acknowledged or established.
5. A participant is no longer to be considered a participant in this
program when such individual is not eligible for payments as a result of
the operation of paragraph (a) of subdivision six of this section for
four consecutive months.
6. (a) So long as funds are available therefor, the amount received by
each custodial parent eligible to receive child assistance payments
pursuant to this section shall be reduced by an amount equal to:
(i) An amount which reflects a portion of the actual income of the
custodial parent pursuant to a methodology to be established by the
commissioner; and
(ii) An additional amount which reflects that portion of the custodial
parent's spouse's income which is deemed to be available to other
household members pursuant to a methodology to be established by the
commissioner.
(b) Persons in receipt of both child assistance under this section and
medical assistance pursuant to title eleven of article five of this
chapter who, prior to April first, two thousand five, become ineligible
for medical assistance solely due to increased earnings from employment
or loss of earned income disregards shall, if otherwise eligible, remain
eligible for medical assistance until March thirty-first, two thousand
five or until such later time as may be required by the provisions of
such title or of this subdivision. Such medical assistance shall be
provided initially pursuant to paragraphs (a) and (b) of subdivision
four of section three hundred sixty-six of this article.
(c) With respect to persons described in paragraph (b) of this
subdivision, including those no longer in receipt of child assistance
due to increased earnings from employment, when the medical assistance
provided pursuant to paragraphs (a) and (b) of subdivision four of
section three hundred sixty-six of this chapter ends, such persons, if
ineligible for medical assistance solely due to earnings from employment
or loss of earned income disregards shall, if otherwise eligible, remain
eligible for medical assistance for an additional twelve months.
However, in no event shall medical assistance be provided pursuant to
this paragraph for any period that is more than twelve months after such
persons cease to participate in the child assistance program.
(d) Social services districts shall take all necessary actions to
provide medical assistance pursuant to paragraphs (a) and (b) of
subdivision four of section three hundred sixty-six of this chapter to
individuals described in paragraphs (b) and (c) of this subdivision who
are eligible for such assistance. Social services districts shall
provide to individuals described in paragraphs (b) and (c) of this
subdivision information as to the availability of the child health
insurance plan described in title one-A of article twenty-five of the
public health law.
7. Each participating social services district shall provide to all
recipients eligible for participation in this program in accordance with
the approved program a comparison of the benefits that would be
available to the household under family assistance and the child
assistance payments as provided in this section. Each participating
district shall inform all eligible recipients that participation in this
program is voluntary.
8. Participation in this program shall be voluntary. Should a
participant elect to terminate his or her participation in this program,
then, upon reapplication for family assistance benefits and a subsequent
determination of eligibility, such participant shall be restored to
benefits effective from the date of reapplication.
9. The department shall promulgate regulations for the operation of
the child assistance program. Such regulations shall include but not be
limited to:
(a) Resources. At program entry, program participants may not have
resources which exceed the level permitted for eligibility for the
family assistance program. Once eligible for the program, no further
resource tests shall be imposed;
(b) Eligibility determinations. Program participants shall not be
required to report changes in income more frequently than quarterly;
(c) Lump sums. If a child or relative participating in the program
receives, in any month or months in a quarter, a non-recurring amount of
earned or unearned income, the quarterly total of which exceeds one
quarter of the annual poverty level for nineteen hundred eighty-seven
for a family of the same size as the program household which received
the lump sum, the case shall be ineligible for assistance for the whole
number of quarters that equals the amount of the non-recurring income
received, adjusted for any applicable disregards of income, divided by
the quarterly poverty level applicable to the case;
(d) One hundred eighty-five percent of gross income test. Program
participants shall be allowed to have income in excess of one hundred
eighty-five percent of the state standard of need;
(e) Loss of eligibility. Non-compliance with a condition of
eligibility shall result in the ineligibility of the whole family for
the child assistance program;
(f) Determination of available income. Notwithstanding section one
hundred thirty-one-a or any other provision of this chapter,
determination of available income and the determination of income to be
disregarded shall be in accordance with these regulations provided
however that the methodology shall not be adjusted in a manner such that
a household would receive a lower benefit than a similarly situated
household would have received in January, nineteen hundred ninety-seven
for the same amount of earned income; and
(g) Cash out of food stamps. To the extent permitted by federal law,
program participants shall receive the value of their food stamps in
cash.
(h) Child support pass through. The requirement that certain child
support collected be passed through to the custodial parent pursuant to
section one hundred eleven-c of this chapter shall not apply to persons
participating in the child assistance program.
* § 131-zz. Child poverty reduction. 1. Legislative findings. The
legislature hereby declares that New York should take any steps
necessary to reduce the overall child poverty rate by fifty percent in
the next ten years. Nearly three million New Yorkers are living in
poverty, eight hundred ninety-five thousand of which are children. In
fact, one in five New York children struggle to meet basic needs, and
although several efforts have been undertaken, the overall poverty rate
in New York has failed to see a reduction over the last decade. The
legislature finds that reducing child poverty will protect the health
and general well-being of all New Yorkers. To effectuate this reduction,
the child poverty reduction advisory council shall be established to
research policy ideas, develop best practices, and continually monitor
relevant benchmarks to ensure that New York continues to work towards
reducing child poverty by fifty percent in ten years.
2. Child poverty reduction advisory council established. (a) To
effectuate a reduction in child poverty in the state, there is hereby
established an advisory council, to be known as the "child poverty
reduction advisory council", hereafter referred to as the "advisory
council". The advisory council shall carry out the required acts set
forth in subdivision four of this section.
(b) The members of the advisory council shall be chaired by a
representative of the executive chamber and the commissioner of the
office of temporary and disability assistance, or their designees.
Ensuring adequate geographic representation, members of the advisory
council shall be appointed in the following manner:
(i) two members shall be appointed by the temporary president of the
senate;
(ii) two members shall be appointed by the speaker of the assembly;
(iii) two members shall be appointed by the commissioner of the office
of temporary and disability assistance;
(iv) at least one member shall be appointed by the governor from each
of the following entities:
(1) the office of children and family services;
(2) the New York state council on children and families;
(3) the department of taxation and finance;
(4) a regional economic development council;
(5) a statewide non-profit poverty advocacy organization; and
(6) a non-profit organization with a focus on poverty issues; and
(v) two individuals who are directly impacted by poverty in the state.
(c) The members of the advisory council shall receive no compensation
for their services but shall be allowed their actual and necessary
expenses incurred in the performance of their duties.
(d) The advisory council shall convene within sixty days after the
effective date of this section. A quorum shall consist of a majority of
the members of the advisory council entitled to vote on the matter under
consideration. Approval of any matter shall require the affirmative vote
of a majority of the members voting thereon. The advisory council shall
adopt by-laws for the management and regulation of its affairs,
including the creation of committees and subcommittees to effectuate the
work required.
3. Appointments to the advisory council. (a) Appointments to the
advisory council shall be made no later than forty-five days after the
effective date of this section.
(b) If any such appointment is not made by such date, the appointing
official may make the appointment after that date, but such vacant
appointment shall not count for the calculation of a quorum until such
vacancy is filled.
(c) Any vacancies in the advisory council shall be filled in the same
manner as the original appointment was made.
4. Policy proposal review and recommendations. The advisory council
shall:
(a) develop and publish a timeline, inclusive of yearly benchmarks,
for reducing child poverty in the state by fifty percent in ten years.
Such timeline shall be made publicly available.
(b) consider policy proposals that shall include, but not be limited
to, the following proposals and release a report outlining the effect
that the enactment of such proposals may have on the rate of childhood
poverty in New York:
(i) expanding and strengthening the state's earned income tax credit
to align with the state's minimum wage to cover individual taxpayer
identification number filers and young, childless adults and to be paid
out quarterly;
(ii) expanding and strengthening the state's child tax credit to
include young children, and to eliminate the minimum income threshold;
(iii) expanding work training and employment programs in the state;
(iv) expanding access to subsidized housing; and
(v) expanding access to subsidized child care.
(c) investigate the effects that each of the proposals listed in
paragraph (b) of this subdivision may have if enacted by itself, as well
as the effect the proposals may have if enacted in conjunction with the
other proposals, including related changes to federal policies. The
advisory council shall include the cost to the state related to the
implementation of such policies, as well as the projected savings in
both the short and long term that the state could realize by reducing
poverty.
(d) review agency programs that can be modified, suspended, or
otherwise changed to immediately reduce the child poverty rate.
(e) deliver to the governor, the speaker of the assembly and the
temporary president of the senate, reports containing the timeline
required pursuant to paragraph (a) of this subdivision, the review of
the policy proposals required pursuant to paragraph (b) of this
subdivision, the investigation of the effects of such policies pursuant
to paragraph (c) of this subdivision and the review of agency programs
required pursuant to paragraph (d) of this subdivision on or before
eighteen months from the effective date of this section.
(f) develop recommendations for additional policies and procedures to
reduce the state's child poverty rate by fifty percent in ten years from
the effective date of this section. In developing such policies and
procedures, the advisory council shall consider:
(i) the disproportionate impact poverty may have on various racial and
ethnic communities and what policies may assist in alleviating such
disparities;
(ii) ways to improve access to public benefits for individuals
regardless of their immigration status;
(iii) policies that assist families to obtain and maintain financial
stability, including policies that assist individuals with educational
advancements as well as securing employment that provides a living wage;
and
(iv) any other factors that may impact a family, parent, or child's
ability to stay above the poverty level, including, but not limited to:
(1) stability and predictability of income;
(2) equitable and ready access to programs;
(3) equitable treatment across racial, immigration and ethnic groups;
(4) positive environmental conditions;
(5) the individual health and well-being of the parents and children;
and
(6) the cost to the state, including the short-term costs of the
programs and the long-term savings from having such programs in place.
(g) deliver to the governor, the speaker of the assembly and the
temporary president of the senate the recommendations of the advisory
council as required pursuant to paragraph (f) of this subdivision on or
before two years after the effective date of this section.
(h) release annual reports starting September first, two thousand
twenty-three, detailing the progress that the state has made in reducing
the child poverty rate in line with the recommendations set forth in
this subdivision.
(i) collaborate with experts in the field of poverty research, utilize
available data from other relevant statewide studies of poverty, and
solicit input from stakeholder interests including, but not limited to
persons impacted by poverty, non-profit organizations that assist those
living in poverty, individuals or organizations that work to end racial
disparities in New York, and child poverty advocacy organizations. The
advisory council shall also conduct formal public hearings, which shall
take place in at least four regions of the state, as defined by the
empire state development corporation, and shall be offered during
non-traditional hours to allow for persons unable to normally testify
due to work requirements to so testify.
5. Implementation of recommendations. The legislature may utilize
recommendations provided to prioritize the implementation of programs
and services, as they deem appropriate, that would facilitate the goals
of reducing child poverty by fifty percent over the next ten years from
the effective date of this section.
6. Budget proposal review. No later than ten days after the governor
offers any amendments to the executive budget submission pursuant to
article seven of the constitution, the advisory council shall submit to
the chairs of the senate finance committee and the assembly ways and
means committee, a report analyzing the proposals contained within the
executive budget submission that are expected by the advisory council to
impact the child poverty rate.
7. Advisory council staff and agency liaison. (a) The commissioner of
the office of temporary and disability assistance shall designate such
employees of the office of temporary and disability assistance as are
reasonably necessary to provide support services to the advisory
council. The advisory council, acting by the chair of the advisory
council, may employ additional staff and consultants, who shall be paid
from amounts made available to the advisory council for such purpose.
(b) All state agencies, public authorities, and public benefit
corporations shall provide such assistance as may be reasonably
requested by the chair of the advisory council. Provided however, any
information provided shall be kept confidential and shall be used only
for the specific purpose of effectuating the duties of the council.
8. Deliberations of the advisory council. The deliberations, meetings
and other proceedings of the advisory council and any committee or
subcommittee thereof shall be governed by article seven of the public
officers law. Any one or more members of a committee or subcommittee may
participate in a meeting of such committee or subcommittee by means of a
conference telephone, conference video or similar communication or
electronic communication, provided that such communication allows all
persons participating in the meeting, and all persons observing the
meeting, including members of the public, to hear each other at the same
time. Participation by such means shall constitute presence at a
meeting. If a meeting other than an executive session is to be conducted
by means of a conference telephone, conference video or similar
communication or electronic communication, the public notice for such
meeting shall inform the public that such equipment will be used, and
further identify the means by which the public may listen to such
meeting.
* NB Repealed December 1, 2032
Investigation of applications. 1. When an application for
assistance or care is received, or a social services official is
informed that a person is in need of public assistance and care, an
investigation and record shall be made of the circumstances of such
person. The object of such investigations shall be to secure the facts
necessary to determine whether such person is in need of public
assistance or care and what form thereof and service he or she should
receive. Information shall be sought as to the residence of such person,
the name, age, religious faith, physical condition, earnings or other
income, and ability to work of all members of the family, the cause of
the person's condition, the ability and willingness of the family,
relatives, friends and church to assist, and such other facts as may be
useful in determining the treatment which will be helpful to such
person. However, nothing in this subdivision or elsewhere in this
chapter contained shall be construed to require a social services
official to communicate with or require assistance from any person or
persons liable by law to contribute to the support of a woman pregnant
with, or the mother of, an out of wedlock child, in need of care away
from home during pregnancy and during and after delivery, in the case
where the surrender of the child to the social services official is
under consideration, for such period as may be necessary for such mother
and official to decide whether the child will be surrendered for
adoption to such official, which period shall not extend beyond ninety
days after birth of the child. Except where the welfare official is in
possession of positive proof that the applicant is receiving or is
eligible to receive unemployment insurance benefits and the amount
thereof such investigations shall include written request to the
commissioner of labor or his or her duly authorized officer charged with
administration of the unemployment insurance law for information as to
the status of such person in respect to unemployment insurance benefits.
2. (a) All applications received by a town social services officer
shall be forwarded to the county commissioner immediately and all such
applications shall be investigated by the staff of the county
commissioner. After investigation the county commissioner shall return
to the town social services officer every application for safety net
assistance made by a person residing or found in such town, together
with his or her recommendation as to the eligibility of the applicant
and the amount of assistance to be granted, if any. In addition thereto,
the county commissioner shall keep the town social services officer
currently informed of persons residing in his or her town who are
receiving any form of public assistance and care other than safety net
assistance.
(b) In a city social services district, investigation of applications
shall be made by the city commissioner of social services and his staff.
(c) In a city which is functioning under section seventy-four-a of
this chapter, investigation shall be made by the county commissioner of
social services and his staff.
3. The commissioner of the department of family assistance shall
provide by regulation for methods of determining eligibility for public
assistance and care, other than medical assistance, to be utilized by
all social services officials. Such regulations shall provide for
methods of verifying information supplied by or about recipients with
information contained in the wage reporting system established pursuant
to section one hundred seventy-one-a of the tax law and similar systems
in other geographically contiguous states, and, to the degree mandated
by federal law with the non-wage income file maintained by the United
States internal revenue service, with the benefits and earnings data
exchange maintained by the United States department of health and human
services, and with the unemployment insurance benefit file.
4. (a) Investigation into the cause of the condition of a head of
household or of any adult applicant or recipient and the treatment which
will be helpful to such person shall include a screening for alcohol
and/or substance abuse using a standardized screening instrument to be
developed by the office of addiction services and supports in
consultation with the department. Such screening shall be performed by a
social services district at the time of application and periodically
thereafter but not more frequently than every six months, unless the
district has reason to believe that an applicant or recipient is abusing
or dependent on alcohol or drugs, in accordance with regulations
promulgated by the department. Such screening may be conducted by
telephone or other digital means at the request of the applicant or
recipient.
(b) When the screening process indicates that there is reason to
believe that an applicant or recipient is abusing or dependent on
alcohol or drugs, the social services district shall require a formal
alcohol or substance abuse assessment, which may include drug testing,
to be performed by an alcohol and/or substance abuse professional
credentialed by the office of addiction services and supports. Provided
however, if the applicant or recipient tests positive for the presence
of cannabis, the positive result alone shall not be sufficient to
establish a dependence for purposes of requiring an individual to
participate in a treatment program pursuant to paragraph (c) of this
subdivision. The assessment may be performed directly by the district or
pursuant to contract with the district. Such assessment may be conducted
by telephone or other digital means at the request of the applicant or
recipient.
(c) The social services official shall refer applicants and recipients
whom it determines are presently unable to work by reason of their need
for treatment for alcohol or substance abuse based on the formal
assessment to a treatment program licensed or certified by the office of
alcoholism and substance abuse services or operated by the United States
office of veterans affairs and determined by the social services
official to meet the rehabilitation needs of the individual. When
residential treatment is appropriate for a single custodial parent, the
social services official shall make diligent efforts to refer the parent
to a program that would allow the family to remain intact for the
duration of the treatment.
(d) A person who fails to participate in the screening or in the
assessment shall be ineligible for public assistance. Other members of a
household which includes a person who has failed to participate in the
screening or assessment shall, if otherwise eligible, receive public
assistance only through safety net assistance if they are otherwise
eligible for public assistance.
(e) A person referred to a treatment program pursuant to paragraph (c)
of this subdivision, and the household with which he or she resides
shall receive safety net assistance while the person is participating in
such treatment, if the household is otherwise eligible for public
assistance. If a person referred to treatment cannot participate in that
treatment because treatment is not presently available, that person and
the household with which he or she resides shall receive safety net
assistance if the household is otherwise eligible for public assistance.
(f) If an applicant or recipient is required, pursuant to paragraph
(c) of this subdivision, to participate in an appropriate rehabilitation
program and refuses to participate in such program without good cause or
leaves such program prior to completion of the program without good
cause, provided that program completion shall be solely determined by
the guidelines and rules of such rehabilitation program, or if an
applicant or recipient has been suspended from the receipt of social
security disability benefits or supplemental security income benefits by
reason of noncompliance with requirements of the federal social security
administration for treatment for substance abuse or alcohol abuse, the
person will be disqualified from receiving public assistance as follows:
(i) for the first failure to participate in or complete the program,
until the failure ceases or for forty-five days, whichever period of
time is longer;
(ii) for the second such failure, until the failure ceases or for one
hundred twenty days, whichever period of time is longer; and
(iii) for the third and subsequent failures, until the failure ceases
or for one hundred eighty days, whichever period is longer.
Good cause shall be defined in regulations by the commissioner.
The household with which the person resides shall continue to receive
safety net assistance if otherwise eligible.
(g) Persons disqualified from receiving public assistance pursuant to
paragraph (f) of this subdivision who would otherwise be eligible for
public assistance and who return to required treatment prior to the end
of the disqualification period and are receiving residential care as
defined in paragraph (d) of subdivision three of section two hundred
nine of this chapter shall be eligible for safety net assistance.
(h) Notwithstanding any inconsistent provision of section one hundred
thirty-one-o of this article, if a recipient required to participate in
an appropriate treatment program pursuant to paragraph (c) of this
subdivision receives a personal needs allowance, such allowance shall be
made as a restricted payment to the treatment program and shall be a
conditional payment. If such recipient leaves the treatment program
prior to the completion of such program, any accumulated personal needs
allowance will be considered an overpayment and returned to the social
services district which provided the personal needs allowance.
(i) Compliance with the provisions of this subdivision shall not be
required as a condition of applying for or receiving medical assistance.
Children born out of wedlock; special provisions. 1. When an
investigation is required by section one hundred thirty-two and other
provisions of this chapter for the purpose of determining the
eligibility for public assistance and care of an applicant pregnant with
or who is the mother of an out of wedlock child such investigation shall
include diligent inquiry into the paternity of such child.
2. Except when the surrender of the child to the social services
official for the purpose of adoption is under consideration in
accordance with the provisions of section one hundred thirty-two, and
except when the child has been surrendered to the social services
official for the purpose of adoption, the social services official shall
communicate with and require support from any person liable by law to
contribute to the support of such applicant or her child.
3. In appropriate cases, such applicant shall be required to file a
petition in the family court instituting proceedings to determine the
paternity of her child, and she shall be required to assist and
cooperate in establishing such paternity. However, such a petition shall
not be required to be filed if the child has been surrendered to the
social services official for adoption or if such surrender is under
consideration in accordance with the provisions of section one hundred
thirty-two.
4. In any case where the social services official has decided, in
accordance with the provisions of section one hundred thirty-two, not to
conduct an investigation, a written report of such decision and the
basis therefor shall be made in duplicate to the department, upon forms
prescribed by the department, within thirty days after the making
thereof.
Temporary preinvestigation emergency needs assistance or care.
Upon application for public assistance or care under this chapter, the
local social services district shall notify the applicant in writing of
the availability of a monetary grant adequate to meet emergency needs
assistance or care and shall, at such time, determine whether such
person is in immediate need. If it shall appear that a person is in
immediate need, emergency needs assistance or care shall be granted
pending completion of an investigation. The written notification
required by this section shall inform such person of a right to an
expedited hearing when emergency needs assistance or care is denied. A
public assistance applicant who has been denied emergency needs
assistance or care must be given reason for such denial in a written
determination which sets forth the basis for such denial. Nothing in
this section shall be construed to require the social services district
or any state agency to provide medical assistance, except as otherwise
required by title eleven of this article.
Contracts for distribution of public assistance grants. As
permitted or required by regulations of the department, each social
services district may contract with an appropriate department or agency
of the state or banking institutions to distribute grants and allowances
of public assistance to the grantees thereof.
Supervision. The social service officials responsible under
section one hundred thirty-two for investigating any application for
public assistance and care, shall maintain close contact with persons
granted public assistance and care. Such persons shall be visited as
frequently as is provided by the regulations of the department or
required by the circumstances of the case, in order that any treatment
or service tending to restore such persons to a condition of
self-support and to relieve their distress may be rendered and in order
that assistance or care may be given only in such amount and as long as
necessary. Persons receiving care in an institution shall be visited as
often as may be necessary in order that any service or care needed by
them shall be provided and in order that institutional care shall be
given only as long as it is advantageous for the person's welfare. The
circumstances of a person receiving continued care shall be
reinvestigated as frequently as the regulations of the department may
require.
Conduct of investigation. 1. In accordance with regulations
of the department of family assistance, any investigation or
reinvestigation of eligibility for public assistance and care, other
than medical assistance, shall be limited to those factors reasonably
necessary to insure that expenditures shall be in accord with applicable
provisions of this chapter and the regulations of the department and
shall be conducted in such manner so as not to violate any civil right
of the applicant or recipient. Such regulations of the department shall
provide that where inconsistencies and gaps in the information presented
by a recipient or where other circumstances in the particular case would
indicate to a prudent person, that further inquiry should be made,
additional necessary information is to be sought except further that the
department shall provide by regulations which are consistent with
federal law for matching of data supplied by or about recipients with
information contained in the wage reporting system established pursuant
to section one hundred seventy-one-a of the tax law and similar systems
in other geographically contiguous states, and such regulations shall
further provide to the extent mandated by federal law for matching with
the non-wage income file maintained by the United States internal
revenue service, with the benefits and earnings data exchange maintained
by the United States department of health and human services, and with
the unemployment insurance benefits file. In making such investigation
or reinvestigation, sources of information, other than records
maintained by a public agency, shall be consulted only with the
permission of the applicant or recipient. However, if such permission is
not granted by the applicant or recipient, the appropriate social
services official may deny, suspend or discontinue public assistance or
care until such time as he may be satisfied that such applicant or
recipient is eligible therefor. Nothing in this section shall be
construed to prohibit activities the department reasonably believes
necessary to conform with Federal requirements under section one
thousand one hundred thirty-seven of the social security act. The
activities authorized by this section may be initiated only with regard
to those clients who have been given appropriate notice of verification
activity under article six-A of the public officers law.
2. At the time he applies for public assistance and care, an applicant
shall, as a condition of receiving such aid, present proof of his
identity to the social services official as the department may by
regulation require, and he shall provide such proof thereafter whenever
required by such official.
3. The social services official shall require that persons applying
for or receiving public assistance and care be interviewed personally at
a time and in a manner provided by the regulations of the department,
and the social services official may provide the option of a phone
interview or other digital means for such interview at the request of
the applicant or recipient.
4. Notwithstanding any other provisions of this chapter, the
department may provide for a comparison of information identifying a
recipient of benefits under any program authorized under this chapter
with identifying information possessed by state agencies in other states
administering programs similar to those authorized by this chapter
regarding recipients of such programs. Such a comparison shall be
authorized only with regard to clients who have received appropriate
notice under the personal privacy protection law, which notice shall be
deemed compliance with the provisions of subdivision one of this
section. Should the comparison of identifying information indicate that
the client in question is or has been simultaneously receiving benefits
in both states, the department may, in its discretion, authorize
exchange of income, benefit, and other case information with the state
agency of the other state.
5. The social services official upon receipt of information concerning
a sentence of imprisonment imposed upon a person receiving public
assistance shall make a reinvestigation of eligibility.
Front end detection system. In accordance with regulations
promulgated by the department, each social services district shall
establish procedures to identify, investigate and resolve potential
cases of fraud, misrepresentation or inadequate documentation prior to
determining an applicant's eligibility for public assistance. Such
procedures shall not delay the determination of eligibility for
assistance beyond the timeframes established in law or regulation for
such determination, including emergency assistance. Each social services
district shall submit to the department a plan describing such
procedures in such form and at such times as the department may require.
Such department regulations shall include, but not be limited to,
standards governing referrals by the district to its fraud detection
unit, and shall set forth indicators to be used, in part, to govern such
referrals based on the individual's employability, employment history,
or prior incidence of overpayments attributable to client conduct.
Requirement to publicly post information. 1. Each local
social services district shall be required to post information in
accordance with this section, in a form and manner to be determined by
the commissioner. Such poster shall be conspicuous and visible to all
applicants and/or recipients of public assistance who are applying for
assistance and be at least eight and one-half inches by eleven inches in
size. Such information shall also be posted on the office of temporary
and disability assistance's website.
2. Such information shall include, but not be limited to, informing
individuals who are applying to receive assistance that they have the
right to:
(a) a fair hearing;
(b) ask about emergency assistance;
(c) apply for all benefits and services;
(d) ask about child care;
(e) free language services;
(f) screening and special services if experiencing domestic violence;
and
(g) a written adequate notice.
Cooperation of public welfare officials. 1. It shall be the
duty of every public welfare official to render assistance and cooperate
within his jurisdictional powers with every other public welfare
official and with the family court and all other governmental agencies
concerned with the health and welfare of persons under their
jurisdiction.
2. Every public welfare official shall also cooperate whenever
possible with any private agency whose object is the relief and care of
persons in need or the improvement of social conditions in order that
there may be no duplication of relief and that the work of agencies both
public and private may be united in an effort to relieve distress and
prevent dependency.
Protection of public welfare records. 1. The names or
addresses of persons applying for or receiving public assistance and
care shall not be included in any published report or printed in any
newspaper or reported at any public meeting except meetings of the
county board of supervisors, city council, town board or other board or
body authorized and required to appropriate funds for public assistance
and care in and for such county, city or town; nor shall such names and
addresses and the amount received by or expended for such persons be
disclosed except to the commissioner of social services or his
authorized representative, such county, city or town board or body or
its authorized representative, any other body or official required to
have such information properly to discharge its or his duties, or, by
authority of such county, city or town appropriating board or body or of
the social services official of the county, city or town, to a person or
agency considered entitled to such information. However, if a bona fide
news disseminating firm or organization makes a written request to the
social services official or the appropriating board or body of a county,
city or town to allow inspection by an authorized representative of such
firm or organization of the books and records of the disbursements made
by such county, city or town for public assistance and care, such
requests shall be granted within five days and such firm or organization
shall be considered entitled to the information contained in such books
and records, provided such firm or organization shall give assurances in
writing that it will not publicly disclose, or participate or acquiesce
in the public disclosure of, the names and addresses of applicants for
and recipients of public assistance and care except as expressly
permitted by subdivision four. If such firm or organization shall,
after giving such assurance, publicly disclose, or participate or
acquiesce in the public disclosure of, the names and addresses of
applicants for or recipients of public assistance and care except as
expressly permitted by subdivision four, then such firm or organization
shall be deemed to have violated this section and such violation shall
constitute a misdemeanor. As used herein a news disseminating firm or
organization shall mean and include: a newspaper; a newspaper service
association or agency; a magazine; a radio or television station or
system; a motion picture news agency.
2. All communications and information relating to a person receiving
public assistance or care obtained by any social services official,
service officer, or employee in the course of his or her work shall be
considered confidential and, except as otherwise provided in this
section, shall be disclosed only to the commissioner, or his or her
authorized representative, the commissioner of labor, or his or her
authorized representative, the commissioner of health, or his or her
authorized representative, the welfare inspector general, or his or her
authorized representative, the county board of supervisors, city
council, town board or other board or body authorized and required to
appropriate funds for public assistance and care in and for such county,
city or town or its authorized representative or, by authority of the
county, city or town social services official, to a person or agency
considered entitled to such information. Nothing herein shall preclude a
social services official from reporting to an appropriate agency or
official, including law enforcement agencies or officials, known or
suspected instances of physical or mental injury, sexual abuse or
exploitation, sexual contact with a minor or negligent treatment or
maltreatment of a child of which the official becomes aware in the
administration of public assistance and care nor shall it preclude
communication with the federal immigration and naturalization service
regarding the immigration status of any individual.
3. Nothing in this section shall be construed to prevent registration
in a central index or social service exchange for the purpose of
preventing duplication and of coordinating the work of public and
private agencies.
4. No person or agency shall solicit, disclose, receive, make use of,
or authorize, knowingly permit, participate in, or acquiesce in the use
of, any information relating to any applicant for or recipient of public
assistance or care for commercial or political purposes. Nothing in
this or the other subdivisions of this section shall be deemed to
prohibit bona fide news media from disseminating news, in the ordinary
course of their lawful business, relating to the identity of persons
charged with the commission of crimes or offenses involving their
application for or receipt of public assistance and care, including the
names and addresses of such applicants or recipients who are charged
with the commission of such crimes or offenses.
5. A social services official shall disclose to a federal, state or
local law enforcement officer, upon request of the officer, the current
address of any recipient of family assistance, or safety net assistance
if the duties of the officer include the location or apprehension of the
recipient and the officer furnishes the social services official with
the name of the recipient and notifies the agency that such recipient is
fleeing to avoid prosecution, custody or confinement after conviction,
under the laws of the place from which the recipient is fleeing, for a
crime or an attempt to commit a crime which is a felony under the laws
of the place from which the recipient is fleeing, or which, in the case
of the state of New Jersey, is a high misdemeanor under the laws of that
state, or is violating a condition of probation or parole imposed under
a federal or state law or has information that is necessary for the
officer to conduct his or her official duties. In a request for
disclosure pursuant to this subdivision, such law enforcement officer
shall endeavor to include identifying information to help ensure that
the social services official discloses only the address of the person
sought and not the address of a person with the same or similar name.
Information from state tax commission and the comptroller. 1.
Section six hundred ninety-seven or any other provision of the tax law
shall in no way be construed to restrict the department from obtaining,
on behalf of itself or a local social services district, the name,
address, social security number, employment history and number of
dependents claimed for any individual certified by the department to be
a welfare recipient and suspected of abusing, defrauding or otherwise
violating the welfare system.
2. Information furnished to the department by the state tax commission
and the comptroller under or as a result of the agreement authorized by
section one hundred seventy-one-c of the tax law shall be considered
confidential and shall not be disclosed to persons or agencies other
than those entitled to such information because such disclosure is
necessary for the proper administration of title six-A of article three
and title ten of article five of this chapter.
Exemption from levy and execution. All moneys or orders
granted to persons as public assistance or care pursuant to this chapter
shall be inalienable by any assignment or transfer and shall be exempt
from levy and execution under the laws of this state.
Exemption of earnings of recipients from assignment, income
execution and installment payment order. 1. All wages, salary,
commissions or other compensation paid or payable by an employer to a
person while he is in receipt of public assistance or care supplementary
to his income pursuant to the provisions of titles three, four, five,
six and ten of article five of this chapter, or while he would otherwise
need such assistance or care, shall be exempt from assignment, income
execution or from an installment payment order under the laws of this
state but only so long as such public assistance or care, shall continue
or would be needed if the assignment, income execution or installment
payment order were enforced. The claim of the creditor shall in all
other respects remain unaffected. Any employer who shall withhold or pay
over to a person presenting an income execution installment payment
order or assignment, any portion of the earnings of such a recipient of
public assistance or care, after receiving notification in writing from
a social services official that the employee is receiving public
assistance or care, or that he would become in need of public assistance
or care if the assignment, income execution or installment payment order
were enforced, shall be liable in an action by such recipient for the
amount so paid or withheld contrary to the provisions of this section. A
social services official sending such notification to an employer shall
be required to notify the employer, in writing, of the termination of
such receipt and need for public assistance and care of the employee
involved when this shall occur. Upon receipt of such notice of
termination the employer may commence or resume, as the case may be,
payment and withholding under any assignment, income execution or
installment payment order whose effectiveness was postponed or suspended
by this section.
2. As used in this section, "public assistance and care" shall include
federal supplemental security income benefits paid pursuant to title
sixteen of the federal social security act and additional state payments
paid pursuant to title six of article five of this chapter.
Responsibility of the department for recipients in family
care. 1. Any inconsistent provision of this chapter or other law
notwithstanding, the department shall be responsible for furnishing
public assistance and care to mentally disabled persons residing in
family care homes licensed by the office of mental health or the office
for people with developmental disabilities who are admitted to such
facilities in accordance with regulations of the office which licenses
the facility. However, the department may, at its option, discharge such
responsibility, in whole or in part, through social services districts
designated to act as agents of the department. While so designated, a
social services district shall act as agent of the department and shall
be entitled to reimbursement as provided in section one hundred
fifty-three of this article.
2. The department shall possess and may exercise like powers and
perform like duties in respect to the assistance and care of persons in
family care as social services officials exercise and perform in
relation to persons in their respective jurisdictions.
Special provisions to avoid abuse of assistance and care. 1.
Any person who shall apply for safety net assistance or family
assistance within one year after arrival in this state, shall be
presumed to have come into the state for the purpose of receiving public
assistance or care and the social services official where application is
made, shall deny public assistance and care to such applicant unless
such applicant shall establish by clear and convincing proof that the
purpose of his or her entry was not for the purpose of securing public
assistance and care in this state. In addition to complying with the
foregoing provisions, the applicant shall also submit with his or her
application a certificate from the appropriate local employment office
of the state department of labor issued within a two week period from
the date of his or her application stating that such employment office
has no order for an opening in part-time, full-time, temporary or
permanent work of any kind to which the applicant could properly be
referred by such office, taking into consideration only his or her
physical and mental capacity without reference to his or her customary
occupation or acquired skill.
2. The social services official shall in every case complete his
investigation and make his determination of the application under this
section not more than thirty days after receipt of the application.
3. (a) The social services districts of Allegany, Broome, Dutchess,
Niagara, Onondaga, Oneida, Orange, Oswego, Rensselaer, Rockland,
Steuben, and Suffolk shall authorize and implement demonstration
projects for the purposes of determining the cost-effectiveness of
preventing multiple enrollment of home relief benefit recipients through
the use of an automated two-digit finger imaging matching identification
system. The system shall only include home relief benefit recipient
finger imaging upon application for eligibility for such benefits and
finger imaging of home relief recipients currently receiving home relief
benefits.
(b) Notwithstanding the provisions of section one hundred thirty-six
of this article or any other provision of law, data collected and
maintained through the use of an automated finger imaging matching
identification system as authorized by this subdivision may not be used,
disclosed or redisclosed for any purpose other than the prevention of
multiple enrollments in home relief, may not be used or admitted in any
criminal or civil investigation, prosecution, or proceeding, other than
a civil proceeding pursuant to section one hundred forty-five-c of this
article, and may not be disclosed in response to a subpoena or other
compulsory legal process or warrant, or upon request or order of any
agency, authority, division, office or other private or public entity or
person, except that nothing contained herein shall prohibit disclosure
in response to a subpoena issued by or on behalf of the applicant or
recipient who is the subject of the record maintained as a part of such
system. Any person who knowingly makes or obtains any unauthorized
disclosure of data collected and maintained through the use of an
automated two-digit finger imaging matching identification system shall
be guilty of a class A misdemeanor, and shall be punished in accordance
with the provisions of the penal law.
(c) Data collected and maintained on the automated two-digit finger
imaging matching identification system shall be subject to those
provisions relating to unauthorized disclosure of confidential client
information currently subject to part 357 of the commissioner's
regulations.
(d) Such social services districts shall develop a competitive request
for proposal for an automated two-digit finger imaging matching
identification system, and shall thereafter contract for the services of
a firm certified by the department as able to design and implement such
automated two-digit finger imaging matching identification system. The
department shall oversee the process by which districts select and award
contracts for the demonstration projects. Prior to the implementation of
any contracts, the department shall certify that a system exists for
data collection and for destroying and expunging a recipient finger
image upon such recipient ceasing to be a home relief recipient and that
the design of the demonstration project fulfills all the requirements of
this section. The department shall provide such assistance as needed to
facilitate finger image matching among social services districts
including centralized sharing of data when local matching among social
services districts is not feasible. After award the department shall be
responsible for ensuring that the demonstration projects are carried out
in accordance with the requirements of this section, that adequate
training for local district staff involved with the project will be
provided and taking any actions necessary to bring such programs into
compliance if required. Such contractual arrangement shall ensure that
state payments for the contractor's necessary and legitimate expenses
for the administration of such program are limited to amounts specified
in advance and that such amounts shall not exceed the amount
appropriated therefor in any fiscal years.
(e) Immediate notice of all the provisions of this subdivision shall
be provided to home relief recipients or applicants.
(f) Notwithstanding any other provision of law, nothing contained
herein shall be deemed to authorize or permit the termination,
suspension, or diminution of home relief benefits except as elsewhere
specifically authorized in this chapter, provided, however, that where
the basis of a proposed sanction is a determination of a fraudulent
multiple enrollment based on the use of an automated finger imaging
matching identification system authorized pursuant to this section, no
such sanction shall be imposed pending a hearing conducted pursuant to
section twenty-two of this chapter within forty-five days of the
notification of the applicant or recipient of the alleged fraudulent
multiple enrollment, or pending a final determination of a request by an
applicant or a recipient for correction or amendment of a record
pursuant to section ninety-five of the public officers law, and no such
sanction shall be imposed unless the local social services district has
verified the results of the automated finger imaging matching
identification system by means of a manual match conducted by a person
who is qualified to perform such identifications.
(g) The department shall conduct periodic audits to monitor compliance
with all laws and regulations regarding the automated finger imaging
matching system to insure that any records maintained as part of such
system are accurate and complete, that no illegal disclosures of such
records have taken place, that effective software and hardware designs
have been instituted with security features to prevent unauthorized
access to such records, that access to record information system
facilities, systems operating environments, data file contents whether
while in use or when stored in a media library is restricted to
authorized personnel only, that operation programs are used that will
prohibit inquiry, record updates, or destruction of records, from any
terminal other than automated finger imaging matching system terminals
which are so designated, that operational programs are used to detect
and store for the output of designated department employees all
unauthorized attempts to penetrate any automated finger imaging matching
system, program or file, that adequate and timely procedures exist to
insure that the recipient or applicant's right to access and review of
records for the purpose of accuracy and completeness, including
procedures for review of information maintained about such individuals
and for administrative review (including procedures for administrative
appeal) and necessary correction of any claim by the individual to whom
the information relates that the information is inaccurate or
incomplete.
(h) The department shall report to the speaker of the assembly and the
temporary president of the senate on the operation of the demonstration
project by March first, nineteen hundred ninety-six. This report shall
include analysis of the cost-effectiveness of such project, and shall
include information concerning instances of multiple enrollment detected
through use of this system, and shall include a detailed summary of the
results of audits required by paragraph (g) of this subdivision. The
report shall include recommendations regarding whether the program
should be discontinued, expanded, or otherwise modified.
(i) The department of social services shall contract with an
independent academic or research organization (the "contractor")
experienced in evaluating public assistance programs for a comprehensive
evaluation of the automated finger imaging matching identification
system authorized in this section. The results of such evaluation shall
be set forth in a report which shall include, but not be limited to the
following:
(1) a description of the demonstration project, its implementation
schedule and the problems encountered in implementation;
(2) investigations of each instance where a recipient does not respond
to a notice informing the recipient of the need to submit to finger
imaging. Such investigation shall determine, to the extent possible, why
the recipient did not respond and whether such failure to respond was
due to the recipient: (a) becoming eligible for federal supplemental
security income benefits, if any; (b) no longer being eligible because
of earned income, if any; (c) no longer being a resident of the county,
if any; or (d) failing to respond because of other reasons;
(3) an evaluation of historical caseload trends, both statewide and in
the demonstration counties, including a study of monthly records for the
two years prior to the demonstration, and also including the closing of
cases at recertification. Analysis of such monthly records shall be
conducted as part of the basis of estimating benefits under the
demonstration;
(4) an analysis of the procedures used to verify suspicions of fraud
including follow-up of identified cases of fraud, if any;
(5) aggregate totals of false matches, if any, found by the system,
the methods used to correct such errors and an accounting of the
duplicate applications for benefits, if any, that are detected by the
system; and
(6) an estimate of the savings, if any, resulting from the
implementation of finger imaging, and an estimate of the actual costs of
the system including, but not limited to equipment costs, the costs of
linking terminals, site preparation and the costs of any additional
staff required to operate the system.
(j) Not later than February first, nineteen hundred ninety-six, the
contractor shall submit the report required by paragraph (i) of
subdivision three of this section to the governor, the majority leader
of the senate and the speaker of the assembly and to the commissioner of
the department of social services.
(k) The local social service districts establishing an automated
finger imaging matching identification system pursuant to this
subdivision shall be deemed an agency as defined in subdivision one of
section ninety-two of the public officers law, and data collected and
maintained in such automated system shall be deemed records and systems
of records as defined in subdivisions nine and eleven of such section of
such law. Except as otherwise specifically provided in this section, the
provisions of article six-a of such law, known as the "personal privacy
protection law" shall apply to the records and systems of records
collected and maintained by such local social service districts pursuant
to this section.
(l) Expenditures made by social services districts, and determined
cost effective by the department, including those expenditures necessary
for contracts planned or executed on or before the effective date of
this section, for the design, development, implementation and
administrative costs of the automated finger imaging matching
identification system shall be subject to one hundred percent state
reimbursement.
(m) The automated finger imaging matching identification system shall
be established in the selected districts not later than October first,
nineteen hundred ninety-four, and such demonstration projects shall
expire upon the enactment of a chapter of the laws of nineteen hundred
ninety-five providing for an automated fraud prevention system based on
personally unique identification factors.
Burial of the dead. 1. (a) If a recipient of public assistance
or care or other person dies leaving no funds or insurance sufficient to
pay the expense of his burial, the relatives who survive him who were or
would have been responsible for his support, pursuant to section one
hundred one of this chapter, shall be responsible for such expense to
the extent that they are able to pay the same in whole or in part; and
the public welfare official paying such expense or any part thereof may
recover all or part of the amounts expended by him from such relatives,
who shall be severally and jointly liable therefor in accordance with
their respective abilities.
(b) Except as otherwise provided the public welfare district, town or
city which was or would have been responsible for furnishing public
assistance or care to the person while alive shall provide for the care,
removal and burial of the body of a recipient of public assistance or
care who shall die, or of a person found dead in the public welfare
district.
2. If, when such provision is made by a public welfare district, town
or city, the deceased leave no funds or insurance sufficient to pay the
expense of his burial and there are no known relatives, friends or
personal representatives liable or willing to become responsible for
such expense, the expense of such burial shall be a charge on such
public welfare district, town or city but the public welfare official
thereof may recover the same in whole or in part from the relatives of
the deceased liable therefor.
3. (a) When burial arrangements for a recipient of public assistance
or care are made by relatives or friends of the deceased and the expense
of such burial does not exceed the amount fixed by the appropriate
public welfare official or the local appropriating body for similar
burials in similar circumstances, such public welfare official may:
(1) if such relatives or friends were required to pay the expense of
such burial in order to arrange the same, wholly or partly reimburse
them, from assets transferred or assigned to such social services
official by or on behalf of the deceased recipient; but he shall not
reimburse a legally responsible relative of the deceased for any part of
the amount paid by him which in the judgment of such social services
official such relative is able to bear; nor shall such official expend
from such assets for such purpose more than is permitted by or pursuant
to this section, other provisions of this chapter and regulations of the
department.
(2) pay part of the expense of such burial, if, and to the extent and
under the circumstances, permitted by his local policy, which shall not
be inconsistent with this chapter, and the regulations of the
department; but in no case shall such social services official pay more
than the balance remaining to be paid after the total of the amounts
paid or to be paid by all other sources, including payments made or to
be made by such legally responsible relatives of the deceased as are in
the judgment of such official able to bear the same, is credited to and
deducted from such expense.
(b) In no case shall a public welfare official expend, pursuant to the
provisions of this section or any other provision of this chapter, for
the burial of a recipient of public assistance or care, from assets
transferred or assigned to him by or on behalf of such recipient, an
amount which shall be in excess of five hundred dollars.
4. For purposes of this section, the term "recipient of public
assistance and care" shall include persons receiving federal
supplemental security income benefits pursuant to title sixteen of the
federal social security act and/or additional state payments pursuant to
title six of article five of this chapter.
5. Expenditures for burial made by social services districts, cities
and towns pursuant to the provisions of this chapter shall, if approved
by the department, be subject to reimbursement by the state, in
accordance with the regulations of the department to the extent of one
hundred per centum thereof in the case of needy Native Americans and
members of their families residing on a reservation within the state and
fifty per centum in all other cases, and such reimbursement shall be
claimed and paid in accordance with the procedure prescribed by and
pursuant to section one hundred fifty-three. However, only so much of
such an expenditure as does not exceed two hundred fifty dollars for
expenditures made prior to October first, nineteen hundred eighty-six,
four hundred dollars for expenditures made on and after October first,
nineteen hundred eighty-six and prior to April first, nineteen hundred
eighty-seven and nine hundred dollars for expenditures made on and after
April first, nineteen hundred eighty-seven shall be subject to
reimbursement by the state.
6. If an applicant for or a recipient of public assistance or care or
of medical assistance under section two hundred nine or three hundred
sixty-six of this chapter establishes an irrevocable trust for the
payment of his or her funeral expenses, or those of a family member,
under section four hundred fifty-three of the general business law, any
funds remaining in such trust after the payment of all funeral expenses
must be paid over to the social services official responsible for
arranging for burials under this section in the local government
subdivision where the decedent resided.
Exclusiveness of eligibility requirements. No person receiving
federal supplemental security income payments and/or additional state
payments, or family assistance shall for the same period receive any
other of such forms of assistance.
Federal economic opportunity act grants or payments; effect
on eligibility for certain public assistance or care.
Any inconsistent provisions of titles ten and eleven of article five,
other provisions of this chapter, or of any other law notwithstanding,
in determining the need for public assistance or care under such titles:
1. Any grant made to a family under title III of the federal economic
opportunity act of nineteen hundred sixty-four shall not be regarded as
income or resources of such family in determining the need of any member
thereof for such public assistance or care.
2. The first eighty-five dollars plus one-half of the excess over
eighty-five dollars of payments made to or on behalf of any person for
or with respect to any month under title I or II of the federal economic
opportunity act of nineteen hundred sixty-four or any program assisted
under such title shall not be regarded as income or resources of such
person in determining his need for such public assistance or care, or as
income or resources of any other individual in determining such other
individual's need for such public assistance or care; but any amount
made available to or for the benefit of such other individual from the
excess of the amounts exempted hereby may be considered in determining
the eligibility of such other individual for such public assistance or
care.
Federal manpower development training act and elementary and
secondary education act grants or payments; effect on eligibility for
certain public assistance or care. So long as the applicable provisions
of the federal manpower development and training act, as amended, or of
the elementary and secondary education act as amended, may require:
1. any inconsistent provision of title ten of article five, other
provisions of this chapter, or of any other law notwithstanding, in
determining the need for public assistance or care under such title, any
payments made under the manpower development and training act, as
amended, which are made in lieu of a training allowance to defray
expenses attributable to training and/or as a training incentive
payment, shall not be regarded as income or resources of the person in
determining his need for such public assistance or care, or as income or
resources of any other person in determining such other person's need
for such public assistance or care; and/or
2. any inconsistent provisions of title ten of article five, other
provisions of this chapter, or of any other law notwithstanding, in
determining the need for public assistance or care under such title, the
first eighty-five dollars per month, during a period of not less than
twelve nor more than twenty-four months as may be prescribed by
regulations of the department, earned by any person for services
rendered to any program assisted under title I of the elementary and
secondary education act of nineteen hundred sixty-five, as amended,
shall not be regarded as income or resources of such person in
determining his need for public assistance or care under such title ten
of article five of this chapter, or as income or resources of any other
person in determining such other person's need for such public
assistance or care.
Information to be given by employers of labor to social
services officials, the department, family court and the state
department of mental hygiene. If requested by an authorized
representative of the state department of mental hygiene or of the
department or by any social services official, the officials or
executives of any corporation or partnership, and all employers of labor
of any kind, doing business within the state of New York, shall furnish
to such representative or social services official information relating
to facts of which such officials, executives or employers shall have
cognizance, concerning the last known address, social security number,
plans providing care or other medical benefits by insurance or
otherwise, wages, salaries, earnings or other income of any applicant
for, or recipient of public assistance or care named in such request or
of any relative legally responsible for the support of such applicant
for, or recipient of public assistance or care, or of any person legally
responsible for a person who is receiving services pursuant to section
one hundred eleven-g of this chapter, or for the support of any patient
of any state institution named by such representative of the state
department of mental hygiene.
Information to be given to public welfare officials by retail
instalment sellers, small loan companies and sales finance companies.
If requested by an authorized representative of the department or by an
authority charged with the duty of administering laws relating to public
assistance or care in any village, town, city or county, the officials
or executives of any corporation or partnership and all persons engaged
in selling goods or furnishing services to retail buyers for a time sale
price payable in instalments, or in making personal loans whether as a
licensed lender under the banking law or otherwise, and any sales
finance company as defined in article ten of the banking law, shall
furnish to such representatives or authority such information of which
such officials, executives or persons shall have cognizance relating to
transactions with a recipient of or an applicant for public assistance
or care named in such request. Such facts shall include a description
of the goods or services sold and the amount of the obligation incurred
therefor, the amount of any loan made, the amounts paid and the balance
owing, the place of employment, the wages, salaries, earnings or other
income, guarantors or co-signers, and all other information furnished by
the persons named for the purpose of obtaining credit.
Avoidance of abuses in connection with rent checks. 1.
Whenever a recipient of public assistance and care is eligible for or
entitled to receive aid or assistance in the form of a payment for or
toward the rental of any housing accommodations occupied by such
recipient or his family, such payment may be made directly by the public
welfare department to the landlord.
2. Every public welfare official shall have power to and may withhold
the payment of any such rent in any case where he has knowledge that
there exists or there is outstanding any violation of law in respect to
the building containing the housing accommodations occupied by the
person entitled to such assistance which is dangerous, hazardous or
detrimental to life or health. A report of each such violation shall be
made to the appropriate public welfare department by the appropriate
department or agency having jurisdiction over violations.
3. Every public welfare official shall have the power to initiate or
to request the recipient to initiate before the appropriate housing rent
commission any proper proceeding for the reduction of maximum rents
applicable to any housing accommodation occupied by a person entitled to
assistance in the form of a rent payment whenever such official has
knowledge that essential services which such person is entitled to
receive are not being maintained by the landlord or have been
substantially reduced by the landlord.
4. The public welfare department may obtain and maintain current
records of violations in buildings where welfare recipients reside which
relate to conditions which are dangerous, hazardous or detrimental to
life or health.
5. (a) It shall be a valid defense in any action or summary proceeding
against a welfare recipient for non-payment of rent to show existing
violations in the building wherein such welfare recipient resides which
relate to conditions which are dangerous, hazardous or detrimental to
life or health as the basis for non-payment.
(b) In any such action or proceeding the plaintiff or landlord shall
not be entitled to an order or judgment awarding him possession of the
premises or providing for removal of the tenant, or to a money judgment
against the tenant, on the basis of non-payment of rent for any period
during which there was outstanding any violation of law relating to
dangerous or hazardous conditions or conditions detrimental to life or
health. For the purposes of this paragraph such violation of law shall
be deemed to have been removed and no longer outstanding upon the date
when the condition constituting a violation was actually corrected, such
date to be determined by the court upon satisfactory proof submitted by
the plaintiff or landlord.
(c) The defenses provided herein in relation to an action or
proceeding against a welfare recipient for non-payment of rent shall
apply only with respect to violations reported to the appropriate public
welfare department by the appropriate department or agency having
jurisdiction over violations.
6. Nothing in this section shall prevent the public welfare department
from making provision for payment of the rent which was withheld
pursuant to this section upon proof satisfactory to it that the
condition constituting a violation was actually corrected. Where rents
were reduced by order of the appropriate rent commission, the public
welfare department may make provision for payment of the reduced rent in
conformity with such order.
Avoidance of abuses in connection with rent security
deposits. 1. Whenever a landlord requires that he be secured against
non-payment of rent or for damages as a condition to renting a housing
accommodation to a recipient of public assistance, a local social
services official may in accordance with the regulations of the
department secure the landlord by either of the following means at the
option of the local social services official:
(a) By means of an appropriate agreement between the landlord and the
social services official, or
(b) By depositing money in an escrow account, not under the control of
the landlord or his agent, subject to the terms and conditions of an
agreement between the landlord and the social services official in such
form as the department may require or approve provided, however, that
this option shall not be used in instances where recipients reside in
public housing.
2. Except as expressly provided in subdivision three of this section,
it shall be against the public policy of the state for a social services
official to pay money to a landlord to be held as a security deposit
against the non-payment of rent or for damages by a public assistance
recipient, or to issue a grant to a recipient of public assistance
therefor.
3. When, however, in the judgment of a social services official
housing accommodations available in a particular area are insufficient
to properly accommodate recipients of public assistance in need of
housing, and in order to secure such housing it is essential that he pay
money to landlords to be held as security deposits against the
non-payment of rent or for damages by public assistance recipients, or
to issue grants to recipients of public assistance therefor, such social
services official may pay or furnish funds for such security deposits
until sufficient housing accommodations are available in the particular
area to properly accommodate recipients of public assistance in need of
housing. Social services officials shall not pay or furnish such funds
in instances where recipients reside in public housing. Landlords
receiving such security deposits shall comply with the provisions of
article seven of the general obligations law. Such cash security
deposits shall be subject to assignment to the local social services
official by the recipients of public assistance or care. Any social
services official paying or furnishing funds for security deposits in
accordance with the provisions of this subdivision shall make diligent
effort to recover such payments or funds from a recipient landlord as
allowed by law.
4. This section shall apply to federally-aided categories of public
assistance except to the extent prohibited by applicable federal laws
and regulations.
5. This section shall apply to recipients of supplemental security
income benefits or additional state payments, as defined in section
three hundred of this chapter, and such persons shall be deemed
recipients of public assistance for the purposes of this section.
Power of public welfare officials and service officers to
administer oaths; power of public welfare officials to subpoena persons
liable for support and compel production of records. Public welfare
officials and service officers shall have power to administer oaths and
take affidavits in all matters pertaining to their office and to elicit,
by examination under oath, statement of facts from applicants for or
recipients of assistance or care. Public welfare officials shall have
further power to subpoena persons liable by law for the support of
applicants for or recipients of assistance or care, compel the
attendance of such persons and take their testimony under oath for the
purpose of determining the ability of such persons to contribute towards
the support of such applicants for or recipients of assistance or care,
and in connection therewith to compel the production of books, papers,
records and documents. Such persons shall be entitled to the same
mileage fees as are allowed to witnesses required to attend in civil
actions in courts of record.
Information to be given to officials of the department and of
social services districts. Any inconsistent provision of law
notwithstanding, if requested by an authorized representative of the
department or by an official of any town, city or county who is
responsible for administering a program authorized by this chapter, the
officials of any banking or financial organization or institution doing
business in the state whether chartered under state law, federal law, or
the laws of another jurisdiction, shall furnish to such governmental
officials such information as such officials have as to whether any
present applicant for or recipient of any assistance, care or services
authorized by this chapter, has or had funds, securities or other
property on deposit or in the custody of such banking or financial
organization or institution, and the amount or probable value thereof.
Such information shall be provided, to the extent practicable, in the
format specified by such governmental officials (except that any banking
or financial institution may discharge its obligation by supplying such
matching information on cartridge, tape or diskette media in the
American National Standard Code for Information Interchange file
format). These provisions shall be inclusive of and in addition to the
provisions of section four of the banking law and may be administered
and enforced in any manner consistent with the provisions of this
chapter or in any other manner authorized or permitted by the laws and
courts of this state.
Penalties. 1. Any person who by means of a false statement or
representation, or by deliberate concealment of any material fact, or by
impersonation or other fraudulent device, obtains or attempts to obtain,
or aids or abets any person to obtain public assistance or care to which
he is not entitled, or does any wilful act designed to interfere with
the proper administration of public assistance and care, shall be guilty
of a misdemeanor, unless such act constitutes a violation of a provision
of the penal law of the state of New York, in which case he shall be
punished in accordance with the penalties fixed by such law. Failure on
the part of a person receiving public assistance or care to notify the
social services official granting such assistance or care of the receipt
of money or property or income from employment or any other source
whatsoever, shall, upon the cashing of a public assistance check by or
on behalf of such person after the receipt of such money, or property,
or income, constitute presumptive evidence of deliberate concealment of
a material fact. Whenever a social services official has reason to
believe that any person has violated any provision of this section, he
shall promptly refer the facts and evidence available to him to the
appropriate district attorney or other prosecuting official, who shall
immediately evalaute the facts and evidence and take appropriate action.
2. The provisions of subdivision one of this section shall apply to
social services officials and employees, who shall also be subject to
removal and shall be liable in an action brought by the county or city,
or by the state commissioner of social services, for the value of the
public assistance improperly granted to any person as a result of the
wilful wrongful act of such official or employee.
Judgment liens. 1. If any provider of care, services or
supplies under the medical assistance program is required to pay any
fine, penalty or overpayment to the department, a social services
district or any other social services entity as a result of the
provisions of this chapter or as a result of any administrative
procedure, such provider shall make payment in the amount and the manner
directed by the commissioner or his or her agents, representatives or
designees.
2. Upon the issuance to the provider of a written notice of a final
determination, the department must also notify the provider in writing
of the provider's right to request a hearing. The provider's right to
request a hearing shall not expire earlier than sixty days from the
mailing of such notice of the provider's right to a hearing. If no
administrative hearing or proceeding for judicial review shall then be
pending and if the time for initiation of such hearing or proceeding
shall have expired, the commissioner or his or her agents,
representatives or designees may file with the clerk of the county where
the provider resides or has a place of business a certified copy of the
final administrative determination of the commissioner or his or her
agents, whether in the form of a written final audit report or other
final determination that such provider has engaged in unacceptable
practices or has received payment to which such provider is not
entitled, containing the amount found to be due. The filing of such
final administrative determination shall have the full force and effect
of a judgment duly docketed in the office of such clerk. The final
administrative determination may be enforced by and in the name of the
commissioner in the same manner, and with like effect, as that
prescribed by the civil practice law and rules for the enforcement of a
money judgment. Such final administrative determination shall not be
filed until at least sixty days after the department has posted by
ordinary mail to the provider at the address of such provider on file
with the department a copy of the final administrative determination
which shall contain notice of the amount found to be due and owing.
False statements; actions for treble damages. 1. (a) It shall
be unlawful for any person, firm or corporation knowingly by means of a
false statement or representation, or by deliberate concealment of any
material fact, or other fraudulent scheme or device, on behalf of
himself or others, to attempt to obtain or to obtain payment from public
funds for services or supplies furnished or purportedly furnished
pursuant to this chapter.
(b) For purposes of this section, "statement or representation"
includes, but is not limited to: a claim for payment made to the state,
a political subdivision of the state, or an entity performing services
under contract to the state or a political subdivision of the state; an
acknowledgment, certification, claim, ratification or report of data
which serves as the basis for a claim or a rate of payment, financial
information whether in a cost report or otherwise, health care services
available or rendered, and the qualifications of a person that is or has
rendered health care services.
(c) For purposes of this section, a person, firm or corporation has
attempted to obtain or has obtained public funds when any portion of the
funds from which payment was attempted or obtained are public funds, or
any public funds are used to reimburse or make prospective payment to an
entity from which payment was attempted or obtained.
2. For any violation of subdivision one, the local social services
district or the state shall have a right to recover civil damages equal
to three times the amount by which any figure is falsely overstated or
in the case of non-monetary false statements or representations, three
times the amount of damages which the state, political subdivision of
the state, or entity performing services under contract to the state or
political subdivision of the state sustain as a result of the violation
or five thousand dollars, whichever is greater. Notwithstanding part C
of chapter fifty-eight of the laws of two thousand five: (a) For civil
damages collected by a local social services district, relating to the
medical assistance program, pursuant to a judgment under this
subdivision, such amounts shall be apportioned between the local social
services district and the state. If the violation occurred: (i) prior to
January first, two thousand six, the amount apportioned to the local
social services district shall be the local share percentage in effect
immediately prior to such date as certified by the division of budget,
or (ii) after January first, two thousand six, the amount apportioned to
the local social services district shall be based on a reimbursement
schedule, created by the office of Medicaid inspector general, in effect
at the time the violation occurred; provided that, if there is no
schedule in effect at the time the violation occurred, the schedule to
be used shall be the first schedule adopted pursuant to this
subdivision. Such schedule shall provide for reimbursement to a local
social services district in an amount between ten and fifteen percent of
the gross amount collected. Such schedule shall be set on a county by
county basis and shall be periodically reviewed and updated as
necessary; provided, however, that any such updated schedule shall not
be less than ten percent nor greater than fifteen percent of the gross
amount collected; and (b) For civil damages collected by the state
relating to the medical assistance program pursuant to a judgment under
this subdivision, the local social services district shall be entitled
to compensation up to fifteen percent of the gross amount collected for
such participation, including but not limited to identification,
investigation or development of a case, commensurate with its level of
effort or value added as determined by the Medicaid inspector general.
3. If any provider or supplier of services in the program of medical
assistance is required to refund or repay all or part of any payment
received by said provider or supplier under the provisions of this
chapter and title XIX of the federal social security act, said refund or
repayment shall bear interest from the date the payment was made to said
provider or supplier to the date of said refund or repayment. Interest
shall be at the maximum legal rate in effect on the date the payment was
made to said provider or supplier.
4. (a) The Medicaid inspector general, in consultation with the
department of health, may require the payment of a monetary penalty as
restitution to the medical assistance program by any person who fails to
comply with the standards of the medical assistance program or standards
of generally accepted medical practice in a substantial number of cases
or grossly and flagrantly violated such standards and:
(i) receives, or causes to be received by another person, payment from
the medical assistance program when such person knew, or had reason to
know, that:
(A) the payment involved the providing or ordering of care, services
or supplies that were medically improper, unnecessary or in excess of
the documented medical needs of the person to whom they were furnished;
(B) the care, services or supplies were not provided as claimed;
(C) the person who ordered, prescribed, or furnished the care,
services or supplies which were medically improper, unnecessary or in
excess of the documented medical need of the person to whom they were
furnished was suspended or excluded from the medical assistance program
at the time the care, services or supplies were furnished; or
(D) the services or supplies for which payment was received were not,
in fact, provided; or
(ii) such person fails to grant timely access to facilities and
records, upon reasonable notice, to the Medicaid inspector general, the
Medicaid fraud control unit of the attorney general's office, or the
department of health for the purpose of audits, investigations, reviews,
or other statutory functions. For purposes of this subparagraph,
"reasonable notice" means a written request made by a properly
identified agent of the Medicaid inspector general, the Medicaid fraud
control unit of the attorney general's office, or the department of
health either, during hours that the individual or entity is open for
business, or mailed to the individual or entity to an address on file
with the department of health or last known address. The request shall
include a statement of the authority for the request, the definition of
"reasonable notice", and the penalties for failure to comply;
(iii) such person knew or should have known that an overpayment has
been identified and does not report, return and explain the overpayment
in accordance with subdivision six of section three hundred
sixty-three-d of this article;
(iv) such person arranges or contracts, by employment, agreement, or
otherwise, with an individual or entity that the person knows or should
know is suspended or excluded from the medical assistance program at the
time such arrangement or contract regarding activities related to the
medical assistance program is made;
(v) such person had an obligation to identify, claim, and pay a bonus
under subdivision three of section three hundred sixty-seven-w of this
article and such person failed to identify, claim and pay such bonus.
(vi) For purposes of this paragraph, "person" as used in subparagraph
(i) of this paragraph does not include recipients of the medical
assistance program; and "person" as used in subparagraphs (ii), (iii)
and (iv) of this paragraph, is as defined in paragraph (e) of
subdivision six of section three hundred sixty-three-d of this article;
and "person" as used in subparagraph (v) of this paragraph includes
employers as defined in section three hundred sixty-seven-w of this
article.
(b) In determining the amount of any monetary penalty to be imposed,
the Medicaid inspector general, in consultation with the department of
health, shall take into consideration the following:
(i) the number and total value of the claims for payment from the
medical assistance program which were the underlying basis of the
determination to impose a monetary penalty;
(ii) the effect, if any, on the quality of medical care provided to
recipients of medical assistance as a result of the acts of the person;
(iii) the degree of culpability of the person in committing the
proscribed actions and any mitigating circumstances;
(iv) any prior violations committed by the person relating to the
medical assistance program, Medicare or other social services programs
which resulted in either a criminal or administrative sanction, penalty,
or recoupment; and
(v) any other facts relating to the nature and seriousness of the
violations including any exculpatory facts.
(c) (i) For subparagraphs (i), (iii), and (iv) of paragraph (a) of
this subdivision, in no event shall the monetary penalty imposed exceed
ten thousand dollars for each item or service which was the subject of
the determination herein, except that where a penalty under this section
has been imposed on a person within the previous five years, such
penalty shall not exceed thirty thousand dollars for each item or
service which was the subject of the determination herein.
(ii) For subparagraph (ii) of paragraph (a) of this subdivision, in no
event shall the monetary penalty exceed fifteen thousand dollars for
each day of the failure described in such subparagraph.
(iii) For subparagraph (v) of paragraph (a) of this subdivision, a
monetary penalty shall be imposed for conduct described in subparagraphs
(i), (ii) and (iii) of paragraph (a) of subdivision five of section
three hundred sixty-seven-w of this article and shall not exceed one
thousand dollars per failure to identify, claim and pay a bonus for each
employee.
(d) Amounts collected pursuant to this subdivision shall be
apportioned between the local social services district and the state in
accordance with the regulations of the department of health.
(e) For the purposes of this subdivision, "gross and flagrant
violation" shall mean conduct which has an adverse effect on the fiscal
integrity of the medical assistance program and:
(i) which substantially impairs the delivery of high quality medical
care, services, or supplies; or
(ii) which substantially impairs the oversight and administration of
the program.
(f) A person against whom a monetary penalty is imposed pursuant to
this subdivision shall be entitled to notice and an opportunity to be
heard, including the right to request a hearing pursuant to section
twenty-two of this chapter.
5. When in the course of conducting an investigation relating to the
investigation relating to the medical assistance program, a local social
services district deduces that a provider may have committed criminal
fraud, it shall refer the case to the office of Medicaid inspector
general along with appropriate supporting information. The office shall
promptly review the case and, if deemed appropriate, refer the case
pursuant to subdivision seven of section thirty-two of the public health
law. If the deputy attorney general for Medicaid fraud control accepts a
referral from the office of Medicaid inspector general that was
identified, investigated or developed by a local social services
district, and the state collects damages, the participating local social
services district shall be entitled to compensation up to fifteen
percent of the gross amount collected for such participation
commensurate with its level of effort or value added as determined by
the deputy attorney general for Medicaid fraud control. If the office of
Medicaid inspector general determines that it is not appropriate for
referral in accordance with subdivision seven of section thirty-two of
the public health law the office of Medicaid inspector general shall
further investigate the case, with notice to the participating local
social services district, or return the case to the participating social
services district, which may resume its investigation of the provider.
Sanctions. Any person who, individually or as a member of a
family, applies for or receives public assistance and is found by a
federal, state or local criminal, civil or other court or pursuant to an
administrative hearing held in accordance with the regulations of the
department, on the basis of a plea of guilty or nolo contendere or
otherwise, intentionally to have (a) made a false or misleading
statement or misrepresented, concealed, or withheld facts, or (b)
committed any act intended to mislead, misrepresent, conceal, or
withhold facts or propound a falsity, for the purpose of establishing or
maintaining the eligibility of the individual or of the individual's
family for aid or of increasing (or preventing a reduction in) the
amount of such aid, then the needs of such individual shall not be taken
into account in determining his or her need or that of his or her family
pursuant to section one hundred thirty-one-a of this article (i) for a
period of six months upon the first occasion of any such offense, (ii)
for a period of twelve months upon the second occasion of any such
offense or upon an offense which resulted in the wrongful receipt of
benefits in an amount of between at least one thousand dollars and no
more than three thousand nine hundred dollars, (iii) for a period of
eighteen months upon the third occasion of any such offense or upon an
offense which results in the wrongful receipt of benefits in an amount
in excess of three thousand nine hundred dollars, and (iv) five years
for any subsequent occasion of any such offense. Any period for which
sanctions are imposed shall remain in effect, without possibility of
administrative stay, unless and until the finding upon which the
sanctions were imposed is subsequently reversed by a court of
appropriate jurisdiction; but in no event shall the duration of the
period for which such sanctions are imposed be subject to review. The
sanctions shall be in addition to, and not in substitution for, any
other sanctions which may be provided for by law with respect to the
offenses involved, except that the social services official or court
official assessing penalties against a recipient for an act of fraud or
misrepresentation described in this subdivision may consider whether to
impose such penalties based upon the existence of the penalties
described herein.
Penalty for the sale or exchange of assistance supplies. 1.
Any person who shall sell or exchange supplies or articles furnished him
as assistance or care by any public welfare official or employee of the
public welfare district, or dispose of them in any other way than as
directed, shall be guilty of a misdemeanor.
2. Any person who purchases any article knowing it to have been
furnished to any person as assistance or care shall also be guilty of a
misdemeanor.
Misuse of food stamps, food stamp program coupons,
authorization cards and electronic access devices. 1. a. Whoever
knowingly uses, transfers, acquires, alters, purchases, transports or
possesses food stamps, food stamp program coupons, authorization cards
or electronic access devices which entitle a person to obtain food
stamps, in any manner not authorized by section ninety-five of this
chapter shall be guilty of a class A misdemeanor except that if the
value of the benefit he or she obtained:
(i) exceeds one thousand dollars, he or she shall be guilty of a class
E felony; or
(ii) exceeds three thousand dollars, he or she shall be guilty of a
class D felony; or
(iii) exceeds fifty thousand dollars, he or she shall be guilty of a
class C felony.
b. For the purposes of this section, the value of the benefit obtained
shall be the cumulative face value of such food stamps, food stamp
program coupons, authorization cards or electronic access devices.
2. Any person found to have violated the provisions of subparagraph
(i), (ii) or (iii) of paragraph a of subdivision one of this section,
who shall possess a license to sell liquor under section sixty-three of
the alcoholic beverage control law or to sell lottery tickets under
article thirty-four of the tax law, shall have such license or licenses
revoked in addition to any other penalty authorized by law. As used
herein, the word "person" shall mean any individual, partnership,
corporation, or association.
Penalty for unlawfully bringing a needy person into a public
welfare district. No person shall, without legal authority, send or
bring, or cause to be sent or brought, any needy person into a public
welfare district with the purpose of making him a charge on such public
welfare district, or for the purpose of avoiding the responsibility of
assistance or care in the public welfare district from which he is
brought or sent. Any person found guilty of such an act shall be guilty
of a misdemeanor and liable to a fine of fifty dollars, recoverable in
the name of the public welfare district.
Penalty for bringing a needy person into the state. 1. Any
person who knowingly brings, or causes to be brought, a needy person
from out of the state into this state for the purpose of making him a
public charge, shall be guilty of a misdemeanor punishable by a fine of
one hundred dollars, and shall be obligated to convey such person out of
the state or to support him at his own expense.
2. The commissioner of public welfare of the district to which such
needy person is brought may bring a suit in a court of competent
jurisdiction to enforce this obligation.
3. The court shall require satisfactory security from such person that
he will convey the needy person out of the state within the time fixed
by the court or will indemnify the public welfare district for all
charges and expenses incurred for the assistance and care or
transportation of such needy person. If such person refuses to give
security when so required the court may commit him to jail for not
exceeding three months.
Penalty for neglect to report or for making false report. 1.
Any commissioner of public welfare, deputy commissioner, town or city
public welfare officer, service officer, or any officer or employee who
shall neglect or refuse to render any account, statement or report
required by or pursuant to this chapter, or who shall delay, neglect or
refuse to forward any application for public assistance or care, or
shall wilfully make false report or shall neglect to pay over any money
within the time required by law, shall forfeit two hundred dollars and
shall be liable to an action for all money which shall be in his hands
with the interest thereon after the time the same should have been paid
over.
2. Any officer, department or board, in case of failure to receive an
application for public assistance and care, or a report or account
required by this chapter, shall notify the district attorney having
authority in such public welfare district.
3. The district attorney, upon receiving such notice, shall prosecute
in the name of such officer, department or board for the recovery of the
penalty or of such money, or both. The penalty and the sum recovered
shall be deposited in the public welfare fund of the public welfare
district or of a town or city thereof, as the case may be.
Penalties for cashing public assistance checks or accepting
electronic benefit transfers from public assistance recipients. 1.
Unauthorized transactions. Except as otherwise provided in subdivision
two of this section, no person, firm, establishment, entity, or
corporation (a) licensed under the provisions of the alcoholic beverage
control law to sell liquor and/or wine at retail for off-premises
consumption; (b) licensed to sell beer at wholesale and also authorized
to sell beer at retail for off-premises consumption; (c) licensed or
authorized to conduct pari-mutuel wagering activity under the racing,
pari-mutuel wagering and breeding law; (d) licensed to participate in
charitable gaming under article fourteen-H of the general municipal law;
(e) licensed to participate in the operation of a video lottery facility
under section one thousand six hundred seventeen-a of the tax law; (f)
licensed to operate a gaming facility under section one thousand three
hundred eleven of the racing, pari-mutuel wagering and breeding law; or
(g) providing adult-oriented entertainment in which performers disrobe
or perform in an unclothed state for entertainment, or making available
the venue in which performers disrobe or perform in an unclothed state
for entertainment, shall cash or accept any public assistance check or
electronic benefit transfer device issued by a public welfare official
or department, or agent thereof, as and for public assistance.
2. Authorized transactions. (a) A grocery store that sells groceries
including staple foods and that also offers, or is located within the
same building or complex as, a casino, gambling casino, or gaming
establishment; and any area of a pari-mutuel race track that does not
accept wagers and is not open to the public or to unauthorized
personnel, such as non-wagering areas of the backstretch, may accept any
public assistance check or electronic benefit transfer issued by a
public welfare official or department, or agent thereof. For purposes of
this paragraph, "gaming establishment" shall mean any video lottery
facility, off-track betting branch office, simulcast facility, licensed
commercial charitable gaming facility, or any pari-mutuel race track.
(b) Any establishment that offers gambling incidental to the principal
purpose of the business at such location may accept any public
assistance check or electronic benefit transfer device issued by a
public welfare official or department, or agent thereof.
3. Penalties. (a) A violation of the provisions of subdivision one of
this section taking place at the licensed premises by a person,
corporation or entity licensed under the alcoholic beverage control law:
(i) to sell liquor and/or wine at retail for off-premises consumption;
(ii) to sell beer at wholesale and also authorized to sell beer at
retail for off-premises consumption; or (iii) to sell liquor, wine
and/or beer for on-premises consumption at an establishment where
entertainers appear unclothed as permitted by the rules of the state
liquor authority, shall constitute cause, for the purposes of section
one hundred eighteen of the alcoholic beverage control law, for the
revocation, cancellation or suspension of such license.
(b) A violation of the provisions of subdivision one of this section
by any person, corporation or entity licensed to operate a gaming
facility under section one thousand three hundred eleven of the racing,
pari-mutuel wagering and breeding law; licensed under section one
thousand six hundred seventeen-a of the tax law to participate in the
operation of a video lottery facility; licensed or authorized to conduct
pari-mutuel wagering under the racing, pari-mutuel wagering and breeding
law; or licensed to participate in charitable gaming under article
fourteen-H of the general municipal law, shall subject such person,
corporation or entity to disciplinary action pursuant to section one
hundred four of the racing, pari-mutuel wagering and breeding law and
section one thousand six hundred seven of the tax law, which may include
revocation, cancellation or suspension of such license or authorization.
(c) A violation of the provisions of subdivision one of this section
by any person, firm, establishment, entity or corporation providing
adult-oriented entertainment in which performers disrobe or perform in
an unclothed state for entertainment, or making available the venue in
which performers disrobe or perform in an unclothed state for
entertainment, shall be a violation, as defined in subdivision three of
section 10.00 of the penal law, subject to a fine of not more than one
hundred dollars, a second such violation shall be a violation subject to
a fine of not more than five hundred dollars, and a third or subsequent
such violation shall be class B misdemeanor subject to a fine of not
more than one thousand dollars.
Payments to the New York public welfare association; attendance
at conventions of public welfare officials. The legislative body of a
county or city is hereby authorized to include annually in the
appropriation made for public assistance and care and to raise by
taxation the sum necessary to meet the actual and necessary expenses of
maintaining and continuing the New York public welfare association for
the purpose of devising practical ways and means for obtaining greater
economy and efficiency in the administration of public assistance and
care, and for the expenses incurred by public welfare officials and
employees in attending meetings of public welfare officials.
Superintendents and matrons of public homes, county and city public
welfare officials and deputies and agents designated by the public
welfare officials are authorized to attend the midwinter and annual
conventions of public welfare officials. The necessary expenses in
connection with such attendance shall be paid from public welfare funds.
Burial reserves for certain recipients of public assistance
or care from assigned assets. When other provisions of this chapter
providing for reserving an amount for the burial of a recipient of
public assistance or care, from assets transferred or assigned to a
social services official, do not apply to a recipient because of the
category of public assistance or care received by him or her, as in the
case of a recipient of safety net assistance, a similar burial reserve
from assigned assets may or shall, as the regulations of the department
may permit or require, be set aside for such recipient; and any such
burial reserve heretofore set aside with the approval of the
department, or in accordance with its requirements, shall be deemed to
have been authorized.
Surplus after recovery of cost of public assistance and care;
unclaimed funds. If, after the full amount expended by a public welfare
district for the assistance and care of a deceased or other former
recipient of public assistance and care, including the federal and state
shares thereof, as determined in accordance with regulations of the
department, and any authorized amount expended for the burial of such
deceased recipient, shall have been recovered and deducted from the net
proceeds of assets which have been transferred or assigned to the public
welfare official by or on behalf of such recipient to insure repayment
of the cost of his assistance and care, any balance or surplus remains,
it shall be credited forthwith by the public welfare district to the
estate or persons entitled thereto; but if unclaimed within four years
thereafter by those entitled thereto it shall be deemed abandoned
property and be paid to the state comptroller pursuant to section
thirteen hundred five of the abandoned property law.
Menstrual products. Any provider of temporary shelter that is
reimbursed from state or state-administered grants or funds shall be
required to provide an adequate number of menstrual products
commensurate with an individual's needs, including, but not limited to,
sanitary napkins, tampons and panty liners, at no cost to individuals
requiring such products. For purposes of this section, "temporary
shelter" shall include but not be limited to a family shelter, a shelter
for adults, a hotel, an emergency apartment, a domestic violence
shelter, a runaway and homeless youth shelter, or a safe house for
refugees.
Replacement of stolen public assistance. 1. Notwithstanding
section three hundred fifty-j of this article and subdivision eleven of
section one hundred thirty-one of this title, and in accordance with
this section, public assistance recipients shall receive replacement
assistance for the loss of public assistance, as defined in subdivision
nineteen of section two of this chapter, in instances when such public
assistance has been stolen as a result of card skimming, cloning, third
party misrepresentation or other similar fraudulent activities,
consistent with guidance issued by the office of temporary and
disability assistance.
2. The office of temporary and disability assistance shall establish a
protocol for recipients to report incidents of stolen public assistance.
This protocol will be administered by social services districts pursuant
to guidance issued by the office of temporary and disability assistance.
3. Social services districts shall promptly replace stolen public
assistance, however, such replacement shall occur no later than five
business days after the social services district has verified the public
assistance was stolen in accordance with guidance established by the
office of temporary and disability assistance consistent with federal
and state laws, regulations and guidance, provided, however, that social
services districts shall not ask recipients to obtain a police report or
require any other interaction with law enforcement unless required by
federal law, regulation, or guidance for either public assistance or
supplemental nutrition assistance program benefits.
4. For public assistance that is verified as stolen, replacement
assistance shall be provided by the social services district in
accordance with this section as follows:
(a) the lesser of: (i) the amount of public assistance that was
stolen; or (ii) the amount of public assistance equal to two months of
the monthly allotment of the household immediately prior to the date
upon which the public assistance was stolen; provided, however, the
commissioner may promulgate regulations for the provision of additional
replacement assistance in extenuating circumstances consistent with
federal and state laws, regulations and guidance; and
(b)(i) no more than twice in a federal fiscal year to cover public
assistance stolen on or after January first, two thousand twenty-two
through September thirtieth, two thousand twenty-four; or (ii) no more
than once in a federal fiscal year to cover public assistance stolen on
or after October first, two thousand twenty-four.
5. Any replacement assistance provided under this section shall be
exempt from recoupment and recovery provisions under title six of
article three of this chapter; provided, however, that assistance shall
not be exempt from recoupment and recovery if it is later determined
that the public assistance that was replaced pursuant to this section
was not stolen as a result of card skimming, cloning, third party
misrepresentation or other similar fraudulent activities.
6. The office of temporary and disability assistance shall make a
model sign available on its website that can be used by any person,
firm, partnership, association or corporation required to inform
individuals about electronic benefit transfer scams, including, but not
limited to, skimming, and the steps they can take to protect their
benefits in accordance with section three hundred ninety-e of the
general business law.
TITLE 2 State Reimbursement For Public Assistance and Care
Reimbursement and advances by the state. 1. * Expenditures made
by social services districts, cities and towns for public assistance and
care and its administration, other than foster care services, pursuant
to this chapter and expenditures made by any Indian tribe for foster
care services, preventive services, and adoption services and its
administration rendered pursuant to an agreement entered into with the
office of children and family services in accordance with section
thirty-nine of this chapter and pursuant to this chapter, shall, if
approved by the department of family assistance, be subject to
reimbursement by the state, in accordance with the regulations of the
department, as follows:
* NB Effective until June 30, 2027
* Expenditures made by social services districts, cities and towns for
public assistance and care and its administration, pursuant to this
chapter and expenditures made by any Indian tribe for foster care
services, preventive services, and adoption services and its
administration rendered pursuant to an agreement entered into with the
department in accordance with section thirty-nine of this chapter and
pursuant to this chapter, shall, if approved by the department, be
subject to reimbursement by the state, in accordance with the
regulations of the department, as follows:
* NB Effective June 30, 2027
There shall be paid to each such district, city or town
a. the amount of federal funds, if any, properly received or to be
received on account of such expenditures;
d. fifty percentum of the amount expended for public assistance and
care, after first deducting therefrom any federal funds properly
received or to be received on account thereof;
e. fifty percentum of the amount expended for administration of public
assistance and care, after first deducting therefrom any federal funds
properly received or to be received on account thereof. The provisions
of this paragraph shall not be applicable to expenditures for
administration expressly provided for in paragraph f of this
subdivision;
f. the full amount expended by any district, city, town or Indian
tribe for the costs, including the costs of administration of public
assistance and care to eligible needy Indians and members of their
families residing on any Indian reservation in this state, after first
deducting therefrom any federal funds properly received or to be
received on account thereof.
(g) fifty per centum of the amount expended for substance abuse
services pursuant to this chapter, after first deducting therefrom any
federal funds properly received or to be received on account thereof. In
the event funds appropriated for such services are insufficient to
provide full reimbursement of the total of the amounts claimed by all
social services districts pursuant to this section then reimbursement
shall be in such proportion as each claim bears to such total.
2. (a) In the event that the federal government imposes fiscal
sanctions on the state because of non-compliance with federal law,
regulation, or policy relating to the temporary assistance for needy
families block grant, other than sanctions relating to maintenance of
effort spending requirements, the commissioner shall reduce federal
reimbursement to each social services district in an amount equal to the
portion of such fiscal sanction that the commissioner determines is
attributable to such district through review of relevant statewide and
district specific data or documentation. The commissioner shall make
such determination of district fault only to the extent that his or her
review identifies specific district actions or inactions that resulted
in the district's failure to meet the applicable federal requirement.
Such reduction in federal reimbursement shall be made without state
financial participation in resulting costs. To the extent that the
commissioner determines that he or she is unable to identify which
districts caused or contributed to such federal fiscal sanction, the
commissioner, subject to the approval of the director of the budget,
shall assign the reduction in federal reimbursement to all districts
proportionately based on allowable district expenditures under Title
IV-A of the federal social security act in the most recently completed
state fiscal year, and the state shall share equally with social
services districts in the cost increases resulting from such reduction
in federal reimbursement.
(b) In the event that the federal government imposes fiscal sanctions
on the state because of non-compliance with federal law, regulation, or
policy relating to maintenance of effort spending requirements under the
federal temporary assistance to needy families block grant, the
commissioner shall reduce federal reimbursement to each social services
district in an amount equal to the portion of such fiscal sanction that
the commissioner determines is attributable to such district through
review of relevant statewide and district specific data or
documentation. Cost increases resulting from such reduction in federal
reimbursement shall be shared equally by the state and each affected
social services district. To the extent that the commissioner determines
that he or she is unable to identify which districts caused or
contributed to such federal fiscal sanction, the commissioner, subject
to the approval of the director of the budget, shall assign the
reduction in federal reimbursement among all districts proportionately
based on each district's portion of the statewide maintenance of effort
spending requirement as determined by the commissioner, and the state
shall share equally with social services districts in the cost increases
resulting from such reduction in federal reimbursement.
(c) Notwithstanding any inconsistent provision of law, if a portion of
federal reimbursement otherwise payable is not available because of
application of the federal percentage limitation on administrative
expenses in the federal block grant for temporary assistance for needy
families program, the commissioner shall rank all social services
districts in descending order based on the percentage that federally
reimbursed administrative expenses in each district in the federal
fiscal year bears to all total expenditures eligible for federal
reimbursement under title IV-A of the federal social security act in the
respective district and shall reduce reimbursement payable to the
district that received the highest proportion of such federal
reimbursement until such reduction equals the lesser of the shortfall in
federal reimbursement or the amount which, if applied to federal
administrative reimbursement received in the federal fiscal year, would
equalize the proportion of such reimbursement received by such district
and that received by the next highest district or districts in the
commissioner's ranking. In the event that sufficient savings are not
achieved by such reduction in reimbursement to the highest ranked
district, then the commissioner shall continue to reduce the amount of
reimbursement for the highest and, as necessary, the sequentially ranked
district or districts such that such reductions, when applied in the
federal fiscal year, will equalize the proportion of federal
reimbursement for administration received by all such affected districts
and will equal an amount which, in aggregate, will be sufficient to
fully offset but not exceed the federal reimbursement shortfall.
Notwithstanding any provision of law to the contrary, reimbursement to a
social services district out of state and federal funds shall not be
made on administrative expenses which exceed fifteen percent of such
district's total expenditures reimbursable under the temporary
assistance for needy families block grant.
3. a. For the purpose of this title, expenditures for administration
of public assistance and care shall include expenditures for salaries of
the chief executive officers, their deputies and the employees of local
welfare departments; operation, maintenance and service costs; and such
other expenditures, such as equipment costs, depreciation charges, and
rental values as may be approved by the department. It shall not include
expenditures for capital additions or improvements, except as provided
in paragraph c of this subdivision.
b. State reimbursement shall not be made for any part of the salary of
a chief executive officer of a social services department, whose
qualifications do not conform to those fixed by the department or of a
city or town service officer; nor shall such reimbursement be made on
the salary of a deputy commissioner or an employee, unless his
employment is necessary for the administration of public assistance and
care and his qualifications conform to those fixed by the department.
c. Notwithstanding any inconsistent provision of law, the amount
expended by a social services district for the purpose of acquiring,
reconstructing, rehabilitating or improving any shelter for adults shall
be subject to state reimbursement in the amount of fifty percent of such
expenditure, in accordance with the regulations of the department, if
such shelter is operated by: (i) a social services district directly or
(ii) a social services district which has entered into a contract with a
not-for-profit corporation or charitable organization otherwise
established pursuant to law or a governmental entity or political
subdivision thereof for the purpose of operating such a shelter;
provided, however, that such capital acquisition, reconstruction,
rehabilitation or improvement has the approval of the department prior
to the commencement of such construction in accordance with regulations
promulgated by the department.
Such reimbursement may be paid out of any moneys in the state treasury
payable out of the local assistance account to the extent of the amount
appropriated to the department for such purposes, and the expenditure of
such amount shall constitute the complete liquidation of the state's
obligation to reimburse pursuant to this section.
4. For the purpose of this title, expenditures made by social services
districts, cities, towns and any Indian tribe that has entered into an
agreement with the department pursuant to section thirty-nine of this
chapter for the care and maintenance of neglected, abused, abandoned or
destitute children who have been remanded, discharged or committed
pursuant to the family court act of the state of New York shall, if
approved by the department, be subject to reimbursement by the state in
accordance with and to the extent authorized by the provisions of
subdivision one.
5. In the event the state elects to claim and receive federal aid
payments in accordance with the alternative formula authorized by the
provisions of section eleven hundred eighteen of the social security
act, for expenditures made under the state's approved plan for aid to
dependent children, a social services district shall, notwithstanding
such election, be entitled to receive as state reimbursement, in
accordance with and to the extent authorized by subdivision one, for its
approved monthly expenditures for aid to dependent children, the amount
it would have been entitled to receive if such election had not been
made, until the month the amount it would be entitled to receive as
state reimbursement for its approved expenditures for such program of
assistance for such month, as a result of such election, is equal to or
greater than such district would have been entitled to receive therefor
if such election had not been made by the state, any inconsistent
provision of law notwithstanding.
6. a. Claims for state reimbursement shall be made in such form and
manner and at such times and for such periods as the department shall
determine.
b. When certified by the department state reimbursement shall be paid
from the state treasury upon the audit and warrant of the comptroller
out of funds made available therefor.
c. When the monies allotted to the state by the federal security
agency, or other authorized federal agency, for aid to dependent
children for any quarter shall have been received by the department of
taxation and finance, the department shall, as soon as possible, certify
to the comptroller the amount to which each social services district is
entitled for such quarter and such amount shall be paid out of the state
treasury after audit by the comptroller to the respective social
services districts.
d. The department is authorized in its discretion to make advances to
public welfare districts and to cities and towns in anticipation of the
state reimbursement provided for in this section.
7. Payment of state reimbursement and advances shall be made to the
fiscal officer of the public welfare district or city entitled thereto
pursuant to the provisions of this chapter; and in counties where home
relief is a town charge, such payment as the towns therein shall be
entitled to shall be made to the fiscal officer of the county for the
account of and reimbursement to such towns, except in the case of a town
which is a public welfare district.
8. Any inconsistent provision of the law or regulation of the
department notwithstanding, state reimbursement shall not be made for
any expenditure made for the duplication of any grant and allowance for
any period, except as authorized by subdivision eleven of section one
hundred thirty-one of this chapter. Notwithstanding any other provision
of law, social services districts are not required to provide safety net
assistance to any person, otherwise eligible, if state reimbursement is
not available in accordance with this subdivision.
9. Any inconsistent provision of this chapter or other law
notwithstanding, any loss of federal funds assessed by the department of
health, education and welfare against the state by reason of the failure
of one or more social services districts to comply either with paragraph
(e) of subdivision one of section three hundred fifty and paragraph (c)
of subdivision four of section three hundred sixty-five-a relating to
family planning services for eligible individuals or with paragraph (g)
of subdivision one of section three hundred fifty relating to child
health screening and resulting treatment, shall be charged to and borne
by the social services districts responsible for such loss. Each such
district shall bear only so much of any such loss as is attributable to
its failure so to comply. The amount to be borne by a district shall be
determined by applying the ratio that the number of cases in which it
failed to comply with either family planning or child health screening
and treatment requirements, or both, bears to the total number of cases
in the state in which there were failures to comply with either such
requirement, or both, as the case may be. A district shall have an
opportunity to be heard before the department's final determination to
impose such an assessment.
* 10. Expenditures made by a social services district for the
maintenance of children with disabilities, placed by school districts,
pursuant to section forty-four hundred five of the education law shall,
if approved by the office of children and family services, be subject to
fifty-six and eight hundred forty-eight thousandths percent
reimbursement by the school district, in accordance with paragraph c of
subdivision one of section forty-four hundred five of the education law,
after first deducting therefrom any federal funds received or to be
received on account of such expenditures, except that in the case of a
student attending a state-operated school for the deaf or blind pursuant
to article eighty-seven or eighty-eight of the education law who was not
placed in such school by a school district such expenditures shall be
subject to fifty percent reimbursement by the school district after
first deducting therefrom any federal funds received or to be received
on account of such expenditures. Such expenditures shall not be subject
to the limitations on state reimbursement contained in subdivision two
of section one hundred fifty-three-k of this title. In the event of the
failure of the school district to make the maintenance payment pursuant
to the provisions of this subdivision, the state comptroller shall
withhold state reimbursement to any such school district in an amount
equal to the unpaid obligation for maintenance and pay over such sum to
the social services district upon certification of the commissioner of
the office of children and family services and the commissioner of
education that such funds are overdue and owed by such school district.
The commissioner of the office of children and family services, in
consultation with the commissioner of education, shall promulgate
regulations to implement the provisions of this subdivision.
* NB Effective until April 1, 2027
* 10. Expenditures made by a social services district for the
maintenance of children with disabilities, placed by school districts,
pursuant to section forty-four hundred five of the education law shall,
if approved by the office of children and family services, be subject to
eighteen and four hundred twenty-four thousandths percent reimbursement
by the state and thirty-eight and four hundred twenty-four thousandths
percent reimbursement by school districts, except for social services
districts located within a city with a population of one million or
more, where such expenditures shall be subject to fifty-six and eight
hundred forty-eight thousandths percent reimbursement by the school
district, in accordance with paragraph c of subdivision one of section
forty-four hundred five of the education law, after first deducting
therefrom any federal funds received or to be received on account of
such expenditures, except that in the case of a student attending a
state-operated school for the deaf or blind pursuant to article
eighty-seven or eighty-eight of the education law who was not placed in
such school by a school district such expenditures shall be subject to
fifty percent reimbursement by the state after first deducting therefrom
any federal funds received or to be received on account of such
expenditures and there shall be no reimbursement by school districts.
Such expenditures shall not be subject to the limitations on state
reimbursement contained in subdivision two of section one hundred
fifty-three-k of this title. In the event of the failure of the school
district to make the maintenance payment pursuant to the provisions of
this subdivision, the state comptroller shall withhold state
reimbursement to any such school district in an amount equal to the
unpaid obligation for maintenance and pay over such sum to the social
services district upon certification of the commissioner of the office
of children and family services and the commissioner of education that
such funds are overdue and owed by such school district. The
commissioner of the office of children and family services, in
consultation with the commissioner of education, shall promulgate
regulations to implement the provisions of this subdivision.
* NB Effective April 1, 2027 until June 30, 2027
* 10. Expenditures made by a social services district for the
maintenance of handicapped children, placed by school districts,
pursuant to section forty-four hundred five of the education law shall,
if approved by the department, be subject to fifty percent reimbursement
by the state, after first deducting therefrom any federal funds received
or to be received on account of such expenditure. Such expenditures
shall not be subject to the limitations on state reimbursement contained
in sections one hundred fifty-three-d or one hundred fifty-three-e of
this chapter.
* NB Effective June 30, 2027
* 11. Expenditures made by a social services district for approved
tuition costs pursuant to section four thousand four of the education
law, after first deducting therefrom any federal funds received or to be
received on account thereof, for a child placed in a child care
institution by a social services district, the office of children and
family services or family court shall be subject to reimbursement by the
state in accordance with subdivision two of section one hundred
fifty-three-k of this title and article nineteen-G of the executive law,
as applicable; provided, however, that the amount that a school district
reimburses the state for its expenditure for such children pursuant to
section four thousand four of the education law shall be credited to
each applicable social services district.
* NB Effective until June 30, 2027
* 11. Expenditures made by a social services district for approved
tuition costs of certain children pursuant to section four thousand four
of the education law, after first deducting therefrom any federal funds
received or to be received on account thereof, shall be subject to fifty
percent reimbursement by the state; provided, however, that the amount
that a school district reimburses the state for its expenditure for such
children pursuant to section four thousand four of the education law
shall be credited to each applicable social services district.
* NB Effective June 30, 2027
* 12. Expenditures made by a social services district for the
detention in foster care facilities or certified or approved family
boarding homes of a person alleged to be or adjudicated as a person in
need of supervision, pursuant to article seven of the family court act,
shall be subject to reimbursement by the state in accordance with the
provisions of section five hundred thirty of the executive law. The care
of such person shall not be required to comply with the requirements of
sections four hundred nine-e and four hundred nine-f of this chapter.
* NB Effective until June 30, 2027
* 12. Expenditures made by a social services district for the
detention in foster care facilities of a person alleged to be or
adjudicated as a person in need of supervision, pursuant to article
seven of the family court act, shall be subject to reimbursement by the
state in accordance with the provisions of section five hundred thirty
of the executive law. The care of such person shall not be required to
comply with the requirements of sections four hundred nine-e and four
hundred nine-f, nor be subject to the provisions of section one hundred
fifty-three-d or three hundred ninety-eight-b of this chapter.
* NB Effective June 30, 2027
15. Notwithstanding the provisions of this section or any other law to
the contrary, expenditures made by a social services district for
brokers' fees, finders' fees or security deposits paid pursuant to this
chapter shall be subject to twenty-five percent reimbursement, after
first deducting therefrom any federal funds received or to be received
on account thereof.
16. Notwithstanding any inconsistent provisions of this section, and
subject to the amounts specifically appropriated therefor, social
services districts which have implemented child assistance program
pursuant to section one hundred thirty-one-z of this article shall be
reimbursed by the department for administrative expenses for the
implementation and operation of the program as approved by the
department in accordance with the following schedule after first
deducting any federal reimbursement received therefor: for the fiscal
year beginning April first, nineteen hundred ninety-seven, one hundred
percent; for the fiscal year beginning April first, nineteen hundred
ninety-eight, ninety percent; for the fiscal year beginning April first,
nineteen hundred ninety-nine, eighty percent; for the fiscal year
beginning April first, two thousand, seventy percent; for the fiscal
year beginning April first, two thousand one, sixty percent and for each
fiscal year thereafter, fifty percent.
17. From an amount specifically appropriated therefor, the
commissioner of the office of temporary and disability assistance shall
provide additional enhanced reimbursement for administration of income
maintenance, food stamps, and employment programs to social services
districts which meet the work participation rates set forth in
subdivision seven of section three hundred thirty-five-b of this
chapter. The amount of reimbursement available to each social services
district shall be established by the commissioner of the office of
temporary and disability assistance with the approval of the director of
the budget. Separate amounts of reimbursement shall be available to a
social services district for meeting each of the following categories:
for households receiving assistance funded under the federal temporary
assistance for needy families block grant program in which there is an
adult or minor head of household; and for households with dependent
children in which there is an adult or minor head of household and which
is receiving safety net assistance and payment for which is used to meet
the federally required maintenance of effort for the temporary
assistance for needy families block grant. The office of temporary and
disability assistance may advance reimbursement that would be available
for full compliance and may recover any amounts unearned by the district
by withholding any other reimbursement due from the state to the social
services district.
Reimbursement for services to social services districts. 1.
Expenditures made by a department, bureau, division or other unit of a
county or city for services to, on behalf of, or directly related to the
operations of a social services district, pursuant to the provisions of
this chapter or any other provision of law, may, if approved by the
department, be subject to reimbursement by the state, if and so long as
such expenditures are subject to federal reimbursement and only to the
extent of such federal reimbursement. There may be paid to each such
social services district the amount of federal funds, if any, properly
received or to be received on account of such expenditures. This
section shall not apply to reimbursement for expenditures related to the
location of absent parents, establishment of paternity or enforcement of
support reimburseable under title six-A of article three of this
chapter.
2. a. Claims for such reimbursement from federal funds shall be made
in such form and manner and at such times and for such periods as the
department shall determine, including claims for any such expenditures
made on or after January 1, l970.
b. When certified by the department, such reimbursement from federal
funds shall be paid from the state treasury upon the audit and warrant
of the comptroller out of funds made available therefor.
c. When the monies allotted to the state by the federal security
agency, or other authorized federal agency, for such services to social
services districts for any quarter or other authorized period shall have
been received by the department of taxation and finance, the department
shall, as soon as possible, certify to the comptroller the amount to
which each social services district is entitled for such quarter or
other authorized period and such amount shall be paid out of the state
treasury after audit by the comptroller to the respective social
services district.
3. Payment of such reimbursement from federal funds shall be made to
the fiscal officer of the social services district entitled thereto
pursuant to the provisions of this chapter or any other provision of
law.
Reimbursement for services. Expenditures made by a social
services district for the purposes of this chapter as authorized by
section one hundred thirty-one-g of this chapter shall, if approved by
the department, be subject to reimbursement by the state not pursuant to
section one hundred fifty-three or any other provision of this chapter,
but, in accordance with the regulations of the department to the extent
of any and only in the amount of federal funds, if any properly received
or to be received on account of such expenditures.
State reimbursement of home energy grant expenses.
Notwithstanding any other provision of law, expenditures made by social
services districts in the form of payments made as home energy grants
pursuant to the provisions of subdivision three-c of section one hundred
thirty-one-a of this article shall be reimbursed as follows:
There shall be paid to each such city, district or town;
1. The amount of federal funds properly received or to be received on
account of such expenditures; and
2. One hundred percent of the amount expended after first deducting
therefrom any federal funds properly received or to be received on
account thereof.
* § 153-k. Funding for children and family services. 1. (a)
Expenditures made by social services districts for child protective
services, preventive services provided, as applicable, to eligible
children and families of children who are in and out of foster care
placement, independent living services, aftercare services, and adoption
administration and services other than adoption subsidies provided
pursuant to article six of this chapter and the regulations of the
department of family assistance shall, if approved by the office of
children and family services, be subject to sixty-five percent state
reimbursement exclusive of any federal funds made available for such
purposes, in accordance with the directives of the department of family
assistance and subject to the approval of the director of the budget.
(b) Claims for preventive services and independent living services
submitted by a social services district for reimbursement may be
comprised of in-kind, indirect services, and non-tax levy funds,
including but not limited to privately donated funds, up to the same
amount as the social services district's claims for such services during
federal fiscal year nineteen hundred ninety-eight--ninety-nine were
comprised of in-kind, indirect services and non-tax levy funds;
provided, however, that up to seventeen and one-half percent of a social
services district's claims for preventive services and independent
living services may be comprised of privately donated funds if the
percentage of its claims comprised of privately donated funds was less
than seventeen and one-half percent during federal fiscal year nineteen
hundred ninety-eight--nineteen hundred ninety-nine. Federal
reimbursement of such claims shall be available only to the extent
permitted by federal law or regulations.
2. (a) Notwithstanding the provisions of this chapter or of any other
law to the contrary, eligible expenditures by a social services district
for foster care services shall be subject to reimbursement with state
funds only to the extent of annual appropriations to the state foster
care block grant. Such foster care services shall include expenditures
for the provision and administration of: care, maintenance, supervision,
tuition, and transportation costs related to the education of a foster
child or youth incurred in accordance with paragraph c of subdivision
four of section thirty-two hundred forty-four of the education law;
supervision of foster children placed in federally funded job corps
programs; and care, maintenance, supervision and tuition for adjudicated
juvenile delinquents and persons in need of supervision placed in
residential programs operated by authorized agencies and in out-of-state
residential programs; except that, notwithstanding any other provision
of law to the contrary, reimbursement with state funds pursuant to the
state foster care block grant shall not be available for tuition
expenditures for foster children, including persons in need of
supervision and adjudicated juvenile delinquents, made by a social
services district located within a city having a population of one
million or more. Social services districts must develop and implement
children and family services delivery systems that are designed to
reduce the need for and the length of foster care placements and must
document their efforts in the multi-year consolidated services plan and
the annual implementation reports submitted pursuant to section
thirty-four-a of this chapter.
(b) State reimbursement to each social services district shall be
limited to the district's allocation of the foster care block grant. The
state funds appropriated for the foster care block grant shall be
apportioned among the social services districts by the office of
children and family services based on the district's claiming history
and other factors. Such apportionments shall be subject to the approval
of the director of the budget.
(c) Any portion of a social services district's apportionment from the
foster care block grant for a particular state fiscal year that is not
claimed by such district during that state fiscal year may be used by
such district for preventive services, independent living services or
aftercare services claimed by such district during the next state fiscal
year up to the amount remaining from the district's foster care block
grant apportionment; provided, however, that any claims for preventive
services, independent living services or aftercare services during the
next state fiscal year in excess of such amount shall be subject to
state reimbursement pursuant to subdivision one of this section. Any
claims submitted by a social services district for reimbursement for a
particular state fiscal year for which the social services district does
not receive state or federal reimbursement during that state fiscal year
may not be claimed against that district's block grant apportionment for
the next state fiscal year.
3. To the extent that monies are made available to the commissioner of
the office of children and family services from the children and family
services quality enhancement fund established pursuant to section
ninety-seven-yyy of the state finance law, the office of children and
family services is authorized to conduct activities to increase the
availability and/or quality of children and family services programs
which may include, but not be limited to, staff recruitment, retention
and training activities, research projects, and targeted services
expansion and/or demonstration projects to test innovative models for
service delivery which may include such areas as health, mental health
and substance abuse services. Notwithstanding sections one hundred
twelve and one hundred sixty-three of the state finance law, such
activities shall be conducted without competitive bid or request for
proposal.
4. (a) A social services district, either individually or in
combination with other social services districts, may establish managed
care systems or other systems to provide children and family services
other than child protective services investigations, in accordance with
applicable laws and regulations. Such a system may include, but not be
limited to, the establishment of capitated rates for service provided to
children to prevent the placement of such children into foster care and
to discharge such children from foster care to suitable, permanent, safe
homes in a more timely manner through preventive services, intensified
discharge planning, pre-adoptive services, after-care services and/or
post-adoption services.
(b) Social services district payments to case managers or public or
private service providers under such a system may be based on
reimbursement rates established by the office of children and family
services pursuant to section three hundred ninety-eight-a of this
chapter, capitated rates or other payment mechanisms for all or a
portion of the services, either separately or combined. To facilitate
payments to case managers or providers, the office of children and
family services may establish procedures for standardizing payments to
managers or providers that enter into agreements with more than one
social services district.
(c) Under such a system, a social services district may delegate
responsibility for case management services to case managers or
providers in a manner designed to afford case manager or provider
accountability through the incorporation of quality control standards
that provide appropriate monitoring of these services such as recognized
accreditation mechanisms, performance audits by the social services
district or other means.
(d) Under such a system, a social services district, in a purchase of
service agreement for preventive services with an authorized agency, may
delegate to such authorized agency the responsibility for approving and
paying rent subsidies or assistance under paragraph (c) of subdivision
five and/or subdivision seven of section four hundred nine-a of this
chapter.
(e)(i) A social services district must obtain the office's prior
approval of its plan for establishing and implementing such a system, in
accordance with guidelines established by the office of children and
family services.
(ii) Such a plan may include requests for a waiver of any statutory or
regulatory requirements established pursuant to sections thirty-four-a,
four hundred nine-d and four hundred nine-e of this chapter regarding
the form, content, development, or amendment of the child welfare
services plan component of the multi-year services plan and the annual
implementation reports, family services plans and uniform case records.
(iii) Any request by a social services district for a waiver shall
identify the specific statute or regulation to be waived, and include a
justification for the waiver and alternative actions to be taken by the
social services district to satisfy the purposes of the statute or
regulation. The office of children and family services may grant any
such waiver request, subject to the approval of the director of the
budget, where the social services district applying for the waiver
demonstrates a reasonable administrative or programmatic justification
for the waiver. The potential fiscal impact of the waiver upon federal,
state and local governments shall be evaluated by the office of children
and family services as part of its review of the request for a waiver.
The office of children and family services may impose durational and
other reasonable conditions if an approval of the waiver is granted.
Where a waiver is granted, the office of children and family services
shall have the authority to establish alternative standards to be
followed by social services officials. The office of children and family
services may not grant a waiver that would fail to comply with
applicable federal statutory or regulatory standards. The social
services district may not revise local practice or policy unless and
until the office of children and family services approves the waiver.
(iv) The office of children and family services shall provide notice
to the governor and the legislature of each plan that is approved
including a brief description of the plan and any waivers granted and
any alternative standards established. The office shall provide an
annual report to the governor and the legislature regarding the
implementation of all approved plans during a calendar year by January
thirty-first of the following year.
5. (a) Social services districts shall conduct eligibility
determinations and submit claims for reimbursement in such form and
manner and at such times and for such periods as the department of
family assistance shall determine.
(b) When certified by the department of family assistance, state
reimbursement shall be paid from the state treasury upon the audit and
warrant of the comptroller out of funds made available therefor.
(c) The department of family assistance is authorized in its
discretion to make advances to social services districts in anticipation
of the state reimbursement provided for in this section.
6. (a) Payment of state reimbursement and advances shall be made to
the fiscal officer of the social services district entitled thereto
pursuant to the provisions of this chapter.
(b) Any inconsistent provision of the law or regulation of the
department of family assistance notwithstanding, state reimbursement
shall not be made for any expenditure made for the duplication of any
grant or allowance for any period.
7. The office of children and family services shall not reimburse any
claims for expenditures for those children and family services set forth
in subdivisions one and two of this section that are submitted more than
twenty-two months after the calendar quarter in which the expenditures
were made.
8. Claims submitted by a social services district for reimbursement
shall be paid after deducting any expenditures defrayed by fees, third
party reimbursement, and any non-tax levy funds including donated funds
that exceed the amount that may be claimed for state and federal
reimbursement pursuant to paragraph (b) of subdivision one of this
section.
9. Notwithstanding any other provision of law, the state shall not be
responsible for reimbursing a social services district and a district
shall not seek state reimbursement for any portion of any state
disallowance or sanction taken against the social services district, or
any federal disallowance attributable to final federal agency decisions
or to settlements made, on or after July first, nineteen hundred
ninety-five, when such disallowance or sanction results from the failure
of the social services district to comply with federal or state
requirements, including, but not limited to, failure to document
eligibility for the federal or state funds in the case record; provided,
however, if the office of children and family services determines that
any federal disallowance for services provided between January first,
nineteen hundred ninety-nine and May thirty-first, nineteen hundred
ninety-nine results solely from the late enactment of the state
legislation implementing the federal adoption and safe families act, the
state shall be solely responsible for the full amount of the
disallowance or sanction. This provision shall be deemed to apply both
prospectively and retroactively regardless of whether the disallowance
or sanction is for services provided or claims made prior to or after
April first, two thousand two.
10. (i) In accordance with regulations developed by the office of
children and family services, the office shall measure each district's
compliance with the federal child welfare outcome standards beginning no
later than twenty months after the effective date of this section. The
office is authorized to impose fiscal penalties against a social
services district that fails to substantially comply with the outcome
standards or to make sufficient progress towards complying with the
outcome standards after developing and implementing a corrective action
plan in the time and manner approved by the office. The imposition of a
fiscal penalty shall be subject to an appeal process set forth in
regulation. Any fiscal penalties received by the office of children and
family services pursuant to this subdivision shall be deposited to the
credit of the children and family services quality enhancement fund
established pursuant to section ninety-seven-yyy of the state finance
law. For social services districts in counties with less than fifteen
thousand children under the age of eighteen, the office may waive the
fiscal penalties and the need for a corrective action plan if the
failure to substantially comply with the outcome standards was based on
extraordinary circumstances. The office may provide fiscal incentives to
social services districts with high performances on the federal child
welfare outcome standards. A social services district may pass on to its
contract agencies some portion of the fiscal penalties or fiscal
incentives that may be attributable to such agencies.
(ii) The office shall provide an annual report to the governor and the
legislature detailing: each county's performance on the outcome
standards, the amount of fiscal penalties imposed against each county,
and the amount of fiscal penalties collected from each county. Said
report shall be delivered to the director of the budget, the chair of
the senate finance committee and the chair of the assembly ways and
means committee annually on a calendar year basis, by March fifteenth of
the following year.
11. The office of children and family services shall submit a
preliminary report to the governor and the legislature on or before the
thirty-first day of December, two thousand four providing preliminary
data and information on the implementation of this section, and shall
submit a final report by the fifteenth day of August, two thousand five
assessing the implementation of and the outcomes resulting from the
children and family services financing provisions established by this
section through the thirtieth day of June, two thousand five. The final
report shall include information regarding services delivery trends
under the financing structure set forth in this section and innovative
models of service provision to be considered for replication.
12. Notwithstanding any law to the contrary, on or after January
first, two thousand twenty, the state shall not reimburse for the cost
of any placement of persons in need of supervision under article seven
of the family court act.
* NB Repealed June 30, 2027
TITLE 3 Home Relief
Definitions. As used in this title. 1. Safety net assistance
means allowances pursuant to section one hundred thirty-one-a of this
article for all support, maintenance and need, and costs of suitable
training in a trade to enable a person to become self-supporting,
furnished eligible needy persons in accordance with applicable
provisions of law, by a municipal corporation, or a town where safety
net assistance is a town charge, to persons or their dependents in their
abode or habitation whenever possible and includes such relief granted
to veterans under existing laws but does not include hospital or
institutional care, except as otherwise provided in this subdivision, or
family assistance or medical assistance for needy persons granted under
titles ten and eleven of this article, respectively, or aid to persons
receiving federal supplemental security income payments and/or
additional state payments. Safety net assistance may also be provided in
a family home or boarding home, operated in compliance with the
regulations of the department, and on and after January first, nineteen
hundred seventy-four, in facilities in which a person is receiving
family care or residential care, as those terms are used in title six of
this article, and to persons receiving care in a facility supervised by
the office of alcoholism and substance abuse services or in a
residential facility for the mentally disabled approved, licensed or
operated by the office of mental health or the office for people with
developmental disabilities, other than those facilities defined in
sections 7.17 and 13.17 of the mental hygiene law, in a developmental
center facility operated by the office for people with developmental
disabilities or residential care centers for adults operated by the
office of mental health, when such type of care is deemed necessary.
Payments to such homes and facilities for care and maintenance provided
by them shall be at rates established pursuant to law and regulations of
the department. The department, however, shall not establish rates of
payment to such homes or facilities without approval of the director of
the budget.
2. State aid means payments to a municipal corporation by the state
for home relief furnished in accordance with this title.
3. Municipal corporation shall mean a county or city except a county
wholly within a city.
Eligibility. 1. A person is eligible for safety net assistance
who is financially needy as determined in accordance with title one of
this article and the regulations promulgated thereunder, is not in
sanction status for a program authorized by this chapter and:
(a) resides in a family which is ineligible for family assistance or
other assistance funded by the federal temporary assistance for needy
families block grant because an adult in the family has exceeded the
maximum durational limits on such assistance contained in section three
hundred fifty of this chapter, or
(b) is an adult who would otherwise be eligible for family assistance
except that he or she does not reside with a dependent child, or
(c) resides in a family that would otherwise be eligible for family
assistance except that at least one adult or minor head of household has
been determined in accordance with section one hundred thirty-two of
this article to be abusing illegal substances or engaging in the
habitual and excessive consumption of alcoholic beverages, or
(d) is under the age of eighteen, not living with his or her child and
has no adult relatives with whom to reside, or
(e) resides in a family in which a person required to submit to
screening or evaluation for use of illegal drugs or excess alcohol
consumption pursuant to section one hundred thirty-two of this article
refused to comply, or
(f) resides in a family which includes a person disqualified from
receiving assistance pursuant to paragraph (f) of subdivision four of
section one hundred thirty-two of this article, or
(g) is a qualified alien who is ineligible to receive assistance
funded under the temporary assistance for needy families block grant
solely because of section four hundred three of the federal personal
responsibility and work opportunity reconciliation act of 1996 (P.L.
104-193) or is a noncitizen who is permanently residing under color of
law but is not a qualified alien.
2. A person who shall be eligible for family assistance according to
the provisions of title ten of this article shall be granted family
assistance and while receiving such aid shall not be eligible for safety
net assistance. A person who is receiving federal supplemental security
income payments and/or additional state payments shall not be eligible
for safety net assistance. A person who is eligible for refugee cash
assistance pursuant to the plan established pursuant to section three
hundred fifty-eight of this article shall not be eligible for safety net
assistance. An applicant for or recipient of safety net assistance shall
be required, as a condition of eligibility for safety net assistance, to
sign a written authorization allowing the secretary of the federal
department of health and human services to pay to the social services
district his or her initial supplemental security income payment and
allowing the social services district to deduct from his or her initial
payment the amount of safety net assistance granted for any month for
which he or she subsequently is determined eligible to receive
supplemental security income benefits. For the purposes of this
subdivision the term "initial payment" shall refer to the first payment
of supplemental security income benefits after a person files an
application for benefits or after a person who has been terminated or
suspended from eligibility for supplemental security income benefits
subsequently has been found eligible for such benefits. An applicant for
safety net assistance who reasonably appears to meet the criteria for
eligibility for federal supplemental security income payments shall also
be required, as a condition of eligibility for safety net assistance, to
apply for such payments and shall, if otherwise eligible therefor, be
eligible for safety net assistance until he or she has received a
federal supplemental security income payment. Further, if an applicant
for safety net assistance is required to apply for federal supplemental
security payments and is denied, such person shall, subject to
department regulation, also be required as a condition of eligibility to
appeal his or her denial and exhaust his or her administrative remedies;
such person shall remain eligible for safety net assistance, so long as
he or she otherwise remains eligible while his or her appeal is pending.
3. A person shall not be eligible for safety net assistance who has
made a voluntary assignment or transfer of property for the purpose of
qualifying for such aid. A transfer of property made within one year of
the date of application shall be presumed to have been made for the
purpose of qualifying for such assistance.
4. Social services officials shall determine eligibility for safety
net assistance within thirty days of receiving an application for safety
net assistance. Such officials shall notify applicants of safety net
assistance about the availability of assistance to meet emergency
circumstances or to prevent eviction.
5. Application for or receipt of safety net assistance shall operate
as an assignment to the state and the social services district concerned
of any rights to support that accrue during the period that a family
receives safety net assistance from any other person as such applicant
or recipient may have either on their own behalf or on behalf of any
other family member for whom the applicant or recipient is applying for
or receiving assistance. Applicants for or recipients of safety net
assistance shall be informed that such application for or receipt of
such benefits will constitute such an assignment. Such assignment shall
terminate with respect to current support rights upon a determination by
the social services district that such person is no longer eligible for
safety net assistance, except with respect to the amount of any unpaid
support obligation that has accrued during the period that a family
received safety net assistance.
6. In addition to other eligibility requirements, each person who is
applying for or receiving assistance under this title, and who is
otherwise eligible for assistance under this title, shall be required,
as a further condition of eligibility for such assistance:
(i) to assign to the state and the social services district any rights
to support that accrue during the period that a family receives safety
net assistance from any other person as such applicant or recipient may
have either on their own behalf or on behalf of any other family member
for whom the applicant or recipient is applying for or receiving
assistance; and
(ii) to cooperate with the state and the social services official, in
accordance with standards established by regulations of the office of
temporary and disability assistance consistent with federal law and
regulations, in establishing the paternity of a child born
out-of-wedlock for whom assistance under this title is being applied for
or received, in their efforts to locate any absent parent and in
obtaining support payments or any other payments or property due such
person and due each child for whom assistance under this title is being
applied for or received, except that an applicant or recipient shall not
be required to cooperate in such efforts in cases in which the social
services official has determined, in accordance with criteria, including
the best interests of the child, as established by regulations of the
office of temporary and disability assistance consistent with federal
law and regulations, that such applicant or recipient has good cause to
refuse to cooperate. Each social services district shall inform
applicants for and recipients of safety net assistance required to
cooperate with the state and local social services officials pursuant to
the provisions of this paragraph, that where a proceeding to establish
paternity has been filed, and the allegation of paternity has been
denied by the respondent, there shall be a stay of all paternity
proceedings and related social services district proceedings until sixty
days after the birth of the child. Such applicants and recipients shall
also be informed that public assistance and care shall not be denied
during a stay on the basis of refusal to cooperate pursuant to the
provisions of this paragraph.
7. As a condition of eligibility for the receipt of safety net
assistance, every applicant for such assistance must:
(i) sign an agreement which provides that, if it is determined that
money is owed to the social services district because of overpayments of
safety net assistance to the applicant while a recipient of safety net
assistance, the applicant agrees to repay any such money that remains
due after the applicant ceases to receive safety net assistance; and
(ii) sign an assignment of future earnings on a form prescribed by the
department to secure the repayment of any money that is determined,
after providing the opportunity for a fair hearing in accordance with
section twenty-two of this chapter, to be owed to the social services
district because of overpayments of safety net assistance to the
applicant while a recipient of safety net assistance. The prescribed
form shall include the following notice: "THIS AGREEMENT AUTHORIZES THE
SOCIAL SERVICES DISTRICT TO RECOVER ANY OVERPAYMENT OF YOUR PUBLIC
ASSISTANCE BENEFITS BY COLLECTING THE AMOUNT OF THE OVERPAYMENT DIRECTLY
FROM YOUR FUTURE WAGES. IF YOU FAIL TO MAKE THE PAYMENTS REQUIRED BY A
REPAYMENT AGREEMENT BETWEEN YOU AND THE SOCIAL SERVICES DISTRICT, THE
SOCIAL SERVICES DISTRICT WILL FILE THIS AGREEMENT WITH YOUR EMPLOYER AND
RECOVER THE OVERPAYMENT DIRECTLY FROM YOUR WAGES." In addition, the
assignment of future earnings and the enforcement thereof must comply
with all requirements of article three-A of the personal property law.
The social services district may file the assignment of future earnings
with the employer of the assignor only if the assignor fails to make
payments of money owed to the social services district in accordance
with the agreement required in paragraph (i) of this subdivision.
8. No person who resides with his or her minor child shall be eligible
for safety net assistance except as provided in subdivision one of this
section.
Safety net assistance. 1. Safety net assistance shall be
provided in amounts determined in accordance with article five and,
where applicable, section one hundred seventeen of this chapter in the
following manner.
(a) Cash assistance. Safety net assistance shall be granted in cash
provided, however, that where the granting of cash may be deemed
inappropriate by the social services district because of an inability to
manage funds, or because less expensive or more easily controlled
alternative methods of payment are available, or in the case of vendor
payments to landlords made for individuals residing in public housing or
for similar other reasons as established by department regulations, or
where an individual has so requested, safety net assistance may be
granted in whole or in part by restricted payment.
(b) Non-cash assistance. Safety net assistance paid as non-cash
assistance shall be paid in the following manner and in the following
order:
(i) Shelter assistance. A district shall make a payment for shelter by
direct payment, two-party check or other form of restricted payment up
to the maximum amount established by the department in regulation,
provided that a district may make a payment for a recipient's assistance
in excess of such maximum at the request of the recipient. Payments for
shelter pursuant to this subparagraph shall be subject to the provisions
of section one hundred forty-three-b of this chapter. A district shall
make payment for shelter by two-party check upon request of the
recipient; provided, however, that the district may make a direct
payment whenever it finds that the recipient has persistently failed to
make payment for rent without good cause as defined by regulations of
the department. A district shall provide a recipient with proof of
payment promptly upon request by the recipient.
(ii) Utility assistance. A social services district shall make a
direct payment, a payment by two party check or other form of restricted
payment on behalf of recipients of safety net assistance who pay
separately for utilities. Payment for utilities shall include payment
for fuel for heating on behalf of recipients who are eligible for a fuel
for heating allowance pursuant to section one hundred thirty-one-a of
this article and the department's regulations. Payments for fuel for
heating shall not exceed the fuel for heating allowance except that a
district may make a payment in excess of such amount at the request of
the recipient. A district shall provide a recipient with proof of
payment promptly upon request by the recipient.
(iii) Personal needs allowance. To the extent available within payment
amounts authorized by sections one hundred seventeen, where applicable,
and one hundred thirty-one-a of this chapter, a social services district
shall provide each household with a personal needs allowance equal to
twenty percent of the sum of the monthly standard of payment determined
in accordance with the schedule contained in paragraph (a) of
subdivision three of section one hundred thirty-one-a of this article
and the appropriate amount of home energy grant and supplemental home
energy grant as determined by the schedules in subdivisions three-c and
three-d of section one hundred thirty-one-a of this article, for the
appropriate household size.
(iv) Other assistance. The remainder of the safety net assistance
shall be provided on a non-cash basis, provided that an appropriate
electronic benefit transfer system is operating in accordance with
section twenty-one-a of this chapter in the social services district in
which the recipient resides.
2. Persons eligible for safety net assistance because they are persons
described in paragraph (b) or (d) of subdivision one of section one
hundred fifty-eight of this title shall receive cash assistance, as
defined in subdivision one of this section, for two years in a lifetime,
whether or not consecutive, after the fourth day of August, nineteen
hundred ninety-seven. On or after the first day of December, nineteen
hundred ninety-nine, persons who are eligible for safety net assistance
but who have received cash assistance for two years or more shall
receive assistance only in the form of non-cash assistance. A person may
receive cash assistance in excess of two years if the person is
otherwise eligible for safety net assistance but the social services
district in which the person resides has not yet implemented a non-cash
assistance program. Persons who would otherwise be eligible for cash
assistance pursuant to this subdivision who are referred to treatment
pursuant to section one hundred thirty-two of this article or reside in
a family where an adult or head of household has been referred to
treatment shall receive assistance in the form of non-cash assistance.
3. Persons eligible for safety net assistance because they are persons
described in paragraph (a) of subdivision one of section one hundred
fifty-eight of this title shall receive assistance in the form of
non-cash assistance.
4. Persons eligible for safety net assistance because they are persons
described in paragraphs (c), (e) and (f) of subdivision one of section
one hundred fifty-eight of this title shall receive assistance in the
form of non-cash assistance.
5. Persons eligible for safety net assistance because they are persons
described in paragraph (g) of subdivision one of section one hundred
fifty-eight of this title shall receive cash assistance in the safety
net program for two years in a lifetime, whether or not consecutive,
after the fourth day of August, nineteen hundred ninety-seven. On or
after the first day of December, nineteen hundred ninety-nine, persons
who are eligible for safety net assistance but have received cash
assistance for two years or more in the safety net program shall receive
assistance only in the form of non-cash assistance. A person may receive
cash assistance in excess of two years if the person is otherwise
eligible for safety net assistance but the social services district in
which the person resides has not implemented a non-cash program.
6. In calculating the period of cash assistance for new residents of
the state, periods in which they received reduced safety net assistance
benefits pursuant to section one hundred seventeen of this chapter shall
be included. In calculating the period of cash assistance, periods in
which a recipient received federally funded refugee assistance shall be
included.
7. (a) Notwithstanding subdivisions two and three of this section,
adults eligible for safety net assistance who are exempt from the
employment requirements contained in title nine-B of this article
pursuant to section three hundred thirty-two of such article shall
receive cash assistance, unless the adult has been determined to be
abusing illegal substances or engaged in habitual consumption of
alcohol.
(b) Notwithstanding subdivisions two and three of this section, adults
eligible for safety net assistance who are also eligible to receive
comprehensive health care services through a special needs plan defined
in paragraph (n) of subdivision one of section three hundred
sixty-four-j of this chapter shall receive cash assistance, regardless
of whether such a plan is operating in the district in which they
reside. An adult who would be eligible to receive such services through
such a special needs plan but for the application of paragraph (d) of
subdivision three of section three hundred sixty-four-j of this chapter
shall also receive cash assistance.
8. Social services districts shall provide non-cash assistance to
persons eligible for safety net assistance because they are persons
described in paragraphs (b) and (d) of subdivision one of section one
hundred fifty-eight of this title, who have received cash assistance for
two years or more, on or after the first day of December, nineteen
hundred ninety-nine. Social services districts shall provide non-cash
assistance for persons described in paragraph (a) of subdivision one of
section one hundred fifty-eight of this title on or after the first day
of December, two thousand. However, social services districts shall not
implement subparagraph (iv) of paragraph (b) of subdivision one of this
section until an appropriate electronic benefit transfer system is
operating in the district.
9. Notwithstanding subdivision eight of this section or any other
inconsistent provision of this section, the department may approve up to
five social services districts to provide non-cash assistance to persons
described in paragraphs (b), (d) and (g) of subdivision one of section
one hundred fifty-eight of this title who have received cash assistance
for two years, beginning the first day of December, nineteen hundred
ninety-eight, provided that an appropriate electronic benefit transfer
system is operating in the district.
10. Social services district providing safety net assistance to
persons receiving care as defined in paragraphs (c), (d) and (e) of
subdivision three of section two hundred nine of the social services law
shall pay such facility at the rate provided for care and maintenance
under the supplemental security income program for beneficiaries of that
program in the same facility, less the amount of any personal needs
allowance included in the supplemental security program. In addition,
social services districts shall provide such persons receiving safety
net assistance with a personal needs allowance in the amount included in
the supplemental security payment level as a personal needs allowance
for recipients of that program residing in the particular facility.
11. The provisions of section three hundred forty-nine-a of this
article, with respect to victims of domestic violence, shall apply to
applicants for and recipients of safety net assistance to the same
extent as it applies to applicants for and recipients of family
assistance.
12. To the extent allowable under federal law and to the extent that
the state has spending sufficient to exceed the federally required
maintenance of effort for the temporary assistance for needy families
block grant, the office of temporary and disability assistance may
maximize the state's work participation rate by targeting safety net
assistance payments utilized to meet the federally required maintenance
of effort for the temporary assistance for needy families block grant to
safety net assistance cases that are not exempt from work activities,
that have not been in sanction status for over three months, and that do
not include two parents who are eligible for assistance who live in the
same dwelling unit, or to other categories of cases, as defined by the
office of temporary and disability assistance, that have no other
potential impediments to participating in countable federal work
activities.
Unexpended welfare balances. 1. Notwithstanding the
provisions of any general special or local law, where a city is no
longer responsible for the cost of public assistance or care or any form
thereof as provided by sections seventy-two and seventy-three of this
chapter or operates pursuant to section seventy-four-a of this chapter,
any unexpended city welfare funds not due and owing to the state or to a
social services district which shall remain in the treasury of such city
on the first day of January of any year may be transferred, appropriated
and expended for any lawful city purpose.
2. Notwithstanding the provisions of any general or special law, where
a town is no longer responsible for the cost of any type of public
assistance or care, any unexpended town welfare funds which shall remain
in the hands of the supervisor or any other town officer on the first
day of January of any year and which are not due and owing to the state
or to a public welfare district may be transferred, appropriated and
expended for any lawful town purpose.
Application. The provisions of any city charter or other local
or special law forbidding the granting of outdoor relief shall not apply
to the granting of home relief under this chapter.
Recipients authorized to work. Notwithstanding any other
provision of law, a social services official may, in his or her
discretion, authorize a recipient of safety net assistance to work and
retain the income derived therefrom without any diminution or with
partial diminution of safety net assistance where such an arrangement
would, in his or her opinion, lead to elimination of the recipient from
the assistance rolls in a reasonable length of time. The commissioner
shall promulgate rules and regulations to effectuate the purpose of this
section.
TITLE 4 Veteran Assistance
Definitions. As used in this title:
1. Veteran means a person who has served in the armed forces of the
United States or who was a recipient of the armed forces expeditionary
medal, navy expeditionary medal or marine corps expeditionary medal for
participation in operations in Lebanon from June first, nineteen hundred
eighty-three to December first, nineteen hundred eighty-seven, in
Grenada from October twenty-third, nineteen hundred eighty-three to
November twenty-first, nineteen hundred eighty-three, or in Panama from
December twentieth, nineteen hundred eighty-nine to January
thirty-first, nineteen hundred ninety, and who (a) has been honorably
discharged or released under honorable circumstances from such service
or furloughed to the reserve, or (b) has a qualifying condition, as
defined in section one of the veterans' services law, and has received a
discharge other than bad conduct or dishonorable from such service, or
(c) is a discharged LGBT veteran, as defined in section one of the
veterans' services law, and has received a discharge other than bad
conduct or dishonorable from such service.
2. Veteran organization means the:
(a) Grand Army of the Republic;
(b) United Spanish War Veterans;
(c) American Legion;
(d) Disabled American Veterans;
(e) Veterans of Foreign Wars of the United States;
(f) Jewish War Veterans of the United States, Incorporated;
(g) Catholic War Veterans, Incorporated;
(h) Army and Navy Union of the United States;
(i) Italian American War Veterans of the United States, Incorporated;
(j) Polish Legion of American Veterans, Incorporated;
(k) The Marine Corps League;
(l) Military Order of the Purple Heart, Inc.;
(m) Amvets.
(n) American Veterans of World War II;
(o) Veterans of World War I, U.S.A., Inc.
(p) Polish-American Veterans of World War II;
(q) Masonic War Veterans of the state of N.Y., Inc.;
(r) American Gold Star Mothers, Inc.;
(s) Regular Veterans Association, Inc.;
(t) Vietnam Veterans of America;
(u) Eastern Paralyzed Veterans Association;
3. Veteran assistance means safety net assistance given pursuant to
the provisions of this title, to the persons eligible therefor.
Eligibility. Each of the following persons who is a resident of
the state on the date of making application for veteran assistance shall
be eligible for such assistance if he or she is unable to provide for
himself or herself, or is unable to secure support from a legally
responsible relative, and is not receiving needed assistance or care
under other provisions of this chapter, or from other sources:
1. A veteran;
2. The wife, husband, child or grandchild under the age of twenty-one
years, father, mother, stepfather or stepmother of a veteran, if living
with the veteran;
3. The unremarried surviving spouse of a veteran;
4. The dependent children under the age of twenty-one years or the
incapacitated children of a deceased veteran.
Character. Except as hereinafter otherwise prescribed, veteran
assistance shall be granted in cash provided, however, that in an
individual case where the granting of cash may be deemed impracticable,
veteran assistance may be granted in whole or in part by order.
Responsibility; county social services districts; city social
services districts; cities; towns. 1. A county social services district
which has elected, pursuant to the provisions of this title, to
administer veteran assistance shall be responsible for providing
veteran assistance, and the expense thereof, to:
(a) persons residing or found therein, subject to reimbursement by
the state;
(b) persons residing or found in any town in the county, when the
expense of providing safety net assistance to persons residing or found
in such towns is a county charge pursuant to the provisions of section
seventy-two and section seventy-three of this chapter;
(c) persons residing or found in a city forming part of the county
social services district, when the expense of providing safety net
assistance to persons residing or found in such city is a county charge
pursuant to the provisions of section seventy-two and section
seventy-three of this chapter.
2. A town responsible for the expense of providing safety net
assistance to persons residing or found therein, pursuant to section
sixty-nine, which has elected to administer veteran assistance, pursuant
to the provisions of this title, shall be responsible for providing
veteran assistance to local charges residing or found therein, and the
expense thereof.
Moneys to be provided. 1. The social services official of
every county, city or town responsible for veteran assistance, under the
provisions of this title, shall include in his or her annual estimate
for safety net assistance the amount necessary to carry out the
provisions of this title in such county, city or town.
2. Legislative bodies shall make appropriations and raise money for
veteran assistance in the same manner as for safety net assistance.
Election to administer veteran assistance by county public
welfare district; organization. 1. When a majority of the veteran
organizations in a county, by and through their respective county
divisions, file with the clerk of the board of the supervisors of the
county, a petition addressed to the board of supervisors of the county
requesting that veteran assistance be administered by such county, the
board of supervisors may, by resolution passed by a majority vote,
establish a division or bureau, or direct that a division or bureau be
established, within the county department of public welfare, and under
the direction of the county commissioner of public welfare, for the
purpose of administering veteran assistance.
2. In the event that the county board of supervisors shall pass such a
resolution, it shall also authorize and direct the county commissioner
of public welfare to appoint a veteran, as herein defined, as deputy
commissioner or director of the veteran assistance division or bureau,
as the case may be.
3. The county commissioner shall transfer to the veteran assistance
division or bureau so much of the staff of the county welfare department
as may be necessary or practicable to administer and execute the
functions, powers and duties assigned to such division or bureau.
Officers and employees shall be transferred without further examination
or qualification and they shall retain their respective civil service
classification and status. The civil service qualifications for all
positions in the veteran assistance division or bureau shall be the same
as required for the same or similar positions in the other divisions or
bureaus of the county department of welfare, except that the
qualifications for the position of the deputy commissioner or director,
as the case may be, shall also require that he be a veteran.
4. The salaries or compensation paid to employees of the veteran
assistance division or bureau shall be subject to reimbursement by the
state under the same terms and conditions as are applicable to other
employees of the county department of public welfare under the
provisions of this chapter.
5. Upon recommendation of the county commissioner of public welfare,
the county board of supervisors may authorize, by resolution passed by a
majority vote, the veteran assistance division or bureau to administer,
in addition to veteran assistance, such other forms or categories of
public assistance and care as may be practicable or necessary, provided
that sufficient qualified staff shall be available for transfer or
assignment to the veteran assistance division or bureau to execute and
perform the additional functions and duties so assigned to such division
or bureau.
6. The board of supervisors may also authorize the commissioner of
public welfare to establish and operate a branch of the veteran
assistance division or bureau in each or any major population center in
the county.
Authorization of veteran assistance in towns. 1. The town
board of a town responsible for the expense of providing safety net
assistance to persons residing or found therein, upon the presentation
of a petition to it by one or more posts, camps or garrisons of one or
more veteran organizations in the town, requesting that veteran
assistance be authorized by the local social services officer, may, by
resolution adopted by majority vote, authorize and direct the local
social services officer to authorize and furnish veteran assistance to
persons residing or found therein. Thereafter, the local social
services officer shall have, exercise and perform the same powers and
duties with relation to veteran assistance as he has, exercises and
performs with relation to safety net assistance.
2. When the town board of a town has authorized and directed the local
social services officer to authorize and furnish veteran assistance, if
neither the local social services officer, or the supervisor of the town
authorized to act as such official, nor the assistant local social
services officer, if there be one, is a veteran, as herein defined, the
town board may appoint, or authorize the local social services officer
to appoint, a veteran, as herein defined, as a deputy or assistant local
social service officer.
Administration of veteran assistance in New York city. 1. In
the city of New York, veteran assistance committee means each welfare
committee chosen by the county unit of each veteran organization.
2. In the city of New York, veteran assistance shall be paid or
granted direct to the beneficiaries by the commissioner of public
welfare through the veterans division of the department of public
welfare on a written recommendation signed by three members of the
veteran assistance committee of the county in which the applicant
resides.
3. The comptroller of the city of New York shall, out of the amount
appropriated for such assistance, provide a cash fund to be placed under
the control of the commissioner from which to pay such assistance, and
he shall replenish said fund upon presentation of properly receipted
recommendations by the county veteran assistance committees for the
amounts paid out of said fund.
Veteran advisory committees; duties. 1. (a) In every county,
city or town which has elected to furnish veteran assistance, pursuant
to the provisions of this title, in which there are more than one
veteran organization or more than one post, camp or garrison of any
veteran organization, there shall be appointed and constituted a joint
veteran assistance advisory committee to consist of one representative
from each post, camp and garrison of each such veteran organization,
chosen in such manner as the post, camp or garrison shall direct, to
serve for one year, commencing the first day of January. Each such
committee shall choose a chairman and such other officers as it may deem
necessarry or require. In counties and cities the deputy commissioner
or director of the veteran assistance division or bureau of the public
welfare department shall serve ex officio as secretary of the committee.
In towns, the town welfare officer shall serve ex officio as such
secretary, unless he is not a veteran and his deputy or assistant is a
veteran, in which case such deputy or assistant, as the case may be,
shall serve as such secretary.
(b) In any town which has elected to furnish veteran assistance
pursuant to the provisions of this title, in which there is only one
veteran organization and only one post, camp or garrison thereof, such
post, camp or garrison shall constitute a veterans assistance advisory
committee, consisting of its chairman and two other representatives
designated by it, which committee shall serve for one year commencing
the first day of January. The town welfare officer, his deputy or
assistant, if a veteran, shall serve ex officio as the secretary of the
committee; if neither be a veteran, the town welfare officer shall serve
as such secretary.
2. All committees constituted under subdivision one of this section
shall have and perform the following functions and duties:
(a) (1) In the case of county or city committees, to submit to the
public welfare official of the county or city in which it operates a
list of veterans qualified to serve as deputy commissioner or director
of the veterans assistance division or bureau in the county or city
department of welfare, as the case may be, whenever there be a vacancy
in that office.
(2) In the case of town committees, to submit to the town public
welfare officer a list of veterans qualified to serve as his deputy or
assistant to furnish veteran assistance, whenever there be a vacancy in
that office.
(b) To keep informed all posts, camps or garrisons of each veteran
organization in its territory concerning the administration of veteran
assistance and the activities of the veteran assistance division or
bureau.
(c) To transmit to the veteran assistance division, bureau or official
administering veteran assistance in its territory, the views of the
veteran organizations operating in such territory.
(d) To advise the public welfare official of the county, city or town
administering veteran assistance in its territory on matters relating to
assistance and care given to veterans and their families.
Care in public homes; consent of veteran or other eligible
persons. Any person eligible for veteran assistance may receive care in
a public home with his consent.
Veteran assistance financing; state reimbursement. All
provisions of this chapter or of any other law relating to the financing
of safety net assistance by counties, cities and towns, or reimbursement
by the state for safety net assistance expenditures made by counties,
cities and towns, shall apply with the same force and effect to veteran
assistance.
TITLE 5 Public Institutional Care For Adults
Public homes. 1. Each public welfare district may establish and
maintain a public home, which may include an infirmary for the care of
chronically sick patients in addition to facilities for the care of
acutely ill patients, and may operate a farm in connection therewith, or
may contract with another public welfare district for the care and
maintenance of persons in need of institutional care who are unable to
pay for such care. If facilities are available in a public home the
commissioner of public welfare may establish regulations authorizing the
admission and care therein of persons in need of institutional care who
are able and willing to pay, in whole or in part for such care and
prescribing the conditions under which such admissions may be made. A
person in need of institutional care who is unable to pay therefor shall
not be refused care in the public home operated and maintained by the
public welfare district in which he resides or is found, when persons
able to pay for their care are receiving care in such home.
2. If the state commissioner of social welfare shall approve, a public
welfare district may use a building or buildings formerly used as a
tuberculosis hospital or sanatorium, or as a part thereof, for a public
home, a public home infirmary or an infirmary of a public home.
Powers and duties of commissioners of public welfare in
relation to public homes. Commissioners of public welfare shall
1. be responsible for the management of the home and for the care of
its incarcerated individuals,
2. have control of the admission and discharge of incarcerated
individuals of the home,
3. within the limits of the appropriations made for the purpose,
appoint qualified physicians, matrons, nurses, officers and employees,
and vest in them such powers as he may deem necessary for the management
of the home,
3-a. have the authority, in the event the home includes an infirmary
for the care of chronically sick patients, to enter into contracts,
subject to the written approval of the department, with any medical
school or non-profit hospital, organized pursuant to the laws of the
state of New York, whereby such medical school or non-profit hospital
shall agree to provide and supervise all or part of the professional and
related staff necessary for the operation of the infirmary. The
personnel so provided by such medical school or non-profit hospital
shall not be deemed to be employees of the public welfare district.
4. purchase all furniture, implements, food, materials and equipment
necessary for the upkeep of the home and for the care of the needy in
the home, unless such powers have been vested in some other purchasing
agency,
5. classify the incarcerated individuals of the home, and provide the
type of care best fitted to their needs and carry out the
recommendations of the attending physician in regard to their care,
6. establish rules for the administration of the public home and for
the conduct and employment of the incarcerated individuals thereof; but
such rules shall not be valid unless approved in writing by the
department,
7. as far as practicable provide suitable employment for any
incarcerated individual whom the attending physician pronounces able to
work, assigning such incarcerated individuals to such labor in
connection with the farm and garden, or the care and upkeep of the
buildings or other suitable tasks in the public home as they may be
deemed capable of performing, and providing occupational and other
diversions as may be for the best interests of the incarcerated
individuals,
8. when in their individual judgment and discretion it appears
advisable, for purposes of rehabilitation, to provide incentive
compensation to an incarcerated individual, in any amount or amounts
totalling ten dollars or less per month, for work assigned and performed
in or about the public home, farm and garden; but the payment of any
such reward shall not be deemed, for the purposes of any law, to make
the incarcerated individual receiving the same an employee of the public
home or of the county or city maintaining such home,
8-a. deposit as prescribed in section eighty-seven of this chapter,
any and all moneys received by him or her for the use of a particular
incarcerated individual or incarcerated individuals of the public home,
9. when an appropriation is made for the purpose, appoint a
superintendent of the public home who shall reside thereat and exercise
such of the powers and carry out such of the duties above mentioned in
connection with the public home as the commissioner may direct;
provided, however, that the legislative body of the county or city
within which a public welfare district is located may, if adequate
supervisory personnel are on duty at all times, permit the
superintendent to reside off the premises of the public home,
10. reside at the public home unless a superintendent has been
appointed as above provided; provided, however, that the local
legislative body of the county or city within which a public welfare
district is located may, if adequate supervisory personnel are on duty
at all times, permit the commissioner to reside off the premises of the
public home.
Additional power of work assignment granted to commissioner
of public welfare of Monroe county. When, pursuant to the provisions of
subdivision eight of section one hundred ninety-four of this title, the
commissioner of public welfare of Monroe county deems it advisable to
assign work to an incarcerated individual, such work may be assigned and
performed in or about not only the public home, farm and garden but also
any other property maintained under his supervision. The payment of any
reward pursuant to such subdivision eight shall not be deemed, for the
purposes of any law, to make the incarcerated individual receiving the
same an employee of the public home or of the county or city maintaining
such home or such other property maintained under the commissioner's
jurisdiction.
Medical care. 1. Each incarcerated individual shall be examined
by the attending physician or physicians as soon after admission to the
public home as practicable.
2. A medical record shall be kept for each incarcerated individual, in
which shall be recorded his or her condition on admission, the
physician's recommendation of the type of care to be given him or her
and any medical attention given to the incarcerated individual
subsequent to the examination on admission.
3. The physician shall be responsible for the medical care given
incarcerated individuals who are ill, and shall give such orders as he
considers necessary for their welfare. He or she shall (a) visit the
public home at regular intervals and shall re-examine the incarcerated
individuals periodically, as the need of the incarcerated individuals
may require,
(b) also visit the public home, on call of the superintendent, in case
of the illness of any incarcerated individual,
(c) make such recommendations to the commissioner of public welfare as
to changes, improvements and additional equipment as he may deem
necessary for the adequate care of the incarcerated individuals of such
home.
4. Any physician who accepts an appointment as attending physician to
the incarcerated individuals of a public home shall be obligated to
carry out the provisions of this section. The commissioner may dismiss
an attending physician who fails to fulfill such duties.
Report on needs of incarcerated individuals of public homes. It
shall be the duty of the commissioner of public welfare to report to the
legislative body as to the needs of the home and to make recommendations
of any changes, improvements, additional equipment or other provision
which he or she may consider necessary to provide adequate care for the
incarcerated individuals.
Incarcerated individuals' right of appeal. Any incarcerated
individual of a public home, who considers himself or herself to have a
cause for complaint against any officer or employee of the public home,
shall have the right of appeal to the superintendent of the public home,
and to the commissioner of public welfare.
Control of incarcerated individuals. If any incarcerated
individual shall wilfully disobey the rules of the home in such a way as
to be detrimental to the welfare of the other incarcerated individuals,
the commissioner may institute a proceeding in a court of competent
jurisdiction against such incarcerated individual for disorderly
conduct.
Power of commissioner of public welfare to detain certain
incarcerated individuals. The commissioner of public welfare shall have
power to detain in the public home, pending a vacancy for such person in
a state institution, a person over the age of sixteen who has been
certified as an individual with a developmental disability in accordance
with the provisions of the mental hygiene law and for whom an
application for admission to a state institution has been made. Whenever
the commissioner shall so detain an incarcerated individual in the
public home he or she shall at once notify the state department of
mental hygiene.
Powers and duties of the commissioner of public welfare in
relation to the public farm. If the legislative body of a public welfare
district shall authorize the maintenance of a public farm in connection
with the public home, the commissioner of public welfare shall
1. be responsible for the management of the public farm,
2. utilize the labor of such of the incarcerated individuals of the
public home as may in the judgment of the attending physician be able to
work on the farm,
3. make all purchases necessary for the operation of the public farm
unless such powers have been vested in some other purchasing agency,
4. sell such surplus produce and proceeds of such farm and labor as
may remain after the needs of the incarcerated individuals of the public
home have been supplied,
5. employ, within the limits of the appropriation made for the
purpose, such laborers as may be necessary for the management of the
farm,
6. keep a record of the work of the farm, including the labor of the
incarcerated individuals of the public home on the farm and of the
produce and proceeds of the farm supplied for the use of the public
home, with the estimated value of such produce and proceeds,
7. when an appropriation has been made for the purpose, appoint an
officer who shall be responsible for exercising such of the powers and
carrying out such of the duties above mentioned as the commissioner may
direct,
8. make an annual report to the legislative body in regard to the
receipts and disbursements of the public farm and the cost of its
operation.
Construction and administration of public homes. 1. No building
to be used as a public home shall be constructed, or remodeled, in whole
or in part, except on plans and designs approved in writing by the
department provided that such approval in writing in the city of New
York shall be by the mayor of said city, and except that plans and
designs for the construction of or remodeling in whole or in part of a
public home infirmary, or the infirmary of a public home, shall be
approved in accordance with the provisions of article twenty-eight of
the public health law.
2. It shall be the duty of the department to send to the legislative
body and the public welfare official in charge of a public home a
written statement as to any abuses, defects or evils, which it may find
in the public home or in the administration thereof, and such
legislative body and official shall take action to remedy such condition
in accordance with such advice.
TITLE 6 Additional State Payments For Eligible Aged, Blind and Disabled Persons
Declaration of purpose. The legislature hereby declares its
commitment to meeting the income needs of aged, blind and disabled
persons who are receiving basic supplemental security income benefits or
whose income and resources, though above the standard of need for the
supplemental security income program, is not sufficient to meet those
needs. In order to maintain assistance for such persons at a level
consistent with their needs, and in order to fully employ available
federal aid for the benefit of such persons residing in this state,
there is hereby established a state-wide program of additional state
payments for aged, blind and disabled persons.
Definitions. When used in this title:
1. "Supplemental security income benefits" shall mean payments made by
the secretary of the federal department of health, education and welfare
to aged, blind and disabled persons pursuant to title sixteen of the
federal social security act.
2. "Additional state payments" shall mean payments made to aged, blind
and disabled persons who are receiving, or who would but for their
income be eligible to receive, federal supplemental security income
benefits, whether made by the office of temporary and disability
assistance in accordance with the provisions of this title and with
title sixteen of the federal social security act, or by the commissioner
of the United States social security administration, pursuant to and in
accordance with the provisions of this title, title sixteen of the
federal social security act, and provisions of any agreement entered
into between the state and such commissioner by which the commissioner
agrees to administer such additional state payments on behalf of the
state. Such payments are equal to the standard of need, less the greater
of the federal benefit rate or countable income. For purposes of this
title, the "federal benefit rate" shall mean the maximum payment of
supplemental security income payable to a person or couple with no
countable income.
3. The "secretary" shall mean the secretary of the federal department
of health, education and welfare.
4. A "blind person" shall mean a person who has central visual acuity
of 20/200 or less in the better eye with the use of a correcting lens.
An eye which is accompanied by a limitation in the fields of vision such
that the widest diameter of the visual field subtends an angle no
greater than twenty degrees shall be considered, for the purposes of the
first sentence of this subdivision, as having a central visual acuity of
20/200 or less.
5. A "disabled person" shall mean a person who is unable to engage in
any substantial gainful activities by reason of any medically
determinable physical or mental impairment which can be expected to
result in death or which has lasted or can be expected to last for a
continuous period of not less than twelve months; or who, in the case of
a child under the age of eighteen, suffers from any medically
determinable physical or mental impairment of comparable severity.
6. "Countable income" shall mean all of a person's income, in cash or
in kind, both earned and unearned, which is not excluded by federal law
or regulations or by regulations of the department in determining the
need of an individual for supplemental security income benefits or
additional state payments, including the income of an individual's
eligible spouse, and, if the individual is a child, certain income of
such individual's parent or parents with whom he resides.
7. "Earned income" shall mean wages and earnings from self-employment
in accordance with the regulations of the department.
8. "Unearned income" shall mean all other income, in accordance with
the regulations of the department.
9. "Countable resources" shall mean cash or other liquid assets or any
real or personal property that an individual or couple owns and could
convert to cash to be used for his or their support and maintenance,
which is not excluded by federal law or regulations or by regulations of
the department in the determination of the need of an individual for
supplemental security income benefits or additional state payments.
10. An "eligible individual" shall mean a person who is eligible to
receive additional state payments pursuant to section two hundred nine
of this title.
11. An "eligible couple" shall mean an eligible individual and his or
her aged, blind or disabled spouse, who are living together or who are
living apart but have been living apart for less than six months.
12. The term "standard of need" shall refer solely to the maximum
level of income a person or couple may have and remain eligible for
additional state payments under this title. The term applies solely to
the program of additional state payments and has no application to any
other program or benefit.
Eligibility. 1. (a) Notwithstanding any law to the contrary, no
person shall be eligible for any payment pursuant to this title who is
ineligible for supplemental security income for any reason other than
having countable income exceeding the federal benefit rate for such
program. An individual shall be eligible to receive additional state
payments if he or she has applied for supplemental security income
benefits, has received a determination with respect to such application
and:
(i) is over sixty-five years of age, or is blind or disabled; and
(ii) does not have countable income in an amount equal to or greater
than the standard of need established in subdivision two of this
section; and
(iii) does not have countable resources in an amount equal to or
greater than the amount of resources an individual or couple may have
and remain eligible for supplemental security income benefits pursuant
to federal law and regulations of the department; and
(iv) is a resident of the state and is either a citizen of the United
States or is not a noncitizen who is or would be ineligible for federal
supplemental security income benefits solely by reason of noncitizen
status.
(b) A person who is properly receiving supplemental security income
benefits shall be deemed to have met the eligibility criteria contained
in subparagraphs (i), (ii) and (iii) of paragraph (a) of this
subdivision.
(c) A person who, for the month of December, nineteen hundred
seventy-three, properly received a grant of assistance under the state's
program of old age assistance, assistance to the blind, aid to the
disabled or the combined program of aid to aged, blind and disabled
persons, shall be deemed to have met the eligibility criteria of this
subdivision; provided, however, that a disabled person who did not also
receive such a grant for any month prior to July, nineteen hundred
seventy-three, shall not be deemed to have met such eligibility criteria
under this paragraph. A person who is deemed eligible under this
paragraph shall continue to be deemed to meet the eligibility criteria
of this subdivision so long as he continues to be blind or disabled, as
the case may be, pursuant to state standards in effect for October,
nineteen hundred seventy-two, and so long as he continues to reside in
the state.
(d) Any inconsistent provision of this title notwithstanding, an
individual shall not be eligible for additional state payments with
respect to any month, if throughout such month, (i) he is an inmate of a
public institution, or (ii) he is an inmate in a medical facility which
is receiving medical assistance payments for him at a level exceeding
fifty per cent of the cost of his care, or (iii) he is an inmate in a
medical facility which is not certified under the state's medical
assistance program. Nor shall an individual be eligible for additional
state payments for any month in which he is ineligible for supplemental
security income benefits because of a failure to file for other
non-public assistance benefits to which he might be entitled, or because
of a refusal to participate in treatment for drug addiction or
alcoholism or because he has remained outside the United States for all
of such month, or because he has refused vocational rehabilitation.
2. The following amounts shall be the standard of monthly need for
determining eligibility for and the amount of additional state payments,
depending on the type of living arrangement and the geographic area in
which the eligible individual or the eligible couple resides:
* (a) On and after January first, two thousand twenty-five, for an
eligible individual living alone, $1,054.00; and for an eligible couple
living alone, $1,554.00.
* NB Effective until December 31, 2026
* (a) On and after January first, two thousand twenty-six, for an
eligible individual living alone, $1,081.00; and for an eligible couple
living alone, $1,595.00.
* NB Effective December 31, 2026
* (b) On and after January first, two thousand twenty-five, for an
eligible individual living with others with or without in-kind income,
$990.00; and for an eligible couple living with others with or without
in-kind income, $1,496.00.
* NB Effective until December 31, 2026
* (b) On and after January first, two thousand twenty-six, for an
eligible individual living with others with or without in-kind income,
$1,017.00; and for an eligible couple living with others with or without
in-kind income, $1,537.00.
* NB Effective December 31, 2026
* (c) On and after January first, two thousand twenty-five, (i) for an
eligible individual receiving family care, $1,233.48 if such individual
is receiving such care in the city of New York or the county of Nassau,
Suffolk, Westchester or Rockland; and (ii) for an eligible couple
receiving family care in the city of New York or the county of Nassau,
Suffolk, Westchester or Rockland, two times the amount set forth in
subparagraph (i) of this paragraph; or (iii) for an eligible individual
receiving such care in any other county in the state, $1,195.48; and
(iv) for an eligible couple receiving such care in any other county in
the state, two times the amount set forth in subparagraph (iii) of this
paragraph.
* NB Effective until December 31, 2026
* (c) On and after January first, two thousand twenty-six, (i) for an
eligible individual receiving family care, $1,260.48 if such individual
is receiving such care in the city of New York or the county of Nassau,
Suffolk, Westchester or Rockland; and (ii) for an eligible couple
receiving family care in the city of New York or the county of Nassau,
Suffolk, Westchester or Rockland, two times the amount set forth in
subparagraph (i) of this paragraph; or (iii) for an eligible individual
receiving such care in any other county in the state, $1,222.48; and
(iv) for an eligible couple receiving such care in any other county in
the state, two times the amount set forth in subparagraph (iii) of this
paragraph.
* NB Effective December 31, 2026
* (d) On and after January first, two thousand twenty-five, (i) for an
eligible individual receiving residential care, $1,402.00 if such
individual is receiving such care in the city of New York or the county
of Nassau, Suffolk, Westchester or Rockland; and (ii) for an eligible
couple receiving residential care in the city of New York or the county
of Nassau, Suffolk, Westchester or Rockland, two times the amount set
forth in subparagraph (i) of this paragraph; or (iii) for an eligible
individual receiving such care in any other county in the state,
$1,372.00; and (iv) for an eligible couple receiving such care in any
other county in the state, two times the amount set forth in
subparagraph (iii) of this paragraph.
* NB Effective until December 31, 2026
* (d) On and after January first, two thousand twenty-six, (i) for an
eligible individual receiving residential care, $1,429.00 if such
individual is receiving such care in the city of New York or the county
of Nassau, Suffolk, Westchester or Rockland; and (ii) for an eligible
couple receiving residential care in the city of New York or the county
of Nassau, Suffolk, Westchester or Rockland, two times the amount set
forth in subparagraph (i) of this paragraph; or (iii) for an eligible
individual receiving such care in any other county in the state,
$1,399.00; and (iv) for an eligible couple receiving such care in any
other county in the state, two times the amount set forth in
subparagraph (iii) of this paragraph.
* NB Effective December 31, 2026
* (e) On and after January first, two thousand twenty-five, (i) for an
eligible individual receiving enhanced residential care, $1,661.00; and
(ii) for an eligible couple receiving enhanced residential care, two
times the amount set forth in subparagraph (i) of this paragraph.
* NB Effective until December 31, 2026
* (e) On and after January first, two thousand twenty-six, (i) for an
eligible individual receiving enhanced residential care, $1,688.00; and
(ii) for an eligible couple receiving enhanced residential care, two
times the amount set forth in subparagraph (i) of this paragraph.
* NB Effective December 31, 2026
* (f) The amounts set forth in paragraphs (a) through (e) of this
subdivision shall be increased to reflect any increases in federal
supplemental security income benefits for individuals or couples which
become effective on or after January first, two thousand twenty-six but
prior to June thirtieth, two thousand twenty-six.
* NB Effective until December 31, 2026
* (f) The amounts set forth in paragraphs (a) through (e) of this
subdivision shall be increased to reflect any increases in federal
supplemental security income benefits for individuals or couples which
become effective on or after January first, two thousand twenty-seven
but prior to June thirtieth, two thousand twenty-seven.
* NB Effective December 31, 2026
2-a. Notwithstanding any inconsistent provision of subparagraph (ii)
of paragraph (d) of subdivision one of this section, an individual who
is receiving or is eligible to receive federal supplemental security
income payments and/or additional state payments and who is a resident
of a residential health care facility as defined by section twenty-eight
hundred one of the public health law, shall, in accordance with
regulations of the department, be entitled to a state payment for
personal needs in the amount of fifteen dollars a month, provided,
however, that on or after January first, nineteen hundred eighty-eight
the state payment for personal needs for such persons shall be in the
amount of twenty-five dollars a month. Notwithstanding any inconsistent
provision of subparagraph (ii) of paragraph (d) of subdivision one of
this section, on or after January first, nineteen hundred eighty-eight,
a resident of an intermediate care facility operated or issued an
operating certificate by the office for people with developmental
disabilities or a patient of a hospital operated by the office of mental
health as defined in subdivision ten of section 1.03 of the mental
hygiene law who is receiving or is eligible to receive supplemental
security income payments and/or additional state payments shall receive
a state payment for personal needs in the amount of five dollars a
month. The department is authorized to promulgate necessary regulations
to provide for the time and manner for payment of such personal
allowance to such individuals.
3. As used in subdivision two of this section:
(a) "Living alone" shall mean living in a private household composed
of one eligible individual or one eligible couple.
(b) "Living with others" shall mean living in a private household
composed of an eligible individual or couple and at least one other
person; or, with respect to any child who is not the head of a household
and who is under the age of eighteen, or under the age of twenty-two if
attending school, any living arrangement other than residential care in
a facility operated or licensed by an office of the department of mental
hygiene.
* (c) "Receiving family care" shall mean residing in a family type
home for adults which is certified by the department and supervised by a
social services district, in accordance with applicable provisions of
law and regulations, or a family care home certified by the appropriate
office of the department of mental hygiene, in accordance with
applicable provisions of law and regulations or participating in a
foster family care demonstration program pursuant to section three
hundred sixty-four-h of this chapter.
* NB Effective until December 31, 2027
* (c) "Receiving family care" shall mean residing in a family type
home for adults which is certified by the department and supervised by a
social services district, in accordance with applicable provisions of
law and regulations, or a family care home certified by the appropriate
office of the department of mental hygiene, in accordance with
applicable provisions of law and regulations.
* NB Effective December 31, 2027
(d) "Receiving residential care" shall mean residing in a residence
for adults or a privately operated community residence, residential
substance abuse treatment program or community residential facility for
alcoholism, certified by the appropriate office of the department of
mental hygiene; or a residential care center for adults certified by the
office of mental health, in accordance with applicable law and
regulations. For the purpose of this paragraph, a person receiving care
in an intermediate care facility, certified by the department of health
or by the appropriate office of the department of mental hygiene, or
receiving respite services shall not be deemed to be receiving
residential care.
(e) "Receiving enhanced residential care" shall mean residing in a
privately operated school for individuals with developmental
disabilities which is certified by the office for people with
developmental disabilities of the department of mental hygiene, in
accordance with applicable provisions of law and regulations or an adult
home, or enriched housing program certified by the department of health
in accordance with applicable law, rules and regulations to the extent
permitted by federal law and regulations.
4. An eligible individual or an eligible couple shall be entitled to
receive monthly an additional state payment in an amount equal to the
difference between the monthly standard of need applicable to such
individual or couple and the sum of such individual's or couple's
supplemental security income benefit plus countable income.
5. If necessary in order to comply with or reflect changes in federal
law, or to take full advantage of available federal funding for the
purposes of this title, or to remain qualified for federal funding under
any other program, the department may, by regulation, with the approval
of the director of the budget, change the amounts specified as the
standard of need in subdivision two of this section, or provide that any
portion of the supplemental security income benefit be disregarded in
determining the amount of the additional state payment. Any such change
in the amounts of the standards of need or in the amounts to be so
disregarded shall remain effective only until the first day of July of
the year next succeeding the year in which such change is to take
effect, unless such change is enacted into law prior to such date.
6. (a) As applicable federal law, rules and regulations so provide, a
recipient of supplemental security income benefits or medical assistance
in the state of New York or any other state may establish an irrevocable
trust fund for the exclusive purpose of their or a family member's
funeral and burial. Such trust fund and any accumulated interest not
withdrawn by the recipient shall remain the responsibility of the
funeral firm, funeral director, undertaker, cemetery or any other
person, firm or corporation to whom such payment is made to administer
for funeral and burial expenses of the recipient. Those persons who
establish such a trust fund shall be given the opportunity to select the
funeral firm, funeral director, undertaker, cemetery or any other
person, firm or corporation to whom such payment is made of their choice
to provide for their or a family member's burial arrangements and to
change such selection at any time to any funeral firm, funeral director,
undertaker, cemetery or any other person, firm or corporation to whom
such payment is made, located either in the state of New York or any
other state. Any such change of funeral firm, funeral director,
undertaker, cemetery, or any other person, firm or corporation to whom
such payment is made, must be carried out within ten business days
following receipt of a request by the purchaser to the funeral firm,
funeral director, undertaker, cemetery, or any other person, firm or
corporation to whom such payment is made with which the current trust
fund was established. Funds in such trust fund shall be placed in an
interest bearing account pursuant to section four hundred fifty-three of
the general business law. Accumulated interest from such account shall
not be reported as "countable income" pursuant to section two hundred
eight of this title.
(b) An applicant for or a recipient of medical assistance in the state
of New York or any other state who enters into an agreement pursuant to
section four hundred fifty-three of the general business law for their
own benefit or for the benefit of a family member shall establish a
single irrevocable trust fund for each such beneficiary pursuant to
paragraph (a) of this subdivision.
(c) A funeral firm, funeral director, undertaker, cemetery, or any
other person, firm or corporation which makes an agreement for and
accepts payment for such an irrevocable trust fund, shall comply with
the provisions of section four hundred fifty-three of the general
business law, and shall include the following statement in any such
agreement in conspicuous print of at least twelve point type:
DISCLOSURE
NEW YORK LAW REQUIRES THIS AGREEMENT TO BE IRREVOCABLE FOR APPLICANTS
FOR AND RECIPIENTS OF SUPPLEMENTAL SECURITY BENEFITS UNDER SECTION TWO
HUNDRED NINE OF THE SOCIAL SERVICES LAW OR OF MEDICAL ASSISTANCE UNDER
SECTION THREE HUNDRED SIXTY-SIX OF THE SOCIAL SERVICES LAW, AND FOR THE
MONEYS PUT INTO A TRUST UNDER THIS AGREEMENT TO BE USED ONLY FOR FUNERAL
AND BURIAL EXPENSES. WHETHER THIS AGREEMENT IS FOR YOUR FUNERAL AND
BURIAL EXPENSES OR FOR THOSE OF A FAMILY MEMBER, IF ANY MONEY IS LEFT
OVER AFTER YOUR FUNERAL AND BURIAL EXPENSES HAVE BEEN PAID, IT WILL GO
TO THE COUNTY. YOU MAY CHANGE YOUR CHOICE OF FUNERAL HOME AT ANY TIME.
IF THIS AGREEMENT IS FOR THE FUNERAL AND BURIAL EXPENSES OF A FAMILY
MEMBER, AFTER YOUR DEATH SUCH FAMILY MEMBER MAY CHANGE THE CHOICE OF
FUNERAL HOME AT ANY TIME.
(d) Any promotional literature prepared after January first, nineteen
hundred ninety-seven by a funeral firm, funeral director, undertaker,
cemetery, or any other person, firm or corporation for prearranged
funeral and burial services must contain language disclosing the
irrevocable nature of burial trusts established by or for an applicant
or recipient of supplemental security income benefits or medical
assistance.
Mandatory minimum state supplementation. 1. Any inconsistent
provisions of this title or any other law notwithstanding, but subject
to the provisions of subdivisions two and three of this section, an
individual who is deemed to have met the eligibility criteria for
additional state payments pursuant to paragraph (c) of subdivision one
of section two hundred nine of this title, shall be entitled to receive
for each month after December, nineteen hundred seventy-three an
additional state payment in an amount which, when added to the
supplemental security income benefit and other countable income, is
equal to such individual's December, nineteen hundred seventy-three cash
grant of assistance under the state's program of old age assistance,
assistance to the blind, aid to the disabled or the combined program of
aid to aged, blind and disabled persons, plus income not excluded under
such state program, plus an amount equal to the January, nineteen
hundred seventy-two bonus value of food stamps as determined in
accordance with the regulations of the office of temporary and
disability assistance plus, for any month after June, nineteen hundred
seventy-five, an amount reflecting the federal supplemental security
increases resulting from July first, nineteen hundred seventy-five cost
of living increases in such benefits, plus for any month after June,
nineteen hundred eighty-two, an amount equal to the July first, nineteen
hundred eighty-two federal supplemental security income cost of living
adjustment, providing such individual was eligible to receive a
mandatory state supplement for the month of December, nineteen hundred
eighty-one, plus for any month after June, nineteen hundred
eighty-three, an amount equal to $17.70 for individuals, $26.55 for
couples who are living alone or living with others and $35.40 for
couples receiving family care, residential care or care in schools for
individuals with developmental disabilities, plus for any month after
December, nineteen hundred eighty-three, an amount equal to $9.70 for
individuals, $15.60 for couples who are living alone or living with
others and $19.40 for couples receiving family care, residential care or
care in schools for individuals with developmental disabilities, plus
for any month after December, nineteen hundred eighty-four, an amount
equal to $11.00 for individuals, $16.00 for couples who are living alone
or living with others and $22.00 for couples receiving family care,
residential care or care in schools for individuals with developmental
disabilities, plus for any month after December, nineteen hundred
eighty-five, an amount equal to $11.00 for individuals, $16.00 for
couples who are living alone or living with others and $22.00 for
couples receiving family care, residential care or care in schools for
individuals with developmental disabilities, plus for any month after
December, nineteen hundred eighty-six an amount equal to $4.00 for
individuals, $6.00 for couples who are living alone or living with
others and $8.00 for couples receiving family care, residential care or
care in schools for individuals with developmental disabilities, plus
for any month after December, nineteen hundred eighty-seven an amount
equal to $14.00 for individuals, $22.00 for couples who are living alone
or living with others and $28.00 for couples receiving family care,
residential care or care in schools for individuals with developmental
disabilities, plus for any month after December, nineteen hundred
eighty-eight an amount equal to $14.00 for individuals, $21.00 for
couples who are living alone or living with others and $28.00 for
couples receiving family care, residential care or care in schools for
individuals with developmental disabilities, plus for any other month
after December, nineteen hundred eighty-nine an amount equal to $18.00
for individuals, $27.00 for couples who are living alone or living with
others and $36.00 for couples receiving family care, residential care or
care in schools for individuals with developmental disabilities, plus
for any month after December, nineteen hundred ninety an amount equal to
$21.00 for individuals, $31.00 for couples who are living alone or
living with others and $42.00 for couples receiving family care,
residential care or care in schools for individuals with developmental
disabilities, plus for any month after December, nineteen hundred
ninety-one an amount equal to $15.00 for individuals, $23.00 for couples
who are living alone or living with others and $30.00 for couples
receiving family care, residential care or care in schools for
individuals with developmental disabilities, plus for any month after
December, nineteen hundred ninety-two, an amount equal to $12.00 for
individuals, $19.00 for couples who are living alone or living with
others and $24.00 for couples receiving family care, residential care or
care in schools for individuals with developmental disabilities, plus
for any month after December, nineteen hundred ninety-three an amount
equal to $12.00 for individuals, $17.00 for couples who are living alone
or living with others and $24.00 for couples receiving family care,
residential care or care in schools for individuals with developmental
disabilities, plus for any month after December, nineteen hundred
ninety-four an amount equal to $12.00 for individuals, $18.00 for
couples who are living alone or living with others and $24.00 for
couples receiving family care, residential care or care in schools for
individuals with developmental disabilities, plus for any month after
December, nineteen hundred ninety-five an amount equal to $12.00 for
individuals, $18.00 for couples who are living alone or living with
others and $24.00 for couples receiving family care, residential care or
care in schools for individuals with developmental disabilities, plus
for any month after December, nineteen hundred ninety-six, an amount
equal to $14.00 for individuals and $21.00 for couples plus for any
month after December, nineteen hundred ninety-seven an amount equal to
$10.00 for individuals and $15.00 for couples plus for any month after
December, nineteen hundred ninety-eight an amount equal to $6.00 for
individuals and $11.00 for couples plus for any month after December,
nineteen hundred ninety-nine an amount equal to $13.00 for individuals
and $18.00 for couples plus for any month after December, two thousand
an amount equal to $18.00 for individuals and $27.00 for couples plus
for any month after December, two thousand one an amount equal to $15.00
for individuals and $21.00 for couples plus for any month after
December, two thousand two an amount equal to $7.00 for individuals and
$12.00 for couples plus for any month after December, two thousand three
an amount equal to $12.00 for individuals and $17.00 for couples plus
for any month after December, two thousand four an amount equal to
$15.00 for individuals and $23.00 for couples plus for any month after
December, two thousand five an amount equal to $24.00 for individuals
and $35.00 for couples plus for any month after December, two thousand
six an amount equal to the amount of any increases in federal
supplemental security income benefits for individuals or couples
pursuant to section 1617 of the Social Security Act (42 USC § 1382f)
which become effective on or after January first, two thousand seven.
2. An individual who is entitled to receive the minimum state
supplement in accordance with subdivision one of this section shall
remain entitled to receive such supplement for each month after
December, nineteen hundred seventy-three until the month in which such
individual dies or ceases to be eligible therefor, pursuant to paragraph
(c) of subdivision one of section two hundred nine of this title;
provided, however, that no individual shall be entitled to receive such
supplement for any month in which such individual is ineligible to
receive federal supplemental security income benefits for reasons
specified in paragraph (d) of subdivision one of section two hundred
nine of this title.
3. If the amount of an individual's December, nineteen hundred
seventy-three grant included or was determined on the basis of a special
need or special circumstance of such individual which existed in
December, nineteen hundred seventy-three, and which need or circumstance
during any month after December, nineteen hundred seventy-three ceased
to exist, such individual's minimum state supplement shall be reduced
for such month and each month thereafter by an amount equal to the
amount such individual's December, nineteen hundred seventy-three grant
would have been reduced had such special need or special circumstance
not existed in December, nineteen hundred seventy-three. If the amount
of an individual's December, nineteen hundred seventy-three grant
included an amount to reflect the needs of a person whose presence in
the household was essential to the well-being of the individual, the
income and resources of such person shall be included as the income and
resources of the individual.
Agreements for federal administration. 1. The department is
hereby authorized, on behalf of the state, to enter into an agreement
with the secretary of the federal department of health, education and
welfare whereby the secretary agrees to administer the state's program
of additional state payments, including determining the eligibility of
individuals and couples for such payments.
2. Any such agreement may authorize the secretary to make additional
state payments on behalf of the state to persons found eligible for such
payments pursuant to the provisions of this title, in amounts authorized
by the provisions of this title, and shall contain conditions of
eligibility for such additional state payments, including the
requirement of current residence and amounts of earned or unearned
income to be disregarded in determining eligibility, in accordance with
the provisions of this title, regulations of the department and federal
law and regulations.
3. Any such agreement shall provide that the state will pay to the
secretary: (a) the amount the secretary expends for additional state
payments without regard to the secretary's cost of administering such
payments, which amount shall not exceed the amount of expenditures made
by the state and by social services districts for aid to aged, blind and
disabled persons during the calendar year nineteen hundred seventy-two,
less any federal funds properly received on account thereof; and (b) the
amount the secretary expends for additional state payments for any
individual which are in excess of the difference between the adjusted
payment level under the state's program of old age assistance,
assistance to the blind or aid to the disabled in January, nineteen
hundred seventy-two and the amount of such individual's supplemental
security income benefit. For purposes of this subdivision, "adjusted
payment level" shall mean the amount of the cash grant under the
appropriate state program of old age assistance, assistance to the
blind, aid to the disabled or the combined program of aid to aged, blind
and disabled persons, to individuals receiving grants under any such
program, who had no other income, for the month of January, nineteen
hundred seventy-two, plus an amount not greater than the bonus value of
food stamps allotted to such individuals in such month, so long as
federal law and regulations permit the inclusion of such amount.
4. The department is authorized on behalf of the state, with the
approval of the director of the budget, to agree to modification of the
agreement, or to terminate the agreement, if it is fiscally advantageous
to the state to so act. Any modification of the agreement which is
contrary to the provisions of this title shall be effective only until
the first day of July of the year next succeeding the year in which such
modification is to take effect, unless the substance of such
modification is enacted into law prior to such date. For the purposes
of section one hundred one-a of the executive law, any such modification
or termination of the agreement shall be considered the adoption of a
rule, as defined in such section.
5. The department is authorized, on behalf of the state, to enter into
an agreement with the secretary of the federal department of health and
human services for the purpose of obtaining reimbursement for safety net
assistance or any other payments made from state or local funds
furnished for basic needs for any month to or on behalf of persons who
subsequently are determined eligible to receive supplemental security
income payments for such month. Notwithstanding any law to the contrary,
the department is authorized to condition eligibility for any program
providing such payments upon the individual's execution of a written
authorization allowing the secretary of the federal department of health
and human services to pay to the social services district the amount of
supplemental security income due at the time the individual becomes
eligible.
Responsibility; financing. 1. If there is no agreement in
effect for federal administration of additional state payments pursuant
to section two hundred eleven of this title, the commissioner of the
office of temporary and disability assistance shall be responsible for
providing such payments to eligible residents of the state as required
by this title and shall:
(a) accept and process applications for additional state payments to
be made pursuant to this title;
(b) determine eligibility for and the amount of additional state
payments in accordance with this title;
(c) redetermine eligibility periodically as the office may require;
provided, however, that any such redeterminations shall be no more
frequent than provided by the applicable regulations of the United
States social security administration; and
(d) take all other actions necessary to effectuate the provisions of
this title.
2. If there is in effect an agreement for the federal administration
of additional state payments, the state shall be responsible for paying
to the secretary an amount equal to: (a) the amount expended under the
state's programs of old age assistance, assistance to the blind and aid
to the disabled during the calendar year, nineteen hundred seventy-two,
less any federal funds properly received on account of such
expenditures; plus (b) any amounts in addition to such sum as may be
required by the agreement.
TITLE 7 Services For the Aged, Blind or Disabled
Declaration of object; definitions. 1. In order for the state
to receive federal aid under title six of the federal social security
act, rehabilitation and other services shall be furnished in accordance
with the provisions of this title to help needy persons who are
sixty-five years of age or older, are blind, or are disabled to attain
or retain capability for self-support or self-care or to prevent or
reduce dependency.
2. When used in this title, services shall be construed to include,
but not be limited to, protective services, health-related services,
self-support services for the handicapped, homemaker services,
housekeeping services, special services for the blind, housing
improvement and assistance services, home delivered meals, home
management and other functional educational services, services to adults
requiring care in suitable substitute homes, family planning services
and such other services as may be necessary to accomplish the purposes
of this title.
Federal aid; state plan. 1. The department shall submit the
plan required by title six of the federal social security act to the
department of health, education and welfare for approval pursuant to
such title and act, so that the state may receive federal aid under such
title. The department shall act for the state in any negotiations
relative to the submission and approval of such plan and may make any
arrangement not inconsistent with law which may be required by the
federal social security act to obtain and retain such approval and to
secure for the state the benefits of the provisions of such title. The
department shall make such regulations not inconsistent with law as may
be necessary to make such plan conform to the provisions of such title
and any rules and regulations adopted pursuant thereto. The department
shall make reports to such federal department in the form and nature
required by it and in all respects comply with any request or direction
of such federal department which may be necessary to assure the
correctness and verification of such reports.
2. The department of taxation and finance shall accept and receive any
and all grants of money awarded to the state under title six of the
social security act for federal aid for services for the aged, blind or
disabled. All monies so received shall be deposited by the department of
taxation and finance in a special fund or funds and shall be used by the
state exclusively for services for the aged, blind or disabled and the
administration thereof under the provisions of this title. Such money
shall be paid from such fund or funds on audit and warrant of the
comptroller on vouchers of or certification by the commissioner.
Responsibility. 1. Except as provided in subdivision two of
this section or any other provisions of this chapter, each social
services district shall furnish services to the persons eligible
therefor who reside in its territory, subject to reimbursement by the
state in accordance with the provisions of this chapter, and to
supervision by the department.
2. (a) If the state's plan makes provision for services to be provided
to eligible persons cared for in certain state institutions or
facilities, the department, or other appropriate state department or
agency acting pursuant to an agreement with the department, shall
furnish services to such persons.
(b) There shall be such cooperative arrangements, between and among
the department, and the state departments of health, mental hygiene,
education and other appropriate state departments and agencies as shall
be necessary to assure that there will be compliance with federal law
and regulation and that the objectives of this title will be effectively
accomplished.
(c) Services for the aged, blind or disabled persons shall be
administered uniformly throughout the state, except when otherwise
required or permitted by the department which shall first obtain the
approval of the secretary of health, education and welfare.
Application for services. 1. A person requesting services for
the aged, blind or disabled may make his application therefor in person
or through another in his behalf to the social services official of the
county or city in which the applicant resides or is found.
2. Applications by or on behalf of persons under care in institutions
or facilities operated by the state shall be made to the department or
its agent, except as otherwise permitted or required by regulations of
the department.
Eligibility. Services for the aged, blind or disabled shall be
provided any aged, blind or disabled person who requires such services;
who is a resident of the state on the date of application and who is
receiving or is an applicant for benefits under the supplemental
security income and additional state payments for the aged, blind and
disabled program or is receiving or an applicant for authorized payments
to aged, blind or disabled individuals ineligible for such program.
Character and adequacy of services. 1. It shall be the duty of
social services officials, insofar as funds are available for that
purpose, to provide adequately for services for the aged, blind or
disabled in accordance with the provisions of this title and other
applicable provisions of law. Local funds need not be made available in
excess of the amount necessary to equal state funds made available to
such district or limited pursuant to law.
2. The amount and nature of the services and the manner of providing
them, shall be determined by the social services officials with due
regard to the conditions existing in each case, and in accordance with
the regulations of the department.
3. Services which may be provided to persons who are under care in
private or public institutions or facilities shall be furnished only in
such institutions and facilities as are operated in compliance with
applicable provisions of this chapter or other laws.
4. Services under this title shall not include any which are required
to be furnished as medical assistance pursuant to title eleven of
article five.
5. Local social services districts shall be authorized, with the
approval of the department, to station local social services employees
at federal social security offices for the purpose of providing
information and referral services relating to emergency assistance for
adults and social services to eligible persons.
Investigation of applications. Whenever an application for
services is made, an investigation and record shall be promptly made of
the circumstances of the applicant in accordance with regulations of the
department. The object of such investigation shall be to ascertain the
facts supporting the application and to obtain such other information as
may be required by the department.
Supervision; regulations. The department shall: 1. supervise
the administration of services for the aged, blind or disabled by social
services officials;
2. Make regulations necessary for the carrying out of this title to
the end that services for the aged, blind or disabled may be
administered uniformly throughout the state, except when otherwise
required or permitted by the department with the approval of the
secretary of health, education and welfare.
Quarterly estimates; state reimbursement. 1. In accordance with
regulations of the department, each social services district shall
submit to the department quarterly estimates of its anticipated
expenditures for services for the aged, blind or disabled.
2. Expenditures made by social services districts for services under
this title shall be subject to reimbursement by the state in accordance
with and to the extent authorized by section one hundred fifty-three,
and any applicable provisions of law which limit reimbursement for
social services or authorize the allocation of funds for such services
among the districts.
Application of other provisions. 1. Provisions of this chapter
and other laws relating to public assistance and care not inconsistent
with this title shall be applied in carrying out the provisions of this
title.
2. The provisions of any city charter or other local or special act
which are inconsistent with the provisions of this title shall not be
applicable to the services provided by this title, nor impair nor limit
the statewide operation of this title, according to its terms.
TITLE 8 Emergency Assistance For Aged, Blind and Disabled Persons
Declaration of purpose; definitions. 1. Emergency assistance
for aged, blind and disabled persons with emergency needs which, if not
met, would endanger the health, safety and welfare of such persons, is
hereby declared to be a matter of state concern and a necessity in
promoting the public health and welfare, until such time as the federal
supplemental security income program is expanded to meet this federal
responsibility. It is the purpose of this title to provide such
assistance to eligible aged, blind and disabled persons who, in the
circumstances specified in this title, have needs that cannot be met by
the regular monthly benefit under the federal supplemental security
income and additional state payments programs. All efforts should be
undertaken by New York state's congressional delegation to secure such
expansion of the federal program.
2. As used in this title, "aged, blind and disabled persons" means
persons who have been determined to be eligible for or are receiving
federal supplemental security income benefits and/or additional state
payments.
3. As used in this title, the terms "emergency assistance" and
"emergency assistance for aged, blind and disabled persons" mean
payments to meet emergency needs specified in section three hundred
three, made to or for the benefit of persons found to be eligible
therefor, in accordance with this title and the regulations of the
department.
4. As used in this title, "supplemental security income benefits"
means payments made by the secretary of the federal department of
health, education and welfare to aged, blind and disabled persons
pursuant to title sixteen of the social security act.
5. As used in this title, "additional state payments" means payments
by social services districts or by the secretary of the federal
department of health, education and welfare on behalf of the state, to
aged, blind and disabled persons who are receiving, or who would but for
their income be eligible to receive, federal supplemental security
income benefits, made pursuant to title sixteen of the federal social
security act, public law 93-66, and the provisions of this chapter.
Responsibility. 1. Subject to reimbursement by the state, in
accordance with the provisions of this title and regulations of the
department, each social services district shall furnish emergency
assistance to aged, blind and disabled persons eligible therefor who
reside in such district.
2. Expenditures properly made by social services districts under this
title, including costs of administration, shall be reimbursed by the
state in an amount equal to one-half of such expenditures, after first
deducting any federal funds properly received or to be received on
account thereof.
Eligibility. Emergency assistance shall be granted to an aged,
blind or disabled person who applies for such assistance and who:
(a) Has needs, as specified in section three hundred three of this
chapter and the regulations of the department, that cannot be met by the
regular monthly supplemental security income benefit and/or additional
state payment, or by income or resources not excluded by the federal
social security act and which, if not met, would endanger the health,
welfare or safety of the individual; and
(b) Is not eligible for assistance under section three hundred fifty-j
of this chapter.
Character and adequacy. 1. It shall be the duty of the social
services official to provide emergency assistance, in accordance with
regulations of the department, to an eligible aged, blind or disabled
person who has one or more of the following needs:
(a) Replacement or repair, as the case may be, of clothing, furniture,
food, fuel and shelter; (including repairs to homes owned by aged,
blind, and disabled persons and temporary shelter until necessary
repairs are completed or replacement shelter is secured), provided such
clothing, furniture, food, fuel or shelter was lost or rendered useless
as a result of burglary, theft or vandalism, or as a result of fire,
flood or other similar catastrophe which could not have been forseen by
such person, and was not under his control. All such losses shall have
been reported to and appropriately verified by local officials before
such replacement or repair;
(b) Replacement of stolen cash if reported to and appropriately
verified by local officials;
(c) Replacement of lost or mismanaged cash by a person who by reason
of advanced age, illness, infirmity, mental weakness, physical handicap,
intemperance, addiction to drugs, or other cause, has suffered
substantial impairment of his ability to care for his property;
(d) Payments to a secured party in whose favor there is a security
interest, pursuant to the provisions of article nine of the uniform
commercial code, on furniture or household equipment essential to making
living accommodations habitable, in an amount not to exceed the cost of
replacement. Such payments shall be authorized only after every effort
has been made by the social services official to defer, cancel, reduce
or compromise payments on such security interests;
(e) Household moving expenses when a change of residence is necessary
because the health, welfare or safety of the eligible person or persons
is endangered and such move is not caused by eviction for nonpayment of
rent, or when such move will substantially reduce rental costs;
(f) Furniture or clothing which may be necessary in order to enable
such person to move to a private residence from a nursing home, hospital
or other institution;
(g) Household expenses essential to the maintenance of a home, in the
case of a person whose supplemental security income benefit has been
reduced because he has been placed in a medical facility. Within
forty-five days following placement in such a facility, the social
services official shall determine whether, and payments under this
subdivision shall not continue unless, such person is expected to remain
in such a facility for less than one hundred eighty days following the
reduction in such benefits;
(h) Repair or replacement of essential household heating, cooking,
refrigeration, water supply, personal safety equipment, plumbing and
sanitary equipment;
(i) Security against nonpayment of rent or for damages, as a condition
to renting a housing accommodation, as provided in section one hundred
forty-three-c of this chapter;
(j) Broker's fees necessary to securing shelter;
(k) Essential storage of furniture and personal belongings during such
circumstances as relocation, eviction or temporary shelter and for so
long as the circumstances necessitating the storage continue to exist
and provided that eligibility for emergency assistance continues;
(l) Household expenses (including rent, fuel for heating, gas and
electric utilities) incurred during the four month period prior to the
month in which such person initially applied for supplemental security
income benefits or additional state payments, when payment of such
household expenses is necessary to prevent eviction or a utility
shut-off or to restore such utility services, and, in the judgment of a
social services official, other housing accommodations appropriate for
such person's best interests are not available in a particular area.
(m) Household expenses (including rent, fuel for heating, gas and
electric utilities) incurred during the four month period immediately
prior to the month in which such person applied for emergency assistance
for adults when payment of such household expenses is necessary to
prevent eviction or a utility shutoff or to restore such utility
services and, in the judgment of a social services official, other
housing accommodations appropriate for such person's best interests are
not available in a particular area. A social services official shall not
grant emergency assistance under this paragraph if a person has received
a grant under this paragraph within the preceding twelve months, unless
the granting of such assistance is recommended by the social services
official and has been approved by a duly designated official of the
department. For purposes of this paragraph, a person shall be deemed to
have received a grant under this paragraph within the preceding twelve
months if he is residing in a household with another person who has
received a grant under this paragraph within the preceding twelve
months.
(n) Replacement of so much of a person's lost, stolen or unreceived
federal supplemental security income and/or additional state payments
check or checks up to a maximum of one-half the amount of each such
check, predicated upon the estimated period of time required for the
receipt of the original check or replacement check. Such person shall be
required, as a condition of eligibility for such emergency assistance,
to agree in writing to repay any amount granted as emergency assistance
pursuant to this paragraph and paragraph (o) hereof for which he
subsequently receives the original or replacement check of supplemental
security income payment and/or additional state payments. All such
incidences of loss, theft or non-receipt shall have been reported to and
appropriately verified by local officials before such replacement.
(o) Assistance by monetary payment or food voucher, as determined by
the social services official, in an amount necessary to meet a person's
nutritional requirements for a period of not more than one week,
pursuant to regulations of the department for applicants for
supplemental security income and/or additional state payments or for
emergency assistance pursuant to paragraph (n) of this subdivision. Such
assistance shall be provided within twenty-four hours of application
where the applicant demonstrates that he requires such assistance to
avoid hunger and has no cash or personal assets readily reducible to
cash with which to purchase food.
2. The maximum grant available for any emergency need specified in
subdivision one above shall be limited to the amount and paid in the
manner as specified by regulations of the department.
Grants of assistance for guide dogs, hearing dogs and service
dogs; certain cases. 1. It shall be the duty of the social services
official to provide assistance, in accordance with regulations of the
department, to a person with a disability using a guide dog, hearing dog
or service dog who has been determined to be eligible for or is
receiving federal supplemental security income benefits and/or
additional state payments, for the purchase of food for such dog.
2. Such regulations of the department shall fix an amount of not less
than thirty-five dollars a month, and the method and frequency of
distribution and procedures for the determination and periodical
redetermination of eligibility for such assistance.
3. Such assistance shall not be granted to any person for whom earned
income has been exempted for such purpose pursuant to federal law or
regulation.
4. The full amount properly expended by social services districts
under this section, including costs of administration, shall be
reimbursed by the state, notwithstanding any inconsistent provision of
section three hundred one of this chapter.
Application; verification. 1. A person requesting emergency
assistance under this title shall make his application therefor in
person or through another on his behalf, on such form and in such manner
as the department may by regulation require, to the social services
official in the county in which the applicant resides.
2. Whenever such application is made, an investigation and record
shall be promptly made of the circumstances of the applicant in
accordance with the regulations of the department to ascertain the facts
supporting the application and to obtain such other information as may
be required by the department.
3. The social services official shall require that a person applying
for or receiving emergency assistance under this title or his duly
designated representative be interviewed personally at a time and in a
manner provided by the regulations of the department.
Appeals and hearings. If an application for assistance under
this title is not promptly acted upon or is denied or the assistance
granted is deemed inadequate by the applicant or recipient, he may
appeal to the department in accordance with the provisions of section
twenty-two of this chapter. In scheduling investigations, local social
services districts shall give priority to applications for assistance
under this title.
Records and reports. Each social services official shall keep
such records and make such reports to the department at such times and
in such manner as may be required by department regulations.
Regulations. The department shall promulgate such regulations
as are deemed necessary to implement the provisions of this title.
Services. An application for emergency assistance under this
title shall be deemed an application for services pursuant to section
two hundred fifty-three of this chapter, and services shall be provided
according to the person's eligibility therefor in accordance with title
seven of article five of this chapter.
Social services official as conservator. In appropriate cases,
a social services official shall initiate a special proceeding for the
appointment of a conservator pursuant to section 77.03 of the mental
hygiene law.
TITLE 9-A Equipment Loan Fund For the Disabled
Title. This article shall be known and cited as the
"Equipment Loan Fund for the Disabled".
Fund established; participation; other provisions. 1. There
is hereby established in the joint custody of the commissioner and the
comptroller the equipment loan fund for the disabled.
2. Participation in the loan of the monies of the fund shall be
available to all disabled persons on the basis of need, pursuant to
regulations of the commissioner.
3. The loan fund shall provide the disabled with the financial
opportunity to purchase or replace essential equipment used by them for
daily living or vocational functioning following rehabilitation,
including, but not limited to, prosthesis, ramps, wheelchairs,
wheelchair van lifts, telecommunication devices for the deaf and hard of
hearing, devices which allow persons who are blind or visually impaired
to discern printed materials and adaptive equipment to permit a disabled
person to operate a motor vehicle but not to purchase or replace a motor
vehicle itself.
4. Loans shall be made available directly to the disabled person, the
parent, legal guardian, or individual with whom such disabled person
resides.
5. Where any equipment purchase is approved by the department, a loan
shall be made in an amount not to exceed four thousand dollars per
applicant.
6. The commissioner shall establish regulations governing payment of
interest, repayment periods, certification and approval of purchase, and
such other orders, rules and regulations as may be necessary for
interpretations, implementation or administration of this article.
7. During the first three years of operation of the fund, the
department shall submit to the governor and legislature annually a
summary report setting forth such information as the department deems
relevant to monitor and evaluate the progress of the fund.
8. The fund shall consist of all monies appropriated for the purpose
of such fund, all monies transferred to such fund pursuant to law, all
monies required by the provisions of this section or any other law to be
paid into or credited to this fund, and all monies, including interest,
paid by borrowers to the fund in repayment of loans made from the fund.
9. Monies of the fund following appropriations made by the legislature
and allocation by the director of the budget to the fund, shall be
available solely for the purpose of enabling eligible applicants to
borrow money at less than the prevailing rates of interest for
comparable loans.
10. When used in this article, the term "disabled" shall mean a person
having a disability as so defined in section two hundred ninety-two of
the executive law.
TITLE 9-B Public Assistance Employment Programs
Definitions. 1. Whenever used in this title:
a. the term "commissioner" means the commissioner of the state office
of temporary and disability assistance; and
b. the term "department" means the state office of temporary and
disability assistance.
2. "Net loss of cash income" shall mean the amount by which a family's
gross income less any necessary work-related expenses is less than the
cash assistance the individual was receiving at the time of receiving an
offer of employment. Gross income includes, but is not limited to,
earnings, unearned income and cash assistance.
3. "Child care" shall refer to any lawful form of care of a child, as
defined by federal and state law and regulation, for less than
twenty-four hours per day.
4. "Participant" shall mean an applicant for or recipient of public
assistance who volunteers for or is required to participate in work
activities as provided in this title.
5. Notwithstanding any other provision of this chapter or the labor
law, recipients of public assistance who are required to participate in
community service or work experience activities authorized pursuant to
this title shall be included within the meaning of the term "public
employee" for the purposes of applying section twenty-seven-a of the
labor law while engaged in community service or work experience programs
under this title. In addition, such recipients shall be provided
appropriate workers' compensation or equivalent protection for
on-the-job injuries and tort claims protection on the same basis, but
not necessarily at the same benefit level, as they are provided to other
persons in the same or similar positions, while participating in
community service or work experience activities under this title.
Policies and purposes. 1. It is hereby declared to be the
policy of the state that there be programs under which individuals
receiving public assistance will be furnished work activities and
employment opportunities, and necessary services in order to secure
unsubsidized employment that will assist participants to achieve
economic independence. Such programs shall be established and operated
in accordance with the provisions of this title and in compliance with
federal and state law and regulations.
2. A social services district may contract or establish agreements
with entities which comply with the standards to be established in
regulations by the commissioner to provide work activities, including
but not limited to, job training partnership act agencies, state
agencies, school districts, boards of cooperative educational services,
not-for-profit community based organizations, licensed trade schools or
registered business schools, libraries, post-secondary educational
institutions consistent with this title, and educational opportunity
centers and local employers. A district shall, to the extent
practicable and permitted under federal requirements, develop
performance based contracts or agreements with such entities. Such
standards shall include an evaluation procedure to ensure that services
offered by a provider are sufficient to enhance substantially a
participant's opportunity to secure unsubsidized employment or, when
coupled with or provided in conjunction with other activities, represent
part of a comprehensive approach to enabling a participant to secure
unsubsidized employment. Notwithstanding the provisions of section one
hundred fifty-three of this article, expenditures pursuant to contracts
or agreements with providers who do not meet the standards for approval
of providers as defined in regulations will not be eligible for
reimbursement by the department.
3. No social services district shall, in the exercising of the powers
and duties established in this title, permit discrimination on the basis
of race, color, national origin, sex, religion or handicap, in the
selection of participants, their assignment or reassignment to work
activities and duties, and the separate use of facilities or other
treatment of participants.
Participation and exemptions. 1. In accordance with federal
requirements and this title an applicant for or a recipient of public
assistance shall not be required to participate in work activities if
such individual is determined by the social services district to be
exempt because he or she is:
(a) a person who is ill, incapacitated or sixty years of age or older
or deemed to be disabled pursuant to section three hundred thirty-two-b
of this title;
(b) a child who is under sixteen years of age or under the age of
nineteen and attending fulltime a secondary, vocational or technical
school;
(c) a person whose full-time presence in the home is required because
of the illness or incapacity of another member of the household;
(d) a parent or other relative of a child who is personally providing
care for such child under one year of age for a maximum period of twelve
months, only three months of which shall be attributable to any one
child, except as otherwise extended up to the twelve month period by the
social services official;
(e) a woman who is pregnant, beginning thirty days prior to the
medically verified date of delivery of her child.
1-a. Applicants for, or recipients of, public assistance who are
exempt from work activities pursuant to paragraph (d) or (e) of
subdivision one of this section shall be eligible to receive home
visiting services that meet the criteria established pursuant to 42
U.S.C. 711, so long as such individual meets all other eligibility
criteria established pursuant to the particular home visiting model. The
local social services district shall provide information to any
applicant or recipient that is interested in receiving such services and
provide assistance in determining the most appropriate model to meet the
particular needs of the individual.
2. A local social services official shall:
(a) make diligent efforts to assist a person who needs transportation
to get to and from a work activity site in obtaining such
transportation. Where lack of transportation is a direct barrier to
participation in a work activity, the local district shall make a
reasonable effort to assign the individual to an appropriate work
activity at a site in closest possible proximity to such individual's
residence;
(b) allow and give first consideration to volunteers who have not
previously terminated participation in such program without good cause
to participate in the program; provided, however, such consideration
shall not preclude a district from requiring applicants or recipients to
participate prior to consideration for or participation by such
volunteers if such recipients or applicants are determined to be in
greater need of the services provided pursuant to this title in
accordance with criteria established by the district and submitted and
approved as part of its local plan which may include, but not be limited
to, length of time for which a recipient has been in receipt of public
assistance benefits, education, age, health and skills.
(c) in accordance with regulations of the department, inform
applicants and recipients of the opportunity to participate voluntarily
in work activities at time of application, recertification and
contemporaneously with receipt of public assistance benefits on a
periodic basis.
3. A social services official may require a participant in work
activities to accept a job only if such official ensures that the
participant and the family of such participant will experience no net
loss of cash income resulting from acceptance of the job as determined
under regulations of the department consistent with federal law and
regulations. Pursuant to regulations of the department consistent with
federal law and regulations, a social services district shall pay a
supplement to a participant in the amount of such net loss of cash
income that would otherwise occur. Such supplement shall constitute
public assistance only for purposes of payment and reimbursement, and
persons in receipt of such supplement shall not for any other purpose be
considered to be recipients of public assistance.
Supportive services. A social services district shall,
subject to the availability of federal and state funds, provide such
supportive services, including but not limited to transportation, work
related expenses, child care for children up to age thirteen, case
management, and medical assistance in accordance with regulations of the
department, to enable an individual to participate pursuant to this
title. Social services districts may continue such services for persons
who lose eligibility for public assistance if funds for the activity are
obligated or expended, or for up to ninety days if necessary or
appropriate to assist individuals to become self-sufficient. In
accordance with paragraph (f) of subdivision five of section one hundred
thirty-one-a of this chapter, each district shall guarantee child care
to each individual participating in work activities who requires child
care to participate in such activities, attending orientation or an
assessment in accordance with the requirements of this title. Case
management shall be provided for pregnant adolescents, adolescent
parents and at-risk youth under eighteen years of age as required by
title four-B of article six of this chapter. To the extent that
resources permit, case management also shall be provided (in order of
priority) to: persons identified in department regulations as at-risk
youth, persons in the target populations defined in section three
hundred thirty of this title, persons whose employability plan indicates
a need for two or more concurrent activities and persons with limited
English proficiency.
Disability program. 1. (a) Upon application and
recertification for public assistance benefits, or whenever a district
has reason to believe that a physical or mental impairment may prevent
the individual from fully engaging in work activities, the social
services district shall inquire whether the individual has any medical
condition which would limit the individual's ability to participate in
work activities pursuant to this title.
(b) An individual who is eligible to receive comprehensive health
services through a special needs plan defined in paragraph (m) or (n) of
subdivision one of section three hundred sixty-four-j of this chapter,
regardless of whether such a plan is operating in the individual's
social services district of residence, shall be considered disabled and
unable to engage in work activities or shall be considered work-limited.
2. (a) Under the circumstances set forth in subdivision one of this
section, notice shall be provided to the individual of the opportunity
to provide, within ten calendar days, any relevant medical
documentation, including but not limited to drug prescriptions and
reports of the individual's treating health care practitioner, if any;
such documentation must contain a specific diagnosis as evidenced by
medically appropriate tests or evaluations and must particularize any
work related limitations as a result of any such diagnosis.
(b) If, prior to submitting his or her medical documentation, the
individual is referred to a health care practitioner certified by the
office of disability determinations of the office of temporary and
disability assistance or, if applicable, to the contracted agency or
institution by or with which such health care practitioner is employed
or affiliated for an examination pursuant to subdivision four of this
section, such individual shall make best efforts to bring such
documentation to the examination, and in no case shall provide such
records to the examining health care practitioner certified by the
office of disability determinations or, if applicable, to the contracted
agency or institution by or with which such health care practitioner is
employed or affiliated later than four business days after such
examination; provided that the individual may demonstrate good cause as
defined in regulations, for failure to provide such records within the
specific time periods.
3. The district may in its sole discretion accept such documentation
as sufficient evidence that the individual cannot fully engage in work
activities and in such case shall modify work assignments consistent
with the findings in such medical documents.
4. In instances where the district determines either that the
documentation is insufficient to support an exemption from or limitation
on work activities or that further medical evaluation is appropriate,
the individual shall be referred to a health care practitioner certified
by the Office of Disability Determinations of the Department of Social
Services for an examination of such individual's medical condition.
The health care practitioner who performs the examination of the
individual shall:
(a) review and consider all records or information provided by the
individual or his or her treating health care practitioner that are
pertinent to the claimed medical condition;
(b) make a specific diagnosis as evidenced by medically appropriate
tests or evaluations in determination of the individual's claimed
condition;
(c) render to the individual and the social services district, an
opinion, particularizing the presence or absence of the alleged
condition; and
(d) In the event that he or she identifies a condition, other than the
alleged condition, that may interfere with the individual's ability to
fully engage in work activities, the practitioner shall report such
condition; and
(e) determine whether the individual is:
(i) disabled and unable to engage in work activities pursuant to this
title for a stated period of time, in which case the applicant shall be
exempt in accordance with paragraph (a) of subdivision one of section
three hundred thirty-two of this title;
(ii) for a stated period of time, not disabled, but work limited, and
able to engage in work activities pursuant to this title, with stated
limitations, or
(iii) neither disabled nor work limited.
4-a. If the practitioner to whom the individual is referred pursuant
to subdivision four or paragraph (b) of subdivision two of this section
issues an opinion that differs from the applicant's treating health care
practitioner, the practitioner shall provide a written determination
that specifies why the practitioner disagrees with the applicant's
treating health care practitioner's disability determination and present
evidence that supports the opinion.
5. When an applicant or recipient has requested or a social services
official has directed a determination pursuant to this section, no
assignment to work activities may be made until completion of such
determination, unless the applicant or recipient agrees to a limited
work assignment not inconsistent with the medical condition alleged by
such person.
6. When an applicant or recipient receives notification of the
examining medical professional's disability determination, he or she
shall also be notified of his or her right to request a fair hearing
within ten days of such notice. If such applicant timely requests a fair
hearing, no assignment to work activities pursuant to this title may be
made pending such hearing and determination unless the applicant or
recipient agrees to a limited work assignment not inconsistent with the
medical condition alleged by such person. Provided, however, that if a
social services district has reason to believe that such recipient or
applicant does not actually suffer from a work limiting condition, the
district shall provide the applicant or recipient with notice of
potential sanctions pursuant to subdivision three of section three
hundred forty-two of this title, and provided further that recipients
will be subject to sanctions pursuant to subdivision three of section
three hundred forty-two of this title if the district determines, based
on clear medical evidence, that there is no basis for the individual's
claim that he or she is unable to fully engage in work activities, and
that the individual intentionally misrepresented his or her medical
condition.
7. Any applicant or recipient determined to be work limited pursuant
to this section may be assigned to work activities only in accordance
with the limitations and protections set forth in paragraph (e) of
subdivision five of section three hundred thirty-five-b of this title.
Local plans and requirements. Each social services district
shall submit to the commissioner for approval a biennial plan for the
provision of education, work, training and supportive services related
to the operation of work activity programs pursuant to this title.
Such plan shall be developed in cooperation and coordination with
public and private education institutions, child care providers, child
care resource and referral agencies if available in the district, labor
unions, libraries, public and private employers, employment and training
agencies and organizations, and private industry councils established in
service delivery areas defined in subdivision five of section nine
hundred seventy-one of the executive law.
Such plan shall be generally available to the public for review and
comment for a period of thirty days prior to submission to the
commissioner. In accordance with department regulations and consistent
with federal law and regulations, such plan shall include, but not be
limited to, the following:
1. Estimates of the number of participants to be served;
2. A description of available supportive services as prescribed by
section three hundred thirty-two-a of this title;
3. A description of the available activities under this title and the
estimated capacity of such activities;
4. A description of the district's plan to meet federal requirements
regarding participation and the district's criteria established pursuant
to the provisions of paragraph (b) of subdivision two of section three
hundred thirty-two of this title;
5. A list of education and training providers, such as job training
partnership act agencies, educational agencies and other public agencies
or private organizations with which the district expects to enter into
agreements or contracts with a description of such contracts;
6. A description of the orientation to be provided to participants
pursuant to section three hundred thirty-four of this title;
7. A description of the assessment tools chosen and the employee
qualifications, district administrative unit or contracting entity that
will be responsible for the assessments and the development of the
employability plans;
8. A description of the conciliation procedures to be made available
to participants pursuant to section three hundred forty-one of this
title; and
9. Such additional information as is necessary to comply with federal
requirements and to provide the report required under section three
hundred thirty-nine of this title.
Orientation. 1. In accordance with department regulations, a
social services district shall, at the time of application or
redetermination, in writing and orally inform all public assistance
applicants and recipients of the availability of activities and
supportive services provided under this title for which they are
eligible and of district or participant responsibilities, including:
(a) education, employment and training opportunities available under
the local plan, including educational and training opportunities
available at no cost to the participant as well as the responsibilities
associated with the repayment of student financial aid;
(b) supportive services as prescribed by section three hundred
thirty-two-a of this title; child care pursuant to section four hundred
ten-u of this chapter for persons whose eligibility for assistance has
terminated; and applicable medical assistance;
(c) the obligations of the district regarding the activities and
supportive services to be provided;
(d) the rights, responsibilities and obligations of the participant in
the program including, but not limited to, participation and the
consequences of failure to participate in work activities without good
cause;
(e)(1) the types and settings of child care services which may be
reasonably accessible to participants and how such services shall be
provided and financed;
(2) the assistance available to help participants select appropriate
child care services; and
(3) the assistance available upon request to help participants obtain
child care services.
2. A local social services official shall inform applicants for and
recipients of public assistance of their responsibility to cooperate in
establishing paternity and enforcing child support obligations.
3. Consistent with federal and state law and regulations, a local
social services official shall, within one month of the recipient's
participation in orientation, notify the recipient in writing of the
opportunity to participate in the district's programs established under
this title and provide a clear description of how to enter the programs.
Assessments and employability plans for certain recipients in
households with dependent children. 1. Each social services official
shall ensure that each recipient of public assistance who is a member of
a household with dependent children and is eighteen years of age or
older, or who is sixteen or seventeen years of age and is not attending
secondary school and has not completed high school or a high school
equivalency program, receives an assessment of employability based on
his or her educational level, including literacy and English language
proficiency, basic skills proficiency, child care and other supportive
services needs; and skills, prior work experience, training and
vocational interests. This assessment shall include a review of family
circumstances including a review of any special needs of a child and
whether home visiting services would be appropriate and beneficial for
the family. Such assessment shall be completed within ninety days of the
date on which such person is determined eligible for public assistance.
An applicant for or recipient of public assistance may be assigned to
work activities prior to completion of such assessment.
2. (a) Based on the assessment required by subdivision one of this
section, the social services official, in consultation with the
participant, shall develop an employability plan in writing which shall
set forth the services that will be provided by the social services
official, including but not limited to child care and other services and
the activities in which the participant will take part, including child
care and other services and shall set forth an employment goal for the
participant. To the extent possible, the employability plan shall
reflect the preferences of the participant in a manner that is
consistent with the results of the participant's assessment and the need
of the social services district to meet federal and state work activity
participation requirements, and, if such preferences cannot be
accommodated, the reasons shall be specified in the employability plan.
The employability plan shall also take into account the participant's
supportive services needs, available program resources, local employment
opportunities, and where the social services official is considering an
educational activity assignment for such participant, the participant's
liability for student loans, grants and scholarship awards. The
employability plan shall be explained to the participant. Any change to
the participant's employability plan required by the social services
official shall be discussed with the participant and shall be documented
in writing.
(b) Where an assessment indicates that a participant who is not
subject to the education requirements of subdivision four of section
three hundred thirty-six-a of this title has not attained a basic
literacy level, the social services official shall encourage and may
require the participant to enter a program to achieve basic literacy or
high school equivalency or to enter such educational programs in
combination with other training activities consistent with the
employability plan.
(c) Where an assessment indicates that home visiting services would be
appropriate and beneficial to the public assistance household, and such
services are available, the local social services official shall
encourage the recipient to participate in such services. To the extent
that such participant is interested in receiving home visiting services,
the local social services official shall assign the participant to a
work activity in accordance with paragraph (f) or (m) of subdivision one
of section three hundred thirty-six of this title, where such home
visiting services shall count towards the individual's work requirements
as set forth in section three hundred thirty-five-b of this title.
3. Each applicant for or recipient of public assistance as described
herein must participate in an assessment as required by the social
services district in accordance with the conditions of this section.
Applicants who fail or refuse to participate with the requirements of
this section shall be ineligible for public assistance. Recipients who
fail or refuse to participate with the requirements of this section
shall be subject to the sanctions set forth in section three hundred
forty-two of this title.
4. A local social services official shall, pursuant to department
regulations developed in consultation with the department of education,
and the department of social services or its successor agencies use
designated trained staff or contract with providers having a
demonstrated effectiveness in performing assessments and developing
employability plans to perform assessments and develop employability
plans.
5. A social services district shall assign participants to activities
pursuant to their employability plans to the extent that child care is
guaranteed and other services as prescribed by section three hundred
thirty-two-a of this title and section four hundred ten-u of this
chapter are available. The district shall provide information to
participants orally and in writing, as appropriate, regarding child care
and the methods of payment therefor. Such information shall be
sufficient for participants to make an informed decision regarding child
care.
6. Nothing in this section shall be construed to prevent a social
services official from providing an assessment more detailed or
comprehensive than the requirements set forth in this section.
Assessments and employability plans for certain recipients in
households without dependent children. 1. To the extent resources are
available, the social services official shall, within a reasonable
period of time not to exceed one year following application and not to
the exclusion of the assessment requirements of section three hundred
thirty-five of this title, conduct an assessment of employability based
on the educational level, including literacy and English language
proficiency; basic skills proficiency; supportive services needs; and
the skills, prior work experience, training and vocational interests of
each participant. This assessment shall include a review of family
circumstances.
2. (a) Based on the assessment required by subdivision one of this
section, the social services official, in consultation with the
participant, shall develop an employability plan in writing which shall
set forth the services that will be provided by the social services
official and the activities in which the participant will take part,
including supportive services and shall set forth an employment goal for
the participant. To the extent possible, the employability plan shall
reflect the preferences of the participant in a manner that is
consistent with the results of the participant's assessment and the need
of the social services district to meet federal and state work activity
participation requirements, and, if such preferences cannot be
accommodated, the reasons shall be specified in the employability plan.
The employability plan also shall take into account the participant's
supportive services needs, available program resources, local employment
opportunities, and where the social services official is considering an
educational activity assignment for such participant, the participant's
liability for student loans, grants and scholarship awards. The
employability plan shall be explained to the participant. Any change to
the participant's employability plan required by the social services
official shall be discussed with the participant and shall be documented
in writing.
(b) Where an assessment indicates that a participant who is not
subject to the education requirements of this title has not attained a
basic literacy level, the social services official shall encourage and
may require the participant to enter a program to achieve basic literacy
or high school equivalency or to enter such educational programs in
combination with other training activities consistent with the
employability plan.
3. A local social services official shall, pursuant to department
regulations developed in consultation with the department of education
and the department of social services or its successor agencies, use
designated trained staff or contract with providers having a
demonstrated effectiveness in performing assessments and developing
employability plans to perform assessments and develop employability
plans.
4. Each applicant for or recipient of public assistance as described
herein must participate in an assessment as required by the social
services district in accordance with the conditions of this section.
Applicants who fail or refuse to participate with the requirements of
this section shall be ineligible for public assistance. Recipients who
fail or refuse to participate with the requirements of this section
shall be subject to the sanctions set forth in section three hundred
forty-two of this title.
5. A social services district shall assign participants to activities
pursuant to their employability plans to the extent that supportive
services including transportation are available.
6. Nothing in this section shall be construed to prevent a social
services official from providing an assessment more detailed or
comprehensive that the requirements set forth in this section.
Mandatory work requirements. 1. Each social services district
shall meet or exceed the minimum participation rate for recipients of
assistance funded under the federal temporary assistance for needy
families program participating in work activities as specified below
with respect to families receiving such assistance. Each such district
shall also meet or exceed the minimum participation rates for households
in which there is an adult who is receiving safety net assistance. Work
activities for which such rates apply are described in section three
hundred thirty-six of this title.
(a) Such rate for all families receiving assistance funded under the
federal temporary assistance for needy families program shall be as
follows: for federal fiscal year nineteen hundred ninety-seven,
twenty-five percent; nineteen hundred ninety-eight, thirty percent;
nineteen hundred ninety-nine, thirty-five percent; two thousand, forty
percent; two thousand one, forty-five percent; two thousand two and
thereafter, fifty percent. Such rates shall apply unless the state is
required to meet a different rate as imposed by the federal government,
in which case such different rate shall apply in accordance with a
methodology approved by the commissioner of the office of temporary and
disability assistance.
(b) Such rate for two-parent families receiving assistance funded
under the federal temporary assistance for needy families program shall
be as follows: for federal fiscal years nineteen hundred ninety-seven
and nineteen hundred ninety-eight, seventy-five percent; nineteen
hundred ninety-nine and thereafter, ninety percent. Such rate shall
apply unless the state is required to meet a different rate as imposed
by the federal government, in which case such different rate shall apply
in accordance with a methodology approved by the commissioner of the
office of temporary and disability assistance.
(c) Such rate for households with dependent children in which there is
an adult or minor head of household and which is receiving safety net
assistance shall be fifty percent.
(d) Calculation of participation rates. The commissioner of the office
of temporary and disability assistance shall promulgate regulations
which define the participation rate calculation. Such calculation for
families receiving assistance funded under the federal temporary
assistance for needy families program pursuant to article IV-A of the
social security act shall be consistent with that established in federal
law.
(e) Minimum work hours. In order for individuals to be included in the
participation rates specified in this subdivision, such individuals must
be engaged in work as defined in title IV-A of the social security act
and in this section for a minimum average weekly number of hours as
specified below.
(i) For all families, if the month is in federal fiscal year: nineteen
hundred ninety-seven and nineteen hundred ninety-eight, twenty hours per
week; nineteen hundred ninety-nine, twenty-five hours per week; two
thousand and thereafter, thirty hours per week.
(ii) For two-parent families or households without dependent children,
in any federal or state fiscal year, thirty-five hours per week.
(iii) In the case of a two-parent family receiving federally funded
child care assistance and a parent in the family is not disabled or
caring for a severely disabled child, the individual and the other
parent in the family are participating in work activities for a total of
at least fifty-five hours per week during the month, not fewer than
fifty hours of which are attributable to activities described in
paragraphs (a) through (h) and (l) of subdivision one of section three
hundred thirty-six of this title.
(f) Such rate for households without dependent children in which there
is an adult or minor head of household and which is receiving safety net
assistance shall be fifty percent.
2. Engaged in work for a month shall mean participating in work
activities identified in subdivision one of section three hundred
thirty-six of this title for the required number of hours specified in
this section provided, however, that at least twenty hours of such
participation, or thirty hours for two-parent families, or fifty hours
for two-parent families receiving federally funded child care as set
forth in subparagraph (iii) of paragraph (d) of subdivision one of this
section, shall be attributable to the activities described in paragraphs
(a) through (h) and (l) of subdivision one of section three hundred
thirty-six of this title, or for households without dependent children
at least twenty hours of participation shall be attributable to the
activities set forth in paragraphs (a) through (h) and (l) of
subdivision one of section three hundred thirty-six of this title, and
further provided that participation in job search and job readiness
assistance as identified in paragraph (f) of subdivision one of section
three hundred thirty-six of this title shall only be determined as
engaged in work for a maximum period of six weeks, only four of which
may be consecutive as otherwise limited by federal law; and that
individuals in all families and in two parent families may be engaged in
work for a month by reason of participation in vocational training to
the extent allowed by federal law. Any non-graduate student
participating or approved by CUNY, SUNY or another degree granting
institution, or any other state or local district approved education,
training or vocational rehabilitation agency to participate in
work-study, or in internships, externships, or other work placements
that are part of the curriculum of that student, shall not be
unreasonably denied the ability to participate in such programs and each
hour of participation shall count toward satisfaction of such student's
work activity requirements of this title provided that the district may
consider, among other factors, (a) whether the student has voluntarily
terminated his or her employment or voluntarily reduced his or her
earnings to qualify for public assistance pursuant to subdivision ten of
section one hundred thirty-one of this article; (b) whether a comparable
job or on the job training position can reasonably be expected to exist
in the private, public or not-for-profit sector; (c) that the student
has a cumulative C average or its equivalent, which may be waived by the
district for undue hardship based on (1) the death of a relative of the
student, (2) the personal injury or illness of the student, or (3) other
extenuating circumstances; and (d) whether the institution cooperates in
monitoring students attendance and performance and reports to the local
social services department monthly on each student. Failure of the
institution to monitor and report monthly to local social services
districts on attendance and performance of the student's work study,
internship, externship or other work placement shall be cause for the
department to reasonably deny the student's ability to participate in
such programs. Students shall be subject to sanctions equivalent to
those associated with failure to adequately satisfy their other required
work activities. In assigning a non-graduate student participating in
work-study, internships, externships or other work placements, pursuant
to this section, to other work activities the district shall make
reasonable effort to assign the student to hours that do not conflict
with the student's academic schedule.
3. For purposes of determining monthly participation rates under this
section, a recipient in a one parent family who is the only parent or
caretaker relative in the family of a child who has not attained six
years of age is deemed to be engaged in work for a month if the
recipient is engaged in work for an average of at least twenty hours per
week during the month.
4. For the purposes of this section, a recipient who is married or a
head of household and has not attained twenty years of age and who
maintains satisfactory school attendance in accordance with federal
requirements shall be deemed to be engaged in work to the extent allowed
by federal law and regulations.
5. (a) Each parent or caretaker of a child, when such parent or
caretaker is receiving public assistance, must be engaged in work as
established by the social services district in accordance with the
provisions of its local plan filed pursuant to section three hundred
thirty-three of this title.
(b) Each social services official shall ensure that each parent or
caretaker of a child, when such parent or caretaker is receiving
benefits under the federal temporary assistance for needy families
program, is required to be engaged in work as soon as practicable, but
no later than twenty-four months (whether or not consecutive) from
initial receipt of such assistance.
(c) Each social services official shall ensure that each parent or
caretaker of a child, when such parent or caretaker is receiving public
assistance, is engaged in work as soon as practicable. Provided,
however, that such social services official shall ensure that each
parent or caretaker of a child under the age of five is provided with
information regarding home visiting programs which meet the criteria
established pursuant to 42 U.S.C. 711 in their area, and that such home
visiting services may satisfy a portion of such individual's required
work activities.
(d) Each social services official shall ensure that each adult member
of a household without dependents, when such household is receiving
public assistance is engaged in work as soon as practicable.
(e) Notwithstanding any other requirement of this section, individuals
in receipt of public assistance and who are work limited in accordance
with section three hundred thirty-two-b of this title shall be assigned
to work activities in accordance with this title only if such
assignment:
(i) is consistent with the individual's treatment plan and is
determined to be appropriate by the social services official who is
satisfied that such person is able to perform the work assigned and that
such assignment will assist the individual's transition to
self-sufficiency. In the event that such assignment is not part of the
individual's treatment plan, the individual shall be deemed to be
engaged in work as defined in this subsection if he or she is complying
with the requirements of his or her treatment plan.
(ii) where no treatment plan exists, is consistent with the
individual's mental and physical limitations.
(f) The social services district shall communicate to the person
supervising the work assignment of a work limited recipient any
limitations of the recipient.
6. Recipients of safety net assistance who are exempt or work limited
pursuant to this title shall be determined to be engaged in work as
defined by department regulation.
7. Notwithstanding the participation rates set forth in subdivision
one of this section, for purposes of receiving the enhanced state
reimbursement for administration of income maintenance, food stamps, and
employment programs as set forth in subdivision seventeen of section one
hundred fifty-three of this article, the district must meet a fifty
percent average monthly participation rate for the following categories
of households in a fiscal year: households receiving assistance funded
under the federal temporary assistance for needy families block grant
program in which there is an adult or minor head of household; and
households with dependent children in which there is an adult or minor
head of household and which is receiving safety net assistance and
payment for which is used to meet the federally required maintenance of
effort for the temporary assistance for needy families block grant;
provided, however, that in the first state fiscal year in which this
subdivision shall have become a law, the participation rate shall be
calculated by averaging the monthly participation rate for the period
from October first, two thousand six to December thirty-first, two
thousand six and for the second year, the participation rate shall be
calculated by averaging the monthly participation rate for the period
from October first, two thousand six to September thirtieth, two
thousand seven, and for each year thereafter, the participation rate
shall be calculated by averaging the monthly participation rate for the
federal fiscal year.
Pilot programs. From the funds specifically appropriated
therefor the commissioner of the office of temporary and disability
assistance in cooperation with the commissioner of the office of
children and family services may conduct pilot programs in up to five
social services districts to provide intensive employment and other
supportive services including job readiness and job placement services
to non-custodial parents who are unemployed or who are working less than
twenty hours per week; who are recipients of public assistance or whose
income does not exceed two hundred percent of the federal poverty level;
and who have a child support order payable through the support
collection unit as created by section one hundred eleven-h of this
chapter or have had paternity established for his or her child and a
court proceeding has been initiated to obtain an order of child support,
and the custodial or non-custodial parent is receiving child support
services through a social services district. Non-custodial parents
determined to be eligible for participation in the pilot programs shall
be informed of the opportunity to participate in such programs on a
voluntary basis. The pilot programs shall have as one component
parenting education for the non-custodial parents. Non-custodial parents
shall be required to attend such parenting education as a condition of
participating in the pilot programs.
Work activities. 1. Social services districts may provide, and
require applicants for and recipients of public assistance to
participate in a variety of activities, including but not limited to the
following:
(a) unsubsidized employment;
(b) subsidized private sector employment;
(c) subsidized public sector employment;
(d) work experience in the public sector or non-profit sector,
(including work associated with refurbishing publicly assisted housing)
if sufficient private sector employment is not available;
(e) On-the-job training;
(f) job search and job readiness assistance, which shall include
activities with the goal of seeking or obtaining employment, or
preparation to seek or obtain employment, including life-skills
training, which shall include but not be limited to home visiting
services to the recipient and their family, and provided further that
job search is an active and continuing effort to secure employment
configured by the local social services official; and such social
services district may work in cooperation with the department of labor
to provide workforce guidance and information in accordance with section
ten-c of the labor law;
(g) community service programs provided, however, the number of hours
a participant in community service activities authorized pursuant to
this section shall be required to work in such assignment shall not
exceed a number which equals the amount of assistance payable with
respect to such individual (inclusive of the value of food stamps
received by such individual, if any) divided by the higher of (a) the
federal minimum wage, or (b) the state minimum wage. No participant
shall in any case be required to engage in assigned activities for more
than forty hours in any week. No participant shall be assigned to a
community service activity that conflicts with his or her bona fide
religious beliefs;
(h) vocational educational training as time limited by federal law.
For the purposes of this title, "vocational educational training" shall
include but not be limited to organized educational programs offering a
sequence of courses which are directly related to the preparation of
individuals for current or emerging occupations including programs that
require up to four years of post-secondary education. Such programs
shall include competency-based applied learning which contributes to an
individual's academic knowledge, higher-order reasoning, and
problem-solving skills, work attitudes, general employability skills,
and the occupational-specific skills necessary for economic
independence. Such term also includes applied technology education;
(i) job skills training directly related to employment. Job skills
training directly related to employment may include but not be limited
to participation in up to four years of post-secondary education to the
extent consistent with federal and state requirements;
(j) education directly related to employment, in the case of a
recipient who has not yet received a high school diploma or a
certificate of high school equivalency;
(k) satisfactory attendance at secondary school or a course of study
leading to a certificate of general equivalency in the case of a
recipient who has not completed secondary school or received such
certificate;
(l) provision of child care services to an individual who is
participating in community service;
(m) job search and job readiness assistance, as defined in paragraph
(f) of this subdivision, once the individual has exceeded the six week
limit set in federal law;
(n) educational activities pursuant to section three hundred
thirty-six-a of this title.
2. No participant shall be required to provide child care services as
a work activity described in this section unless the participant
expressly requests in writing to provide such services.
3. Social services districts may enter into agreements with public and
private employment agencies to assist recipients of public assistance to
find jobs.
4. No participant shall in any case be required to engage in assigned
activities for more than forty hours in any week.
5. In no event shall the programs and activities enumerated in this
title be deemed the sole activities that a social services district may
provide and require applicants for and recipients of public assistance
to engage in. Any program or activity that meets the goals of this title
and is consistent with the requirements of the labor law and this
chapter shall be allowed.
6. Any social services district that establishes and provides a
program or activity not herein enumerated shall set forth the
requirements and structure of such program or activity in its local plan
pursuant to the provisions of section three hundred thirty-three of this
title.
7. In accordance with the provisions of paragraph (h) of subdivision
two of section four hundred fifty-four of the family court act or as
otherwise required by the court, the court may assign to work activities
the non-custodial parents of children receiving public assistance and
require a report to such court of any failure of said parent to comply
with the requirements of such program.
8. The hours of participation in federal work study programs completed
pursuant to section three hundred thirty-five-b of this title shall be
included as a work activity within the definition of unsubsidized
employment, subsidized private sector employment or subsidized public
sector employment pursuant to paragraphs (a), (b) and (c) of subdivision
one of this section, and the hours of participation in internships,
externships and other work placements completed pursuant to section
three hundred thirty-five-b of this title shall be included as a work
activity within the definition of on-the-job training pursuant to
paragraph (e) of subdivision one of this section.
Educational activities. 1. Social services districts shall
make available vocational educational training and educational
activities. Such activities may include but need not be limited to, high
school education or education designed to prepare a participant for a
high school equivalency certificate, basic and remedial education,
education in English proficiency, education or a course of instruction
in financial literacy and personal finance that includes instruction on
household cash management techniques, career advice to obtain a well
paying and secure job, using checking and savings accounts, obtaining
and utilizing short and long term credit, securing a loan or other long
term financing arrangement for high cost items, participation in a
higher education course of instruction or trade school, and no more than
a total of four years of post-secondary education (or the part-time
equivalent). Educational activities pursuant to this section may be
offered with any of the following providers which meet the performance
or assessment standards established in regulations by the commissioner
for such providers: a community college, licensed trade school,
registered business school, or a two-year or four-year college;
provided, however, that such post-secondary education must be necessary
to the attainment of the participant's individual employment goal as set
forth in the employability plan and such goal must relate directly to
obtaining useful employment. When making an assignment to any
educational activity pursuant to this subdivision, such assignment shall
be permitted only to the extent that such assignment is consistent with
the individual's assessment and employment plan goals in accordance with
sections three hundred thirty-five and three hundred thirty-five-a of
this title and shall require that the individual maintains satisfactory
academic progress and hourly participation is documented consistent with
federal and state requirements. For purposes of this provision
"satisfactory academic progress" shall mean having a cumulative C
average, or its equivalent, as determined by the academic institution.
The requirement to maintain satisfactory academic progress may be waived
if done so by the academic institution and the social services district
based on undue hardship caused by an event such as a personal injury or
illness of the student, the death of a relative of the student or other
extenuating circumstances. Participation in an educational and/or
vocational training program, that shall include, but not be limited to,
a two-year post-secondary degree program, which is necessary for the
participant to attain their individual employment goal and is likely to
lead to a degree or certification and sustained employment, shall be
approved consistent with such individual's assessment and employability
plan to the extent that such approval does not jeopardize the state's
ability to comply with federal work participation rates, as determined
by the office of temporary and disability assistance.
2. When a district contracts with a proprietary vocational school to
provide vocational educational training to participants, not more than
twenty-five percent of the approved duration of the program shall be
devoted to preparation for a high school equivalency diploma or
instruction in English for students with limited proficiency in English.
Participants needing instruction in basic literacy shall be referred to
basic education programs. Instructors employed by proprietary schools to
prepare a participant for a high school equivalency certificate or for
education in English proficiency shall meet experience requirements
established by the regulations of the commissioner of education.
3. When a participant is assigned to an appropriate vocational
educational or educational activity and such activity is available at no
cost to the social services district through the school district or
board of cooperative educational services in which the participant
resides or through another agency or organization providing educational
services, the social services district shall refer the participant to
such district, board, agency or organization.
4. To the extent provided in paragraphs (a) through (d) of this
subdivision and if resources permit, each social services official shall
assign to appropriate educational activities any participant who has not
obtained a high school diploma or its equivalent:
(a) In accordance with the provisions of this chapter, any such
participant who is under age eighteen shall be required to attend
educational activities designed to prepare the individual for a high
school degree or equivalency certificate. Participants who are not
subject to compulsory school attendance requirements may be exempted
from the requirements of this paragraph under criteria established by
the department in consultation with the state education department and
consistent with federal law and regulations.
(b) Any such participant who is age eighteen or nineteen shall be
assigned to educational activities, except that the district shall
assign such participant to employment and/or other activities under this
title if the district has determined that such alternative activities
are consistent with the participant's employability plan and, pursuant
to department regulations, there has been a determination by the
district based on such plan that educational activities are not
appropriate for such participant or that the participant has failed to
make good progress in such educational activities.
(c) Any such participant who is an adult in a two-parent family and is
under age twenty-five may be required to participate in educational
activities consistent with his or her employment goals set forth in the
employability plan.
(d) The social services official shall not assign a participant
described in this subdivision to any activities which interfere with the
educational activities assigned pursuant to such participant's
employability plan and described in this subdivision.
5. Any applicant for or recipient of public assistance pursuing
activities described in this subdivision shall not be assigned to any
other activity prior to conducting an assessment and developing an
employability plan as prescribed in section three hundred thirty-five or
three hundred thirty-five-a of this title. Local social services
districts may periodically reevaluate a participant's employment plan
and make assignments to other work activities in order to meet
participation rates, giving due consideration to the participant's
progress in the current, and if applicable, prior program.
6. Nothing required in this section shall be construed to supersede
the eligibility requirements of teen parents as set forth in this
chapter.
Work experience. 1. (a) Work experience programs meeting
state and federal requirements may be established by social services
districts.
(b) Work experience programs may include the performance of work for a
federal office or agency, county, city, village or town or for the state
or in the operation of or in an activity of a nonprofit agency or
institution, in accordance with the regulations of the department.
2. A recipient may be assigned to participate in such work experience
program only if:
(a) appropriate federal and state standards of health, safety and
other work conditions are maintained;
(b) The number of hours a participant in work experience activities
authorized pursuant to this section shall be required to work in such
assignment shall not exceed a number which equals the amount of
assistance payable with respect to such individual (inclusive of the
value of food stamps received by such individual, if any) divided by the
higher of (a) the federal minimum wage provided that such hours shall be
limited as set forth in subdivision four of section three hundred
thirty-six of this title, or (b) the state minimum wage;
(c) such recipients are provided appropriate workers' compensation or
equivalent protection for on-the-job injuries and tort claims protection
on the same basis, but not necessarily at the same benefit level, as
they are provided to other persons in the same or similar positions,
while participating in work experience activities under this section;
(d) the project to which the participant is assigned serves a useful
public purpose in fields such as health, social services, environmental
protection, education, urban and rural development and redevelopment,
welfare, recreation, operation of public facilities, public safety, and
child day care;
(e) such assignment would not result in (i) the displacement of any
currently employed worker or loss of position (including partial
displacement such as reduction in the hours of non-overtime work, wages
or employment benefits) or result in the impairment of existing
contracts for services or collective bargaining agreements; (ii) the
employment or assignment of a participant or the filling of a position
when any other person is on layoff from the same or any equivalent
position or the employer has terminated the employment of any regular
employee or otherwise reduced its workforce with the effect of filling
the vacancy so created with a participant assigned pursuant to this
section; (iii) any infringement of the promotional opportunities of any
current employed person; or (iv) the performance, by such participant,
of a substantial portion of the work ordinarily and actually performed
by regular employees; or (v) the loss of a bargaining unit position as a
result of work experience participants performing, in part or in whole,
the work normally performed by the employee in such position;
(f) such assignment is not at any work site at which the regular
employees are on a legal strike against the employer or are being
subjected to lock out by the employer.
3. The public employer shall publish on a monthly basis a report
summarizing the employer's work experience program for the month. Such
monthly report shall include, at a minimum, summary information
regarding the agencies or departments where participants are assigned,
work locations, job duties and assignments, hours worked and period
worked and shall be provided to the certified collective bargaining
representative and may not be disclosed to any other party. Such
certified collective bargaining representative shall take reasonable
steps to protect the confidentiality of such information and shall take
reasonable steps to prevent disclosure of same to non-authorized
persons. Every report provided pursuant to this section shall contain a
warning against re-disclosure and asserting the confidentiality of the
information therein provided.
4. In assigning a recipient who is a non-graduate student attending
CUNY, SUNY or other approved non-profit education, training or
vocational rehabilitation agency, the social services district must,
after consultation with officials of CUNY, SUNY or other non-profit
education, training or vocational rehabilitation agency, assign the
student to a work site on campus, where the recipient is enrolled, and
shall not unreasonably assign the student to hours that conflict with
the student's academic schedule, if an approved work experience
assignment is available. Where such work experience assignment is not
available, the social services district shall, to the extent possible,
assign the student to a work site within reasonable proximity to the
campus where the recipient is enrolled and shall not unreasonably assign
the student to hours that conflict with the student's academic schedule.
Provided, however, in order to qualify for a work experience assignment
on-campus, or in close proximity to campus, a student must have a
cumulative C average, or its equivalent. The district may waive the
requirement that the student have a cumulative C average or its
equivalent for undue hardship based on: (i) the death of a relative of
the student; (ii) the personal injury or illness of the student; or
(iii) other extenuating circumstances.
Job search activities. 1. Each applicant for or recipient of
public assistance shall, upon request of the social services official,
demonstrate that he or she is engaged in an active and continuing effort
to achieve self-sufficiency as defined by the department. Such effort
shall include but not be limited to an active and continuing search for
employment, or for persons otherwise exempt in accordance with section
three hundred thirty-two of this title, and where deemed appropriate by
the social services official, activities that foster preparation for
employment. Each such applicant or recipient shall have an affirmative
duty to accept any offer of lawful employment in which he or she may
engage. The failure of a social services district to assign applicants
and recipients to activities pursuant to this title shall not relieve
such persons from the requirements of this section. An individual who
fails to comply with the requirements of the section shall be subject to
the provisions set forth in subdivision five of section one hundred
thirty-one of this chapter and of section three hundred forty-one and
three hundred forty-two of this title.
2. The social services official shall, if deemed appropriate by such
official, supervise job search activities assigned pursuant to this
article.
Subsidized public sector employment programs. 1. A social
services district may establish subsidized public sector employment
programs for public assistance recipients including, but not limited to,
grant diversion programs, which may be supported wholly or in part with
public assistance funds. Such programs shall be established through
agreements between local districts and employers; provided, however,
that, if appropriate, the department may act on behalf of one or more
local districts in establishing such agreements.
2. Programs may include, but need not be limited to, on-the-job
training programs which reimburse employers for the cost of training
public assistance recipients through wage subsidies.
3. The social services official or the department is authorized to
transfer public assistance funds to employers through written agreements
developed and executed in accordance with department regulations.
4. A recipient may be assigned to a subsidized public sector
employment activity only if:
(a) the conditions of employment including such factors as the type of
work, geographical region and proficiency of the participant are
appropriate and reasonable.
(b) the recipient is deemed an employee for purposes of the applicable
collective bargaining and labor laws and receives the same benefits and
protections as existing employees similarly situated (working a similar
length of time and doing similar work) receive pursuant to the
provisions of law, and applicable collective bargaining agreement or
otherwise as made available to the regular employees of the employer.
Each participating person shall be given the opportunity to work
sufficient hours to earn a net wage of at least the amount such person
would have been entitled to receive as recipients of public assistance
or, where applicable, the amount such person would have received for his
or her household, including the amount for dependents. Such net wage
shall be calculated by deducting from gross wages federal income taxes,
federal employment taxes, state income taxes, local income taxes and
union dues, if any. No program shall be approved under this section
unless the commissioner is satisfied that it contains adequate
provisions for the prompt resolution of disputes concerning
participation in the program and the obligations and benefits associated
with it. Nothing contained in this section shall be deemed to affect,
modify or abridge a participant's right to a fair hearing pursuant to
section twenty-two of this chapter or representation thereat by counsel
or, if applicable, the participant's collective bargaining
representative.
(c) a participant employed by an employer subject to the civil service
law or subject to rules consistent with such law is appointed to an
appropriate classified position. Notwithstanding any other provision of
law, rule or regulation, such position shall be deemed to be in the
non-competitive class of the classified service only while such
participant is serving in the position.
(d) no employee of the participating employer is displaced by any
recipient employed pursuant to this section. For the purpose of this
subdivision, the term displacement shall include partial displacement,
such as a reduction in the customary hours of work (including overtime),
wages, or employment benefits.
(e) no participant shall be employed:
(i) if any other employee of the employer is available for
reinstatement, recall or reemployment following a leave of absence,
furlough, layoff or suspension from the same or any substantially
equivalent job;
(ii) when the employer has terminated the employment of any regular
employee or otherwise reduced its work force with the intention of
filling the vacancy or vacancies so created by hiring a participant
whose wages are subsidized under this program; or
(iii) when the employee organization representing employees of the
employer is engaged in a strike against the employer or such employees
have been locked-out by the employer; or
(iv) where such employment results in the loss of a bargaining unit
position as a result of work experience participants performing, in part
or in whole, the work normally performed by the employee in such
position.
(f) no position is created that will infringe in any way upon the
promotional opportunities of currently employed individuals or
individuals currently engaged in an approved apprenticeship training
program.
(g) no participant shall remain in a position if another employee is
eligible for promotion from an eligible list to that position. An
employer shall, at least ten days prior to filling a position with a
participant, notify any employee organization that represents employees
who are engaged in similar work or training in the same or substantially
equivalent job as that in which the placement is to be made, that it
intends to make a placement pursuant to the terms of this section.
(h) where an employee organization represents employees who are
engaged in similar work in the same or substantially equivalent job as
that proposed to be funded under this program, an opportunity is
provided for such organization to comment on the proposed placement of a
participant or the administration of the program and the social services
official or his or her designee shall respond to such comments within
ten days of receipt thereof.
(i) employers are prohibited from using public assistance funds to
encourage or discourage membership in, or participation in the
activities of, any employee organization and each employer provides to
the social services district assurances that no such funds will be used
for such purposes.
(j) nothing herein shall be construed to affect, modify or otherwise
abridge any provision of the civil service law.
Subsidized private sector and not-for-profit employment
programs. 1. A social services district may establish subsidized private
sector employment programs for public assistance recipients including,
but not limited to, grant diversion programs, which may be supported
wholly or in part with public assistance funds. Such programs shall be
established through agreements between local districts and employers,
including not for profit employers; provided, however, that, if
appropriate, the department may act on behalf of one or more local
districts in establishing such agreements.
2. Programs may include, but need not be limited to, on-the-job
training programs which reimburse employers for the cost of training
public assistance recipients through wage subsidies.
3. The social services official or the department is authorized to
transfer public assistance funds to employers through written agreements
developed and executed in accordance with department regulations.
4. A recipient may be placed in a subsidized private sector or
not-for-profit employment activity only if:
(a) the conditions of employment including such factors as the type of
work to be performed, the geographic location of the job, and the
qualifications of the participant are appropriate and reasonable.
(b) the recipient is deemed an employee for purposes of the applicable
collective bargaining and labor laws and receives the same benefits and
protections as an employee similarly situated (working a similar length
of time and doing similar work) receives pursuant to the provisions of
law, an applicable collective bargaining agreement or otherwise as made
available to the employees of the employer.
(c) no employee of the participating employer is displaced by any
recipient hired pursuant to this section. For the purpose of this
subdivision, the term displacement shall include partial displacement,
such as a reduction in the customary hours of work (including overtime),
wages, or employment benefits.
(d) no participant shall be hired:
(i) if any other employee of the employer is available for
reinstatement, recall or reemployment following a leave of absence,
furlough, layoff or suspension from the same or any substantially
equivalent job; or
(ii) when the employer has terminated the employment of any regular
employee or otherwise reduced its work force with the intention of
filling the vacancy or vacancies so created by hiring a participant
whose wages are subsidized under this program; or
(iii) when the employee organization representing employees of the
employer is engaged in a strike against the employer or such employees
have been locked-out by the employer; or
(iv) when such hiring will result in the loss of a bargaining unit
position as a result of work experience participants performing, in part
or in whole, the work normally performed by the employee in such
position.
(e) no job is created that will infringe in any way upon the
promotional opportunities of current employees or individuals currently
engaged in an approved apprenticeship training program.
(f) no participant shall remain in a job if another employee is
eligible for promotion to that job. An employer shall, at least ten days
prior to filling a position with a participant, notify any employee
organization that represents employees who are engaged in similar work
or training in the same or substantially equivalent jobs as those in
which the placement is to be made, that it intends to make a placement
pursuant to the terms of this section.
(g) where an employee organization represents employees who are
engaged in similar work in the same or substantially equivalent jobs as
those proposed to be funded under this program, an opportunity is
provided for such organization to comment on the proposed placement of a
participant or the administration of the program and the social services
official or his or her designee shall respond to such comments within
ten days of receipt thereof.
(h) employers are prohibited from using public assistance funds to
encourage or discourage membership in, or participation in the
activities of, any employee organization and each employer provides to
the social services district assurances that no such funds will be used
for such purposes.
5. The social services district shall require every private or
not-for-profit employer that intends to hire one or more work activity
participants to certify to the district whether such employer has, in
the past five years, been convicted of a felony or a misdemeanor the
underlying basis of which involved workplace safety and health or labor
standards. Such employer shall also certify as to all violations issued
by the department of labor within the past five years. The social
services official in the district in which the participant is placed
shall determine whether there is a pattern of convictions or violations
sufficient to render the potential employer ineligible. Employers who
submit false information under this section shall be subject to criminal
prosecution for filing a false instrument.
Responsibilities of state departments and agencies. 1.
Notwithstanding any provision of this chapter to the contrary,
responsibility for the operation and administration of work, employment
and training programs in connection with the programs administered
pursuant to this chapter shall be vested in the commissioner subject to
regulations, procedures and instructions of the department.
2. The department is authorized to enter into agreements with any
state agency, social services district or other entity for performance
of activities authorized under this title.
Cooperation of state departments. There shall be such
cooperative agreements and arrangements between and among the
department, the state department of social services or its successor
agency, the state department of education and other appropriate state
departments as shall be necessary to assure compliance with federal and
state requirements or requirements of this title relating to employment
programs for applicants of and recipients of public assistance and to
assure that the purposes of such program will be effectively
accomplished. The purpose of such arrangements is to promote
interagency planning, coordinate service delivery and identify needed
resources for the implementation of such employment programs.
Reports. The commissioner shall require, from each social
services district, information and reports sufficient and timely to
enable the state to meet all federal reporting requirements.
Technical assistance. The commissioner shall provide technical
assistance to social services districts in the development,
implementation and administration of plans described in section three
hundred thirty-three of this title.
The department shall monitor the implementation and ongoing operation
of the programs pursuant to this title. Such monitoring shall include
review of sample cases to assess compliance with applicable state and
federal statutes and regulations.
Conciliation; refusal to participate. 1. (a) Consistent with
federal law and regulations and this title, if a participant has failed
or refused to comply with the requirements of this title, the social
services district shall issue a notice in plain language indicating that
such failure or refusal has taken place and of the right of such
participant to conciliation to resolve the reasons for such failure or
refusal to avoid a pro-rata reduction in public assistance benefits for
a period of time set forth in section three hundred forty-two of this
title. The notice shall indicate the specific instance or instances of
willful refusal or failure to comply without good cause with the
requirements of this title and the necessary actions that must be taken
to avoid a pro-rata reduction in public assistance benefits. The notice
shall indicate that the participant has seven days to request
conciliation with the district regarding such failure or refusal in the
case of a safety net participant and ten days in the case of a family
assistance participant. The notice shall also include an explanation in
plain language of what would constitute good cause for non-compliance
and examples of acceptable forms of evidence that may warrant an
exemption from work activities, including evidence of domestic violence,
and physical or mental health limitations that may be provided at the
conciliation conference to demonstrate such good cause for failure to
comply with the requirements of this title. If the participant does not
contact the district within the specified number of days, the district
shall issue ten days notice of intent to discontinue or reduce
assistance, pursuant to regulations of the department. Such notice shall
also include a statement of the participant's right to a fair hearing
relating to such discontinuance or reduction. If such participant
contacts the district within seven days in the case of a safety net
participant or within ten days in the case of a family assistance
participant, it will be the responsibility of the participant to give
reasons for such failure or refusal.
(b) Unless the district determines as a result of such conciliation
process that such failure or refusal was willful and was without good
cause, no further action shall be taken. If the district determines that
such failure or refusal was willful and without good cause, the district
shall notify such participant in writing, in plain language and in a
manner distinct from any previous notice, by issuing ten days notice of
its intent to discontinue or reduce assistance. Such notice shall
include the reasons for such determination, the specific instance or
instances of willful refusal or failure to comply without good cause
with the requirements of this title, the necessary actions that must be
taken to avoid a pro-rata reduction in public assistance benefits, and
the right to a fair hearing relating to such discontinuance or
reduction. Unless extended by mutual agreement of the participant and
the district, conciliation shall terminate and a determination shall be
made within fourteen days of the date a request for conciliation is made
in the case of a safety net participant or within thirty days of the
conciliation notice in the case of a family assistance participant.
2. (a) The department shall establish in regulation a conciliation
procedure for the resolution of disputes related to an individual's
participation in programs pursuant to this title.
(b) The district shall contract with an independent entity, approved
by the department, or shall use designated trained staff at the
supervisory level who have no direct responsibility for the
participant's case to mediate disputes in the conciliation conference.
If no such supervisory staff or independent entity is available, the
district may designate another trained individual, who has no direct
responsibility for the participant's case to mediate disputes in the
conciliation conference.
(c) If a participant's dispute cannot be resolved through such
conciliation procedure, an opportunity for a fair hearing shall be
provided. No sanction relating to the subject dispute may be imposed
during the conciliation process.
3. When any family assistance participant required to participate in
work activities fails to comply with the provisions of this title, the
social services district shall take such actions as prescribed by
appropriate federal law and regulation and this title.
4. When any safety net participant required to participate in work
activities fails to comply with the provisions of this title, the social
services district shall deny assistance to such participant in
accordance with section three hundred forty-two of this title.
5. (a) To the extent that federal law requires, a social services
district shall provide to those family assistance participants whose
failure to comply has continued for three months or longer a written
reminder of the option to end a sanction after the expiration of the
applicable minimum sanction period by terminating the failure to comply
as specified in subdivision three of this section. Such notice shall
advise that the participant may immediately terminate the first or
second sanction by participating in the program or accepting employment
and that any subsequent sanction after six months have elapsed may be
terminated by participating in the program or accepting employment.
(b) A social services district shall provide to those safety net
participants whose failure to comply has continued for the length of the
sanction period or longer a written reminder of the option to end a
sanction after the expiration of the applicable minimum sanction period
by terminating the failure to comply as specified in subdivision four of
this section.
6. Consistent with federal law and regulation, no action shall be
taken pursuant to this section for failure to participate in the program
or refusal to accept employment if:
(a) child care for a child under age thirteen (or day care for any
incapacitated individual living in the same home as a dependent child)
is necessary for an individual to participate or continue participation
in activities pursuant to this title or accept employment and such care
is not available and the social services district fails to provide such
care;
(b) (1) the employment would result in the family of the participant
experiencing a net loss of cash income; provided, however, a participant
may not claim good cause under this paragraph if the social services
district assures that the family will not experience a net loss of cash
income by making a supplemental payment;
(2) net loss of cash income results if the family's gross income less
necessary work-related expenses is less than the cash assistance the
participant was receiving at the time the offer of employment is made;
or
(c) the participant meets other grounds for good cause set forth by
the department in its implementation plan for this title which, at a
minimum, must describe what circumstances beyond the household's control
will constitute "good cause".
7. The provisions of this section shall not apply to persons who are
residents of a city having a population of one million or more people.
Re-engagement; conciliation; refusal to participate. 1. The
provisions of this section shall apply to persons who are residents of a
city having a population of one million or more people.
2. (a) Consistent with federal law and regulations and this title, if
a participant has failed or refused to comply with the requirements of
this title and the district has determined that he or she is not exempt
from such requirements and has verified that appropriate child care,
transportation, and accommodations for disability were in place at the
time of such failure or refusal, the social services district shall
issue a re-engagement notice in plain language indicating that such
failure or refusal has taken place and of the right of such participant
to avoid a pro-rata reduction in public assistance benefits through the
re-engagement process. "Re-engagement process" shall mean the process
through which a participant may avoid a pro-rata reduction in public
assistance benefits by agreeing to comply with the requirements of this
title consistent with any medical condition which may limit the
individual's ability to participate in work activities, by notifying the
district that he or she has become exempt from the requirements of this
title, or by resolving the reasons for such failure or refusal at a
conciliation conference. The notice shall indicate that the participant
has ten days to request re-engagement with the district. The notice
shall indicate the specific instance or instances of willful refusal or
failure to comply without good cause with the requirements of this title
and the necessary actions that must be taken to avoid a pro-rata
reduction in public assistance benefits and the district has verified
that appropriate child care, transportation and accommodations for
disability were in place at the time of such failure or refusal.
(1) If a participant chooses to avoid a pro-rata reduction in public
assistance benefits through a conciliation conference, it will be the
responsibility of the participant to give reasons for such failure or
refusal. The re-engagement notice shall also include an explanation in
plain language of what would constitute good cause for non-compliance
and examples of acceptable forms of evidence that may warrant an
exemption from work activities, including evidence of domestic violence,
and physical or mental health limitations that may be provided at the
conciliation conference to demonstrate such good cause for failure to
comply with the requirements of this title. Unless as part of the
re-engagement process the participant does not agree to comply, has not
become exempt or the district determines as a result of the conciliation
conference that such failure or refusal was willful and without good
cause, no further action shall be taken.
(2) If the participant does not contact the district within ten days
of the re-engagement notice, the district shall make a finding of
whether the alleged failure or refusal to comply was willful and without
good cause and shall consider any evidence in the possession of the
district indicating that the participant has good cause and if the
participant is otherwise participating in work activities, there shall
be no finding of willfulness without good cause based on a single
appointment or infraction.
(b) If the district determines that such failure or refusal was
willful and without good cause, and that the individual is not exempt
from the requirements of this title, the district shall notify such
participant in writing, in plain language and in a manner distinct from
any previous notice, by issuing ten days notice of its intent to
discontinue or reduce assistance. Such notice shall include the reasons
for such determination, the specific instance or instances of willful
refusal or failure to comply without good cause with the requirements of
this title, shall verify that appropriate child care, transportation and
accommodations for disability were in place at the time of such failure
or refusal, and specify the necessary actions that must be taken to
avoid a pro-rata reduction in public assistance benefits, including
agreeing to comply with the requirements of this title consistent with
any medical condition which may limit the individual's ability to
participate in work activities or notifying the district that he or she
has become exempt from the requirements of this title and the right to a
fair hearing relating to such discontinuance or reduction.
3. (a) The department shall establish in regulation a conciliation
procedure for the resolution of disputes related to an individual's
participation in programs pursuant to this title.
(b) The district shall contract with an independent entity, approved
by the department, or shall use designated trained staff at the
supervisory level who have no direct responsibility for the
participant's case to mediate disputes in the conciliation conference.
(c) If a participant's dispute cannot be resolved through such
conciliation procedure, an opportunity for a fair hearing shall be
provided. No sanction relating to the subject dispute may be imposed
during the re-engagement process.
4. When any participant required to participate in work activities
fails to comply with the provisions of this title, the social services
district shall take such actions as prescribed by appropriate federal
law and regulation and this title.
5. Consistent with federal law and this title, a social services
district shall provide to those participants whose failure to comply has
continued for thirty days or longer a written reminder of the option to
end a sanction by terminating the failure to comply as specified in
subdivision two of this section. Such notice shall advise that the
participant may immediately terminate the sanction by either agreeing to
comply with the requirements of this title consistent with any medical
condition which may limit the individual's ability to participate in
work activities or notifying the district that he or she has become
exempt from the requirements of this title.
6. Consistent with federal law and regulation and this title, no
notice shall be issued as specified in subdivision two of this section
unless it has been determined that the individual is not exempt from the
requirements of this title and has determined that appropriate child
care, transportation and accommodations for disability were in place at
the time of such failure or refusal to comply with the requirements of
this title and no action shall be taken pursuant to this section for
failure to participate in the program or refusal to accept employment
if:
(a) child care for a child under age thirteen (or day care for any
incapacitated individual living in the same home as a dependent child)
is necessary for an individual to participate or continue participation
in activities pursuant to this title or accept employment and such care
is not available and the social services district fails to provide such
care;
(b) (1) the employment would result in the family of the participant
experiencing a net loss of cash income; provided, however, a participant
may not claim good cause under this paragraph if the social services
district assures that the family will not experience a net loss of cash
income by making a supplemental payment;
(2) net loss of cash income results if the family's gross income less
necessary work-related expenses is less than the cash assistance the
participant was receiving at the time the offer of employment is made;
or
(c) the participant meets other grounds for good cause set forth by
the department in its implementation plan for this title which, at a
minimum, must describe what circumstances beyond the household's control
will constitute "good cause".
Noncompliance with the requirements of this title. 1. In
accordance with the provisions of this section an individual who is
required to participate in work activities shall be ineligible to
receive public assistance if he or she fails to comply, without good
cause, with the requirements of this title. Such ineligibility shall be
for the amount and periods specified in this section. Good cause for
failing to comply with the requirements of this title shall be defined
in department regulations, provided, however, that the parent or
caretaker relative of a child under thirteen years of age shall not be
subject to the ineligibility provisions of this section if the
individual can demonstrate, in accordance with the regulations of the
office of children and family services department, that lack of
available child care prevents such individual from complying with the
work requirements of this title. The parent or caretaker relative shall
be responsible for locating the child care needed to meet the work
requirements; provided, however, that the relevant social services
district shall provide a parent or caretaker relative who demonstrates
an inability to obtain needed child care with a choice of two providers,
at least one of which will be a regulated provider.
2. In the case of an applicant for or recipient of public assistance
who is a parent or caretaker of a dependent child the public assistance
benefits otherwise available to the household of which such individual
is a member shall be reduced pro-rata:
(a) for the first instance of failure to comply without good cause
with the requirement of this article until the individual is willing to
comply;
(b) for the second instance of failure to comply without good cause
with the requirements of this article, for a period of three months and
thereafter until the individual is willing to comply;
(c) for the third and all subsequent instances of failure to comply
without good cause with the requirements of this article, for a period
of six months and thereafter until the individual is willing to comply.
3. In the case of an individual who is a member of a household without
dependent children applying for or in receipt of safety net assistance
the public assistance benefits otherwise available to the household of
which such individual is a member shall be reduced pro-rata:
(a) for the first such failure or refusal, until the failure or
refusal ceases or ninety days, which ever period of time is longer;
(b) for the second such failure or refusal, until the failure ceases
or for one hundred fifty days, whichever period of time is longer; and
(c) for the third and all subsequent such failures or refusals, until
the failure ceases or one hundred eighty days, whichever period of time
is longer.
4. A recipient of public assistance who quits or reduces his hours of
employment without good cause shall be considered to have failed to
comply with the requirements of this article and shall be subject to the
provisions of this section.
5. A person described in paragraph (b) of subdivision seven of section
one hundred fifty-nine of this chapter may not be sanctioned if his or
her failure to comply with requirements of this title are related to his
or her health status.
6. The provisions of this section shall not apply to persons who are
residents of a city having a population of one million or more people.
Noncompliance with the requirements of this title. 1. The
provisions of this section shall apply to persons who are residents of a
city having a population of one million or more people.
2. In accordance with the provisions of this section an individual who
is required to participate in work activities shall be ineligible to
receive public assistance if he or she fails to comply, without good
cause, with the requirements of this title and the district has
determined that he or she is not exempt from such requirements and has
verified that appropriate child care, transportation, and accommodations
for disability were in place at the time of such failure or refusal.
Such ineligibility shall be for the amount and period specified in this
section. Good cause for failing to comply with the requirements of this
title shall be defined in department regulations, provided, however,
that the parent or caretaker relative of a child under thirteen years of
age shall not be subject to the ineligibility provisions of this section
if the individual can demonstrate, in accordance with the regulations of
the office of children and family services, that lack of available child
care prevents such individual from complying with the work requirements
of this title. The parent or caretaker relative shall be responsible for
locating the child care needed to meet the work requirements; provided,
however, that the relevant social services district shall provide a
parent or caretaker relative who demonstrates an inability to obtain
needed child care with a choice of two providers, at least one of which
will be a regulated provider.
3. In the case of an applicant for or recipient of public assistance
whom the district has determined is not exempt from the requirements of
this title and who is a parent or caretaker of a dependent child, the
public assistance benefits otherwise available to the household of which
such individual is a member shall be reduced pro-rata until the
individual is willing to comply with the requirements of this title
consistent with any medical condition which may limit the individual's
ability to participate in work activities.
4. In the case of an individual who is a member of a household without
dependent children whom the district has determined is not exempt from
the requirements of this title and who is applying for or in receipt of
safety net assistance, the public assistance benefits otherwise
available to the household of which such individual is a member shall be
reduced pro-rata until the failure or refusal to comply with the
requirements of this title consistent with any medical condition which
may limit the individual's ability to participate in work activities
ceases.
5. A recipient of public assistance whom the district has determined
is not exempt from the requirements of this title and who quits or
reduces his hours of employment without good cause or due to any medical
condition which may limit the individual's ability to participate in
work activities shall be considered to have failed to comply with the
requirements of this article and shall be subject to the provisions of
this section.
6. A person described in paragraph (b) of subdivision seven of section
one hundred fifty-nine of this chapter may not be sanctioned if his or
her failure to comply with requirements of this title is related to his
or her health status.
TITLE 10 Aid to Dependent Children
Declaration of object. It is hereby declared a state policy
that aid to dependent children be provided under the provisions of this
title in every county of the state.
Responsibility. 1. Each social services district shall be
responsible for providing family assistance, under this title, to
persons eligible therefor who reside in its territory. Temporary
absence, within or without the state, of such persons from such
territory, except as otherwise provided, shall not affect their
eligibility for such aid.
2. Aid shall be construed to include services, particularly those
services which may be necessary for each child in the light of the
particular home conditions and his or her other needs.
3. Each social services district shall administer the aid, care and
services provided under this title, in accordance with state and federal
requirements.
Definition. As used in this title the term "child" means a
person under eighteen years of age, or a person under nineteen years of
age who is a full-time student regularly attending a secondary school or
in the equivalent level of vocational or technical training if, before
such person attains age nineteen, such person may reasonably be expected
to complete the program of such secondary school or training.
Application for family assistance. 1. Application for family
assistance shall be made to the appropriate social services district.
2. Application for or receipt of family assistance shall operate as an
assignment to the state and the social services district concerned of
any rights to support that accrue during the period that a family
receives family assistance from any other person as such applicant or
recipient may have either on their own behalf or on behalf of any other
family member for whom the applicant or recipient is applying for or
receiving assistance. Applicants for or recipients of family assistance
shall be informed that such application for or receipt of such benefits
will constitute such an assignment.
3. Such assignment shall terminate with respect to current support
rights upon a determination by a local commissioner that such person is
no longer eligible for family assistance, except with respect to the
amount of any unpaid support obligation that has accrued during the
period that a family received family assistance.
4. It shall be the duty of social services officials to provide same
day referral of applicants for family assistance support services as
provided under title six-A of article three of this chapter pursuant to
part D of title IV of the federal social security act, as part of the
initial application for family assistance.
Eligibility. A. Family assistance shall be given to a pregnant
individual, a parent or other relative as herein specified for the
benefit of a child under eighteen years of age, or of a child under
nineteen years of age who is a full-time student regularly attending a
secondary school or in the equivalent level of vocational or technical
training if, in the judgment of the social services official:
1. the granting of an allowance will be in the interest of such child,
and
2. the parent or other relative is a fit person to bring up such child
so that his or her physical, mental and moral well-being will be
safe-guarded, and
3. such child is a resident of the state on the date of application
for aid.
B. 1. An allowance may be granted for the aid of such child who is
living with a parent or other adult related to him or her by blood,
marriage or adoption eligible to receive assistance on his or her behalf
pursuant to the federal social security act, the provisions of this
chapter and regulations of the department.
2. Notwithstanding the provisions of this title and titles three and
four of this article to the contrary, the department may by regulation
require that some or all persons, or households containing such persons,
who are otherwise eligible for family assistance and are permanently
disabled and awaiting determinations of eligibility for federal
supplemental security income under title XVI of the federal social
security act receive family assistance without use of federal funding
and the department is authorized to reclassify retroactively all or a
portion of the amount of any family assistance which otherwise has been
or would be received by any such person or household if such
reclassification is in the financial interests of the state; provided,
however, that any such retroactive reclassification shall be
accomplished without diminution or increase of the family assistance
grant previously paid and shall not affect any rights, obligations or
entitlements of any such person under the family assistance program. Any
such transfer or reclassification may be accomplished by appropriate
notation in the records of the social services district or the
department, and no other notice thereof need be made.
C. In making such allowances consideration shall be given to the
ability of the relative making application and of any other relatives to
support and care for or to contribute to the support and care of such
child. In making all such allowances it shall be made certain that the
religious faith of the child shall be preserved and protected.
D. Family assistance shall not be payable to a family for any month
in which any caretaker relative with whom the child is living is, on the
last day of such month, participating in a strike, and no individual's
needs shall be included in determining the amount of such aid which is
payable for any month to a family if, on the last day of such month,
such individual is participating in a strike.
Procedures to insure the protection of victims of domestic
violence. 1. The department, after consultation with the office for the
prevention of domestic violence and statewide domestic violence advocacy
groups, shall by regulation establish requirements for social services
districts to notify all applicants and, upon recertification,
recipients, of procedures for protection from domestic violence and the
availability of services. Such notice shall inform applicants and
recipients that the social services district will make periodic inquiry
regarding the existence of domestic violence affecting the individual.
Such notice shall also inform individuals that response to these
inquiries is voluntary and confidential; provided, however, that
information regarding neglect or abuse of children will be reported to
child protective services.
2. Such inquiry shall be performed utilizing a universal screening
form to be developed by the department after consultation with the
office for the prevention of domestic violence and statewide domestic
violence advocacy groups. Such screening may be conducted by telephone
or other digital means at the request of the applicant or recipient. An
individual may request such screening at any time, and any individual
who at any time self identifies as a victim of domestic violence shall
be afforded the opportunity for such screening.
3. An individual indicating the presence of domestic violence, as a
result of such screening, shall be promptly referred to a domestic
violence liaison who meets training requirements established by the
department, after consultation with the office for the prevention of
domestic violence and statewide domestic violence advocacy groups.
4. Following referral to a domestic violence liaison, (a) the
individual shall be informed by the domestic violence liaison of
services, which shall be available on a voluntary basis; and (b) the
domestic violence liaison shall conduct an assessment to determine if
and to what extent domestic violence is a barrier to the individual's
compliance with public assistance requirements or to employment and such
assessment shall be based upon an attestation or the relevant
information and corroborating evidence provided by the individual
alleging such abuse; and (c) the domestic violence liaison shall grant
any appropriate waivers of such program requirements based on such
assessment. Such waivers shall, to the extent permitted by federal law,
include, but not be limited to, residency requirements, child support
cooperation requirements and employment and training requirements;
provided, however, that exemptions from the sixty month limit on receipt
of benefits under the federal temporary assistance to needy families
block grant program shall be available only when the individual would
not be required to participate in work or training activities because of
an independently verified physical or mental impairment resulting from
domestic violence, anticipated to last for three months or longer, or if
the individual is unable to work because of the need to care for a
dependent child who is disabled as a result of domestic violence.
Provided, however, that pursuant to section one hundred forty-two of the
welfare reform act of 1997 victims of domestic violence may be exempted
from the application of subdivision two of section three hundred
forty-nine of this article on the basis of hardship.
5. Waivers granted pursuant to subdivision five of this section shall
be provided pursuant to a determination of good cause in cases where
compliance with such requirements would make it more difficult for the
individual or the individual's children to escape from domestic
violence, or subject the individual, or the individual's children, to
further risk of domestic violence. Such waivers shall be for an initial
period of no less than four months; provided, however, that all such
waivers shall be subject to on-going review of the individual's
circumstances by the domestic violence liaison, and may be extended,
modified or terminated in accordance therewith. An individual may
decline a waiver or terminate an existing waiver at any time without
penalty.
6. Information with respect to victims of domestic violence shall not
be released to any outside party or parties or other governmental
agencies unless the information is required to be disclosed by law, or
unless authorized in writing by the applicant or recipient.
7. When used in this section, the term statewide domestic violence
advocacy groups shall mean an organization designated by the federal
department of health and human services to coordinate statewide
improvements within local communities, social services systems, and
programming regarding the prevention and intervention of domestic
violence in New York state.
Deserted, abandoned and out-of-wedlock children; special
provisions. 1. In addition to other eligibility requirement each
person who is applying for or receiving assistance under this title, and
who is otherwise eligible for assistance under this title, shall be
required, as a further condition of eligibility for such assistance:
(a) to assign to the state and the social services district any
rights to support such person may have either in his own behalf or in
behalf of any other family member for whom he is applying for or
receiving aid; and
(b) to cooperate with the state and the social services official, in
accordance with standards established by regulations of the department
consistent with federal law, in establishing the paternity of a child
born out-of-wedlock for whom assistance under this title is being
applied for or received, in their efforts to locate any absent parent
and in obtaining support payments or any other payments or property due
such person and due each child for whom assistance under this title is
being applied for or received, except that an applicant or recipient
shall not be required to cooperate in such efforts in cases in which the
social services official has determined, in accordance with criteria,
including the best interests of the child, as established by regulations
of the department consistent with federal law, that such applicant or
recipient has good cause to refuse to cooperate. Each social service
district shall inform applicants for and recipients of family assistance
required to cooperate with the state and local social services officials
pursuant to the provisions of this paragraph, that where a proceeding to
establish paternity has been filed, and the allegation of paternity has
been denied by the respondent, that there shall be a stay of all
paternity proceedings and related local social services proceedings
until sixty days after the birth of the child. Such applicants and
recipients shall also be informed that public assistance and care shall
not be denied during the stay on the basis of refusal to cooperate
pursuant to the provisions of this paragraph.
2. The amount of the payments due from the absent parent in meeting
his support obligations under this section shall be the amount of a
current court support order or, in the absence of a court order, if such
parent agrees to meet his support obligation, an amount to be determined
in accordance with a support formula established by the department and
approved by the secretary of the federal department of health, education
and welfare.
Character and adequacy. 1. (a) Allowances shall be adequate to
enable the father, mother or other relative to bring up the child
properly, having regard for the physical, mental and moral well-being of
such child, in accordance with the provisions of section one hundred
thirty-one-a of this chapter and other applicable provisions of law.
Allowances shall provide for the support, maintenance and needs of one
or both parents if in need, and in the home and for the support,
maintenance and needs of the other relative if he or she is without
sufficient means of support, provided such parent, parents and relative
are not receiving federal supplemental security income payments and/or
additional state payments for which they are eligible. The social
services official may, in his discretion, make the incapacitated parent
the grantee of the allowance and when allowances are granted for the aid
of a child or children due to the unemployment of a parent, such
official may make the unemployed parent the grantee of the allowance.
(b) When permitted in accordance with regulations of the department,
provision may be made under this title for any item of maintenance of
eligible individuals who are receiving medical assistance for needy
persons in a hospital, nursing home, infirmary or other eligible medical
institutions. However, aid under this title shall not include provisions
for care or services in any hospital, nursing home, infirmary or other
eligible medical institutions when such care and services may be
provided as medical assistance for needy persons pursuant to title
eleven of article five.
(e) Any inconsistent provisions of this title notwithstanding, so long
as federal law and regulations require, family planning services and
supplies shall be offered and promptly furnished to eligible persons of
childbearing age, including children who can be considered sexually
active, who desire such services and supplies, in accordance with the
regulations of the department. In order to maximize federal financial
participation, the department may require that such services shall be
furnished under title eleven of article five. No person shall be
compelled or coerced to accept such services or supplies.
(f) When, in the judgment of the social services official, care cannot
be provided in the mother's own home, care may be provided in a licensed
maternity home, a family home or boarding home for a child or his mother
in need of public assistance and care during pregnancy and during and
after delivery and for eligible persons assistance may be provided in a
family home or boarding home, provided that no assistance will be
provided under this title when such assistance can be provided under
title eleven. Payments to such homes and institutions for care and
maintenance provided by them shall be at rates established pursuant to
law, and regulations of the department. The department, however, shall
not establish rates of payment to homes and institutions without
approval of the director of the budget.
(g) The social services official of a social services district shall
advise persons who are eligible for aid under this title of the
availability for their benefit of child health screening services and of
care and treatment of disabilities and conditions discovered by such
screening under the provisions of title eleven of article five of this
chapter; and upon request such official shall promptly furnish such
services or care and treatment under the provisions of such title.
2. Assistance funded in whole or in part under the temporary
assistance to needy families block grant program temporary assistance to
needy families (a) shall not be granted to any family which includes an
adult who has received any form of assistance funded in whole or in part
under the temporary assistance to needy families block grant program
under title IV-A of the federal social security act in this state or in
any other state for a cumulative period of longer than sixty months,
provided that, (i) in determining the number of months for which an
individual who is a parent or pregnant has received assistance, there
shall not be included any period in which the individual was a minor
child who was not the head of household or married to the head of
household, and (ii) the social services district shall, in accordance
with regulations of the department, subject to any federal limitations,
exempt a family from the application of this subdivision on the basis of
hardship when the adult family member is unable to work because of an
independently verified physical or mental impairment including those
resulting from domestic violence, or when the adult family member is in
receipt of supplemental security income payments under title XVI of the
federal social security act or additional state payments under title six
of this article, and (iii) provided that periods in which an adult
receives cash assistance in the safety net assistance program shall be
included in the cumulative period referred to in this paragraph
regardless of whether such assistance was funded in whole or in part by
the temporary assistance to needy families block grant program;
(b) may be increased, decreased or revoked at any time; and
(c) except in the case of a child reaching the age of eighteen years,
may be continued for a period of not more than one month after a child
becomes ineligible to be granted allowance under this title.
4. Adequate supervision of all families receiving such aid shall be
provided and supervisory visits shall be made to each family as
frequently as the regulations of the department and the circumstances of
the case may require.
5. The social services official of the social services district shall
in cooperation with other public officers, private relief societies and
individuals seek to secure for persons to whom allowances are granted as
provided in this title or who apply for such allowances additional
assistance whenever the social services official is unable adequately to
provide for their needs and the needs of their families. It shall be the
duty of such official and the family court to cooperate with each other
in the effective enforcement of the obligation of the parents of
children for whose benefit such allowances are granted to support such
children to the extent of the parents' ability to do so.
Protective payments. 1. Whenever the social services official
who is granting allowances of family assistance to a relative for the
benefit of a child determines that such relative is unable to manage the
allowances he or she may, when appropriate in accordance with state and
federal requirements, pay the allowances to another individual who is
interested in or concerned with the welfare of the child and relative.
2. The determination of the social services official to pay
allowances to another individual pursuant to subdivision one may be
appealed to the department by the relative concerned who shall be given
an opportunity for a fair hearing on his appeal. The department may
review such determination on its own motion. The powers and procedures
prescribed by section twenty-two of this chapter shall likewise apply to
the determinations, appeals and reviews made pursuant to this section.
3. Any relative or other person who is granted an allowance of family
assistance for the benefit of a child or children and who wilfully uses
all or any part of such allowance other than for the benefit of such
child or children, shall be guilty of a misdemeanor.
Emergency assistance to needy families with children. 1.
Any inconsistent provisions of this chapter or of any other law
notwithstanding, so long as federal aid is available therefor, a social
services district shall provide emergency assistance as herein defined
to persons eligible, including migrant workers with families.
2. For purposes of this section, the term "emergency assistance" means
aid, care and services to meet the emergency needs of a child or the
household in which he or she is living, in the following circumstances:
(a) where the child is under twenty-one years of age; and
(b) the child is living with, or within the previous twelve months
has lived with, an adult related by blood, marriage or adoption; and
(c) in cases of applications for grants of cash assistance, such child
or such household is not categorically eligible for or receiving family
assistance; and
(d) such emergency needs resulted from a catastrophic occurrence or
from a situation which threatens family stability and which has caused
the destitution of the child and/or household; and
(e) such occurrence or situation could not have been foreseen by the
applicant, was not under his or her control and, in the case of a person
receiving public assistance, did not result from the loss, theft or
mismanagement of a regular public assistance grant; and
(f) the emergency grant being applied for will not replace or
duplicate a public assistance grant already made under section one
hundred thirty-one-a of this chapter.
3. Emergency assistance to needy families with children shall be
provided to the extent of items of need and services set forth in
sections one hundred thirty-one and one hundred thirty-one-a of this
chapter, and items of medical services set forth in section three
hundred sixty-five-a of this chapter, and in amounts set forth in the
regulations of the department for children who are without available
resources, and when such assistance is necessary to avoid destitution or
to provide them with living arrangements in a home, and such destitution
or such need did not arise because such children or relatives refused
without good cause to accept employment or training for employment;
provided, however, that no assistance shall be provided which would
duplicate assistance under sections one hundred thirty-one and one
hundred thirty-one-a of this article for which a person is eligible or
would be eligible but for a sanction for violation of the requirements
of title nine-B of article five of this chapter or other requirement of
state law and provided further that, notwithstanding any inconsistent
provision of this section or section one hundred thirty-one-a of this
article, persons for whom preventive services are being provided under
title four of article six of this chapter or who are living in foster
care or in public, congregate or group facilities, such as residential
facilities for victims of domestic violence, may, pursuant to
regulations of the department within amounts specifically appropriated
therefor and subject to the terms and conditions of such appropriation,
receive assistance hereunder on their behalf for such services or for
care in such facilities in amounts exceeding those set forth in section
one hundred thirty-one-a of this article.
5. In scheduling investigations concerning applications for emergency
assistance pursuant to this section, local social services districts
shall give priority to such applications.
Deserted or abandoned children; special provisions. 1. A
social services official who makes a family assistance allowance for the
benefit of a child who has been abandoned or deserted by a parent shall
promptly give notice thereof to the appropriate district attorney where
there is reason to believe such parent may have violated the provisions
of section 260.00 of the penal law.
2. The social services official providing family assistance allowances
pursuant to the provisions of this title, for the benefit of a child who
has an absent parent, shall have and shall perform the following duties
and powers in addition to others imposed or conferred upon him or her by
or pursuant to other provisions of this chapter or other law:
(a) to take such steps and make such efforts to locate any parent of
such child whose whereabouts are unknown to such official as all
available means will allow; such means shall include, and there shall be
utilization of, appropriate services offered by the department, by
agencies of other states and by the federal government;
(b) to determine the ability and potential ability of the parents of
each such child to support or to contribute to the support of such
child;
(c) to establish cooperative arrangements with the family court,
county attorneys, corporation counsels and other law enforcement
officials, for the location of missing parents of such children and for
the enforcement of their obligations to support or contribute to support
of such children to the extent of their ability;
(d) to provide pertinent information to such court and law
enforcement officials to enable them to assist in locating absent
parents of such children and in securing support payments therefrom,
provided that there is an agreement between such social services
official and such court and such law enforcement officials insuring that
such information will be used only for the purpose intended;
(e) to reimburse, to the extent that state and federal requirements
authorize or require, appropriate courts and law enforcement officials
for activities related to the requirements of this chapter and the
family court act with respect to enforcement of support obligations and
for services they have undertaken on behalf of such official.
3. For purposes of this section, "absent parent" shall mean any
person who is legally responsible for a spouse or child, who is absent
from the household, whether such person's location is known or unknown,
and fails to provide for the support of such spouse or child.
Children born out of wedlock; special provisions. 1. The
social services official providing family assistance allowances,
pursuant to the provisions of this title, for the benefit of children
born out of wedlock, shall have and shall perform the following duties
and powers in addition to others imposed or conferred upon him or her by
or pursuant to other provisions of this chapter or other law:
(a) to ascertain who may be the putative father of such child born
out of wedlock, and take appropriate steps to establish the paternity
thereof in accordance with applicable provisions of law;
(b) to determine the ability and potential ability of the parents of
each such child to support or to contribute to the support of such
child;
(c) to take such steps and make such efforts to locate any such
parent whose whereabouts are unknown to such official as all available
means will allow; such means shall include, and there shall be
utilization of, appropriate services offered by the department, by
agencies of other states and by the federal government;
(d) to establish cooperative arrangements with the family court,
county attorneys, corporation counsels and other law enforcement
officials, for the establishment of paternity and location of missing
parents of such children and for the enforcement of their obligations to
support or contribute to support of such children to the extent of their
ability;
(e) to provide pertinent information to such court and law
enforcement officials to enable them to assist in locating putative
fathers and deserting parents of such children, in establishing
paternity and in securing support payments therefrom, provided that
there is an agreement between such social services official and such
court and such law enforcement officials insuring that such information
will be used only for the purpose intended;
(f) to reimburse, to the extent that state and federal requirements
authorize or require, appropriate courts and law enforcement officials
for activities related to the requirements of this chapter and the
family court act with respect to establishment of paternity and for
services they have undertaken on behalf of such official.
Grant of aid. Upon the completion of an investigation the
proper social services official shall
(a) decide whether the applicant is eligible for and should receive
family assistance, the amount, nature and manner of paying or providing
it and the date on which it shall begin,
(b) notify the applicant of his decision in writing.
Rules, regulations and forms. The department shall 1.
supervise the administration of family assistance,
2. prescribe the form of and print and supply to the public welfare
officials blanks for applications, reports, affidavits and such other
forms as it may deem advisable,
3. make regulations necessary for the carrying out of the provisions
of this title to the end that allowances may be granted and the
provisions of this title administered uniformly throughout the state.
Moneys to be provided by counties and cities; how expended.
1. The legislative body of each social services district shall annually
appropriate to the commissioner of social services such sum as may be
needed for family assistance, and for the administration thereof. When
the assistance for which such social services district is responsible is
administered, pursuant to title three-A of article three, by a social
services official who is not an officer of the social services district
for which the appropriation is made, all or part of the sum appropriated
shall be made available to such other officer and to the municipality of
which he or she is an officer, in the manner, and at such times, as is
required by other provisions of this chapter. The legislative body of
the social services district shall include such sums in the taxes to be
levied for such social services district.
2. Allowances granted for family assistance shall be paid out of
moneys appropriated or otherwise made available to the social services
district.
3. Expenditures for allowances and administrative expenses under this
title shall be a charge upon the county or city public welfare district.
Quarterly estimates. Each social services district shall submit
to the department quarterly estimates of its anticipated expenditures
for family assistance and administrative expenses not less than thirty
days before the first day of each of the quarters beginning on the
first day of the months of July, October, January and April, in such
form and together with such other information as the department may
require.
Federal temporary assistance for needy families block grant.
1. The department shall submit the plan pursuant to title IV-A of the
federal social security act. The state's program under title IV-A shall
be entitled "Family Assistance", and benefits under the state plan with
respect to the temporary assistance for needy families block grant shall
be known as family assistance. The department shall act for the state in
any negotiations relative to the submission and approval of such plan
and make any arrangement which may be necessary to obtain and retain
such approval and to secure for the state the benefits of such federal
act relating to title IV-A. The department shall make such regulations
not inconsistent with law as may be necessary to make such plan conform
to such federal act and any rules and regulations adopted pursuant
thereto. Such regulations may provide for operation of components of
the program relating to refugees by contract with a private agency or
agencies pursuant to section 412(e) of the immigration and nationality
act (8 U.S. Code 1522(e)(7)). Any refugee whose needs are met pursuant
to such a contract who would otherwise be a recipient of family
assistance or safety net assistance shall be regarded for all other
purposes as a recipient of family assistance or of safety net
assistance, respectively. Each social services district shall be
responsible for a share of the state's expenditures for operation of
such a contract which shall be equal to the share of such expenditures
such district would have borne after reimbursement from state and
federal funds in accordance with section one hundred fifty-three of this
article, had the expenditure been made by such district. The department
shall make reports to such federal agency in the form and nature
required by it and comply with any request or direction of such federal
agency which may be necessary to assure the correctness and verification
of such reports.
2. The department of taxation and finance shall accept and receive
any and all grants of money awarded to the state pursuant to title IV-A
of such social security act. All moneys so received shall be deposited
by the department of taxation and finance in a special fund or funds and
shall be used by the state exclusively for temporary assistance for
needy families block grant and the administration thereof as provided in
this chapter; provided, however, that portions of such moneys may be
transferred to the child care and development block grant or the social
services block grant as the legislature may from time to time provide.
Such money shall be paid from such fund or funds on audit and warrant of
the comptroller upon vouchers of or certification by the commissioner.
3. If and for so long as the federal government provides one hundred
percent funding therefor, the department is authorized to operate a
Cuban and Haitian entrant program and a refugee resettlement program
pursuant to title IV of the federal immigration and nationality act,
including provision for refugee cash assistance, refugee medical
assistance, refugee child welfare services, and refugee social services.
The department shall submit the plan for such refugee resettlement
program to the federal department of health and human services and shall
act for the state in any negotiations relative to the submission and
approval of such plan and make any arrangement which may be necessary to
obtain and retain such approval.
4. The department shall make such regulations not inconsistent with
law as may be necessary to make such plan conform to such federal act
and any rules and regulations adopted pursuant thereto. Such regulations
may provide for operation of components of the program directly by the
department, through social services districts on behalf of the
department or, subject to the approval of the director of the budget
upon a demonstration of cost-effectiveness, by contract with a private
agency or agencies and may provide that an eligible recipient shall
receive assistance pursuant to such contract in lieu of family
assistance or safety net assistance.
5. The state program under title IV-A of the social security act shall
permit individuals to accumulate funds in individual development
accounts established pursuant to section four hundred three of the
social security act as trust accounts funded with periodic contributions
of earned income by the individual or of amounts matched by or through a
not-for-profit organization described in section 501(c)(3) of the
Internal Revenue Code and exempt from taxation under section 501(a) of
such Code; provided, however, that neither the state nor social services
districts shall be required to make or match contributions or to
administer any such account.
Dependent children in foster care. (1) Initiation of judicial
proceeding. (a) A social services official who accepts or proposes to
accept the custody and guardianship of a child by means of an instrument
executed pursuant to the provisions of section three hundred eighty-four
of this chapter, or the care and custody of a child as a public charge
by means of an instrument executed pursuant to the provisions of section
three hundred eighty-four-a of this chapter, shall determine whether
such child is likely to remain in the care of such official for a period
in excess of thirty consecutive days. If such official determines that
the child is likely to remain in care for a period in excess of thirty
consecutive days, such official shall petition the family court judge of
the county or city in which the social services official has his or her
office, to approve such instrument upon a determination that the
placement of the child is in the best interest of the child, that it
would be contrary to the welfare of the child to continue in his or her
own home and, that where appropriate, reasonable efforts were made prior
to the placement of the child into foster care to prevent or eliminate
the need for removal of the child from his or her home and that prior to
the initiation of the court proceeding required to be held by this
subdivision, reasonable efforts were made to make it possible for the
child to return safely home. In the case of a child whose care and
custody have been transferred to a social services official by means of
an instrument executed pursuant to the provisions of section three
hundred eighty-four-a of this chapter, approval of the instrument shall
only be made upon an additional determination that all of the
requirements of such section have been satisfied.
* (b) The social services official shall initiate the proceeding by
filing the petition as soon as practicable, but in no event later than
thirty days following removal of the child from the home provided,
however, that the court shall receive, hear and determine petitions
filed later than thirty days following removal of the child from his or
her home, but state reimbursement shall not be available to the social
services district for care and maintenance provided to such child. The
social services official shall diligently pursue such proceeding. Where
the care and custody of a child as a public charge has been transferred
to a social services official by means of an instrument executed
pursuant to the provisions of section three hundred eighty-four-a of
this chapter for a period of thirty days or less for an indeterminate
period which such official deems unlikely to exceed thirty days, and
thereafter such official determines that such child will remain in his
or her care and custody for a period in excess of thirty days, such
official shall, as soon as practicable but in no event later than thirty
days following such determination, execute with the child's parent,
parents or guardian a new instrument pursuant to the provision of
section three hundred eighty-four or three hundred eighty-four-a of this
chapter and shall file a petition in family court, pursuant to this
section, for approval of such instrument. In such cases involving a
social services official, expenditures for the care and maintenance of
such child from the date of the initial transfer of his care and custody
to the social services official shall be subject to state reimbursement.
* NB Effective until June 30, 2027
* (b) The social services official shall initiate the proceeding by
filing the petition as soon as practicable, but in no event later than
thirty days following removal of the child from the home provided,
however, that the court shall receive, hear and determine petitions
filed later than thirty days following removal of the child from his or
her home, but state reimbursement to the social services district for
care and maintenance provided to such child shall be denied pursuant to
section one hundred fifty-three-d of this chapter. The social services
official shall diligently pursue such proceeding. Where the care and
custody of a child as a public charge has been transferred to a social
services official by means of an instrument executed pursuant to the
provisions of section three hundred eighty-four-a of this chapter for a
period of thirty days or less for an indeterminate period which such
official deems unlikely to exceed thirty days, and thereafter such
official determines that such child will remain in his or her care and
custody for a period in excess of thirty days, such official shall, as
soon as practicable but in no event later than thirty days following
such determination, execute with the child's parent, parents or guardian
a new instrument pursuant to the provision of section three hundred
eighty-four or three hundred eighty-four-a of this chapter and shall
file a petition in family court, pursuant to this section, for approval
of such instrument. In such cases involving a social services official,
expenditures for the care and maintenance of such child from the date of
the initial transfer of his care and custody to the social services
official shall be subject to state reimbursement, notwithstanding the
provisions of section one hundred fifty-three-d of this chapter.
* NB Effective June 30, 2027
(2) Contents of petition. (a) Any petition required or authorized
pursuant to subdivision one of this section shall allege whether the
parent, parents or guardian executed the instrument because the parent,
parents or guardian would be unable to make adequate provision for the
care, maintenance and supervision of such child in his or their own
home, and shall include facts supporting the petition. The petition
shall contain a notice in conspicuous print providing that if the child
remains in foster care for fifteen of the most recent twenty-two months,
the agency may be required by law to file a petition to terminate
parental rights. The petition shall also set forth the names and last
known addresses of all persons required to be given notice of the
proceeding, pursuant to this section and section three hundred
eighty-four-c of this chapter, and there shall be shown by the petition
or by affidavit or other proof satisfactory to the court that there are
no persons other than those set forth in the petition who are entitled
to notice pursuant to the provisions of this section or of section three
hundred eighty-four-c of this chapter. The petition shall also set forth
the efforts which were made, prior to the placement of the child into
foster care, to prevent or eliminate the need for removal of the child
from his or her home and the efforts which were made prior to the filing
of the petition to make it possible for the child to return safely home.
If such efforts were not made, the petition shall set forth the reasons
why these efforts were not made. The petition shall request that,
pending any hearing which may be required by the family court judge, a
temporary order be made transferring the care and custody of the child
to the social services official in accordance with the provisions of
subdivision three of this section. In the case of a child whose care and
custody have been transferred to a social services official by means of
an instrument executed pursuant to section three hundred eighty-four-a
of this chapter, the petition shall also allege and there shall be shown
by affidavit or other proof satisfactory to the court that all the
requirements of such section have been satisfied, including the results
of the investigation to locate relatives of the child, including any
non-respondent parent and all of the child's grandparents. Such results
shall include whether any relative who has been located expressed an
interest in becoming a foster parent for the child or in seeking custody
or care of the child.
(b) The social services official who initiated the proceeding shall
file supplemental information with the clerk of the court not later than
ten days prior to the date on which the proceeding is first heard by the
court. Such information shall include relevant portions, as determined
by the department, of the assessment of the child and his family
circumstances performed and maintained, and the family's service plan if
available, pursuant to sections four hundred nine-e and four hundred
nine-f of this chapter. Copies of such supplemental information need not
be served upon those persons entitled to notice of the proceeding and a
copy of the petition pursuant to subdivision four of this section.
(2-a) Continuing jurisdiction. (a) The court shall possess continuing
jurisdiction over the parties until the child is discharged from
placement and all orders regarding supervision, protection or services
have expired.
(b) The court, upon approving an instrument under this section, shall
schedule a permanency hearing pursuant to article ten-A of the family
court act for a date certain not more than eight months after the
placement of the child into foster care. Such date certain shall be
included in the order approving the instrument.
(c) (i) Subject to the provisions of subparagraph (ii) of this
paragraph, the court shall also maintain jurisdiction over a case for
the purposes of hearing and deciding a motion brought by a former foster
care youth, as defined in article ten-B of the family court act, or by a
young adult who left foster care upon or after attaining the age of
twenty-one, for contempt pursuant to section seven hundred fifty-three
of the judiciary law against a social services district and/or social
services official, as defined by section two of this chapter. In
addition to any other defense, it shall be an affirmative defense to a
motion filed in accordance with this paragraph that compliance with the
court order was not possible due solely to the youth's refusal to
consent to continuation of foster care placement where such refusal is
documented in a signed, notarized letter executed by the youth after
consultation with their attorney for the child.
(ii) The court shall maintain jurisdiction over a motion described in
subparagraph (i) of this paragraph if such motion is filed before the
former foster care youth or young adult attains the age of twenty-three.
The court's jurisdiction over any such motion shall continue until such
motion and any related appeals are finally resolved.
(iii) If the youth is eligible to return to foster care pursuant to
the provisions of article ten-B of the family court act, upon the
consent of the youth, the court may convert a motion brought under this
paragraph to a motion to return the youth to foster care.
(3) Disposition of petition. (a) If the court is satisfied that the
parent, parents or guardian executed such instrument knowingly and
voluntarily and because he or she would be unable to make adequate
provision for the care, maintenance and supervision of such child in his
or her home, and that the requirements of section three hundred
eighty-four-a of this chapter, if applicable, have been satisfied and
that where appropriate, reasonable efforts were made prior to the
placement of the child into foster care to prevent or eliminate the need
for removal of the child from his or her home and that prior to the
initiation of the court proceeding required to be held by subdivision
one of this section, reasonable efforts were made to make it possible
for the child to return safely to his or her home, the court may find
and determine that the best interests and welfare of the child would be
promoted by removal of the child from such home, and that it would be
contrary to the welfare of such child for the child to continue in such
home, and the court shall thereupon grant the petition and approve such
instrument and the transfer of the custody and guardianship or care and
custody of such child to such social services official in accordance
therewith. If the court determines that, where appropriate, reasonable
efforts were made prior to the placement of the child into foster care
to prevent or eliminate the need for removal of the child from his or
her home, that prior to the initiation of the court proceeding
reasonable efforts were made to make it possible for the child to return
safely to his or her home, or that it would be contrary to the best
interests of the child to continue in the home, or that reasonable
efforts to prevent or eliminate the need for removal of the child from
the home were not made but that the lack of such efforts was appropriate
under the circumstances, the court order shall include such findings.
Approval of such instrument in a proceeding pursuant to this section
shall not constitute a remand or commitment pursuant to this chapter and
shall not preclude challenge in any other proceeding to the validity of
the instrument. If the permanency plan for the child is adoption,
guardianship, permanent placement with a fit and willing relative or
another planned permanent living arrangement other than reunification
with the parent or parents of the child, the court must consider and
determine in its order whether reasonable efforts are being made to make
and finalize such alternate permanent placement.
(b) For the purpose of this section, reasonable efforts to prevent or
eliminate the need for removing the child from the home of the child or
to make it possible for the child to return safely to the home of the
child shall not be required where the court determines that:
(1) the parent of such child has subjected the child to aggravated
circumstances, as defined in subdivision twelve of this section;
(2) the parent of such child has been convicted of (i) murder in the
first degree as defined in section 125.27 or murder in the second degree
as defined in section 125.25 of the penal law and the victim was another
child of the parent; or (ii) manslaughter in the first degree as defined
in section 125.20 or manslaughter in the second degree as defined in
section 125.15 of the penal law and the victim was another child of the
parent, provided, however, that the parent must have acted voluntarily
in committing such crime;
(3) the parent of such child has been convicted of an attempt to
commit any of the foregoing crimes, and the victim or intended victim
was the child or another child of the parent; or has been convicted of
criminal solicitation as defined in article one hundred, conspiracy as
defined in article one hundred five or criminal facilitation as defined
in article one hundred fifteen of the penal law for conspiring,
soliciting or facilitating any of the foregoing crimes, and the victim
or intended victim was the child or another child of the parent;
(4) the parent of such child has been convicted of assault in the
second degree as defined in section 120.05, assault in the first degree
as defined in section 120.10 or aggravated assault upon a person less
than eleven years old as defined in section 120.12 of the penal law, and
the commission of one of the foregoing crimes resulted in serious
physical injury to the child or another child of the parent;
(5) the parent of such child has been convicted in any other
jurisdiction of an offense which includes all of the essential elements
of any crime specified in subparagraph two, three or four of this
paragraph, and the victim of such offense was the child or another child
of the parent; or
(6) the parental rights of the parent to a sibling of such child have
been involuntarily terminated;
unless the court determines that providing reasonable efforts would be
in the best interests of the child, not contrary to the health and
safety of the child, and would likely result in the reunification of the
parent and the child in the foreseeable future. The court shall state
such findings in its order.
If the court determines that reasonable efforts are not required
because of one of the grounds set forth above, a permanency hearing
shall be held within thirty days of the finding of the court that such
efforts are not required. Such hearing shall be conducted pursuant to
section one thousand eighty-nine of the family court act. The local
social services official shall thereafter make reasonable efforts to
place the child in a timely manner and to complete whatever steps are
necessary to finalize the permanent placement of the child as set forth
in the permanency plan approved by the court. If reasonable efforts are
determined by the court not to be required because of one of the grounds
set forth in this paragraph, the local social services official may file
a petition for termination of parental rights of the parent in
accordance with section three hundred eighty-four-b of this chapter.
(c) For the purpose of this section, in determining reasonable efforts
to be made with respect to a child, and in making such reasonable
efforts, the child's health and safety shall be the paramount concern.
(d) For the purpose of this section, a sibling shall include a
half-sibling.
(e) The order granting the petition of a social services official and
approving an instrument executed pursuant to section three hundred
eighty-four-a of this chapter may include conditions, where appropriate
and specified by the judge, requiring the implementation of a specific
plan of action by the social services official to exercise diligent
efforts toward the discharge of the child from care, either to his own
family or to an adoptive home; provided, however, that such plan shall
not include the provision of any service or assistance to the child and
his or her family which is not authorized or required to be made
available pursuant to the comprehensive annual services program plan
then in effect. An order of placement shall include, at the least:
(i) a description of the visitation plan;
(ii) a direction that the respondent or respondents shall be notified
of the planning conference or conferences to be held pursuant to
subdivision three of section four hundred nine-e of this chapter, of
their right to attend the conference, and of their right to have counsel
or other representative or companion with them;
A copy of the court's order and the service plan shall be given to the
respondent. The order shall also contain a notice that if the child
remains in foster care for more than fifteen of the most recent
twenty-two months, the agency may be required by law to file a petition
to terminate parental rights.
Nothing in such order shall preclude either party to the instrument
from exercising its rights under this section or under any other
provision of law relating to the return of the care and custody of the
child by the social services official to the parent, parents or
guardian. Violation of such on order shall be subject to punishment
pursuant to section seven hundred fifty-three of the judiciary law.
(f) For a child who has attained the age of fourteen, if the court
grants the petition and approves an instrument executed pursuant to
section three hundred eighty-four or three hundred eighty-four-a of this
chapter and the transfer of custody and guardianship or care and custody
of the child to a local social services official the court shall
determine in its order the services and assistance needed to assist the
child in learning independent living skills.
(g) (i) In any case in which an order has been issued pursuant to this
section approving a foster care placement instrument, the social
services official or authorized agency charged with custody or care of
the child shall report the initial placement and any anticipated change
in placement to the court and the attorneys for the parties, including
the attorney for the child, forthwith, but not later than one business
day following either the decision to make the initial placement or to
change the placement or the actual date the initial placement or
placement change occurred, whichever is sooner. Such notice shall
indicate the date that the placement change is anticipated to occur or
the date the placement change occurred, as applicable. Provided,
however, if such notice lists an anticipated date for the initial
placement or placement change, the local social services district or
authorized agency shall subsequently notify the court and attorneys for
the parties, including the attorney for the child, of the date the
placement or placement change occurred; such notice shall occur no later
than one business day following the placement or placement change.
(ii) When a child whose legal custody was transferred to the
commissioner of a local social services district in accordance with this
section resides in a qualified residential treatment program, as defined
in section four hundred nine-h of this chapter, and where such child's
initial placement or change in placement in such program commenced on or
after September twenty-ninth, two thousand twenty-one, upon receipt of
notice required pursuant to subparagraph (i) of this paragraph and
motion of the local social services district, the court shall schedule a
court review to make an assessment and determination of such placement
in accordance with section three hundred ninety-three of this chapter.
Notwithstanding any other provision of law to the contrary, such court
review shall occur no later than sixty days from the date the placement
of the child in the qualified residential treatment program commenced.
(4) Notice. (a) Upon the filing of a petition pursuant to this
section, the family court judge shall direct that service of a notice of
the proceeding and a copy of the petition shall be made upon such
persons and in such manner as the judge may direct. If the instrument
executed by the parent, parents or guardian of a child consents to the
jurisdiction of the family court over such proceeding, and waives
service of the petition and notice of proceeding, then the family court
judge may, in his discretion, dispense with service upon the consenting
parent, parents or guardian, provided, however, that a waiver of service
of process and notice of the proceeding by a parent or guardian who has
transferred the care and custody of a child to an authorized agency,
pursuant to section three hundred eighty-four-a of this chapter, shall
be null and void and shall not be given effect by the court. Notice to
any parent, parents or guardian who has not executed the instrument
shall be required.
(b) In the event the family court judge determines that service by
publication is necessary and orders service by publication, service
shall be made in accordance with the provisions of rule three hundred
sixteen of the civil practice law and rules, provided, however, that a
single publication of the summons or other process with a notice as
specified herein in only one newspaper designated in the order shall be
sufficient. In no event shall the whole petition be published. The
petition shall be delivered to the person summoned at the first court
appearance pursuant to section one hundred fifty-four-a of the family
court act. The notice to be published with the summons or other process
shall state the date, time, place and purpose of the proceeding.
(i) If the petition is initiated to transfer custody and guardianship
of a child by an instrument executed pursuant to the provisions of
section three hundred eighty-four of this chapter, the notice to be
published shall also state that failure to appear may result, without
further notice, in the transfer of custody and guardianship of the child
to a social services official in this proceeding.
(ii) If the petition is initiated to transfer care and custody of a
child by an instrument executed pursuant to the provisions of section
three hundred eighty-four-a of this chapter, the notice to be published
shall also state that failure to appear may result, without further
notice, in the transfer of care and custody of the child to a social
services official in this proceeding.
(5) Hearing and waiver. The instrument may include a consent by the
parent, parents or guardian to waiver of any hearing and that a
determination may be made by the family court judge based solely upon
the petition, and other papers and affidavits, if any, submitted to the
family court judge, provided, however, that a waiver of hearing by a
parent or guardian who has transferred the care and custody of a child
to an authorized agency, pursuant to section three hundred eighty-four-a
of this chapter, shall be effective only if such waiver was executed in
an instrument separate from that transferring the child's care and
custody. In any case where an effective waiver has been executed, the
family court judge may dispense with a hearing, approve the instrument
and the transfer of the custody and guardianship or care and custody of
the child to the social services official and make the requisite
findings and determinations provided for in subdivision three of this
section, if it appears to the satisfaction of the family court judge
that the allegations in the petition are established sufficiently to
warrant the family court judge to grant such petition, to make such
findings and determination, and to issue such order.
In any case where a hearing is required, the family court judge, if
the holding of an immediate hearing on notice is impractical, may
forthwith, upon the basis of the instrument and the allegations of the
petition, make a temporary finding that the parent, parents, or guardian
of the child are unable to make adequate provision for the care,
maintenance and supervision of such child in the child's own home and
that the best interest and welfare of the child will be promoted by the
removal of such child from such home and thereupon, the family court
judge shall make a temporary order transferring the care and custody of
such child to the social services official, and shall set the matter
down for hearing on the first feasible date.
(6) Representation. In any case where a hearing is directed by the
family court judge, he or she shall, pursuant to section two hundred
forty-nine of the family court act, appoint an attorney to represent the
child, who shall be admitted to practice law in the state of New York.
(7) Return of child. If an instrument provides for the return of the
care and custody of a child by the local social services official to the
parent, parents or guardian upon any terms and conditions or at any
time, the local social services official shall comply with such terms of
such instrument without further court order. Every order approving an
instrument providing for the transfer of the care and custody of a child
to a local social services official shall be served upon the parent,
parents or guardian who executed such instrument in such manner as the
family court judge may provide in such order, together with a notice of
the terms and conditions under which the care and custody of such child
may be returned to the parent, parents or guardian. If an instrument
provides for the return of the care and custody of a child by the local
social services official to the parent, parents or guardian without
fixing a definite date for such return, or if the local social services
official shall fail to return a child to the care and custody of the
child's parent, parents or guardian in accordance with the terms of the
instrument, the parent, parents or guardian may seek such care and
custody by motion for return of such child and order to show cause in
such proceeding or by writ of habeas corpus in the supreme court.
Nothing in this subdivision shall limit the requirement for a permanency
hearing pursuant to article ten-A of the family court act.
(8) Appealable orders. Any order of a family court denying any
petition of a local social services official filed pursuant to this
section, or any order of a family court granting or denying any motion
filed by a parent, parents or guardian for return of a child pursuant to
this section, shall be deemed an order of disposition appealable
pursuant to article eleven of the family court act.
(9) Duty of social services official. In the event that a family court
judge denies a petition of a social services official for approval of an
instrument, upon a finding that the welfare of the child would not be
promoted by foster care, such social services official shall not accept
or retain the care and custody as a public charge or custody and
guardianship of such child, provided, however, that the denial by a
family court judge of a petition of a social services official filed
pursuant to this section shall not limit or affect the duty of such
social services official to take such other action or offer such
services as are authorized by law to promote the welfare and best
interests of the child.
(10) Visitation rights; non-custodial parents and grandparents. (a)
Where a social services official incorporates in an instrument
visitation rights set forth in an order, judgment or agreement as
described in paragraph (d) of subdivision two of section three hundred
eighty-four-a of this chapter, such official shall make inquiry of the
state central register of child abuse and maltreatment to determine
whether or not the person having such visitation rights is a subject or
another person named in an indicated report of child abuse or
maltreatment, as such terms are defined in section four hundred twelve
of this chapter, and shall further ascertain, to the extent practicable,
whether or not such person is a respondent in a proceeding under article
ten of the family court act whereby the respondent has been alleged or
adjudicated to have abused or neglected such child.
(b) Where a social services official or the attorney for the child
opposes incorporation of an order, judgment or agreement conferring
visitation rights as provided for in paragraph (e) of subdivision two of
section three hundred eighty-four-a of this chapter, the social services
official or attorney for the child shall apply for an order determining
that the provisions of such order, judgment or agreement should not be
incorporated into the instrument executed pursuant to such section. Such
order shall be granted upon a finding, based on competent, relevant and
material evidence, that the child's life or health would be endangered
by incorporation and enforcement of visitation rights as described in
such order, judgment or agreement. Otherwise, the court shall deny such
application.
(c) Where visitation rights pursuant to an order, judgment or
agreement are incorporated in an instrument, the parties may agree to an
alternative schedule of visitation equivalent to and consistent with the
original or modified visitation order, judgment, or agreement where such
alternative schedule reflects changed circumstances of the parties and
is consistent with the best interests of the child. In the absence of
such an agreement between the parties, the court may, in its discretion,
upon application of any party or the child's attorney, order an
alternative schedule of visitation, as described herein, where it
determines that such schedule is necessary to facilitate visitation and
to protect the best interests of the child.
(d) The order providing an alternative schedule of visitation shall
remain in effect for the length of the placement of the child as
provided for in such instrument unless such order is subsequently
modified by the court for good cause shown. Whenever the court makes an
order denying or modifying visitation rights pursuant to this
subdivision, the instrument described in section three hundred
eighty-four-a of this chapter shall be deemed amended accordingly.
(11) Siblings, placement and visitation. (a) In reviewing any petition
brought under this section, the court shall inquire if the social
services official has arranged for the placement of the child who is the
subject of the petition with any minor siblings or half-siblings who are
placed in care or, if such children have not been placed together,
whether such official has arranged for regular visitation and other
forms of regular communication between such child and such siblings.
(b) If the court determines that the subject child has not been placed
with his or her minor siblings or half-siblings who are in care, or that
regular visitation and other forms of regular communication between the
subject child and his or her minor siblings or half-siblings has not
been provided or arranged for, the court may direct such official to
provide or arrange for such placement or regular visitation and
communication where the court finds that such placement or visitation
and communication is in the child's and his or her siblings' or
half-siblings' best interests. Placement or regular visitation and
communication with siblings or half-siblings shall be presumptively in
the child's and his or her siblings' or half-siblings' best interests
unless such placement or visitation and communication would be contrary
to the child's or his or her siblings' or half-siblings' health, safety
or welfare, or the lack of geographic proximity precludes or prevents
visitation.
(c) If a child placed in foster care pursuant to this section is not
placed together or afforded regular communication with his or her
siblings, the child, through his or her attorney or through a parent on
his or her behalf, may move for an order regarding placement or
communication. The motion shall be served upon: (i) the parent or
parents in the proceeding under this section; (ii) the local social
services official having the care of the child; (iii) other persons
having care, custody and control of the child, if any; (iv) the parents
or other persons having care, custody and control of the siblings to be
visited or with whom contact is sought; (v) such sibling himself or
herself if ten years of age or older; and (vi) such sibling's attorney,
if any. Upon receipt of a motion filed under this paragraph the court
shall determine, after giving notice and an opportunity to be heard to
the persons served, whether visitation and contact would be in the best
interests of the child and his or her siblings. The court may order that
the child be placed together with or have regular communication with his
or her siblings if the court determines it to be in the best interests
of the child and his or her siblings.
(d) For purposes of this section, "siblings" shall include
half-siblings and those who would be deemed siblings or half-siblings
but for the surrender, termination of parental rights or death of a
parent.
(12) For the purposes of this section, aggravated circumstances means
where a child has been either severely or repeatedly abused, as defined
in subdivision eight of section three hundred eighty-four-b of this
chapter; or where a child has subsequently been found to be an abused
child, as defined in paragraph (i) or (iii) of subdivision (e) of
section one thousand twelve of the family court act, within five years
after return home following placement in foster care as a result of
being found to be a neglected child, as defined in subdivision (f) of
section one thousand twelve of the family court act, provided that the
respondent or respondents in each of the foregoing proceedings was the
same; or where the court finds by clear and convincing evidence that the
parent of a child in foster care has refused and has failed completely,
over a period of at least six months from the date of removal, to engage
in services necessary to eliminate the risk of abuse or neglect if
returned to the parent, and has failed to secure services on his or her
own or otherwise adequately prepare for the return home and, after being
informed by the court that such an admission could eliminate the
requirement that the local department of social services provide
reunification services to the parent, the parent has stated in court
under oath that he or she intends to continue to refuse such necessary
services and is unwilling to secure such services independently or
otherwise prepare for the child's return home; provided, however, that
if the court finds that adequate justification exists for the failure to
engage in or secure such services, including but not limited to a lack
of child care, a lack of transportation, and an inability to attend
services that conflict with the parent's work schedule, such failure
shall not constitute an aggravated circumstance; or where a court has
determined a child five days old or younger was abandoned by a parent
with an intent to wholly abandon such child and with the intent that the
child be safe from physical injury and cared for in an appropriate
manner.
* § 358-b. Limitations on state reimbursement for foster care. In the
event that a petition for approval of an instrument and the transfer of
the custody and guardianship or care and custody of a child is filed
within thirty days following removal of the child from his home and
diligently pursued pursuant to section three hundred fifty-eight-a of
this title, state reimbursement shall not be denied for expenditures
made by a social services district for the care and maintenance of such
a child away from his home prior to denial of such petition by a family
court judge solely by reason of such denial.
* NB Effective until June 30, 2027
* § 358-b. Limitations on state reimbursement for foster care. In the
event that a petition for approval of an instrument and the transfer of
the custody and guardianship or care and custody of a child is filed
within thirty days following removal of the child from his home and
diligently pursued pursuant to section three hundred fifty-eight-a of
this chapter, state reimbursement shall not be denied pursuant to
section one hundred fifty-three-d of this chapter, for expenditures made
by a social services district for the care and maintenance of such a
child away from his home prior to denial of such petition by a family
court judge solely by reason of such denial.
* NB Effective June 30, 2027
Rules of court. The administrative board of the judicial
conference shall prepare, by August first, nineteen hundred
seventy-three, rules of court for the efficient and just administration
of the judicial proceedings authorized by section three hundred
fifty-eight-a of this chapter and such rules may be amended by the
administrative board from time to time. The state administrator shall
prescribe forms for petitions, notices and orders authorized by section
three hundred fifty-eight-a, and may authorize courts determining such
proceedings to submit information to the department in a manner and at
such times as the administrative board may prescribe. Nothing in this
section shall be construed to limit the authority of the state board of
social welfare.
Real property of legally responsible relatives. The ownership
of real property by an applicant or applicants, recipient or recipients
who is or are legally responsible relatives of the child or children for
whose benefit the application is made or the aid is granted, whether
such ownership be individual or joint as tenants in common, tenants by
the entirety or joint tenants, shall not preclude the granting of family
assistance or the continuance thereof if he or they are without the
necessary funds to maintain himself, herself or themselves and such
child or children.
TITLE 11 Medical Assistance For Needy Persons
Declaration of objects. Medical assistance for needy persons
is hereby declared to be a matter of public concern and a necessity in
promoting the public health and welfare and for promoting the state's
goal of making available to everyone, regardless of race, age, national
origin or economic standing, uniform, high-quality medical care. In
furtherance of such goal, a comprehensive program of medical assistance
for needy persons is hereby established to operate in a manner which
will assure a uniform high standard of medical assistance throughout the
state. In carrying out this program every effort shall be made to
promote maximum public awareness of the availability of, and procedure
for obtaining, such assistance, and to facilitate the application for,
and the provision of such medical assistance.
Federal aid; state plan. 1. The department of health shall
submit and maintain a plan for medical assistance, as required by title
XIX, or any successor title, of the federal social security act, to the
federal department of health and human services for approval pursuant to
the provisions of such law and shall act as the single state agency to
supervise the administration of the plan in this state. The department
of health shall act for the state in any negotiations relative to the
submission and approval of such plan and any amendments thereto and it
may make such arrangements, not inconsistent with law, as may be
required by or pursuant to federal law to obtain and retain such
approval and to secure for the state the benefits of the provisions of
such law.
2. The department of health shall make such regulations, not
inconsistent with law, as may be necessary to implement this title.
3. The department of health shall make reports to the federal
department of health and human services as from time to time may be
required by such federal department.
4. The department of taxation and finance shall accept and receive any
and all grants of money awarded to the state under title XIX, or any
successor title, of the federal social security act. All moneys so
received shall be deposited by the department of taxation and finance in
a special fund or funds and shall be used by the state exclusively for
medical assistance and the administration thereof under the provisions
of this title. Such moneys shall be paid from such fund or funds on
audit and warrant of the comptroller on vouchers of or certification by
the department of health.
Agreements for federal determination of eligibility of aged,
blind and disabled persons for medical assistance. 1. In order to
avoid costly, duplicative administrative responsibility, the department
on behalf of the state may, with the approval of the director of the
budget, enter into an agreement with the secretary of health, education
and welfare for the secretary to determine eligibility, commencing on or
after the first day of January nineteen hundred seventy-four, for
medical assistance in the case of aged, blind or disabled persons,
pursuant to the provisions of the social security act authorizing such
agreements and subject to the requirements of this title. Such
agreement shall include provision for payments of one-half the cost of
such services to be made to such secretary.
2. Payments required to be made by the department to the secretary of
health, education and welfare for his services under such agreement
shall be borne by and shared equally between the social services
districts to which such payments are attributable and the state for any
period commencing on or after the first day of January nineteen hundred
seventy-four.
Medicaid management. 1. The commissioner of the department
periodically shall convene, but not less than quarterly and no more than
monthly, meetings of the directors and commissioners of all state
agencies and departments receiving general fund appropriations for the
purpose of state matching funds for medicaid services and appropriate
representation of local departments of social services. The purpose of
these meetings is to identify, without limitation:
(a) methods to contain the growth of medicaid spending;
(b) methods to improve the quality of and recipient satisfaction with
medicaid state agency and department services;
(c) opportunities for consolidation and methods to improve the
efficiency and effectiveness of existing service delivery;
(d) opportunities for education and prevention; and
(e) the collective priority of critical needs for the medicaid
population.
2. The department annually shall compile the results of these meetings
and provide them to the governor, the senate finance committee, the
assembly ways and means committee, the senate health committee, the
assembly health committee, the senate social services, children and
families committee, and the assembly social services committee.
3. By December thirty-first of each year, the department shall submit
to the governor, the senate finance committee, the assembly ways and
means committee, the senate health committee, the assembly health
committee, the senate social services, children and families committee,
and the assembly social services committee medicaid expenditures made to
other state agencies in the preceding state fiscal year. The report
shall include, but is not limited to:
(a) amounts paid to each agency according to category of service; and
(b) rates paid to each state agency and the associated methodology
used in developing those rates.
4. Notwithstanding any laws or regulations to the contrary, all social
services districts, providers and other recipients of medical assistance
program funds shall make available to the commissioner or the director
of the division of budget in a prompt fashion all fiscal and statistical
records and reports, other contemporaneous records demonstrating their
right to receive payment, and all underlying books, records,
documentation and reports, which may be requested by the commissioner or
the director of the division of the budget as may be determined
necessary to manage and oversee the Medicaid program provided however,
any personally identifying information obtained pursuant to this
subdivision shall remain confidential and shall be used solely for the
purposes of this subdivision.
Provider compliance program. 1. The legislature finds that
medical assistance providers may be able to detect and correct payment
and billing mistakes and fraud if required to develop and implement
compliance programs. It is the purpose of such programs to organize
provider resources to resolve payment discrepancies and detect
inaccurate billings, among other things, as quickly and efficiently as
possible, and to impose systemic checks and balances to prevent future
recurrences. The legislature accordingly declares that it is in the
public interest that providers within the medical assistance program
implement compliance programs. The legislature also recognizes the wide
variety of provider types in the medical assistance program and the need
for compliance programs that reflect a provider's size, complexity,
resources, and culture. For a compliance program to be effective, it
must be designed to be compatible with the provider's characteristics.
At the same time, however, the legislature determines that there are key
components that must be included in every compliance program and such
components should be required if a provider is to be a medical
assistance program participant. Accordingly, the provisions of this
section require providers to adopt effective compliance program
elements, and make each provider responsible for implementing such a
program appropriate to its characteristics.
2. Every provider of medical assistance program items and services
that is subject to subdivision four of this section shall adopt and
implement a compliance program. The office of Medicaid inspector general
shall create and make available on its website guidelines, which may
include a model compliance program, that reflect the requirements of
this section. Such compliance programs shall meet the requirements
included in this subdivision as a condition of payment from the medical
assistance program. The compliance program required pursuant to this
section may be a component of more comprehensive compliance activities
by the medical assistance provider so long as the requirements of this
section are met. Every provider shall adopt and implement an effective
compliance program, which shall include measures that prevent, detect,
and correct non-compliance with medical assistance program requirements
as well as measures that prevent, detect, and correct fraud, waste, and
abuse. The compliance program shall include the following requirements:
(a) Written policies, procedures, and standards of conduct that:
(1) articulate the organization's commitment to comply with all
applicable federal and state standards;
(2) describe compliance expectations as embodied in the standards of
conduct;
(3) implement the operation of the compliance program;
(4) provide guidance to employees and others on dealing with potential
compliance issues;
(5) identify how to communicate compliance issues to appropriate
compliance personnel;
(6) describe how potential compliance issues are investigated and
resolved by the organization;
(7) include a policy of non-intimidation and non-retaliation for good
faith participation in the compliance program, including but not limited
to reporting potential issues, investigating issues, conducting
self-evaluations, audits and remedial actions, and reporting to
appropriate officials; and
(8) all requirements listed under 42 U.S.C.1396-a(a)(68).
(b) Designation of a compliance officer and a compliance committee who
report directly and are accountable to the organization's chief
executive or other senior management.
(c)(1) Each provider shall establish and implement effective training
and education for its compliance officer and organization employees, the
chief executive and other senior administrators, managers and governing
body members.
(2) Such training and education shall occur at a minimum annually and
shall be made a part of the orientation for a new employee and new
appointment of a chief executive, manager, or governing body member.
(d) Establishment and implementation of effective lines of
communication, ensuring confidentiality, between the compliance officer,
members of the compliance committee, the organization's employees,
managers and governing body, and the organizations first tier,
downstream, and related entities. Such lines of communication shall be
accessible to all and allow compliance issues to be reported including a
method for anonymous and confidential good faith reporting of potential
compliance issues as they are identified.
(e) Well-publicized disciplinary standards through the implementation
of procedures which encourage good faith participation in the compliance
program by all affected individuals.
(f) Establishment and implementation of an effective system for
routine monitoring and identification of compliance risks. The system
should include internal monitoring and audits and, as appropriate,
external audits, to evaluate the organization's compliance with the
medical assistance program requirements and the overall effectiveness of
the compliance program.
(g) Establishment and implementation of procedures and a system for
promptly responding to compliance issues as they are raised,
investigating potential compliance problems as identified in the course
of self-evaluations and audits, correcting such problems promptly and
thoroughly to reduce the potential for recurrence, and ensure ongoing
compliance with the medical assistance programs requirements.
3. Upon enrollment in the medical assistance program, a provider shall
certify to the department that the provider satisfactorily meets the
requirements of this section. Additionally, the commissioner of health
and Medicaid inspector general shall have the authority to determine at
any time if a provider has a compliance program that satisfactorily
meets the requirements of this section.
(a) A compliance program that is accepted by the federal department of
health and human services office of inspector general and remains in
compliance with the standards promulgated by such office shall be deemed
in compliance with the provisions of this section, so long as such plans
adequately address medical assistance program risk areas and compliance
issues.
(b) A compliance program that meets Federal requirements for managed
care provider compliance programs, as specified in the contract or
contracts between the department and the Medicaid managed care provider
shall be deemed in compliance with the provisions in this section, so
long as such programs adequately address medical assistance program risk
areas and compliance issues. For purposes of this section, a managed
care provider is as defined in paragraph (c) of subdivision one of
section three hundred sixty-four-j of this chapter, and includes managed
long term care plans.
(c) In the event that the commissioner of health or the Medicaid
inspector general finds that the provider does not have a satisfactory
program within ninety days after the effective date of the regulations
issued pursuant to subdivision four of this section, the provider may be
subject to any sanctions or penalties permitted by federal or state laws
and regulations, including revocation of the provider's agreement to
participate in the medical assistance program.
(d)(1) In the first instance of the Medicaid inspector general's
determination that the provider, including a Medicaid managed care
provider, that has failed to adopt and implement a compliance program
which satisfactorily meets the requirements of this section, the
Medicaid inspector general may impose a monetary penalty of five
thousand dollars per calendar month, for a maximum of twelve calendar
months against a provider, including Medicaid managed care providers.
(2) The Medicaid inspector general may impose a monetary penalty of up
to ten thousand dollars per calendar month, for a maximum of twelve
calendar months against a provider, including a Medicaid managed care
provider, that has failed to adopt and implement a compliance program
which satisfactorily meets the requirements of this section, if a
penalty was previously imposed under subparagraph one of this paragraph
within the previous five years.
(e) A provider, including a Medicaid managed care provider, against
whom a monetary penalty is imposed pursuant to paragraph (d) of this
subdivision shall be entitled to notice and an opportunity to be heard,
including the right to request a hearing pursuant to section twenty-two
of this chapter.
4. Providers that shall be subject to the provisions of this section
include, but are not limited to:
(a) those subject to the provisions of articles twenty-eight and
thirty-six of the public health law;
(b) those subject to the provisions of articles sixteen and thirty-one
of the mental hygiene law;
(c) notwithstanding the provisions of section forty-four hundred
fourteen of the public health law, managed care providers, as defined in
section three hundred sixty-four-j of this title and includes managed
long-term care plans; and
(d) other providers of care, services and supplies under the medical
assistance program for which the medical assistance program is a
substantial portion of their business operations.
5. (a) The Medicaid inspector general, in consultation with the
department of health, shall promulgate any regulations necessary to
implement this section.
(b) The Medicaid inspector general shall accept programs and processes
implemented pursuant to section forty-four hundred fourteen of the
public health law as satisfying the obligations of this section and the
regulations promulgated thereunder when such programs and processes
incorporate the objectives contemplated by this section.
6. (a) If a person has received an overpayment under the medical
assistance program, the person shall:
(1) report and return the overpayment to the department; and
(2) notify the Medicaid inspector general in writing of the reason for
the overpayment.
(b) An overpayment shall be reported and returned under paragraph (a)
of this subdivision by the later of: (1) the date which is sixty days
after the date on which the overpayment was identified; or (2) the date
any corresponding cost report is due, if applicable. A person has
identified an overpayment when the person has or should have through the
exercise of reasonable diligence, determined that the person has
received an overpayment and quantified the amount of the overpayment. A
person should have determined that the person received an overpayment
and quantified the amount of the overpayment if the person fails to
exercise reasonable diligence and the person in fact received an
overpayment.
(c) The deadline for returning overpayments shall be tolled when the
following occurs:
(1) the Medicaid inspector general acknowledges receipt of a
submission to the Medicaid inspector general's self-disclosure program
under subdivision seven of this section, and shall remain tolled until
such time as a self-disclosure and compliance agreement, pursuant to
subdivision seven of this section is fully executed, the person
withdraws from the self-disclosure program, the person repays the
overpayment and any interest due, or the person is removed from the
self-disclosure program by the Medicaid inspector general; or
(2) in the absence of a finding of fraud a person may repay an
overpayment through installment payments as described in subdivision
seven of this section and shall remain tolled until such time as the
provider repays the overpayment and any interest due, the Medicaid
inspector general rejects the installment payment schedule requested by
the provider, or the provider fails to comply with the terms of the
installment payment schedule.
(d) Any overpayment retained by a person after the deadline for
reporting and returning the overpayment under paragraph (b) of this
subdivision shall be subject to a monetary penalty pursuant to
subdivision four of section one hundred forty-five-b of this article.
(e) For purposes of this subdivision, "person" means a provider of
services or supplies, managed care provider, as defined in paragraph (b)
of subdivision one of section three hundred sixty-four-j of this title
and includes managed long-term care plans, and does not include
recipients of the medical assistance program.
7. Self-disclosure program. (a) Notwithstanding the provisions of any
other law to the contrary, there is hereby established a voluntary
self-disclosure program to be administered by the Medicaid inspector
general, in consultation with the commissioner, for all persons
described in this section owing any overpayment to the medical
assistance program.
(b) For purposes of this subdivision, "person" means any person
providing services or receiving payment under the medical assistance
program, a managed care provider as defined in paragraph (b) of
subdivision one of section three hundred sixty-four-j of this title,
including managed long-term care plans, and any subcontractors or
network providers thereof.
(c) In order to be eligible to participate in the self-disclosure
program, a person shall satisfy the following conditions:
(1) the person is not currently under audit, investigation or review
by the Medicaid inspector general, unless the overpayment and the
related conduct being disclosed does not relate to the Medicaid
inspector general's audit, investigation or review;
(2) the person is disclosing an overpayment and related conduct that
the Medicaid inspector general has not determined, calculated,
researched or identified at the time of the disclosure;
(3) the overpayment and related conduct is reported by the deadline
specified in subdivision six of this section; and
(4) the person is not currently a party to any criminal investigation
being conducted by the deputy attorney general for the Medicaid fraud
control unit or an agency of the United States government or any
political subdivision thereof.
(d) Notwithstanding subdivision three of section one hundred
forty-five-b of this article, the Medicaid inspector general may waive
interest on any overpayment reported, returned, and explained by an
eligible person under this subdivision. Furthermore, an eligible
person's good faith participation in the self-disclosure program may be
considered as a mitigating factor in the determination of an
administrative enforcement action.
(e) To participate in the self-disclosure program, an eligible person
shall apply by submitting a self-disclosure statement in the form and
manner prescribed by the Medicaid inspector general. The statement shall
contain all the information required by the Medicaid inspector general
to effectively administer the self-disclosure program.
(f) (1) The eligible person shall pay the overpayment amount
determined by the Medicaid inspector general to the department within
fifteen days of the Medicaid inspector general notifying the person of
the amount due.
(2) In the event the Medicaid inspector general is satisfied that the
person cannot make immediate full payment of the disclosed overpayment,
the Medicaid inspector general may permit the person to repay the
overpayment and any interest due through installment payments. The
Medicaid inspector general may require a financial disclosure statement
setting forth information concerning the person's current assets,
liabilities, earnings, and other financial information before entering
into an installment payment plan with the person.
(3) If the person and the overpayment are eligible under the
self-disclosure program, the Medicaid inspector general shall be
authorized to enter into a self-disclosure and compliance agreement with
the person. The self-disclosure and compliance agreement shall be in a
form to be established by the Medicaid inspector general and include
such terms as the Medicaid inspector general shall require for the
repayment of the person's disclosed overpayment and enable and require
the person to comply with the requirements of the medical assistance
program in the future. The person shall execute the self-disclosure and
compliance agreement within fifteen days of receiving said agreement
from the Medicaid inspector general, or such other timeframe permitted
by the Medicaid inspector general, provided however, that such other
period is not less than fifteen days.
(4) If the person provides false material information or omits
material information in his or her submissions to the Medicaid inspector
general, or attempts to defeat or evade an overpayment due pursuant to
the self-disclosure and compliance agreement executed under this
subdivision, or fails to comply with the terms of the self-disclosure
and compliance agreement, or refuses to execute the self-disclosure and
compliance agreement in the timeframes specified under this section,
such agreement shall be deemed rescinded and the provider's
participation in the self-disclosure program terminated.
(5) A person against whom a self-disclosure and compliance agreement
is rescinded and participation in the self-disclosure program is
terminated pursuant to subparagraph four of this paragraph shall be
entitled to notice.
(g) The Medicaid inspector general, in consultation with the
commissioner, may promulgate regulations, issue forms and instructions,
and take any and all other actions necessary to implement the provisions
of the self-disclosure program established under this section to
maximize public awareness and participation in such program.
Medicaid plan, applications for waivers and plan amendments;
public disclosure. 1. The commissioner of health shall post on the
department of health internet website in as timely a manner as practical
the entirety of the state's plan for medical assistance as required by
title XIX of the federal Social Security Act, or its successor, and
every approved amendment and change to the plan.
2. The commissioner of health shall post on the department of health
internet website in as timely a manner as practical: every application
for a federal waiver and every proposed state plan amendment, relating
to the state's plan for medical assistance, submitted to the federal
department of health and human services, or any successor agency or part
thereof.
Electronic visit verification for personal care and home
health providers. The commissioner, in consultation with the Medicaid
inspector general, is hereby authorized to promulgate regulations to
implement the electronic visit verification provisions of subsection (1)
of section 1903 of the federal social security act.
Responsibility for standards. To assure that the medical care
and services rendered pursuant to this title are of the highest quality
and are available to all who are in need, the responsibility for
establishing and maintaining standards for medical care and eligibility
shall be as follows:
1. The department of social services shall be responsible for
(a) determining eligibility for care and services pursuant to this
title and consistent with standards established by the commissioner of
the department of health and, as authorized by such commissioner, for
hearing appeals and making findings and recommendations relating
thereto;
(b) auditing payments to providers of care, services and supplies
under the medical assistance program; and
(c) publishing and distributing to the public, from time to time and
in consultation with the department of health, information relating to
the medical assistance program, to promote maximum public awareness of
the availability of, and the procedure for obtaining, such assistance.
2. The department of health shall be responsible for
(a) establishing and maintaining standards for all hospital and
related services pursuant to article twenty-eight of the public health
law, and for all medical care and services furnished in an institution
operated by the department of health pursuant to other provisions of the
public health law;
(b) establishing and maintaining standards for all non-institutional
health care and services rendered pursuant to this title, including but
not limited to procedural standards relating to the revocation,
suspension, limitation or annulment of qualification for participation
as a provider of care and services, on a determination that the provider
is an incompetent provider of specific services or has exhibited a
course of conduct which is either inconsistent with program standards
and regulations or which exhibits an unwillingness to meet such
standards and regulations, or is a potential threat to the public health
or safety pursuant to section two hundred six of the public health law;
(c) reviewing and approving local social services medical plans;
(d) establishing by regulation requirements for a uniform system of
reports relating to the quality of medical care and services furnished
pursuant to this title;
(e) reviewing the quality and availability of medical care and
services furnished under local social services medical plans, to assure
that the quality of medical care and services is in the best interest of
the recipients;
(f) providing consultative services to hospitals, nursing homes, home
health agencies, clinics, laboratories, and such other institutions as
the secretary of the federal department of health and human services may
specify in order to assist them: to qualify for payments under the
provisions of this title and title XIX of the federal social security
act; in providing information needed to determine such payments; in
establishing and maintaining such fiscal records as may be necessary for
the proper and efficient administration of medical assistance;
(g) establishing standards of eligibility for medical assistance,
consistent with the provisions of this title; and
(h) making policy, rules and regulations for maintaining a system of
hearings for applicants and recipients of medical assistance adversely
affected by the actions of the department or social service districts
and for making final administrative determinations and issuing final
decisions concerning such matters.
3. Each office within the department of mental hygiene shall be
responsible for establishing and maintaining standards for medical care
and services received in institutions operated by it or subject to its
supervision pursuant to the mental hygiene law.
4. The public health and health planning council shall be responsible
for establishing and maintaining qualifications for persons employed by
social services districts as professional directors.
Cooperation of state departments. 1. There shall be such
cooperative arrangements, between and among the department of health and
other state departments and agencies as shall be necessary to assure
that the purposes and objectives of this title will be effectively
accomplished. The commissioner of the department of health shall have
the authority to delegate responsibility under this title to other state
departments and agencies and to enter into memoranda of understanding as
may be necessary to carry out the provisions of this title.
2. Notwithstanding any inconsistent provision of law, the department
of health shall enter into a cooperative agreement with the office of
mental health which shall;
(i) provide for the office of mental health, on or after the date of
the agreement, to administer and supervise the medical care, health
care, habilitative, rehabilitative and maintenance services provided
pursuant to this title at residential treatment facilities for children
and youth licensed by the office of mental health pursuant to article
thirty-one of the mental hygiene law, and
(ii) authorize the office of mental health to perform such
administration and supervision, either directly or by contract, as the
office of mental health may from time-to-time determine. On or after the
effective date of such agreement, all of the functions provided for in
this title for the administration and supervision of medical care,
health care, habilitative, rehabilitative and maintenance services
provided hereunder by residential treatment facilities for children and
youth licensed by the office of mental health pursuant to article
thirty-one of the mental hygiene law shall be performed by the office of
mental health to the extent permitted by applicable federal law and to
the extent that federal reimbursement for such care and services is not
impaired. A cooperative agreement previously entered into by the
department of social services pursuant to this subdivision shall
continue in effect until modified or terminated by the department of
health.
* 3. Notwithstanding any inconsistent provision of law, the department
of health shall enter into a cooperative agreement with the office of
mental health which shall:
(i) provide for the office of mental health, on or after the date of
the agreement, to administer and supervise the medical care, health
care, habilitative, rehabilitative and maintenance services provided
pursuant to this title at comprehensive psychiatric emergency programs
licensed by the office of mental health pursuant to article thirty-one
of the mental hygiene law, and
(ii) authorize the office of mental health to perform such
administration and supervision, either directly or by contract, as the
office of mental health may determine to be necessary. On or after the
effective date of such agreement, all of the functions provided for in
this title for the administration and supervision of medical care,
health care, habilitative, rehabilitative and maintenance services
provided at comprehensive psychiatric emergency programs licensed by the
office of mental health pursuant to article thirty-one of the mental
hygiene law shall be performed by the office of mental health to the
extent permitted by federal law and to the extent that federal
reimbursement for such care and services is not impaired. A cooperative
agreement previously entered into by the department of social services
pursuant to this subdivision shall continue in effect until modified or
terminated by the department of health.
* NB Repealed July 1, 2027
* § 364-b. Residential and medical care placement demonstration
projects. 1. Notwithstanding any inconsistent provisions of this
chapter or any other law to the contrary, social services districts are
hereby authorized to conduct or participate in time-limited
demonstration projects for the purpose of demonstrating the feasibility
of reducing medical assistance expenditures for care in residential
health facilities by utilizing medical assistance funds for: (a)
conducting initial assessments of, and performing case management
functions, for (i) persons financially eligible for medical assistance
pursuant to this title who request long term care services, and (ii)
persons whether or not otherwise financially eligible for medical
assistance who seek care in or discharge from a residential health care
facility or a congregate care facility as described in section two
hundred nine of this chapter, and (b) providing social services and
medical supplies determined to be necessary and appropriate as a result
of assessments conducted pursuant to paragraph (a) hereof, to those
persons participating in an approved project who are otherwise eligible
to receive medical assistance, whether or not such services or supplies
are authorized to be provided under this title; provided, however, that
no such additional services or supplies provided hereunder shall be
subject to state reimbursement unless prior approval to provide such
services or supplies to persons eligible for medical assistance has been
granted by the department. Such demonstration projects may be conducted
or participated in by a social services district only in accordance with
a plan submitted to the department on or before the thirtieth day of
June, nineteen hundred seventy-seven, and only to the extent and period
for which such plan has been approved or from time to time extended by
the commissioner.
2. Any plan submitted pursuant to this section shall provide that in
any case in which it is determined by an assessment conducted in
accordance with such a project that placement in a skilled nursing
facility or an intermediate care facility would be appropriate, such
placement shall be subject to review and approval by the department of
health provided, however, that the commissioner of health may delegate
preplacement assessment review function to such a project. In addition,
any plan submitted pursuant to this section shall include a description
of any assessment methodology utilized in determining the
appropriateness of placements in skilled nursing facilities or
intermediate care facilities and any such plan may be approved by the
commissioner only after such methodology has been submitted to the
department of health for its review and comment.
3. Notwithstanding any inconsistent provision of law to the contrary,
expenditures made in connection with an approved residential and medical
care placement demonstration project for assessments, case management
and social services and medical supplies authorized to be provided by
this title or approved by the department, shall be subject to state
reimbursement under section three hundred sixty-eight-a of the social
services law in accordance with a schedule of maximum reimbursable
amounts established by the department for such services and supplies.
4. Notwithstanding any inconsistent provision of this chapter or any
other law to the contrary, the commissioner may, subject to the approval
of the director of the budget, approve such demonstration projects and
apply for the appropriate waivers under federal law and regulation and
may waive: (a) any provision of this title or regulation of the
department as may be necessary to make medical assistance funds
available for initial assessment and performing case management
functions for persons participating in such approved projects without
regard to their eligibility to participate in the medical assistance
program and when appropriate, providing additional approved social
services and medical supplies, not otherwise authorized under this
title, to persons participating in such approved projects who are
otherwise eligible to participate in the medical assistance program; and
(b) such department regulations relating thereto as may be necessary to
enable a social services district to carry out such project.
5. The commissioner shall require that a final independent evaluation
be made of any demonstration project approved and conducted hereunder in
a form mutually agreed upon by him and the state commissioner of health,
and shall provide copies of such report to the governor and to the
legislature. In addition the commissioner shall submit annual interim
reports on the progress of each project to the governor and legislature
by the first day of February of each year.
* NB Expired September 30, 1986
* § 364-c. National long term care channeling demonstration project.
1. Notwithstanding any inconsistent provisions of this chapter or any
other law to the contrary, the Rensselaer county social services
district is hereby authorized to participate in the national long term
care channeling demonstration project, for the purposes of
demonstrating: (a) the efficiency and effectiveness of community based
long term care services; (b) the viability of transferring the
responsibility for determining the amount, duration and scope of
services to be provided from the local social services agency to the
channeling agency; and (c) various methods of delivering services,
including services or supplies not authorized to be provided under this
title; provided, however, that no such additional services or supplies
provided hereunder shall be subject to state reimbursement unless the
department approves provision of such services or supplies to persons
eligible for medical assistance, and federal financial participation is
available for such additional services or supplies; and provided
further, that the social services district may only participate in such
demonstration in accordance with a plan submitted to the departments of
social services and health, and the division of the budget, and only to
the extent and period for which such plan has been approved by those
departments and division.
2. (a) Notwithstanding any inconsistent provision of law to the
contrary, expenditures made in connection with the national long term
care channeling demonstration project for social and health services and
medical supplies authorized to be provided by this section and approved
by the department, shall be subject to state reimbursement under section
three hundred sixty-eight-a of this title in accordance with a schedule
of maximum reimbursable amounts approved by the department and the
division of budget for such services and supplies for the project.
(b) Notwithstanding any inconsistent provision of law to the contrary,
the commissioner may authorize the Rensselaer county social services
district to pay for services and supplies provided pursuant to the
demonstration project.
3. Notwithstanding any inconsistent provision of this chapter or any
other law to the contrary, the commissioner may, subject to the approval
of the director of the budget, approve such a demonstration project and
apply for appropriate waivers under federal law and regulation and may
waive any provision of this title or regulation of the department as may
be necessary to enable the social services district to participate in
the demonstration project, and to make medical assistance funds
available for such project.
4. The commissioner shall provide that a final evaluation be made of
the national long term care channeling demonstration project in
Rensselaer county approved and conducted hereunder in a form mutually
agreed upon by such commissioner, the state commissioner of health, and
the director of the state office for the aging, and shall provide copies
of such report to the governor and to the legislature. In addition, the
director of the state office for the aging shall submit annual interim
reports on the progress of the project to the governor and legislature
by the first day of February of each year.
* NB Expired December 31, 1985
* § 364-d. Medical assistance research and demonstration projects. 1.
The department is authorized to sponsor, conduct and participate in the
following research and demonstration projects: "Eldercare: A Social
Health Maintenance Organization", "New York State Alcoholism Services
Demonstration", and "Physician Reimbursement and Continuing Care Under
Medicaid", for the purpose of testing the use of innovative
administrative techniques, new reimbursement methods, and changes in the
scope of benefits, so as to promote a more efficient utilization of
health resources and the containment of medical assistance program
costs. Such demonstration projects may be conducted in one or more
social services districts or portions of such districts.
2. (a) Social services districts shall be required to participate in
the operation of such research and demonstration projects as the
department may approve. Social services districts shall cooperate with
the department in the conduct of such projects whenever the department
shall request or require such participation or cooperation.
(b) Notwithstanding any inconsistent provision of law to the contrary,
expenditures made in connection with any research demonstration project
undertaken pursuant to the provisions of this section shall be subject
to state reimbursement under section three hundred sixty-eight-a of this
title.
3. The research and demonstration projects undertaken pursuant to the
provisions of this section shall limit the individuals participating
thereunder to those persons with respect to whom the department has
determined that there is a reasonable expectation that the total cost of
benefits under such project would be less than the total cost of
benefits for such individual if the research and demonstration program
were not in effect.
4. Notwithstanding any inconsistent provision of this chapter or any
other law to the contrary, the commissioner may, subject to the approval
of the director of the budget, approve any or all of the research and
demonstration projects specified in subdivision one of this section, and
apply for the appropriate waivers under federal law and regulation, and
may waive any of the provisions of this chapter, when such action would
be likely to assist in promoting the objectives of this title.
5. (a) For each project undertaken pursuant to the provisions of this
section, the department shall submit an interim report and final report
to the governor and the legislature. The interim report shall be due
eighteen months after the date of approval of the project by the
department; the final report shall be due at the conclusion of the
project.
(b) Such reports shall include a listing of the accomplishments of the
research and demonstration project, and shall evaluate the progress made
in achieving the objectives of the project.
6. This section shall be effective with respect to each such project,
other than the "New York State Alcoholism Services Demonstration
Project", if and as long as, federal participation is available for
expenditures made for such research and demonstration project conducted
pursuant to the provisions of this section.
* NB Expired July 22, 1986 -- Eldercare: A Social Health Maintenance
Organization expired April 9, 2007 per chapter 58 of 2007 Part C § 6.
* § 364-e. Aid to families with dependent children homemaker/home
health aide demonstration projects. 1. Notwithstanding sections three
hundred sixty-six and three hundred sixty-eight-a of this chapter, the
department shall have the authority to enter into agreements with social
services districts for the purpose of conducting the demonstration
project authorized by section nine hundred sixty-six of the omnibus
reconciliation act of nineteen hundred eighty, designed to train and
employ persons eligible for and receiving aid to families with dependent
children benefits as homemakers or home health aides. Such persons shall
provide authorized services to elderly or disabled individuals, or other
individuals in need of services, to whom such services are not otherwise
reasonably and actually available or provided, and who would, without
the availability of such services, be reasonably anticipated to require
institutional care.
2. Participants in the demonstration project shall be persons who are
eligible participants as defined in subdivision (b) of section nine
hundred sixty-six of P.L. 96-499.
3. For purposes of this section, authorized services include part-time
or intermittent:
(a) personal care, such as bathing, grooming and toilet care;
(b) assisting patients having limited mobility;
(c) feeding and diet assistance;
(d) home management, housekeeping and shopping;
(e) health-oriented recordkeeping; and
(f) simple procedures for identifying potential health problems.
4. For the first year during which a person is employed by a project
authorized by this section, such person shall, notwithstanding section
three hundred sixty-six of this chapter, retain any eligibility for
medical assistance under a state plan approved under Title XIX of the
Social Security Act, which such person had at the time he/she entered
the project.
5. Expenditures made for services provided by persons participating in
this demonstration project shall be considered medical assistance
expenditures and shall be reimbursed in accordance with section three
hundred sixty-eight-a of this chapter.
6. This section shall be effective if, and as long as, federal
financial participation is available therefor.
* NB Expired June 30, 1986
* § 364-f. Primary care case management programs. 1. The department is
authorized to establish primary care case management programs, under the
medical assistance program, in accordance with applicable federal law
and regulations. Primary care case management programs shall only be
authorized in areas of the state where comprehensive health services
plans, as defined in section forty-four hundred one of the public health
law, are not yet available. Subject to the approval of the director of
the budget, the commissioner is authorized to apply for the appropriate
waivers under federal law and regulation, and may waive any of the
provisions of sections three hundred sixty-five-a, three hundred
sixty-six, three hundred sixty-seven-b, three hundred sixty-eight-a and
three hundred sixty-four-j of this chapter or any regulation of the
department when such action would be necessary to assist in promoting
the objectives of this section.
2. (a) A primary care case management program shall provide
individuals eligible for medical assistance with the opportunity to
select a primary care case manager who shall provide medical assistance
services to such eligible individuals, either directly, or through
referral.
(b) Primary care case managers shall be limited to qualified, licensed
primary care practitioners, as defined in paragraph (f) of subdivision
one of section three hundred sixty-four-j of this chapter, who meet
standards established by the commissioner for the purposes of this
program.
(c) Services that may be covered by the primary care case management
program are defined by the commissioner in the benefit package. Covered
services may include all medical assistance services defined under
section three hundred sixty-five-a of this chapter, except:
(i) services excluded under paragraph (e) of subdivision three of
section three hundred sixty-four-j of this chapter shall be excluded
under this section;
(ii) services provided by residential health care facilities, long
term home health care programs, child care agencies, and entities
offering comprehensive health services plans;
(iii) services provided by dentists and optometrists; and
(iv) eyeglasses, emergency care, mental health services and family
planning services.
(d) Case management services provided by primary care case managers
shall include, but need not be limited to:
(i) management of the medical and health care of each recipient to
assure that all services provided under paragraph (c) of this
subdivision and which are found to be necessary, are made available in a
timely manner;
(ii) referral to, and coordination, monitoring and follow-up of,
appropriate providers for diagnosis and treatment, the need for which
has been identified by the primary care case manager but which is not
directly available from the primary care case manager, and assisting
medical assistance recipients in the prudent selection of medical
services;
(iii) arrangements for referral of recipients to appropriate
providers; and
(iv) all early periodic screening, diagnosis and treatment services,
as well as interperiodic screening and referral, to each participant
under the age of twenty-one at regular intervals.
3. (a) Primary care case management programs may be conducted only in
accordance with guidelines established by the commissioner. For the
purpose of implementing and administering the primary care case
management programs, the commissioner may contract with private
not-for-profit and public agencies as defined in guidelines established
by the commissioner for the management and administration of the primary
care case management program.
(b) The primary care case management program must:
(i) assure access to and delivery of high quality, appropriate medical
services;
(ii) participate in quality assurance activities as required by the
commissioner, as well as other mechanisms designed to protect recipient
rights under such program;
(iii) ensure that persons eligible for medical assistance will be
provided sufficient information regarding the program to make an
informed and voluntary choice whether to participate; and
(iv) provide for adequate safeguards to protect recipients from being
misled concerning the program and from being coerced into participating
in the primary care case management program.
4. (a) Individuals eligible to participate in Medicaid managed care,
to participate in Medicaid managed care may participate in a primary
care case management program, subject to the availability of such a
program within the applicable social services district, except for
individuals: (i) required by Medicaid managed care to be enrolled in an
entity offering a comprehensive health services plan as defined in
paragraph (k) of subdivision two of section three hundred sixty-five-a
of this chapter; (ii) participating in another medical assistance
reimbursed demonstration or pilot project, or (iii) receiving services
as an inpatient from a nursing home or intermediate care facility or
residential services from a child care agency or services from a long
term home health care program.
(b) Individuals choosing to participate in a primary care case
management program will be given thirty days from the effective date of
enrollment in the program to disenroll without cause. After this thirty
day disenrollment period, all individuals participating in the program
will be enrolled for a period of twelve months, except that all
participants will be permitted to disenroll for good cause, as defined
in guidelines established by the commissioner.
5. (a) Primary care case management programs may include provisions
for innovative payment mechanisms, including, but not limited to,
payment of case management fees, capitation arrangements, and
fee-for-service payments.
(b) Any new payment mechanisms and levels of payment implemented under
the primary care case management program shall be developed by the
commissioner subject to the approval of the director of the budget.
6. Notwithstanding any inconsistent provision of this section,
participation in a primary care case management program will not
diminish the scope of available medical services to which a recipient is
entitled.
7. This section shall be effective if, and as long as, federal
financial participation is available therefor.
* NB Expires March 31, 2029
* § 364-g. Medical assistance capitation rate demonstration project.
1. The department and the county of Monroe are authorized to participate
in the "Monroe County Medicap Plan" research and demonstration project,
for the purpose of testing the feasibility of converting from a fee for
service payment system to a capitation payment system as a means of
financing health care services for medicaid recipients residing in
Monroe county.
2. The department shall undertake the research and demonstration
project authorized by this section only if it has determined that there
is a reasonable expectation that the total cost of benefits under such
project would be less than the total cost of benefits if the project was
not in effect.
3. Expenditures made in connection with the research and demonstration
project authorized by this section shall be subject to state
reimbursement in accordance with a schedule of reimbursable amounts
approved by the department, the department of health and the director of
the budget.
4. The department shall, in a manner to be decided upon by the
commissioner, determine what portion of the total expenditures made
under the research and demonstration project authorized by this section
are attributable to the provision of the services specified in paragraph
(g) of subdivision one of section three hundred sixty-eight-a of this
title, and shall ensure that the increased state reimbursement available
for such services shall be provided.
5. Notwithstanding any inconsistent provision of this chapter or any
other law to the contrary, the commissioner may, subject to the approval
of the director of the budget, apply for appropriate waivers of federal
law and regulation, and shall be authorized to waive any provisions of
sections three hundred sixty-six, three hundred sixty-seven-b and three
hundred sixty-eight-a of this title and accompanying regulations of the
department, consistent with waivers approved by the federal department
of health and human services, when such action would be necessary to
assist in promoting the objectives of this section; provided, however,
that in the event that the research and demonstration project authorized
by this section requires a waiver of article twenty-eight or forty-four
of the public health law or accompanying regulations of the department
of health, the project shall be conducted jointly with the department of
health, and the commissioner of health may waive such provisions of the
public health law or department of health regulations with the approval
of the commissioner and the director of the budget.
6. Every person eligible for or receiving medical assistance who
resides in the county of Monroe shall participate in the demonstration
project authorized by this section except for good cause as defined by
the commissioner in regulation.
7. Notwithstanding any inconsistent provisions of this section,
participation in the project authorized by this section shall not affect
a recipient's medical assistance eligibility or the scope of available
medical services to which he or she is entitled.
8. The department and the county of Monroe shall jointly submit to the
governor and the legislature a long term care capitation implementation
plan by March thirty-first, nineteen hundred eighty-five.
9. Providers participating in the research and demonstration project
authorized by this section shall submit reports to the commissioner, at
such times as he may require, evaluating the results of such project.
10. The department shall submit to the governor and the legislature an
interim report and a final report evaluating the project's impact on
medicaid costs, access to services, quality of services rendered and any
other subjects which the commissioner shall deem relevant. The interim
report shall be due January first, nineteen hundred eighty-six and the
final report shall be due at the conclusion of the project.
11. This section shall be effective if, and as long as, federal
financial participation is available for expenditures made for the
project conducted pursuant to the provisions of this section.
* NB Expired March 31, 1988 per sub 11
* § 364-h. Foster family care demonstration programs for elderly or
disabled persons. 1. The department is authorized to designate up to ten
entities which may include general hospitals, residential health care
facilities, home health care programs, and long term home health care
programs for the purpose of testing whether foster family care programs
for certain elderly or disabled persons can be appropriate alternatives
to institutional placement in those instances where such individuals do
not have a home or the necessary resources or family support to live in
the community.
2. A hospital, facility, or program designated as a foster family care
demonstration program shall perform the following functions:
(a) recruitment, selection and training of families to serve as foster
families;
(b) selection of those elderly or disabled persons who will receive
foster family care services under the demonstration project authorized
herein, and assessment of their needs;
(c) provision of or arrangement for necessary medical services; and
(d) monitoring the care being received by the person in the foster
family care home, and assessing the continuing viability of placement in
such home.
3. Persons eligible to participate in the foster family care
demonstration programs authorized by this section shall be:
(a) medically eligible for placement in a skilled nursing facility or
a health related facility or eligible for home care services;
(b) capable of being cared for in the community if a suitable home
environment and medical support services are provided; and
(c) lacking the home, resources or family support to live in the
community.
4. Families who participate in the foster family care demonstration
program shall be willing and able to provide:
(a) room and board;
(b) supervision of or assistance with the activities of daily living;
and
(c) personal care and other related services which may be necessary to
maintain the person in the community.
5. In designating a hospital, facility, or program to provide a foster
family care program, the department shall be satisfied as to the
cost-effectiveness of the proposal as compared to institutional long
term care.
6. The commissioner may waive the provisions of titles one and two of
article seven of this chapter and regulations of the department relative
thereto as necessary to implement the provisions of this section;
provided, however, the commissioner shall be satisfied that the health,
safety and welfare of persons participating in the foster care programs
are not affected negatively by such waivers.
7. This section shall not be interpreted to restrict a medical
assistance recipient's choice of provider of services to which he is
entitled pursuant to this title or to authorize any change in the
eligibility criteria for medical assistance.
8. A medical assistance recipient may discontinue participation in a
foster family care demonstration program at any time.
9. The department shall utilize all potential sources of funding for
such foster family care programs including, but not limited to, funding
available through titles sixteen, eighteen, nineteen and twenty of the
federal social security act and the federal older Americans act of 1965,
as amended. Services provided as part of a foster family care program
and related administrative expenses not otherwise eligible for coverage
under these or other funding sources shall be eligible for reimbursement
under the medical assistance program for the purposes of this
demonstration as long as federal financial participation is available.
The department shall take all steps necessary to secure such funding
including the submission of applicable waivers. Copies of waiver
submissions shall be provided to the chairman of the senate finance
committee and the chairman of the assembly ways and means committee.
10. The department, in consultation with the department of health and
the office for the aging, shall provide an interim report to the
governor and the legislature on or before November first, nineteen
hundred eighty-six and a final report on or before October thirty-one,
nineteen hundred ninety-five on the results of the foster family care
demonstration program. The report shall include findings as to the
program's cost effectiveness including consideration of the costs of
maintaining the person in the community, funding sources, programmatic
benefits and the effect on the need for residential health care facility
beds. In the final report, the department shall offer recommendations as
to whether the program should be extended, modified, eliminated or made
permanent.
11. Foster family care demonstration programs authorized pursuant to
chapter nine hundred forty-two of the laws of nineteen hundred
eighty-three and chapter five hundred forty-one of the laws of nineteen
hundred eighty-four shall comply with the provisions of this section but
shall be in addition to the entities designated in subdivision one of
this section. Such previously authorized demonstration projects shall be
subject to the expiration date of this section.
* NB Repealed December 31, 2027
Medical assistance presumptive eligibility program. 1. An
individual, upon application for medical assistance, shall be presumed
eligible for such assistance for a period of sixty days from the date of
transfer from a general hospital, as defined in section twenty-eight
hundred one of the public health law to a certified home health agency
or long term home health care program, as defined in section thirty-six
hundred two of the public health law, or to a hospice as defined in
section four thousand two of the public health law, or to a residential
health care facility as defined in section twenty-eight hundred one of
the public health law, if the local department of social services
determines that the applicant meets each of the following criteria: (a)
the applicant is receiving acute care in such hospital; (b) a physician
certifies that such applicant no longer requires acute hospital care,
but still requires medical care which can be provided by a certified
home health agency, long term home health care program, hospice or
residential health care facility; (c) the applicant or his
representative states that the applicant does not have insurance
coverage for the required medical care and that such care cannot be
afforded; (d) it reasonably appears that the applicant is otherwise
eligible to receive medical assistance; (e) it reasonably appears that
the amount expended by the state and the local social services district
for medical assistance in a certified home health agency, long term home
health care program, hospice or residential health care facility, during
the period of presumed eligibility, would be less than the amount the
state and the local social services district would expend for continued
acute hospital care for such person; and (f) such other determinative
criteria as the commissioner shall provide by rule or regulation. If a
person has been determined to be presumptively eligible for medical
assistance, pursuant to this subdivision, and is subsequently determined
to be ineligible for such assistance, the commissioner, on behalf of the
state and the local social services district shall have the authority to
recoup from the individual the sums expended for such assistance during
the period of presumed eligibility.
2. Payment for up to sixty days of care for services provided under
the medical assistance program shall be made for an applicant presumed
eligible for medical assistance pursuant to subdivision one of this
section provided, however, that such payment shall not exceed sixty-five
percent of the rate payable under this title for services provided by a
certified home health agency, long term home health care program,
hospice or residential health care facility. Notwithstanding any other
provision of law, no federal financial participation shall be claimed
for services provided to a person while presumed eligible for medical
assistance under this program until such person has been determined to
be eligible for medical assistance by the local social services
district. During the period of presumed medical assistance eligibility,
payment for services provided persons presumed eligible under this
program shall be made from state funds. Upon the final determination of
eligibility by the local social services district, payment shall be made
for the balance of the cost of such care and services provided to such
applicant for such period of eligibility and a retroactive adjustment
shall be made by the department to appropriately reflect federal
financial participation and the local share of costs for the services
provided during the period of presumptive eligibility. Such federal and
local financial participation shall be the same as that which would have
occurred if a final determination of eligibility for medical assistance
had been made prior to the provision of the services provided during the
period of presumptive eligibility. In instances where an individual who
is presumed eligible for medical assistance is subsequently determined
to be ineligible, the cost for services provided to such individual
shall be reimbursed in accordance with the provisions of section three
hundred sixty-eight-a of this article. Provided, however, if upon audit
the department determines that there are subsequent determinations of
ineligibility for medical assistance in at least fifteen percent of the
cases in which presumptive eligibility has been granted in a local
social services district, payments for services provided to all persons
presumed eligible and subsequently determined ineligible for medical
assistance shall be divided equally by the state and the district.
3. On or before March thirty-first, nineteen hundred ninety-seven, the
department shall submit to the governor and legislature an evaluation of
the program, including the program's effects on access, quality and cost
of care, and any recommendations for future modifications to improve the
program.
4. Persons in need of treatment for breast, cervical, colon or
prostate cancer; presumptive eligibility. (a) An individual shall be
presumed to be eligible for medical assistance under this title
beginning on the date that a qualified entity, as defined in paragraph
(c) of this subdivision, determines, on the basis of preliminary
information, that the individual meets the requirements of paragraph (d)
or (e) of subdivision four of section three hundred sixty-six of this
title.
(b) Such presumptive eligibility shall continue through the earlier of
the day on which a determination is made with respect to the eligibility
of such individual for services, or in the case of such an individual
who does not file an application by the last day of the month following
the month during which the qualified entity makes the determination of
presumptive eligibility, such last day.
(c) For the purposes of this subdivision, "qualified entity" means an
entity that provides medical assistance approved under this title, and
is determined by the department of health to be capable of making
determinations of presumptive eligibility under this subdivision.
(d) Care, services and supplies, as set forth in section three hundred
sixty-five-a of this title, that are furnished to an individual during a
presumptive eligibility period under this subdivision by an entity that
is eligible for payments under this title shall be deemed to be medical
assistance for purposes of payment and state reimbursement.
5. (a) A pregnant woman shall be presumed to be eligible for medical
assistance under this title, excluding inpatient services and
institutional long term care, beginning on the date that a prenatal care
provider, licensed under article twenty-eight of the public health law
or other prenatal care provider approved by the department of health
determines, on the basis of preliminary information, that the pregnant
woman's MAGI household income does not exceed the MAGI-equivalent of two
hundred percent of the federal poverty line for the applicable family
size.
(a-2) At the time of application for presumptive eligibility pursuant
to this subdivision, a pregnant woman who resides in a social services
district that has implemented the state's managed care program pursuant
to section three hundred sixty-four-j of this title must choose a
managed care provider. If a managed care provider is not chosen at the
time of application, the pregnant woman will be assigned to a managed
care provider in accordance with subparagraphs (ii), (iii), (iv) and (v)
of paragraph (f) of subdivision four of section three hundred
sixty-four-j of this title.
(b) Such presumptive eligibility shall continue through the earlier
of: the day on which eligibility is determined pursuant to this title;
or the last day of the month following the month in which the provider
makes preliminary determination, in the case of a pregnant woman who
does not file an application for medical assistance on or before such
day.
(c) The department of health shall provide prenatal care providers
licensed under article twenty-eight of the public health law and other
approved prenatal care providers with such forms as are necessary for a
pregnant woman to apply and information on how to assist such women in
completing and filing such forms. A qualified provider which determines
that a pregnant woman is presumptively eligible shall notify the social
services district in which the pregnant woman resides of the
determination within five working days after the date on which such
determination is made and shall inform the woman at the time the
determination is made that she is required to make application by the
last day of the month following the month in which the determination is
made.
(d) Notwithstanding any other provision of law, care that is furnished
to a pregnant woman pursuant to this subdivision during a presumptive
eligibility period shall be deemed as medical assistance for purposes of
payment and state reimbursement.
(e) Facilities licensed under article twenty-eight of the public
health law providing prenatal care services shall perform presumptive
eligibility determinations and assist women in submitting appropriate
documentation to the social services district as required by the
commissioner; provided, however, that a facility may apply to the
commissioner for exemption from this requirement on the basis of undue
hardship.
(f) All prenatal care providers enrolled in the medicaid program must
provide prenatal care services to eligible service recipients determined
presumptively eligible for medical assistance but not yet enrolled in
the medical assistance program, and assist women in submitting
appropriate documentation to the social services district as required by
the commissioner.
6. Notwithstanding any other section of law, where care, services, or
supplies are received prior to the date an individual is determined
eligible for assistance under this title, medical assistance
reimbursement, regardless of funding source, shall be available for such
care, services, or supplies only (a) if the care, services, or supplies
are received during the three month period preceding the month of
application for medical assistance and the recipient is determined to
have been eligible in the month in which the care, service, or supply
was received, or (b) if provided during a period of presumptive
eligibility pursuant to this section.
7. (a) The following individuals shall be presumed to be eligible for
medical assistance under this title beginning on the date that a
qualified hospital, as defined in paragraph (b) of this subdivision,
determines, on the basis of preliminary information, that:
(1) a child has MAGI household income that does not exceed the
applicable level for eligibility as provided for pursuant to
subparagraph two or three of paragraph (b) of subdivision one of section
three hundred sixty-six of this title;
(2) a pregnant woman has MAGI household income that does not exceed
the MAGI-equivalent of two hundred percent of the federal poverty line
for the applicable family size;
(3) a parent or caretaker relative has MAGI household income that does
not exceed the MAGI-equivalent of one hundred thirty percent of the
highest amount that ordinarily would have been paid to a person without
any income or resources under the family assistance program as it
existed on the first day of November, nineteen hundred ninety-seven, or
has net available income, including available support from responsible
relatives, that does not exceed the amounts set forth in paragraph (a)
of subdivision two of section three hundred sixty-six of this title;
(4) an individual in need of treatment of breast, cervical, colon, or
prostate cancer meets the requirements of paragraph (d) or (e) of
subdivision four of section three hundred sixty-six of this title;
(5) an individual age nineteen or older and under age sixty-five meets
the requirements of subparagraph one of paragraph (b) of subdivision one
of section three hundred sixty-six of this title;
(6) an individual under twenty-six years of age meets the requirements
of subparagraph nine of paragraph (c) of subdivision one of section
three hundred sixty-six of this title; and
(7) an individual has income that does not exceed the MAGI-equivalent
of two hundred percent of the federal poverty line for the applicable
family size, and the individual meets the requirements of subparagraph
six of paragraph (b) of subdivision one of section three hundred
sixty-six of this title; coverage pursuant to this subparagraph shall be
limited to family planning services reimbursed by the federal government
at a rate of ninety percent.
(b) For the purposes of this subdivision, "qualified hospital" means a
hospital that:
(1) is licensed as a general hospital under article twenty-eight of
the public health law;
(2) is enrolled as a provider in the program of medical assistance
under this title;
(3) has notified the department of health of its election to make
presumptive eligibility determinations under this subdivision, and
agrees to make such determinations in accordance with policies and
procedures established by the department;
(4) has been designated by the department of health as a certified
application counselor to provide information to individuals concerning
qualified health plans offered through a health insurance exchange and
other insurance affordability programs, assist individuals to apply for
coverage through a qualified health plan or insurance affordability
program, and help facilitate the enrollment of eligible individuals in
such plans or programs; and
(5) has not been disqualified by the department of health pursuant to
paragraph (c) of this subdivision.
(c) The department of health may disqualify a hospital as a qualified
hospital if the department determines that the hospital is not:
(1) making, or is not capable of making, presumptive eligibility
determinations in accordance with the policies and procedures
established by the department; or
(2) meeting such standards as may be established by the department
with respect to the proportion of individuals determined presumptively
eligible by the hospital who are found by the medical assistance program
to be eligible for ongoing medical assistance after the end of the
presumptive eligibility period.
(d) Care, services and supplies, as set forth in section three hundred
sixty-five-a of this title, that are furnished to an individual during a
presumptive eligibility period under this subdivision by an entity that
is eligible for payments under this title shall be deemed to be medical
assistance for purposes of payment and state reimbursement.
* § 364-j. Managed care programs. 1. Definitions. As used in this
section, unless the context clearly requires otherwise, the following
terms shall mean:
(a) "Participant". A medical assistance recipient who receives, is
required to receive or elects to receive his or her medical assistance
services from a managed care provider.
(b) "Managed care provider". An entity that provides or arranges for
the provision of medical assistance services and supplies to
participants directly or indirectly (including by referral), including
case management; and:
(i) is authorized to operate under article forty-four of the public
health law or article forty-three of the insurance law and provides or
arranges, directly or indirectly (including by referral) for covered
comprehensive health services on a full capitation basis, including a
special needs managed care plan or comprehensive HIV special needs plan;
or
** (ii) is authorized as a partially capitated program pursuant to
section three hundred sixty-four-f of this title or section forty-four
hundred three-e of the public health law or section 1915b of the social
security act; or
** NB Effective until December 31, 2027
** (ii) is authorized as a partially capitated program pursuant to
section three hundred sixty-four-f of this title or section forty-four
hundred three-e of the public health law or section 1915b of the social
security act.
** NB Effective December 31, 2027
** (iii) is authorized to operate under section forty-four hundred
three-g of the public health law.
** NB Repealed December 31, 2027
(c) "Managed care program". A statewide program in which medical
assistance recipients enroll on a voluntary or mandatory basis to
receive medical assistance services, including case management, directly
and indirectly (including by referral) from a managed care provider,
including as applicable, a special needs managed care plan or a
comprehensive HIV special needs plan, under this section.
(d) "Medical services provider". A physician, nurse, nurse
practitioner, physician assistant, licensed midwife, dentist,
optometrist or other licensed health care practitioner authorized to
provide medical assistance services.
(e) "Center of excellence." A health care facility certified to
operate under article twenty-eight of the public health law that offers
specialized treatment expertise in HIV care services as defined by the
commissioner of health.
(f) "Primary care practitioner". A physician or nurse practitioner
providing primary care to and management of the medical and health care
services of a participant served by a managed care provider.
(g) "AIDS". AIDS shall have the same meaning as in article
twenty-seven-f of the public health law.
(h) "HIV infection". HIV infection shall have the same meaning as in
article twenty-seven-f of the public health law.
(i) "HIV-related illness". HIV-related illness shall have the same
meaning as in article twenty-seven-f of the public health law.
(j) "Specialty care center". A "specialty care center" shall mean only
such centers as are accredited or designated by an agency of the state
or federal government or by a voluntary national health organization as
having special expertise in treating the disease or condition for which
it is accredited or designated.
(k) "Special care". Care, services and supplies relating to the
treatment of mental illness, developmental disabilities, alcoholism,
alcohol abuse or substance abuse, or HIV infection/AIDS.
(l) "Responsible special care agency". Whichever of the following
state agencies has responsibility for the special care in question: the
department of health, the office of mental health, the office for people
with developmental disabilities, or the office of alcoholism and
substance abuse services.
(m) "Special needs managed care plan" shall have the same meaning as
in section forty-four hundred one of the public health law.
(n) "Comprehensive HIV special needs plan" shall have the same meaning
as in section forty-four hundred three-c of the public health law.
(o) "Third-party payor". Any entity or program that is or may be
liable to pay the costs of health and medical care of a recipient of
medical assistance benefits, including insurers licensed pursuant to
article thirty-two or forty-three of the insurance law, or organizations
certified pursuant to article forty-four of the public health law.
(p) "Grievance". Any complaint presented by a participant or a
participant's representative for resolution through the grievance
process of a managed care provider.
(q) "Emergency medical condition". A medical or behavioral condition,
the onset of which is sudden, that manifests itself by symptoms of
sufficient severity, including severe pain, that a prudent layperson,
who possesses an average knowledge of medicine and health, could
reasonably expect the absence of immediate medical attention to result
in: (i) placing the health of the person afflicted with such condition
in serious jeopardy, or in the case of a behavioral condition placing
the health of the person or others in serious jeopardy; or (ii) serious
impairment to such person's bodily functions; or (iii) serious
dysfunction of any bodily organ or part of such person; or (iv) serious
disfigurement of such person.
(r) "Emergency care". Health care procedures, treatments or services,
including psychiatric stabilization and medical detoxification from
drugs or alcohol, that are provided for an emergency medical condition.
(s) "Existing rates". The rates paid pursuant to the most recent
executed contract between a local social services district or the state
and a managed care provider.
(t) "Managed care rating regions". The regions established by the
department of health for the purpose of setting regional premium rates
for managed care providers.
(u) "Premium group". The various demographic, gender and recipient
categories utilized for rate-setting purposes by the department of
health.
(v) "Upper payment limit". The maximum reimbursement that the
department of health may pay a managed care provider for providing or
arranging for medical services to participants in a managed care program
in accordance with the federal social security act and regulations
promulgated thereunder.
(x) "Persons with serious mental illness". Individuals who meet
criteria established by the commissioner of mental health, which shall
include persons who have a designated diagnosis of mental illness under
the most recent edition of the diagnostic and statistical manual of
mental disorders, and (i) whose severity and duration of mental illness
results in substantial functional disability or (ii) who require mental
health services on more than an incidental basis.
(y) "Children and adolescents with serious emotional disturbances".
Individuals under eighteen years of age who meet criteria established by
the commissioner of mental health, which shall include children and
adolescents who have a designated diagnosis of mental illness under the
most recent edition of the diagnostic and statistical manual of mental
disorders, and (i) whose severity and duration of mental illness results
in substantial functional disability or (ii) who require mental health
services on more than an incidental basis.
(z) "Credentialed alcoholism and substance abuse counselor (CASAC)".
An individual credentialed by the office of alcoholism and substance
abuse services in accordance with applicable regulations of the
commissioner of alcoholism and substance abuse services.
2. (a) The commissioner of health, in cooperation with the
commissioner and the commissioners of the responsible special care
agencies shall establish managed care programs, under the medical
assistance program, in accordance with applicable federal law and
regulations. The commissioner of health, in cooperation with the
commissioner, is authorized and directed, subject to the approval of the
director of the state division of the budget, to apply for federal
waivers when such action would be necessary to assist in promoting the
objectives of this section.
(b) The commissioner of health has authority to allow social services
districts to seek an exemption from this section for up to two years if
the social services district can demonstrate and the commissioner of
health and the commissioner of responsible special care agencies concurs
that the district has insufficient capacity to participate in the
program. An exemption under this paragraph may be renewed for additional
two year periods.
(c) The commissioner of health, jointly with the commissioner of
mental health and the commissioner of alcoholism and substance abuse
services shall be authorized to establish special needs managed care
plans, under the medical assistance program, in accordance with
applicable federal law and regulations. The commissioner of health, in
cooperation with such commissioners, is authorized, subject to the
approval of the director of the division of the budget, to apply for
federal waivers when such action would be necessary to assist in
promoting the objectives of this section. With regard to such special
needs managed care plans, in addition to the applicable requirements
established in this section, such commissioners shall jointly establish
standards and requirements to:
(i) ensure that any special needs managed care plan shall have an
adequate network of providers to meet the behavioral health and health
needs of enrollees, and shall review the adequacy prior to approval of
any special needs managed care plan, and upon contract renewal or
expansion. To the extent that the network has been determined to meet
standards set forth in subdivision five of section four thousand four
hundred three of the public health law, such network shall be deemed
adequate;
(ii) ensure that any special needs managed care plan shall make level
of care and coverage determinations utilizing evidence-based tools or
guidelines designed to address the behavioral health needs of enrollees;
(iii) ensure sufficient access to behavioral health and health
services for eligible enrollees by establishing and monitoring
penetration rates of special needs managed care plans; and
(iv) establish standards to encourage the use of services, products
and care recommended, ordered or prescribed by a provider to
sufficiently address the behavioral health and health services needs of
enrollees; and monitor the application of such standards to ensure that
they sufficiently address the behavioral health and health services
needs of enrollees.
(d) Whenever the commissioner of health makes changes to the terms,
conditions or time frames contained in the model contract that serves as
the basis for contracts with managed care providers in the managed care
program under this section, the changes shall be posted on the
department's website. The department shall post on its website any
changes required to be submitted to the centers for medicare and
medicaid services (CMS) for approval prior to submission of the changes.
A summary of any changes shall also be published in the state register.
A notification of any request for proposals issued by the department for
managed care providers to participate in the managed care program shall
also be published in the state register.
3. (a) Every person eligible for or receiving medical assistance under
this article, who resides in a social services district providing
medical assistance, which has implemented the state's managed care
program shall participate in the program authorized by this section.
Provided, however, that participation in a comprehensive HIV special
needs plan also shall be in accordance with article forty-four of the
public health law and participation in a special needs managed care plan
shall also be in accordance with article forty-four of the public health
law and article thirty-one of the mental hygiene law.
(d) Until such time as program features and reimbursement rates are
approved by the commissioner of health, in consultation with the
commissioners of the office of mental health, the office for people with
developmental disabilities, the office of children and family services,
and the office of alcoholism and substance abuse services, as
appropriate, the following services shall not be provided to medical
assistance recipients through managed care programs established pursuant
to this section, and shall continue to be provided outside of managed
care programs and in accordance with applicable reimbursement
methodologies; provided, however, that no medical assistance recipient
shall be required to obtain services that are certified, funded,
authorized or approved by the commissioner of the office for people with
developmental disabilities through a managed care program until the
program features approved by the commissioner of health, in consultation
with the commissioner of the office for people with developmental
disabilities, include features for habilitation services as defined in
paragraph c of subdivision one of section forty-four hundred three-g of
the public health law:
(i) day treatment services provided to individuals with developmental
disabilities;
(ii) comprehensive medicaid case management services provided to
individuals with developmental disabilities;
(iii) services provided pursuant to article eighty-nine of the
education law;
(iv) mental health services provided by a certified voluntary
free-standing day treatment program where such services are provided in
conjunction with educational services authorized in an individualized
education program in accordance with regulations promulgated pursuant to
article eighty-nine of the education law;
(v) long term services as determined by the commissioner of the office
for people with developmental disabilities, provided to individuals with
developmental disabilities at facilities licensed pursuant to article
sixteen of the mental hygiene law or clinics serving individuals with
developmental disabilities at facilities licensed pursuant to article
twenty-eight of the public health law;
(vi) TB directly observed therapy;
(vii) AIDS adult day health care;
(viii) HIV COBRA case management; and
(ix) other services as determined by the commissioner of health.
(d-1) Services provided pursuant to title two-A of article twenty-five
of the public health law shall not be provided to medical assistance
recipients through managed care programs established pursuant to this
section, and shall continue to be provided outside of managed care
programs and in accordance with applicable reimbursement methodologies.
(d-2) Services provided pursuant to a waiver, granted pursuant to
subsection (c) of section 1915 of the federal social security act, to
persons suffering from traumatic brain injuries, shall not be provided
to medical assistance recipients through managed care programs
established pursuant to this section. Services provided pursuant to a
waiver, granted pursuant to subsection (c) of section 1915 of the
federal social security act, to persons qualifying for nursing home
diversion and transition services, shall not be provided to medical
assistance recipients through managed care programs until at least
January first, two thousand twenty-eight.
(d-3) Services provided in school-based health centers shall not be
provided to medical assistance recipients through managed care programs
established pursuant to this section.
(d-4) Notwithstanding paragraph (a) of this subdivision, the following
medical assistance recipients shall not be eligible to participate in
the managed care program authorized by this section or other care
coordination model established by article forty-four of the public
health law: any person who is permanently placed in a residential health
care facility for a consecutive period of three months or more. However,
nothing in this paragraph should be construed to apply to enrollees in
the Medicaid Advantage Plus Program, developed to enroll persons in
managed long-term care who are nursing home certifiable and who are
dually eligible pursuant to section forty-four hundred three-f of the
public health law. In implementing this provision, the department shall
continue to support service delivery and outcomes that result in
community living for enrollees.
(e) The following categories of individuals may be required to enroll
with a managed care program when program features and reimbursement
rates are approved by the commissioner of health and, as appropriate,
the commissioners of the office of mental health, the office for people
with developmental disabilities, the office of children and family
services, and the office of alcoholism and substance abuse services:
(i) an individual dually eligible for medical assistance and benefits
under the federal Medicare program; provided, however, nothing herein
shall: (a) require an individual enrolled in a managed long term care
plan, pursuant to section forty-four hundred three-f of the public
health law, to disenroll from such program; or (b) make enrollment in a
Medicare managed care plan a condition of the individual's participation
in the managed care program pursuant to this section, or affect the
individual's entitlement to payment of applicable Medicare managed care
or fee for service coinsurance and deductibles by the individual's
managed care provider.
(ii) an individual eligible for supplemental security income;
(iii) HIV positive individuals;
(iv) persons with serious mental illness and children and adolescents
with serious emotional disturbances, as defined in section forty-four
hundred one of the public health law;
(v) a person receiving services provided by a residential alcohol or
substance abuse program or facility for the developmentally disabled;
(vi) a person receiving services provided by an intermediate care
facility for the developmentally disabled or who has characteristics and
needs similar to such persons;
(vii) a person with a developmental or physical disability who
receives home and community-based services or care-at-home services
through a demonstration waiver under section eleven hundred fifteen of
the federal social security act, existing waivers under section nineteen
hundred fifteen (c) of the federal social security act, or who has
characteristics and needs similar to such persons;
(viii) a person who is eligible for medical assistance pursuant to
subparagraph twelve or subparagraph thirteen of paragraph (a) of
subdivision one of section three hundred sixty-six of this title;
(ix) a person receiving services provided by a long term home health
care program, or a person receiving inpatient services in a
state-operated psychiatric facility or a residential treatment facility
for children and youth;
(x) certified blind or disabled children living or expected to be
living separate and apart from the parent for thirty days or more;
(xi) residents of nursing facilities;
(xii) a foster child in the placement of a voluntary agency or in the
direct care of the local social services district;
(xiii) a person or family that is homeless;
(xiv) individuals for whom a managed care provider is not
geographically accessible so as to reasonably provide services to the
person. A managed care provider is not geographically accessible if the
person cannot access the provider's services in a timely fashion due to
distance or travel time;
(xv) a person eligible for Medicare participating in a capitated
demonstration program for long term care;
(xvi) an infant living with an incarcerated mother in a state or local
correctional facility as defined in section two of the correction law;
(xvii) a person who is expected to be eligible for medical assistance
for less than six months;
(xviii) a person who is eligible for medical assistance benefits only
with respect to tuberculosis-related services;
(xix) individuals receiving hospice services at time of enrollment;
provided, however, that this clause shall not be construed to require an
individual enrolled in a managed long term care plan or another care
coordination model, who subsequently elects hospice, to disenroll from
such program;
(xx) a person who has primary medical or health care coverage
available from or under a third-party payor which may be maintained by
payment, or part payment, of the premium or cost sharing amounts, when
payment of such premium or cost sharing amounts would be cost-effective,
as determined by the local social services district;
(xxi) a person receiving family planning services pursuant to
subparagraph six of paragraph (b) of subdivision one of section three
hundred sixty-six of this title;
(xxii) a person who is eligible for medical assistance pursuant to
paragraph (d) of subdivision four of section three hundred sixty-six of
this title;
(xxiii) individuals with a chronic medical condition who are being
treated by a specialist physician that is not associated with a managed
care provider in the individual's social services district; and
(xxiv) Native Americans.
4. The managed care program shall provide participants access to
comprehensive and coordinated health care delivered in a cost effective
manner consistent with the following provisions:
(a) (i) a managed care provider shall arrange for access to and
enrollment of primary care practitioners and other medical services
providers. Each managed care provider shall possess the expertise and
sufficient resources to assure the delivery of quality medical care to
participants in an appropriate and timely manner and may include
physicians, nurse practitioners, county health departments, providers of
comprehensive health service plans licensed pursuant to article
forty-four of the public health law, and hospitals and diagnostic and
treatment centers licensed pursuant to article twenty-eight of the
public health law or otherwise authorized by law to offer comprehensive
health services or facilities licensed pursuant to articles sixteen,
thirty-one and thirty-two of the mental hygiene law.
(ii) provided, however, if a major public hospital, as defined in the
public health law, is designated by the commissioner of health as a
managed care provider in a social services district the commissioner of
health shall designate at least one other managed care provider which is
not a major public hospital or facility operated by a major public
hospital; and
(iii) under a managed care program, not all managed care providers
must be required to provide the same set of medical assistance services.
The managed care program shall establish procedures through which
participants will be assured access to all medical assistance services
to which they are otherwise entitled, other than through the managed
care provider, where:
(A) the service is not reasonably available directly or indirectly
from the managed care provider,
(B) it is necessary because of emergency or geographic unavailability,
or
(C) the services provided are family planning services; or
(D) the services are dental services and are provided by a diagnostic
and treatment center licensed under article twenty-eight of the public
health law which is affiliated with an academic dental center and which
has been granted an operating certificate pursuant to article
twenty-eight of the public health law to provide such dental services.
Any diagnostic and treatment center providing dental services pursuant
to this clause shall prior to June first of each year report to the
governor, temporary president of the senate and speaker of the assembly
on the following: the total number of visits made by medical assistance
recipients during the immediately preceding calendar year; the number of
visits made by medical assistance recipients during the immediately
preceding calendar year by recipients who were enrolled in managed care
programs; the number of visits made by medical assistance recipients
during the immediately preceding calendar year by recipients who were
enrolled in managed care programs that provide dental benefits as a
covered service; and the number of visits made by the uninsured during
the immediately preceding calendar year; or
(E) the services are optometric services, as defined in article one
hundred forty-three of the education law, and are provided by a
diagnostic and treatment center licensed under article twenty-eight of
the public health law which is affiliated with the college of optometry
of the state university of New York and which has been granted an
operating certificate pursuant to article twenty-eight of the public
health law to provide such optometric services. Any diagnostic and
treatment center providing optometric services pursuant to this clause
shall prior to June first of each year report to the governor, temporary
president of the senate and speaker of the assembly on the following:
the total number of visits made by medical assistance recipients during
the immediately preceding calendar year; the number of visits made by
medical assistance recipients during the immediately preceding calendar
year by recipients who were enrolled in managed care programs; the
number of visits made by medical assistance recipients during the
immediately preceding calendar year by recipients who were enrolled in
managed care programs that provide optometric benefits as a covered
service; and the number of visits made by the uninsured during the
immediately preceding calendar year; or
(E-1) the services are vision care services rendered to a student at a
school based health center approved by the commissioner pursuant to this
clause. The commissioner may approve up to five pilot programs at school
based health centers in partnership with a charitable foundation that
agrees to provide free of charge eyeglass frames and lenses at the
centers pursuant to a memorandum of agreement approved by the
commissioner. The commissioner may approve the rate for such vision care
services at the rate for such services when provided by a federally
qualified health center or when provided by another entity licensed
pursuant to article twenty-eight of the public health law and eligible
for the ambulatory patient group rate approved for vision care services
by the commissioner; or
(F) other services as defined by the commissioner of health.
(b) Participants shall select a managed care provider from among those
designated under the managed care program, provided, however, a
participant shall be provided with a choice of no less than two managed
care providers. Notwithstanding the foregoing, a local social services
district designated a rural area as defined in 42 U.S.C. 1395ww may
limit a participant to one managed care provider, if the commissioner
and the local social services district find that only one managed care
provider is available. A managed care provider in a rural area shall
offer a participant a choice of at least three primary care
practitioners and permit the individual to obtain a service or seek a
provider outside of the managed care network where such service or
provider is not available from within the managed care provider network.
(c) Participants shall select a primary care practitioner from among
those designated by the managed care provider. In all districts,
participants shall be provided with a choice of no less than three
primary care practitioners. In the event that a participant does not
select a primary care practitioner, the participant's managed care
provider shall select a primary care practitioner for the participant,
taking into account geographic accessibility.
(d) For all other medical services, except as provided in paragraph
(c) of this subdivision, if a sufficient number of medical service
providers are available, a choice shall be offered.
(e) (i) In any social services district which has not implemented a
mandatory managed care program pursuant to this section, the
commissioner of health shall establish marketing and enrollment
guidelines, including but not limited to regulations governing
face-to-face marketing and enrollment encounters between managed care
providers and recipients of medical assistance and locations for such
encounters. Such regulations shall prohibit, at a minimum, telephone
cold-calling and door-to-door solicitation at the homes of medical
assistance recipients. The regulations shall also require the
commissioner of health to approve any local district marketing
guidelines. Managed care providers shall be permitted to assist
participants in completion of enrollment forms at approved health care
provider sites and other approved locations. In no case may an emergency
room be deemed an approved location. Upon enrollment, participants will
sign an attestation that: they have been informed that managed care is a
voluntary program; participants have a choice of managed care providers;
participants have a choice of primary care practitioners; and
participants must exclusively use their primary care practitioner and
plan providers except as otherwise provided in this section including
but not limited to the exceptions listed in subparagraph (iii) of
paragraph (a) of this subdivision. Managed care providers must submit
enrollment forms to the local department of social services. The local
department of social services will provide or arrange for an audit of
managed care provider enrollment forms; including telephone contacts to
determine if participants were provided with the information required by
this subparagraph. The commissioner of health may suspend or curtail
enrollment or impose sanctions for failure to appropriately notify
clients as required in this subparagraph.
(ii) In any social services district which has implemented a mandatory
managed care program pursuant to this section, the requirements of this
subparagraph shall apply to the extent consistent with federal law and
regulations. The department of health, may contract with one or more
independent organizations to provide enrollment counseling and
enrollment services, for participants required to enroll in managed care
programs, for each social services district requesting the services of
an enrollment broker. To select such organizations, the department of
health shall issue a request for proposals (RFP), shall evaluate
proposals submitted in response to such RFP and, pursuant to such RFP,
shall award a contract to one or more qualified and responsive
organizations. Such organizations shall not be owned, operated, or
controlled by any governmental agency, managed care provider, or medical
services provider.
(iii) Such independent organizations shall develop enrollment guides
for participants which shall be approved by the department of health
prior to distribution.
(iv) Local social services districts or enrollment organizations
through their enrollment counselors shall provide participants with the
opportunity for face to face counseling including individual counseling
upon request of the participant. Local social services districts or
enrollment organizations through their enrollment counselors shall also
provide participants with information in a culturally and linguistically
appropriate and understandable manner, in light of the participant's
needs, circumstances and language proficiency, sufficient to enable the
participant to make an informed selection of a managed care provider.
Such information shall include, but shall not be limited to: how to
access care within the program; a description of the medical assistance
services that can be obtained other than through a managed care
provider; the available managed care providers and the scope of services
covered by each; a listing of the medical services providers associated
with each managed care provider; the participants' rights within the
managed care program; and how to exercise such rights. Enrollment
counselors shall inquire into each participant's existing relationships
with medical services providers and explain whether and how such
relationships may be maintained within the managed care program. For
enrollments made during face to face counseling, if the participant has
a preference for particular medical services providers, enrollment
counselors shall verify with the medical services providers that such
medical services providers whom the participant prefers participate in
the managed care provider's network and are available to serve the
participant.
(v) Upon delivery of the pre-enrollment information, the local
district or the enrollment organization shall certify the participant's
receipt of such information. Upon verification that the participant has
received the pre-enrollment education information, a managed care
provider, a local district or the enrollment organization may enroll a
participant into a managed care provider. Managed care providers must
submit enrollment forms to the local department of social services. Upon
enrollment, participants will sign an attestation that they have been
informed that: participants have a choice of managed care providers;
participants have a choice of primary care practitioners; and, except as
otherwise provided in this section, including but not limited to the
exceptions listed in subparagraph (iii) of paragraph (a) of this
subdivision, participants must exclusively use their primary care
practitioners and plan providers. The commissioner of health may suspend
or curtail enrollment or impose sanctions for failure to appropriately
notify clients as required in this subparagraph.
(vi) Enrollment counselors or local social services districts shall
further inquire into each participant's health status in order to
identify physical or behavioral conditions that require immediate
attention or continuity of care, and provide to participants information
regarding health care options available to persons with HIV and other
illnesses or conditions under the managed care program. Any information
disclosed to counselors shall be kept confidential in accordance with
applicable provisions of the public health law, and as appropriate, the
mental hygiene law.
(vii) Any marketing materials developed by a managed care provider
shall be approved by the department of health or the local social
services district, and the commissioner of mental health and the
commissioner of alcoholism and substance abuse services, where
appropriate, within sixty days prior to distribution to recipients of
medical assistance. All marketing materials shall be reviewed within
sixty days of submission.
(viii) In any social services district which has implemented a
mandatory managed care program pursuant to this section, the
commissioner of health shall establish marketing and enrollment
guidelines, including but not limited to regulations governing
face-to-face marketing and enrollment encounters between managed care
providers and recipients of medical assistance and locations for such
encounters. Such regulations shall prohibit, at a minimum, telephone
cold-calling and door-to-door solicitation at the homes of medical
assistance recipients. The regulations shall also require the
commissioner of health to approve any local district marketing
guidelines.
(f) (i) Participants shall choose a managed care provider at the time
of application for medical assistance; if the participant does not
choose such a provider the commissioner shall assign such participant to
a managed care provider in accordance with subparagraphs (ii), (iii),
(iv) and (v) of this paragraph. Participants already in receipt of
medical assistance shall have no less than thirty days from the date
selected by the district to enroll in the managed care program to select
a managed care provider and shall be provided with information to make
an informed choice. Where a participant has not selected such a provider
the commissioner of health shall assign such participant to a managed
care provider which, if appropriate, may be a special needs managed care
plan, taking into account capacity and geographic accessibility. The
commissioner may after the period of time established in subparagraph
(ii) of this paragraph assign participants to a managed care provider
taking into account quality performance criteria and cost. Provided
however, cost criteria shall not be of greater value than quality
criteria in assigning participants.
(ii) The commissioner may assign participants pursuant to such
criteria on a weighted basis, provided however that for twelve months
following implementation of a mandatory program, pursuant to a federal
waiver, twenty-five percent of the participants that do not choose a
managed care provider shall be assigned to managed care providers that
satisfy the criteria set forth in subparagraph (i) of this paragraph,
and are controlled by, sponsored by, or otherwise affiliated through a
common governance or through a parent corporation with, one or more
private not-for-profit or public general hospitals or diagnostic and
treatment centers licensed pursuant to article twenty-eight of the
public health law.
(iii) For twelve months following the twelve months described in
subparagraph (ii) of this paragraph twenty-two and one-half percent of
the participants that do not choose a managed care provider shall be
assigned to managed care providers, that satisfy the criteria set forth
in subparagraph (i) of this paragraph and are controlled by, sponsored
by, or otherwise affiliated through a common governance or through a
parent corporation with, one or more private not-for-profit or public
general hospitals or diagnostic and treatment centers licensed pursuant
to article twenty-eight of the public health law.
(iv) For twelve months following the twelve months described in
subparagraph (iii) of this paragraph twenty percent of the participants
that do not choose a managed care provider shall be assigned equally
among each of the managed care providers, that satisfy the criteria set
forth in subparagraph (i) of this paragraph and are controlled by,
sponsored by, or otherwise affiliated through a common governance or
through a parent corporation with one or more private not-for-profit or
public general hospitals or diagnostic and treatment centers licensed
pursuant to article twenty-eight of the public health law.
(v) The commissioner shall assign all participants not otherwise
assigned to a managed care plan pursuant to subparagraphs (ii), (iii)
and (iv) of this paragraph equally among each of the managed care
providers that meet the criteria established in subparagraph (i) of this
paragraph; provided, however, that the commissioner shall assign
individuals meeting the criteria for enrollment in a special needs
managed care plan to such plan or plans where available.
(g) If another managed care provider is available, participants may
change such provider or plan without cause within thirty days of
notification of enrollment or the effective date of enrollment,
whichever is later with a managed care provider by making a request of
the local social services district except that such period shall be
forty-five days for participants who have been assigned to a provider by
the commissioner of health. However, after such thirty or forty-five day
period, whichever is applicable, a participant may be prohibited from
changing managed care providers more frequently than once every twelve
months, as permitted by federal law except for good cause as determined
by the commissioner of health through regulations.
(h) If another medical services provider is available, a participant
may change his or her provider of medical services (including primary
care practitioners) without cause within thirty days of the
participant's first appointment with a medical services provider by
making a request of the managed care provider. However, after that
thirty day period, no participant shall be permitted to change his or
her provider of medical services other than once every six months except
for good cause as determined by the commissioner through regulations.
(i) A managed care provider requesting a disenrollment shall not
disenroll a participant without the prior approval of the local social
services district in which the participant resides, provided that
disenrollment from a special needs managed care plan must comply with
the standards of the commissioner of health, the commissioner of
alcoholism and substance abuse services, and the commissioner of mental
health. A managed care provider shall not request disenrollment of a
participant based on any diagnosis, condition, or perceived diagnosis or
condition, or a participant's efforts to exercise his or her rights
under a grievance process, provided however, that a managed care
provider may, where medically appropriate, request permission to refer
participants to a managed care provider that is a special needs managed
care plan or a comprehensive HIV special needs plan after consulting
with such participant and upon obtaining his/her consent to such
referral, and provided further that a special needs managed care plan
may, where clinically appropriate, disenroll individuals who no longer
require the level of services provided by a special needs managed care
plan.
(j) A managed care provider shall be responsible for providing or
arranging for medical assistance services and assisting participants in
the prudent selection of such services, including but not limited to:
(1) management of the medical and health care needs of participants by
the participant's designated primary care practitioners or group of
primary care practitioners to assure that all services provided under
the managed care program and which are found to be necessary are made
available in a timely manner, in accordance with prevailing standards of
professional medical practice and conduct; and
(2) use of appropriate patient assessment criteria to ensure that all
participants are provided with appropriate services, including special
care;
(3) implementation of procedures, consistent with the requirements of
paragraph (c) of subdivision six of section forty-four hundred three of
the public health law for managing the care of participants requiring
special care which may include the use of special case managers or the
designation of a specialist as a primary care practitioner by a
participant requiring special care on more than an incidental basis;
(4) implementation of procedures, consistent with the requirements of
paragraph (b) of subdivision six of section forty-four hundred three of
the public health law to permit the use of standing referrals to
specialists and subspecialists for participants who require the care of
such practitioners on a regular basis; and
(5) referral, coordination, monitoring and follow-up with regard to
other medical services providers as appropriate for diagnosis and
treatment, or direct provision of some or all medical assistance
services.
(k) A managed care provider shall establish appropriate utilization
and referral requirements for physicians, hospitals, and other medical
services providers including emergency room visits and inpatient
admissions.
(l) A managed care provider shall be responsible for developing
appropriate methods of managing the health care and medical needs of
homeless and other vulnerable participants to assure that all necessary
services provided under the managed care program are made available and
that all appropriate referrals and follow-up treatment are provided, in
a timely manner, in accordance with prevailing standards of professional
medical practice and conduct.
(m) A managed care provider shall provide all early periodic screening
diagnosis and treatment services, as well as interperiodic screening and
referral, to each participant under the age of twenty-one, at regular
intervals, as medically appropriate.
(n) A managed care provider shall provide or arrange, directly or
indirectly (including by referral) for the provision of comprehensive
prenatal care services to all pregnant participants in accordance with
standards adopted by the department of health.
(o) A managed care provider shall provide or arrange, directly or
indirectly, (including by referral) for the full range of covered
services to all participants, notwithstanding that such participants may
be eligible to be enrolled in a comprehensive HIV special needs plan or
special needs managed care plan.
(p) A managed care provider shall implement procedures to communicate
appropriately with participants who have difficulty communicating in
English and to communicate appropriately with visually-impaired and
hearing-impaired participants.
(q) A managed care provider shall comply with applicable state and
federal law provisions prohibiting discrimination on the basis of
disability.
(r) A managed care provider shall provide services to participants
pursuant to an order of a court of competent jurisdiction, provided
however, that such services shall be within such provider's or plan's
benefit package and are reimbursable under title xix of the federal
social security act, provided that services for a substance use disorder
shall be provided by a program licensed, certified or otherwise
authorized by the office of alcoholism and substance abuse services.
(s) Managed care providers shall be provided with the date of
recertification for medical assistance of each of their enrolled
participants in conjunction with the monthly enrollment information
conveyed to managed care providers.
(t) Prospective enrollees shall be advised, in written materials
related to enrollment, to verify with the medical services providers
they prefer, or have an existing relationship with, that such medical
services providers participate in the selected managed care provider's
network and are available to serve the participant.
(u) A managed care provider that provides coverage for prescription
drugs shall permit each participant to fill any mail order covered
prescription, at his or her option, at any mail order pharmacy or
non-mail-order retail pharmacy in the managed care provider network. If
the managed care provider has designated one or more pharmacies for
filling prescriptions for a particular drug or drugs, then such
prescriptions may be filled, at the participant's option, at any other
pharmacy in the network, if the network pharmacy chosen by the
participant offers to accept a price that is comparable to that of the
pharmacy designated by the managed care provider. For the purposes of
this section, "mail order pharmacy" means a pharmacy whose primary
business is to receive prescriptions by mail, telefax or through
electronic submissions, and to dispense medication to patients through
the use of the United States mail or other common or contract carrier
services, and provides any consultation with patients electronically
rather than face to face. Every non-mail-order retail pharmacy in the
managed care provider's network with respect to any prescription drug
shall be deemed to be in the managed care provider's network for every
covered prescription drug.
(v) A managed care provider must allow enrollees to access chemical
dependence treatment services from facilities certified by the office of
alcoholism and substance abuse services, even if such services are
rendered by a practitioner who would not otherwise be separately
reimbursed, including but not limited to a credentialed alcoholism and
substance abuse counselor (CASAC).
** (w) A managed care provider shall provide or arrange, directly or
indirectly, including by referral, for access to and coverage of
services provided by any national cancer institute-designated cancer
center licensed by the department of health within the managed care
provider's service area that is willing to agree to provide
cancer-related inpatient, outpatient and medical services to
participants in all managed care providers offering coverage to medical
assistance recipients in such cancer center's service area under the
prevailing terms and conditions that the managed care provider requires
of other similar providers to be included in the managed care provider's
network, provided that such terms shall include reimbursement of such
center at no less than the fee-for-service medicaid payment rate and
methodology applicable to the center's inpatient and outpatient
services.
** NB There are 2 par (w)'s
** NB Repealed January 1, 2028
** (w)(i) The department of health or a managed care organization
contracted to provide services pursuant to this section shall establish
a program for synchronization of medications. Under the synchronization
program, a health care practitioner may prescribe a refill of one or
more of the patient's medications for a shorter period than would
ordinarily be provided, for the purpose of synchronizing refill dates of
one or more of the patient's medications subject to the synchronization,
when it is agreed among the recipient, the health care practitioner and
a pharmacist that synchronization of multiple prescriptions for the
treatment of a chronic illness is in the best interest of the patient
for the management or treatment of a chronic illness provided that the
following apply to such medications:
(A) are covered by Medicaid services or a managed care organization
contracted to provide services pursuant to this chapter;
(B) are used for treatment and management of a chronic illness that
are subject to refills;
(C) are not a schedule II controlled substance, nor a schedule III
controlled substance that contains hydrocodone or other opioid
medication as scheduled in section thirty-three hundred six of the
public health law, or a controlled substance under the federal
Controlled Substances Act;
(D) meet all prior authorization criteria specific to the medications
at the time of the synchronization request;
(E) are of a formulation that can be effectively and lawfully aligned
over required short fill periods to achieve synchronization; and
(F) do not have quantity limits or dose optimization criteria or state
or federal requirements that would be violated in fulfilling
synchronization.
(ii) The department of health or a managed care organization
contracted to provide services under this section shall not deny
coverage for the dispensing of a medication by a pharmacy for a partial
supply when it is for the purpose of synchronizing the patient's
medications. When applicable to permit synchronization, the department
of health or a managed care organization contracted to provide services
under this title shall allow a pharmacy to override any denial codes
indicating that a prescription is being refilled too soon for the
purposes of medication synchronization.
(iii) The dispensing fee paid to the pharmacy contracted to provide
services pursuant to this section for a partial supply associated with
medication synchronization shall be paid in accordance with the Medicaid
state plan as approved by the Centers for Medicare and Medicaid
Services.
(iv) The requirement of this paragraph applies only once for each
prescription drug subject to medication synchronization except when
either of the following occurs:
(A) the prescriber changes the dosage or frequency of administration
of the prescription drug subject to a medication synchronization; or
(B) the prescriber prescribes a different drug.
(v) Nothing in this paragraph shall be deemed to require health care
practitioners and pharmacists to synchronize the refilling of multiple
prescriptions for a covered individual.
(vi) The provisions of this paragraph are subject to compliance with
all applicable federal and state laws and regulations, including the
Centers for Medicare and Medicaid Services approved Medicaid state plan.
The commissioner shall apply for waivers and submit state Medicaid plan
amendments as are necessary to implement the program for synchronization
of medications.
** NB There are 2 par (w)'s
5. Managed care programs shall be conducted in accordance with the
requirements of this section and, to the extent practicable, encourage
the provision of comprehensive medical services, pursuant to this
article.
(a) The managed care program shall provide for the selection of
qualified managed care providers by the commissioner of health to
participate in the program, including comprehensive HIV special needs
plans and special needs managed care plans in accordance with the
provisions of section three hundred sixty-five-m of this title;
provided, however, that the commissioner of health may contract directly
with comprehensive HIV special needs plans consistent with standards set
forth in this section, and assure that such providers are accessible
taking into account the needs of persons with disabilities and the
differences between rural, suburban, and urban settings, and in
sufficient numbers to meet the health care needs of participants, and
shall consider the extent to which major public hospitals are included
within such providers' networks.
(b) A proposal submitted by a managed care provider to participate in
the managed care program shall:
(i) designate the geographic area to be served by the provider, and
estimate the number of eligible participants and actual participants in
such designated area;
(ii) include a network of health care providers in sufficient numbers
and geographically accessible to service program participants;
(iii) describe the procedures for marketing in the program location,
including the designation of other entities which may perform such
functions under contract with the organization;
(iv) describe the quality assurance, utilization review and case
management mechanisms to be implemented;
(v) demonstrate the applicant's ability to meet the data analysis and
reporting requirements of the program;
(vi) demonstrate financial feasibility of the program; and
(vii) include such other information as the commissioner of health may
deem appropriate.
(c) The commissioner of health shall make a determination whether to
approve, disapprove or recommend modification of the proposal.
(d) Notwithstanding any inconsistent provision of this title and
section one hundred sixty-three of the state finance law, the
commissioner of health may contract with managed care providers approved
under paragraph (b) of this subdivision, without a competitive bid or
request for proposal process, to provide coverage for participants
pursuant to this title.
(e) Notwithstanding any inconsistent provision of this title and
section one hundred forty-three of the economic development law, no
notice in the procurement opportunities newsletter shall be required for
contracts awarded by the commissioner of health, to qualified managed
care providers pursuant to this section.
(f) The care and services described in subdivision four of this
section will be furnished by a managed care provider pursuant to the
provisions of this section when such services are furnished in
accordance with an agreement with the department of health, and meet
applicable federal law and regulations.
(g) The commissioner of health may delegate some or all of the tasks
identified in this section to the local districts.
(h) Any delegation pursuant to paragraph (g) of this subdivision shall
be reflected in the contract between a managed care provider and the
commissioner of health.
6. A managed care provider shall not engage in the following
practices:
(a) use deceptive or coercive marketing methods to encourage
participants to enroll; or
(b) distribute marketing materials to recipients of medical
assistance, unless such materials are approved by the department of
health and, as appropriate, the office of mental health.
7. The department, the department of health or other agency of the
state as appropriate shall provide technical assistance at the request
of a social services district for the purpose of development and
implementation of managed care programs pursuant to this section. Such
assistance shall include but need not be limited to provision and
analysis of data, design of managed care programs and plans, innovative
payment mechanisms, and ongoing consultation. In addition, the
department and the department of health shall make available materials
to social services districts for purposes of educating persons eligible
to receive medical assistance on how their care will be provided through
managed care as required under paragraph (e) of subdivision five of this
section.
8. (a) The commissioner of health shall institute a comprehensive
quality assurance system for managed care providers that includes
performance and outcome-based quality standards for managed care.
(b) Every managed care provider shall implement internal quality
assurance systems adequate to identify, evaluate and remedy problems
relating to access, continuity and quality of care, utilization, and
cost of services, provided, however, that the commissioner shall waive
the implementation of internal quality assurance systems, where
appropriate, for managed care providers described in subparagraph (ii)
of paragraph (b) of subdivision one of this section. Such internal
quality assurance systems shall conform to the internal quality
assurance requirements imposed on health maintenance organizations
pursuant to the public health law and regulations and shall provide for:
(i) the designation of an organizational unit or units to perform
continuous monitoring of health care delivery;
(ii) the utilization of epidemiological data, chart reviews, patterns
of care, patient surveys, and spot checks;
(iii) reports to medical services providers assessing timeliness and
quality of care;
(iv) the identification, evaluation and remediation of problems
relating to access, continuity and quality of care; and
(v) a process for credentialing and recredentialing licensed
providers.
(c) The department of health, in consultation with the responsible
special care agencies, shall contract with one or more independent
quality assurance organizations to monitor and evaluate the quality of
care and services furnished by managed care providers. To select such
organization or organizations, the department of health shall issue
requests for proposals (RFP), shall evaluate proposals submitted in
response to such RFP, and pursuant to such RFP, shall award one or more
contracts to one or more qualified and responsive organizations. Such
quality assurance organizations shall evaluate and review the quality of
care delivered by each managed care provider, on at least an annual
basis. Such review and evaluation shall include compliance with the
performance and outcome-based quality standards promulgated by the
commissioner of health.
(d) Every managed care provider shall collect and submit to the
department of health, in a standardized format prescribed by the
department of health, patient specific medical information, including
encounter data, maintained by such provider for the purposes of quality
assurance and oversight. Any information or encounter data collected
pursuant to this paragraph, however, shall be kept confidential in
accordance with section forty-four hundred eight-a of the public health
law and section 33.13 of the mental hygiene law and any other applicable
state or federal law.
(e) Information collected and submitted to the department of health by
the independent quality assurance organization or managed care provider
pursuant to this subdivision shall be made available to the public,
subject to any other limitations of federal or state law regarding
disclosure thereof to third parties.
(f) Every managed care provider shall ensure that the provider
maintains a network of health care providers adequate to meet the
comprehensive health needs of its participants and to provide an
appropriate choice of providers sufficient to provide the services to
its participants by determining that:
(i) there are a sufficient number of geographically accessible
participating providers;
(ii) there are opportunities to select from at least three primary
care providers; and
(iii) there are sufficient providers in each area of specialty
practice to meet the needs of the enrolled population.
(g) The commissioner of health shall establish standards to ensure
that managed care providers have sufficient capacity to meet the needs
of their enrollees, which shall include patient to provider ratios,
travel and distance standards and appropriate waiting times for
appointments.
9. Managed care providers shall inform participants of such provider's
grievance procedure and utilization review procedures under section
forty-four hundred eight-a and article forty-nine of the public health
law. A managed care provider or local social services district, as
appropriate, shall provide notice to participants of their respective
rights to a fair hearing and aid continuing in accordance with
applicable state and federal law. Managed care providers shall provide
notice of the name, address, phone number and website of the department
of health designated independent consumer assistance program and the
independent substance use disorder and mental health ombudsman
established by section 33.27 of the mental hygiene law within notices of
adverse grievances and appeals determinations.
10. The commissioner of health shall be authorized to establish
requirements regarding provision and reimbursement of emergency care.
10-a. For managed care providers with negotiated rates of payment for
inpatient hospital services under contracts in effect on April first,
two thousand eight, that have a payment rate methodology for such
inpatient hospital services that utilizes rates calculated by the
department of health pursuant to paragraph (a) or (a-2) of subdivision
one of section twenty-eight hundred seven-c for patients under the
medical assistance program, such rate shall not include adjustments
pursuant to subdivision thirty-three of section twenty-eight hundred
seven-c of the public health law for contract periods prior to January
first, two thousand ten.
12. The commissioner, by regulation, shall provide that a participant
may withdraw from participation in a managed care program upon a showing
of good cause.
13. (a) Notwithstanding any inconsistent provisions of this section,
participation in a managed care program will not diminish a recipient's
medical assistance eligibility or the scope of available medical
services to which he or she is entitled. Once a program is implemented
by or in the district in accordance with this section, medical
assistance for persons who require such assistance, who are eligible for
or in receipt of such assistance in the district and who are covered by
the program shall be limited to payment of the cost of care, services
and supplies covered by the managed care program, only when furnished,
prescribed, ordered or approved by a managed care provider, mental
health special needs plan or comprehensive HIV special needs plan and
otherwise under the program, together with the costs of medically
necessary medical and remedial care, services or supplies which are not
available to participants under the program, but which would otherwise
be available to such persons under this title and the regulations of the
department provided, however, that the program may contain provision for
payment to be made for non-emergent care furnished in hospital emergency
rooms consistent with subdivision ten of this section.
(b) Notwithstanding any inconsistent provision of law, payment for
claims for services as specified in paragraph (a) of this subdivision
furnished to eligible persons under this title, who are enrolled in a
managed care program pursuant to this section and section three hundred
sixty-four-f of this title or other comprehensive health services plans,
shall not be made when such services are the contractual responsibility
of a managed care provider but are provided by another medical services
provider contrary to the managed care plan.
14. The commissioner of health is authorized and directed, subject to
the approval of the director of the division of budget, to make grants
to social services districts to aid in the planning and development of
managed care programs. The total amount expended pursuant to this
section shall not exceed the amount appropriated for such purposes in
any fiscal year.
15. The managed medical care demonstration program advisory council is
abolished.
16. Any waiver application to the federal department of health and
human services pursuant to this article and any amendments to such
application shall be a public document.
17. (a) The provisions of this section regarding participation of
persons receiving family assistance and supplemental security income in
managed care programs shall be effective if, and as long as, federal
financial participation is available for expenditures for services
provided pursuant to this section.
(b) The provisions of this section regarding the furnishing of health
and behavioral health services through a special needs managed care plan
shall be effective if, and as long as, federal financial participation
is available for expenditures for services provided by such plans
pursuant to this section.
18. (a) The department of health may, where not inconsistent with the
rate setting authority of other state agencies and subject to approval
of the director of the division of the budget, develop reimbursement
methodologies and fee schedules for determining the amount of payment to
be made to managed care providers under the managed care program. Such
reimbursement methodologies and fee schedules may include provisions for
payment of managed care fees and capitation arrangements.
(b) The department of health in consultation with organizations
representing managed care providers shall select an independent actuary
to review any such reimbursement rates. Such independent actuary shall
review and make recommendations concerning appropriate actuarial
assumptions relevant to the establishment of rates including but not
limited to the adequacy of the rates in relation to the population to be
served adjusted for case mix, the scope of services the plans must
provide, the utilization of services and the network of providers
necessary to meet state standards. The independent actuary shall issue a
report no later than December thirty-first, nineteen hundred
ninety-eight and annually thereafter. Such report shall be provided to
the governor, the temporary president and the minority leader of the
senate and the speaker and the minority leader of the assembly. The
department of health shall assess managed care providers under the
managed care program on a per enrollee basis to cover the cost of such
report.
* (c) In setting such reimbursement methodologies, the department
shall consider costs borne by the managed care program to ensure
actuarially sound and adequate rates of payment to ensure quality of
care.
* NB There are 2 par (c)'s
* (c) The department of health shall require the independent actuary
selected pursuant to paragraph (b) of this subdivision to provide a
complete actuarial memorandum, along with all actuarial assumptions made
and all other data, materials and methodologies used in the development
of rates, to managed care providers thirty days prior to submission of
such rates to the centers for medicare and medicaid services for
approval. Managed care providers may request additional review of the
actuarial soundness of the rate setting process and/or methodology.
* NB There are 2 par (c)'s
(d) The department of health shall annually provide to the temporary
president of the senate and the speaker of the assembly the annual
Medicaid managed care operating reports submitted to the department from
managed care plans that contract with the state to manage services
provided under the Medicaid program.
(e) Increased rates, terms or scope of payment for behavioral health
services under this title, where payment is made by a managed care
provider under this section, as a result of a rate, coverage or other
change made pursuant to a law, regulation, rule or official guidance,
shall be deemed in effect on the same date that such change would have
taken effect if payment were made other than by the managed care
provider. Where payment is not made as of the effective date, the
managed care provider shall make retroactive payments to the appropriate
service providers.
19. (a) The commissioner of health, in consultation with the
commissioner, shall promulgate such regulations as are necessary to
implement the provisions of this section provided, however, that the
provisions of this subdivision shall not limit specific actions taken by
the department of health or the department in order to ensure federal
financial participation.
20. Upon a determination that a participant appears to be suitable for
admission to a comprehensive HIV special needs plan or a special needs
managed care plan, a managed care provider shall inform the participant
of the availability of such plans, where available and appropriate.
21. (a) An amount equal to seven million dollars together with any
matching federal and local government funds shall be made available for
rate adjustments for managed care providers whose rates were set under
the competitive bidding process. Such adjustment shall be made in
accordance with this paragraph.
(i) Such amount shall be allocated by the department of health among
the managed care rating regions based on each region's percentage of
statewide Medicaid managed care enrollment as of January first, nineteen
hundred ninety-seven excluding from such calculation enrollment in local
social services districts that did not participate in the competitive
bidding process.
(ii) From among the funds allocated in a managed care rating region,
the department of health shall adjust the existing rates paid to managed
care providers for each premium group for the period from January first,
nineteen hundred ninety-seven through March thirty-first, nineteen
hundred ninety-eight in a manner that raises the rates of all managed
care providers in the region to the highest uniform percentage of the
upper payment limit possible based on the funds available; provided,
however, that no managed care provider's rate for any premium group
shall be reduced as a result of such adjustment. For the purpose of
calculating appropriate rate increases under this subparagraph, the
department of health shall assume that, for the entire period between
January first, nineteen hundred ninety-seven and March thirty-first,
nineteen hundred ninety-eight, enrollment in each premium group shall be
equal to enrollment in the premium group as of July first, nineteen
hundred ninety-seven.
(b) In addition to the increases made available in paragraph (a) of
this subdivision for the period beginning January first, nineteen
hundred ninety-seven through March thirty-first, nineteen hundred
ninety-eight, an additional ten million dollars, together with any
matching federal and local government funds, shall be added to provide a
uniform percentage increase, based on July first, nineteen hundred
ninety-seven enrollment to the existing rates paid for all premium
groups to all managed care providers whose rates were set by the
competitive bidding process.
(c) In addition to the increases made available in paragraphs (a) and
(b) of this subdivision for the period beginning January first, nineteen
hundred ninety-seven through March thirty-first, nineteen hundred
ninety-eight, an additional amount equal to three million dollars
together with any matching federal and local government funds, shall be
made available to be added to the rates of health plans operating in
geographic areas where capacity is insufficient to allow attainment of
enrollment goals consistent with the federal 1115 waiver known as the
Partnership Plan. Such amount shall be distributed subject to a
demonstration to the commissioner's satisfaction that the plan has
executed a contract amendment providing for an increase in enrollment
proportional to the size of the plan and the remaining unenrolled
population in the county. In evaluating the plan's demonstration, the
commissioner shall consider the degree to which the plan has increased
the number of primary or specialty care practitioners or diagnostic and
treatment centers in its network or whether the additional rate increase
would permit the plan to generate greater enrollments while continuing
to meet the financial requirements of the public health law or the
insurance law whichever is applicable and regulations promulgated
pursuant thereto.
Any amount identified in this paragraph remaining uncommitted by
December thirty-first, nineteen hundred ninety-seven shall be
distributed in a manner consistent with paragraph (b) of this
subdivision.
(d) A plan shall be eligible for payments pursuant to paragraphs (a),
(b) and (c) of this subdivision for such periods as the plan has a
contract with one or more social services districts; provided, however
that the plan has a contract, or has made a good faith effort to enter
into a contract, in that district effective through March thirty-first,
nineteen hundred ninety-eight.
(e) For the period from April first, nineteen hundred ninety-eight
through March thirty-first, nineteen hundred ninety-nine, the premium
rates paid by the department of health to all managed care providers
whose rates were set under the competitive bidding process shall be
equal to (i) the managed care provider's rate as of March thirty-first,
nineteen hundred ninety-eight increased by a uniform trend factor; plus,
(ii) four million dollars together with any matching federal and local
government funds to be added as a uniform percentage increase to such
provider's rate as of March thirty-first, nineteen hundred ninety-eight,
based on enrollment in the premium group as of April first, nineteen
hundred ninety-eight.
(f) For the period from April first, nineteen hundred ninety-eight
through March thirty-first, nineteen hundred ninety-nine, an additional
amount equal to four million dollars together with any matching federal
and local government funds, shall be made available for managed care
rate adjustments consistent with the criteria set forth in paragraph (c)
of this subdivision. Any amount identified in this paragraph remaining
uncommitted by December thirty-first, nineteen hundred ninety-eight
shall be added as a uniform percentage increase to the rates of all
managed care providers eligible for an increase under paragraph (e) of
this subdivision.
22. Chemung county demonstration project. (a) The legislature finds
that the particular circumstances of Chemung county warrant authorizing
this demonstration project, including the rural nature of the county,
the absence of a comprehensive medicaid managed care provider serving
the area at this time, patient care needs, and aspects of the health
care provider base.
(b) within all or part of Chemung county (referred to in this
subdivision as "the catchment area"), the department of health and the
Chemung county department of social services are authorized to conduct a
Medicaid research and demonstration project (referred to in this
subdivision as the "demonstration project") for the purpose of testing
the use of innovative administrative techniques, new reimbursement
methods, and management of care models, so as to promote more efficient
use of health resources, a healthier population and containment of
Medicaid program costs.
(c) As part of the demonstration project, the Chemung county
department of social services is authorized to contract with a managed
care provider for the purposes of, without limitation, developing and
managing a provider of care network, establishing provider payment rates
and fees, paying provider claims, providing care management services to
project participants, and managing the utilization of project services.
(d) The demonstration project shall be consistent with the provisions
of this section, except:
(i) The department may waive any rules or regulations, as necessary to
implement and consistent with this subdivision.
(ii) The demonstration project shall not be subject to:
(A) paragraph (b) of subdivision four of this section;
(B) subparagraphs (i), (ii), (iii) (v) and (viii) of paragraph (e) of
subdivision four of this section;
(C) paragraph (f) of subdivision four of this section;
(D) paragraph (g) of subdivision four of this section;
(E) subdivision five of this section; provided that in approving the
demonstration project or modifications to it, the department shall
consider the criteria in that subdivision;
(F) sections two hundred seventy-two and two hundred seventy-three of
the public health law;
(G) section three hundred sixty-five-i of this title.
(iii) Notwithstanding subdivision three of this section, participation
in the project shall be mandatory for all or any specified categories of
persons eligible for services under this title for whom the Chemung
county department of social services has fiscal responsibility pursuant
to section three hundred sixty-five of this title and who reside within
the demonstration project catchment area, as determined by the
commissioner of health; provided, however, that eligible persons who are
also beneficiaries under title XVIII of the federal social security act
and persons who reside in residential health care facilities shall not
be eligible to participate in the project.
(e)(i) Persons who are enrolled in or apply for medical assistance on
or before the date the demonstration project takes effect shall receive
sixty days written notice prior to participating in the demonstration
project, including an explanation of the demonstration project and the
participant's rights and responsibilities. Persons who apply for medical
assistance thereafter shall receive such notice at the time of applying
for medical assistance.
(ii) The demonstration project shall provide adequate services to
overcome language barriers for participants.
(iii) Participants in the demonstration project whose participation in
a managed care program would not otherwise be mandatory under
subdivision three of this section, who, at the time they enter the
demonstration project, have an established relationship with and are
receiving services from one or more medical services providers that are
not included in the demonstration project's provider network (an
"out-of-network provider"), shall be permitted to continue to receive
services from such providers until their course of treatment is
complete, or in the case of a pregnant woman, while pregnant and for
sixty days post-partum. Out-of-network providers that provide services
pursuant to this subparagraph shall be subject to the utilization review
and care management procedures prescribed by the managed care provider
and shall be reimbursed at the rate that would be paid to such providers
by the medical assistance program on a fee for service basis pursuant to
this title, and shall accept such reimbursement as payment in full.
(f) The provisions of this subdivision shall not apply unless all
necessary approvals under federal law and regulation have been obtained
to receive federal financial participation in the costs of health care
services provided pursuant to this subdivision.
(g) The commissioner of health is authorized to submit amendments to
the state plan for medical assistance and/or submit one or more
applications for waivers of the federal social security act as may be
necessary to obtain the federal approvals necessary to implement this
subdivision.
(h) The demonstration project shall terminate five years after it is
approved by the department and all necessary approvals under federal law
and regulations under paragraph (f) of this subdivision have been
obtained, unless terminated sooner by the Chemung county department of
social services.
23. (a) As a means of protecting the health, safety and welfare of
recipients, in addition to any other sanctions that may be imposed, the
commissioner, in consultation with the commissioners of the office of
mental health and the office of alcoholism and substance abuse services,
where appropriate, shall appoint temporary management of a managed care
provider upon determining that the managed care provider has repeatedly
failed to meet the substantive requirements of sections 1903(m) and 1932
of the federal Social Security Act and regulations. A hearing shall not
be required prior to the appointment of temporary management.
(b) The commissioner and/or his or her designees, which may be
individuals within the department or other individuals or entities with
appropriate knowledge and experience, may be appointed as temporary
management. The commissioner may appoint the superintendent of financial
services and/or his or her designees as temporary management of any
managed care provider which is subject to rehabilitation pursuant to
article seventy-four of the insurance law.
(c) The responsibilities of temporary management shall include
oversight of the managed care provider for the purpose of removing the
causes and conditions which led to the determination requiring temporary
management, the imposition of improvements to remedy violations and,
where necessary, the orderly reorganization, termination or liquidation
of the managed care provider.
(d) Temporary management may hire and fire managed care provider
personnel and expend managed care provider funds in carrying out the
responsibilities imposed pursuant to this subdivision.
(e) The commissioner, in consultation with the superintendent with
respect to any managed care provider subject to rehabilitation pursuant
to article seventy-four of the insurance law, may make available to
temporary management for the benefit of a managed care provider for the
maintenance of required reserves and deposits monies from such funds as
are appropriated for such purpose.
(f) The commissioner is authorized to establish in regulation
provisions for the payment of fees and expenses from funds appropriated
for such purpose for non-governmental individuals and entities appointed
as temporary management pursuant to this subdivision.
(g) The commissioner may not terminate temporary management prior to
his or her determination that the managed care provider has the
capability to ensure that the sanctioned behavior will not recur.
(h) During any period of temporary management individuals enrolled in
the managed care provider being managed may disenroll without cause.
Upon reaching a determination that requires temporary management of a
managed care provider, the commissioner shall notify all recipient
enrollees of such provider that they may terminate enrollment without
cause during the period of temporary management.
(i) The commissioner may adopt and amend rules and regulations to
effectuate the purposes and provisions of this subdivision.
24. Claims submitted to a managed care provider for payment for
medical care, services, or supplies furnished by an out-of-network
medical services provider must be submitted within fifteen months of the
date the medical care, services, or supplies were furnished to an
eligible person to be valid and enforceable against the managed care
provider. This deadline for claims submission shall not apply where the
claims submission is warranted to address findings or recommendations
identified in a state or federal audit except where such audit also
indicates that an inappropriate provider payment was solely the fault of
the out-of-network health care provider.
25. Effective January first, two thousand thirteen, notwithstanding
any provision of law to the contrary, managed care providers shall cover
medically necessary prescription drugs in the atypical antipsychotic
therapeutic class, including non-formulary drugs, upon demonstration by
the prescriber, after consulting with the managed care provider, that
such drugs, in the prescriber's reasonable professional judgment, are
medically necessary and warranted.
25-a. Effective July first, two thousand thirteen, notwithstanding any
provision of law to the contrary, managed care providers shall cover
medically necessary prescription drugs in the anti-depressant,
anti-retroviral, anti-rejection, seizure, epilepsy, endocrine,
hematologic and immunologic therapeutic classes, including non-formulary
drugs, upon demonstration by the prescriber, after consulting with the
managed care provider, that such drugs, in the prescriber's reasonable
professional judgment, are medically necessary and warranted.
26. The commissioner of health shall develop a standard prior
authorization request form or forms to be utilized by all managed care
providers for purposes of submitting a request for a utilization review
determination for coverage of prescription drug benefits under this
title. The managed care provider shall make the standard prior
authorization request form or forms available to, and shall accept it or
them from, prescribing providers in paper and electronic form.
26-a. Managed care providers shall require prior authorization of
prescriptions of opioid analgesics in excess of four prescriptions in a
thirty-day period, provided, however, that this subdivision shall not
apply if the patient is a recipient of hospice care, has a diagnosis of
cancer or sickle cell disease, or any other condition or diagnosis for
which the commissioner of health determines prior authorization is not
required.
26-b. Managed care providers shall not require prior authorization for
any buprenorphine products, methadone or long acting injectable
naltrexone for detoxification or maintenance treatment of a substance
use disorder prescribed according to generally accepted national
professional guidelines for the treatment of a substance use disorder.
26-c. Managed care providers shall not require prior authorization for
methadone, when used for opioid use disorder and administered or
dispensed in an opioid treatment program.
** 27. The commissioner of the department of health may make any
necessary amendments to a contract pursuant to this section with a
managed care provider, as defined in paragraph (b) of subdivision one of
this section, to allow such managed care provider to participate as a
qualified health plan in a state health benefit exchange established
pursuant to the federal Patient Protection and Affordable Care Act (P.L.
111-148), as amended by the federal Health Care and Education
Reconciliation Act of 2010 (P.L. 111-152).
** NB There are 2 sb 27's
** 27. (a) The centers for medicare and medicaid services has
established an initiative to align incentives between medicare and
medicaid. The goal of the initiative is to increase access to seamless,
quality programs that integrate services for the dually eligible
beneficiary as well as to achieve both state and federal health care
savings by improving health care delivery and encouraging high-quality
efficient care. In furtherance of this goal, the legislature authorizes
the commissioner of health to establish a fully integrated dual
advantage (FIDA) program.
(b) The FIDA program shall provide targeted populations of
medicare/medicaid dually eligible persons with comprehensive health
services that include the full range of medicare and medicaid covered
services, including but not limited to primary and acute care,
prescription drugs, behavioral health services, care coordination
services, and long-term supports and services, as well as other
services, through managed care providers, as defined in subdivision one
of this section, including managed long term care plans, certified
pursuant to section forty-four hundred three-f of the public health law.
(c) Under the FIDA program established pursuant to this subdivision,
up to three managed long term care plans may be authorized to
exclusively enroll individuals with developmental disabilities, as such
term is defined in section 1.03 of the mental hygiene law. The
commissioner of health may waive any of the department's regulations as
such commissioner, in consultation with the commissioner of the office
for people with developmental disabilities, deems necessary to allow
such managed long term care plans to provide or arrange for service for
individuals with developmental disabilities that are adequate and
appropriate to meet the needs of such individuals and that will ensure
their health and safety. The commissioner of the office for people with
developmental disabilities may waive any of the office for people with
developmental disabilities' regulations as such commissioner, in
consultation with the commissioner of health, deems necessary to allow
such managed long term care plans to provide or arrange for services for
individuals with developmental disabilities that are adequate and
appropriate to meet the needs of such individuals and that will ensure
their health and safety.
(d) The provisions of this subdivision shall not apply unless all
necessary approvals under federal law and regulation have been obtained
to receive federal financial participation in the costs of health care
services provided pursuant to this subdivision.
(e) The commissioner of health is authorized to submit amendments to
the state plan for medical assistance and/or submit one or more
applications for waivers of the federal social security act as may be
necessary to obtain the federal approvals necessary to implement this
subdivision.
(f) Notwithstanding any inconsistent provisions of this section and
sections one hundred twelve and one hundred sixty-three of the state
finance law, or section one hundred forty-two of the economic
development law, or any other law to the contrary, the commissioner of
health and, in the case of FIDAs authorized exclusively to enroll
persons with developmental disabilities, the commissioner of health and
the commissioner of the office for people with developmental
disabilities, may contract with FIDAs approved under this section
without a competitive bid or request for proposal process, are
authorized to enter into a contract or contracts under this section,
provided, however, that:
(i) the department of health shall post on its website, for a period
of no less than thirty days:
(A) a description of the proposed services to be provided pursuant to
the contract or contracts;
(B) the criteria for selection of a contractor or contractors;
(C) the period of time during which a prospective contractor may seek
selection, which shall be no less than thirty days after such
information is first posted on the website; and
(D) the manner by which a prospective contractor may seek such
selection, which may include submission by electronic means;
(ii) all reasonable and responsive submissions that are received from
prospective contractors in a timely fashion shall be reviewed by the
commissioner of health or commissioners, as applicable; and
(iii) the commissioner or, in the case of FIDAs authorized exclusively
to enroll persons with developmental disabilities, the commissioner of
health and the commissioner of the office for people with developmental
disabilities, may select such contractor or contractors that, in their
discretion, have demonstrated the ability to effectively, efficiently
and economically integrate health and long term care services, and meet
the standards for a certificate of authority under the public health law
for the provision of services applicable to the type of managed long
term care plan that such contractor proposes to operate.
(g) Nothing in this section shall be construed as requiring an
individual with a developmental disability to enroll in a FIDA that is
authorized to exclusively enroll individuals with developmental
disabilities.
(h) Nothing in this section shall make enrollment in a medicare
managed care plan a condition of an individual's participation in the
FIDA program, or affect the individual's entitlement to payment of
applicable medicare managed care or fee-for-service coinsurance
deductibles by the individual's FIDA plan.
** NB There are 2 sb 27's
** 28. To the extent that any provision of this section is
inconsistent with any provision of section forty-four hundred three-g of
the public health law, such provision of this section shall not apply to
an entity authorized to operate pursuant to section forty-four hundred
three-g of the public health law.
** NB Repealed December 31, 2027
29. In the event that the department receives approval from the
Centers for Medicare and Medicaid Services to amend its 1115 waiver or
receives approval for a new 1115 waiver prior to or following the
effective date of the chapter of the laws of two thousand twenty-four
that amended this subdivision, the commissioner is authorized to enter
into contracts and to amend the terms of contracts awarded prior to the
effective date of the chapter of the laws of two thousand twenty-four
that amended this subdivision, for the purpose of assisting the
department of health with implementing projects authorized under such
waiver approval. Notwithstanding the provisions of sections one hundred
twelve and one hundred sixty-three of the state finance law, or sections
one hundred forty-two and one hundred forty-three of the economic
development law, or any contrary provision of law, contracts may be
entered or contract amendments may be made pursuant to this subdivision
until March thirty-first, two thousand twenty-seven without a
competitive bid or request for proposal process; provided, however, in
the case of a contract entered into after the effective date of this
subdivision, that:
(a) The department of health shall post on its website, for a period
of no less than thirty days:
(i) A description of the proposed services to be provided pursuant to
the contract or contracts;
(ii) The criteria for selection of a contractor or contractors;
(iii) The period of time during which a prospective contractor may
seek selection, which shall be no less than thirty days after such
information is first posted on the website; and
(iv) The manner by which a prospective contractor may seek such
selection, which may include submission by electronic means;
(b) All reasonable and responsive submissions that are received from
prospective contractors in timely fashion shall be reviewed by the
commissioner of health; and
(c) The commissioner of health shall select such contractor or
contractors that, in such commissioner's discretion, are best suited to
serve the purposes of this section.
30. Notwithstanding the provisions of section one hundred sixty-three
of the state finance law, or sections one hundred forty-two and one
hundred forty-three of the economic development law, or any contrary
provision of law, in the event that the state receives prior approval
and enhanced financial participation from the Centers for Medicaid and
Medicare Services, Administration for Children and Families and the
Federal Food and Nutrition Services for reimbursement pursuant to an
A-87 cost allocation waiver for enhanced funding for integrated
eligibility systems, the state is authorized to enter into contracts,
and/or to amend the terms of contracts awarded prior to the effective
date of this subdivision, without a competitive bid or request for
proposal process, consistent with federal requirements, for the purpose
of implementing projects authorized under such waiver amendment;
provided, however, in the case of a contract entered into after the
effective date of this subdivision, that:
(a) The office of temporary and disability assistance and the office
of general services, or another state agency, shall post on its website
and concurrently provide to the chair of the senate health committee and
the chair of the assembly health committee, for a period of no less than
thirty days:
(i) A description of the proposed services to be provided pursuant to
the contract or contracts;
(ii) The criteria for selection of a contractor or contractors;
(iii) The period of time during which a prospective contractor may
submit an offer, which shall be no less than thirty days after such
information is first posted on the website; and
(iv) The manner by which a prospective contractor may submit an offer,
which may include submission by electronic means;
(b) All responsive and reasonable offers that are received from
prospective contractors in timely fashion shall be reviewed by the
commissioner of temporary and disability assistance or other state
agency; and
(c) The commissioners of the department of health, the office of
temporary and disability assistance and the office of children and
family services, working in cooperation with the state chief information
officer and the office of general services, shall award such contract to
the contractor or contractors offer that provides the best value as such
term is defined in section one hundred sixty-three of the state finance
law, to the state. At notification the commissioner of health shall
provide this information to the chair of the senate standing health
committee and the chair of the assembly health committee.
(d) All decisions made and approaches taken pursuant to this
subdivision shall be documented in a procurement record as defined in
section one hundred sixty-three of the state finance law.
(e) In accordance with all federal advance planning document guidance
and within the parameters established by the enhanced financial
participation from the centers for Medicaid and Medicare services,
administration for children and families and the federal food and
nutrition services for reimbursement to an A-87 cost allocation waiver
for enhanced funding for integrated eligibility systems, Phase 1 will
include foundational allowable shared service components required to
successfully meet the requirements for non-MAGI Medicaid such as a
common client portal, document management, rules engines, workflow
management tools, case management, notices and training.
(f) The contract will require training to be provided at no cost to
the social services districts.
(g) The contract shall require the completion of shared service
components by the timelines necessary to receive the enhanced financial
participation from the centers for Medicaid and Medicare services,
administration for children and families and the federal food and
nutrition services for reimbursement to an A-87 cost allocation waiver.
(h) The commissioner shall provide, within thirty days of award of
such contract or contracts, the chair of the senate standing committee
on health and the chair of the assembly health committee with a report
outlining the procurement and awards.
31. (a) The commissioner shall require managed care providers under
this section, managed long-term care plans under section forty-four
hundred three-f the public health law and other appropriate long-term
service programs to adopt expedited procedures for approving personal
care services for a medical assistance recipient who requires immediate
personal care or consumer directed personal assistance services pursuant
to paragraph (e) of subdivision two of section three hundred
sixty-five-a of this title or section three hundred sixty-five-f of this
title, respectively, or other long-term care, and provide such care or
services as appropriate, pending approval by such provider or program.
32. (a) The commissioner, or for the purposes of subparagraph (iv) of
paragraph (c) of this subdivision, the Medicaid inspector general in
consultation with the commissioner, may, in his or her discretion, apply
penalties to managed care organizations subject to this section and
article forty-four of the public health law, including managed long term
care plans, for untimely or inaccurate submission of encounter data;
provided however, no penalty shall be assessed if the managed care
organization submits, in good faith, timely and accurate data and a
material amount of such data is not successfully received by the
department as a result of department system failures or technical issues
that are beyond the control of the managed care organization.
(b) The commissioner, or for the purposes of subparagraph (iv) of
paragraph (c) of this subdivision, the Medicaid inspector general in
consultation with the commissioner, shall consider the following when
determining whether to assess a penalty against a managed care
organization and the amount of such penalty:
(i) the degree to which the managed care organization submitted
inaccurate data at a category of service level and the frequency of such
inaccurate data submissions by the managed care organization;
(ii) the degree to which the managed care organization submitted
untimely data or no data and the frequency of such untimely data
submissions or failures to submit by the managed care organization; and
(iii) the timeliness of the managed care organization in curing or
correcting inaccurate or untimely data.
For purposes of this section, "encounter data" shall mean all
encounter records or adjustments to previously submitted records which
the managed care organization has received and processed from provider
encounter or claim records of all contracted services rendered to an
enrollee of the managed care organization in the current or any
preceding month. Any penalty assessed under this subdivision shall be
calculated as a percentage of the Medicaid capitated premium calculated
by the department and paid to the managed care organization.
(c) (i) Penalties assessed pursuant to this subdivision against a
managed care organization other than a managed long term care plan
certified pursuant to section forty-four hundred three-f of the public
health law shall be as follows:
(A) for encounter data submitted or resubmitted past the deadlines set
forth in the model contract, the Medicaid capitated premiums shall be
reduced by one-third percent; and
(B) for incomplete or inaccurate encounter data, evaluated at a
category of service level, that fails to conform to department developed
benchmarks for completeness and accuracy, the Medicaid capitated
premiums shall be reduced by one and one-third percent; and
(C) for submitted data that results in a rejection rate in excess of
ten percent of department developed volume benchmarks, the Medicaid
capitated premiums shall be reduced by one-third percent.
(ii) Penalties assessed pursuant to this subdivisions against a
managed long term care plan certified pursuant to section forty-four
hundred three-f of the public health law shall be as follows:
(A) for encounter data submitted or resubmitted past the deadlines set
forth in the model contract, the Medicaid capitated premiums shall be
reduced by one-quarter percent;
(B) for incomplete or inaccurate encounter data, evaluated at a
category of service level, that fails to conform to department developed
benchmarks for completeness and accuracy, the Medicaid capitated
premiums shall be reduced by one percent; and
(C) for submitted data that results in a rejection rate in excess of
ten percent of department developed volume benchmarks, the Medicaid
capitated premiums shall be reduced by one-quarter percent.
(iii) For incomplete or inaccurate encounter data, identified in the
course of an audit, investigation or review by the Medicaid inspector
general, the Medicaid capitated premiums shall be reduced by an
additional one percent.
(d) (i) Penalties under this subdivision may be applied to any and all
circumstances described in paragraph (b) of this subdivision until the
managed care organization complies with the requirements for submission
of encounter data.
(ii) No penalties for late, incomplete or inaccurate encounter data
shall be assessed against managed care organizations in addition to
those provided for in this subdivision, provided, however, that nothing
in this paragraph shall prohibit the imposition of penalties, in cases
of fraud, waste or abuse, otherwise authorized by law.
33. For services under this title provided by residential health care
facilities under article twenty-eight of the public health law, the
commissioner shall direct managed care organizations licensed under
article forty-four of the public health law, article forty-three of the
insurance law, and this section, to continue to reimburse at a benchmark
rate which is to be the fee-for-service rate calculated pursuant to
section twenty-eight hundred eight of the public health law. The
benchmark fee-for-service rate shall continue to be paid by such managed
care organizations for all services provided by residential healthcare
facilities from the effective date of this subdivision at least until
December thirty-first, two thousand twenty. The commissioner may
require, as a condition of continuing to require payment at such
benchmark rate that aggregate managed care expenditures to residential
health care facilities meet the alternative payment methodology
requirements set forth in attachment I of the New York State section
1115 medicaid redesign team waiver as approved by the centers for
medicare and medicaid services. The commissioner of health shall waive
such requirements if a sufficient number of providers, as determined by
the commissioner, suffer a financial hardship as a consequence of such
alternative payment methodology requirements, or if the commissioner
determines that such alternative payment methodologies significantly
threaten individuals' access to residential health care facility
services; such waiver may be applied on a provider-specific or
industry-wide basis. Further, such requirements may be waived, as the
commissioner determines necessary, to comply with federal rules or
regulations governing these payment methodologies.
34. For purposes of recovery of overpayments pursuant to subdivision
thirty-five of this section, any payment made pursuant to the state's
managed care program, including payments made by managed long term care
plans, shall be deemed a payment by the state's medical assistance
program, provided that this subdivision shall not permit the imposition
of a lien or recovery against property of an individual or estate on
account of medical assistance payments where recovery is made against
the individual's managed care provider or provider of medical assistance
program items or services. Provided however nothing in this subdivision
shall be construed to limit recoveries under other relevant sections of
law.
35. Recovery of overpayments from network providers. (a) Where the
Medicaid inspector general during the course of an audit, investigation,
or review, or the deputy attorney general for the Medicaid fraud control
unit during the course of an investigation or prosecution for Medicaid
fraud, identifies medical assistance overpayments made by a managed care
provider or managed long term care plan to its subcontractor or
subcontractors or provider or providers, the state shall have the right
to recover the overpayment from the subcontractor or subcontractors,
provider or providers, or the managed care provider or managed long term
care plan; provided, however, in no event shall the state duplicate the
recovery of an overpayment from a provider or subcontractor.
(b) Where the state is unsuccessful in recovering an overpayment from
the subcontractor or subcontractors or provider or providers, the
Medicaid inspector general may require the managed care provider or
managed long term care plan to recover the medical assistance
overpayment identified in paragraph (a) of this subdivision on behalf of
the state. The managed care provider or managed long term care plan
shall remit to the state the full amount of the identified overpayment
no later than six months after receiving notice of the overpayment from
the state.
36. Medicaid Program Integrity Reviews. (a) For purposes of this
subdivision, managed care provider shall also include managed long term
care plans.
(b) The Medicaid inspector general shall conduct periodic reviews of
the contractual performance of each managed care provider as it relates
to the managed care provider's program integrity obligations under its
contract with the department. The Medicaid inspector general, in
consultation with the commissioner, shall publish on its website, a list
of those contractual obligations pursuant to which the managed care
provider's program integrity performance shall be evaluated, including
benchmarks, prior to commencing any review. A Medicaid program integrity
review of a managed care provider conducted pursuant to this
subdivision, may be completed no more than annually. Reviews performed
pursuant to this subdivision shall include a review of compliance with
contractual standards which prevent fraud, waste, or abuse. Such
standards may include but are not limited to excluded providers,
restricted recipient program, reporting obligations, compliance
programs, and suspension of payments. However, if the Medicaid inspector
general determines that a subsequent review, pursuant to this
subdivision, is necessary, a second review may occur within one year.
(c) If, as a result of his or her review, the Medicaid inspector
general determines that a managed care provider is not meeting its
program integrity obligations, the Medicaid inspector general may
recover from the managed care provider up to two percent of the Medicaid
premiums paid to the managed care provider for the period under review.
Any premium recovery under this subdivision shall be a percentage of the
administrative component of the Medicaid premium calculated by the
department and may be recovered by the department in the same manner it
recovers overpayments.
(d) The managed care provider shall be entitled to receive a draft
audit report and final audit report containing the results of the
Medicaid inspector general's review. If the Medicaid inspector general
determines to recover a percentage of the premium as described in
paragraph (c) of this subdivision, the managed care provider shall be
entitled to notice and an opportunity to be heard in accordance with
section twenty-two of this chapter.
37. Managed care providers shall report to the department all sources
and amounts of income, payments, and financial benefits related to the
provision of pharmacy benefits, including, but not limited to, any
pricing discounts, rebates of any kind, inflationary payments, credits,
clawbacks, fees, grants, chargebacks, reimbursements, or other benefits
whether such income, payments, or financial benefits are received
directly by the managed care provider or passed through from a pharmacy
benefit manager or other entity. Managed care providers shall also
report to the department the amounts of any administrative fees paid to
cover the cost of providing pharmacy benefit management services. The
reporting required in this subdivision shall be supplemental to and
included with other existing reporting requirements, including but not
limited to any quarterly reporting requirements.
** 38. (a) When a patient's health care provider prescribes an opioid
dependence agent or opioid antagonist that is not on the statewide
formulary of opioid dependence agents and opioid antagonists, the
prescriber shall consult with the managed care plan to confirm that in
his or her reasonable professional judgment, the patient's clinical
condition is consistent with the criteria for approval of the
non-preferred or non-formulary drug. Such criteria shall include:
(i) the preferred drug has been tried by the patient and has failed to
produce the desired health outcomes;
(ii) the patient has tried the preferred drug and has experienced
unacceptable side effects;
(iii) the patient has been stabilized on a non-preferred drug and
transition to the preferred or formulary drug would be medically
contraindicated; or
(iv) other clinical indications identified by the committee for the
patient's use of the non-preferred drug, which shall include
consideration of the medical needs of special populations, including
children, elderly, chronically ill, persons with mental health
conditions, persons affected by HIV/AIDS and pregnant persons with a
substance use disorder.
(b) The managed care plan shall have a process for a patient, or the
patient's prescribing health care provider, to request a review for a
prescription drug that is not on the statewide formulary of opioid
dependence agents and opioid antagonists, consistent with 42 C.F.R.
438.210(d), or any successor regulation.
(c) A managed care plan's failure to comply with the requirements of
this subdivision shall be subject to a one thousand dollar fine per
violation.
** NB There are 2 sb 38's
** 38. Penalties for the submission of misstated cost reports. (a) For
purposes of this subdivision, managed care provider shall also include
managed long-term care plans.
(b) The Medicaid inspector general may, in his or her discretion and
in consultation with the commissioner, impose a penalty on a managed
care provider whose filed cost report contained a misstatement of fact
including:
(i) unsubstantiated or improper costs;
(ii) number of member months;
(iii) number of events.
For purposes of this paragraph, number of events shall include, but
not be limited to understated births or deliveries.
(c) (i) For misstatements found in subparagraph (i) of paragraph (b)
of this subdivision, the penalty shall be equal to the amount of the
misstatement multiplied by two.
(ii) For misstatements found in subparagraph (ii) of paragraph (b) of
this subdivision, the penalty shall be the amount of the premium
capitation paid by the department for the region per member month.
(iii) For misstatements found in subparagraph (iii) of paragraph (b)
of this subdivision, the penalty shall be the amount of the supplemental
capitation paid by the department for the region per member event.
(d) Any penalty imposed under this subdivision may be recovered by the
department in any manner authorized by law.
(e) The managed care provider against whom a penalty is imposed
pursuant to this subdivision shall be entitled to notice and an
opportunity to be heard in accordance with section twenty-two of this
chapter.
** NB There are 2 sb 38's
39. Medicaid fraud, waste and abuse prevention. (a) For purposes of
this subdivision, managed care provider shall also include managed
long-term care plans.
(b) Managed care providers shall adopt and implement policies and
procedures designed to detect and prevent fraud, waste and abuse. This
shall include the adoption and implementation of a compliance program as
required by section three hundred sixty-three-d of this title and the
terms of the contract between the managed care provider and the state,
and for managed care providers with an enrolled population of one
thousand or more persons in the aggregate in any given year, the
establishment of a special investigation unit which will have primary
responsibility for implementing the managed care provider's policies and
procedures to detect and prevent fraud, waste and abuse, as it relates
to the managed care provider's participation in the medical assistance
program.
(c) The managed care provider shall coordinate its fraud, waste and
abuse prevention activities with the Medicaid inspector general and the
department of health. The Medicaid inspector general, in consultation
with the department of health, may promulgate regulations establishing
standards and requirements for the operation of managed care provider
fraud, waste and abuse prevention activities, including requirements for
special investigation units. The provisions of this subdivision
notwithstanding, the managed care provider shall continue to comply with
all the requirements of section forty-four hundred fourteen of the
public health law.
40. (a) The commissioner shall be entitled to penalize managed care
providers for failure to meet the contractual obligations and
performance standards of the executed contract between the state and a
managed care provider in place at the time of the failure.
(b) The commissioner shall have sole discretion in determining whether
to impose a penalty for noncompliance with any provision of such
contract.
(c) (i) Penalties imposed by this subdivision against a managed care
provider shall be from two hundred fifty dollars up to twenty-five
thousand dollars per violation depending on the severity of the
noncompliance as determined by the commissioner.
(ii) The commissioner may elect, in their sole discretion, to assess
penalties imposed by this section from, and as a set off against,
payments due to the managed care provider, or payments that become due
any time after the assessment of penalties. Deductions may continue
until the full amount of the noticed penalties are paid in full.
(iii) All penalties imposed by the commissioner pursuant to this
subdivision shall be paid out of the administrative costs and profits of
the managed care provider. The managed care provider shall not pass the
penalties imposed by the commissioner pursuant to this subdivision
through to any medical services provider and/or subcontractor.
(d) For the purposes of this subdivision a violation shall mean a
determination by the commissioner that the managed care provider failed
to act as required under the contract between the state and the managed
care provider in place at the time of the failure, or applicable federal
and state statutes, rules or regulations governing managed care
providers. Each instance of a managed care provider failing to furnish
necessary and/or required medical services or items to each enrollee
shall be a separate violation and each day that an ongoing violation
continues shall be a separate violation.
(e) No penalties shall be assessed pursuant to this subdivision
without providing an opportunity for a formal hearing conducted in
accordance with section twelve-a of the public health law.
(f) Nothing in this subdivision shall prohibit the imposition of
damages, penalties or other relief, otherwise authorized by law,
including but not limited to cases of fraud, waste or abuse.
(g) The commissioner may promulgate any regulations necessary to
implement the provisions of this subdivision.
* NB Repealed March 31, 2029 (per ch. 165/1991)
* NB Repealed March 31, 2029 (per ch. 710/1988)
Transitional supplemental payments. 1. As used in this
section, "covered provider" shall mean a voluntary not-for-profit health
care provider that is any of the following:
(a) a freestanding diagnostic and treatment center licensed under
article twenty-eight of the public health law that qualifies for a
distribution pursuant to section twenty-eight hundred seven-p of such
article, or section seven of chapter four hundred thirty-three of the
laws of nineteen hundred ninety-seven, or receives funding under section
three hundred thirty-three of the federal public health services act for
health care for the homeless; or
(b) a freestanding diagnostic and treatment center which operates an
approved program under the prenatal care assistance program established
pursuant to article twenty-five of the public health law; or
(c) a facility licensed under article twenty-eight of the public
health law that is sponsored by a university or dental school which has
been granted an operating certificate pursuant to article twenty-eight
of the public health law to provide dental services; or
(d) a freestanding family planning clinic licensed under article
twenty-eight of the public health law.
2. (a) Notwithstanding paragraphs (b) and (h) of subdivision two of
section twenty-eight hundred seven of the public health law, the
commissioner of health shall make supplemental payments of nine million
eight hundred twenty-four thousand dollars ($9,824,000), to covered
providers described in subdivision one of this section who are qualified
providers as described in paragraph (a) of subdivision three of this
section, based on adjustments to fee-for-service rates for the period
February first through March thirty-first, two thousand two and nine
million eight hundred twenty-four thousand dollars ($9,824,000) for the
period October first through December thirty-first, two thousand two and
four million nine hundred twelve thousand dollars ($4,912,000) for the
period October first through December thirty-first, two thousand three
and an additional amount of four million nine hundred twelve thousand
dollars ($4,912,000) for the period October first through December
thirty-first, two thousand three and nine million eight hundred
twenty-four thousand dollars ($9,824,000) for the period April first
through June thirtieth, two thousand five, and nine million eight
hundred twenty-four thousand dollars ($9,824,000) for the period October
first through December thirty-first, two thousand six, and an additional
nine million eight hundred twenty-four thousand dollars ($9,824,000) for
the period October first through December thirty-first, two thousand
six, and nine million eight hundred twenty-four thousand dollars
($9,824,000) for the period October first through December thirty-first,
two thousand seven, as medical assistance payments for services provided
pursuant to this title for persons eligible for federal financial
participation under title XIX of the federal social security act to
reflect additional costs associated with the transition to a managed
care environment, and nine million eight hundred twenty-four thousand
dollars ($9,824,000) for the period October first through December
thirty-first, two thousand eight, and seven million three hundred
eighty-eight thousand dollars ($7,388,000) for the period October first
through December thirty-first, two thousand nine, as medical assistance
payments for services provided pursuant to this title for persons
eligible for federal financial participation under title XIX of the
federal social security act to reflect additional costs associated with
the operation of electronic health record systems that meet such
standards as may be established by the commissioner of health. There
shall be no local share in these payments. The director of the budget
shall allocate the non-federal share of such payments from an
appropriation for the miscellaneous special revenue fund - 339 community
service provider assistance program account for the two thousand
one--two thousand two state fiscal year for adjustments for the period
February first through March thirty-first, two thousand two. Adjustments
for the period October first, two thousand two through December
thirty-first, two thousand two shall be within amounts appropriated for
the two thousand two--two thousand three state fiscal year and
adjustments for the period October first, two thousand three through
December thirty-first, two thousand three shall be within amounts
appropriated for the two thousand three--two thousand four state fiscal
year and adjustments for the non-federal share of the additional amount
of four million nine hundred twelve thousand dollars ($4,912,000) for
such period shall be allocated by the director of the budget from an
appropriation for maintenance undistributed general fund community
projects fund - 007 account for the two thousand three--two thousand
four state fiscal year. The director of the budget shall allocate the
non-federal share of adjustments for the period April first, two
thousand five through June thirtieth, two thousand five from an
appropriation for the maintenance undistributed general fund community
projects fund - 007 - cc account for the two thousand four--two thousand
five state fiscal year. The director of the budget shall allocate the
non-federal share of adjustments for the period October first, two
thousand six through December thirty-first, two thousand six from an
appropriation for the maintenance undistributed, general fund, community
projects fund - 007-cc account for the two thousand five--two thousand
six state fiscal year. The director of the budget shall allocate the
non-federal share of the additional adjustments for the period October
first, two thousand six through December thirty-first, two thousand six
from such funds as may be made available from an appropriation for the
maintenance undistributed, general fund, community projects fund -
007-cc account for the two thousand six--two thousand seven state fiscal
year. The director of the budget shall allocate the non-federal share of
the adjustments for the period October first, two thousand seven through
December thirty-first, two thousand seven from an appropriation for the
medical assistance program, general fund, local assistance account - 001
for the two thousand seven--two thousand eight state fiscal year. The
director of the budget shall allocate the non-federal share of the
adjustments for the period October first, two thousand eight through
December thirty-first, two thousand eight from an appropriation for the
medical assistance program, general fund, local assistance account - 001
for the two thousand eight--two thousand nine state fiscal year. The
director of the budget shall allocate the non-federal share of the
adjustments for the period October first, two thousand nine through
December thirty-first, two thousand nine from an appropriation for the
medical assistance program, general fund, local assistance account - 001
for the two thousand nine--two thousand ten state fiscal year. Such
adjustments to fee for service rates shall not be subject to subsequent
adjustment or reconciliation. Alternatively, such payments may be made
as aggregate payments to eligible providers.
(a-1) Notwithstanding the provisions of paragraph (a) of this
subdivision, for facilities licensed under article twenty-eight of the
public health law that are sponsored by a university or dental school
which has been granted an operating certificate pursuant to article
twenty-eight of the public health law and which provides dental services
as its principal mission, two hundred twenty-four thousand dollars
($224,000) in the aggregate for use pursuant to this section shall be
allocated for distribution to such facilities pursuant to the
methodology described in paragraph (b) of subdivision two and
subparagraph (i) of paragraph (b) of subdivision four of section two
thousand eight hundred seven-p of the public health law for services
provided for the period February first, two thousand two through March
thirty-first, two thousand two to persons eligible for federal financial
participation under title XIX of the federal social security act,
provided, however, that the amount paid pursuant to this paragraph for
each such facility shall equal the facility's proportional share of the
total nominal payment amounts calculated under this section of all such
facilities multiplied by the total funds allocated for such payments.
There shall be no local share in these payments. The director of the
budget shall allocate the non-federal share of such payments from an
appropriation for the miscellaneous special revenue fund - 339 community
service provider assistance program account for the two thousand
one--two thousand two state fiscal year. Such adjustments to fee for
service rates shall not be subject to subsequent adjustment or
reconciliation. Alternatively, such payments may be made as aggregate
payments to eligible providers.
(a-2) (i) Notwithstanding the provisions of paragraph (a) of this
subdivision, for facilities licensed under article twenty-eight of the
public health law that are sponsored by a university or dental school
which has been granted an operating certificate pursuant to article
twenty-eight of the public health law and which provides dental services
as its principal mission, two hundred twenty-four thousand dollars
($224,000) in the aggregate of the amount appropriated for the two
thousand two--two thousand three state fiscal year for use pursuant to
this section shall be allocated for the period October first through
December thirty-first, two thousand two and one hundred twelve thousand
dollars ($112,000) in the aggregate of the amount appropriated for the
two thousand three--two thousand four state fiscal year, and an
additional amount of one hundred twelve thousand dollars ($112,000) in
the aggregate for use pursuant to this section shall be allocated for
the period October first through December thirty-first, two thousand
three and two hundred twenty-four thousand dollars ($224,000) in the
aggregate of the amount appropriated for the two thousand four--two
thousand five state fiscal year shall be allocated for the period April
first, two thousand five through June thirtieth, two thousand five, and
two hundred twenty-four thousand dollars ($224,000) in the aggregate of
the amount appropriated for the two thousand five--two thousand six
state fiscal year shall be allocated for the period October first, two
thousand six through December thirty-first, two thousand six, and an
additional two hundred twenty-four thousand dollars ($224,000) in the
aggregate of the amount appropriated for the two thousand six--two
thousand seven state fiscal year shall be allocated for the period
October first, two thousand six through December thirty-first, two
thousand six, and two hundred twenty-four thousand dollars ($224,000) in
the aggregate of the amount appropriated for the two thousand seven--two
thousand eight state fiscal year shall be allocated for the period
October first, two thousand seven through December thirty-first, two
thousand seven, and two hundred twenty-four thousand dollars ($224,000)
in the aggregate of the amount appropriated for the two thousand
eight--two thousand nine state fiscal year shall be allocated for the
period October first, two thousand eight through December thirty-first,
two thousand eight and two hundred twenty-four thousand dollars
($224,000) in the aggregate of the amount appropriated for the two
thousand nine--two thousand ten state fiscal year shall be allocated for
the period October first, two thousand nine through December
thirty-first, two thousand nine for distribution to such facilities
pursuant to subparagraphs (ii) and (iii) of this paragraph. Adjustments
for the non-federal share of the additional amount of one hundred twelve
thousand dollars ($112,000) for the period October first, two thousand
three through December thirty-first, two thousand three shall be
allocated by the director of the budget from an appropriation for
maintenance undistributed general fund community projects fund - 007
account for the two thousand three--two thousand four state fiscal year.
The non-federal share of adjustments for the period April first, two
thousand five through June thirtieth, two thousand five shall be
allocated by the director of the budget from an appropriation for the
maintenance undistributed general fund community projects fund - 007
account for the two thousand four--two thousand five state fiscal year.
The non-federal share of adjustments for the period October first, two
thousand six through December thirty-first, two thousand six shall be
allocated by the director of the budget from an appropriation for the
maintenance undistributed, general fund, community projects fund -
007-cc account for the two thousand five--two thousand six state fiscal
year. The non-federal share of the additional adjustments for the period
October first, two thousand six through December thirty-first, two
thousand six shall, subject to the availability of funds, be allocated
by the director of the budget from the medical assistance local
assistance appropriation for the two thousand six--two thousand seven
state fiscal year. The non-federal share of the adjustments for the
period October first, two thousand seven through December thirty-first,
two thousand seven shall be allocated by the director of the budget from
an appropriation for the medical assistance program, general fund, local
assistance account - 001 for the two thousand seven--two thousand eight
state fiscal year. The non-federal share of the adjustments for the
period October first, two thousand eight through December thirty-first,
two thousand eight shall be allocated by the director of the budget from
an appropriation for the medical assistance program, general fund, local
assistance account - 001 for the two thousand eight--two thousand nine
state fiscal year. The non-federal share of the adjustments for the
period October first, two thousand nine through December thirty-first,
two thousand nine shall be allocated by the director of the budget from
an appropriation for the medical assistance program, general fund, local
assistance account - 001 for the two thousand nine--two thousand ten
state fiscal year.
(ii) Forty percent shall be allocated for equal distribution to such
facilities, reduced by the amount, if any, that a distribution exceeds
forty percent of a facility's uncompensated care need as defined in
paragraph (b) of subdivision two of section two thousand eight hundred
seven-p of the public health law. Any funds allocated but not
distributed in accordance with this subparagraph shall be added to those
amounts distributed in accordance with subparagraph (iii) of this
paragraph.
(iii) Sixty percent, plus any funds allocated and not distributed in
accordance with subparagraph (ii) of this paragraph, shall be allocated
for distribution to such facilities pursuant to the methodology
described in paragraph (b) of subdivision two and subparagraph (i) of
paragraph (b) of subdivision four of section two thousand eight hundred
seven-p of the public health law, provided, however, that the amount
paid pursuant to this allocation for each such facility shall equal the
facility's proportional share of the total nominal payment amounts
calculated under this section of all such facilities multiplied by the
total funds allocated for such payments.
(iv) There shall be no local share in these payments.
(b) Notwithstanding the provisions of subdivision one of section three
hundred sixty-eight-a of this title, there shall be paid to each social
services district the full amount expended on behalf of the department
of health for medical assistance furnished pursuant to the provisions of
this section, after first deducting therefrom any federal funds properly
received or to be received on account thereof.
3. (a) For periods prior to January first, two thousand eight, a
covered provider described in subdivision one of this section shall be
qualified to receive a supplemental payment only if its number of
medicaid visits for patient care services in the base year described in
subparagraph (ii) of paragraph (b) of this subdivision equals or exceeds
twenty-five percent of its total number of visits for patient care
services and its number of medicaid visits for patient care services for
medicaid managed care enrollees equals or exceeds three percent of its
total number of medicaid visits during the base year. For periods on and
after January first, two thousand eight, a covered provider described in
subdivision one of this section shall be qualified to receive a
supplemental payment only if it has in place during such period an
operational electronic health record system that meets such standards as
may be established by the commissioner of health and its number of
medicaid visits for patient care services in the base year described in
subparagraph (ii) of paragraph (b) of this subdivision equals or exceeds
twenty-five percent of its total number of visits for patient care
services during the base year or its number of medicaid visits combined
with its number of uninsured visits for patient care services in the
base year described in subparagraph (ii) of paragraph (b) of this
subdivision equals or exceeds thirty percent of its total number of
visits for patient care services during the base year.
(b) (i) For periods prior to January first, two thousand eight, each
qualified provider described in paragraph (a) of this subdivision shall
receive a supplemental payment equal to such provider's proportional
share of the total funds allocated pursuant to this section, based upon
the ratio of its visits from medical assistance recipients enrolled in
managed care during the base year to the total number of visits to all
such qualified providers by medical assistance recipients enrolled in
managed care during the base year. For periods on and after January
first, two thousand eight, each qualified provider described in
paragraph (a) of this subdivision shall receive a supplemental payment
equal to such provider's proportional share of the total funds allocated
pursuant to this section, based upon the ratio of its visits from
medical assistance recipients during the base year to the total number
of visits from medical assistance recipients to all such qualified
providers during the base year.
(ii) For periods prior to January first, two thousand eight, for
purposes of the calculation described in this subdivision, the base year
will be two thousand, and the commissioner of health shall utilize data
as reported on the 2000 AHCF-1 cost report initially submitted by
covered providers to the department of health on or about August
seventeenth, two thousand one. For periods on and after January first,
two thousand eight, for purposes of the calculation described in this
subdivision, the base year will be two years prior to the grant year,
and the commissioner of health shall utilize data as reported on AHCF-1
cost report submitted by covered providers to the department of health
for such base year.
4. Payments made pursuant to this section shall constitute additional
reimbursement to qualified providers and shall not be used to reduce
levels of other funding provided to qualified providers by governmental
agencies.
5. (a) The commissioner of health shall make medical assistance
payments to qualified providers from funds made available pursuant to
the provisions of this section contingent upon the receipt of all
federal approvals necessary and subject to the availability of federal
financial participation under title XIX of the federal social security
act for the transitional supplemental payments. In the event such
federal approval is not received prior to March thirty-first, two
thousand two, for adjustments for the period February first, two
thousand two through March thirty-first, two thousand two and prior to
October first, two thousand two for adjustments for the period October
first, two thousand two through December thirty-first, two thousand two
and prior to October first, two thousand three for adjustments for the
period October first, two thousand three through December thirty-first,
two thousand three, and prior to October first, two thousand five for
adjustments for the period April first, two thousand five through June
thirtieth, two thousand five, and prior to October first, two thousand
six for adjustments for the period October first, two thousand six
through December thirty-first, two thousand six, and prior to October
first, two thousand seven for adjustments for the period October first,
two thousand seven through December thirty-first, two thousand seven,
and prior to October first, two thousand eight for adjustments for the
period October first, two thousand eight through December thirty-first,
two thousand eight, and prior to October first, two thousand nine for
adjustments for the period October first, two thousand nine through
December thirty-first, two thousand nine, the commissioner of health
shall make medical assistance payments to qualified providers consisting
of the state share amount available for purposes of this section and
apportioned in accordance with subdivisions two and three of this
section. In the event such federal approval is denied, such state share
amount payments shall be deemed to be grants to such qualified providers
and such qualified providers shall not be eligible to receive any other
payments pursuant to this section.
(b) The commissioner of health shall take all steps necessary and
shall use best efforts to secure federal financial participation under
title XIX of the social security act, for the purposes of this section,
including the prompt submission of appropriate amendments to the title
XIX state plan.
* § 364-jj. Special advisory review panel on Medicaid managed care.
(a) There is hereby established a special advisory review panel on
Medicaid managed care. The panel shall consist of sixteen members who
shall be appointed as follows: six by the governor, one of which shall
serve as the chair; four each by the temporary president of the senate
and the speaker of the assembly; and one each by the minority leader of
the senate and the minority leader of the assembly. At least three
members of such panel shall be members of the joint advisory panel
established under section 13.40 of the mental hygiene law. The panel
shall include a consumer representative for individuals with behavioral
health needs, a consumer representative for individuals who are dually
eligible for medicare and Medicaid, a representative of entities that
provide or arrange for the provision of services to individuals with
behavioral health needs, and a representative of entities that provide
or arrange for the provision of services to individuals who are dually
eligible for medicare and Medicaid. Members shall serve without
compensation but shall be reimbursed for appropriate expenses. The
department shall provide technical assistance and access to data as is
required for the panel to effectuate the mission and purposes
established herein.
(b) The panel shall:
(i) determine whether there is sufficient managed care provider
participation in the Medicaid managed care program;
(ii) determine whether managed care providers meet proper enrollment
targets that permit as many Medicaid recipients as possible to make
their own health plan decisions, thus minimizing the number of automatic
assignments;
(iii) review the phase-in schedule for enrollment, of managed care
providers under both the voluntary and mandatory programs;
(iv) assess the impact of managed care provider marketing and
enrollment strategies, and the public education campaign conducted in
New York city, on enrollees participation in Medicaid managed care
plans;
(v) evaluate the adequacy of managed care provider capacity by
reviewing established capacity measurements and monitoring actual access
to plan practitioners;
(vi) examine the cost implications of populations excluded and
exempted from Medicaid managed care;
(vii) evaluate the adequacy and appropriateness of program materials;
(viii) examine trends in service denials;
(ix) assess the access to care for people with disabilities;
(x) in accordance with the recommendations of the joint advisory
council established pursuant to section 13.40 of the mental hygiene law,
advise the commissioners of health and developmental disabilities with
respect to the oversight of DISCOs and of health maintenance
organizations and managed long term care plans providing services
authorized, funded, approved or certified by the office for people with
developmental disabilities, and review all managed care options provided
to persons with developmental disabilities, including: the adequacy of
support for habilitation services; the record of compliance with
requirements for person-centered planning, person-centered services and
community integration; the adequacy of rates paid to providers in
accordance with the provisions of paragraph 1 of subdivision four of
section forty-four hundred three of the public health law, paragraph
(a-2) of subdivision eight of section forty-four hundred three of the
public health law or paragraph (a-2) of subdivision twelve of section
forty-four hundred three-f of the public health law; and the quality of
life, health, safety and community integration of persons with
developmental disabilities enrolled in managed care; and
(xi) examine other issues as it deems appropriate.
(c) Commencing January first, nineteen hundred ninety-seven and
quarterly thereafter the panel shall submit a report regarding the
status of Medicaid managed care in the state and provide recommendations
if it deems appropriate to the governor, the temporary president and the
minority leader of the senate, and the speaker and the minority leader
of the assembly.
* NB Effective until December 31, 2027
* § 364-jj. Special advisory review panel on Medicaid managed care.
(a) There is hereby established a special advisory review panel on
Medicaid managed care. The panel shall consist of nine members who shall
be appointed as follows: three by the governor, one of which shall serve
as the chair; two each by the temporary president of the senate and the
speaker of the assembly; and one each by the minority leader of the
senate and the minority leader of the assembly. All members shall be
appointed no later than September first, nineteen hundred ninety-six.
Members shall serve without compensation but shall be reimbursed for
appropriate expenses. The department shall provide technical assistance
and access to data as is required for the panel to effectuate the
mission and purposes established herein.
(b) The panel shall:
(i) determine whether there is sufficient managed care provider
participation in the Medicaid managed care program;
(ii) determine whether managed care providers meet proper enrollment
targets that permit as many Medicaid recipients as possible to make
their own health plan decisions, thus minimizing the number of automatic
assignments;
(iii) review the phase-in schedule for enrollment, of managed care
providers under both the voluntary and mandatory programs;
(iv) assess the impact of managed care provider marketing and
enrollment strategies, and the public education campaign conducted in
New York city, on enrollees participation in Medicaid managed care
plans;
(v) evaluate the adequacy of managed care provider capacity by
reviewing established capacity measurements and monitoring actual access
to plan practitioners;
(vi) examine the cost implications of populations excluded and
exempted from Medicaid managed care; and
(vii) examine other issues as it deems appropriate.
(c) Commencing January first, nineteen hundred ninety-seven and
quarterly thereafter the panel shall submit a report regarding the
status of Medicaid managed care in the state and provide recommendations
if it deems appropriate to the governor, the temporary president and the
minority leader of the senate, and the speaker and the minority leader
of the assembly.
* NB Effective December 31, 2027
Condition of Participation. 1. Notwithstanding any provision
of law to the contrary, in addition to the requirements for
participation in the medical assistance program as may be required to be
met by nursing facilities and assisted living programs, such facilities
and programs, adult homes and enriched housing programs receiving
payment under this chapter shall enter into arrangements with social
services districts to admit, on a priority basis, a number of
individuals eligible to have medical assistance paid on their behalf who
are otherwise appropriate for nursing facility or other long-term
residential care, as described in this section, and whose health and
safety reasonably cannot be maintained in their own homes by the
provision of personal care services, home health services, or other home
and community-based services, as determined by the local social services
official pursuant to standards promulgated by the department pursuant to
section three hundred sixty-seven-m of this chapter.
2. The department shall by regulation establish a method or formula
for determining a fair and equitable distribution of priority admissions
under this section in order that all providers of nursing home and
long-term residential care services share the responsibility for
accepting placements required under subdivision one hereof, and accept
such placements, and that no one provider of nursing facility or
long-term residential care, group or classification thereof is required
to accept a number of such placements as would jeopardize the
profitability or viability of such provider, group of providers or
classification of providers, or as would otherwise unduly burden or
impair the operation, character or continuation of such provider, group
of providers, or classification of provider.
3. The commissioners of health and social services shall monitor the
implementation of this section and, on or before March first, nineteen
hundred ninety-six, report to the governor and legislature on such
implementation and the effects thereof and shall include recommendations
for continuation or other modifications to the provisions of this
section.
* § 364-m. Statewide patient centered medical home program. 1. The
commissioner of health is authorized to certify certain clinicians and
clinics as health care homes in order to improve health outcomes and
efficiency through patient care continuity and coordination of health
services. These providers will be eligible for enhanced payments for
services provided to: recipients eligible for Medicaid fee-for-service;
enrollees eligible for Medicaid managed care; enrollees eligible for and
enrolled in Family Health Plus organizations pursuant to title eleven-D
of this article ("Family Health Plus"); and enrollees eligible for and
enrolled in Child Health Plus. As used in this section "clinic" means a
general hospital providing outpatient care or a diagnostic and treatment
center, licensed under article twenty-eight of the public health law.
2. By December first, two thousand nine, the commissioner of health
shall develop and implement standards of certification for patient
centered medical homes for Medicaid fee-for-service and Medicaid managed
care, Family Health Plus and Child Health Plus programs. In developing
such standards, the commissioner of health shall: (a) consider existing
standards developed by national accrediting and professional
organizations; and (b) consult with national and local organizations
working on medical home models, physicians, hospitals, clinics, health
plans and consumers and their representatives.
3. To maintain their certification, patient centered medical homes
must: (a) renew their certification at a frequency determined by the
commissioner of health; and (b) provide data to the department of health
and to health plans in which the patient is enrolled to permit the
commissioner of health to evaluate the impact of patient centered
medical homes on quality, outcomes and cost.
4. Subject to the availability of funding and federal financial
participation, the commissioner of health is authorized:
(a) To pay enhanced rates of payment to clinics and clinicians that
are certified as patient centered medical homes under this section. Such
enhancements may be tiered based on the level of standard achieved by
the clinician or clinic; and
(b) To pay additional amounts for patient centered medical homes that
meet specific process or outcome standards specified by the commissioner
of health.
5. By December thirty-first, two thousand twelve, the commissioner of
health shall report to the governor and the legislature on the impact of
the statewide patient centered medical home program on quality, cost and
outcomes for enrollees in Medicaid fee-for-service, Medicaid managed
care, Family Health Plus and Child Health Plus.
* NB Repealed April 1, 2028
Diabetes and chronic disease self-management pilot program.
The commissioner of health may establish a diabetes and chronic disease
self-management pilot program in one or more counties or regions of the
state for the purpose of improving clinical outcomes. Payments under
such program may be made for education, consultation, and peer support
services for persons with chronic health conditions, as defined by the
commissioner, to be eligible to receive such services. The commissioner
is authorized to establish fees for such counseling services, subject to
the approval of the director of the division of the budget. The
provisions of this section shall not take effect unless all necessary
approvals under federal law and regulation have been obtained to receive
federal financial participation for the costs of services provided under
this section.
Responsibility for assistance. 1. Subject to supervision by the
department: (a) each public welfare district shall furnish medical
assistance to the persons eligible therefor who reside in its territory,
except to persons for whom another public welfare district would be
responsible under the provisions of paragraphs (b), (c), (d) or (g) of
subdivision five of section sixty-two and other provisions of this
chapter, and except to persons for whom provision is made hereinafter in
subdivision two. Temporary absence, within or without the state, of such
persons from such territory shall not effect their eligibility for such
assistance;
(b) each public welfare district shall also be responsible for
furnishing medical assistance to eligible persons found in its
territory, who are temporarily in the state;
(c) each public welfare district, in any case in which the appropriate
medical care and services are not available within such district, shall
make appropriate arrangements, including the provision of
transportation, for obtaining such medical care and services outside
such district;
(d) each public welfare district may furnish all or any part of the
medical assistance required to be furnished pursuant to this title,
either directly or by contract or agreement.
2. Any inconsistent provision of this chapter or other law
notwithstanding, the department shall be responsible for furnishing
medical assistance to eligible individuals: (a) who are sixty-five years
of age or older and who are patients in either state hospitals for the
mentally disabled operated by the state department of mental hygiene or
state hospitals for the treatment of tuberculosis operated pursuant to
the provisions of the public health law; (b) who are under twenty-one
years of age and who are receiving psychiatric services in such state
hospitals for the mentally disabled which services conform to the state
plan implementive of this title and which a team consisting of
physicians and other qualified personnel has determined are necessary on
an in-patient basis and can reasonably be expected to improve the
condition requiring such services to the extent that eventually such
services will no longer be necessary; in the case of a person who,
during the course of hospitalization attains the age of twenty-one, such
services may continue until he reaches the age of twenty-two; (c) who
are patients in that part of a public institution operated for the care
of individuals with developmental disabilities that has been approved
pursuant to law as a hospital or nursing home; (d) who are under care
and treatment for drug dependence in a facility, or part thereof,
operated pursuant to the provisions of the mental hygiene law if and so
long as federal aid is available therefor; (e) who are under care in a
hospital while they are on release from an institution in the state
department of mental hygiene or who are drug dependent persons under
care in a hospital while they are on release from a drug abuse treatment
facility or part thereof operated in compliance with applicable
provisions of law and supervised by the state division of substance
abuse services, for the purpose of receiving care in such hospital. The
department may at its option discharge such responsibility, in whole or
in part, through social services districts designated to act as agents
of the department. While so designated, a social services district shall
act as agent of the department and shall be entitled to reimbursement as
provided in section three hundred sixty-eight-a of this title.
3. Any inconsistent provision of this chapter or other law
notwithstanding, the department shall be responsible for furnishing
medical assistance to eligible veterans and their dependents (a) in that
part of the New York state home for veterans and their dependents at
Oxford that has been approved pursuant to law as a nursing home, and (b)
in a hospital while on release from that home for the purpose of
receiving care in such hospital. The department may at its option
discharge such responsibility, in whole or in part, through social
services districts designated to act as agents of the department. While
so designated, a social services district shall act as agent of the
department and shall be entitled to reimbursement as provided in section
three hundred sixty-eight-a of this title.
4. Any inconsistent provision of this chapter or other law
notwithstanding, the department shall be responsible for furnishing
medical assistance to eligible individuals: (a) who are patients in that
part of a public institution operated for the care of individuals with
developmental disabilities that has been approved pursuant to law as an
intermediate care facility or who are participating in a program
operated by the department of mental hygiene or by a voluntary agency
under an agreement with such department, in that part of such a facility
that has been approved as a day treatment program in accordance with the
regulations of the state commissioner of mental hygiene; (b) who are
veterans and their dependents in that part of the New York state home
for veterans and their dependents at Oxford that has been approved
pursuant to law as an intermediate care facility; (c) such persons under
care in a hospital while they are on release from such home for the
purpose of receiving care in such hospital; and (d) who are included in
either one of the model waivers or the general waiver described in
subdivisions seven and nine of section three hundred sixty-six of this
chapter. The department may, at its option, discharge such
responsibility, in whole or in part, through social services districts
designated to act as agents of the department. While so designated, a
social services district shall act as agent of the department and shall
be entitled to reimbursements as provided in section three hundred
sixty-eight-a of this chapter.
5. Any inconsistent provision of this chapter or other law
notwithstanding the department shall be responsible for determining
eligibility of and furnishing medical assistance to eligible persons
when such person is in need of such medical assistance at the time he is
discharged or released or conditionally released from a state department
of mental hygiene facility pursuant to the mental hygiene law and when
such person was admitted to such facility and has been a patient therein
for a continuous period of five or more years prior to his discharge or
release. For purposes of determining whether a person has been a patient
in such a facility for a continuous period of five years or more, if a
person who has been discharged or released from such a facility is
thereafter returned to such a facility within ninety days of the
discharge or release, the period of time between such discharge or
release and such return shall not constitute an interruption of, and
shall be counted as part of, the continuous period. The department may,
at its option, discharge its responsibility for eligibility
determinations or for providing medical assistance or both, in whole or
in part, through designated social services districts. While so
designated, a social services district shall act as agent of the
department and shall be entitled to reimbursement of the full amount
expended on behalf of the department as provided in section three
hundred sixty-eight-a of this article.
6. Any inconsistent provisions of this chapter or other law
notwithstanding, the department shall be responsible for determining
eligibility for medical assistance for a person for whom the full cost
of such assistance is reimbursable by the state and who is in need of
such assistance at the time he is discharged or released or
conditionally released from a state hospital operated by the office of
mental health or a facility operated by the division of alcoholism and
alcohol abuse located on the grounds of such hospital. The department
may at its option discharge such responsibility, in whole or in part,
through social services districts designated to act as agents of the
department. While so designated, a social services district shall act as
agent of the department and shall be entitled to reimbursement as
provided in section three hundred sixty-eight-a of this title.
7. Any inconsistent provision of this chapter or other law
notwithstanding, the department may, with the consent of the
commissioner of mental health, designate the office of mental health as
its agent to discharge its responsibility, or so much of its
responsibility as is permitted by federal law, for determining
eligibility for medical assistance pursuant to subdivisions two, five,
six and eight of this section.
8. Any inconsistent provision of this chapter or other law
notwithstanding, the department shall be responsible for determining
eligibility of and furnishing medical assistance to eligible persons who
reside in residential care centers for adults or community residences
operated by the office of mental health. The department may, at its
option, discharge its responsibility for eligibility determinations or
for providing medical assistance or both, in whole or in part, through
designated social services districts. While so designated, a social
services district shall act as agent of the department and shall be
entitled to reimbursement as provided in section three hundred
sixty-eight-a of this article.
9. Any inconsistent provision of this chapter or other law
notwithstanding, the social services district in which an eligible major
public general hospital is physically located shall be responsible for
the supplementary bad debt and charity care adjustment component of the
rate of payment for such major public general hospital (as determined in
accordance with subdivision fourteen-a of section twenty-eight hundred
seven-c of the public health law) for all inpatient hospital services
provided by such major public general hospital in accordance with
section three hundred sixty-five-a of this article, regardless of
whether another social services district or the department may otherwise
be responsible for furnishing medical assistance to the eligible persons
receiving such inpatient services.
10. Any inconsistent provision of this chapter or other law
notwithstanding, the social services district in which an eligible
public general hospital is physically located shall be responsible for
the supplementary low income patient adjustment component of the rate of
payment for such public general hospital (as determined in accordance
with subdivision fourteen-d of section twenty-eight hundred seven-c of
the public health law) for all inpatient hospital services provided by
such public general hospital in accordance with section three hundred
sixty-five-a of this article, regardless of whether another social
services district or the department may otherwise be responsible for
furnishing medical assistance to the eligible persons receiving such
inpatient services.
11. Any inconsistent provision of this chapter or other law
notwithstanding, the social services district in which an eligible
public residential health care facility is physically located shall be
responsible for the adjustment component of the payments for such public
residential health care facility as determined in accordance with
subdivision twelve of section twenty-eight hundred eight of the public
health law for all residential health care facility services provided by
such public residential health care facility in accordance with section
three hundred sixty-five-a of this article, regardless of whether
another social services district or the department may otherwise be
responsible for furnishing medical assistance to the eligible persons
receiving such services.
12. Any inconsistent provision of this chapter or other law
notwithstanding, the social services district in which an eligible
public general hospital is physically located shall be responsible for
the public general hospital indigent care adjustment component of the
payments to such public general hospital (as determined in accordance
with subdivision fourteen-f of section twenty-eight hundred seven-c of
the public health law) for all inpatient hospital services provided by
such public general hospital in accordance with section three hundred
sixty-five-a of this article, regardless of whether another social
services district or the department may otherwise be responsible for
furnishing medical assistance to the eligible persons receiving such
inpatient services.
Character and adequacy of assistance. The amount, nature and
manner of providing medical assistance for needy persons shall be
determined by the public welfare official with the advice of a physician
and in accordance with the local medical plan, this title, and the
regulations of the department.
1. "Benchmark coverage" shall mean payment of part or all of the cost
of medically necessary medical, dental, and remedial care, services, and
supplies described in subdivision two of this section, and to the extent
not included therein, any essential benefits as defined in 42 U.S.C.
18022(b), with the exception of institutional long term care services;
such care, services and supplies shall be provided consistent with the
managed care program described in section three hundred sixty-four-j of
this title.
2. "Standard coverage" shall mean payment of part or all of the cost
of medically necessary medical, dental and remedial care, services and
supplies, as authorized in this title or the regulations of the
department, which are necessary to prevent, diagnose, correct or cure
conditions in the person that cause acute suffering, endanger life,
result in illness or infirmity, interfere with such person's capacity
for normal activity, or threaten some significant handicap and which are
furnished an eligible person in accordance with this title and the
regulations of the department. Such care, services and supplies shall
include the following medical care, services and supplies, together with
such medical care, services and supplies provided for in subdivisions
three, four and five of this section, and such medical care, services
and supplies as are authorized in the regulations of the department:
(a) services of qualified physicians, dentists, nurses, and private
duty nursing services shall be further subject to the provisions of
section three hundred sixty-seven-o of this chapter, optometrists, and
other related professional personnel;
(b) care, treatment, maintenance and nursing services in hospitals,
nursing homes that qualify as providers in the medicare program pursuant
to title XVIII of the federal social security act, infirmaries or other
eligible medical institutions, and health-related care and services in
intermediate care facilities, while operated in compliance with
applicable provisions of this chapter, the public health law, the mental
hygiene law and other laws, including any provision thereof requiring an
operating certificate or license, or where such facilities are not
conveniently accessible, in hospitals located without the state;
provided, however, that care, treatment, maintenance and nursing
services in nursing homes or in intermediate care facilities, including
those operated by the state department of mental hygiene or any other
state department or agency, shall, for persons who are receiving or who
are eligible for medical assistance under provisions of subparagraph
four of paragraph (a) of subdivision one of section three hundred
sixty-six of this chapter, be limited to such periods of time as may be
determined necessary in accordance with a utilization review procedure
established by the state commissioner of health providing for a review
of medical necessity, in the case of skilled nursing care, every thirty
days for the first ninety days and every ninety days thereafter, and in
the case of care in an intermediate care facility, at least every six
months, or more frequently if indicated at the time of the last review,
consistent with federal utilization review requirements; provided,
further, that in-patient care, services and supplies in a general
hospital shall not exceed such standards as the commissioner of health
shall promulgate but in no case greater than twenty days per spell of
illness during which all or any part of the cost of such care, services
and supplies are claimed as an item of medical assistance, unless it
shall have been determined in accordance with procedures and criteria
established by such commissioner that a further identifiable period of
in-patient general hospital care is required for particular patients to
preserve life or to prevent substantial risks of continuing disability;
provided further, that in-patient care, services and supplies in a
general hospital shall, in the case of a person admitted to such a
facility on a Friday or Saturday, be deemed to include only those
in-patient days beginning with and following the Sunday after such date
of admission, unless such care, services and supplies are furnished for
an actual medical emergency or pre-operative care for surgery as
provided in paragraph (d) of subdivision five of this section, or are
furnished because of the necessity of emergency or urgent surgery for
the alleviation of severe pain or the necessity for immediate diagnosis
or treatment of conditions which threaten disability or death if not
promptly diagnosed or treated; provided, however, in-patient days of a
general hospital admission beginning on a Friday or a Saturday shall be
included commencing with the day of admission in a general hospital
which the commissioner or his designee has found to be rendering and
which continues to render full service on a seven day a week basis which
determination shall be made after taking into consideration such factors
as the routine availability of operating room services, diagnostic
services and consultants, laboratory services, radiological services,
pharmacy services, staff patterns consistent with full services and such
other factors as the commissioner or his designee deems necessary and
appropriate; provided, further, that in-patient care, services and
supplies in a general hospital shall not include care, services and
supplies furnished to patients for certain uncomplicated procedures
which may be performed on an out-patient basis in accordance with
regulations of the commissioner of health, unless the person or body
designated by such commissioner determines that the medical condition of
the individual patient requires that the procedure be performed on an
in-patient basis;
(c) out-patient hospital or clinic services in facilities operated in
compliance with applicable provisions of this chapter, the public health
law, the mental hygiene law and other laws, including any provisions
thereof requiring an operating certificate or license, including
facilities authorized by the appropriate licensing authority to provide
integrated mental health services, and/or alcoholism and substance abuse
services, and/or physical health services, and/or services to persons
with developmental disabilities, when such services are provided at a
single location or service site, or where such facilities are not
conveniently accessible, in any hospital located within the state and
care and services in a day treatment program operated by the department
of mental hygiene or by a voluntary agency under an agreement with such
department in that part of a public institution operated and approved
pursuant to law as an intermediate care facility for persons with
developmental disabilities; and provided, that the commissioners of
health, mental health, alcoholism and substance abuse services and the
office for people with developmental disabilities may issue regulations,
including emergency regulations promulgated prior to October first, two
thousand fifteen that are required to facilitate the establishment of
integrated services clinics. Any such regulations promulgated under this
paragraph shall be described in the annual report required pursuant to
section forty-five-c of part A of chapter fifty-six of the laws of two
thousand thirteen;
(d) home health services provided in a recipient's home and prescribed
by a physician including services of a nurse provided on a part-time or
intermittent basis rendered by an approved home health agency or if no
such agency is available, by a registered nurse, licensed to practice in
this state, acting under the written orders of a physician and home
health aide service by an individual or shared aide provided by an
approved home health agency when such services are determined to be cost
effective and appropriate to meet the recipient's needs for assistance
subject to the provisions of section three hundred sixty-seven-j and
section three hundred sixty-seven-o of this title;
(e) (i) personal care services, including personal emergency response
services, shared aide and an individual aide, subject to the provisions
of subparagraphs (ii), (iii), (iv), (v) and (vi) of this paragraph,
furnished to an individual who is not an inpatient or resident of a
hospital, nursing facility, intermediate care facility for individuals
with intellectual disabilities, or institution for mental disease, as
determined to meet the recipient's needs for assistance when cost
effective and appropriate, and when prescribed by a qualified
independent physician selected or approved by the department of health,
in accordance with the recipient's plan of treatment and provided by
individuals who are qualified to provide such services, who are
supervised by a registered nurse and who are not members of the
recipient's family, and furnished in the recipient's home or other
location;
(ii) the commissioner is authorized to adopt standards, pursuant to
emergency regulation, for the provision, management and assessment of
services available under this paragraph for individuals whose need for
such services exceeds a specified level to be determined by the
commissioner, and who with the provision of such services is capable of
safely remaining in the community in accordance with the standards set
forth in Olmstead v. LC by Zimring, 527 US 581 (1999) and consider
whether an individual is capable of safely remaining in the community;
(iii) the commissioner shall provide assistance to persons receiving
services under this paragraph who are transitioning to receiving care
from a managed long term care plan certified pursuant to section
forty-four hundred three-f of the public health law, consistent with
subdivision thirty-one of section three hundred sixty-four-j of this
title;
(iv) personal care services available pursuant to this paragraph shall
not exceed eight hours per week for individuals whose needs are limited
to nutritional and environmental support functions;
(v) subject to the availability of federal financial participation,
personal care services other than personal emergency response services
available pursuant to this paragraph shall be available only to
individuals assessed as needing at least limited assistance with
physical maneuvering with more than two activities of daily living, or
for individuals with a dementia or Alzheimer's diagnosis, assessed as
needing at least supervision with more than one activity of daily
living, as defined and determined by using an evidenced based validated
assessment instrument approved by the commissioner and in accordance
with regulations of the department and any applicable state and federal
laws by an independent assessor. The provisions of this subparagraph
shall only apply to individuals who receive an initial authorization for
such services on or after October first, two thousand twenty;
(vi) In establishing any standards for the provision, management or
assessment of personal care services the state shall meet the standards
set forth in Olmstead v. LC by Zimring, 527 US 581 (1999) and consider
whether an individual is capable of safely remaining in the community;
(f) preventive, prophylactic and other routine dental care, services
and supplies;
(g) sickroom supplies, eyeglasses, prosthetic appliances and dental
prosthetic appliances furnished in accordance with the regulations of
the department; provided further that: (i) the commissioner of health is
authorized to implement a preferred diabetic supply program wherein the
department of health will receive enhanced rebates from preferred
manufacturers of glucometers and test strips, and may subject
non-preferred manufacturers' glucometers and test strips to prior
authorization under section two hundred seventy-three of the public
health law; (ii) enteral formula therapy and nutritional supplements are
limited to coverage only for nasogastric, jejunostomy, or gastrostomy
tube feeding, for treatment of an inborn metabolic disorder, or to
address growth and development problems in children, or, subject to
standards established by the commissioner, for persons with a diagnosis
of HIV infection, AIDS or HIV-related illness or other diseases and
conditions; (iii) prescription footwear and inserts are limited to
coverage only when used as an integral part of a lower limb orthotic
appliance, as part of a diabetic treatment plan, or to address growth
and development problems in children; (iv) compression and support
stockings are limited to coverage only for pregnancy or treatment of
venous stasis ulcers; and (v) the commissioner of health is authorized
to implement an incontinence supply utilization management program to
reduce costs without limiting access through the existing provider
network, including but not limited to single or multiple source
contracts or, a preferred incontinence supply program wherein the
department of health will receive enhanced rebates from preferred
manufacturers of incontinence supplies, and may subject non-preferred
manufacturers' incontinence supplies to prior approval pursuant to
regulations of the department, provided any necessary approvals under
federal law have been obtained to receive federal financial
participation in the costs of incontinence supplies provided pursuant to
this subparagraph;
(g-1) drugs provided on an in-patient basis, those drugs contained on
the list established by regulation of the commissioner of health
pursuant to subdivision four of this section, and those drugs which may
not be dispensed without a prescription as required by section
sixty-eight hundred ten of the education law and which the commissioner
of health shall determine to be reimbursable based upon such factors as
the availability of such drugs or alternatives at low cost if purchased
by a medicaid recipient, or the essential nature of such drugs as
described by such commissioner in regulations, provided, however, that
such drugs, exclusive of long-term maintenance drugs, shall be dispensed
in quantities no greater than a thirty day supply or one hundred doses,
whichever is greater; provided further that the commissioner of health
is authorized to require prior authorization for any refill of a
prescription when more than a ten day supply of the previously dispensed
amount should remain were the product used as normally indicated, or in
the case of a controlled substance, as defined in section thirty-three
hundred two of the public health law, when more than a seven day supply
of the previously dispensed amount should remain were the product used
as normally indicated; provided further that the commissioner of health
is authorized to require prior authorization of prescriptions of opioid
analgesics in excess of four prescriptions in a thirty-day period in
accordance with section two hundred seventy-three of the public health
law; medical assistance shall not include any drug provided on other
than an in-patient basis for which a recipient is charged or a claim is
made in the case of a prescription drug, in excess of the maximum
reimbursable amounts to be established by department regulations in
accordance with standards established by the secretary of the United
States department of health and human services, or, in the case of a
drug not requiring a prescription, in excess of the maximum reimbursable
amount established by the commissioner of health pursuant to paragraph
(a) of subdivision four of this section;
(h) speech therapy, and when provided at the direction of a physician
or nurse practitioner, physical therapy including related rehabilitative
services and occupational therapy;
(i) laboratory and x-ray services; and
(j) transportation when essential and appropriate to obtain medical
care, services and supplies otherwise available under the medical
assistance program in accordance with this section, upon prior
authorization, except when required in order to obtain emergency care,
and when not otherwise available to the recipient free of charge or
through a transportation program implemented pursuant to section three
hundred sixty-five-h of this title and approved by the commissioner of
health for which federal financial participation is claimed as an
administrative cost;
* (k) care and services furnished by an entity offering a
comprehensive health services plan, including an entity that has
received a certificate of authority pursuant to sections forty-four
hundred three, forty-four hundred three-a or forty-four hundred eight-a
of the public health law (as added by chapter six hundred thirty-nine of
the laws of nineteen hundred ninety-six) or a health maintenance
organization authorized under article forty-three of the insurance law,
to eligible individuals residing in the geographic area served by such
entity, when such services are furnished in accordance with an agreement
approved by the department which meets the requirements of federal law
and regulations.
* NB Effective until December 31, 2029
* (k) care and services furnished by an entity offering a
comprehensive health services plan to eligible individuals residing in
the geographic area served by such entity, when such services are
furnished in accordance with an agreement approved by the department
which meets the requirements of federal law and regulations.
* NB Effective December 31, 2029
(l) care and services of podiatrists which care and services shall
only be provided upon referral by a physician, nurse practitioner or
certified nurse midwife in accordance with the program of early and
periodic screening and diagnosis established pursuant to subdivision
three of this section or to persons eligible for benefits under title
XVIII of the federal social security act as qualified medicare
beneficiaries in accordance with federal requirements therefor and
private duty nurses which care and services shall only be provided in
accordance with regulations of the department of health; provided,
however, that private duty nursing services shall not be restricted when
such services are more appropriate and cost-effective than nursing
services provided by a home health agency pursuant to section three
hundred sixty-seven-l;
(m) hospice services provided by a hospice certified pursuant to
article forty of the public health law, to the extent that federal
financial participation is available, and, notwithstanding federal
financial participation and any provision of law or regulation to the
contrary, for hospice services provided pursuant to the hospice
supplemental financial assistance program for persons with special needs
as provided for in article forty of the public health law.
* (n) care and services of audiologists provided in accordance with
regulations of the department of health.
* NB There are two par (n)'s
* (n) care, treatment, maintenance and rehabilitation services that
would otherwise qualify for reimbursement pursuant to this chapter to
persons suffering from alcoholism in alcoholism facilities or chemical
dependence, as such term is defined in section 1.03 of the mental
hygiene law, in inpatient chemical dependence facilities, services, or
programs operated in compliance with applicable provisions of this
chapter and the mental hygiene law, and certified by the office of
alcoholism and substance abuse services, provided however that such
services shall be limited to such periods of time as may be determined
necessary in accordance with a utilization review procedure established
by the commissioner of the office of alcoholism and substance abuse
services and provided further, that this paragraph shall not apply to
any hospital or part of a hospital as defined in section two thousand
eight hundred one of the public health law.
* NB There are two par (n)'s
* (o) care and services furnished by a managed long term care plan or
approved managed long term care demonstration pursuant to the provisions
of section forty-four hundred three-f of the public health law to
eligible individuals residing in the geographic area served by such
entity, when such services are furnished in accordance with an agreement
with the department of health and meet the applicable requirements of
federal law and regulation.
* NB Repealed December 31, 2029
(p) targeted case management services provided to children who
(i) are eighteen years of age or under; and
(ii) either
(1) are physically disabled, according to the federal supplemental
security income program criteria, including but not limited to a person
who is multiply disabled; or
(2) have a developmental disability, as defined in subdivision
twenty-two of section 1.03 of the mental hygiene law and demonstrate
complex health needs as defined in paragraph c of subdivision seven of
section three hundred sixty-six of this title; or
(3) have a mental illness, as defined in subdivision twenty of section
1.03 of the mental hygiene law and demonstrate complex health or mental
health care needs as defined in paragraph d of subdivision nine of
section three hundred sixty-six of this title; and
(iii) require the level of care provided by an intermediate care
facility for the developmentally disabled, a nursing facility, a
hospital or any other institution; and
(iv) are capable of being cared for in the community if provided with
case management services and/or other services provided under this
title; and
(v) are capable of being cared for in the community at less cost than
in the appropriate institutional setting; and
(vi) are not receiving services under section three hundred
sixty-seven-c of this title and for whom services provided under section
three hundred sixty-seven-a of this title are not available or
sufficient to support the children's care in the community.
(q) diabetes self-management training services for persons diagnosed
with diabetes when such services are ordered by a physician, registered
physician assistant, registered nurse practitioner, or licensed midwife
and provided by a licensed, registered, or certified health care
professional, as determined by the commissioner of health, who is
certified as a diabetes educator by the National Certification Board for
Diabetes Educators, or a successor national certification board, or
provided by such a professional who is affiliated with a program
certified by the American Diabetes Association, the American Association
of Diabetes Educators, the Indian Health Services, or any other national
accreditation organization approved by the federal centers for medicare
and medicaid services; provided, however, that the provisions of this
paragraph shall not take effect unless all necessary approvals under
federal law and regulation have been obtained to receive federal
financial participation in the costs of health care services provided
pursuant to this paragraph. Nothing in this paragraph shall be construed
to modify any licensure, certification or scope of practice provision
under title eight of the education law.
(r) asthma self-management training services for persons diagnosed
with asthma when such services are ordered by a physician, registered
physician's assistant, registered nurse practitioner, or licensed
midwife and provided by a licensed, registered, or certified health care
professional, as determined by the commissioner of health, who is
certified as an asthma educator by the National Asthma Educator
Certification Board, or a successor national certification board;
provided, however, that the provisions of this paragraph shall not take
effect unless all necessary approvals under federal law and regulation
have been obtained to receive federal financial participation in the
costs of health care services provided pursuant to this paragraph.
Nothing in this paragraph shall be construed to modify any licensure,
certification or scope of practice provision under title eight of the
education law.
(s) smoking cessation counseling services; provided, however, that the
provisions of this paragraph shall not take effect unless all necessary
approvals under federal law and regulation have been obtained to receive
federal financial participation in the costs of such services.
(t) cardiac rehabilitation services when ordered by the attending
physician and provided in a hospital-based or free-standing clinic in an
area set aside for cardiac rehabilitation, or in a physician's office;
provided, however, that the provisions of this paragraph relating to
cardiac rehabilitation services shall not take effect unless all
necessary approvals under federal law and regulation have been obtained
to receive federal financial participation in the costs of such
services.
(u) screening, brief intervention, and referral to treatment of
individuals at risk for substance abuse including referral to the
appropriate level of intervention and treatment in a community setting;
provided, however, that the provisions of this paragraph relating to
screening, brief intervention, and referral to treatment services shall
not take effect unless all necessary approvals under federal law and
regulation have been obtained to receive federal financial participation
in such costs.
(v) administration of vaccinations in a pharmacy by a certified
pharmacist within his or her scope of practice.
(w) podiatry services for individuals with a diagnosis of diabetes
mellitus; provided, however, that the provisions of this paragraph shall
not take effect unless all necessary approvals under federal law and
regulation have been obtained to receive federal financial participation
in the costs of health care services provided pursuant to this
paragraph.
(x)(i) lactation counseling services for pregnant and postpartum women
when such services are ordered by a physician, physician assistant,
nurse practitioner, or midwife and provided by a qualified lactation
care provider, as determined by the commissioner of health; provided,
however, that the provisions of this paragraph shall not take effect
unless all necessary approvals under federal law and regulation have
been obtained to receive federal financial participation in the costs of
health care services provided pursuant to this paragraph. Nothing in
this paragraph shall be construed to modify any licensure, certification
or scope of practice provision under title eight of the education law.
(ii) for the purposes of this paragraph, the following terms shall
have the following meanings:
(1) "Qualified lactation care provider" shall mean a person who
possesses current certification as a lactation care provider from a
certification program accredited by a nationally recognized accrediting
agency.
(2) "Nationally recognized accrediting agency" shall mean a nationally
recognized accrediting agency designated by the commissioner; provided
that the commissioner shall designate more than one agency.
(y) harm reduction counseling and services to reduce or minimize the
adverse health consequences associated with drug use, provided by a
qualified drug treatment program or community-based organization, as
determined by the commissioner of health; provided, however, that the
provisions of this paragraph shall not take effect unless all necessary
approvals under federal law and regulation have been obtained to receive
federal financial participation in the costs of health care services
provided pursuant to this paragraph. Nothing in this paragraph shall be
construed to modify any licensure, certification or scope of practice
provision under title eight of the education law.
(z) hepatitis C wrap-around services to promote care coordination and
integration when ordered by a physician, registered physician assistant,
registered nurse practitioner, or licensed midwife, and provided by a
qualified professional, as determined by the commissioner of health.
Such services may include client outreach, identification and
recruitment, hepatitis C education and counseling, coordination of care
and adherence to treatment, assistance in obtaining appropriate
entitlement services, peer support and other supportive services;
provided, however, that the provisions of this paragraph shall not take
effect unless all necessary approvals under federal law and regulation
have been obtained to receive federal financial participation in the
costs of health care services provided pursuant to this paragraph.
Nothing in this paragraph shall be construed to modify any licensure,
certification or scope of practice provision under title eight of the
education law.
** (aa) care and services furnished by a developmental disability
individual support and care coordination organization (DISCO) that has
received a certificate of authority pursuant to section forty-four
hundred three-g of the public health law to eligible individuals
residing in the geographic area served by such entity, when such
services are furnished in accordance with an agreement approved by the
department of health which meets the requirements of federal law and
regulations.
* NB Repealed December 31, 2027
(bb) Subject to the availability of federal financial participation,
services and supports authorized by the federal regulations governing
the Home and Community-Based Attendant Services and Supports State Plan
Option (Community First Choice) pursuant to 42 U.S.C. § 1396n(k).
(cc) care and services for surgical first assistant services provided
by a registered nurse first assistant provided that: (i) the registered
nurse first assistant is certified in operating room nursing; (ii) the
services are within the scope of practice of a non-physician surgical
first assistant; and (iii) the terms and conditions of the policy or
contract otherwise provide for the coverage of the services. Nothing in
this paragraph shall be construed to prevent the medical management or
utilization review of the services; prevent a policy or contract from
requiring that services are to be provided through a network of
participating providers who meet certain requirements for participation,
including provider credentialing; or prohibit an insurer from providing
a global or capitated payment or electing to directly reimburse a
non-physician surgical first assistant for the services, as otherwise
permitted by law.
(dd) pasteurized donor human milk (PDHM), which may include fortifiers
as medically indicated, for inpatient use, for which a licensed medical
practitioner has issued an order for an infant who is medically or
physically unable to receive maternal breast milk or participate in
breast feeding or whose mother is medically or physically unable to
produce maternal breast milk at all or in sufficient quantities or
participate in breast feeding despite optimal lactation support. Such
infant shall: (i) have a documented birth weight of less than one
thousand five hundred grams; or (ii) have a congenital or acquired
condition that places the infant at a high risk for development of
necrotizing enterocolitis; or (iii) have a congenital or acquired
condition that may benefit from the use of donor breast milk as
determined by the commissioner of health or his or her designee.
(ee) Medical assistance shall include the coverage of a set of
services to ensure improved outcomes of women who are in the process of
ovulation enhancing drugs, limited to the provision of such treatment,
office visits, hysterosalpingogram services, pelvic ultrasounds, and
blood testing; services shall be limited to those necessary to monitor
such treatment. In the event that ninety percent federal financial
participation for such services is not available, the state share of
appropriations related to these services shall be used for a grant
program intended to accomplish the purpose of this section.
(ff) evidence-based prevention and support services recognized by the
federal Centers for Disease Control (CDC), provided by a community-based
organization, and designed to prevent individuals at risk of developing
diabetes from developing Type 2 diabetes.
* (gg) addiction and mental health services and supports provided by
facilities licensed pursuant to article thirty-six of the mental hygiene
law.
* NB There are 3 par (gg)'s
* (gg) all buprenorphine products, methadone or long acting injectable
naltrexone for detoxification or maintenance treatment of a substance
use disorder prescribed according to generally accepted national
professional guidelines for the treatment of a substance use disorder.
Such medication assisted treatment shall not be subject to any prior
authorization mandate.
* NB There are 3 par (gg)'s
* (gg) care and services provided by mental health counselors and
marriage and family therapists licensed pursuant to article one hundred
sixty-three of the education law acting within their scope of practice,
where such services would otherwise be covered under this title. Nothing
in this paragraph shall be construed to modify or expand the scope of
practice of a mental health counselor or marriage and family therapist
licensed pursuant to article one hundred sixty-three of the education
law.
* NB There are 3 par (gg)'s
(hh) The commissioner is authorized to establish one or more maternal
health promotion pilot programs in one or more counties or regions of
the state, for the purpose of providing Medicaid reimbursement of the
prenatal maternal childbirth education and preparation classes for
enrollees, and transportation to and from such classes, for the purpose
of improving maternal outcomes and reducing maternal-infant mortality.
The commissioner is authorized to establish fees for the reimbursement
of such classes, subject to the approval of the state director of the
budget.
(ii) Care and services provided by clinical social workers licensed
pursuant to article one hundred fifty-four of the education law acting
within their scope of practice, where such services would otherwise be
covered under this title.
* (jj) pre-natal and postpartum care and services for the purpose of
improving maternal health outcomes and reduction of maternal mortality
when such services are recommended by a physician or other health care
practitioner authorized under title eight of the education law, and
provided by qualified practitioners. Such services shall include but not
be limited to nutrition services provided by certified dietitians and
certified nutritionists; care coordination, case management, and peer
support; patient navigation services; services by licensed clinical
social workers; dyadic services; Bluetooth-enabled devices for remote
patient monitoring; remote ultrasound scans; remote fetal non-stress
tests and other services determined by the commissioner of health;
provided, however, that the provisions of this paragraph shall not take
effect unless there is federal financial participation. Nothing in this
paragraph shall be construed to modify any licensure, certification or
scope of practice provision under title eight of the education law.
* NB There are 2 par (jj)'s
* (jj) applied behavior analysis, under article one hundred
sixty-seven of the education law, provided by a person licensed,
certified, or otherwise authorized to provide applied behavior analysis
under that article.
* NB There are 2 par (jj)'s
* (kk) community health worker services which shall include, but not
be limited to, culturally appropriate patient education, health care
navigation, care coordination including the development of a care plan,
patient advocacy, and support services for the management of chronic
conditions for children under age twenty-one, and for adults with
health-related social needs, when such services are recommended by a
physician or other health care practitioner authorized under title eight
of the education law, and provided by qualified community health
workers, as determined by the commissioner of health; provided, however,
that the provisions of this paragraph shall not take effect unless all
necessary approvals under federal law and regulation have been obtained
to receive federal financial participation in the costs of health care
services provided pursuant to this paragraph. Nothing in this paragraph
shall be construed to modify any licensure, certification or scope of
practice provision under title eight of the education law.
* NB There are 2 par (kk)'s
* (kk) care and services of nutritionists and dietitians certified
pursuant to article one hundred fifty-seven of the education law acting
within their scope of practice.
* NB There are 2 par (kk)'s
(ll) Chronic Disease Self-Management Program for persons diagnosed
with arthritis when such services are ordered by a physician, registered
physician's assistant, registered nurse practitioner, or licensed
midwife and provided by qualified educators, as determined by the
commissioner of health, subject to federal financial participation.
Nothing in this paragraph shall be construed to modify any licensure,
certification or scope of practice provision under title eight of the
education law.
(mm) (i) biomarker precision medical testing for the purposes of
diagnosis, treatment, or appropriate management of, or ongoing
monitoring to guide treatment decisions for, a recipient's disease or
condition when one or more of the following recognizes the efficacy and
appropriateness of biomarker precision medical testing for diagnosis,
treatment, appropriate management, or guiding treatment decisions for a
recipient's disease or condition:
(1) labeled indications for a test approved or cleared by the federal
food and drug administration or indicated tests for a food and drug
administration approved drug;
(2) centers for medicare and medicaid services national coverage
determinations or medicare administrative contractor local coverage
determinations; or
(3) nationally recognized clinical practice guidelines.
(ii) As used in this paragraph, the following terms shall have the
following meanings:
(1) "Biomarker" means a characteristic that is measured as an
indicator of normal biological processes, pathogenic processes, or
responses to an exposure or intervention, including therapeutic
interventions.
(2) "Biomarker precision medical testing" means the analysis of a
patient's tissue, blood, or other biospecimen for the presence of a
biomarker. Biomarker testing includes but is not limited to
single-analyte tests and multi-plex panel tests performed at a
participating in-network laboratory facility that is either CLIA
certified or CLIA waived by the federal food and drug administration.
(3) "Nationally recognized clinical practice guidelines" means
evidence-based clinical practice guidelines informed by a systematic
review of evidence and an assessment of the benefits, and risks of
alternative care options intended to optimize patient care developed by
independent organizations or medical professional societies utilizing a
transparent methodology and reporting structure and with a conflict of
interest policy.
(iii) Coverage of biomarker precision medical testing provided under
this paragraph shall not require a deviation from the review for
standard coverage or any existing process used to determine medical
necessity.
(nn) (i) Medical assistance shall include the coverage of the
following services for individuals when a medical treatment may directly
or indirectly cause iatrogenic infertility, which is an impairment of
fertility resulting from surgery, radiation, chemotherapy, sickle cell
treatment, or other medical treatment affecting reproductive organs or
processes:
(1) standard fertility preservation services to prevent or treat
infertility, which shall include medically necessary collection,
freezing, preservation and storage of oocytes or sperm, and such other
standard services that are not experimental or investigational; together
with prescription drugs, which shall be limited to federal food and drug
administration approved medications and subject to medical assistance
program coverage requirements. In vitro fertilization (IVF) shall not be
covered as a fertility preservation service; and
(2) coverage of the costs of storage of oocytes or sperm shall be
subject to continued medical assistance program eligibility for
individuals when a medical treatment may directly or indirectly cause
iatrogenic infertility, and shall terminate upon any discontinuance of
medical assistance eligibility.
(ii) In the event that federal financial participation for such
fertility preservation services is not available, medical assistance
shall not include coverage of these services.
3. Any inconsistent provisions of this section notwithstanding,
medical assistance shall include:
(a) early and periodic screening and diagnosis of eligible persons
under six years of age and, in accordance with federal law and
regulations, early and periodic screening and diagnosis of eligible
persons under twenty-one years of age to ascertain physical and mental
disabilities; and
(b) care and treatment of disabilities and conditions discovered by
such screening and diagnosis including such care, services and supplies
as the commissioner shall by regulation require to the extent necessary
to conform to applicable federal law and regulations.
(c) screening, diagnosis, care and treatment of disabilities and
conditions discovered by such screening and diagnosis of eligible
persons ages three to twenty-one, inclusive, including such care,
services and supplies as the commissioner shall by regulation require to
the extent necessary to conform to applicable federal law and
regulations, provided that such screening, diagnosis, care and treatment
shall include the provision of evaluations and related services rendered
pursuant to article eighty-nine of the education law and regulations of
the commissioner of education by persons qualified to provide such
services thereunder.
(d) family planning services and twelve months of supplies for
eligible persons of childbearing age, including children under
twenty-one years of age who can be considered sexually active, who
desire such services and supplies, in accordance with the requirements
of federal law and regulations and the regulations of the department.
Coverage of prescription contraceptives shall include a twelve-month
supply that may be dispensed at one time or up to twelve times within
one year from the date of the prescription. No person shall be compelled
or coerced to accept such services or supplies.
4. Any inconsistent provision of law notwithstanding, medical
assistance shall not include, unless required by federal law and
regulation as a condition of qualifying for federal financial
participation in the medicaid program, the following items of care,
services and supplies:
(a) drugs which may be dispensed without a prescription as required by
section sixty-eight hundred ten of the education law; provided, however,
that the state commissioner of health may by regulation specify certain
of such drugs which may be reimbursed as an item of medical assistance
in accordance with the price schedule established by such commissioner.
Notwithstanding any other provision of law, modifications to the list of
drugs reimbursable under this paragraph may be filed as regulations by
the commissioner of health without prior notice and comment; provided,
however, that the department will notify enrollees of any eliminations
to the list of drugs reimbursable under this paragraph at least sixty
days prior to the removal of such drug. Such eliminations shall be
referred to the drug utilization review board established pursuant to
section three hundred sixty-nine-bb of this article for recommendation
prior to elimination from the list;
(a-1) (i) a brand name drug for which a multi-source therapeutically
and generically equivalent drug, as determined by the federal food and
drug administration, is available, unless previously authorized by the
department of health. The commissioner of health is authorized to
exempt, for good cause shown, any brand name drug from the restrictions
imposed by this subparagraph;
(ii) notwithstanding the provisions of subparagraph (i) of this
paragraph, the commissioner is authorized to deny reimbursement for a
generic equivalent, including a generic equivalent that is on the
preferred drug list or the clinical drug review program, when the net
cost of the brand name drug, after consideration of all rebates, is less
than the cost of the generic equivalent, unless prior authorization is
obtained under section two hundred seventy-three of the public health
law;
(a-2) drugs which may not be dispensed without a prescription as
required by section sixty-eight hundred ten of the education law, and
which are non preferred drugs pursuant to section two hundred
seventy-two of the public health law, or the clinical drug review
program under section two hundred seventy-four of the public health law,
unless prior authorization is granted or not required;
(b) care and services of chiropractors and supplies related to the
practice of chiropractic, except as provided for by the commissioner
pursuant to a pilot program approved under federal law and regulation;
(c) care and services of an optometrist for using drugs in excess of
the maximum reimbursable amounts for optometric care and services
established by the commissioner and approved by the director of the
budget;
(d) any medical care, services or supplies furnished outside the
state, except, when prior authorized in accordance with department
regulations or for care, services and supplies furnished: as a result of
a medical emergency; because the recipient's health would have been
endangered if he or she had been required to travel to the state;
because the care, services or supplies were more readily available in
the other state; or because it is the general practice for persons
residing in the locality wherein the recipient resides to use medical
providers in the other state;
(e) drugs, procedures and supplies for the treatment of erectile
dysfunction when provided to, or prescribed for use by, a person who is
required to register as a sex offender pursuant to article six-C of the
correction law, provided that any denial of coverage pursuant to this
paragraph shall provide the patient with the means of obtaining
additional information concerning both the denial and the means of
challenging such denial; or
(f) drugs for the treatment of sexual or erectile dysfunction, unless
such drugs are used to treat a condition, other than sexual or erectile
dysfunction, for which the drugs have been approved by the federal food
and drug administration.
(g) for eligible persons who are also beneficiaries under part D of
title XVIII of the federal social security act, drugs which are
denominated as "covered part D drugs" under section 1860D-2(e) of such
act.
(h) opioids prescribed in violation of the treatment plan standards of
subdivision eight of section thirty-three hundred thirty-one of the
public health law or treatment plan standards as otherwise required by
the commissioner.
5. (a) Medical assistance shall include surgical benefits for
emergency or urgent surgery for the alleviation of severe pain, for
immediate diagnosis or treatment of conditions which threaten disability
or death if not promptly diagnosed or treated.
(b) Medical assistance shall include surgical benefits for certain
surgical procedures which meet standards for surgical intervention, as
established by the state commissioner of health on the basis of
medically indicated risk factors, and medically necessary surgery where
delay in surgical intervention would substantially increase the medical
risk associated with such surgical intervention.
(c) Medical assistance shall include surgical benefits for other
deferrable surgical procedures specified by the state commissioner of
health, based on the likelihood that deferral of such procedures for six
months or more may jeopardize life or essential function, or cause
severe pain; provided, however, such deferrable surgical procedures
shall be included in the case of in-patient surgery only when a second
written opinion is obtained from a physician, or as otherwise
prescribed, in accordance with regulations established by the state
commissioner of health, that such surgery should not be deferred.
(d) Medical assistance shall include a maximum of one patient day of
pre-operative hospital care for surgery authorized by paragraphs (b) or
(c) of this subdivision; provided, however, that with respect to
specific surgical procedures which the state commissioner of health has
identified as requiring more than one patient day of pre-operative care,
medical assistance shall include such longer maximum period of
pre-operative care as such commissioner has identified as necessary.
(e) Medical assistance shall not include any in-patient surgical
procedures or any care, services or supplies related to such surgery
other than those authorized by this subdivision.
6. Any inconsistent provision of law notwithstanding, medical
assistance shall also include payment for medical care, services or
supplies furnished to eligible pregnant persons pursuant to section
three hundred sixty-six and subdivision five of section three hundred
sixty-four-i of this title, to the extent that and for so long as
federal financial participation is available therefor; provided,
however, that nothing in this section shall be deemed to affect payment
for such medical care, services or supplies if federal financial
participation is not available for such care, services and supplies
solely by reason of the immigration status of the otherwise eligible
pregnant person.
7. Medical assistance shall also include disproportionate share
payments to general hospitals under the public health law.
8. When a non-governmental entity is authorized by the department
pursuant to contract or subcontract to make prior authorization or prior
approval determinations that may be required for any item of medical
assistance, a recipient may challenge any action taken or failure to act
in connection with a prior authorization or prior approval determination
as if such determination were made by a government entity, and shall be
entitled to the same medical assistance benefits and standards and to
the same notice and procedural due process rights, including a right to
a fair hearing and aid continuing pursuant to section twenty-two of this
chapter, as if the prior authorization or prior approval determination
were made by a government entity, without regard to expiration of the
prior service authorization.
9. (a) Notwithstanding any inconsistent provision of law, any
utilization controls on occupational therapy or physical therapy,
including but not limited to, prior approval of services, utilization
thresholds or other limitations imposed on such therapy services in
relation to a chronic condition in clinics certified under article
twenty-eight of the public health law or article sixteen of the mental
hygiene law shall be: (i) developed by the department of health in
concurrence with the office for people with developmental disabilities;
and (ii) in accord with nationally recognized professional standards. In
the event that nationally recognized professional standards do not
exist, such thresholds shall be based upon the reasonably recognized
professional standards of those with a specific expertise in treating
individuals served by clinics certified under article twenty-eight of
the public health law or article sixteen of the mental hygiene law.
(b) Prior approval by the department of health of a physical therapy
evaluation or an occupational therapy evaluation by a qualified
practitioner practicing within the scope of such practitioner's
licensure shall not be required. The department may require prior
approval for treatment as recommended by such an evaluation. In the
event that prior approval is required, and the department fails to make
a determination within eight days of presentation of a treatment request
for physical or occupational therapy services, the department shall
automatically approve four therapy visits. In the case of any denial of
a prior approval request for physical therapy or occupational therapy,
the department shall provide a reasonable opportunity for the qualified
practitioner to provide his or her assessment of the beneficiary's
physical and functional status as documented in a treatment plan with
reasonable and obtainable goals. If, upon completion of such four
therapy visits, the department has not yet rendered a determination on
the request for physical or occupational therapy services, the
department shall automatically approve an additional four therapy
visits. Subsequent automatic approvals shall be issued in the same
manner until such time as the department issues a determination, but in
no event shall such approvals exceed the number of services or the
period of time recommended by the evaluation. If the qualified
practitioner provides documentation that is in accord with reasonably
recognized professional standards, the recommended treatment plan shall
be final, and the prior approval request shall be approved.
10. The department of health shall establish or procure the services
of an independent assessor or assessors no later than October 1, 2022,
in a manner and schedule as determined by the commissioner of health, to
take over from local departments of social services, Medicaid Managed
Care providers, and Medicaid managed long term care plans performance of
assessments and reassessments required for determining individuals'
needs for personal care services, including as provided through the
consumer directed personal assistance program, and other services or
programs available pursuant to the state's medical assistance program as
determined by such commissioner for the purpose of improving efficiency,
quality, and reliability in assessment and to determine individuals'
eligibility for Medicaid managed long term care plans. Notwithstanding
the provisions of section one hundred sixty-three of the state finance
law, or sections one hundred forty-two and one hundred forty-three of
the economic development law, or any contrary provision of law,
contracts may be entered or the commissioner may amend and extend the
terms of a contract awarded prior to the effective date and entered into
to conduct enrollment broker and conflict-free evaluation services for
the Medicaid program, if such contract or contract amendment is for the
purpose of procuring such assessment services from an independent
assessor. Contracts entered into, amended, or extended pursuant to this
subdivision shall not remain in force beyond September 30, 2028.
Local medical plans: professional directors. 1. A local
social services medical plan shall be developed and maintained by each
social services district under the guidance or direction of a
professional director. Such plan shall conform to the regulations of the
department and shall be submitted to the department and the state
department of health for review, certification and approval pursuant to
the regulations of the department and this title.
2. The commissioner of social services of each social services
district shall appoint a person, possessing the qualifications
established by the public health and health planning council and
promulgated by the department pursuant to section three hundred
sixty-four of this title, to serve on a full or part-time basis. Each
professional director shall serve under the general direction of the
commissioner of social services and shall have the responsibility for
supervising the program of medical assistance for needy persons in his
social services district, pursuant to the regulations of the department.
The state commissioner of health may authorize two or more social
services districts to appoint the same person to serve as professional
director in each of such districts.
3. In addition to any other duty or responsibility which may be
assigned or delegated pursuant to law or regulation, each professional
director shall be responsible for monitoring the professional
activities, directly related to the program, of providers practicing in
his social services district, and shall take all steps required or
authorized by law or regulation to ensure that such activities are in
compliance with the provisions of this chapter, the public health law
and regulations promulgated thereunder, and do not violate the
provisions of section sixty-five hundred nine of the education law or
regulations promulgated pursuant thereto.
4. For purposes of this section "provider" shall mean any person
receiving payment under this title.
Medical advisory committee. 1. A medical advisory committee
is hereby established to consist of twenty members who shall be
appointed by the governor, by and with the advice and consent of the
senate, for the following terms: seven shall be appointed for a term to
expire on May thirty-first, nineteen hundred seventy-four: seven shall
be appointed for a term to expire on May thirty-first, nineteen hundred
seventy-five: and six shall be appointed for a term to expire on May
thirty-first, nineteen hundred seventy-six. Thereafter members
appointed upon expiration of a term of office shall be appointed for a
term of three years. Vacancies caused by death, resignation or refusal
to act or by removal from the state shall be filled for the unexpired
term only. At least seven members of such committee shall be duly
licensed physicians. The governor shall designate a chairman from among
the members of the medical advisory committee, to serve as such at the
pleasure of the governor. In appointing the members of the medical
advisory committee, the governor shall give consideration to
professional qualifications and experience and to achieving
representation of the professions of medicine, osteopathy, podiatry,
mental health, social work, dentistry, optometry, chiropractic, physical
therapy, pharmacy, nursing, hospital and health administration and
education for the health professions, of public and private agencies in
the field of medical assistance, and of recipients and consumers of
medical assistance for needy persons.
2. The medical advisory committee shall advise the commissioner with
respect to health and medical care services provided pursuant to this
title.
3. The medical advisory committee shall meet at least once a year.
Special meetings may be called by the chairman, and shall be called by
him at the request of the governor or the commissioner.
4. No member of the medical advisory committee shall be disqualified
from holding any other public office or employment, nor shall he forfeit
any such office or employment by reason of his employment hereunder,
notwithstanding the provisions of any general, special or local law,
ordinance or charter.
5. The members of the medical advisory committee shall receive no
compensation for their services, but shall be allowed their actual and
necessary expenses incurred in the performance of their duties
hereunder.
Medicaid evidence based benefit review advisory committee. 1.
The department shall convene a Medicaid evidence based benefit review
advisory committee. The committee shall provide advice and make
recommendations regarding coverage of health technology or service for
purposes of the medical assistance program. The commissioner shall
consult such committee prior to any determination made regarding the
coverage status of a particular item, health technology or service based
on procedures established in subdivision five of this section under the
medical assistance program. For purposes of this section, "health
technology" means medical devices and surgical procedures used in the
prevention, diagnosis and treatment of disease and other medical
conditions. For purposes of this section "services" means any medical or
behavioral health procedure.
2. (a) The membership of such committee shall, at a minimum, include:
(i) at least three persons licensed and actively engaged in the
practice of medicine in this state;
(ii) one person licensed and actively engaged in the practice of
nursing as a nurse practitioner, or in the practice of midwifery in this
state;
(iii) one person with expertise in health technology assessment or
evidence based medical review who is preferably a health care
professional licensed under title eight of the education law;
(iv) three persons who shall be consumers or representatives of
organizations with a regional or statewide constituency and who have
been involved in activities related to health care consumer advocacy;
(v) one person who is a representative of a hospital organization with
a regional, national or statewide constituency;
(vi) one person who is a representative of a health insurance or
managed care organization with a regional, statewide or national
constituency;
(vii) one person who is a health economist;
(viii) one person with health care expertise who is appointed by the
temporary president of the senate;
(ix) one person with health care expertise who is appointed by the
speaker of the assembly;
(x) a member of the department who shall act as chairperson as
designated by the commissioner; and
(xi) the committee may invite and consult with scientific, technical,
or clinical experts with demonstrable experience or knowledge of the
technology or medical specialty area under review.
3. The department shall provide video or audio access to all meetings
of such committee through the department's website.
4. The members of the committee shall receive no compensation for
their services but shall be reimbursed for expenses actually and
necessarily incurred in the performance of their duties unless expressly
stated otherwise in this section, members shall be appointed by the
commissioner. Members shall serve three year terms, and may be
reappointed for subsequent terms. Committee members shall be deemed to
be employees of the department for purposes of section seventeen of the
public officers law, and shall not participate in any matter before the
committee for which a conflict of interest exists.
5. The committee shall consider any matter regarding material changes
in the coverage status of a particular item, health technology or
service, and any matter relative to new health technology assessment or
medical evidence review for which the department determines a sufficient
body of evidence exists to warrant committee deliberation. The
commissioner shall provide members of the committee with any evidence or
information related to the health technology or medical service
assessment including but not limited to, information submitted by
members of the public. The department shall report to the committee
programmatic changes to benefits that do not rise to the level of a
material change, as well as determinations of when sufficient medical
evidence exists to warrant committee deliberations. The commissioner
shall provide forty-five days public notice on the department's website
prior to any meeting of the committee to develop recommendations
concerning health technology or medical service coverage determinations.
Such notice shall include a description of the proposed health
technology or service to be reviewed, the conditions or diseases
impacted by the health technology or service, the proposals to be
considered by the committee, and the systematic evidence-based
assessment prepared in accordance with this subdivision. The committee
shall allow interested parties a reasonable opportunity to make an oral
presentation to the committee related to the health technology or
service to be reviewed and to submit written information. The committee
shall consider any information provided by any interested party,
including, but not limited to, health care providers, health care
facilities, patients, consumers and manufacturers. For all health
technologies or services selected for review, the department shall
conduct or commission a systematic evidence-based assessment of the
health technology's or service's safety and clinical efficacy. The
assessment shall use established systematic review elements, study
quality assessment, and data synthesis. Upon completion, the systematic,
evidence-based assessment shall be made available to the public.
6. The commissioner shall provide notice of any coverage
recommendations developed by the committee by making such information
available on the department's website. Such public notice shall include:
a summary of the deliberations of the committee; a summary of the
positions of those making public comments at meetings of the committee
and any safety and health outcomes data submitted by any interested
party; the response of the committee to those comments, if any; the
clinical evidence upon which the committee bases its recommendations;
and the findings and recommendations of the committee including a final
evidence-based systematic assessment.
7. The commissioner shall provide public notice on the department's
website of the committee's recommendation and the department's final
determination, including: the nature of the determination; an analysis
of the impact of the department's determination on the state Medicaid
plan populations and providers; and the projected fiscal impact to the
state Medicaid program.
8. The recommendations of the committee, made pursuant to this
section, shall be based on a review of the evidence presented to the
committee, including the clinical effectiveness, patient outcomes,
impact on at risk and underserved populations, and safety. The committee
shall review previous recommendations of the committee as new evidence
becomes available and permit oral presentations and the submission of
new evidence at any committee meeting. Such review shall occur pursuant
to the procedure established in subdivisions five and six of this
section. The department may alter or revoke the final determination
after such review pursuant to the procedure established in subdivision
seven of this section.
9. The department shall provide administrative support to the
committee.
Optional or continued membership in entities offering
comprehensive health services plans. 1. In accordance with applicable
federal requirements and subject to the approval of the commissioner and
the director of the budget, a district shall offer to persons eligible
for medical assistance the option of membership in any health
maintenance organization or other entity which is certified under
article forty-four of the public health law or licensed pursuant to
article nine-C of the insurance law or otherwise authorized by law, and
which offers comprehensive health services plans to persons residing
within the social services district unless granted a waiver by the
commissioner on the grounds that the organization or entity is not
geographically accessible so as to provide medical assistance to
eligible recipients who reside within the district or that the per
recipient capitation rate is above the expected average per recipient
fee-for-service cost within the local district or that the health
maintenance organization or other entity refuses to enter into a
contract with the district.
2. Nothwithstanding any inconsistent provision of law, persons who,
prior to becoming eligible for medical assistance, are enrolled in a
health maintenance organization or other entity offering a comprehensive
health services plan shall be offered the option of continuing that
enrollment.
3. The commissioner shall offer to social services districts such
technical assistance as may be appropriate to assist in the development
of contracts between the districts and such entities.
Consumer directed personal assistance program. 1. Purpose and
intent. The consumer directed personal assistance program is intended to
permit chronically ill and/or physically disabled individuals receiving
home care services under the medical assistance program greater
flexibility and freedom of choice in obtaining such services. The
department shall regularly monitor district participation in the program
by reviewing the implementation plans submitted pursuant to this
section. The department shall provide guidance to the districts to
improve compliance with implementation plans and promote consistency
among counties regarding approved service levels based on the
assessments required by this section. In addition, the department shall
provide technical assistance and such other assistance as may be
necessary to assist such districts in assuring access to the program for
eligible individuals.
2. Eligibility. All eligible individuals receiving home care shall
have the opportunity to apply for participation in the program no less
than annually. Each social services district shall file an
implementation plan with the commissioner of the department of health,
which shall be updated annually. Such updates shall be submitted no
later than November thirtieth of each year. Beginning on June thirtieth,
two thousand nine, the plans and updates submitted by districts shall
require the approval of the department. Implementation plans shall
include district enrollment targets, describe methods for the provision
of notice and assistance to interested individuals eligible for
enrollment in the program, and shall contain such other information as
shall be required by the department. An "eligible individual", for
purposes of this section is a person who:
(a) is eligible for long term care and services provided by a
certified home health agency, long term home health care program or AIDS
home care program authorized pursuant to article thirty-six of the
public health law, or is eligible for personal care services provided
pursuant to this article, and who with the provision of such services is
capable of safely remaining in the community in accordance with the
standards set forth in Olmstead v. LC by Zimring, 527 US 581 (1999) and
consider whether an individual is capable of safely remaining in the
community;
(b) is eligible for medical assistance;
(c) has been determined by the social services district, pursuant to
an assessment of the person's appropriateness for the program, conducted
with an appropriate long term home health care program, a certified home
health agency, or an AIDS home care program or pursuant to the personal
care program, as being in need of home care services or private duty
nursing and as needing at least limited assistance with physical
maneuvering with more than two activities of daily living, or for
persons with a dementia or Alzheimer's diagnosis, as needing at least
supervision with more than one activity of daily living, provided that
the provisions related to activities of daily living in this paragraph
shall only apply to persons who initially seek eligibility for the
program on or after October first, two thousand twenty, and who is able
and willing or has a designated representative, including a legal
guardian able and willing to make informed choices, or a designated
relative or other adult who is able and willing to assist in making
informed choices, as to the type and quality of services, including but
not limited to such services as nursing care, personal care,
transportation and respite services; and
(d) meets such other criteria, as may be established by the
commissioner, which are necessary to effectively implement the
objectives of this section.
3. Division of responsibilities. Eligible individuals who elect to
participate in the program assume the responsibility for services under
such program as mutually agreed to by the eligible individual and
provider and as documented in the eligible individual's record,
including, but not limited to, recruiting, hiring and supervising their
personal assistants. For the purposes of this section, personal
assistant shall mean an adult who has obtained an individual unique
identifier from the state by or before a date determined by the
commissioner of health in consultation with the Medicaid inspector
general, and provides services under this section to the eligible
individual under the eligible individual's instruction, supervision and
direction or under the instruction, supervision and direction of the
eligible individual's designated representative, provided that a person
legally responsible for an eligible individual's care and support, an
eligible individual's spouse or designated representative may not be the
personal assistant for the eligible individual; however, a personal
assistant may include any other adult relative of the eligible
individual, provided, however, that the program determines that the
services provided by such relative are consistent with an individual's
plan of care and that the aggregate cost for such services does not
exceed the aggregate costs for equivalent services provided by a
non-relative personal assistant. Any personal information submitted to
obtain such unique identifier shall be maintained as confidential
pursuant to article six-A of the public officers law ("New York state
privacy protection law"). Such individuals shall be assisted as
appropriate with service coverage, supervision, advocacy and management.
Providers shall not be liable for fulfillment of responsibilities agreed
to be undertaken by the eligible individual. This subdivision, however,
shall not diminish the participating provider's liability for failure to
exercise reasonable care in properly carrying out its responsibilities
under this program, which shall include monitoring such individual's
continuing ability to fulfill those responsibilities documented in his
or her records. Failure of the individual to carry out his or her agreed
to responsibilities may be considered in determining such individual's
continued appropriateness for the program.
4-a. Fiscal intermediary services. (a) For the purposes of this
section:
(i) "Statewide fiscal intermediary" means an entity that provides
fiscal intermediary services and has a contract for providing such
services with the department of health and is selected through the
procurement process described in paragraph (b) of this subdivision.
(ii) Fiscal intermediary services shall include the following
services, performed on behalf of the consumer to facilitate the
consumer's role as the employer:
(A) wage and benefit processing for consumer directed personal
assistants;
(B) processing all income tax and other required wage withholdings;
(C) complying with workers' compensation, disability and unemployment
requirements;
(D) maintaining personnel records for each consumer directed personal
assistant, including time records and other documentation needed for
wages and benefit processing and a copy of the medical documentation
required pursuant to regulations established by the commissioner;
(E) ensuring that the health status of each consumer directed personal
assistant is assessed prior to service delivery pursuant to regulations
issued by the commissioner;
(F) maintaining records of service authorizations or reauthorizations;
(G) monitoring the consumer's or, if applicable, the designated
representative's continuing ability to fulfill the consumer's
responsibilities under the program and promptly notifying the
authorizing entity of any circumstance that may affect the consumer's
or, if applicable, the designated representative's ability to fulfill
such responsibilities;
(H) complying with regulations established by the commissioner
specifying the responsibilities of fiscal intermediaries providing
services under this title;
(I) entering into a department approved memorandum of understanding
with the consumer that describes the parties' responsibilities under
this program; and
(J) other related responsibilities which may include, as determined by
the commissioner, assisting consumers to perform the consumers'
responsibilities under this section and department regulations in a
manner that does not infringe upon the consumer's responsibilities and
self-direction.
(ii-a) The commissioner shall require any managed care plans, managed
long-term care plans, local social service districts, and other
appropriate long-term service programs offering consumer directed
personal assistance services to contract with the statewide fiscal
intermediary set forth in subparagraph (i) of this paragraph to provide
all fiscal intermediary services to consumers.
(ii-b) The statewide fiscal intermediary shall subcontract to
facilitate the delivery of fiscal intermediary services to an entity
that is a service center for independent living under section one
thousand one hundred twenty-one of the education law that has been
providing fiscal intermediary services since January first, two thousand
twenty-four or earlier. The statewide fiscal intermediary shall further
subcontract to facilitate the delivery of fiscal intermediary services
with at least one entity per rate setting region that has a proven
record of delivering services to individuals with disabilities and the
senior population, and has been providing fiscal intermediary services
since January first, two thousand twelve; provided that such
subcontractor shall be required to provide any delegated fiscal
intermediary services with cultural and linguistic competency specific
to the population of consumers and those of the available workforce, and
shall comply with the requirements for registration as a fiscal
intermediary set forth in subdivision four-a-one of this section. For
purposes of this section, "delegated fiscal intermediary services" are
defined as fiscal intermediary services as set forth in subparagraph
(ii) of paragraph (a) of this subdivision that the statewide fiscal
intermediary includes in a subcontract and which shall include services
designed to meet the needs of consumers of the program, which may
include assisting consumers with navigation of the program by providing
individual consumer assistance and support as needed, consumer peer
support, and education and training to consumers on their duties under
the program.
(ii-c) The statewide fiscal intermediary shall be responsible for
payment to subcontractors for delegated fiscal intermediary services.
The payment shall not require a certification by the commissioner if
payments are reasonably related to the costs of efficient delivery of
such services.
(iii) Fiscal intermediaries are not responsible for, and fiscal
intermediary services shall not include, fulfillment of the
responsibilities of the consumer or, if applicable, the consumer's
designated representative as established by the commissioner. A fiscal
intermediary's responsibilities shall not include, and a fiscal
intermediary shall not engage in: managing the plan of care including
recruiting and hiring a sufficient number of individuals who meet the
definition of consumer directed personal assistant, as such term is
defined by the commissioner, to provide authorized services that are
included on the consumer's plan of care; training, supervising and
scheduling each consumer directed personal assistant; terminating the
consumer directed personal assistant's employment; or assuring that each
consumer directed personal assistant competently and safely performs the
personal care services, home health aide services and skilled nursing
tasks that are included on the consumer's plan of care. A fiscal
intermediary shall exercise reasonable care in properly carrying out its
responsibilities under the program.
(b) Notwithstanding section one hundred sixty-three of the state
finance law, section one hundred twelve of the state finance law, or
section one hundred forty-two of the economic development law the
commissioner shall enter into a contract under this subdivision with an
eligible contractor that submits an offer for a contract, provided,
however, that:
(i) the department shall post on its website:
(A) a description of the proposed statewide fiscal intermediary
services to be provided pursuant to a contract in accordance with this
subdivision;
(B) the criteria for selection of the statewide fiscal intermediary,
which shall include at a minimum that the eligible contractor is capable
of performing statewide fiscal intermediary services with demonstrated
cultural and language competencies specific to the population of
consumers and those of the available workforce, has experience serving
individuals with disabilities, and as of April first, two thousand
twenty-four is providing services as a fiscal intermediary on a
statewide basis with at least one other state;
(C) the manner by which prospective contractors may seek such
selection, which may include submission by electronic means;
(ii) all offers that are received from prospective contractors in a
timely fashion and that meet the criteria set forth in clause (B) of
subparagraph (i) of this paragraph shall be reviewed by the
commissioner; and
(iii) the commissioner shall award such contract to the contractor
that meets the criteria for selection and offers the best value for
providing the services required pursuant to this section and the needs
of consumers.
(c) (i) The commissioner shall require a fiscal intermediary to report
annually on the direct care and administrative costs of personal
assistance services as accounted for by the fiscal intermediary. The
department shall specify the format of such reports, determine the type
and amount of information to be submitted, and require the submission of
supporting documentation, provided, however, that the department shall
provide no less than ninety calendar days' notice before such reports
are due.
(ii) If the department determines that the cost report submitted by a
provider is inaccurate or incomplete, the department shall notify the
provider in writing and advise the provider of the correction or
additional information that the provider must submit. The provider must
submit the corrected or additional information within thirty calendar
days from the date the provider receives the notice.
(iii) The department shall grant a provider an additional thirty
calendar days to submit the original, corrected or additional cost
report when the provider, prior to the date the report is due, submits a
written request to the department for an extension and establishes to
the department's satisfaction that the provider cannot submit the report
by the date due for reasons beyond the provider's control.
(iv) All reports shall be certified by the owner, administrator, chief
executive officer, or public official responsible for the operation of
the provider. The cost report form shall include a certification form,
which shall specify who must certify the report.
4-a-1. (a) Fiscal intermediary registration. Except for the statewide
fiscal intermediary and its subcontractors, as of April first, two
thousand twenty-five, no entity shall provide, directly or through
contract, fiscal intermediary services. All subcontractors of the
statewide fiscal intermediary, shall register with the department within
thirty days of being selected as a subcontractor.
(b) In selecting its subcontractors, the statewide fiscal intermediary
shall consider demonstrated compliance with all applicable federal and
state laws and regulations, including but not limited to, marketing and
labor practices, cost reporting, and electronic visit verification
requirements.
4-b. Actions involving the registration of a fiscal intermediary.
(a) A fiscal intermediary's registration may be revoked, suspended,
limited, or annulled by the commissioner upon thirty days' written
notice to the fiscal intermediary, if the commissioner finds that the
fiscal intermediary has failed to comply with the provisions of this
section or regulations promulgated hereunder.
(b) The commissioner may issue orders and take other actions as
necessary and appropriate to prohibit and prevent the provision of
fiscal intermediary services by an unregistered entity.
(c) All orders or determinations under this subdivision shall be
subject to review as provided in article seventy-eight of the civil
practice law and rules.
4-c. The commissioner shall convene and chair a stakeholder workgroup
pertaining to fiscal intermediary services and the needs of consumers.
The workgroup shall consist of, at a minimum, representatives of service
centers for independent living; statewide associations of fiscal
intermediaries; representatives of managed care entities under article
forty-four of the public health law and local social service districts;
consumers; and representatives of advocacy groups representing consumers
of services under this section. The workgroup shall be established no
later than May fifteenth, two thousand nineteen. The workgroup shall
identify and develop best practices pertaining to the delivery of fiscal
intermediary services; inform the criteria for use by the department for
the selection of entities under subdivision four-a of this section;
identify whether services differ for certain consumers and under what
circumstances; inform criteria in relation to the development of quality
reporting requirements; and work with the department to develop
transition plans for consumers that may need to transition to another
fiscal intermediary.
4-d. Fiscal intermediaries ceasing operation. (a) Where a fiscal
intermediary is ceasing operation or will no longer serve the consumer's
area, the fiscal intermediary shall:
(i) deliver written notice forty-five calendar days in advance to the
affected consumers, consumer representatives, personal assistants, the
department, and any local social services districts or managed care
plans with which the fiscal intermediary contracts. Within five business
days of receipt of the notice, the local social services district or
managed care plan shall acknowledge the notice and provide the affected
consumers with a list of other fiscal intermediaries operating in the
same county or managed care plan network as appropriate;
(ii) not take any action that would prevent a personal assistant from
moving to a new fiscal intermediary of the consumer's choice, nor
require the consumer or the personal assistant to switch to a personal
care or home health care program not under this section; and
(iii) upon request and consent, promptly transfer all records relating
to the individual's health and care authorizations, and personnel
documents to the fiscal intermediary or personal care or home health
care provider chosen by the consumer and assume all liability for
omissions or errors in such records.
(b) Where a consumer is electing to transfer his or her services to a
new fiscal intermediary or a personal care or home health care provider
by the consumer's independent choice, the fiscal intermediary being
discontinued shall comply with subparagraphs (ii) and (iii) of paragraph
(a) of this subdivision.
(c) Where a fiscal intermediary is suspending or ceasing operation
pursuant to an order under subdivision four-b of this section, or has
failed to submit an offer for a contract, or has been denied a contract
under this section, all the provisions of this subdivision shall apply
except subparagraph (i) of paragraph (a) of this subdivision, notice of
which to all parties shall be provided by the department as appropriate.
(e) The local social services district or managed care plan, as
appropriate, shall supervise the transition of services and transfer of
records and maintain provision of services by the personal assistant(s)
chosen by the individual.
(f) Any transfer under this subdivision shall not diminish any of an
individual's rights relating to continuity of care, utilization review
or fair hearing appeals and aid continuing.
5. Waivers, regulation and effectiveness.
(a) The commissioner may, subject to the approval of the director of
the budget, file for such federal waivers as may be needed for the
implementation of the program.
(b) Notwithstanding any other provision of law, the commissioner is
authorized to waive any provision of section three hundred sixty-seven-b
of this title related to payment and may promulgate regulations
necessary to carry out the objectives of the program including minimum
safety, and health and immunization criteria and training requirements
for personal assistants, and which describe the responsibilities of the
eligible individuals in arranging and paying for services and the
protections assured such individuals if they are unable or no longer
desire to continue in the program, the fiscal intermediary registration
process, standards, and time frames, and those regulations necessary to
ensure adequate access to services.
6. Notwithstanding any inconsistent provision of this section or any
other contrary provision of law, managed care programs established
pursuant to section three hundred sixty-four-j of this title and managed
long term care plans and other care coordination models established
pursuant to section four thousand four hundred three-f of the public
health law shall offer consumer directed personal assistance programs to
enrollees.
7. This section shall be effective if, to the extent that, and as long
as, federal financial participation is available for expenditures
incurred under this section.
8. Subject to the availability of federal financial participation, the
provisions of this section governing consumer directed personal
assistance services shall also apply to such services when offered under
the home and community-based attendant services and supports state plan
option (Community First Choice) pursuant to 42 U.S.C. § 1396n(k).
9. Notwithstanding any contrary provision of law and subject to the
availability of federal financial participation, for periods on and
after April first, two thousand fourteen, the commissioner is authorized
to make temporary periodic lump-sum Medicaid payments to fiscal
intermediaries principally engaged in providing consumer directed
personal assistance services to Medicaid patients, in accordance with
the following:
(a) eligible fiscal intermediaries shall include:
(i) providers undergoing closure or substantial reduction in the
volume of care;
(ii) providers impacted by the closure of other health care providers;
(iii) providers subject to mergers, acquisitions, consolidations or
restructuring;
(iv) providers impacted by the merger, acquisition, consolidation or
restructuring of other health care providers;
(v) providers seeking to ensure that access to care is maintained or
increased; or
(vi) on or after January first, two thousand fifteen, providers
impacted by changes to the Fair Labor Standards Act requiring overtime
pay for personal assistants working in excess of forty hours per week.
(b) providers seeking Medicaid payments under this subdivision shall
demonstrate through submission of a written proposal to the commissioner
that the additional resources provided by such Medicaid payments will
achieve one or more of the following:
(i) protect or enhance access to care;
(ii) protect or enhance quality of care;
(iii) improve the cost effectiveness of the delivery of health care
services; or
(iv) otherwise protect or enhance the health care delivery system, as
determined by the commissioner.
(c)(i) Such written proposal shall be submitted to the commissioner at
least sixty days prior to the requested commencement of such Medicaid
payments and shall include a proposed budget to achieve the goals of the
proposal. Any Medicaid payments issued pursuant to this subdivision
shall be made over a specified period of time, as determined by the
commissioner, of up to three years. At the end of the specified
time-frame such payments shall cease. The commissioner may establish, as
a condition of receiving such Medicaid payments, benchmarks and goals to
be achieved in conformity with the provider's written proposal as
approved by the commissioner and may also require that the provider
submit such periodic reports concerning the achievement of such
benchmarks and goals as the commissioner deems necessary. Failure to
achieve satisfactory progress, as determined by the commissioner, in
accomplishing such benchmarks and goals shall be a basis for ending the
provider's Medicaid payments prior to the end of the specified
timeframe.
(ii) The commissioner may require that applications submitted pursuant
to this subdivision be submitted in response to and in accordance with a
request for applications or a request for proposals issued by the
commissioner.
Utilization review for certain care, services and supplies.
1. The department may implement a system for utilization review,
pursuant to this section, for persons eligible for benefits under this
title, to evaluate the appropriateness and quality of medical
assistance, and safeguard against unnecessary utilization of care and
services, which shall include a post-payment review process to develop
and review beneficiary utilization profiles, provider service profiles,
and exceptions criteria to correct misutilization practices of
beneficiaries and providers; and for referral to the office of Medicaid
inspector general where suspected fraud, waste or abuse are identified
in the unnecessary or inappropriate use of care, services or supplies
furnished under this title.
2. The department may review utilization by provider service type,
medical procedure and patient, in consultation with the state department
of mental hygiene, other appropriate state agencies, and other
stakeholders including provider and consumer representatives. In
reviewing utilization, the department shall consider historical
recipient utilization patterns, patient-specific diagnoses and burdens
of illness, and the anticipated recipient needs in order to maintain
good health. The system for utilization review shall not be used to
determine a recipient's medical care, services or supplies under this
section.
3. The utilization review established pursuant to this section shall
not apply to developmental disabilities services provided in clinics
certified under article twenty-eight of the public health law, or
article twenty-two or article thirty-one of the mental hygiene law.
4. Utilization review established pursuant to this section shall not
apply to services, even though such services might otherwise be subject
to utilization review, when provided as follows:
(a) through a managed care program;
(b) subject to prior approval or prior authorization;
(c) as family planning services;
(d) as methadone maintenance services;
(e) on a fee-for-services basis to in-patients in general hospitals
certified under article twenty-eight of the public health law or article
thirty-one of the mental hygiene law and residential health care
facilities, with the exception of podiatrists' services;
(f) for hemodialysis; or
(g) through or by referral from a preferred primary care provider
designated pursuant to subdivision twelve of section twenty-eight
hundred seven of the public health law.
5. The department shall consult with representatives of medical
assistance providers, social services districts, voluntary organizations
that represent or advocate on behalf of recipients, the managed care
advisory council and other state agencies regarding the ongoing
operation of a utilization review system.
6. On or before February first, nineteen hundred ninety-two, the
commissioner shall submit to the governor, the temporary president of
the senate and the speaker of the assembly a report detailing the
implementation of the utilization threshold program and evaluating the
results of establishing utilization thresholds. Such report shall
include, but need not be limited to, a description of the program as
implemented; the number of requests for increases in service above the
threshold amounts by provider and type of service; the number of
extensions granted; the number of claims that were submitted for
emergency care or urgent care above the threshold level; the number of
recipients referred to managed care; an estimate of the fiscal savings
to the medical assistance program as a result of the program;
recommendations for medical condition that may be more appropriately
served through managed care programs; and the costs of implementing the
program.
* § 365-h. Provision and reimbursement of transportation costs. 1. The
local social services official and, subject to the provisions of
subdivision four of this section, the commissioner of health shall have
responsibility for prior authorizing transportation of eligible persons
and for limiting the provision of such transportation to those
recipients and circumstances where such transportation is essential,
medically necessary and appropriate to obtain medical care, services or
supplies otherwise available under this title.
2. In exercising this responsibility, the local social services
official and, as appropriate, the commissioner of health shall:
(a) make appropriate and economical use of transportation resources
available in the district in meeting the anticipated demand for
transportation within the district, including, but not limited to:
transportation generally available free-of-charge to the general public
or specific segments of the general public, public transportation,
promotion of group rides, county vehicles, coordinated transportation,
and direct purchase of services; and
(b) maintain quality assurance mechanisms in order to ensure that (i)
only such transportation as is essential, medically necessary and
appropriate to obtain medical care, services or supplies otherwise
available under this title is provided; (ii) no expenditures for taxi or
livery transportation are made when public transportation or lower cost
transportation is reasonably available to eligible persons; and (iii)
transportation services are provided in a safe, timely, and reliable
manner by providers that comply with state and local regulatory
requirements and meet consumer satisfaction criteria approved by the
commissioner of health.
3. In the event that coordination or other such cost savings measures
are implemented, the commissioner shall assure compliance with
applicable standards governing the safety and quality of transportation
of the population served.
4. (a) The commissioner of health is authorized to assume
responsibility from a local social services official for the provision
and reimbursement of transportation costs under this section. If the
commissioner elects to assume such responsibility, the commissioner
shall notify the local social services official in writing as to the
election, the date upon which the election shall be effective and such
information as to transition of responsibilities as the commissioner
deems prudent. The commissioner is authorized to contract with a
transportation manager or managers to manage transportation services in
any local social services district, other than transportation services
provided or arranged for enrollees of managed long term care plans
issued certificates of authority under section forty-four hundred
three-f of the public health law. Any transportation manager or managers
selected by the commissioner to manage transportation services shall
have proven experience in coordinating transportation services in a
geographic and demographic area similar to the area in New York state
within which the contractor would manage the provision of services under
this section. Such a contract or contracts may include responsibility
for: review, approval and processing of transportation orders;
management of the appropriate level of transportation based on
documented patient medical need; and development of new technologies
leading to efficient transportation services. If the commissioner elects
to assume such responsibility from a local social services district, the
commissioner shall examine and, if appropriate, adopt quality assurance
measures that may include, but are not limited to, global positioning
tracking system reporting requirements and service verification
mechanisms. Any and all reimbursement rates developed by transportation
managers under this subdivision shall be subject to the review and
approval of the commissioner.
(b)(i) Subject to federal financial participation, for periods on and
after April first, two thousand twenty-one, in order to more
cost-effectively provide non-emergency transportation to Medicaid
beneficiaries who need access to medical care and services, the
commissioner is authorized to contract with one or more transportation
management brokers to manage such transportation on a statewide or
regional basis, as determined by the commissioner, in accordance with
the federal social security act as follows:
(A) The transportation management broker or brokers shall be selected
through a competitive bidding process based on an evaluation of the
broker's experience, performance, references, resources, qualifications
and costs; provided, however, that the department's selection process
shall be memorialized in a procurement record as defined in section one
hundred sixty-three of the state finance law;
(B) The transportation management broker or brokers shall have
oversight procedures to monitor Medicaid beneficiary access and
complaints and ensure that enrolled Medicaid transportation providers
are licensed, qualified, competent and courteous.
(C) The transportation management broker or brokers shall be subject
to regular auditing and oversight by the department in order to ensure
the quality of the transportation services provided and adequacy of
Medicaid beneficiary access to medical care and services.
(D) The transportation management broker or brokers shall comply with
requirements related to prohibitions on referrals and conflicts of
interest required by the federal social security act.
(ii) The transportation management broker or brokers may be paid a per
member per month capitated fee or a combination of capitation and fixed
cost reimbursement and the contract shall include, but not be limited
to, responsibility for:
(A) establishing a network of high-quality Medicaid enrolled
providers; provided, however, that in developing such network the
transportation management broker shall evaluate the qualifications of
current Medicaid transportation providers on a priority basis for
participation in its network, and leverage reputable transportation
providers with a proven record of serving Medicaid beneficiaries with
high-quality services;
(B) continuing outreach to Medicaid enrolled providers to assess and
resolve service quality issues;
(C) developing mandatory corrective actions for any Medicaid enrolled
provider that falls under quality performance standards;
(D) establishing a prior approval process which shall include
verifying Medicaid eligibility and reviewing, approving and processing
transportation orders;
(E) managing the appropriate level of transportation based on
documented patient medical need to ensure that Medicaid beneficiaries
are using the most medically appropriate mode of transportation,
including public transportation, which shall be maximized statewide,
including in rural areas; provided that when determining the appropriate
level of transportation, the transportation management broker shall
ensure that patients have reasonable and timely access to medically
appropriate transportation services;
(F) implementing technologies to effectuate efficient transportation
services, such as GPS, to improve match to mode of transportation;
(G) establishing fees to reimburse enrolled Medicaid transportation
providers;
(H) adjudicating and paying claims submitted by enrolled Medicaid
transportation providers;
(I) reporting on performance encompassing all aspects of the
transportation program, including but not limited to Medicaid
beneficiary complaints including the length of time to make a compliant,
wait times related to the receipt of services by a recipient, and
tracking medical justifications to modes of transportation provided;
(J) collaborating with Medicaid beneficiaries and consumer groups to
identify and resolve issues to increase consumer satisfaction;
(K) auditing cancellation data on a quarterly basis to ensure
accuracy;
(L) coordinating medical benefits and transportation with Medicaid
managed care organizations, including development of value based
payments for transportation services; and
(M) such contracts shall include penalties for incorrect denials,
unresolved complaint rates, unfulfilled trips, and any other criteria
determined by the commissioner and specified in the competitive bidding
process.
(iii) A transportation management broker with which the commissioner
contracts shall file with the commissioner a bond issued by an insurer
authorized to write fidelity and surety insurance in this state, in an
amount and form to be determined by the commissioner. The purpose of the
surety bond shall be to provide the sole source of recourse to providers
of Medicaid transportation services, other than the transportation
management broker, that cannot receive payment for services properly
provided if the transportation management broker becomes insolvent. To
the extent permitted by law, the surety bond shall provide that any
funds that remain after such provider liabilities are satisfied shall be
paid to that state.
(iv) A transportation management broker with which the commissioner
contracts shall provide to Medicaid enrolled providers annually a
conspicuous written disclosure that states the following: "The New York
State Department of Health has contracted with this transportation
management broker to arrange non-emergency transportation for Medicaid
beneficiaries who need access to medical care and services and is paying
the transportation management broker a per member per month capitated
fee or a combination of capitation and fixed cost reimbursement. This
transportation management broker is not licensed by the New York State
Department of Financial Services as an insurer and is not subject to its
supervision as an insurer. This transportation management broker is not
protected by New York security funds and there will not be any right to
recover against the department of health, department of financial
services, or this state in the event of the transportation management
broker's insolvency.
(v) To the extent practicable, the competitive bidding and contracting
process maybe completed by April first, two thousand twenty-one;
provided, however, such contract may be effective at some date after
April first, two thousand twenty-one, if the process takes longer to
complete.
(vi) Responsibility for transportation services provided or arranged
for enrollees of managed long term care plans issued certificates of
authority under section forty-four hundred three-f of the public health
law, not including a program designated as a Program of All-Inclusive
Care for the Elderly (PACE) as authorized by Federal Public law 1053-33,
subtitle I of title IV of the Balanced Budget Act of 1997, and, at the
commissioner's discretion, other plans that integrate benefits for
dually eligible Medicare and Medicaid beneficiaries based on a
demonstration by the plan that inclusion of transportation within the
benefit package will result in cost efficiencies and quality
improvement, shall be transferred to a transportation management broker
that has a contract with the commissioner in accordance with this
paragraph. Providers of adult day health care may elect to, but shall
not be required to, use the services of the transportation management
broker.
5. Notwithstanding any contrary provision of law, and subject to
federal financial participation, the commissioner of health shall make
adjustments to payments under this section, for the purposes of
providing increased access to Medicaid non-emergency transportation in
rural communities. Up to two million dollars shall be available for such
purposes.
6. (a) The commissioner of health shall require transportation
providers enrolled in the Medicaid program and specified by the
commissioner pursuant to regulation, to report the costs incurred in
providing transportation services to Medicaid beneficiaries pursuant to
this section; provided, however, this requirement shall only apply if
there is no transportation management broker contract authorized in
subdivision four of this section. The commissioner shall specify the
frequency and format of such reports and determine the type and amount
of information required to be submitted, including supporting
documentation, provided that such reports shall be no more frequent than
quarterly. The commissioner shall give all transportation providers no
less than ninety calendar days' notice before such reports are due.
(b) If the commissioner determines that the cost report submitted by a
Medicaid transportation provider is inaccurate or incomplete, the
commissioner shall notify such provider in writing and advise the
provider of the correction or additional information that the provider
must submit. The provider shall submit the corrected or additional
information within thirty calendar days from the date the provider
receives the notice.
(c) The commissioner shall grant a provider an additional thirty
calendar days to submit the original cost report, or corrected or
additional information required pursuant to paragraph (b) of this
subdivision only when the provider submits a written request to the
commissioner for an extension prior to the due date and establishes to
the satisfaction of the commissioner that the provider cannot submit the
cost report or corrected or additional information by the due date for
reasons beyond the provider's control.
* NB Repealed 16 years after the contract entered into pursuant to
this section 365-h is executed
* § 365-h. Provision and reimbursement of transportation costs. 1. The
local social services official shall have responsibility for prior
authorizing transportation of eligible persons and for limiting the
provision of such transportation to those recipients and circumstances
where such transportation is essential, medically necessary and
appropriate to obtain medical care, services or supplies otherwise
available under this title.
2. In exercising this responsibility, the local social services
official shall:
(a) make appropriate and economical use of transportation resources
available in the district in meeting the anticipated demand for
transportation within the district, including, but not limited to:
transportation generally available free-of-charge to the general public
or specific segments of the general public, public transportation,
promotion of group rides, county vehicles, coordinated transportation,
and direct purchase of services; and
(b) maintain quality assurance mechanisms in order to ensure that (i)
only such transportation as is essential, medically necessary and
appropriate to obtain medical care, services or supplies otherwise
available under this title is provided and (ii) no expenditures for taxi
or livery transportation are made when public transportation or lower
cost transportation is reasonably available to eligible persons.
3. In the event that coordination or other such cost savings measures
are implemented, the commissioner shall assure compliance with
applicable standards governing the safety and quality of transportation
of the population served.
* NB Effective 16 years after the contract entered into pursuant to
this section 365-h has been executed
Advisory opinions. 1. General. (a) Definition and nature of
advisory opinions. An advisory opinion is a written statement, issued
pursuant to the provisions of this chapter, by the commissioner of the
department of health or his or her specifically authorized designee or
designees setting forth the applicability to a specified set of facts of
pertinent statutory and regulatory provisions relating to the provision
of medical items or services pursuant to the medical assistance program
administered by the department of health as the single state agency
responsible for the administration of the program. Advisory opinions are
issued at the request of any provider enrolled in the medical assistance
program, and are binding upon the commissioner with respect to that
provider only.
(b) Areas in which advisory opinions may be requested. An advisory
opinion may be sought with respect to a substantive question, or a
procedural matter. Advisory opinions may be requested with respect to
questions arising prior to an audit or investigation with respect to
questions relating to a provider's claim for payment or reimbursement.
Advisory opinions may also be utilized for purposes of service planning.
Thus, they may be requested with respect to a hypothetical or projected
future set of facts.
(c) An advisory opinion will not be issued where the petition for an
advisory opinion relates to a pending question raised by the provider in
an ongoing or initiated investigation conducted by the Medicaid
inspector general, deputy attorney general for the Medicaid fraud unit,
or any other criminal investigation or any civil or criminal proceeding,
or where the provider has received any written notice of the
commissioner or the Medicaid inspector general which advises a provider
of an imminent investigation, audit, pended or otherwise suspended
claim, or withhold of payment or reimbursement.
(d) Nothing in this section shall be construed as superseding any
federal rule, law, requirement or guidance.
(e) The commissioner shall promulgate rules and regulations
establishing the time period for issuance of such advisory opinion and
the criteria for determining the eligibility of a request for
departmental response.
2. Effect of advisory opinions. (a) An advisory opinion represents an
expression of the views of the commissioner of health as to the
application of law, regulations and other precedential material to the
set of facts specified in the petition for advisory opinion. An advisory
opinion shall apply only with respect to the provider to whom the
advisory opinion is rendered.
(b) A previously issued advisory opinion found by the commissioner to
be in error may be modified or revoked, provided, however, that a
subsequent modification by such commissioner of such an advisory opinion
shall operate prospectively. The department shall promptly notify the
provider of modification or revocation of an advisory opinion.
(c) All advisory opinions shall include the following notice: "This
advisory opinion is limited to the person or persons who requested the
opinion and it pertains only to the facts and circumstances presented in
the petition."
(d) All advisory opinions shall cite the pertinent law and regulation
upon which the advisory opinion is based.
(e) All advisory opinions and all modifications and revocations of a
previously issued advisory opinion shall be deemed a public record.
Provision of prenatal care services. 1. (a) The commissioner
shall establish standards and guidelines for the provision of prenatal
care services under the medical assistance program. In establishing such
standards and guidelines, the commissioner shall consider generally
accepted standards of professional practice, including, but not limited
to, standards issued by the American College of Obstetricians and
Gynecologists and the American Academy of Pediatrics, and shall consult
with prenatal care providers and other interested parties.
(b) The standards and guidelines established under this section for
providing non-invasive prenatal testing shall not limit availability and
coverage for a test based on the age of the pregnant patient, unless the
limit is explicitly called for by the generally accepted standards of
professional practice or is otherwise recommended by safety
communications or guidance issued by the United States food and drug
administration, the centers for Medicare and medicaid services, or the
United States department of health and human services.
2. For purposes of this title, "prenatal care provider" means a
medical care facility or public or private not-for-profit agency or
organization, physician, licensed nurse practitioner, or licensed
midwife practicing on an individual or group basis that provides
prenatal care or managed care plan that contracts with prenatal
providers.
Health homes. 1. Notwithstanding any law, rule or regulation
to the contrary, the commissioner of health is authorized, in
consultation with the commissioners of the office of mental health,
office of alcoholism and substance abuse services, and office for people
with developmental disabilities, to (a) establish, in accordance with
applicable federal law and regulations, standards for the provision of
health home services to Medicaid enrollees with chronic conditions, (b)
establish payment methodologies for health home services based on
factors including but not limited to the complexity of the conditions
providers will be managing, the anticipated amount of patient contact
needed to manage such conditions, and the health care cost savings
realized by provision of health home services, (c) establish the
criteria under which a Medicaid enrollee will be designated as being an
eligible individual with chronic conditions for purposes of this
program, (d) assign any Medicaid enrollee designated as an eligible
individual with chronic conditions to a provider of health home
services.
2. In addition to payments made for health home services pursuant to
subdivision one of this section, the commissioner is authorized to pay
additional amounts to providers of health home services that meet
process or outcome standards specified by the commissioner. Such
additional amounts may be paid with state funds only if federal
financial participation for such payments is unavailable.
2-a. Up to fifteen million dollars in state funding may be used to
fund health home infrastructure development. Such funds shall be used to
develop enhanced systems to support Health Home operations including
assignments, workflow, and transmission of data. Funding will also be
disbursed pursuant to a formula established by the commissioner to be
designated health homes. Such formula may consider prior access to
similar funding opportunities, geographic and demographic factors,
including the population served, and prevalence of qualifying
conditions, connectivity to providers, and other criteria as established
by the commissioner.
2-b. The commissioner is authorized to make lump sum payments or
adjust rates of payment to providers up to a gross amount of five
million dollars, to establish coordination between the health homes and
the criminal justice system and for the integration of information of
health homes with state and local correctional facilities, to the extent
permitted by law. Such rate adjustments may be made to health homes
participating in a criminal justice pilot program with the purpose of
enrolling incarcerated individuals with serious mental illness, two or
more chronic conditions, including substance abuse disorders, or
HIV/AIDS, into such health home. Health homes receiving funds under this
subdivision shall be required to document and demonstrate the effective
use of funds distributed herein.
2-c. The commissioner is authorized to make grants up to a gross
amount of one million dollars for certified application counselors and
assistors to facilitate the enrollment of persons in high risk
populations, including but not limited to persons with mental health
and/or substance abuse conditions that have been recently discharged or
are pending release from state and local correctional facilities. Funds
allocated for certified application counselors and assistors shall be
expended through a request for proposal process.
2-d. The commissioner shall establish reasonable targets for health
home participation by enrollees of special needs managed care plans
designated pursuant to subdivision four of section three hundred
sixty-five-m of this title and by high-risk enrollees of other Medicaid
managed care plans operating pursuant to section three hundred
sixty-four-j of this title, and shall encourage both the managed care
providers and the health homes to work collaboratively with each other
to achieve such targets. The commissioner may assess penalties under
this subdivision in instances of failure to meet the participation
targets established pursuant to this subdivision, where the department
has determined that such failure reflected the absence of a good faith
and reasonable effort to achieve the participation targets, except that
managed care providers shall not be penalized for the failure of a
health home to work collaboratively toward meeting the participation
targets and a health home shall not be penalized for the failure of a
managed care provider to work collaboratively toward meeting the
participation targets.
3. Until such time as the commissioner obtains necessary waivers
and/or approvals of the federal social security act, Medicaid enrollees
assigned to providers of health home services will be allowed to opt out
of such services. In addition, upon enrollment, an enrollee shall be
offered an option of at least two providers of health home services, to
the extent practicable.
4. Payments authorized pursuant to this section will be made with
state funds only, to the extent that such funds are appropriated
therefore, until such time as federal financial participation in the
costs of such services is available.
5. The commissioner is authorized to submit amendments to the state
plan for medical assistance and/or submit one or more applications for
waivers of the federal social security act, to obtain federal financial
participation in the costs of health home services provided pursuant to
this section, and as provided in subdivision three of this section.
6. Notwithstanding any limitations imposed by section three hundred
sixty-four-l of this title on entities participating in demonstration
projects established pursuant to such section, the commissioner is
authorized to allow such entities which meet the requirements of this
section to provide health home services.
7. Notwithstanding any law, rule, or regulation to the contrary, the
commissioners of the department of health, the office of mental health,
the office for people with developmental disabilities, and the office of
alcoholism and substance abuse services are authorized to jointly
establish a single set of operating and reporting requirements and a
single set of construction and survey requirements for entities that:
(a) can demonstrate experience in the delivery of health, and mental
health and/or alcohol and substance abuse services and/or services to
persons with developmental disabilities, and the capacity to offer
integrated delivery of such services in each location approved by the
commissioner; and
(b) meet the standards established pursuant to subdivision one of this
section for providing and receiving payment for health home services;
provided, however, that an entity meeting the standards established
pursuant to subdivision one of this section shall not be required to be
an integrated service provider pursuant to this subdivision.
In establishing a single set of operating and reporting requirements
and a single set of construction and survey requirements for entities
described in this subdivision, the commissioners of the department of
health, the office of mental health, the office for people with
developmental disabilities, and the office of alcoholism and substance
abuse services are authorized to waive any regulatory requirements as
are necessary to avoid duplication of requirements and to allow the
integrated delivery of services in a rational and efficient manner.
8. (a) The commissioner of health is authorized to contract with one
or more entities to assist the state in implementing the provisions of
this section. Such entity or entities shall be the same entity or
entities chosen to assist in the implementation of the multipayor
patient centered medical home program pursuant to section twenty-nine
hundred fifty-nine-a of the public health law. Responsibilities of the
contractor shall include but not be limited to: developing
recommendations with respect to program policy, reimbursement, system
requirements, reporting requirements, evaluation protocols, and provider
and patient enrollment; providing technical assistance to potential
medical home and health home providers; data collection; data sharing;
program evaluation, and preparation of reports.
(b) Notwithstanding any inconsistent provision of sections one hundred
twelve and one hundred sixty-three of the state finance law, or section
one hundred forty-two of the economic development law, or any other law,
the commissioner of health is authorized to enter into a contract or
contracts under paragraph (a) of this subdivision without a competitive
bid or request for proposal process, provided, however, that:
(i) The department of health shall post on its website, for a period
of no less than thirty days:
(1) A description of the proposed services to be provided pursuant to
the contract or contracts;
(2) The criteria for selection of a contractor or contractors;
(3) The period of time during which a prospective contractor may seek
selection, which shall be no less than thirty days after such
information is first posted on the website; and
(4) The manner by which a prospective contractor may seek such
selection, which may include submission by electronic means;
(ii) All reasonable and responsive submissions that are received from
prospective contractors in timely fashion shall be reviewed by the
commissioner of health; and
(iii) The commissioner of health shall select such contractor or
contractors that, in his or her discretion, are best suited to serve the
purposes of this section.
9. The contract entered into by the commissioner of health prior to
January first, two thousand thirteen pursuant to subdivision eight of
this section may be amended or modified without the need for a
competitive bid or request for proposal process, and without regard to
the provisions of sections one hundred twelve and one hundred
sixty-three of the state finance law, section one hundred forty-two of
the economic development law, or any other provision of law, excepting
the responsible vendor requirements of the state finance law, including,
but not limited to, sections one hundred sixty-three and one hundred
thirty-nine-k of the state finance law, to allow the purchase of
additional personnel and services, subject to available funding, for the
limited purpose of assisting the department of health with implementing
the Balancing Incentive Program, the Fully Integrated Duals Advantage
Program, the Vital Access Provider Program, the Medicaid waiver
amendment associated with the public hospital transformation, the
addition of behavioral health services as a managed care plan benefit,
the delivery system reform incentive payment plan, activities to
facilitate the transition of vulnerable populations to managed care
and/or any workgroups required to be established by the chapter of the
laws of two thousand thirteen that added this subdivision. The
department is authorized to extend such contract for a period of one
year, without a competitive bid or request for proposal process, upon
determination that the existing contractor is qualified to continue to
provide such services; provided, however, that the department of health
shall submit a request for applications for such contract during the
time period specified in this subdivision and may terminate the contract
identified herein prior to expiration of the extension authorized by
this subdivision.
Administration and management of behavioral health services.
1. The commissioners of the office of mental health and the office of
alcoholism and substance abuse services, in consultation with the
commissioner of health, the impacted local governmental units and with
the approval of the division of the budget, shall have responsibility
for jointly designating regional entities to provide administrative and
management services for the purposes of prior approving and coordinating
the provision of behavioral health services, facilitating the continuity
of post-hospitalization behavioral health and the integration of
behavioral health services with other services available under this
title, for recipients of medical assistance who are not enrolled in
managed care, and for such approval, coordination, facilitating
continuity and integration of behavioral health services that are not
provided through managed care programs under this title for individuals
regardless of whether or not such individuals are enrolled in managed
care programs. Such regional entities shall also be responsible for
promoting appropriate care and service utilization while safeguarding
against unnecessary utilization of such care and services and assuring
that payments are consistent with the efficient and economical delivery
of quality care.
2. In exercising this responsibility, the commissioners of the office
of mental health and the office of alcoholism and substance abuse
services are authorized to contract, after consultation with the
commissioner of health and the impacted local governmental units, with
regional behavioral health organizations or other entities. Such
contracts may include responsibility for receipt, review, and
determination of prior authorization requests for behavioral health care
and services under subdivision one of this section, consistent with
criteria established or approved by the commissioners of mental health
and alcoholism and substance abuse services, and authorization of
appropriate care and services based on documented patient medical need.
3. Notwithstanding any inconsistent provision of sections one hundred
twelve and one hundred sixty-three of the state finance law, or section
one hundred forty-two of the economic development law, or any other law
to the contrary, the commissioners of the office of mental health and
the office of alcoholism and substance abuse services are authorized to
enter into a contract or contracts under subdivisions one and two of
this section without a competitive bid or request for proposal process,
provided, however, that:
(a) the office of mental health and the office of alcoholism and
substance abuse services shall post on their websites, for a period of
no less than thirty days:
(i) a description of the proposed services to be provided pursuant to
the contractor contracts;
(ii) the criteria for selection of a contractor or contractors;
(iii) the period of time during which a prospective contractor may
seek selection, which shall be no less than thirty days after such
information is first posted on the website; and
(iv) the manner by which a prospective contractor may seek such
selection, which may include submission by electronic means;
(b) all reasonable and responsive submissions that are received from
prospective contractors in timely fashion shall be reviewed by the
commissioners; and
(c) the commissioners of the office of mental health and the office of
alcoholism and substance abuse services, in consultation with the
commissioner of health and the impacted local governmental units, shall
select such contractor or contractors that, in their discretion, have
demonstrated the ability to effectively, efficiently, and economically
integrate behavioral health and health services; have the requisite
expertise and financial resources; have demonstrated that their
directors, sponsors, members, managers, partners or operators have the
requisite character, competence and standing in the community, and are
best suited to serve the purposes of this section. In selecting such
contractor or contractors, the commissioners shall:
(i) ensure that any such contractor or contractors have an adequate
network of providers to meet the behavioral health and health needs of
enrollees, and shall review the adequacy prior to approval of any such
contract or contracts, and upon contract renewal or expansion. To the
extent that the network has been determined to meet standards set forth
in subdivision five of section four thousand four hundred three of the
public health law, such network shall be deemed adequate.
(ii) ensure that such contractor or contractors shall make level of
care and coverage determinations utilizing evidence-based tools or
guidelines designated to address the behavioral health needs of
enrollees.
(iii) ensure sufficient access to behavioral health and health
services for eligible enrollees by establishing and monitoring
penetration rates of any such contractor or contractors.
(iv) establish standards to encourage the use of services, products
and care recommended, ordered or prescribed by a provider to
sufficiently address the behavioral health and health services needs of
enrollees; and monitor the application of such standards to ensure that
they sufficiently address the behavioral health and health services
needs of enrollees.
4. The commissioners of the office of mental health, the office of
alcoholism and substance abuse services and the department of health,
shall have the responsibility for jointly designating on a regional
basis, after consultation with the local social services district and
local governmental unit, as such term is defined in the mental hygiene
law, of a city with a population of over one million persons, and after
consultation of other affected counties, a limited number of special
needs managed care plans under section three hundred sixty-four-j of
this title capable of managing the behavioral and physical health needs
of medical assistance enrollees with significant behavioral health
needs. Initial designations of such plans should be made no later than
April first, two thousand fourteen, provided, however, such designations
shall be contingent upon a determination by such state commissioners
that the entities to be designated have the capacity and financial
ability to provide services in such plans, and that the region has a
sufficient population and service base to support such plans. Once
designated, the commissioner of health shall make arrangements to enroll
such enrollees in such plans and to pay such plans on a capitated or
other basis to manage, coordinate, and pay for behavioral and physical
health medical assistance services for such enrollees. Notwithstanding
any inconsistent provision of section one hundred twelve and one hundred
sixty-three of the state finance law, and section one hundred forty-two
of the economic development law, or any other law to the contrary, the
designations of such plans, and any resulting contracts with such plans
or providers are authorized to be entered into by such state
commissioners without a competitive bid or request for proposal process,
provided however that:
(a) the department of health, the office of mental health and the
office of alcoholism and substance abuse services shall post on their
websites, for a period of not less than thirty days:
(i) a description of the proposed services to be provided by the plans
or systems;
(ii) the criteria for selection of a plan or system;
(iii) the period of time during which a prospective plan or system may
seek selection, which shall be no less than thirty days after such
information is first posted on the website; and
(iv) the manner by which a prospective plan or system may seek such
selection, which may include submission by electronic means;
(b) all reasonable and responsive submissions that are received from
prospective plans or systems in timely fashion shall be reviewed by the
commissioners; and
(c) the commissioners of the office of mental health and the office of
alcoholism and substance abuse services, in consultation with the
commissioner of health, shall select such plans or systems that, in
their discretion, have demonstrated the ability to effectively,
efficiently, and economically manage the behavioral and physical health
needs of medical assistance enrollees with significant behavioral health
needs; have the requisite expertise and financial resources; have
demonstrated that their directors, sponsors, members, managers, partners
or operators have the requisite character, competence and standing in
the community, and are best suited to serve the purposes of this
section. Oversight of such contracts with such plans, providers or
provider systems shall be the joint responsibility of such state
commissioners, and for contracts affecting a city with a population of
over one million persons, also with the city's local social services
district and local governmental unit, as such term is defined in the
mental hygiene law.
In selecting such plans or systems, the commissioners shall:
(i) ensure that any such plans or systems have an adequate network of
providers to meet the behavioral health and health needs of enrollees,
and shall review the adequacy prior to approval of any such plans or
systems, and upon contract renewal or expansion. To the extent that the
network has been determined to meet standards set forth in subdivision
five of section four thousand four hundred three of the public health
law, such network shall be deemed adequate.
(ii) ensure that such plans or systems shall make level of care and
coverage determinations utilizing evidence-based tools or guidelines
designed to address the behavioral health needs of enrollees.
(iii) ensure sufficient access to behavioral health and health
services for eligible enrollees by establishing and monitoring
penetration rates of any such plans or systems.
(iv) establish standards to encourage the use of services, products
and care recommended, ordered or prescribed by a provider to
sufficiently address the behavioral health and health services needs of
enrollees; and monitor the application of such standards to ensure that
they sufficiently address the behavioral health and health services
needs of enrollees.
5. (a) Pursuant to appropriations within the offices of mental health
or addiction services and supports, the department of health shall
reinvest savings realized through the transition of populations covered
by this section from the applicable Medicaid fee-for-service system to a
managed care model, including savings realized through the recovery of
premiums from managed care providers which represent a reduction of
spending on qualifying behavioral health services against established
premium targets for behavioral health services and the medical loss
ratio applicable to special needs managed care plans, for the purpose of
increasing investment in community based behavioral health services,
including residential services certified by the office of addiction
services and supports. The methodologies used to calculate the savings
shall be developed by the commissioner of health and the director of the
budget in consultation with the commissioners of the office of mental
health and the office of addiction services and supports. In no event
shall the full annual value of the reinvestment pursuant to this
subdivision exceed the value of the premiums recovered from managed care
providers which represent a reduction of spending on qualifying
behavioral health services. Within any fiscal year where appropriation
increases are recommended for reinvestment, insofar as managed care
transition savings do not occur as estimated, then spending for such
reinvestment may be reduced in the next year's annual budget
itemization.
(b) Beginning April first, two thousand twenty-two, the department
shall post on its website information about the recovery of premiums
from managed care providers which represent a reduction of spending on
qualifying behavioral health services against established premium
targets for behavioral health services and the medical loss ratio
applicable to special needs managed care plans. Such information shall
include at a minimum: (i) a copy of the department's notification to
each managed care provider that seeks a recovery of such premiums; and
(ii) a list of managed care providers by name that have been subject to
a recovery of such premiums, specifying the amount of premium that has
been recovered from each managed care provider and year. In the initial
posting, the department shall include all premiums recovered to date as
required by this subdivision, by named managed care provider, amount and
year.
(c) The commissioner shall include information regarding the funds
available for reinvestment, including how savings are calculated and how
the reinvestment was utilized pursuant to this section in the annual
report required under section forty-five-c of part A of chapter
fifty-six of the laws of two thousand thirteen.
Department of health assumption of program administration. 1.
Notwithstanding the provisions of title two of article three of this
chapter or of section three hundred sixty-five of this title or of any
other law to the contrary, the commissioner of health (commissioner) is
authorized to take actions explicitly authorized by this section that
are necessary to transfer responsibility for the administration of the
medical assistance program from local social services districts to the
department of health (department) by March thirty-first, two thousand
eighteen.
2. For purposes of this section, the administration of the medical
assistance program includes: processing applications for benefits and
services available under this title and title eleven-D of this article;
making determinations of initial and ongoing eligibility for such
benefits and services; making coverage determinations with respect to
benefits and services requiring prior authorization; notifying
applicants and recipients of these determinations and of their rights
and responsibilities, authorizing benefits and services for persons
found eligible; exercising subrogation rights with respect to amounts
received from insurance carriers or other liable third parties; imposing
liens and pursuing recoveries; and any other such tasks and functions
identified by the commissioner.
3. Notwithstanding sections sixty-one, sixty-three, seventy,
seventy-eight, seventy-nine, eighty-one and eighty-one-a of the civil
service law or any provisions to the contrary contained in any general,
special, or local laws, all lawful appointees of a county performing the
functions established in subdivision two of this section as of the
effective date of this section or any such appointees who meet the open
competitive qualifications for positions established to perform these
functions will be eligible for voluntary transfer to appropriate
positions, in the department, that are classified to perform such
functions without further examination, qualification, or probationary
period; and, upon such transfer, will have all the rights and privileges
of the jurisdictional classification to which such positions are
allocated in the classified service of the state.
4. Within one hundred twenty days of the effective date of this
section, the department shall develop and implement a local department
of social services statement of interest. The statement of interest will
elicit from local departments of social services their interest in and
capacity to contract with the department to perform the functions
established in subdivision two of this section. To the extent
practicable and in the best interest of the medical assistance program,
the department shall contract with local social services districts to
perform all or a portion of the functions described in subdivision two
of this section. In no event, however, shall the department, by means
of such a contract, delegate its authority to exercise administrative
discretion in the administration or supervision of the state plan for
medical assistance submitted pursuant to section three hundred
sixty-three-a of this title, or to issue policies, rules, and
regulations on program matters nor may any contracted entity be given
the authority to change or disapprove any administrative decision of the
department, or otherwise substitute such entity's judgment for that of
the department with respect to the application of policies, rules, and
regulations issued by the department. Notwithstanding any inconsistent
provision of sections one hundred twelve and one hundred sixty-three of
the state finance law, or sections one hundred forty-two and one hundred
forty-three of the economic development law, or any other contrary
provision of law, the commissioner is authorized to enter into a
contract with local departments of social services without a competitive
bid or request for proposal process.
5-a. (a) The commissioner may take necessary action to review the
accuracy of determinations of initial and ongoing eligibility under the
medical assistance program, and to identify and eliminate inappropriate
instances of concurrent or duplicate benefits and authorizations. The
commissioner is authorized to contract with one or more entities to
assist the state in implementing the provisions of this subdivision.
(b) Notwithstanding the provisions of sections one hundred twelve and
one hundred sixty-three of the state finance law, or section one hundred
forty-two of the economic development law, or any contrary provision of
law, the commissioner is authorized to enter into a contract or
contracts under paragraph (a) of this subdivision without a competitive
bid or request for proposal process, provided, however, that:
(i) The department of health shall post on its website, for a period
of no less than thirty days:
(1) A description of the proposed services to be provided pursuant to
the contract or contracts;
(2) The criteria for selection of a contractor or contractors;
(3) The period of time during which a prospective contractor may seek
selection, which shall be no less than thirty days after such
information is first posted on the website; and
(4) The manner by which a prospective contractor may seek such
selection, which may include submission by electronic means;
(ii) All reasonable and responsive submissions that are received from
prospective contractors in timely fashion shall be reviewed by the
commissioner; and
(iii) The commissioner shall select such contractor or contractors
that, in his or her discretion, are best suited to serve the purposes of
this section; and
(iv) No contract entered pursuant to this paragraph shall have a term
that ends later than March thirty-first, two thousand seventeen.
6. The commissioner shall submit an annual report to the governor,
temporary president of the senate, speaker of the assembly, the chair of
the senate health committee and the chair of the assembly health
committee by December thirty-first, beginning in two thousand twelve and
for each year thereafter until the year following full implementation.
The initial report shall consist of modifications to the plan developed
pursuant to section forty-seven-b of part B of chapter fifty-eight of
the laws of two thousand ten, and shall include anticipated
implementation of the revised plan, its elements, a timeline for such
implementation, recommendations for legislative action, and such other
matters as may be pertinent.
The report shall include a plan and timeline for the state to:
(i) assume specific functions related to the administration of the
medical assistance program; (ii) coordinate the implementation of
provisions of federal law with the assumption of the administration of
the medical assistance program; and (iii) address the financing of the
medical assistance program administration and any associated
administrative cost relief to local social services districts. The
report shall also indicate any function that the state intends to enter
into a contract with a public and/or private entity to perform, and the
date in which the state anticipates entering into any such contract. In
addition, reports shall, at a minimum, indicate: (i) any progress the
department has made regarding its proposed timeline, including a summary
of all functions assumed by the state during the previous year; (ii) any
anticipated and/or actual delay from the proposed timeline; (iii) the
reason for any such delay; and (iv) actions the department has
undertaken to mitigate any such delay.
7. The commissioner shall promulgate such regulations that are
necessary to carry out the provisions of this section. In addition, the
commissioner shall make any amendments to the state plan for medical
assistance, or develop and submit an application for any waiver or
approval under the federal social security act, that are necessary and
required to carry out the provisions of this section.
Provision and coverage of services for living organ donors.
This section applies in the case of a living donor under section
forty-three hundred seventy-one of the public health law who is enrolled
in medical assistance under this title. Living donor expenses for
eligible individuals under section forty-three hundred seventy-one of
the public health law that are covered benefits under this title are
excluded from reimbursement under the living donor support program,
defined in section forty-three hundred seventy of the public health law,
provided federal financial participation is available.
Doulas for Medicaid. 1. Definitions. (a) For the purposes of
this section, "doula" means a trained person who provides continuous
physical, emotional, and informational support to a pregnant person and
the family of such pregnant person during or a reasonable time after
pregnancy.
(b) A doula may provide services in hospitals, birthing centers, at
home deliveries and other community settings.
2. New York state community doula directory. (a) The department shall
establish and maintain a community doula directory for doulas on the
department's internet website for the purposes of Medicaid reimbursement
and promoting doula services to Medicaid recipients.
(b) The directory shall include the following information concerning
doulas such as:
(i) the name of the doula who provides doula services;
(ii) the address and location of where the doula provides doula
services;
(iii) the name of each Medicaid provider that employs or contracts
with a doula to provide doula services to eligible Medicaid recipients;
(iv) the doula's national provider identification number, if
applicable; and
(v) all documentation of criteria pursuant to subdivision three of
this section.
(c) The department shall determine the method of registration and the
documentation required to verify such criteria has been met.
(d) Each doula shall be responsible for completing the requirements
pursuant to subdivision three of this section.
(e) The department shall not impose any fee on any doula to register
for admittance into the New York state community doula directory.
(f) The community doula directory shall be publicly accessible at no
cost to the doula or birthing person looking to hire a doula in their
community.
3. Criteria for admittance into the New York state community doula
directory. (a) Each doula seeking Medicaid reimbursement shall apply to
be registered in the New York state community doula directory.
(b) A doula shall submit to the department a certified copy of such
doula's certification from a doula educational organization or by
demonstration of satisfactory proficiency pursuant to this subdivision,
and his, her, or their full name, address, phone number, email address,
and if applicable, their national provider identification number.
Eligibility. 1. (a) Definitions. For purposes of this section:
(1) "benchmark coverage" refers to medical assistance coverage defined
in subdivision one of section three hundred sixty-five-a of this title;
(2) "caretaker relative" means a relative of a dependent child by
blood, adoption, or marriage with whom the child is living, who assumes
primary responsibility for the child's care and who is one of the
following:
(i) the child's father, mother, grandfather, grandmother, brother,
sister, stepfather, stepmother, stepbrother, stepsister, uncle, aunt,
first cousin, nephew, or niece; or
(ii) the spouse of such parent or relative, even after the marriage is
terminated by death or divorce;
(3) "family size" means the number of persons counted as members of an
individual's household; with respect to individuals whose medical
assistance eligibility is based on modified adjusted gross income, in
determining the family size of a pregnant woman, or of other individuals
who have a pregnant woman in their household, the pregnant woman is
counted as herself plus the number of children she is expected to
deliver;
(4) "federal poverty line" means the poverty line defined and annually
revised by the United States department of health and human services;
(5) "household", for purposes of determining the financial eligibility
of individuals whose medical assistance eligibility is based on modified
adjusted gross income, shall mean:
(i) Basic rule for taxpayers not claimed as a tax dependent. In the
case of an individual who expects to file a tax return for the taxable
year in which an initial determination or renewal of eligibility is
being made, and who does not expect to be claimed as a tax dependent by
another taxpayer, the household consists of the taxpayer and, subject to
clause (v) of this subparagraph, all persons whom such individual
expects to claim as a tax dependent;
(ii) Basic rule for individuals claimed as a tax dependent. In the
case of an individual who expects to be claimed as a tax dependent by
another taxpayer for the taxable year in which an initial determination
or renewal of eligibility is being made, the household is the household
of the taxpayer claiming such individual as a tax dependent, except that
the household must be determined in accordance with clause (iii) of this
subparagraph in the case of:
(A) Individuals other than a spouse or child who expect to be claimed
as a tax dependent by another taxpayer; and
(B) Individuals under nineteen years of age, or under twenty-one years
of age if a full-time student, who expect to be claimed by one parent as
a tax dependent and are living with both parents but whose parents do
not expect to file a joint tax return; and
(C) Individuals under nineteen years of age, or under twenty-one years
of age if a full-time student, who expect to be claimed as a tax
dependent by a non-custodial parent. For purposes of this subclause:
(1) A court order or binding separation, divorce, or custody agreement
establishing physical custody controls; or
(2) If there is no such order or agreement or in the event of a shared
custody agreement, the custodial parent is the parent with whom the
child spends most nights;
(iii) Rules for individuals who neither file a tax return nor are
claimed as a tax dependent. In the case of individuals who do not expect
to file a Federal tax return and do not expect to be claimed as a tax
dependent for the taxable year in which an initial determination or
renewal of eligibility is being made, or who are described in subclauses
(A), (B), or (C) of clause (ii) of this subparagraph, the household
consists of the individual and, if living with the individual:
(A) The individual's spouse;
(B) The individual's children under nineteen years of age, or under
twenty-one years of age if a full-time student; and
(C) In the case of an individual under nineteen years of age, or under
twenty-one years of age if a full-time student, the individual's parents
and the individual's siblings under nineteen years of age, or under
twenty-one years of age if a full-time student;
(iv) Married couples. In the case of a married couple living together,
each spouse will be included in the household of the other spouse,
regardless of whether they expect to file a joint tax return under
section six thousand thirteen of the internal revenue code or whether
one spouse expects to be claimed as a tax dependent by the other spouse.
(v) For purposes of clause (i) of this subparagraph, if a taxpayer
cannot reasonably establish that another individual is a tax dependent
of the taxpayer for the tax year in which Medicaid is sought, the
inclusion of such individual in the household of the taxpayer is
determined in accordance with clause (iii) of this subparagraph.
(6) "MAGI" means modified adjusted gross income;
(7) "MAGI-based income" means income calculated using the same
methodologies used to determine MAGI under section 36B(d)(2)(B) of the
Internal Revenue Code, with the exception of lump sum payments, certain
educational scholarships, and certain American Indian and Alaska Native
income, as specified by the commissioner of health consistent with
federal regulation at 42 CFR 435.603 or any successor regulation;
(8) "MAGI household income" means, with respect to an individual whose
medical assistance eligibility is based on modified adjusted gross
income, the sum of the MAGI-based income of every person included in the
individual's MAGI household, except that it shall not include the
MAGI-based income of the following persons if such persons are not
expected to be required to file a tax return in the taxable year in
which eligibility for medical assistance is being determined:
(i) a biological, adopted, or step child who is included in the
individual's MAGI household; or
(ii) a person, other than a spouse or a biological, adopted, or step
child, who is expected to be claimed as a tax dependent by the
individual;
(9) "standard coverage" refers to medical assistance coverage defined
in subdivision two of section three hundred sixty-five-a of this title.
(b) MAGI eligibility groups. Individuals listed in this paragraph are
eligible for medical assistance based on modified adjusted gross income.
In determining the eligibility of an individual for the MAGI eligibility
group with the highest income standard under which the individual may
qualify, an amount equivalent to five percentage points of the federal
poverty level for the applicable family size will be deducted from the
household income.
(1) An individual is eligible for benchmark coverage if his or her
MAGI household income does not exceed one hundred thirty-three percent
of the federal poverty line for the applicable family size and he or she
is:
(i) age nineteen or older and under age sixty-five; and
(ii) not pregnant; and
(iii) not entitled to or enrolled for benefits under parts A or B of
title XVIII of the federal social security act; and
(iv) not otherwise eligible for and receiving coverage under
subparagraphs two and three of this paragraph; and
(v) not a parent or other caretaker relative of a dependent child
under twenty-one years of age and living with such child, unless such
child is receiving benefits under this title or under title 1-A of
article twenty-five of the public health law, or otherwise is enrolled
in minimum essential coverage.
(2) A pregnant person or an infant younger than one year of age is
eligible for standard coverage if their MAGI household income does not
exceed the MAGI-equivalent of two hundred percent of the federal poverty
line for the applicable family size, which shall be calculated in
accordance with guidance issued by the secretary of the United States
department of health and human services.
(3) A child who is at least one year of age but younger than nineteen
years of age is eligible for standard coverage if such child's MAGI
household income does not exceed the MAGI-equivalent of one hundred
thirty-three percent of the federal poverty line for the applicable
family size, which shall be calculated in accordance with guidance
issued by the Secretary of the United States department of health and
human services.
(4) An individual who is a pregnant woman or is a member of a family
that contains a dependent child living with a parent or other caretaker
relative is eligible for standard coverage if their MAGI household
income does not exceed one hundred thirty-three percent of the federal
poverty line for the applicable family size, which shall be calculated
in accordance with guidance issued by the Secretary of the United States
department of health and human services; for purposes of this
subparagraph, the term dependent child means a person who is under
eighteen years of age, or is eighteen years of age and a full-time
student, who is deprived of parental support or care by reason of the
death, continued absence, or physical or mental incapacity of a parent,
or by reason of the unemployment of the parent, as defined by the
department of health.
(5) A child who is under twenty-one years of age and who was in foster
care under the responsibility of the state on his or her eighteenth
birthday is eligible for standard coverage; notwithstanding any
provision of law to the contrary, the provisions of this subparagraph
shall be effective only if and for so long as federal financial
participation is available in the costs of medical assistance furnished
hereunder.
(6) An individual who is not otherwise eligible for medical assistance
under this section is eligible for coverage of family planning services
reimbursed by the federal government at a rate of ninety percent, and
for coverage of those services identified by the commissioner of health
as services generally performed as part of or as a follow-up to a
service eligible for such ninety percent reimbursement, including
treatment for sexually transmitted diseases, if his or her income does
not exceed the MAGI-equivalent of two hundred percent of the federal
poverty line for the applicable family size, which shall be calculated
in accordance with guidance issued by the secretary of the United States
department of health and human services; provided further that the
commissioner of health is authorized to establish criteria for
presumptive eligibility for services provided pursuant to this
subparagraph in accordance with all applicable requirements of federal
law or regulation pertaining to such eligibility.
* (7) A child who is nineteen or twenty years of age living with his
or her parent will be eligible for standard coverage if the sum of the
MAGI-based income of every person included in the child's MAGI household
exceeds one hundred thirty-three percent, but does not exceed one
hundred fifty percent, of the federal poverty line for the applicable
family size.
* NB Repealed October 1, 2029
(7-a) An individual is eligible for benchmark coverage if his or her
MAGI household income exceeds one hundred thirty-three percent of the
federal poverty line for the applicable family size and he or she:
(i) was eligible or would have been eligible for the family health
plus program without federal financial participation in the costs of
medical care and services under such program; and
(ii) is not eligible to enroll in a qualified health plan offered
through the state health benefit exchange established pursuant to the
federal Patient Protection and Affordable Care Act (P.L. 111-148), as
amended by the federal Health Care and Education Reconciliation Act of
2010 (P.L. 111-152).
(c) Non-MAGI eligibility groups. Individuals listed in this paragraph
are eligible for standard coverage. Where a financial eligibility
determination must be made by the medical assistance program for
individuals in these groups, such financial eligibility will be
determined in accordance with subdivision two of this section.
(1) An individual receiving or eligible to receive federal
supplemental security income payments and/or additional state payments
pursuant to title six of this article; any inconsistent provision of
this chapter or other law notwithstanding, the department may designate
the office of temporary and disability assistance as its agent to
discharge its responsibility, or so much of its responsibility as is
permitted by federal law, for determining eligibility for medical
assistance with respect to persons who are not eligible to receive
federal supplemental security income payments but who are receiving a
state administered supplementary payment or mandatory minimum supplement
in accordance with the provisions of subdivision one of section two
hundred twelve of this article.
(2) An individual who, although not receiving public assistance or
care for his or her maintenance under other provisions of this chapter,
has income and resources, including available support from responsible
relatives, that does not exceed the amounts set forth in paragraph (a)
of subdivision two of this section, and is (i) sixty-five years of age
or older, or certified blind or certified disabled or (ii) for reasons
other than income or resources, is eligible for federal supplemental
security income benefits and/or additional state payments.
(3) An individual who, although not receiving public assistance or
care for his or her maintenance under other provisions of this chapter,
has income, including available support from responsible relatives, that
does not exceed the amounts set forth in paragraph (a) of subdivision
two of this section, and is (i) under the age of twenty-one years, or
(ii) a spouse of a cash public assistance recipient living with him or
her and essential or necessary to his or her welfare and whose needs are
taken into account in determining the amount of his or her cash payment,
or (iii) for reasons other than income, would meet the eligibility
requirements of the aid to dependent children program as it existed on
the sixteenth day of July, nineteen hundred ninety-six.
(4) A child in foster care, or a child described in section four
hundred fifty-four or four hundred fifty-eight-d of this chapter.
(5) A disabled individual at least sixteen years of age, but under the
age of sixty-five, who: would be eligible for benefits under the
supplemental security income program but for earnings in excess of the
allowable limit; has net available income that does not exceed two
hundred fifty percent of the applicable federal income official poverty
line, as defined and updated by the United States department of health
and human services, for a one-person or two-person household, as defined
by the commissioner in regulation; has household resources, as defined
in paragraph (e) of subdivision two of section three hundred sixty-six-c
of this title, other than retirement accounts, that do not exceed one
hundred fifty percent of the income amount permitted under subparagraph
seven of paragraph (a) of subdivision two of this section, for a
one-person or two-person household, as defined by the commissioner in
regulation; and contributes to the cost of medical assistance provided
pursuant to this subparagraph in accordance with subdivision twelve of
section three hundred sixty-seven-a of this title; for purposes of this
subparagraph, disabled means having a medically determinable impairment
of sufficient severity and duration to qualify for benefits under
section 1902(a)(10)(A)(ii)(xv) of the social security act.
(6) An individual at least sixteen years of age, but under the age of
sixty-five, who: is employed; ceases to be in receipt of medical
assistance under subparagraph five of this paragraph because the person,
by reason of medical improvement, is determined at the time of a
regularly scheduled continuing disability review to no longer be
eligible for supplemental security income program benefits or disability
insurance benefits under the social security act; continues to have a
severe medically determinable impairment, to be determined in accordance
with applicable federal regulations; and contributes to the cost of
medical assistance provided pursuant to this subparagraph in accordance
with subdivision twelve of section three hundred sixty-seven-a of this
title; for purposes of this subparagraph, a person is considered to be
employed if the person is earning at least the applicable minimum wage
under section six of the federal fair labor standards act and working at
least forty hours per month; or
(7) An individual receiving treatment for breast or cervical cancer
who meets the eligibility requirements of paragraph (d) of subdivision
four of this section or the presumptive eligibility requirements of
subdivision four of section three hundred sixty-four-i of this title.
(8) An individual receiving treatment for colon or prostate cancer who
meets the eligibility requirements of paragraph (e) of subdivision four
of this section or the presumptive eligibility requirements of
subdivision four of section three hundred sixty-four-i of this title.
(9) An individual who:
(i) is under twenty-six years of age; and
(ii) was in foster care under the responsibility of the state on his
or her eighteenth birthday; and
(iii) was in receipt of medical assistance under this title while in
foster care; and
(iv) is not otherwise eligible for medical assistance under this
title.
(10) A resident of a home for adults operated by a social services
district, or a residential care center for adults or community residence
operated or certified by the office of mental health, and has not,
according to criteria promulgated by the department consistent with this
title, sufficient income, or in the case of a person sixty-five years of
age or older, certified blind, or certified disabled, sufficient income
and resources, including available support from responsible relatives,
to meet all the costs of required medical care and services available
under this title.
(d) Conditions of eligibility. A person shall not be eligible for
medical assistance under this title unless he or she:
(1) is a resident of the state, or, while temporarily in the state,
requires immediate medical care which is not otherwise available,
provided that such person did not enter the state for the purpose of
obtaining such medical care; and
(2) assigns to the appropriate social services official or to the
department, in accordance with department regulations: (i) any benefits
which are available to him or her individually from any third party for
care or other medical benefits available under this title and which are
otherwise assignable pursuant to a contract or any agreement with such
third party; or (ii) any rights, of the individual or of any other
person who is eligible for medical assistance under this title and on
whose behalf the individual has the legal authority to execute an
assignment of such rights, to support specified as support for the
purpose of medical care by a court or administrative order; and
(3) cooperates with the appropriate social services official or the
department in establishing paternity or in establishing, modifying, or
enforcing a support order with respect to his or her child; provided,
however, that nothing herein contained shall be construed to require a
payment under this title for care or services, the cost of which may be
met in whole or in part by a third party; notwithstanding the foregoing,
a social services official shall not require such cooperation if the
social services official or the department determines that such actions
would be detrimental to the best interest of the child, applicant, or
recipient, or with respect to pregnant women during pregnancy and during
the one year period beginning on the last day of pregnancy, in
accordance with procedures and criteria established by regulations of
the department consistent with federal law; and
(4) applies for and utilizes group health insurance benefits available
through a current or former employer, including benefits for a spouse
and dependent children, in accordance with the regulations of the
department.
(e) Conditions of coverage. An otherwise eligible person shall not be
entitled to medical assistance coverage of care, services, and supplies
under this title while he or she:
(1) is an inmate or patient in an institution or facility wherein
medical assistance may not be provided in accordance with applicable
federal or state requirements, except for persons described in
subparagraph ten of paragraph (c) of this subdivision or subdivision
one-a or subdivision one-b of this section; or except for certain
services provided to persons in a correctional institution or facility
permitted by a waiver authorized pursuant to section eleven hundred
fifteen of the federal social security act; if, so long as, and to the
extent federal financial participation is available for such
expenditures provided pursuant to such waiver; or
(2) is a patient in a public institution operated primarily for the
treatment of tuberculosis or care of the mentally disabled, with the
exception of: (i) a person sixty-five years of age or older and a
patient in any such institution; (ii) a person under twenty-one years of
age and receiving in-patient psychiatric services in a public
institution operated primarily for the care of the mentally disabled;
(iii) a patient in a public institution operated primarily for the care
of individuals with developmental disabilities who is receiving medical
care or treatment in that part of such institution that has been
approved pursuant to law as a hospital or nursing home; (iv) a patient
in an institution operated by the state department of mental hygiene,
while under care in a hospital on release from such institution for the
purpose of receiving care in such hospital; (v) is a person residing in
a community residence or a residential care center for adults; or (vi)
certain services provided to persons in an institution for mental
diseases permitted by a waiver authorized pursuant to section eleven
hundred fifteen of the federal social security act; if, so long as, and
to the extent federal financial participation is available for such
expenditures provided pursuant to such waiver.
(f) Notwithstanding any inconsistent provision of this title, for an
individual who has income in excess of an applicable income eligibility
standard and is allowed to achieve eligibility for medical assistance
under this title by incurring medical expenses equal to the amount of
such excess income, the amount of excess income may be calculated by
comparing the individual's MAGI household income to the MAGI-equivalent
of the applicable income eligibility standard; provided, however, that
medical assistance shall be furnished pursuant to this paragraph only
if, for so long as, and to the extent that federal financial
participation is available therefor. The commissioner of health shall
make any amendments to the state plan for medical assistance, or apply
for any waiver or approval under the federal social security act that
are necessary to carry out the provisions of this paragraph.
(g) Coverage of certain noncitizens. (1) Applicants and recipients
who are lawfully admitted for permanent residence, or who are
permanently residing in the United States under color of law, or who are
non-citizens in a valid nonimmigrant status, as defined in 8 U.S.C.
1101(a)(15); who are MAGI eligible pursuant to paragraph (b) of this
subdivision; and who would be ineligible for medical assistance coverage
under subdivisions one and two of section three hundred sixty-five-a of
this title solely due to their immigration status if the provisions of
section one hundred twenty-two of this chapter were applied, shall only
be eligible for assistance under this title if enrolled in a standard
health plan offered by a basic health program established pursuant to
section three hundred sixty-nine-gg of this article or a standard health
plan offered by a 1332 state innovation program established pursuant to
section three hundred sixty-nine-ii of this article if such program is
established and operating.
(2) With respect to a person described in subparagraph one of this
paragraph who is enrolled in a standard health plan, medical assistance
coverage shall mean:
(i) payment of required premiums and other cost-sharing obligations
under the standard health plan that exceed the person's co-payment
obligation under subdivision six of section three hundred sixty-seven-a
of this title; and
(ii) payment for services and supplies described in subdivision one or
two of section three hundred sixty-five-a of this title, as applicable,
but only to the extent that such services and supplies are not covered
by the standard health plan.
(3) Nothing in this subdivision shall prevent a person described in
subparagraph one of this paragraph from qualifying for or receiving
medical assistance while his or her enrollment in a standard health plan
is pending, in accordance with applicable provisions of this title.
(4) (a) Applicants and recipients who are age sixty-five or older, who
are otherwise eligible for medical assistance under this section, but
for their immigration status, are eligible for medical assistance
according to the following:
* (b) individuals eligible for medical assistance pursuant to
subparagraph (a) of this paragraph shall participate in and receive
covered benefits available through a managed care provider under section
three hundred sixty-four-j of this article that is certified pursuant to
section forty-four hundred three of the public health law; provided,
however, to the extent that any covered benefits available through such
managed care providers as of January first, two thousand twenty-three
are transitioned to fee-for-service coverage, then such individuals
shall continue to be entitled to these benefits in the fee-for-service
program, rather than through a managed care provider.
* NB Effective until January 1, 2027
* (b) individuals eligible for medical assistance pursuant to clause
(a) of this subparagraph shall receive the equivalent of the covered
benefits available through a managed care provider under section three
hundred sixty-four-j of this article that is certified pursuant to
section forty-four hundred three of the public health law through the
fee-for-service program, including any covered benefits available
through such managed care providers as of January first, two thousand
twenty-three that were subsequently transitioned to fee-for-service
coverage.
* NB Effective January 1, 2027
1-a. Notwithstanding any other provision of law, in the event that a
person who is an incarcerated individual of a state or local
correctional facility, as defined in section two of the correction law,
or an eligible juvenile inmate of a public institution, as defined in
subsection (nn) of section nineteen hundred two of the social security
act, was in receipt of medical assistance pursuant to this title
immediately prior to being admitted to such facility or public
institution, or for juveniles determined eligible for such medical
assistance while an inmate of a public institution, such person shall
remain eligible for medical assistance while an incarcerated individual,
except that no medical assistance shall be furnished pursuant to this
title for any care, services, or supplies provided during such time as
the person is an incarcerated individual; provided, however, that
nothing herein shall be deemed as preventing the provision of medical
assistance for inpatient hospital services furnished to an incarcerated
individual at a hospital outside of the premises of such correctional
facility or public institution, or pursuant to other federal authority
authorizing the provision of medical assistance to an incarcerated
individual of a state or local correctional facility during the thirty
days prior to release, to the extent that federal financial
participation is available for the costs of such services. Upon release
from such facility or public institution, such person shall continue to
be eligible for receipt of medical assistance furnished pursuant to this
title until such time as the person is determined to no longer be
eligible for receipt of such assistance. To the extent permitted by
federal law, the time during which such person is an incarcerated
individual shall not be included in any calculation of when the person
must recertify his or her eligibility for medical assistance in
accordance with this article. The state may seek federal authority to
provide medical assistance for transitional services including but not
limited to medical, prescription, and care coordination services for
high needs incarcerated individuals in state and local correctional
facilities during the thirty days prior to release.
1-b. Notwithstanding any other provision of law, in the event that a
person who is an inpatient in an institution for mental diseases, as
defined by federal law and regulations, and who was in receipt of
medical assistance pursuant to this title immediately prior to being
admitted to such facility, or who was directly admitted to such facility
after being an inpatient in another institution for mental diseases and
who was in receipt of medical assistance prior to admission to such
transferring institution, such person shall remain eligible for medical
assistance while an inpatient in such facility; provided, however, that
no medical assistance shall be furnished pursuant to this title for any
care, services, or supplies provided during the time that such person is
an inpatient, except to the extent that federal financial participation
is available for the costs of such care, services, or supplies. Upon
release from such facility, such person shall continue to be eligible
for receipt of medical assistance furnished pursuant to this title until
such time as the person is determined to no longer be eligible for
receipt of such assistance. To the extent permitted by federal law, the
time during which such person is an inpatient in an institution for
mental diseases shall not be included in any calculation of when the
person must recertify his or her eligibility for medical assistance in
accordance with this article.
2. (a) The following income and resources shall be exempt and shall
not be taken into consideration in determining a person's eligibility
for medical care, services and supplies available under this title:
(1) (i) for applications for medical assistance filed on or before
December thirty-first, two thousand five, a homestead which is essential
and appropriate to the needs of the household;
(ii) for applications for medical assistance filed on or after January
first, two thousand six, a homestead which is essential and appropriate
to the needs of the household; provided, however, that in determining
eligibility of an individual for medical assistance for nursing facility
services and other long term care services, the individual shall not be
eligible for such assistance if the individual's equity interest in the
homestead exceeds seven hundred fifty thousand dollars; provided
further, that the dollar amount specified in this clause shall be
increased, beginning with the year two thousand eleven, from year to
year, in an amount to be determined by the secretary of the federal
department of health and human services, based on the percentage
increase in the consumer price index for all urban consumers, rounded to
the nearest one thousand dollars. If such secretary does not determine
such an amount, the department of health shall increase such dollar
amount based on such increase in the consumer price index. Nothing in
this clause shall be construed as preventing an individual from using a
reverse mortgage or home equity loan to reduce the individual's total
equity interest in the homestead. The home equity limitation established
by this clause shall be waived in the case of a demonstrated hardship,
as determined pursuant to criteria established by such secretary. The
home equity limitation shall not apply if one or more of the following
persons is lawfully residing in the individual's homestead: (A) the
spouse of the individual; or (B) the individual's child who is under the
age of twenty-one, or is blind or permanently and totally disabled, as
defined in section 1614 of the federal social security act.
(2) essential personal property;
(3) a burial fund, to the extent allowed as an exempt resource under
the cash assistance program to which the applicant is most closely
related;
(4) savings in amounts equal to one hundred fifty percent of the
income amount permitted under subparagraph seven of this paragraph,
provided, however, that the amounts for one and two person households
shall not be less than the amounts permitted to be retained by
households of the same size in order to qualify for benefits under the
federal supplemental security income program;
(5) (i) such income as is disregarded or exempt under the cash
assistance program to which the applicant is most closely related for
purposes of this subparagraph, cash assistance program means either the
aid to dependent children program as it existed on the sixteenth day of
July, nineteen hundred ninety-six, or the supplemental security income
program; and
(ii) such income of a disabled person (as such term is defined in
section 1614(a)(3) of the federal social security act (42 U.S.C. section
1382c(a)(3)) or in accordance with any other rules or regulations
established by the social security administration), that is deposited in
trusts as defined in clause (iii) of subparagraph two of paragraph (b)
of this subdivision in the same calendar month within which said income
is received;
(6) health insurance premiums;
(7) income based on the number of family members in the medical
assistance household, as defined in regulations by the commissioner
consistent with federal regulations under title XIX of the federal
social security act that does not exceed one hundred thirty-eight
percent of the federal poverty line for the applicable family size,
which shall be calculated in accordance with guidance issued by the
United States secretary for health and human services and with other
applicable provisions of this section;
(8) No other income or resources, including federal old-age, survivors
and disability insurance, state disability insurance or other payroll
deductions, whether mandatory or optional, shall be exempt and all other
income and resources shall be taken into consideration and required to
be applied toward the payment or partial payment of the cost of medical
care and services available under this title, to the extent permitted by
federal law.
(9) Subject to subparagraph eight, the department, upon the
application of a local social services district, after passage of a
resolution by the local legislative body authorizing such application,
may adjust the income exemption based upon the variations between cost
of shelter in urban areas and rural areas in accordance with standards
prescribed by the United States secretary of health, education and
welfare.
(10) (i) A person who is receiving or is eligible to receive federal
supplemental security income payments and/or additional state payments
is entitled to a personal needs allowance as follows:
(A) for the personal expenses of a resident of a residential health
care facility, as defined by section twenty-eight hundred one of the
public health law, the amount of fifty-five dollars per month;
(B) for the personal expenses of a resident of an intermediate care
facility operated or licensed by the office for people with
developmental disabilities or a patient of a hospital operated by the
office of mental health, as defined by subdivision ten of section 1.03
of the mental hygiene law, the amount of thirty-five dollars per month.
(ii) A person who neither receives nor is eligible to receive federal
supplemental security income payments and/or additional state payments
is entitled to a personal needs allowance as follows:
(A) for the personal expenses of a resident of a residential health
care facility, as defined by section twenty-eight hundred one of the
public health law, the amount of fifty dollars per month;
(B) for the personal expenses of a resident of an intermediate care
facility operated or licensed by the office for people with
developmental disabilities or a patient of a hospital operated by the
office of mental health, as defined by subdivision ten of section 1.03
of the mental hygiene law, the amount of thirty-five dollars per month.
(iii) Notwithstanding the provisions of clauses (i) and (ii) of this
subparagraph, the personal needs allowance for a person who is a veteran
having neither a spouse nor a child, or a surviving spouse of a veteran
having no child, who receives a reduced pension from the federal
veterans administration, and who is a resident of a nursing facility, as
defined in section 1919 of the federal social security act, shall be
equal to such reduced monthly pension but shall not exceed ninety
dollars per month.
(11) subject to the availability of federal financial participation,
any amount, including earnings thereon, in a qualified NY ABLE account
as established pursuant to article eighty-four of the mental hygiene
law, any contributions to such NY ABLE account, and any distribution for
qualified disability expenses from such account; provided however, that
such exemption shall be consistent with section 529A of the Internal
Revenue Code of 1986, as amended.
* (b) (1) In establishing standards for determining eligibility for
and amount of such assistance, the department shall take into account
only such income and resources, in accordance with federal requirements,
as are available to the applicant or recipient and as would not be
required to be disregarded or set aside for future needs, and there
shall be a reasonable evaluation of any such income or resources. There
shall not be taken into consideration the financial responsibility of
any individual for any applicant or recipient of assistance under this
title unless such applicant or recipient is such individual's spouse or
such individual's child who is under twenty-one years of age. In
determining the eligibility of a child who is categorically eligible as
blind or disabled, as determined under regulations prescribed by the
social security act for medical assistance, the income and resources of
parents or spouses of parents are not considered available to that child
if she/he does not regularly share the common household even if the
child returns to the common household for periodic visits. In the
application of standards of eligibility with respect to income, costs
incurred for medical care, whether in the form of insurance premiums or
otherwise, shall be taken into account. Any person who is eligible for,
or reasonably appears to meet the criteria of eligibility for, benefits
under title XVIII of the federal social security act shall be required
to apply for and fully utilize such benefits in accordance with this
chapter.
(2) (a) Notwithstanding any inconsistent provision of this chapter or
any other law to the contrary, upon the request of the social services
district the commissioner shall, subject to the approval of the director
of the budget and the procurement of the applicable federal waiver,
authorize demonstration projects in up to five social services
districts, or portions thereof, for the purpose of testing the
feasibility of utilizing a special medical assistance income eligibility
standard for certain persons in general hospitals on alternate care
status who have been determined medically eligible for care in the
community, in order to ease the financial burden of the legally
responsible relatives. For any person sixty-five years of age or older
residing in such social services districts, who is in a general hospital
on alternate care status awaiting placement in a nursing home or
intermediate care facility, as to whom it has been determined by the
social services district that such person can be sustained in the
community with in-home services at a cost not exceeding seventy-five
percent of the average cost of care in a nursing home or intermediate
care facility, and who meets such other criteria as the commissioner may
establish, the social services district may, where it is beneficial to
the applicant and legally responsible relatives, make a separate
eligibility determination for such person, by adding the income of such
person and support considered available from the legally responsible
relative determined in accordance with regulations of the department,
and comparing this sum to the medical assistance income exemption level
for a household of one.
(b) In addition to the authorization provided for in clause (a), the
commissioner shall, upon request of a social services district,
authorize one social services district, or a portion thereof, to use the
special medical assistance income eligibility standard established in
clause (a) for persons: who are sixty-five years of age or older in
general hospitals or in the community and who are medically eligible for
placement in a nursing home or intermediate care facility; and who it
has been determined by the social services district can be sustained in
the community with in-home services at a cost not to exceed the average
cost of care in a nursing home or intermediate care facility.
(c) No provision of this subparagraph shall be construed so as to deny
any benefit to a person otherwise eligible for medical assistance in
accordance with this chapter.
(d) Resource eligibility shall be established in accordance with the
requirements of paragraph (a) of this subdivision.
(e) This subparagraph shall be effective if, and as long as, federal
financial participation is available.
* NB Expired March 31, 1988
* NB There are 2 sb 2 ¶(b)'s
* (b) (1) In establishing standards for determining eligibility for
and amount of such assistance, the department shall take into account
only such income and resources, in accordance with federal requirements,
as are available to the applicant or recipient and as would not be
required to be disregarded or set aside for future needs, and there
shall be a reasonable evaluation of any such income or resources. The
department shall not consider the availability of an option for an
accelerated payment of death benefits or special surrender value
pursuant to paragraph one of subsection (a) of section one thousand one
hundred thirteen of the insurance law, or an option to enter into a
viatical settlement pursuant to the provisions of article seventy-eight
of the insurance law, as an available resource in determining
eligibility for an amount of such assistance, provided, however, that
the payment of such benefits shall be considered in determining
eligibility for and amount of such assistance. There shall not be taken
into consideration the financial responsibility of any individual for
any applicant or recipient of assistance under this title unless such
applicant or recipient is such individual's spouse or such individual's
child who is under twenty-one years of age. In determining the
eligibility of a child who is categorically eligible as blind or
disabled, as determined under regulations prescribed by the social
security act for medical assistance, the income and resources of parents
or spouses of parents are not considered available to that child if
she/he does not regularly share the common household even if the child
returns to the common household for periodic visits. In the application
of standards of eligibility with respect to income, costs incurred for
medical care, whether in the form of insurance premiums or otherwise,
shall be taken into account. Any person who is eligible for, or
reasonably appears to meet the criteria of eligibility for, benefits
under title XVIII of the federal social security act shall be required
to apply for and fully utilize such benefits in accordance with this
chapter.
(2) In evaluating the income and resources available to an applicant
for or recipient of medical assistance, for purposes of determining
eligibility for and the amount of such assistance, the department must
consider assets held in or paid from trusts created by such applicant or
recipient, as determined pursuant to the regulations of the department,
in accordance with the provisions of this subparagraph.
(i) In the case of a revocable trust created by an applicant or
recipient, as determined pursuant to regulations of the department: the
trust corpus must be considered to be an available resource; payments
made from the trust to or for the benefit of such applicant or recipient
must be considered to be available income; and any other payments from
the trust must be considered to be assets disposed of by such applicant
or recipient for purposes of paragraph (d) of subdivision five of this
section.
(ii) In the case of an irrevocable trust created by an applicant or
recipient, as determined pursuant to regulations of the department: any
portion of the trust corpus, and of the income generated by the trust
corpus, from which no payment can under any circumstances be made to
such applicant or recipient must be considered, as of the date of
establishment of the trust, or, if later, the date on which payment to
the applicant or recipient is foreclosed, to be assets disposed of by
such applicant or recipient for purposes of paragraph (d) of subdivision
five of this section; any portion of the trust corpus, and of the income
generated by the trust corpus, from which payment could be made to or
for the benefit of such applicant or recipient must be considered to be
an available resource; payments made from the trust to or for the
benefit of such applicant or recipient must be considered to be
available income; and any other payments from the trust must be
considered to be assets disposed of by such applicant or recipient for
purposes of paragraph (d) of subdivision five of this section.
(iii) Notwithstanding the provisions of clauses (i) and (ii) of this
subparagraph, in the case of an applicant or recipient who is disabled,
as such term is defined in section 1614(a)(3) of the federal social
security act, the department must not consider as available income or
resources the corpus or income of the following trusts which comply with
the provisions of the regulations authorized by clause (iv) of this
subparagraph: (A) a trust containing the assets of such a disabled
individual which was established for the benefit of the disabled
individual while such individual was under sixty-five years of age by
the individual, a parent, grandparent, legal guardian, or court of
competent jurisdiction, if upon the death of such individual the state
will receive all amounts remaining in the trust up to the total value of
all medical assistance paid on behalf of such individual; (B) and a
trust containing the assets of such a disabled individual established
and managed by a non-profit association which maintains separate
accounts for the benefit of disabled individuals, but, for purposes of
investment and management of trust funds, pools the accounts, provided
that accounts in the trust fund are established solely for the benefit
of individuals who are disabled as such term is defined in section
1614(a)(3) of the federal social security act by such disabled
individual, a parent, grandparent, legal guardian, or court of competent
jurisdiction, and to the extent that amounts remaining in the
individual's account are not retained by the trust upon the death of the
individual, the state will receive all such remaining amounts up to the
total value of all medical assistance paid on behalf of such individual.
Notwithstanding any law to the contrary, a not-for-profit corporation
may, in furtherance of and as an adjunct to its corporate purposes, act
as trustee of a trust for persons with disabilities established pursuant
to this subclause, provided that a trust company, as defined in
subdivision seven of section one hundred-c of the banking law, acts as
co-trustee.
(iv) The department shall promulgate such regulations as may be
necessary to carry out the provisions of this subparagraph. Such
regulations shall include provisions for: assuring the fulfillment of
fiduciary obligations of the trustee with respect to the remainder
interest of the department or state; monitoring pooled trusts; applying
this subdivision to legal instruments and other devices similar to
trusts, in accordance with applicable federal rules and regulations; and
establishing procedures under which the application of this subdivision
will be waived with respect to an applicant or recipient who
demonstrates that such application would work an undue hardship on him
or her, in accordance with standards specified by the secretary of the
federal department of health and human services. Such regulations may
require: notification of the department of the creation or funding of
such a trust for the benefit of an applicant for or recipient of medical
assistance; notification of the department of the death of a beneficiary
of such a trust who is a current or former recipient of medical
assistance; in the case of a trust, the corpus of which exceeds one
hundred thousand dollars, notification of the department of transactions
tending to substantially deplete the trust corpus; notification of the
department of any transactions involving transfers from the trust corpus
for less than fair market value; the bonding of the trustee when the
assets of such a trust equal or exceed one million dollars, unless a
court of competent jurisdiction waives such requirement; and the bonding
of the trustee when the assets of such a trust are less than one million
dollars, upon order of a court of competent jurisdiction. The
department, together with the department of financial services, shall
promulgate regulations governing the establishment, management and
monitoring of trusts established pursuant to subclause (B) of clause
(iii) of this subparagraph in which a not-for-profit corporation and a
trust company serve as co-trustees.
(v) Notwithstanding any acts, omissions or failures to act of a
trustee of a trust which the department or a local social services
official has determined complies with the provisions of clause (iii) and
the regulations authorized by clause (iv) of this subparagraph, the
department must not consider the corpus or income of any such trust as
available income or resources of the applicant or recipient who is
disabled, as such term is defined in section 1614(a)(3) of the federal
social security act. The department's remedy for redress of any acts,
omissions or failures to act by such a trustee which acts, omissions or
failures are considered by the department to be inconsistent with the
terms of the trust, contrary to applicable laws and regulations of the
department, or contrary to the fiduciary obligations of the trustee
shall be the commencement of an action or proceeding under subdivision
one of section sixty-three of the executive law to safeguard or enforce
the state's remainder interest in the trust, or such other action or
proceeding as may be lawful and appropriate as to assure compliance by
the trustee or to safeguard and enforce the state's remainder interest
in the trust.
(vi) The department shall provide written notice to an applicant for
or recipient of medical assistance who is or reasonably appears to be
eligible for medical assistance except for having income exceeding
applicable income levels. The notice shall inform the applicant or
recipient, in plain language, that in certain circumstances the medical
assistance program does not count the income of disabled applicants and
recipients if it is placed in a trust described in clause (iii) of this
subparagraph. The notice shall be included with the eligibility notice
provided to such applicants and recipients and shall reference where
additional information may be found on the department's website. This
clause shall not be construed to change any criterion for eligibility
for medical assistance.
* NB There are 2 sb 2 ¶(b)'s
(3) (a) Social services officials shall authorize medical assistance
for persons who would be eligible for such assistance except that their
incomes exceed the applicable medical assistance income eligibility
standard, which is determined according to paragraph (a) of subdivision
two of this section, to become eligible for medical assistance by paying
to their social services districts the amount by which their incomes
exceed such income eligibility levels.
(b) Social services districts shall safeguard, by deposit in special
accounts, any amounts paid to them by such recipients of medical
assistance benefits. The amount of any medical assistance payments made
to providers of medical assistance on behalf of such recipients, shall
be charged against the amount in recipients' accounts. Districts shall,
in accordance with their approved plans, periodically refund the
amounts, if any, by which the amounts in recipients' accounts exceed the
amounts of any medical assistance payments made on their behalf.
Districts shall report to the department amounts in recipients' accounts
that are equal to the amount of medical assistance payments made on
recipients' behalf.
(c) Eligibility under this subparagraph shall be authorized only in
accordance with plans submitted by social services districts and
approved by the commissioner. Plans must be submitted by social services
districts to the commissioner no later than February first, nineteen
hundred ninety-six. The commissioner shall only approve plans that
include a detailed description of how the district will administer the
program, enroll recipients, safeguard monies in recipients' accounts,
reconcile payments made to providers of medical assistance services with
account balances and refund the amounts by which recipients' account
funds exceed the amounts paid to providers on their behalf.
(d) By January first, nineteen hundred ninety-five, the department
shall submit to the governor and the legislature a report evaluating the
demonstration programs effect on enrollees' access to medical assistance
care and services and any other subjects the commissioner deems
relevant.
(e) Notwithstanding any other provision of law, administrative
expenditures incurred by local social services districts in relation to
this section shall be reimbursable as provided in subdivision one of
section three hundred sixty-eight-a of this article.
3. (a) Medical assistance shall be furnished to applicants in cases
where, although such applicant has a responsible relative with
sufficient income and resources to provide medical assistance as
determined by the regulations of the department, the income and
resources of the responsible relative are not available to such
applicant because of the absence of such relative or the refusal or
failure of such relative to provide the necessary care and assistance.
In such cases, however, the furnishing of such assistance shall create
an implied contract with such relative, and the cost thereof may be
recovered from such relative in accordance with title six of article
three and other applicable provisions of law.
(b) (i) When a legally responsible relative agrees or is ordered by a
court or administrative tribunal of competent jurisdiction to provide
health insurance or other medical care coverage for his or her
dependents or other persons, and such dependents or other persons are
applicants for, recipients of or otherwise entitled to receive medical
assistance pursuant to this title, the department and social services
officials shall be subrogated to any rights that the responsible
relative may have to obtain reimbursement from a third party for the
costs of medical care for such dependents or persons.
(ii) Upon receipt of an application, or upon a determination of
eligibility, for assistance pursuant to this title, the department and
social services officials shall be deemed to have furnished assistance
to any such dependent or person entitled to receive medical assistance
pursuant to this title and shall be subrogated to any rights such person
may have to third party reimbursement as provided in paragraph (b) of
subdivision two of section three hundred sixty-seven-a of this title.
(iii) For purposes of determining whether a person is legally
responsible for a person receiving assistance under this title, the
following shall be dispositive: a copy of a support order issued
pursuant to section four hundred sixteen or five hundred forty-five of
the family court act or section two hundred thirty-six or two hundred
forty of the domestic relations law; an order described in paragraph (h)
of subdivision four of this section; an order of a court or
administrative tribunal of competent jurisdiction pursuant to the
provisions of this subdivision; or any other order of a court or
administrative tribunal of competent jurisdiction subject to the
provisions of this subdivision. If a notice of subrogation as described
in paragraph (b) of subdivision two of section three hundred
sixty-seven-a of this title is accompanied by dispositive documentation
that a person is legally responsible for a person receiving assistance
under this title, any third party liable for reimbursement for the costs
of medical care shall accord the department or any social services
official the rights of and benefits available to the responsible
relative that pertain to the provision of medical care to any persons
entitled to medical assistance pursuant to this title for whom the
relative is legally responsible.
(c) The provisions of this subdivision shall not be construed to
diminish the authority of a social services official to bring a
proceeding pursuant to the provisions of this chapter or other
provisions of law (1) to compel any responsible relative to contribute
to the support of any person receiving or liable to become in need of
medical assistance, or (2) to recover from a recipient or a responsible
relative the cost of medical assistance not correctly paid.
4. Special eligibility provisions.
(a) Transitional medical assistance.
(1) Notwithstanding any other provision of law, each family which was
eligible for medical assistance pursuant to subparagraph four of
paragraph (b) of subdivision one of this section in at least one of the
six months immediately preceding the month in which such family became
ineligible for such assistance because of income from the employment of
the caretaker relative shall, while such family includes a dependent
child, remain eligible for medical assistance for twelve calendar months
immediately following the month in which such family would otherwise be
determined to be ineligible for medical assistance pursuant to the
provisions of this title and the regulations of the department governing
income and resource limitations relating to eligibility determinations
for families described in subparagraph four of paragraph (b) of
subdivision one of this section.
(2) (i) Upon giving notice of termination of medical assistance
provided pursuant to subparagraph four of paragraph (b) of subdivision
one of this section, the department shall notify each such family of its
rights to extended benefits under subparagraph one of this paragraph and
describe the conditions under which such extension may be terminated.
(ii) The department shall promulgate regulations implementing the
requirements of this subparagraph and subparagraph one of this paragraph
relating to the conditions under which extended coverage hereunder may
be terminated, the scope of coverage, and the conditions under which
coverage may be extended pending a redetermination of eligibility. Such
regulations shall, at a minimum, provide for: termination of such
coverage at the close of the first month in which the family ceases to
include a dependent child; notice of termination prior to the effective
date of any terminations; coverage under employee health plans and
health maintenance organizations; and disqualification of persons for
extended coverage benefits under this paragraph for fraud.
(3) Notwithstanding any inconsistent provision of law, each family
which was eligible for medical assistance pursuant to subparagraph four
of paragraph (b) of subdivision one of this section in at least three of
the six months immediately preceding the month in which such family
became ineligible for such assistance as a result, wholly or partly, of
the collection or increased collection of spousal support pursuant to
part D of title IV of the federal social security act, shall, for
purposes of medical assistance eligibility, be considered to be eligible
for medical assistance pursuant to subparagraph four of paragraph (b) of
subdivision one of this section for an additional four calendar months
beginning with the month ineligibility for such assistance begins.
(b) Pregnant women and children.
(1) A pregnant woman eligible for medical assistance under
subparagraph two or four of paragraph (b) of subdivision one of this
section on any day of her pregnancy will continue to be eligible for
such care and services for a period of one year beginning on the last
day of pregnancy, without regard to any change in the income of the
family that includes the pregnant woman, even if such change otherwise
would have rendered her ineligible for medical assistance.
(2) A child born to a woman eligible for and receiving medical
assistance on the date of the child's birth shall be deemed to have
applied for medical assistance and to have been found eligible for such
assistance on the date of such birth and to remain eligible for such
assistance for a period of one year, so long as the child is a member of
the woman's household and the woman remains eligible for such assistance
or would remain eligible for such assistance if she were pregnant.
(3) A child under the age of nineteen who is determined eligible for
medical assistance under the provisions of this section, shall,
consistent with applicable federal requirements, remain eligible for
such assistance until the earlier of:
(A) the last day of the month which is twelve months following the
determination or renewal of eligibility for such assistance; or
(B) the last day of the month in which the child reaches the age of
nineteen.
(4) An infant eligible under subparagraph two or four of paragraph (b)
of subdivision one of this section who is receiving medically necessary
in-patient services for which medical assistance is provided on the date
the child attains one year of age, and who, but for attaining such age,
would remain eligible for medical assistance under such subparagraph,
shall continue to remain eligible until the end of the stay for which
in-patient services are being furnished.
(5) A child eligible under subparagraph three of paragraph (b) of
subdivision one of this section who is receiving medically necessary
in-patient services for which medical assistance is provided on the date
the child attains nineteen years of age, and who, but for attaining such
age, would remain eligible for medical assistance under this paragraph,
shall continue to remain eligible until the end of the stay for which
in-patient services are being furnished.
(6) A woman who was pregnant while in receipt of medical assistance
who subsequently loses her eligibility for medical assistance shall have
her eligibility for medical assistance continued for a period of
twenty-four months from the end of the month in which the sixtieth day
following the end of her pregnancy occurs, but only for Federal Title X
services which are eligible for reimbursement by the federal government
at a rate of ninety percent; provided, however, that such ninety percent
limitation shall not apply to those services identified by the
commissioner as services, including treatment for sexually transmitted
diseases, generally performed as part of or as a follow-up to a service
eligible for such ninety percent reimbursement; and provided further,
however, that nothing in this paragraph shall be deemed to affect
payment for such Title X services if federal financial participation is
not available for such care, services and supplies.
(c) Continuous coverage for adults. Notwithstanding any other
provision of law, a person whose eligibility for medical assistance is
based on the modified adjusted gross income of the person or the
person's household, and who loses eligibility for such assistance for a
reason other than citizenship status, lack of state residence, or
failure to provide a valid social security number, before the end of a
twelve month period beginning on the effective date of the person's
initial eligibility for such assistance, or before the end of a twelve
month period beginning on the date of any subsequent determination of
eligibility based on modified adjusted gross income, shall have his or
her eligibility for such assistance continued until the end of such
twelve month period, provided that federal financial participation in
the costs of such assistance is available.
(d) Breast and cervical cancer treatment.
(1) Persons who are not eligible for medical assistance under the
terms of section 1902(a)(10)(A)(i) of the federal social security act
are eligible for medical assistance coverage during the treatment of
breast or cervical cancer, subject to the provisions of this paragraph.
(2) (i) Medical assistance is available under this paragraph to
persons who are under sixty-five years of age, have been screened for
breast and/or cervical cancer under the Centers for Disease Control and
Prevention breast and cervical cancer early detection program and need
treatment for breast or cervical cancer, and are not otherwise covered
under creditable coverage as defined in the federal public health
service act; provided however that medical assistance shall be furnished
pursuant to this clause only to the extent permitted under federal law,
if, for so long as, and to the extent that federal financial
participation is available therefor.
(ii) Medical assistance is available under this paragraph to persons
who meet the requirements of clause (i) of this subparagraph but for
their age and/or gender, who have been screened for breast and/or
cervical cancer under the program described in title one-A of article
twenty-four of the public health law and need treatment for breast or
cervical cancer, and are not otherwise covered under creditable coverage
as defined in the federal public health service act; provided however
that medical assistance shall be furnished pursuant to this clause only
if and for so long as the provisions of clause (i) of this subparagraph
are in effect.
(3) Medical assistance provided to a person under this paragraph shall
be limited to the period in which such person requires treatment for
breast or cervical cancer.
(4) (i) The commissioner of health shall promulgate such regulations
as may be necessary to carry out the provisions of this paragraph. Such
regulations shall include, but not be limited to: eligibility
requirements; a description of the medical services which are covered;
and a process for providing presumptive eligibility when a qualified
entity, as defined by the commissioner, determines on the basis of
preliminary information that a person meets the requirements for
eligibility under this paragraph.
(ii) For purposes of determining eligibility for medical assistance
under this paragraph, resources available to such individual shall not
be considered nor required to be applied toward the payment or part
payment of the cost of medical care, services and supplies available
under this paragraph.
(iii) An individual shall be eligible for presumptive eligibility for
medical assistance under this paragraph in accordance with subdivision
four of section three hundred sixty-four-i of this title.
(5) The commissioner of health shall, consistent with this title, make
any necessary amendments to the state plan for medical assistance
submitted pursuant to section three hundred sixty-three-a of this title,
in order to ensure federal financial participation in expenditures under
this paragraph. Notwithstanding any provision of law to the contrary,
the provisions of clause (i) of subparagraph two of this paragraph shall
be effective only if and for so long as federal financial participation
is available in the costs of medical assistance furnished thereunder.
(e) Colon and prostate cancer treatment.
(1) Notwithstanding any other provision of law to the contrary, a
person who has been screened or referred for screening for colon or
prostate cancer by the cancer services screening program, as
administered by the department of health, and has been diagnosed with
colon or prostate cancer is eligible for medical assistance for the
duration of his or her treatment for such cancer.
(2) Persons eligible for medical assistance under this paragraph shall
have an income of two hundred fifty percent or less of the comparable
federal income official poverty line as defined and annually revised by
the federal office of management and budget.
(3) An individual shall be eligible for presumptive eligibility for
medical assistance under this paragraph in accordance with subdivision
four of section three hundred sixty-four-i of this title.
(4) Medical assistance is available under this paragraph to persons
who are under sixty-five years of age, and are not otherwise covered
under creditable coverage as defined in the federal Public Health
Service Act.
5. (a) In determining the initial or continuing eligibility of any
person for assistance under this title, there shall be included in the
amount of resources considered available to such person the
uncompensated value of any resource transferred prior to the date of
application for medical assistance as specified in paragraphs (b), (c),
(d) and (e) of this subdivision, and such person shall be ineligible for
such assistance for such period or periods as specified in this
subdivision.
(b) For transfers made on or after April tenth, nineteen hundred
eighty-two and prior to October first, nineteen hundred eighty-nine:
(1) a nonexempt resource shall mean any resource which if retained by
such person would not be exempt from consideration under the provisions
of subdivision two of this section;
(2) any transfer of a nonexempt resource made within twenty-four
months prior to the date of a person's application for medical
assistance shall be presumed to have been made for the purpose of
qualifying for such assistance; however, if such person furnishes
evidence to establish that the transfer was exclusively for some other
purpose, the uncompensated value shall not be considered available to
such person in determining his or her initial or continued eligibility
for medical assistance;
(3) the uncompensated value of any such resource shall be the fair
market value of such resource at the time of transfer, minus the amount
of the compensation received by the person in exchange for the resource;
(4) any person determined to have excess resources of twelve thousand
dollars or less because of the application of this paragraph shall
remain ineligible for assistance under this title for a period of
twenty-four months from the date of the transfer, or until such person
can demonstrate that he or she has incurred medical expenses after the
date of transfer in the amount of such excess above otherwise allowable
resources, whichever period is shorter;
(5) any person determined to have excess resources of more than twelve
thousand dollars because of the application of this paragraph shall
remain ineligible for assistance under this title for a period which
exceeds twenty-four months, which period shall be determined by adding
an additional month of ineligibility for each two thousand dollars in
excess of twelve thousand dollars, or until such person can demonstrate
that he or she has incurred medical expenses after the date of transfer
in the amount of such excess above otherwise allowable resources,
whichever period is shorter.
(c) For transfers made on or after October first, nineteen hundred
eighty-nine:
(1) (i) "institutionalized person" means any person who is an
in-patient in a nursing facility, or who is an in-patient in a medical
facility and is receiving a level of care provided in a nursing
facility, or who is receiving care, services or supplies pursuant to a
waiver pursuant to subsection (c) of section nineteen hundred fifteen of
the federal social security act.
(ii) "resources" includes any resources which would not be considered
exempt from consideration under the provisions of subdivision two of
this section, without regard to the exemption provided for in
subparagraph one of paragraph (a) of such subdivision.
(iii) "nursing facility" means a nursing home as defined by section
twenty-eight hundred one of the public health law.
(iv) "nursing facility services" means nursing care and health related
services provided in a nursing facility, a level of care provided in a
hospital which is equivalent to the care which is provided in a nursing
facility and care, services or supplies provided pursuant to a waiver
pursuant to subsection (c) of section nineteen hundred fifteen of the
federal social security act.
(2) the uncompensated value of a resource shall be the fair market
value of such resource at the time of transfer, minus the amount of the
compensation received in exchange for the resource.
(3) any transfer of a resource by a person or such person's spouse for
less than fair market value made within or after the thirty months
immediately preceding the date the person becomes an institutionalized
person or the date of application for medical assistance while an
institutionalized person, if later, shall render the person ineligible
for nursing facility services for a period specified in subparagraph
four of this paragraph; however, an institutionalized person shall not
be ineligible for nursing facility services solely by reason of any such
transfer to the extent that:
(i) the resource transferred was a home and title to the home was
transferred to: (A) the spouse of such person; or (B) a child of such
person who is under the age of twenty-one years or certified blind or
certified permanently and totally disabled, as defined by section two
hundred eight of this title; or (C) a sibling of such person who has an
equity interest in such home and who resided in such home for a period
of at least one year immediately before the date the person became an
institutionalized person; or (D) a son or daughter of such person who
was residing in such home for a period of at least two years immediately
before the date such person became an institutionalized person, and who
provided care to such person which permitted such person to reside at
home rather than in an institution or facility; or
(ii) the resource was transferred to or for the sole benefit of such
person's spouse, or from such person's spouse to or for the sole benefit
of such person, or to his or her child who is certified blind or
certified permanently and totally disabled; or
(iii) a satisfactory showing is made that: (A) the person or such
person's spouse intended to dispose of the resource either at fair
market value, or for other valuable consideration, or (B) the resource
was transferred exclusively for a purpose other than to qualify for
medical assistance; or
(iv) denial of eligibility would work an undue hardship, as defined by
the commissioner which definition shall include the inability of the
institutionalized person or such person's spouse to retrieve the
resource or to obtain fair market value therefor despite his or her best
efforts.
(4) Any transfer made by a person or the person's spouse under
subparagraph three of this paragraph shall cause the person to be
ineligible for nursing facility services, for services at a level of
care equivalent to that of nursing facility services for the lesser of
(i) a period of thirty months from the date of transfer, or (ii) a
period equal to the total uncompensated value of the resources so
transferred, divided by the average cost of nursing facility services to
a private patient for a given period of time at the time of application
as determined by the commissioner. For purposes of this subparagraph the
average cost of nursing facility services to a private patient for a
given period of time at the time of application shall be presumed to be
one hundred twenty percent of the average medical assistance rate of
payment as of the first day of January of each year for nursing
facilities within the region as established pursuant to paragraph (b) of
subdivision sixteen of section twenty-eight hundred seven-c of the
public health law wherein the applicant resides.
(d) For transfers made after August tenth, nineteen hundred
ninety-three:
(1) (i) "assets" means all income and resources of an individual and
of the individual's spouse, including income or resources to which the
individual or the individual's spouse is entitled but which are not
received because of action by: the individual or the individual's
spouse; a person with legal authority to act in place of or on behalf of
the individual or the individual's spouse; a person acting at the
direction or upon the request of the individual or the individual's
spouse; or by a court or administrative body with legal authority to act
in place of or on behalf of the individual or the individual's spouse or
at the direction or upon the request of the individual or the
individual's spouse.
(ii) "blind" has the same meaning given to such term in section
1614(a)(2) of the federal social social security act.
(iii) "disabled" has the same meaning given to such term in section
1614(a)(3) of the federal social security act.
(iv) "income" has the same meaning given to such term in section 1612
of the federal social security act.
(v) "resources" has the same meaning given to such term in section
1613 of the federal social security act, without regard, in the case of
an institutionalized individual, to the exclusion provided for in
subsection (a)(1) of such section.
(vi) "look-back period" means the thirty-six month period, or, in the
case of payments from a trust or portions of a trust which are treated
as assets disposed of by the individual pursuant to department
regulations, the sixty-month period, immediately preceding the date that
an institutionalized individual is both institutionalized and has
applied for medical assistance.
(vii) "institutionalized individual" means any individual who is an
in-patient in a nursing facility, including an intermediate care
facility for individuals with developmental disabilities, or who is an
in-patient in a medical facility and is receiving a level of care
provided in a nursing facility, or who is receiving care, services or
supplies pursuant to a waiver granted pursuant to subsection (c) of
section 1915 of the federal social security act.
(viii) "intermediate care facility for individuals with developmental
disabilities" means a facility certified under article sixteen of the
mental hygiene law and which has a valid agreement with the department
for providing intermediate care facility services and receiving payment
therefor under title XIX of the federal social security act.
(ix) "nursing facility" means a nursing home as defined by section
twenty-eight hundred one of the public health law and an intermediate
care facility for individuals with developmental disabilities.
(x) "nursing facility services" means nursing care and health related
services provided in a nursing facility; a level of care provided in a
hospital which is equivalent to the care which is provided in a nursing
facility; and care, services or supplies provided pursuant to a waiver
granted pursuant to subsection (c) of section 1915 of the federal social
security act.
(2) The uncompensated value of an asset is the fair market value of
such asset at the time of transfer, minus the amount of the compensation
received in exchange for the asset.
(3) In determining the medical assistance eligibility of an
institutionalized individual, any transfer of an asset by the individual
or the individual's spouse for less than fair market value made within
or after the look-back period shall render the individual ineligible for
nursing facility services for the period of time specified in
subparagraph four of this paragraph. Notwithstanding the provisions of
this subparagraph, an individual shall not be ineligible for services
solely by reason of any such transfer to the extent that:
(i) in the case of an institutionalized individual, the asset
transferred was a home and title to the home as transferred to: (A) the
spouse of the individual; or (B) a child of the individual who is under
the age of twenty-one years or blind or disabled; or (C) a sibling of
the individual who has an equity interest in such home and who resided
in such home for a period of at least one year immediately before the
date the individual became an institutionalized individual; or (D) a
child of the individual who was residing in such home for a period of at
least two years immediately before the date the individual became an
institutionalized individual, and who provided care to the individual
which permitted the individual to reside at home rather than in an
institution or facility; or
(ii) the assets: (A) were transferred to the individual's spouse, or
to another for the sole benefit of the individual's spouse; or (B) were
transferred from the individual's spouse to another for the sole benefit
of the individual's spouse; or (C) were transferred to the individual's
child who is blind or disabled, or to a trust established solely for the
benefit of such child; or (D) were transferred to a trust established
solely for the benefit of an individual under sixty-five years of age
who is disabled; or
(iii) a satisfactory showing is made that: (A) the individual or the
individual's spouse intended to dispose of the assets either at fair
market value, or for other valuable consideration; or (B) the assets
were transferred exclusively for a purpose other than to qualify for
medical assistance; or (C) all assets transferred for less than fair
market value have been returned to the individual; or
(iv) denial of eligibility would cause an undue hardship, as
determined pursuant to the regulations of the department in accordance
with criteria established by the secretary of the federal department of
health and human services.
(4) Any transfer made by an individual or the individual's spouse
under subparagraph three of this paragraph shall cause the person to be
ineligible for services for a period equal to the total, cumulative
uncompensated value of all assets transferred during or after the
look-back period, divided by the average monthly costs of nursing
facility services provided to a private patient for a given period of
time at the time of application, as determined pursuant to the
regulations of the department. The period of ineligibility shall begin
with the first day of the first month during or after which assets have
been transferred for less than fair market value, and which does not
occur in any other periods of ineligibility under this paragraph. For
purposes of this subparagraph, the average monthly costs of nursing
facility services to a private patient for a given period of time at the
time of application shall be presumed to be one hundred twenty percent
of the average medical assistance rate of payment as of the first day of
January of each year for nursing facilities within the region wherein
the applicant resides, as established pursuant to paragraph (b) of
subdivision sixteen of section twenty-eight hundred seven-c of the
public health law.
(5) In the case of an asset held by an individual in common with
another person or persons in a joint tenancy, tenancy in common, or
similar arrangement, the asset, or the affected portion of the asset,
shall be considered to be transferred by such individual when any action
is taken, either by such individual or by any other person, that reduces
or eliminates such individual's ownership or control of such asset.
(6) In the case of a trust established by the individual, as
determined pursuant to the regulations of the department, any payment,
other than a payment to or for the benefit of the individual, from a
revocable trust is considered to be a transfer of assets by the
individual and any payment, other than to or for the benefit of the
individual, from the portion of an irrevocable trust which, under any
circumstance, could be made available to the individual is considered to
be a transfer of assets by the individual and, further, the value of any
portion of an irrevocable trust from which no payment could be made to
the individual under any circumstances is considered to be a transfer of
assets by the individual for purposes of this section as of the date of
establishment of the trust, or, if later, the date on which payment to
the individual is foreclosed.
(e) For transfers made on or after February eighth, two thousand six:
(1)(i) "assets" means all income and resources of an individual and of
the individual's spouse, including income and resources to which the
individual or the individual's spouse is entitled but which are not
received because of action by: the individual or the individual's
spouse; a person with legal authority to act in place of or on behalf of
the individual or the individual's spouse; a person acting at the
direction or upon the request of the individual or the individual's
spouse; or by a court or administrative body with legal authority to act
in place of or on behalf of the individual or the individual's spouse or
at the direction or upon the request of the individual or the
individual's spouse;
(ii) "blind" has the same meaning given to such term in section
1614(a)(2) of the federal social security act.
(iii) "disabled" has the same meaning given to such term in section
1614(a)(3) of the federal social security act.
(iv) "income" has the same meaning given to such term in section 1612
of the federal social security act.
(v) "resources" has the same meaning given to such term in section
1613 of the federal social security act, without regard to the exclusion
provided for in subsection (a)(1) of such section.
* (vi) "look-back period" means the sixty-month period immediately
preceding the date that an institutionalized individual is both
institutionalized and has applied for medical assistance, or in the case
of a non-institutionalized individual, subject to federal approval, the
thirty-month period immediately preceding the date that such
non-institutionalized individual applies for medical assistance coverage
of long term care services. Nothing herein precludes a review of
eligibility for retroactive authorization for medical expenses incurred
during the three months prior to the month of application for medical
assistance.
* NB Effective until January 1, 2027
* (vi) "look-back period" means the sixty-month period immediately
preceding the date that an institutionalized individual is both
institutionalized and has applied for medical assistance, or in the case
of a non-institutionalized individual, subject to federal approval, the
thirty-month period immediately preceding the date that such
non-institutionalized individual applies for medical assistance coverage
of long term care services. Nothing herein precludes a review of
eligibility for retroactive authorization for medical expenses incurred
during the maximum allowable retroactive eligibility period under
federal law.
* NB Effective January 1, 2027
(vii) "institutionalized individual" means any individual who is an
in-patient in a nursing facility, including an intermediate care
facility for individuals with developmental disabilities, or who is an
in-patient in a medical facility and is receiving a level of care
provided in a nursing facility, or who is described in section
1902(a)(10)(A)(ii)(VI) of the federal social security act.
(viii) "intermediate care facility for individuals with developmental
disabilities" means a facility certified under article sixteen of the
mental hygiene law and which has a valid agreement with the department
for providing intermediate care facility services and receiving payment
therefor under title XIX of the federal social security act.
(ix) "nursing facility" means a nursing home as defined by section
twenty-eight hundred one of the public health law and an intermediate
care facility for individuals with developmental disabilities.
(x) "nursing facility services" means nursing care and health related
services provided in a nursing facility; a level of care provided in a
hospital which is equivalent to the care which is provided in a nursing
facility; and care, services or supplies provided pursuant to a waiver
granted pursuant to subsection (c) of section 1915 of the federal social
security act or successor federal waiver.
(xi) "non-institutionalized individual" means an individual who is not
an institutionalized individual, as defined in clause (vii) of this
subparagraph.
(xii) "long term care services" means home health care services,
private duty nursing services, personal care services, assisted living
program services and such other services for which medical assistance is
otherwise available under this chapter which are designated as long term
care services in the regulations of the department.
(2) The uncompensated value of an asset is the fair market value of
such asset at the time of transfer less any outstanding loans,
mortgages, or other encumbrances on the asset, minus the amount of the
compensation received in exchange for the asset.
(3) In determining the medical assistance eligibility of an
institutionalized individual, any transfer of an asset by the individual
or the individual's spouse for less than fair market value made within
or after the look-back period shall render the individual ineligible for
nursing facility services for the period of time specified in
subparagraph five of this paragraph. In determining the medical
assistance eligibility of a non-institutionalized individual, any
transfer of an asset by the individual or the individual's spouse for
less than fair market value made within or after the look-back period
shall render the individual ineligible for community based long term
care services for the period of time specified in subparagraph five of
this paragraph. For purposes of this paragraph:
(i) the purchase of an annuity shall be treated as the disposal of an
asset for less than fair market value unless: the state is named as the
beneficiary in the first position for at least the total amount of
medical assistance paid on behalf of the annuitant, or the state is
named in the second position after a community spouse or minor or
disabled child and is named in the first position if such spouse or a
representative of such child disposes of any such remainder for less
than fair market value; and the annuity meets the requirements of
section 1917(c)(1)(G) of the federal social security act;
(ii) the purchase of a life estate interest in another person's home
shall be treated as the disposal of an asset for less than fair market
value unless the purchaser resided in such home for a period of at least
one year after the date of purchase;
(iii) the purchase of a promissory note, loan, or mortgage shall be
treated as the disposal of an asset for less than fair market value
unless such note, loan, or mortgage meets the requirements of section
1917(c)(1)(I) of the federal social security act.
(4) Notwithstanding the provisions of this paragraph, an individual
shall not be ineligible for services solely by reason of any such
transfer to the extent that:
(i) in the case of an institutionalized individual the asset
transferred was a home and title to the home was transferred to: (A) the
spouse of the individual; or (B) a child of the individual who is under
the age of twenty-one years or blind or disabled; or (C) a sibling of
the individual who has an equity interest in such home and who resided
in such home for a period of at least one year immediately before the
date the individual became an institutionalized individual; or (D) a
child of the individual who was residing in such home for a period of at
least two years immediately before the date the individual became an
institutionalized individual, and who provided care to the individual
which permitted the individual to reside at home rather than in an
institution or facility; or
(ii) the assets: (A) were transferred to the individual's spouse, or
to another for the sole benefit of the individual's spouse; or (B) were
transferred from the individual's spouse to another for the sole benefit
of the individual's spouse; or (C) were transferred to the individual's
child who is blind or disabled, or to a trust established solely for the
benefit of such child; or (D) were transferred to a trust established
solely for the benefit of an individual under sixty-five years of age
who is disabled; or
(iii) a satisfactory showing is made that: (A) the individual or the
individual's spouse intended to dispose of the assets either at fair
market value, or for other valuable consideration; or (B) the assets
were transferred exclusively for a purpose other than to qualify for
medical assistance; or (C) all assets transferred for less than fair
market value have been returned to the individual; or
(iv) denial of eligibility would cause an undue hardship, such that
application of the transfer of assets provision would deprive the
individual of medical care such that the individual's health or life
would be endangered, or would deprive the individual of food, clothing,
shelter, or other necessities of life. The commissioner of health shall
develop a hardship waiver process which shall include a timely process
for determining whether an undue hardship waiver will be granted and a
timely process under which an adverse determination can be appealed. The
commissioner of health shall provide notice of the hardship waiver
process in writing to those individuals who are required to comply with
the transfer of assets provision under this section. If such an
individual is an institutionalized individual, the facility in which he
or she is residing shall be permitted to file an undue hardship waiver
application on behalf of such individual with the consent of the
individual or the personal representative of the individual.
(5) Any transfer made by an individual or the individual's spouse
under subparagraph three of this paragraph shall cause the person to be
ineligible for services for a period equal to the total, cumulative
uncompensated value of all assets transferred during or after the
look-back period, divided by the average monthly costs of nursing
facility services provided to a private patient for a given period of
time at the time of application, as determined pursuant to the
regulations of the department. For purposes of this subparagraph, the
average monthly costs of nursing facility services to a private patient
for a given period of time at the time of application shall be presumed
to be one hundred twenty percent of the average medical assistance rate
of payment as of the first day of January of each year for nursing
facilities within the region where the applicant resides, as established
pursuant to paragraph (b) of subdivision sixteen of section twenty-eight
hundred seven-c of the public health law. The period of ineligibility
shall begin the first day of a month during or after which assets have
been transferred for less than fair market value, or the first day the
otherwise eligible individual is receiving services for which medical
assistance coverage would be available based on an approved application
for such care but for the provisions of subparagraph three of this
paragraph, whichever is later, and which does not occur in any other
periods of ineligibility under this paragraph.
(6) In the case of an asset held by an individual in common with
another person or persons in a joint tenancy, tenancy in common, or
similar arrangement, the asset, or the affected portion of the asset,
shall be considered transferred by such individual when any action is
taken, either by such individual or by any other person, that reduces or
eliminates such individual's ownership or control of such asset.
(7) In the case of a trust established by the individual, as
determined pursuant to the regulations of the department, any payment,
other than a payment to or for the benefit of the individual, from a
revocable trust is considered to be a transfer of assets by the
individual and any payment, other than to or for the benefit of the
individual, from the portion of an irrevocable trust which, under any
circumstance, could be made available to the individual is considered to
be a transfer of assets by the individual and, further, the value of any
portion of an irrevocable trust from which no payment could be made to
the individual under any circumstances is considered to be a transfer of
assets by the individual for purposes of this section as of the date of
establishment of the trust, or, if later, the date on which the payment
to the individual is foreclosed.
(f) The commissioner shall promulgate such rules and regulations as
may be necessary to carry out the provisions of this subdivision.
* 6. a. The commissioner of health shall apply for a home and
community-based services waiver pursuant to subdivision (c) of section
nineteen hundred fifteen of the federal social security act in order to
provide home and community-based services, not included under the
medical assistance program.
b. A person eligible for participation in the waiver program shall:
(i) be twenty-one years of age or under;
(ii) be physically disabled, according to the federal supplemental
security income program criteria, including but not limited to a person
who is multiply disabled;
(iii) require the level of care provided by a nursing facility or by a
hospital;
(iv) be capable of being cared for in the community if provided with
case management services and/or other services specified in paragraph f
of this subdivision, in addition to other services provided under this
title, as determined by the assessment required by paragraph d of this
subdivision;
(v) meet the requirements of paragraph i of this subdivision; and
(vi) meet such other criteria as may be established by the
commissioner as may be necessary to administer the provisions of this
subdivision in an equitable manner.
c. Social services districts shall assess the eligibility of persons
in accordance with the provisions of paragraphs b and d of this
subdivision and shall refer persons who appear to meet the criteria set
forth in such paragraphs to the commissioner of health for consideration
for participation in the waiver program and final determinations of
their eligibility for participation in the waiver program.
d. The commissioner of health shall designate persons to assess the
eligibility of persons in accordance with paragraphs b and c of this
subdivision under consideration for participation in the waiver program.
Persons designated by such commissioner may include the person's
physician, a representative of the social services district, a
representative of the provider of a long term home health care program
or certified home health agency and, where appropriate, the discharge
coordinator of the hospital or nursing facility and such other persons
as such commissioner deems appropriate. The assessment shall include,
but need not be limited to, an evaluation of the medical, social,
habilitation, and environmental needs of the person and shall serve as
the basis for the development and provision of an appropriate plan of
care for the person.
e. Prior to a person's participation in the waiver program, the social
services district or the commissioner of health, as appropriate, shall
undertake or arrange for the development of a written plan of care for
the provision of services consistent with the level of care determined
by the assessment, in accordance with criteria established by the
commissioner of health.
f. Home and community-based services which may be provided to persons
specified in paragraph b of this subdivision include: (i) case
management services; (ii) respite services; (iii) home adaptation; (iv)
hospice and palliative care services; and (v) such other home and
community-based services, other than room and board, as may be approved
by the secretary of the federal department of health and human services.
g. Social services districts shall designate who may provide the home
and community-based services identified in paragraph f of this
subdivision, subject to the approval of the commissioner of health.
h. Notwithstanding any other provision of this chapter or any other
law to the contrary, for purposes of determining medical assistance
eligibility for persons specified in paragraph b of this subdivision,
the income and resources of responsible relatives shall not be deemed
available for as long as the person meets the criteria specified in this
subdivision.
i. Before a person may participate in the waiver program specified in
paragraph a of this subdivision, the department of health shall
determine that the annual medical assistance expenditures for home and
community-based services for all persons participating in the waiver
program would not exceed the annual medical assistance expenditures for
nursing facility and hospital services for all such persons had the
waiver not been granted.
j. The commissioner shall review the plans of care and expenditure
estimates determined by social services districts prior to the
participation of any person in the waiver program.
k. This subdivision shall be effective only if, and as long as,
federal financial participation is available for expenditures incurred
under this subdivision.
* NB Repealed March 31, 2028
6-a. a. The commissioner of health shall apply for a nursing facility
transition and diversion medicaid waiver pursuant to subdivision (c) of
section nineteen hundred fifteen of the federal social security act in
order to provide home and community based services to individuals who
would otherwise be cared for in a nursing facility and who would be
considered to be part of an aggregate group of individuals who, taken
together, will be cared for at less cost in the community than they
would have otherwise and to provide reimbursement for several home and
community based services not presently included in the medical
assistance program. The initial application shall provide for no less
than five thousand persons to be eligible to participate in the waiver
spread over the first three years and continue to increase thereafter.
b. A person eligible for participation in the nursing facility
transition and diversion medicaid waiver program shall:
(i) be at least eighteen years of age;
(ii) be eligible for and in receipt of medicaid authorization for long
term care services, including nursing facility services;
(iii) have resided in a nursing facility and/or have been assessed and
determined to require the level of care provided by a nursing facility;
(iv) be capable of residing in the community if provided with services
specified in paragraph f of this subdivision, in addition to other
services provided under this title, as determined by the assessment
required by paragraph d of this subdivision; and
(v) meet such other criteria as may be established by the commissioner
of health as may be necessary to administer the provision of this
subdivision in an equitable manner.
c. The department of health shall develop such waiver application in
conjunction with independent living centers, representatives from
disability and senior groups and such other interested parties as the
department shall determine to be appropriate.
d. The commissioner of health shall contract with not-for-profit
agencies around the state that have experience with providing community
based services to individuals with disabilities, hereinafter referred to
as regional resource development specialists, who shall be responsible
for initial contact with the prospective waiver participant, for
assuring the waiver candidates have choice in selecting a service
coordinator and other providers, and for assessing applicants including
decisions for eligibility for participation in the waiver, which contain
the original service plan and all subsequent revised service plans.
Regional resource development specialists shall be responsible for
approving service plans and the department of health shall provide
technical assistance and oversight.
e. Prior to the person's participation in the waiver program, a
service coordinator approved by the department of health shall undertake
the development of a written plan of care for the provision of services
consistent with the level of care determined by an initial assessment,
in accordance with criteria established by the commissioner of health.
Such plans shall set forth the type of services to be furnished, the
amount, the frequency and duration of each service and the type of
providers to furnish each service.
f. Nursing facility transition and diversion services which may be
provided to persons specified in paragraph b of this subdivision shall
be established and defined as part of the waiver application development
process specified in paragraph c of this subdivision and may include:
(i) case management services; (ii) personal care; (iii) independent
living skills training; (iv) environmental accessibility adaptations;
(v) costs of community transition services; (vi) assistive technology;
(vii) adult day health; (viii) staff for safety assurance; (ix)
non-medical support services needed to maintain independence; (x)
respite services; and (xi) such other home and community based services
as may be approved by the secretary of the federal department of health
and human services.
g. The department of health shall designate who may provide the
nursing facility transition and diversion services identified in
paragraph f of this subdivision, subject to the approval of the
commissioner of health.
h. Before a person may participate in the nursing transition waiver
program specified in this subdivision, the regional resource development
specialists shall determine that:
(i) the individual is at least eighteen years of age and eligible for
and in receipt of medicaid authorization for long term care services,
including nursing facility services; and
(ii) the individual resides in a nursing facility and/or has been
assessed and determined to require nursing facility care.
7. a. The commissioner of health shall apply for a home and
community-based waiver, pursuant to subdivision (c) of section nineteen
hundred fifteen of the federal social security act, in order to provide
home and community-based services not presently included in the medical
assistance program.
b. Persons eligible for participation in the waiver program shall:
(i) be twenty-one years of age or under;
(ii) have a developmental disability, as such term is defined in
subdivision twenty-two of section 1.03 of the mental hygiene law;
(iii) demonstrate complex health care needs, as defined in paragraph c
of this subdivision;
(iv) require the level of care provided by an intermediate care
facility for the developmentally disabled;
(v) not be hospitalized or receiving care in a nursing facility, an
intermediate care facility for the developmentally disabled or any other
institution;
(vi) be capable of being cared for in the community if provided with
case management services, respite services, home adaptation, and any
other home and community-based services, other than room and board, as
may be approved by the secretary of the federal department of health and
human services, in addition to other services provided under this title,
as determined by the assessment required by paragraph f of this
subdivision;
(vii) be ineligible for medical assistance because the income and
resources of responsible relatives are deemed available to him or her,
causing him or her to exceed the income or resource eligibility level
for such assistance;
(viii) be capable of being cared for at less cost in the community
than in an intermediate care facility for the developmentally disabled;
and
(ix) meet such other criteria as may be established by the
commissioner of health, in conjunction with the commissioner of the
office for people with developmental disabilities, as may be necessary
to administer the provisions of this subdivision in an equitable manner,
including those criteria established pursuant to paragraph d of this
subdivision.
c. For purposes of this subdivision, persons who "demonstrate complex
health care needs", shall be defined as persons who require medical
therapies that are designed to replace or compensate for a vital body
function or avert immediate threat to life; that is, persons who rely on
medical devices, nursing care, monitoring or prescribed medical therapy
for the maintenance of life over a period expected to extend beyond
twelve months.
d. The commissioner of health, in conjunction with the commissioner of
the office for people with developmental disabilities, shall establish
selection criteria to ensure that participants are those who are most in
need and reflect an equitable geographic distribution. Such selection
criteria shall include, but not be limited to, the imminent risk of
institutionalization, the financial burden imposed upon the family as a
result of the child's health care needs, and the level of stress within
the family unit due to the unrelieved burden of caring for the child at
home.
e. Social services districts, in consultation with the office for
people with developmental disabilities, shall assess the eligibility of
persons in accordance with the provisions of paragraph b of this
subdivision, as well as the selection criteria established by the
commissioner of health and the commissioner of the office for people
with developmental disabilities as required by paragraph d of this
subdivision.
f. The commissioner of health, in conjunction with the commissioner of
the office for people with developmental disabilities, shall designate
persons to assess the eligibility of persons under consideration for
participation in the waiver program. Persons designated by such
commissioners may include the person's physician, a representative of
the social services district, representative of the appropriate
developmental disabilities services office and such other persons as the
commissioners deem appropriate. The assessment shall include, but need
not be limited to, an evaluation of the health, psycho-social,
developmental, habilitation and environmental needs of the person and
shall serve as the basis for the development and provision of an
appropriate plan of care for such person.
g. Prior to a person's participation in the waiver program, the office
for people with developmental disabilities shall undertake or arrange
for the development of a written plan of care for the provision of
services consistent with the level of care determined by the assessment,
in accordance with criteria established by the commissioner of health,
in consultation with the commissioner of the office for people with
developmental disabilities. Such plan of care shall be reviewed by such
commissioners prior to the provision of services pursuant to the waiver
program.
h. Home and community-based services which may be provided to persons
specified in paragraph b of this subdivision shall, in addition to those
services otherwise authorized, include (i) case management services;
(ii) respite services; (iii) home adaptation, and (iv) such other home
and community-based services, other than room and board, as may be
approved by the secretary of the federal department of health and human
services.
i. The office for people with developmental disabilities shall
designate who may provide the home and community-based services
identified in paragraph h of this subdivision, subject to the approval
of the commissioner of health.
j. Notwithstanding any other provision of this chapter other than
subdivision six of this section or any other law to the contrary, for
purposes of determining medical assistance eligibility for persons
specified in paragraph b of this subdivision, the income and resources
of a responsible relative shall not be deemed available for as long as
the person meets the criteria specified in this subdivision.
k. Before a person may participate in the waiver program specified in
paragraph a of this subdivision, the office for people with
developmental disabilities shall determine that there is a reasonable
expectation that the annual medical assistance expenditures for such
person under the waiver would not exceed the expenditures for care in an
intermediate care facility for the developmentally disabled that would
have been made had the waiver not been granted.
l. The commissioner of health, in conjunction with the commissioner of
the office for people with developmental disabilities, shall review the
plans of care and expenditure estimates prior to the participation of
any person in the waiver program.
m. Within one year of federal waiver approval, and on an annual basis
thereafter, until such time as the waiver program is fully implemented,
the commissioner of health, in conjunction with the commissioner of the
office for people with developmental disabilities, shall report on the
status of the waiver program to the governor and the legislature. Such
report shall specify the number of children participating in the waiver
program, the geographic distribution of those so participating, health
profiles, service costs and length of time the children have
participated in the waiver program. The report shall also provide
follow-up information on children who have withdrawn from the waiver
program, including data on residential program placements.
n. This subdivision shall be effective only if, and as long as,
federal financial participation is available for expenditures incurred
under this subdivision.
7-a. a. The commissioner of health in consultation with the
commissioner of developmental disabilities shall apply for a home and
community-based waiver, pursuant to subdivision (c) of section nineteen
hundred fifteen of the federal social security act, in order to provide
home and community-based services for a population of persons with
developmental disabilities, as such term is defined in section 1.03 of
the mental hygiene law.
b. Persons eligible for participation in the waiver program shall:
(i) have a developmental disability as such term is defined in
subdivision twenty-two of section 1.03 of the mental hygiene law;
(ii) meet the level of care criteria provided by an intermediate care
facility for the developmentally disabled;
(iii) be eligible for Medicaid;
(iv) live at home or in an individualized residential alternative,
community residence or family care home, operated or licensed by the
office for people with developmental disabilities;
(v) be capable of being cared for in the community if provided with
such services as respite, home adaptation, or other home and
community-based services, other than room and board, as may be approved
by the secretary of the federal department of health and human services,
in addition to other services provided under this title, as determined
by the assessment required by paragraph c of this subdivision;
(vi) have a demonstrated need for home and community based waiver
services; and
(vii) meet such other criteria as may be established by the
commissioner of health and the commissioner of developmental
disabilities, as may be necessary to administer the provisions of this
subdivision.
c. The commissioner of developmental disabilities shall assess the
eligibility of persons enrolled, or seeking to enroll, in the waiver
program. The assessment shall include, but need not be limited to, an
evaluation of the health, psycho-social, developmental, habilitation and
environmental needs of the person and shall serve as the basis for the
development and provision of an appropriate person centered plan of care
for such person.
d. The office for people with developmental disabilities shall
undertake or arrange for the development of a written person centered
plan of care for each person enrolled in the waiver. Such person
centered plan of care shall describe the provision of home and community
based waiver services consistent with the assessment for each person.
e. The office for people with developmental disabilities shall review
the person centered plan of care and authorize those home and community
based services to be included in the person centered plan of care,
taking into account the person's assessed needs, valued outcomes and
available resources.
f. The commissioners of developmental disabilities and health shall
determine quality standards for organizations providing services under
such waiver and shall authorize organizations that meet such standards
to provide such services.
g. The commissioner of developmental disabilities or health may
promulgate rules and regulations as necessary to effectuate the
provisions of this section.
h. This subdivision shall be effective only if, and as long as,
federal financial participation is available for expenditures incurred
under this subdivision.
7-b. Services and needs assessment. The assessment completed pursuant
to subdivision seven-a of this section shall be based upon a valid and
reliable assessment tool. The assessment shall also include an
evaluation of the individual's home environment, including but not
limited to, the ability of family and/or caregivers to provide supports
outside of those within the waiver, including but not limited to,
activities of daily living.
7-c. The commissioner of health in consultation with the commissioner
of developmental disabilities is authorized to submit the appropriate
waivers, including, but not limited to, those authorized pursuant to
section eleven hundred fifteen of the federal social security act, in
order to achieve the purposes of high-quality and integrated care and
services for a population of persons with developmental disabilities, as
such term is defined in section 1.03 of the mental hygiene law. Such
waiver applications shall be executed consistent with subdivisions
seven, seven-a, and seven-b of this section, to the extent those
sections comply with the requirements of section eleven hundred fifteen
of the federal social security act. Nothing in subdivision seven of this
section shall prevent the commissioner of health, in consultation with
the commissioner of developmental disabilities, from submitting waiver
applications expanding eligibility under such waivers to children under
eighteen years or age who are eligible for medical assistance.
8. Notwithstanding any inconsistent provision of this chapter or any
other law to the contrary, income and resources which are otherwise
exempt from consideration in determining a person's eligibility for
medical care, services and supplies available under this title, shall be
considered available for the payment or part payment of the costs of
such medical care, services and supplies as required by federal law and
regulations.
9. a. The commissioner shall apply for a general waiver, pursuant to
subdivision (c) of section nineteen hundred fifteen of the federal
social security act, in order to provide medical assistance for persons
specified in paragraphs b and c of this subdivision and reimbursement
for several home and community-based services not presently included in
the medical assistance program. If granted the general waiver, the
commissioner may authorize such persons to receive services under the
general waiver to the extent funds are appropriated for transfer to the
department for the state share of medical assistance payments for such
waiver services from the budget of the office of mental health.
b. Persons eligible for inclusion in the general waiver shall:
(i) be under twenty-one years of age;
(ii) have a mental illness, as such term is defined in subdivision
twenty of section 1.03 of the mental hygiene law;
(iii) demonstrate complex health or mental health care needs, as
defined in paragraph d of this subdivision;
(iv) require the level of care provided by a hospital as defined in
subdivision ten of section 1.03 of the mental hygiene law which provides
intermediate or long-term care and treatment, or within the past six
months have been hospitalized for at least thirty consecutive days, or
have resided in such a hospital for at least one hundred eighty
consecutive days;
(v) be capable of being cared for in the community if provided with
case management services, clinical interventions, crisis services,
social training, rehabilitation services, counseling, respite services,
medication therapy, partial hospitalization, environmental
modifications, educational and related services, and/or medical social
services, in addition to other services, as determined by the assessment
required by paragraph g of this subdivision and included in the written
plan of care developed pursuant to paragraph h of this subdivision;
(vi) be eligible or, if discharged, would be eligible for medical
assistance, or are ineligible for medical assistance because the income
and resources of responsible relatives are or, if discharged, would be
deemed available to such persons causing them to exceed the income or
resource eligibility level for such assistance;
(vii) be capable of being cared for at less cost in the community than
in a hospital, as defined in subdivision ten of section 1.03 of the
mental hygiene law; and
(viii) meet such other criteria as may be established by the
commissioner of mental health, in conjunction with the commissioner, as
may be necessary to administer the provisions of this subdivision in an
equitable manner, including those criteria established pursuant to
paragraph e of this subdivision.
c. Persons eligible for inclusion in the general waiver shall meet all
the requirements set forth in subparagraphs (i) through (viii) of
paragraph b of this subdivision; and shall be eligible for, shall have
applied for, or shall reside in an institutional placement including a
hospital as defined in subdivision ten of section 1.03 of the mental
hygiene law which provides intermediate or long-term care and treatment.
d. For purposes of this subdivision, persons who "demonstrate complex
health or mental health care needs", shall be defined as persons who
require medical or mental health therapies, care or treatments that are
designed to replace or compensate for a vital functional limitation or
to avert an immediate threat to life; that is, persons who rely on
mental health care, nursing care, monitoring, or prescribed medical or
mental health therapy for the maintenance of quality of life over a
period expected to extend beyond twelve months.
e. The commissioner of mental health, in conjunction with the
commissioner, shall establish selection criteria to ensure that
participants are those who are most in need. Such selection criteria
shall include, but not be limited to: the need for continued
hospitalization or the risk of hospitalization; the financial burden
imposed upon the family, or which would be imposed upon the family if an
institutionalized participant were to be discharged, as a result of the
child's health or mental health care needs; and the level of stress or
the anticipated level of stress within the family unit due to the
unrelieved burden of caring for the child at home.
f. Social services districts, in conjunction with the office of mental
health and the local governmental unit as defined in section 41.03 of
the mental hygiene law, shall determine the eligibility of persons in
accordance with the provisions of paragraphs b and c of this
subdivision, as well as the selection criteria established by the
commissioner and the commissioner of mental health as required by
paragraph e of this subdivision.
g. The commissioner of mental health, in conjunction with the
commissioner, shall designate persons to undertake an assessment to
determine the eligibility of persons under consideration for inclusion
in the general waiver. Persons designated by such commissioners may
include the potentially eligible person's physician, a representative of
the local governmental unit as defined in section 41.03 of the mental
hygiene law, a representative of the appropriate hospital or regional
office of the office of mental health, and such other persons as the
commissioners deem appropriate. The assessment shall include, but not be
limited to, an evaluation of the mental health, health, psycho-social,
rehabilitation and environmental needs of the person, and shall serve as
the basis for the development and provision of an appropriate plan of
care for such person.
h. Prior to a person's inclusion in the general waiver, the office of
mental health and the local governmental unit as defined in section
41.03 of the mental hygiene law, shall undertake or arrange for the
development of a written plan of care, including identification of
service providers if known, for the provision of services in
consultation with the individual and their family whenever clinically
appropriate, consistent with the level of care determined by the
assessment, in accordance with criteria established by the commissioner
of mental health, in consultation with the commissioner. If a provider
of services is identified in a written plan of care, such provider shall
be designated pursuant to paragraph j of this subdivision. Such plan of
care shall be reviewed by such commissioners and approved by the
commissioner of mental health prior to the provision of services
pursuant to the general waiver.
i. Home and community-based services which may be provided to persons
specified in paragraphs b and c of this subdivision shall, in addition
to those services otherwise authorized, include but are not limited to
(i) case management services; (ii) clinical interventions; (iii) crisis
services; (iv) social training; (v) rehabilitation services; (vi)
counseling; (vii) respite services; (viii) medication therapy; (ix)
partial hospitalization; (x) environmental modifications; (xi)
educational and related services; (xii) medical social services; and
other services included in the written plan of care developed pursuant
to paragraph h of this subdivision.
j. The office of mental health, in conjunction with the social
services district and the local governmental unit, shall designate who
may provide the home and community-based services identified in
paragraph i of this subdivision.
k. Notwithstanding any provision of this chapter other than
subdivision six or seven of this section, or any other law to the
contrary, for purposes of determining medical assistance eligibility for
persons specified in paragraphs b and c of this subdivision, the income
and resources of a responsible relative shall not be deemed available
for as long as the person meets the criteria specified in this
subdivision.
l. Before a person may participate in the general waiver specified in
paragraph a of this subdivision, the social services district and the
office of mental health shall determine that there is a reasonable
expectation that the annual medical assistance expenditures for such
person under the waiver would not exceed the expenditures for care in a
hospital, as defined in subdivision ten of section 1.03 of the mental
hygiene law, that would have been made had the waiver not been granted.
m. The commissioner, in conjunction with the commissioner of mental
health, shall review the expenditure estimates determined by social
services districts and the office of mental health, prior to the
inclusion of any person in the general waiver.
n. Within one year of federal waiver approval, and on an annual basis
thereafter, until such time as the waiver is fully implemented, the
commissioner of mental health, in conjunction with the commissioner,
shall report on the status of the general waiver to the governor, the
legislature, including the respective chairpersons of the senate and
assembly committees of mental health and the chairs of the senate
finance and assembly ways and means committees and the director of the
division of the budget. Such report shall specify the number of children
included in the waiver, the geographic distribution of those included,
health and mental health profiles, utilization and costs of services by
region including costs avoided in residential treatment facilities and
inpatient facilities operated by the office of mental health, the length
of time the children have participated in the waiver and regional
information on the status of waiting lists for waiver services and for
services in residential settings, where appropriate. The report shall
also provide follow-up information on children who have withdrawn from
the waiver, including data on residential program placements.
o. This subdivision shall be effective if, and as long as, federal
financial participation is available for expenditures incurred under
this subdivision.
p. Nothing herein shall be construed to create an entitlement to
services under the approved general waiver implemented by the
commissioner in accordance with this subdivision.
11. The commissioner of health shall, consistent with this title, make
any necessary amendments to the state plan for medical assistance
submitted pursuant to section three hundred sixty-three-a of this title,
in order to ensure federal financial participation in expenditures under
subparagraphs twelve and thirteen of paragraph (a) of subdivision one of
this section. Notwithstanding any other provision of law to the
contrary, medical assistance under subparagraphs twelve and thirteen of
paragraph (a) of subdivision one of this section shall be provided only
to the extent permitted under federal law, if, for so long as, and to
the extent that federal financial participation is available therefor.
12. (a) Notwithstanding any provision of law to the contrary, the
commissioner of health, in consultation with the office of children and
family services, shall develop and submit applications for waivers
pursuant to section nineteen hundred fifteen of the federal social
security act as may be necessary to provide medical assistance,
including services not presently included in the medical assistance
program, for persons described in paragraph (b) of this subdivision. If
granted such waivers, the commissioner of health, on the advice and
recommendation of the commissioner of children and family services, may
authorize such persons to receive such assistance to the extent funds
are appropriated therefor.
(b) Persons eligible for inclusion in the waiver program established
by this subdivision shall be residents of New York state under the age
of twenty-one years, who are eligible for care in a medical institution,
who have had the responsibility for their care and placement transferred
to the local commissioner of a social services district or to the office
of children and family services as adjudicated juvenile delinquents
under article three of the family court act, where placement is in a
non-secure setting, and who:
(i) have a diagnosis of a mental disorder under the most recent
edition of the Diagnostic and Statistical Manual of Mental Disorders;
(ii) have a diagnosis of a developmental disability as defined in
section 1.03 of the mental hygiene law; or
(iii) have a physical disability.
(c) Services which may be provided to persons specified in paragraph
(b) of this subdivision, in addition to services otherwise authorized,
may include but are not limited to:
(i) services that will permit children to be better served, prevent
institutionalization, and allow utilization at lower-levels of
institutional care;
(ii) case management services;
(iii) respite services;
(iv) medical social services;
(v) nutritional counseling;
(vi) respiratory therapy;
(vii) home adaptation and/or environmental modifications;
(viii) clinical interventions;
(ix) crisis services;
(x) social training;
(xi) habilitation and rehabilitation services;
(xii) counseling;
(xiii) medication therapy;
(xiv) partial hospitalization;
(xv) educational and related services; and
(xvi) other services included in the written plan of care.
(d) Notwithstanding any provision of this chapter or any other law to
the contrary, for purposes of determining medical assistance eligibility
for persons specified in paragraph (b) of this subdivision, the income
and resources of a legally responsible relative shall not be deemed
available for as long as the person meets the criteria specified in this
subdivision; provided, however, that such income shall continue to be
deemed unavailable should responsibility for the care and placement of
the person be returned to his or her parent or other legally responsible
person.
(e) Before a person may participate in the waiver program established
by this subdivision, the social services district that is fiscally
responsible for the person shall determine that there is a reasonable
expectation that annual medical assistance expenditures for such person
will not exceed federal requirements.
(f) The eligibility and benefits authorized by this subdivision shall
be applicable if, and as long as, federal financial participation is
available for expenditures incurred under this subdivision. The
eligibility and benefits authorized by this subdivision shall not apply
unless all necessary approvals under federal law and regulation have
been obtained to receive federal financial participation in the costs of
services provided pursuant to this subdivision.
(g) Nothing in this subdivision shall be construed to create an
entitlement to services under the waiver program established by this
subdivision.
(h) A person participating in the waiver program established by this
subdivision may continue participation in the program until it is no
longer consistent with the plan of care, or until age twenty-one,
whichever occurs earlier, notwithstanding the person's status as having
been discharged from the care and placement of the local commissioner of
a social services district or the commissioner of children and family
services, including adoption or participation in the kinship
guardianship assistance program under title ten of article six of this
chapter.
13. The commissioner of health, in consultation with the commissioner
of the office of children and family services, shall make any available
amendments to the state plan for medical assistance submitted pursuant
to section three hundred sixty-three-a of this title, or, if an
amendment is not possible, develop and submit an application for any
waiver under the federal social security act that may be available to
provide medical assistance for those children receiving kinship
guardianship assistance payments under title ten of article six of this
chapter who are not automatically eligible for such medical assistance
under title IV-E of the federal social security act.
14. The commissioner of health may make any available amendments to
the state plan for medical assistance submitted pursuant to section
three hundred sixty-three-a of this title, or, if an amendment is not
possible, develop and submit an application for any waiver or approval
under the federal social security act that may be necessary to disregard
or exempt an amount of income, for the purpose of assisting with housing
costs, for individuals receiving coverage of nursing facility services
under this title, other than short-term rehabilitation services, and for
individuals in receipt of medical assistance while in an adult home, as
defined in subdivision twenty-five of section two of this chapter, who:
are (i) discharged to the community; and (ii) if eligible, enrolled or
required to enroll and have initiated the process of enrolling in a plan
certified pursuant to section forty-four hundred three-f of the public
health law; and (iii) do not meet the criteria to be considered an
"institutionalized spouse" for purposes of section three hundred
sixty-six-c of this title.
15. The commissioner may contract with one or more entities to engage
in education, outreach services, and facilitated enrollment activities
for aged, blind, and disabled persons who may be eligible for coverage
under this title.
16. (a) The commissioner of health is authorized to submit the
appropriate waivers and/or any other required requests for federal
approval, including but not limited to, those authorized in section
eleven hundred fifteen of the federal social security act, in order to
establish expanded medical assistance eligibility for working disabled
individuals. Such waiver applications shall be executed consistent with
paragraphs (b), (c), (d) and (e) of this subdivision, to the extent
those sections comply with the requirements of section eleven hundred
fifteen of the federal social security act. Notwithstanding
subparagraphs five and six of paragraph (c) of subdivision one of this
section and subdivision twelve of section three hundred sixty-seven-a of
this title, or any other provision of law to the contrary, if granted
such waiver, the commissioner of health may authorize eligible persons
to receive medical assistance pursuant to the waiver if, for so long as,
and to the extent that, financial participation is available therefor.
The waiver application shall provide for thirty thousand persons to be
eligible to participate in such waiver.
(b) Individuals eligible for participation in such waiver shall:
(i) be a disabled individual, defined as having a medically
determinable impairment of sufficient severity and duration to qualify
for benefits under Titles II or XVI of the social security act;
(ii) be at least sixteen years of age;
(iii) be otherwise eligible for medical assistance benefits, but for
earnings and/or resources in excess of the allowable limit;
(iv) have net available income, determined in accordance with
subdivision two of this section, that does not exceed two thousand two
hundred fifty percent of the applicable federal poverty line, as defined
and updated by the United States department of health and human
services;
(v) have resources, as defined in paragraph (e) of subdivision two of
section three hundred sixty-six-c of this title, other than retirement
accounts, that do not exceed three hundred thousand dollars;
(vi) contribute to the cost of medical assistance provided pursuant to
this paragraph in accordance with paragraph (d) of this subdivision; and
(vii) meet such other criteria as may be established by the
commissioner as may be necessary to administer the provisions of this
subdivision in an equitable manner.
(c) An individual at least sixteen years of age who: is employed;
ceases to be eligible for participation in such waiver pursuant to
paragraph (b) of this subdivision because the person, by reason of
medical improvement, is determined at the time of a regularly scheduled
continuing disability review to no longer be certified as disabled under
the social security act; continues to have a severe medically
determinable impairment, to be determined in accordance with applicable
federal regulations; and contributes to the cost of medical assistance
provided pursuant to this paragraph in accordance with paragraph (d) of
this subdivision, shall be eligible for participation in such waiver.
For purposes of this paragraph, a person is considered to be employed if
the person is earning at least the applicable minimum wage under section
six of the federal fair labor standards act and working at least forty
hours per month.
(d) Prior to receiving medical assistance pursuant to such waiver, a
person whose net available income is greater than or equal to two
hundred fifty percent of the applicable federal poverty line shall pay a
monthly premium, in accordance with a procedure to be established by the
commissioner, provided that no enrollee shall pay a monthly premium that
exceeds exceed eight and one-half percent of the enrollee's monthly
income. The amount of such premium for a person whose net available
income is greater than or equal to two hundred fifty percent of the
applicable federal poverty line, but less than three hundred percent of
the applicable federal poverty line shall be three hundred and
forty-seven dollars but shall not exceed four percent of the enrollee's
monthly income. The amount of such premium for a person whose net
available income is greater than or equal to three hundred percent of
the applicable federal poverty line, but less than four hundred percent
of the applicable federal poverty line shall be five hundred eighteen
dollars but shall not exceed six percent of the enrollee's monthly
income. The amount of such premium for a person whose net available
income is greater than or equal to four hundred percent of the
applicable federal poverty line, but less than five hundred percent of
the applicable federal poverty line shall be seven hundred and
seventy-nine dollars but shall not exceed eight and one-half percent of
the enrollee's monthly income. The amount of such premium for a person
whose net available income is equal to or greater than five hundred
percent of the applicable federal poverty line shall be one thousand
thirty-three dollars but shall not exceed eight and one-half percent of
the enrollee's monthly income. No premium shall be required from a
person whose net available income is less than two hundred fifty percent
of the applicable federal poverty line.
(e) Notwithstanding any other provision of this section or any other
law to the contrary, for purposes of determining medical assistance
eligibility for persons specified in paragraph (b) or (c) of this
subdivision, the income and resources of responsible relatives shall not
be deemed available for as long as the person meets the criteria
specified in this subdivision.
Applications for assistance; investigations; reconsideration.
1. Any person requesting medical assistance may make application
therefor by a written application to the social services official of the
county in which the applicant resides or is found or to the department
of health or its agent; a phone application; or an on-line application.
Notwithstanding any provision of law to the contrary, an in-person
interview with the applicant or with the person who made application on
his or her behalf shall not be required as part of a determination of
initial or continuing eligibility pursuant to this title.
1-a. Every person making application for medical assistance, and every
person on whose behalf an application is made, shall, if interested, be
given the New York state department of health model health care proxy
form by the person taking the application, except where doing so would
impede the immediate provision of health care services.
2. (a) Upon receipt of such application, the appropriate social
services official, or the department of health or its agent shall verify
the eligibility of such applicant. In accordance with the regulations of
the department of health, it shall be the responsibility of the
applicant to provide information and documentation necessary for the
determination of initial and ongoing eligibility for medical assistance.
If an applicant or recipient is unable to provide necessary
documentation, the social services official or the department of health
or its agent shall promptly cause an investigation to be made. Where an
investigation is necessary, sources of information other than public
records will be consulted only with permission of the applicant or
recipient. In the event that such permission is not granted by the
applicant or recipient, or necessary documentation cannot be obtained,
the social services official or the department of health or its agent
may suspend or deny medical assistance until such time as it may be
satisfied as to the applicant's or recipient's eligibility therefor.
(b) Notwithstanding the provisions of paragraph (a) of this
subdivision, an applicant or recipient may attest to the amount of his
or her accumulated resources, unless such applicant or recipient is
seeking medical assistance payment for long term care services. For
purposes of this paragraph, long term care services shall mean care,
treatment, maintenance, and services described in paragraph (b) of
subdivision 1 of section three hundred sixty-seven-f of this title, with
the exception of short term rehabilitation, as defined by the
commissioner of health.
(c) Notwithstanding the provisions of paragraph (a) of this
subdivision, an applicant or recipient providing written documentation
of income eligibility of a child for free or reduced breakfast or lunch
through the school meal program certified by the child's school shall
meet the evidentiary requirement necessary to document income.
* (d) Notwithstanding the provisions of paragraph (a) of this
subdivision, an applicant or recipient whose eligibility under this
title is determined without regard to the amount of his or her
accumulated resources may attest to the amount of interest income
generated by such resources if the amount of such interest income is
expected to be immaterial to medical assistance eligibility, as
determined by the commissioner of health. In the event there is an
inconsistency between the information reported by the applicant or
recipient and any information obtained by the commissioner of health
from other sources and such inconsistency is material to medical
assistance eligibility, the commissioner of health shall request that
the applicant or recipient provide adequate documentation to verify his
or her interest income.
* NB There are 2 par (d)'s
* (d) The commissioner of health may verify the accuracy of the
information provided by the applicant or recipient pursuant to
paragraphs (b) and (c) of this subdivision, by matching it against
information to which the commissioner of health has access, including
under subdivision eight of this section. In the event there is an
inconsistency between the information reported by the applicant or
recipient and any information obtained by the commissioner of health
from other sources and such inconsistency is material to medical
assistance eligibility, the commissioner of health shall request that
the applicant or recipient provide adequate documentation to verify his
or her resources.
* NB There are 2 par (d)'s
3. Upon the receipt of such application, and after the completion of
any investigation that shall be deemed necessary, the appropriate social
services official or the department of health or its agent shall
(a) decide whether the applicant is eligible for and should receive
medical assistance, the amount thereof and the date on which it shall
begin, which shall be the date of the application or, subject to
applicable department regulations, such earlier or later date as may be
deemed reasonable;
(b) notify the applicant in writing of the decision, and where such
applicant is found eligible, provide a tamper resistant identification
card containing a photo image of the applicant for use in securing
medical assistance under this title provided, however, that an
identification card need not contain a photo image of a person other
than an adult member of an eligible household or a single-person
eligible household. The department is not required to provide, but shall
seek practical methods for providing, a card with such picture to a
person when such person is homebound or is a resident of a residential
health care facility, or an in-patient psychiatric facility, or is
expected to remain hospitalized for an extended period. The commissioner
shall have the authority to define categories of recipients who are not
required to have a photo identification card where such card would be
limited, unnecessary or impracticable.
(c) with respect to a person determined eligible for assistance under
this title by the federal social security administration under an
agreement between the department and the secretary of health, education
and welfare pursuant to section three hundred sixty-three-b of this
title issue a medical assistance identification card which shall be
valid for periods determined by the local social services official, but
not to exceed six months.
4. Every applicant or recipient shall promptly advise the public
welfare district of any change in his financial condition or income,
number of wage earners and members in the family unit on such forms and
in such manner as the department by regulation may prescribe. In the
event that any applicant or recipient shall no longer be eligible for
medical assistance, he shall promptly return his identification card
issued pursuant to the provisions of this article to the public welfare
district.
5. (a) All continuing assistance under this title shall be
reconsidered from time to time, or as frequently as may be required by
the regulations of the department. After such further investigation as
the social services official may deem necessary or the department may
require, the assistance may be modified or withdrawn if it is found that
the recipient's circumstances have changed sufficiently to warrant such
action. The assistance may be cancelled for cause, and payment thereof
may be suspended for cause for such periods as may be deemed necessary,
subject to review by the department as provided in section twenty-two of
this chapter.
(b) The commissioner shall develop a simplified statewide
recertification form for use in redetermining eligibility under this
title. The form may include requests only for such information that is:
(i) reasonably necessary to determine continued eligibility for
medical assistance under this title; and
(ii) subject to change since the date of the recipient's initial
application.
(c) The regulations required by paragraph (a) of this subdivision
shall provide that:
(i) the redetermination of eligibility will be made based on reliable
information possessed or available to the department of health or its
agent, including information accessed from databases pursuant to
subdivision eight of this section;
(ii) if the department of health or its agent is unable to renew
eligibility based on available information, the recipient will be
requested to supply any such information as is necessary to determine
continued eligibility for medical assistance under this title; and
(iii) for persons whose medical assistance eligibility is based on
modified adjusted gross income, eligibility must be renewed at least
once every twelve months, unless the department of health or its agent
receives information about a change in a recipient's circumstances that
may affect eligibility.
* (d) An in-person interview with the recipient shall not
automatically be required as part of a redetermination of eligibility
pursuant to this subdivision unless the department of health determines
otherwise.
* NB There are 2 par (d)'s
* (d) The commissioner of health shall verify the accuracy of the
information provided by an applicant or recipient by matching it against
information to which the commissioner of health has access, including
under subdivision eight of this section. In the event the information
reported by the recipient is not reasonably compatible with any
information obtained by the commissioner of health from other sources
and such incompatibility is material to medical assistance eligibility,
the commissioner of health shall request that the recipient provide
adequate documentation to verify his or her place of residence or
income, as applicable. In addition to the documentation of residence and
income authorized by this paragraph, the commissioner of health is
authorized to periodically require a reasonable sample of recipients to
provide documentation of residence and income at recertification. The
commissioner of health shall consult with the medicaid inspector general
regarding income and residence verification practices and procedures
necessary to maintain program integrity and deter fraud and abuse.
* NB There are 2 par (d)'s
6. Notwithstanding any other provisions of this chapter or other law,
the investigations, decisions and actions required to be made or taken
by a public welfare official pursuant to this section shall be made or
taken only by the chief executive officer of the public welfare
department of a public welfare district, or by an employee of such
welfare department designated by such chief executive officer.
7. Local social services districts shall be authorized, with the
approval of the department, to station local social services employees
at federal social security offices for the purpose of providing
information and referral services relating to medical assistance to
eligible persons.
8. (a) Notwithstanding subdivisions two and five of this section,
information concerning income and resources of applicants for and
recipients of medical assistance may be verified by matching client
information with information contained in the wage reporting system
established by section one hundred seventy-one-a of the tax law and in
similar systems operating in other geographically contiguous states, by
means of an income verification performed pursuant to a memorandum of
understanding with the department of taxation and finance pursuant to
subdivision four of section one hundred seventy-one-b of the tax law,
and, to the extent required by federal law, with information contained
in the non-wage income file maintained by the United States internal
revenue service, in the beneficiary data exchange maintained by the
United States department of health and human services, and in the
unemployment insurance benefits file. Such matching shall provide for
procedures which document significant inconsistent results of matching
activities. Nothing in this section shall be construed to prohibit
activities the department reasonably believes necessary to conform with
federal requirements under section one thousand one hundred thirty-seven
of the social security act.
(b) Any verification response by the department of taxation and
finance pursuant to paragraph (a) of this subdivision shall not be a
public record and shall not be released except pursuant to this
paragraph. Information disclosed pursuant to this paragraph shall be
limited to information necessary for verification. Information so
disclosed shall be kept confidential by the party receiving such
information. Such information shall be expunged within a reasonable time
to be determined by the commissioner and the department of taxation and
finance.
9. (a) Every applicant for or recipient of medical assistance who has
dependent children shall be informed in writing at the time of
application and at the time of any action affecting his or her receipt
of such assistance of the availability of:
(i) medical assistance without cash assistance under this title;
(ii) transitional medical assistance under paragraphs (a), (b) and (c)
of subdivision four of section three hundred sixty-six of this title;
(iii) the expanded eligibility provisions for pregnant women and
children under paragraphs (m), (n), (o), (p) and (q), (s) and (t) of
subdivision four of section three hundred sixty-six of this title;
(iv) medical assistance for aged, blind or disabled persons under
subdivision one of section three hundred sixty-six of this title;
(v) family health plus under section three hundred sixty-nine-ee of
this article; and,
(vi) child health plus under title one-A of article twenty-five of the
public health law.
(b) Every applicant for or recipient of medical assistance who has no
dependent children shall be informed in writing at the time of
application and at the time of any action affecting his or her receipt
of such assistance of the availability of:
(i) medical assistance without cash assistance under this title;
(ii) the expanded eligibility provisions for pregnant women under
paragraphs (m) and (o) of subdivision four of section three hundred
sixty-six of this title;
(iii) medical assistance for aged, blind or disabled persons under
subdivision one of section three hundred sixty-six of this title; and,
(iv) family health plus under section three hundred sixty-nine-ee of
this article.
(10) As a condition for the provision of medical assistance for
nursing facility services, the application of an individual for such
assistance, including any recertification of eligibility for such
assistance, shall disclose a description of any interest the individual
or community spouse has in an annuity or similar financial instrument,
regardless of whether the annuity is irrevocable or is treated as an
asset. Such application or recertification form shall include a
statement that the state of New York becomes a remainder beneficiary
under such annuity or similar financial instrument by virtue of the
provision of such medical assistance.
11. (a) Notwithstanding any inconsistent provision of law, rule or
regulation, the commissioner of health is authorized to (i) establish
standards and procedures for express lane enrollment and renewal
implemented in accordance with section 1902(e)(13) of the federal social
security act, including but not limited to reliance on a finding made by
an express lane agency, as defined in section 1902(e)(13)(F) and (H) of
the federal social security act, to determine whether a child meets one
or more of the eligibility criteria for medical assistance; (ii) specify
such standards and procedures in the medical assistance state plan
established under title XIX of the federal social security act; and
(iii) waive any information and documentation requirements set forth in
this section necessary to implement express lane eligibility; provided,
however, information and documentation required pursuant to section one
hundred twenty-two of this chapter may not be waived.
(b) Subject to federal approval, such standards and procedures shall
specify that information and documentation regarding citizenship and
immigration status collected by an express lane agency and provided to
the commissioner for the purpose of express lane eligibility may be used
to satisfy the requirements of section one hundred twenty-two of this
chapter.
(c) Such standards and procedures shall also include a process for
determining enrollment error rates and implementing corrective actions
as required by section 1902(e)(13)(E) of the federal social security
act.
(d) For purposes of a medical assistance eligibility determination
made in accordance with this subdivision, a child shall be deemed to
satisfy the income eligibility criteria for medical assistance if an
express lane agency, as defined in section 1902(e)(13)(F) and (H) of the
federal social security act and specified in the standards and
procedures established pursuant to paragraph (a) of this subdivision,
has determined that: the child's family has income that does not exceed
a screening threshold amount, as determined by the commissioner of
health, equal to a percentage of the federal poverty line (as defined
and annually revised by the United States department of health and human
services) that exceeds by thirty percentage points the highest income
eligibility level applicable to a family of the same size under the
medical assistance program.
12. The commissioner shall develop expedited procedures for
determining medical assistance eligibility for any medical assistance
applicant with an immediate need for personal care or consumer directed
personal assistance services pursuant to paragraph (e) of subdivision
two of section three hundred sixty-five-a of this title or section three
hundred sixty-five-f of this title, respectively. Such procedures shall
require that a final eligibility determination be made within seven days
of the date of a complete medical assistance application.
Penalties for fraudulent practices. 1. Any person who
knowingly makes a false statement or representation, or who by
deliberate concealment of any material fact, or by impersonation or
other fraudulent device, obtains or attempts to obtain or aids or abets
any person to obtain medical assistance to which he is not entitled,
shall be guilty of a class A misdemeanor, unless such act constitutes a
violation of a provision of the penal law of the state of New York, in
which case he shall be punished in accordance with the penalties fixed
by such law.
2. Any person who, with intent to defraud, presents for allowance or
payment any false or fraudulent claim for furnishing services or
merchandise, or knowingly submits false information for the purpose of
obtaining greater compensation than that to which he is legally entitled
for furnishing services or merchandise, or knowingly submits false
information for the purpose of obtaining authorization for furnishing
services or merchandise under this title, shall be guilty of a class A
misdemeanor, unless such act constitutes a violation of a provision of
the penal law of the state of New York, in which case he shall be
punished in accordance with the penalties fixed by such law.
Treatment of income and resources of institutionalized
persons. 1. Notwithstanding any other provision of law to the contrary,
in determining the eligibility for medical assistance of a person
defined as an institutionalized spouse, the income and resources of such
person and the person's community spouse shall be treated as provided in
this section.
2. (a) For purposes of this section an "institutionalized spouse" is a
person (i) who is in a medical institution or nursing facility and
expected to remain in such facility or institution for at least thirty
consecutive days; or (ii) who is receiving care, services and supplies
pursuant to a waiver pursuant to subsection (c) of section nineteen
hundred fifteen of the federal social security act, or successor to such
waiver, or is receiving care, services and supplies in a managed
long-term care plan pursuant to section eleven hundred fifteen of the
social security act; and (iii) who is married to a person who is not in
a medical institution or nursing facility or is not receiving waiver
services described in subparagraph (ii) of this paragraph; provided,
however, that medical assistance shall be furnished pursuant to this
paragraph only if, for so long as, and to the extent that federal
financial participation is available therefor. The commissioner of
health shall make any amendments to the state plan for medical
assistance, or apply for any waiver or approval under the federal social
security act that are necessary to carry out the provisions of this
paragraph.
(b) For purposes of this section, a "community spouse" is a person who
is the spouse of an "institutionalized spouse".
(c) For the purposes of this section, "spousal share" means an amount
equal to one-half of the total value of the resources of the community
spouse and the institutionalized spouse, as of the beginning of the
first continuous period of institutionalization beginning on or after
the thirtieth day of September, nineteen hundred eighty-nine, to the
extent that either, or both, have an ownership interest as of the date
of the continuous period of institutionalization of the
institutionalized spouse.
(d) For the purposes of this section, "community spouse resource
allowance" means the amount, if any, by which the greatest of the
following amounts exceeds the total value of the resources otherwise
available to the community spouse:
(i) (A) prior to January first, nineteen hundred ninety-five, sixty
thousand dollars, which shall be increased annually by the same
percentage as the percentage increase in the federal consumer price
index;
(B) on and after January first, nineteen hundred ninety-five through
June thirtieth, nineteen hundred ninety-nine, seventy-four thousand
eight hundred twenty dollars or such greater amount as may be required
under federal law;
(ii) the lesser of sixty thousand dollars which shall be increased
annually by the same percentage as the percentage increase in the
federal consumer price index or the spousal share; or
(iii) the amount established for support of the community spouse
pursuant to a fair hearing under this section; or
(iv) the amount transferred pursuant to court order for the support of
the community spouse.
(e) For purposes of this section, "resources" do not include resources
excluded in determining eligibility for benefits under title XVI of the
federal social security act, as defined by the commissioner consistent
with federal law.
(f) For purposes of this section, "family member" includes only a
dependent or minor child, a dependent parent, or a dependent sibling of
the institutionalized spouse or the community spouse, who resides with
the community spouse.
(g) For purposes of this section, "community spouse monthly income
allowance" is the amount by which the minimum monthly maintenance needs
allowance for the community spouse exceeds the monthly income otherwise
available to the community spouse unless a greater amount is established
pursuant to a fair hearing under this section or pursuant to court order
for the support of the community spouse.
(h) For purposes of this section, "minimum monthly maintenance needs
allowance" is an amount equal to one-twelfth of the applicable
percentage of the federal income official poverty line for a family of
two, plus an excess shelter allowance, provided however, such amount
shall not be less than one thousand five hundred dollars per month, nor
exceed one thousand five hundred dollars (as adjusted in the discretion
of the commissioner for changes in the federal consumer price index for
calendar years after nineteen hundred eighty-nine) per month.
(i) For purposes of this section, "family allowance for each family
member" is an amount equal to the one-third times one-twelfth of the
applicable percentage of the federal income official poverty line to a
family of two, less the monthly income otherwise available to the family
member.
(j) For purposes of this section, the "applicable percentage of the
federal income official poverty line" shall be one hundred twenty-two
percent as of September thirtieth, nineteen hundred eighty-nine; one
hundred thirty-three percent as of July first, nineteen hundred
ninety-one and one hundred fifty percent on and after July first,
nineteen hundred ninety-two.
(k) For purposes of this section, the "excess shelter allowance" shall
be the amount by which the community spouse's rent, mortgage, or
condominium or cooperative maintenance fees, taxes and insurance, and
utilities exceed thirty percent of one-twelfth of the applicable
percentage of the federal income official poverty line for two persons.
3. Unless established by a preponderance of the evidence to the
contrary, the following presumptions shall apply in determining the
availability of income to an institutionalized spouse in determining
eligibility for medical assistance.
(a) During any month in which an institutionalized spouse is in the
institution or facility, no income of the community spouse shall be
considered available to the institutionalized spouse except as provided
in this subdivision; and
(b) Income solely in the name of the institutionalized spouse or the
community spouse shall be considered available only to that spouse; and
(c) Income in the names of the institutionalized spouse and the
community spouse shall be considered available one-half to each spouse;
and
(d) Income in the names of the institutionalized spouse or the
community spouse, or both, and also in the name of another person or
persons, shall be considered available to each spouse in proportion to
the spouse's interest or, if in the names of both spouses and no share
is specified, one-half of the joint interest shall be considered
available to each spouse; and
(e) (i) Income from a trust shall be considered available to each
spouse in accordance with the provisions of the trust instrument, or, in
absence of a specific trust provision allocating income, in accordance
with the provisions of paragraphs (a) through (d) of this subdivision;
and
(ii) Additionally, income from a trust shall be attributed in
accordance with the provisions of this title and title XIX of the
federal social security act; and
(f) Income in which there is no instrument establishing ownership
shall be considered to be available one-half to the institutionalized
spouse and one-half to the community spouse.
* 4. In determining the amount of income to be applied toward the cost
of medical care, services and supplies of the institutionalized spouse,
after the institutionalized spouse has been determined eligible for
medical assistance, the following items shall be deducted from the
monthly income of the institutionalized spouse in the following order:
(a) a personal needs allowance;
(b) a community spouse monthly income allowance;
(c) a family allowance for each family member;
(d) any expenses incurred for medical care, services or supplies and
remedial care for the institutionalized spouse;
provided, however, that, to the extent required by federal law, the
terms of this subdivision shall not apply to persons who are receiving
care, services and supplies pursuant to the following waivers under
section 1915(c) of the federal social security act: the nursing facility
transition and diversion waiver authorized pursuant to subdivision six-a
of section three hundred sixty-six of this title; the traumatic brain
injury waiver authorized pursuant to section twenty-seven hundred forty
of the public health law, the long term home health care program waiver
authorized pursuant to section three hundred sixty-seven-c of this
title, and the home and community based services waiver for persons with
developmental disabilities, or successor to such waiver, administered by
the office for people with developmental disabilities pursuant to an
agreement with the federal centers for medicare and Medicaid services.
* NB Effective until March 31, 2028
* 4. In determining the amount of income to be applied toward the cost
of medical care, services and supplies of the institutionalized spouse,
after the institutionalized spouse has been determined eligible for
medical assistance, the following items shall be deducted from the
monthly income of the institutionalized spouse in the following order:
(a) a personal needs allowance;
(b) a community spouse monthly income allowance;
(c) a family allowance for each family member;
(d) any expenses incurred for medical care, services or supplies and
remedial care for the institutionalized spouse.
* NB Effective March 31, 2028
5. The following rules apply in determining the resources of the
institutionalized spouse and the community spouse in establishing
eligibility for medical assistance:
(a) All resources, including resources required to be considered in
determining eligibility pursuant to paragraph (c) of subdivision five of
section three hundred sixty-six of this title, held by either the
institutionalized spouse or the community spouse or both shall be
considered available to the institutionalized spouse to the extent that
the value of the resources exceeds the community spouse resource
allowance.
(b) An institutionalized spouse shall not be ineligible for medical
assistance by reason of excess resources determined under paragraph (a)
of this subdivision, if the institutionalized spouse executes an
assignment of support from the community spouse in favor of the social
services district and the department, or the institutionalized spouse is
unable to execute such assignment due to physical or mental impairment,
or to deny assistance would create an undue hardship, as defined by the
commissioner.
(c) After the month in which the institutionalized spouse has been
determined eligible for medical assistance during a continuous period of
institutionalization, no resource of the community spouse shall be
considered available to the institutionalized spouse.
6. Notwithstanding paragraph (c) of subdivision five of section three
hundred sixty-six of this title and after an institutionalized spouse is
determined eligible for medical assistance, transfers of resources by
the institutionalized spouse to the community spouse shall be permitted
to the extent that the transfers are solely to or for the benefit of the
community spouse and do not exceed the value of the community spouse
resource allowance. Such transfers must be made as soon as practicable
after the determination of eligibility.
7. (a) At the beginning or after the commencement of a continuous
period of institutionalization, either spouse may request an assessment
of the total value of their resources or a determination of the
community spouse monthly income allowance, the amount of the family
allowance, or the method of computing the amount of the family
allowance, or the method of computing the amount of the community spouse
income allowance.
(b) (i) Upon receipt of a request pursuant to paragraph (a) of this
subdivision together with all relevant documentation of the resources of
both spouses, the social services district shall assess and document the
total value of the spouses' resources and provide each spouse with a
copy of the assessment and the documentation upon which it was based. If
the request is not part of an application for medical assistance
benefits, the social services district may charge a fee for the
assessment which is related to the cost of preparing and copying the
assessment and documentation which fee may not exceed twenty-five
dollars.
(ii) The social services district shall also notify each requesting
spouse of the community spouse monthly income allowance, of the amount,
if any, of the family allowances, and of the method of computing the
amount of the community spouse monthly income allowance.
(c) The social services district shall also provide to the spouse a
notice of the right to a fair hearing at the time of provision of the
information requested under paragraph (a) of this subdivision or after a
determination of eligibility for medical assistance. Such notice shall
be in the form prescribed or approved by the commissioner and include a
statement advising the spouse of the right to a fair hearing under this
section.
8. (a) If, after a determination on an application for medical
assistance has been made, either spouse is dissatisfied with the
determination of the community spouse monthly allowance, the amount of
monthly income otherwise available to the community spouse, the
computation of the spousal share of resources, the attribution of
resources or the determination of the community spouse's resource
allocation, the spouse may request a fair hearing to dispute such
determination. Such hearing shall be held within thirty days of the
request therefor.
(b) If either spouse establishes that the community spouse needs
income above the level established by the social services district as
the minimum monthly maintenance needs allowance, based upon exceptional
circumstances which result in significant financial distress (as defined
by the commissioner in regulations), the department shall substitute an
amount adequate to provide additional necessary income from the income
otherwise available to the institutionalized spouse.
(c) If either spouse establishes that income generated by the
community spouse resource allowance, established by the social services
district, is inadequate to raise the community spouse's income to the
minimum monthly maintenance needs allowance, the department shall
establish a resource allowance for the spousal share of the
institutionalized spouse adequate to provide such minimum monthly
maintenance needs allowance.
Medical assistance provider; prohibited practices. 1.
Definitions. As used in this section, "medical assistance provider"
means any person, firm, partnership, group, association, fiduciary,
employer or representative thereof or other entity who is furnishing
care, services or supplies under title eleven of article five of this
chapter.
2. No medical assistance provider shall:
(a) solicit, receive, accept or agree to receive or accept any
payment or other consideration in any form from another person to the
extent such payment or other consideration is given: (i) for the
referral of services for which payment is made under title eleven of
article five of this chapter; or (ii) to purchase, lease or order any
good, facility, service or item for which payment is made under title
eleven of article five of this chapter; or
(b) offer, agree to give or give any payment or other consideration
in any form to another person to the extent such payment or other
consideration is given: (i) for the referral of services for which
payment is made under title eleven of article five of this chapter; or
(ii) to purchase, lease or order any good, facility, service or item for
which payment is made under title eleven of article five of this
chapter;
(c) as used in this section "person" shall have the meaning set
forth in subdivision seven of section 10.00 of the penal law.
(d) this subdivision shall not apply to any activity specifically
exempt by federal statute or federal regulations promulgated thereunder.
3. Any medical assistance provider who violates the provisions of this
section is guilty of a misdemeanor punishable by:
(a) a term of imprisonment in accordance with the penal law; or
(b) a fine of not less than five hundred dollars nor more than ten
thousand dollars; or
(c) if the defendant has obtained money or property through a
violation of the provisions of this section, a fine in an amount, fixed
by the court, not to exceed double the amount of the defendant's gain
from a violation of such provisions. In such event, the provisions of
subdivision three of section 80.00 of the penal law shall be applicable
to the sentence; or
(d) both the imprisonment and the fine.
4. Any medical assistance provider who violates the provisions of this
section and thereby obtains money or property having a value in excess
of seven thousand five hundred dollars shall be guilty of a class E
felony.
Certified home health agency medicare billing. (a) Certified
home health agencies shall bill under title XVIII of the federal social
security act for services provided to all patients eligible for such
program who, as defined by federal law and regulations, are: (i)
homebound; (ii) receiving skilled services; and (iii) are receiving such
services on an intermittent basis. The department, in consultation with
the department of health and representatives of certified home health
agencies with demonstrated ability to maximize medicare revenue, may
promulgate regulations to implement this subdivision. Nothing contained
herein shall be construed to prohibit agencies from billing for medical
assistance reimbursement for eligible services provided to such patients
which are not covered under title XVIII of the federal social security
act meeting the standards established by the department pursuant to this
section. Patient cases that meet the criteria established pursuant to
this subdivision, where coverage has been denied under title XVIII of
the federal social security act for the cost of care provided by a
certified home health agency shall be referred by such agency to an
organization pursuant to subdivision (b) of this section.
(b) The commissioner shall enter into agreements with persons or
entities to provide for representation of persons meeting the criteria
specified in subdivision (a) of this section who have been denied
reimbursement, under title XVIII of the federal social security act, for
services provided by a certified home health agency.
Persons acting in concert with a medical assistance provider;
prohibited practices.
1. No person acting in concert with a medical assistance provider
shall, with intent to defraud:
(a) solicit, receive, accept or agree to receive or accept any payment
or other consideration in any form from another person to the extent
such payment or other consideration is given (i) for the referral of
services for which payment is made under this title or (ii) to purchase,
lease or order any good, facility, service or item for which payment is
made under this title; or
(b) offer, agree to give or give any payment or other consideration in
any form to another person to the extent such payment or other
consideration is given (i) for the referral of services for which
payment is made under this title; or (ii) to purchase, lease or order
any good, facility, service or item for which payment is made under this
title;
(c) this subdivision shall not apply to any activity specifically
exempt by federal statute or federal regulations promulgated thereunder.
2. As used in this section, "person" shall have the meaning set forth
in subdivision seven of section 10.00 of the penal law.
3. A violation of the provisions of this section is a misdemeanor
punishable by:
(a) a term of imprisonment in accordance with the penal law; or
(b) a fine of not more than ten thousand dollars; or
(c) if the defendant has obtained money or property through a
violation of the provisions of this section, a fine in an amount, fixed
by the court, not to exceed double the amount of the defendant's gain
from a violation of such provisions. In such event, the provisions of
subdivision three of section 80.00 of the penal law shall be applicable
to the sentence; or
(d) both the imprisonment and the fine.
4. Any such person who violates the provisions of this section and
thereby obtains money or property having a value in excess of seven
thousand five hundred dollars shall be guilty of a class E felony.
Newborn enrollment for medical assistance. 1. Each hospital
licensed under article twenty-eight of the public health law shall
report to the department of health, or such other entity designated by
the department of health, in such format as the department of health
shall provide, each live birth of a child to a woman receiving medical
assistance on the date of the birth. Such reports shall be made within
five business days of the birth and shall include data identifying the
mother and child.
2. Each hospital licensed under article twenty-eight of the public
health law, upon discharge after delivery of a child, shall notify, in
plain language and in such manner as the department of health shall
provide, each mother in receipt of medical assistance that such child is
deemed to be enrolled in the medical assistance program regardless of
his or her receipt of a medical assistance identification card or client
identification number or other proof of the child's eligibility, and may
access care, services and supplies in accordance with this title and
other applicable laws.
3. The commissioner of health shall establish a procedure to ensure
that every child born to a mother who is receiving medical assistance on
the date of the child's birth is automatically enrolled in the medical
assistance program, assigned a client identification number, and issued
an active medical assistance identification card, as soon as possible,
but in no event later than ten business days from the receipt of the
report required pursuant to subdivision one of this section.
4. (a) Consistent with the provisions of section three hundred
sixty-six of this title, a child under the age of one year whose mother
is receiving medical assistance, or whose mother was receiving medical
assistance on the date of the child's birth, who is presented to a
medical assistance provider, as defined in section three hundred
sixty-six-d of this title, for care, shall be deemed to be enrolled in
the medical assistance program regardless of the issuance of a medical
assistance identification card or client identification number to such
child or other proof of the child's eligibility.
(b) A medical assistance provider that furnishes medical assistance as
defined in section three hundred sixty-five-a of this title, to a child
described in paragraph (a) of this subdivision shall be eligible for
medical assistance reimbursement for such assistance regardless of
whether the child has been issued a medical assistance identification
card, client identification number or other proof of eligibility.
Reimbursement under this section shall be in accordance with the
provisions of this title, including, as appropriate, section 364-j of
this title and all other applicable laws, rules, regulations and
administrative directions.
Automated system; established. Notwithstanding any
inconsistent provision of law or regulation, the commissioner of health
shall, as soon as practicable, establish an automated system to ensure
that persons who meet the criteria for receipt of medical assistance
benefits under paragraph (a) or (c) of subdivision four of section three
hundred sixty-six of this title shall remain enrolled in the medical
assistance program without interruption and receive the benefits set
forth according to paragraph (a) or (c) of subdivision four of section
three hundred sixty-six of this title. Pending implementation of such
automated system, such commissioner shall, in consultation with the
office of temporary and disability assistance, undertake and continue
efforts to educate local departments of social services about the
measures they must take to ensure that medical assistance benefits are
provided to persons eligible for such benefits under subdivision four of
section three hundred sixty-six of this title.
Long-term care financing demonstration program. 1.
Notwithstanding any inconsistent provision of sections three hundred
sixty-six or three hundred sixty-six-c of this title, or any other
provision of law, the commissioner of health is authorized to develop
the long-term care financing demonstration program, an alternative
program for the establishment of eligibility under the medical
assistance program for up to five thousand persons.
2. The provisions of this section shall not take effect unless all
necessary approvals under federal law and regulation have been obtained
to receive federal financial participation in the costs of health care
services provided to persons determined to be eligible for medical
assistance pursuant to this section.
3. Defined private contribution. Upon being determined eligible for
the demonstration, a person shall disclose his or her household's
resources and income to the local social services district, or an entity
acting on behalf of such district pursuant to subdivision five of this
section, and shall enter into an agreement with such district or entity.
The agreement shall require the person to apply a defined private
contribution toward the cost of institutional or non-institutional
long-term care, as defined by the commissioner in regulations. Such
regulations shall provide for two levels of contribution: (a) a level
that would permit a full medical assistance resource exemption pursuant
to paragraph (a) of subdivision four of this section; and (b) a level or
levels that would permit a medical assistance resource exemption that is
equivalent to the value of the contribution pursuant to paragraph (b) of
subdivision four of this section.
4. Medical assistance eligibility. Upon completion of the defined
private contribution required by such agreement, the person may apply
for medical assistance under this title and, if otherwise eligible,
shall be eligible for such assistance either: (a) in the case of an
individual who opts for a contribution level under paragraph (a) of
subdivision three of this section, without regard to otherwise
applicable resource requirements of this title; or (b) in the case of an
individual who opts for a contribution level under paragraph (b) of
subdivision three of this section, without regard to an amount of
resources that is equivalent to the value of the contribution. In either
case, eligibility for medical assistance under this title shall, with
respect to the amount of resources that are exempt from consideration
under this subdivision, be without regard to the lien and estate
recovery provisions of section three hundred sixty-nine of this title;
provided, however, that nothing herein shall prevent the imposition of a
lien or recovery against property of an individual on account of medical
assistance incorrectly paid.
5. The commissioner is authorized to enter into a contract with a
private entity to assist in the administration of the demonstration
program established by this section. Such a contract may include,
without limitation, assistance in the development of the criteria for
the defined private contribution, drafting of the defined contribution
agreement, accepting and processing applications for demonstration
participation under this section, and accepting and processing
applications for medical assistance for demonstration participants.
Notwithstanding any inconsistent provision of sections one hundred
twelve and one hundred sixty-three of the state finance law, or section
one hundred forty-two of the economic development law, or any other law,
the commissioner is authorized to enter into a contract under this
subdivision without a competitive bid or request for proposal process.
6. If the commissioner exercises his or her authority to implement a
demonstration program under this section he or she shall submit a report
to the governor, president pro tem of the senate and speaker of the
assembly by the first day of November, two thousand fifteen, on the
implementation of this section. Such report shall include a statement as
to the extent to which individuals have opted to participate in the
demonstration, an analysis of the impact of the demonstration on medical
assistance program long-term care costs, any recommendations for
legislative action, and such other matters as may be pertinent.
Authorization for hospital care. 1. Except as permitted by
the regulations of the department, so far as practicable, no patient
shall be admitted to a hospital as a public charge under this title or
this chapter without the prior authorization of the social services
official responsible for authorizing such care. If a patient is
admitted without prior authorization of the appropriate social services
official and the hospital has reason to believe that the patient will be
unable to pay for his care, and is or may be eligible for care under
this title or this chapter, it may send a notice containing a report of
the facts of the case to such social services official who shall
promptly advise the patient or his representative of his right to apply
for medical assistance and, if eligible, to have the cost of his care
paid for under this chapter. If the identity of the social services
official responsible for authorizing such care is not known by the
hospital, such notice shall be sent to the commissioner of the social
services district in which the hospital is located who shall make an
investigation to determine which social services district may be
responsible for authorizing such care and appropriately notify such
district, which shall advise such patient or his representative of his
right to apply, and if eligible to have the cost of his care paid for
under this chapter. The cost of care of an eligible patient shall be a
charge against a social services district only when authorized by the
commissioner of social services of such district, which authorization
shall not be withheld from any patient eligible for such care pursuant
to this title and the regulations of the department.
2. Notwithstanding any inconsistent provision of law, the social
services official responsible for authorizing hospital or health related
services shall withhold payment for such services upon the certification
of the commissioner of health that payment for such care is unauthorized
under the medical assistance program.
Payments; insurance. 1. (a) Any inconsistent provision of
this chapter or other law notwithstanding, no assignment of the claim of
any supplier of medical assistance shall be valid and enforceable as
against any social services district or the department, and any payment
with respect to any medical assistance shall be made to the person,
institution, state department or agency or municipality supplying such
medical assistance at rates established by the appropriate social
services district and contained in its approved local medical plan,
except as otherwise permitted or required by applicable federal and
state provisions, including the regulations of the department; provided,
however, that for those districts for whom the department has assumed
payment responsibilities pursuant to section three hundred sixty-seven-b
of this chapter, rates shall be established by the department, except as
otherwise required by applicable provisions of federal or state law. A
social services official may apply to the department for local
variations in rates to be applicable, upon approval by the department,
to recipients for whom such district is responsible. Claims for payment
shall be made in such form and manner as the department shall determine.
(b) Where an applicant for or recipient of public assistance or
medical assistance has health insurance in force, is enrolled in a group
health insurance plan or group health plan covering care and other
medical benefits provided under this title, payment or part-payment of
the premium, co-insurance, any deductible amounts and other cost-sharing
obligations for such insurance may also be made when deemed
cost-effective pursuant to the regulations of the department.
(c) Any inconsistent provisions of this title or other law
notwithstanding and to the extent that federal financial participation
is available therefor and in accordance with the regulations of the
commissioner, payment of the premium for coverage under a group health
insurance plan or group health plan may be made under the medical
assistance program on behalf of a person not otherwise entitled to
public assistance or medical assistance if the social services official
determines that the savings in expenditures to the program as a result
of such coverage are likely to exceed the amount of the premiums paid
and such person has:
(i) income (as determined in accordance with the methodology used to
determine eligibility for benefits under the federal supplemental
security income program) in an amount less than or equal to one hundred
per cent of the federal income official poverty line (as defined and
annually revised by the federal office of management and budget)
applicable to the person's family size;
(ii) resources (as determined in accordance with the methodology used
to determine eligibility for benefits under the federal supplemental
security income program) less than or equal to twice the maximum amount
an individual is permitted to have to obtain benefits under the federal
supplemental security income program; and
(iii) coverage available under a group health insurance plan or an
employer-based group health plan provided pursuant to title XXII of the
federal public health services act, section 4980B of the federal
internal revenue code of 1986, or title VI of the employee retirement
income security act of 1974.
(d) (i) Amounts payable under this title for medical assistance for
items and services provided to eligible persons who are also
beneficiaries under part A of title XVIII of the federal social security
act and items and services provided to qualified medicare beneficiaries
under part A of title XVIII of the federal social security act shall not
be less than the amount of any deductible and co-insurance liability of
such eligible persons or for which such eligible persons or such
qualified medicare beneficiaries would be liable under federal law were
they not eligible for medical assistance or were they not qualified
medicare beneficiaries with respect to such benefits under such part A.
(ii) Amounts payable under this title for medical assistance for items
and services provided to eligible persons who are also beneficiaries
under part B of title XVIII of the federal social security act and items
and services provided to qualified medicare beneficiaries under part B
of title XVIII of the federal social security act shall not be less than
the amount of any deductible liability of such eligible persons or for
which such eligible persons or such qualified medicare beneficiaries
would be liable under federal law were they not eligible for medical
assistance or were they not qualified medicare beneficiaries with
respect to such benefits under such part B.
* (iii) With respect to items and services provided to eligible
persons who are also beneficiaries under part B of title XVIII of the
federal social security act and items and services provided to qualified
medicare beneficiaries under part B of title XVIII of the federal social
security act, the amount payable for services covered under this title
shall be the amount of any co-insurance liability of such eligible
persons pursuant to federal law were they not eligible for medical
assistance or were they not qualified medicare beneficiaries with
respect to such benefits under such part B, but shall not exceed the
amount that otherwise would be made under this title if provided to an
eligible person other than a person who is also a beneficiary under part
B or is a qualified medicare beneficiary minus the amount payable under
part B; provided, however, amounts payable under this title for items
and services provided to eligible persons who are also beneficiaries
under part B or to qualified medicare beneficiaries by an ambulance
service under the authority of an operating certificate issued pursuant
to article thirty of the public health law, a psychologist licensed
under article one hundred fifty-three of the education law, or a
facility under the authority of an operating certificate issued pursuant
to article sixteen, thirty-one or thirty-two of the mental hygiene law
and with respect to outpatient hospital and clinic items and services
provided by a facility under the authority of an operating certificate
issued pursuant to article twenty-eight of the public health law, shall
not be less than the amount of any co-insurance liability of such
eligible persons or such qualified medicare beneficiaries, or for which
such eligible persons or such qualified medicare beneficiaries would be
liable under federal law were they not eligible for medical assistance
or were they not qualified medicare beneficiaries with respect to such
benefits under part B.
* NB Effective until April 1, 2027
* (iii) With respect to items and services provided to eligible
persons who are also beneficiaries under part B of title XVIII of the
federal social security act and items and services provided to qualified
medicare beneficiaries under part B of title XVIII of the federal social
security act, the amount payable for services covered under this title
shall be the amount of any co-insurance liability of such eligible
persons pursuant to federal law were they not eligible for medical
assistance or were they not qualified medicare beneficiaries with
respect to such benefits under such part B, but shall not exceed the
amount that otherwise would be made under this title if provided to an
eligible person other than a person who is also a beneficiary under part
B or is a qualified medicare beneficiary minus the amount payable under
part B; provided, however, amounts payable under this title for items
and services provided to eligible persons who are also beneficiaries
under part B or to qualified medicare beneficiaries by an ambulance
service under the authority of an operating certificate issued pursuant
to article thirty of the public health law, or a facility under the
authority of an operating certificate issued pursuant to article
sixteen, thirty-one or thirty-two of the mental hygiene law and with
respect to outpatient hospital and clinic items and services provided by
a facility under the authority of an operating certificate issued
pursuant to article twenty-eight of the public health law, shall not be
less than the amount of any co-insurance liability of such eligible
persons or such qualified medicare beneficiaries, or for which such
eligible persons or such qualified medicare beneficiaries would be
liable under federal law were they not eligible for medical assistance
or were they not qualified medicare beneficiaries with respect to such
benefits under part B.
* NB Effective April 1, 2027
* (iv) If a health plan participating in part C of title XVIII of the
federal social security act pays for items and services provided to
eligible persons who are also beneficiaries under part B of title XVIII
of the federal social security act or to qualified medicare
beneficiaries, the amount payable for services under this title shall be
eighty-five percent of the amount of any co-insurance liability of such
eligible persons pursuant to federal law if they were not eligible for
medical assistance or were not qualified medicare beneficiaries with
respect to such benefits under such part B; provided, however, amounts
payable under this title for items and services provided to eligible
persons who are also beneficiaries under part B or to qualified medicare
beneficiaries by an ambulance service under the authority of an
operating certificate issued pursuant to article thirty of the public
health law, or a psychologist licensed under article one hundred
fifty-three of the education law, shall not be less than the amount of
any co-insurance liability of such eligible persons or such qualified
medicare beneficiaries, or for which such eligible persons or such
qualified medicare beneficiaries would be liable under federal law were
they not eligible for medical assistance or were they not qualified
medicare beneficiaries with respect to such benefits under part B.
* NB Effective until April 1, 2027
* (iv) If a health plan participating in part C of title XVIII of the
federal social security act pays for items and services provided to
eligible persons who are also beneficiaries under part B of title XVIII
of the federal social security act or to qualified medicare
beneficiaries, the amount payable for services under this title shall be
the amount of any co-insurance liability of such eligible persons
pursuant to federal law if they were not eligible for medical assistance
or were not qualified medicare beneficiaries with respect to such
benefits under such part B, but shall not exceed the amount that
otherwise would be made under this title if provided to an eligible
person other than a person who is also a beneficiary under part B or is
a qualified medicare beneficiary minus the amount payable under part B;
provided, however, amounts payable under this title for items and
services provided to eligible persons who are also beneficiaries under
part B or to qualified medicare beneficiaries by an ambulance service
under the authority of an operating certificate issued pursuant to
article thirty of the public health law shall not be less than the
amount of any coinsurance liability of such eligible persons or such
qualified medicare beneficiaries, or for which such eligible persons or
such qualified medicare beneficiaries would be liable under federal law
were they not eligible for medical assistance or were they not qualified
medicare beneficiaries with respect to such benefits under part B.
* NB Effective April 1, 2027
(e) Amounts payable under this title for medical assistance in the
form of clinic services pursuant to article twenty-eight of the public
health law, article sixteen of the mental hygiene law and independent
practitioner services for individuals with developmental disabilities
provided to eligible persons diagnosed with a developmental disability
who are also beneficiaries under part B of title XVIII of the federal
social security act, or provided to persons diagnosed with a
developmental disability who are qualified medicare beneficiaries under
part B of title XVIII of such act shall not be less than the approved
medical assistance payment level less the amount payable under part B.
(f) Amounts payable under this title for medical assistance in the
form of outpatient mental health services under article thirty-one or
outpatient chemical dependence services including opioid treatment
services under article thirty-two of the mental hygiene law provided to
eligible persons who are also beneficiaries under part B of title XVIII
of the federal social security act or provided to qualified medicare
beneficiaries under part B of title XVIII of such act shall not be less
than the approved medical assistance payment level less the amount
payable under part B.
(g) Notwithstanding any provision of this section to the contrary,
amounts payable under this title for medical assistance in the form of
hospital outpatient services or diagnostic and treatment center services
pursuant to article twenty-eight of the public health law provided to
eligible persons who are also beneficiaries under part B of title XVIII
of the federal social security act or provided to qualified medicare
beneficiaries under part B of title XVIII of such act shall not exceed
the approved medical assistance payment level less the amount payable
under part B.
(h) Amounts payable under this title for medical assistance in the
form of freestanding clinic services pursuant to article twenty-eight of
the public health law provided to eligible persons participating in the
New York traumatic brain injury waiver program who are also
beneficiaries under part B of title XVIII of the federal social security
act or who are qualified medicare beneficiaries under part B of title
XVIII of such act shall not be less than the approved medical assistance
payment level less the amount payable under part B.
2. (a) Any inconsistent provision of this chapter notwithstanding,
provision for medical care and other medical benefits available under
this title may be made, in whole or in part, either under this title or
other appropriate provisions of this chapter, through insurance or other
prepaid plans, in accordance with the regulations of the department.
(b) Any inconsistent provision of this chapter or other law
notwithstanding, upon furnishing assistance under this title to any
applicant or recipient of medical assistance, the local social services
district or the department shall be subrogated, to the extent of the
expenditures by such district or department for medical care furnished,
to any rights such person may have to medical support or reimbursement
from liable third parties, including but not limited to health insurers,
self-insured plans, group health plans, service benefit plans, managed
care organizations, pharmacy benefit managers, or other parties that
are, by statute, contract, or agreement, legally responsible for payment
of a claim for a health care item or service. For purposes of this
section, the term medical support shall mean the right to support
specified as support for the purpose of medical care by a court or
administrative order. The right of subrogation does not attach to
insurance benefits paid or provided under any health insurance policy
prior to the receipt of written notice of the exercise of subrogation
rights by the carrier issuing such insurance, nor shall such right of
subrogation attach to any benefits which may be claimed by a social
services official or the department, by agreement or other established
procedure, directly from an insurance carrier. No right of subrogation
to insurance benefits available under any health insurance policy shall
be enforceable unless written notice of the exercise of such subrogation
right is received by the carrier within three years from the date
services for which benefits are provided under the policy or contract
are rendered. Liable third parties shall not deny a claim made by a
social services official or the department in conformance with this
paragraph solely on the basis of the date of submission of the claim,
the type or format of the claim form, a failure to obtain prior
authorization, or a failure to present proper documentation at the
point-of-sale that is the basis of the claim. Liable third parties shall
respond to a request for payment within sixty calendar days after
receipt of written proof of loss or claim for payment for health care
services provided to a recipient of Medicaid who is covered by the third
party and shall not charge a fee to process or adjudicate a claim. The
local social services district or the department shall also notify the
carrier when the exercise of subrogation rights has terminated because a
person is no longer receiving assistance under this title. Such carrier
shall establish mechanisms to maintain the confidentiality of all
individually identifiable information or records. Such carrier shall
limit the use of such information or record to the specific purpose for
which such disclosure is made, and shall not further disclose such
information or records.
(c) In accordance with regulations of the department and to the extent
authorized by federal law and regulation, the social services district
is authorized to retain, in addition to amounts retained as repayment
for its share of the costs of medical assistance provided, a portion of
the federal share of the amount collected as medical support or third
party benefits assigned under paragraph (f) of subdivision four of
section three hundred sixty-six of this article, when such district, or
other governmental agency pursuant to an agreement with such district,
has collected such medical support or third party benefits on behalf of
a person receiving medical assistance whose rights to medical support or
third party benefits have been assigned to the state or to the
appropriate social services official. Where more than one district has
been involved in enforcing or collecting such amounts, the federal
incentive shall be apportioned among each such district in accordance
with the regulations of the department.
3. (a) As used in this subdivision, the following terms shall have the
following meanings:
(1) "Qualified medicare beneficiary" means a person who is entitled to
hospital insurance benefits under part A of title XVIII of the federal
social security act, whose income does not exceed one hundred
thirty-eight percent of the official federal poverty line applicable to
the person's family size and whose resources do not exceed twice the
maximum amount of resources a person may have in order to qualify for
benefits under the federal supplemental security income program of title
XVI of the federal social security act, as determined for purposes of
such program. To the extent that federal financial participation is
available, a person whose resources are in excess of the amount
specified in this subparagraph but otherwise meets the requirements
shall be considered a "qualified medicare beneficiary".
(2) "Qualified individual" means a person who is entitled to hospital
insurance benefits under part A of title XVIII of the federal social
security act and whose income is greater than one hundred thirty-eight
percent, but less than or equal to one hundred eighty-six percent, of
the federal poverty line, for the applicable family size, and who is not
otherwise eligible for medical assistance under this article; referred
to as a qualified individual.
(3) "Qualified disabled and working individual" means an individual
who is not otherwise eligible for medical assistance and:
(i) who is entitled to enroll for hospital insurance benefits under
section 1818A of part A of title XVIII of the federal social security
act;
(ii) whose income does not exceed two hundred percent of the official
federal poverty line applicable to the person's family size; and
(iii) whose resources do not exceed twice the maximum amount of
resources that an individual or a couple, in the case of a married
individual, may have and obtain federal supplemental security income
benefits under title XVI of the federal social security act, as
determined for purposes of that program.
For purposes of this subparagraph, income and resources are determined
by the same methodology as is used for determining eligibility under the
federal supplemental security income benefits under title XVI of the
federal social security act.
(b) Payment of premiums for enrolling qualified disabled and working
individuals and qualified medicare beneficiaries under Part A of title
XVIII of the federal social security act and for enrolling such
beneficiaries and eligible recipients of public assistance under part B
of title XVIII of the federal social security act, together with the
costs of the applicable co-insurance and deductible amounts on behalf of
such beneficiaries, and recipients, and premiums under section 1839 of
the federal social security act shall be made and the cost thereof borne
by the state or by the state and social services districts,
respectively, in accordance with the regulations of the department,
provided, however, that the share of the cost to be borne by a social
services district, if any, shall in no event exceed the proportionate
share borne by such district with respect to other expenditures under
this title. Moreover, if the director of the budget approves, payment of
premiums for enrolling persons who have been determined to be eligible
for medical assistance only may be made and the cost thereof borne or
shared pursuant to this subdivision.
(c) (1) Beginning April first, two thousand two and to the extent that
federal financial participation is available at a one hundred percent
federal Medical assistance percentage and subject to sections 1933 and
1902(a)(10)(E)(iv) of the federal social security act, medical
assistance shall be available for full payment of medicare part B
premiums for qualified individuals.
(2) Premium payments for the individuals described in subparagraph one
of this paragraph will be one hundred percent federally funded up to the
amount of the federal allotment. The department shall discontinue
enrollment into the program when the part B premium payments made
pursuant to subparagraph one of this paragraph meet the yearly federal
allotment.
(3) (i) The commissioner of health shall develop a simplified
application form, consistent with federal law, for payments pursuant to
this section. The commissioner of health, in cooperation with the office
for the aging, shall publicize the availability of such payments to
medicare beneficiaries.
(ii) Low-income subsidy data transmitted from the social security
administration to local departments of social services in accordance
with section 1144(c)(3) of the federal social security act shall be
treated as an application for the medicare savings program, without
requiring submission of another application. Any information verified by
the social security administration shall be accepted without further
verification, if the information provided through low-income subsidy
data supports a determination of eligibility under this subdivision. The
commissioner of health shall report on an annual basis on the status of
the medicare savings program and the number of applications received by
local social services districts under this article.
(d) (1) Payment of premiums for enrolling individuals in qualified
health plans offered through a health insurance exchange established
pursuant to the federal Patient Protection and Affordable Care Act (P.L.
111-148), as amended by the federal Health Care and Education
Reconciliation Act of 2010 (P.L. 111-152), shall be available to
individuals who:
(i) immediately prior to being enrolled in the qualified health plan,
were or would have been eligible under the family health plus program as
a parent or stepparent of a child under the age of twenty-one, and whose
MAGI household income, as defined in subparagraph eight of paragraph (a)
of subdivision one of section three hundred sixty-six of this title,
exceeds one hundred thirty-three percent of the federal poverty line for
the applicable family size;
(ii) are not otherwise eligible for medical assistance under this
title; and
(iii) are enrolled in a standard health plan in the silver level, as
defined in 42 U.S.C. 18022.
(2) Payment pursuant to this paragraph shall be for premium
obligations of the individual under the qualified health plan and shall
continue only if and for so long as the individual's MAGI household
income exceeds one hundred thirty-three percent, but does not exceed one
hundred fifty percent, of the federal poverty line for the applicable
family size, or, if earlier, until the individual is eligible for
enrollment in a standard health plan pursuant to section three hundred
sixty-nine-gg of this article.
(3) The commissioner of health shall submit amendments to the state
plan for medical assistance and/or submit one or more applications for
waivers of the federal social security act as may be necessary to
receive federal financial participation in the costs of payments made
pursuant to this paragraph; provided further, however, that nothing in
this subparagraph shall be deemed to affect payments for premiums
pursuant to this paragraph if federal financial participation in the
costs of such payments is not available.
4. No social services district shall make final payments pursuant to
title XIX of the federal social security act for benefits available
under title XVIII of such act without documentation that title XVIII
claims have been filed and denied.
5. (a) When medical care, services and supplies are furnished an
eligible person on behalf of a social services district under this
title, such social services district is authorized to utilize any
appropriate organization as a fiscal intermediary to audit and make
payment for such district's share of the cost of such care, services and
supplies.
(b) To carry out the purposes of paragraph (a), the department, on
behalf of itself and any of the social services districts, may enter
into agreements with appropriate organizations to act as fiscal
intermediaries.
6. (a) Notwithstanding any inconsistent provision of law, payment for
claims for services as specified in paragraph (d) of this subdivision
furnished to eligible persons under this title, subject to paragraph (b)
of this subdivision shall be reduced in accordance with the provisions
of paragraph (c) of this subdivision by an amount not to exceed the
maximum amount authorized by federal law and regulations as a co-payment
amount, which co-payment amount the provider of such services may charge
the recipient, provided, however, no provider may deny such services to
an individual eligible for services based on the individual's inability
to pay the co-payment amount.
(b) Co-payments shall apply to all eligible persons for the services
defined in paragraph (d) of this subdivision with the exception of:
(i) individuals under twenty-one years of age;
(ii) pregnant women;
(iii) individuals who are inpatients in a medical facility who have
been required to spend all of their income for medical care, except
their personal needs allowance or residents of community based
residential facilities licensed by the office of mental health or the
office for people with developmental disabilities who have been required
to spend all of their income, except their personal needs allowance;
(iv) individuals enrolled in health maintenance organizations or other
entities which provide comprehensive health services, or other managed
care programs for services covered by such programs, except that such
persons, other than persons otherwise exempted from co-payments pursuant
to subparagraphs (i), (ii), (iii) and (v) of this paragraph, and other
than those persons enrolled in a managed long term care program, shall
be subject to co-payments as described in subparagraph (v) of paragraph
(d) of this subdivision;
(v) individuals whose family income is less than one hundred percent
of the federal poverty line, as defined in subparagraph four of
paragraph (a) of subdivision one of section three hundred sixty-six of
this title, for a family of the same size; and
(vi) any other individuals required to be excluded by federal law or
regulations.
(b-1) The commissioner is authorized to submit any request or
application to the Centers for Medicare and Medicaid Services as may be
necessary to be granted a waiver of the requirement for the department
of health to calculate its Medicaid payments to managed care
organizations to include cost sharing established under the state plan
for medical assistance for enrollees who are not exempt from cost
sharing. In the absence of such a waiver, the commissioner shall adjust
Medicaid payments to managed care organizations beginning October first,
two thousand fifteen or on the date the Centers for Medicare and
Medicaid Services commences enforcement of such requirement, whichever
is later.
* (c) (i) Co-payments charged pursuant to this subdivision for
non-institutional services shall not exceed the following table,
provided, however, that the department may establish standard
co-payments for services based upon the average or typical payment for
that service:
State's payment Maximum co-payment
for the services chargeable to recipient
$10 or less $.50
$10.01 to $25 $1.00
$25.01 to $50 $2.00
$50.01 or more $3.00
(ii) co-payments charged pursuant to this subdivision for each
discharge for inpatient care shall be twenty-five dollars.
(iii) Notwithstanding any other provision of this paragraph,
co-payments charged for each generic prescription drug dispensed shall
be one dollar and for each brand name prescription drug dispensed shall
be two dollars and fifty cents; provided, however, that the co-payments
charged for each brand name prescription drug reimbursed pursuant to
subparagraph (ii) of paragraph (a-1) of subdivision four of section
three hundred sixty-five-a of this title shall be one dollar.
(iv) When an individual is initially dispensed or prescribed a seven
or fewer days supply of an opioid pursuant to paragraph (b) of
subdivision five of section three thousand three hundred thirty-one of
the public health law, and is subsequently dispensed or prescribed an
additional supply of such opioid for the same underlying condition, the
total co-payment that may be charged to such an individual for the
initial prescription plus all subsequent prescriptions for the same
underlying condition for up to a total of thirty-days supply of such
opioid shall not exceed the amount set forth in subparagraph (iii) of
this paragraph.
* NB Repealed March 31, 2029
(d) Co-payments shall apply to the following services, subject to such
exceptions for subcategories of these services as recognized by the
commissioner in regulations, provided in accordance with section three
hundred sixty-five-a of this article and the regulations of the
department, to the extent permitted by title XIX of the federal social
security act:
(i) in-patient care in a general hospital, as defined in subdivision
ten of section twenty-eight hundred one of the public health law;
(ii) out-patient hospital and clinic services except for mental health
services, and developmental disability services, alcohol and substance
abuse services and methadone maintenance services;
(iii) home health services, including services provided under the long
term home health care program, provided however, home health providers
shall not require employees providing services in the home to collect
the co-payment amount;
(iv) sickroom supplies;
(v) drugs, excepting psychotropic drugs and drugs with FDA approved
indications for the treatment of tuberculosis as specified by the
department and those drugs intended for use by residents of adult care
facilities licensed by the department of health who have been required
to spend all of their income, except their personal needs allowance;
(vi) clinical laboratory services;
(vii) x-rays;
(viii) emergency room services provided for non-urgent or
non-emergency medical care, provided however, co-payments shall not be
required for emergency services or family planning services and
supplies;
(e) In the period from January first, nineteen hundred ninety-three to
March thirty-first, nineteen hundred ninety-three no recipient shall be
required to pay more than a total of fifty dollars in co-payments
required by this subdivision for drugs, nor shall reductions in payments
as a result of such co-payments exceed fifty dollars for any recipient.
(f) (i) In the year commencing April first, nineteen hundred
ninety-three and for each year thereafter, and ending in the year
concluding on March thirty-first, two thousand five, no recipient shall
be required to pay more than a total of one hundred dollars in
co-payments required by this subdivision, nor shall reductions in
payments as a result of such co-payments exceed one hundred dollars for
any recipient.
(ii) In the year commencing April first, two thousand five and for
each year thereafter, no recipient shall be required to pay more than a
total of two hundred dollars in co-payments required by this
subdivision, nor shall reductions in payments as a result of such
co-payments exceed two hundred dollars for any recipient.
(g) The commissioner shall promptly:
(i) promulgate a regulation making it an unacceptable practice under
the medical assistance program for a provider to deny services to an
individual eligible for services based on the individual's inability to
pay the co-pay amount required by this subdivision;
(ii) establish and maintain a toll-free hotline which may be used to
report a violation of the regulation promulgated pursuant to
subparagraph (i) of this paragraph; and
(iii) provide notice to all recipients summarizing their rights and
obligations under this subdivision.
7. (a) Every manufacturer or wholesaler of drugs, prescriptions or
poisons registered under the provisions of section sixty-eight hundred
eight of the education law, shall, upon request of the department for
any information pertaining to wholesale prices charged to pharmacists
for any drugs available under the medical assistance program, make the
requested information available to the department on a monthly basis, or
such other periodic basis as the department shall request.
(b) The department shall provide for financial arrangements with any
manufacturer or wholesaler of drugs, prescriptions or poisons as may be
necessary to reimburse such manufacturer or wholesaler for its actual
and necessary costs included in furnishing the requested information.
(c) Any information obtained pursuant to the provisions of this
subdivision shall not be made available for public inspection or copying
under the provisions of article six of the public officers law. The
department shall not disclose such information to any person, firm,
department or agency, except any state agency or department as may be
necessary for the administration of the medical assistance program under
the provisions of this chapter or any other law.
(d) Notwithstanding any inconsistent provision of law, if a
manufacturer (as defined under section 1927 of the federal social
security act) has entered into a rebate agreement with the department or
with the federal secretary of health and human services on behalf of the
department under section 1927 of the federal social security act, the
department shall reimburse for covered outpatient drugs which are
dispensed under the medical assistance program to all persons in receipt
of medical assistance benefits as a result of their eligibility having
been established under subparagraph one or nine of paragraph (a) of
subdivision one of section three hundred sixty-six of this title, and
which are dispensed to all persons eligible for health care services as
a result of their eligibility having been established under subdivision
two of section three hundred sixty-nine-ee of this article, only
pursuant to the terms of the rebate agreement between the department and
such manufacturer; provided, however, that any agreement between the
department and a manufacturer entered into before August first, nineteen
hundred ninety-one, shall be deemed to have been entered into on April
first, nineteen hundred ninety-one; and provided further, that if a
manufacturer has not entered into an agreement with the department
before August first, nineteen hundred ninety-one, such agreement shall
not be effective until April first, nineteen hundred ninety-two, unless
such agreement provides that rebates will be retroactively calculated as
if the agreement had been in effect on April first, nineteen hundred
ninety-one. The rebate agreement between such manufacturer and the
department shall utilize for single source drugs and innovator multiple
source drugs the identical formula used to determine the basic rebate
for federal financial participation single source drugs and innovator
multiple source drugs, pursuant to paragraph one of subdivision (c) of
section 1927 of the federal social security act, to determine the amount
of the rebate pursuant to this paragraph. The rebate agreement between
such manufacturer and the department shall utilize for non-innovator
multiple source drugs the identical formula used to determine the basic
rebate for federal financial participation non-innovator multiple source
drugs, pursuant to paragraphs three and four of subdivision (c) of
section 1927 of the federal social security act, to determine the amount
of the rebate pursuant to this paragraph. The terms and conditions of
such rebate agreement with respect to periodic payment of the rebate,
provision of information by the department, audits, manufacturer
provision of information verification of surveys, penalties,
confidentiality of information, and length of the agreement shall apply
to drugs of the manufacturer dispensed under the medical assistance
program to all persons in receipt of medical assistance benefits as a
result of their eligibility having been established under subparagraph
one or nine of paragraph (a) of subdivision one of section three hundred
sixty-six of this title, and which are dispensed to all persons eligible
for health care services as a result of their eligibility having been
established under subdivision two of section three hundred sixty-nine-ee
of this article. The department in providing utilization data to a
manufacturer (as provided for under section 1927.4(b)(1)(A) of the
federal social security act) shall provide such data by zip code, if
requested, for drugs covered under a rebate agreement.
* (e) During the period from April first, two thousand fifteen through
March thirty-first, two thousand twenty-nine, the commissioner may, in
lieu of a managed care provider or pharmacy benefit manager, negotiate
directly and enter into an arrangement with a pharmaceutical
manufacturer for the provision of supplemental rebates relating to
pharmaceutical utilization by enrollees of managed care providers
pursuant to section three hundred sixty-four-j of this title and may
also negotiate directly and enter into such an agreement relating to
pharmaceutical utilization by medical assistance recipients not so
enrolled. Such rebate arrangements shall be limited to the following:
antiretrovirals approved by the FDA for the treatment of HIV/AIDS,
accelerated approval drugs established pursuant to this paragraph,
opioid dependence agents and opioid antagonists listed in a statewide
formulary established pursuant to subparagraph (vii) of this paragraph,
hepatitis C agents, high cost drugs as provided for in subparagraph
(viii) of this paragraph, gene therapies as provided for in subparagraph
(ix) of this paragraph, and any other class or drug designated by the
commissioner for which the pharmaceutical manufacturer has in effect a
rebate arrangement with the federal secretary of health and human
services pursuant to 42 U.S.C. § 1396r-8, and for which the state has
established standard clinical criteria. No agreement entered into
pursuant to this paragraph shall have an initial term or be extended
beyond the expiration or repeal of this paragraph. For purposes of this
paragraph, an "accelerated approval" is a drug or labeled indication of
a drug authorized by the Federal Food, Drug and Cosmetic Act for drugs
approved under Subpart H of 21 CFR Part 314 and Subpart E of 21 CFR Part
601 for serious conditions that fill an unmet medical need based on
whether the drug has an effect on a surrogate clinical endpoint, and is
pending verification of clinical benefit in confirmatory trials.
(i) The manufacturer shall not enter into any rebate arrangements with
a managed care provider, or any of a managed care provider's agents,
including but not limited to any pharmacy benefit manager on the gene
therapy, drug, or drug classes subject to this paragraph when the state
has a rebate arrangement in place and standard clinical criteria are
imposed on the managed care provider.
(ii) The commissioner shall establish adequate rates of reimbursement
which shall take into account both the impact of the commissioner
negotiating such arrangements and any limitations imposed on the managed
care provider's ability to establish clinical criteria relating to the
utilization of such drugs. In developing the managed care provider's
reimbursement rate, the commissioner shall identify the amount of
reimbursement for such drugs as a separate and distinct component from
the reimbursement otherwise made for prescription drugs as prescribed by
this section.
(iii) The commissioner shall submit a report to the temporary
president of the senate and the speaker of the assembly annually by
December thirty-first. The report shall analyze the adequacy of rates to
managed care providers for drug expenditures related to the classes
under this paragraph.
(iv) Nothing in this paragraph shall be construed to require a
pharmaceutical manufacturer to enter into a rebate arrangement
satisfactory to the commissioner relating to pharmaceutical utilization
by enrollees of managed care providers pursuant to section three hundred
sixty-four-j of this title or relating to pharmaceutical utilization by
medical assistance recipients not so enrolled.
(v) All clinical criteria, including requirements for prior approval,
and all utilization review determinations established by the state as
described in this paragraph for the gene therapies, drugs, or drug
classes subject to this paragraph shall be developed using
evidence-based and peer-reviewed clinical review criteria in accordance
with article two-A of the public health law, as applicable.
(vi) All prior authorization and utilization review determinations
related to the coverage of any drug subject to this paragraph shall be
subject to article forty-nine of the public health law, section three
hundred sixty-four-j of this title, and article forty-nine of the
insurance law, as applicable. Nothing in this paragraph shall diminish
any rights relating to access, prior authorization, or appeal relating
to any drug class or drug afforded to a recipient under any other
provision of law.
(vii) The department shall publish a statewide formulary of opioid
dependence agents and opioid antagonists, which shall include as
"preferred drugs" all drugs in such classes, which shall include all
subclasses of a given drug that have a different pharmacological route
of administration, provided that:
(A) for all drugs that are included as of the date of the enactment of
this subparagraph on a formulary of a managed care provider, as defined
in section three hundred sixty-four-j of this title, or in the Medicaid
fee-for-service preferred drug program pursuant to section two hundred
seventy-two of the public health law, the cost to the department for
such drug is equal to or less than the lowest cost paid for the drug by
any managed care provider or by the Medicaid fee-for-service program
after the application of any rebates, as of the date that the department
implements the statewide formulary established by this subparagraph.
Where there is a generic version of the drug approved by the Food and
Drug Administration as bioequivalent to a brand name drug pursuant to 21
U.S.C. § 355(j)(8)(B), the cost to the department for the brand and
generic versions shall be equal to or less than the lower of the two
maximum costs determined pursuant to the previous sentence; and
(B) for all drugs that are not included as of the date of the
enactment of this subparagraph on a formulary of a managed care
provider, as defined in section three hundred sixty-four-j of this
title, or in the Medicaid fee-for-service preferred drug program
pursuant to section two hundred seventy-two of the public health law,
the department is able to obtain the drug at a cost that is equal to or
less than the lowest cost to the department of other comparable drugs in
the class, after the application of any rebates. Where there is a
generic version of the drug approved by the Food and Drug Administration
as bioequivalent to a brand name drug pursuant to 21 U.S.C. §
355(j)(8)(B), the cost to the department for the brand and generic
versions shall be equal to or less than the lower of the two maximum
costs determined pursuant to the previous sentence.
(viii) The commissioner may identify and refer high cost drugs, as
defined in clause (D) of this subparagraph, that are not included as of
the date of the enactment of this subparagraph on a formulary of a
managed care provider or covered by the Medicaid fee for service of
program to the drug utilization review board established by section
three hundred sixty-nine-bb of this article for a recommendation as to
whether a target supplemental Medicaid rebate should be paid by the
manufacturer of the drug to the department and the target amount of the
rebate.
(A) If the commissioner intends to refer a high cost drug to the drug
utilization review board pursuant to this subparagraph, the commissioner
shall notify the manufacturer of such drug and shall attempt to reach
agreement with the manufacturer on a rebate arrangement satisfactory to
the commissioner for the drug prior to referring the drug to the drug
utilization review board for review. Such arrangement may be based on
evidence based research, including, but not limited to, such research
operated or conducted by or for other state governments, the federal
government, the governments of other nations, and third party payers or
multi-state coalitions, provided however that the department shall
account for the effectiveness of the drug in treating the conditions for
which it is prescribed or in improving a patient's health, quality of
life, or overall health outcomes, and the likelihood that use of the
drug will reduce the need for other medical care, including
hospitalization.
(B) In the event that the commissioner and the manufacturer have
previously agreed to a rebate arrangement for a drug pursuant to this
paragraph, the drug shall not be referred to the drug utilization review
board for any further rebate agreement for the duration of the previous
rebate agreement, provided however, the commissioner may refer a drug to
the drug utilization review board if the commissioner determines there
are significant and substantiated utilization or market changes, new
evidence-based research, or statutory or federal regulatory changes that
warrant additional rebates. In such cases, the department shall notify
the manufacturer and provide evidence of the changes or research that
would warrant additional rebates, and shall attempt to reach agreement
with the manufacturer on a rebate for the drug prior to referring the
drug to the drug utilization review board for review.
(C) If the commissioner is unsuccessful in entering into a rebate
arrangement with the manufacturer of the drug satisfactory to the
department, the drug manufacturer shall in that event be required to
provide to the department, on a standard reporting form developed by the
department, the information as described in subdivision six of section
two hundred eighty of the public health law. All information disclosed
pursuant to this clause shall be considered confidential and shall not
be disclosed by the department in a form that identifies a specific
manufacturer or prices charged for drugs by such manufacturer.
(D) For the purposes of this subparagraph, the term "high cost drug"
shall mean a brand name drug or biologic that has a launch wholesale
acquisition cost of thirty thousand dollars or more per year or course
of treatment, or a biosimilar drug that has a launch wholesale
acquisition cost that is not at least fifteen percent lower than the
referenced brand biologic at the time the biosimilar is launched, or a
generic drug that has a wholesale acquisition cost of one hundred
dollars or more for a thirty day supply or recommended dosage approved
for labeling by the federal Food and Drug Administration, or a brand
name drug or biologic that has a wholesale acquisition cost increase of
three thousand dollars or more in any twelve-month period, or course of
treatment if less than twelve months.
(ix) For purposes of this paragraph, a "gene therapy" is a drug (A)
approved under section 505 of the Federal Food, Drug and Cosmetics Act
or licensed under subsection (a) or (k) of section 351 of the Public
Health Services Act; (B) that treats a rare disease or condition, as
defined in 21 USC § 360bb(a)(2), that is life-threatening, as defined in
42 CFR 321.18; (C) is considered a gene therapy by the federal Food and
Drug Administration for which a biologics license pursuant to 21 CFR
600-680 is held; (D) if administered in accordance with the labeling of
such drug, is expected to result in either the cure of such disease or
condition or a reduction in the symptoms of such disease or condition
that materially improves the patient's length or quality of life; and
(E) is expected to achieve the result described in clause (D) of this
subparagraph after not more than three administrations.
* NB Repealed March 31, 2032
* 8. No government agency shall purchase, pay for, or make
reimbursement or grants-in-aid for any service in a residential
treatment facility for children and youth or a comprehensive psychiatric
emergency program unless at the time such service was provided, the
residential treatment facility for children and youth or comprehensive
psychiatric emergency program possessed a valid operating certificate
authorizing such service. Notwithstanding any inconsistent provision of
law, no government agency shall make payments pursuant to this title or
title nineteen of the federal social security act to a residential
treatment facility for children and youth for service to a person whose
need for care and treatment in such a facility was not certified
pursuant to section 9.51 of the mental hygiene law.
* NB Effective until July 1, 2027
* 8. No government agency shall purchase, pay for, or make
reimbursement or grants-in-aid for any service in a residential
treatment facility for children and youth unless at the time such
service was provided, the residential treatment facility for children
and youth possessed a valid operating certificate authorizing such
service. Notwithstanding any inconsistent provision of law, no
government agency shall make payments pursuant to this title or title
nineteen of the federal social security act to a residential treatment
facility for children and youth for service to a person whose need for
care and treatment in such a facility was not certified pursuant to
section 9.51 of the mental hygiene law.
* NB Effective July 1, 2027
* 9. Notwithstanding any inconsistent provision of law or regulation
to the contrary, for those drugs which may not be dispensed without a
prescription as required by section sixty-eight hundred ten of the
education law and for which payment is authorized pursuant to paragraph
(g) of subdivision two of section three hundred sixty-five-a of this
title, and for those drugs that are available without a prescription as
required by section sixty-eight hundred ten of the education law but are
reimbursed as items of medical assistance pursuant to paragraph (a) of
subdivision four of section three hundred sixty-five-a of this title,
payments under this title shall be made at the following amounts:
(a) for drugs provided by medical practitioners and claimed separately
by the practitioners the lower of:
(i) (1) an amount equal to the national average drug acquisition cost
set by the federal centers for medicare and medicaid services for the
drug, if any, or if such amount is not available, the wholesale
acquisition cost of the drug based on the package size dispensed from,
as reported by the prescription drug pricing service used by the
department, (2) the federal upper limit, if any, established by the
federal centers for medicare and medicaid services; (3) the state
maximum acquisition cost, if any, established pursuant to paragraph (e)
of this subdivision; or (4) the actual cost of the drug to the
practitioner.
(ii) Notwithstanding subparagraph (i) of this paragraph and paragraph
(e) of this subdivision, for the Medicaid fee-for-service program, if a
drug has been purchased from a manufacturer by a covered entity pursuant
to section 340B of the federal public health service act (42 USCA §
256b), the actual amount paid by such covered entity. For purposes of
this subparagraph, a "covered entity" is an entity that meets the
requirements of paragraph four of subdivision (a) of such section that
elects to participate in the program established by such section, and
that causes claims for payment for drugs covered by this subparagraph to
be submitted to the medical assistance program, either directly or
through an authorized contract pharmacy. No medical assistance payments
may be made to a covered entity or to an authorized contract pharmacy of
a covered entity for drugs that are eligible for purchase under the
section 340B program and are dispensed on an outpatient basis to
patients of the covered entity, other than under the provisions of this
subparagraph. Medical practitioners submitting claims for reimbursement
of drugs purchased pursuant to section 340B of the public health service
act shall notify the department that the claim is eligible for purchase
under the 340B program, consistent with claiming instructions issued by
the department to identify such claims.
(iii) In no event shall a medical practitioner be reimbursed at an
amount that is lower than the state maximum acquisition cost, or for
drugs that do not have a state maximum acquisition cost, the wholesale
acquisition cost of the drug based on the package size.
(b) for drugs dispensed by pharmacies:
(i) (A) if the drug dispensed is a generic prescription drug, the
lower of: (1) an amount equal to the national average drug acquisition
cost set by the federal centers for medicare and medicaid services for
the drug, if any, or if such amount if not available, the wholesale
acquisition cost of the drug based on the package size dispensed from,
as reported by the prescription drug pricing service used by the
department, less seventeen and one-half percent thereof; (2) the federal
upper limit, if any, established by the federal centers for medicare and
medicaid services; (3) the state maximum acquisition cost, if any,
established pursuant to paragraph (e) of this subdivision; or (4) the
dispensing pharmacy's usual and customary price charged to the general
public; (B) if the drug dispensed is available without a prescription as
required by section sixty-eight hundred ten of the education law but is
reimbursed as an item of medical assistance pursuant to paragraph (a) of
subdivision four of section three hundred sixty-five-a of this title,
the lower of (1) an amount equal to the national average drug
acquisition cost set by the federal centers for medicare and medicaid
services for the drug, if any, or if such amount is not available, the
wholesale acquisition cost of the drug based on the package size
dispensed from, as reported by the prescription drug pricing service
used by the department, (2) the federal upper limit, if any, established
by the federal centers for medicare and medicaid services; (3) the state
maximum acquisition cost if any, established pursuant to paragraph (e)
of this subdivision; or (4) the dispensing pharmacy's usual and
customary price charged to the general public;
(ii) if the drug dispensed is a brand-name prescription drug, the
lower of:
(A) an amount equal to the national average drug acquisition cost set
by the federal centers for medicare and medicaid services for the drug,
if any, or if such amount is not available, the wholesale acquisition
cost of the drug based on the package size dispensed from, as reported
by the prescription drug pricing service used by the department; or (B)
the dispensing pharmacy's usual and customary price charged to the
general public; and
(iii) notwithstanding subparagraphs (i) and (ii) of this paragraph and
paragraphs (d) and (e) of this subdivision, if the drug dispensed is a
drug that has been purchased from a manufacturer by a covered entity
pursuant to section 340B of the federal public health service act (42
USCA § 256b), the actual amount paid by such covered entity pursuant to
such section, plus the reasonable administrative costs, as determined by
the commissioner, incurred by the covered entity or by an authorized
contract pharmacy in connection with the purchase and dispensing of such
drug and the tracking of such transactions. For purposes of this
subparagraph, a "covered entity" is an entity that meets the
requirements of paragraph four of subsection (a) of such section, that
elects to participate in the program established by such section, and
that causes claims for payment for drugs covered by this subparagraph to
be submitted to the medical assistance program, either directly or
through an authorized contract pharmacy. No medical assistance payments
may be made to a covered entity or to an authorized contract pharmacy of
a covered entity for drugs that are eligible for purchase under the
section 340B program and are dispensed on an outpatient basis to
patients of the covered entity, other than under the provisions of this
subparagraph. Pharmacies submitting claims for reimbursement of drugs
purchased pursuant to section 340B of the public health service act
shall notify the department that the claim is eligible for purchase
under the 340B program, consistent with claiming instructions issued by
the department to identify such claims.
(c) Notwithstanding subparagraph (i) of paragraph (b) of this
subdivision, if a qualified prescriber certifies "brand medically
necessary" or "brand necessary" in his or her own handwriting directly
on the face of a prescription, or in the case of electronic
prescriptions, inserts an electronic direction to clarify "brand
medically necessary" or "brand necessary", for a multiple source drug
for which a specific upper limit of reimbursement has been established
by the federal agency, in addition to writing "d a w" in the box
provided for such purpose on the prescription form, payment under this
title for such drug must be made under the provisions of subparagraph
(ii) of such paragraph.
(d) In addition to the amounts paid pursuant to paragraph (b) of this
subdivision, the department shall pay a professional pharmacy dispensing
fee for each such drug dispensed in the amount of ten dollars and eight
cents per prescription or written order of a practitioner; provided,
however that this professional dispensing fee will not apply to drugs
that are available without a prescription as required by section
sixty-eight hundred ten of the education law but do not meet the
definition of a covered outpatient drug pursuant to Section 1927K of the
Social Security Act.
(e) For a multiple source generic drug for which no specific upper
payment limit has been established by the federal centers for medicare
and medicaid services, the commissioner of health may establish a
maximum acquisition cost for such drug which shall be effective until
such time as a specific federal upper payment limit has been established
for such drug. The department shall use a similar methodology in
establishing such an interim price as that utilized by the centers for
medicare and Medicaid services in establishing the federal upper payment
limit. For this purpose, the department is authorized to enter into a
contract with an entity to provide technical and administrative support
to the commissioner of health.
(g) Notwithstanding any other provision of this subdivision to the
contrary, the department is authorized to implement a specialty pharmacy
program for the purpose of procuring certain specialty drugs at reduced
cost. The department is authorized to enter into contracts with one or
more contractors in order to obtain certain specialty drugs from a
limited number of sources at reduced prices. For purposes of this
paragraph, specialty drugs include, but are not limited to, chemotherapy
agents, hydration therapy agents, pain therapy agents, intravenous
administration of antibiotics or other drugs, and total parenteral
nutrition. All contracts entered into by the department to effectuate
the provisions of this section shall require the contractors to take
steps to assure that drugs provided pursuant to such contracts will be
readily accessible to consumers in a fashion that is no more restrictive
than that which was in effect prior to the implementation of the
specialty pharmacy program. This paragraph shall be effective only to
the extent that federal financial participation is available in the cost
of drugs obtained pursuant to this paragraph. The commissioner of health
is authorized to submit amendments to the state plan for medical
assistance and to submit applications for waivers under the social
security act to obtain the federal approvals necessary to implement this
paragraph. However, any pharmacy owned and operated by a not-for-profit
organization solely for the purpose of providing drugs to individuals
diagnosed with cystic fibrosis as part of a comprehensive clinical care
program approved by the national organization that accredits cystic
fibrosis care centers and maintains a national registry of cystic
fibrosis clinical data shall be exempt from the specialty pharmacy
program.
(h) The commissioner of health is authorized to establish a medication
therapy management pilot program in one or more counties or regions of
the state for the purpose of improving compliance with drug therapies
and improving clinical outcomes. Payments under such program may be made
to retail pharmacies for the provision of one-on-one medication regimen
counseling services for persons determined by the commissioner to be
eligible to receive such services. The commissioner is authorized to
establish fees for such counseling services, subject to the approval of
the director of the division of the budget. The provisions of this
paragraph shall not take effect unless all necessary approvals under
federal law and regulation have been obtained to receive federal
financial participation in the costs of services provided under this
paragraph.
(i)(i) The department of health shall establish a program for
synchronization of medications. Under the synchronization program, a
health care practitioner may prescribe a refill of one or more of the
patient's medications for a shorter period than would ordinarily be
provided, for the purpose of synchronizing refill dates of one or more
of the patient's medications subject to the synchronization when it is
agreed among the recipient, the health care practitioner and a
pharmacist that synchronization of multiple prescriptions for the
treatment of a chronic illness is in the best interest of the patient
for the management or treatment of a chronic illness provided that the
following apply to such medications:
(A) are covered by the department of health pursuant to this title;
(B) are used for treatment and management of a chronic illness that
are subject to refills;
(C) are not a schedule II controlled substance, nor a schedule III
controlled substance that contains hydrocodone or other opioid
medication as scheduled in section thirty-three hundred six of the
public health law, or a controlled substance under the federal
Controlled Substances Act;
(D) meet all prior authorization criteria specific to the medications
at the time of the synchronization request;
(E) are of a formulation that can be effectively and lawfully aligned
over required short fill periods to achieve synchronization; and
(F) do not have quantity limits or dose optimization criteria or state
or federal requirements that would be violated in fulfilling
synchronization.
(ii) The department of health shall not deny coverage for the
dispensing of a medication by a pharmacy for a partial supply when it is
for the purpose of synchronizing the patient's medications. When
applicable to permit synchronization, the department of health shall
allow a pharmacy to override any denial codes indicating that a
prescription is being refilled too soon for the purposes of medication
synchronization.
(iii) The dispensing fee paid to the pharmacy contracted to provide
services pursuant to this section for a partial supply associated with
medication synchronization shall be paid in accordance with the Medicaid
state plan as approved by the Centers for Medicare and Medicaid
Services.
(iv) The requirement of this paragraph applies only once for each
prescription drug subject to medication synchronization except when
either of the following occurs:
(I) the prescriber changes the dosage or frequency of administration
of the prescription drug subject to a medication synchronization; or
(II) the prescriber prescribes a different drug.
(v) Nothing in this paragraph shall be deemed to require health care
practitioners and pharmacists to synchronize the refilling of multiple
prescriptions for a recipient.
(vi) The provisions of this paragraph are subject to compliance with
all applicable federal and state laws and regulations, including the
Centers for Medicare and Medicaid Services approved Medicaid state plan.
The commissioner shall apply for waivers and submit state Medicaid plan
amendments as are necessary to implement the program for synchronization
of medications.
* NB Effective until March 31, 2029
* 9. Notwithstanding any inconsistent provision of law or regulation
to the contrary, for those drugs which may not be dispensed without a
prescription as required by section sixty-eight hundred ten of the
education law and for which payment is authorized pursuant to paragraph
(g) of subdivision two of section three hundred sixty-five-a of this
title, payments under this title shall be made at the following amounts:
(a) for drugs provided by medical practitioners and claimed separately
by the practitioners, the actual cost of the drugs to the practitioners;
and
(b) for drugs dispensed by pharmacies:
(i) if the drug dispensed is a multiple source prescription drug for
which an upper limit has been set by the federal health care financing
administration, an amount equal to the specific upper limit set by such
federal agency for the multiple source prescription drug, and
(ii) if the drug dispensed is a multiple source prescription drug or a
brand-name prescription drug for which no specific upper limit has been
set by such federal agency, the lower of the estimated acquisition cost
of such drug to pharmacies, or the dispensing pharmacy's usual and
customary price charged to the general public. Estimated acquisition
cost means the average wholesale price of a prescription drug based upon
the package size dispensed from, as reported by the prescription drug
pricing service used by the department, less ten percent thereof, and
updated monthly by the department.
(c) Notwithstanding subparagraph (i) of paragraph (b) of this
subdivision, if a qualified prescriber certifies "brand medically
necessary" or "brand necessary" in his or her own handwriting directly
on the face of a prescription for a multiple source drug for which a
specific upper limit of reimbursement has been established by the
federal agency, in addition to writing "d a w" in the box provided for
such purpose on the prescription form, payment under this title for such
drug must be made under the provisions of subparagraph (ii) of such
paragraph.
(d) In addition to the amounts paid pursuant to paragraph (b) of this
subdivision to pharmacies for those drugs which may not be dispensed
without a prescription, as required by section sixty-eight hundred ten
of the education law and for which payment is authorized pursuant to
paragraph (g) of subdivision two of section three hundred sixty-five-a
of this title, the department shall pay a pharmacy dispensing fee for
each such prescription drug dispensed, which dispensing fee shall not be
less than the following amounts:
(i) for prescription drugs categorized as generic by the prescription
drug pricing service used by the department, five dollars and fifty
cents per prescription; and
(ii) for prescription drugs categorized as brand-name prescription
drug by the prescription drug pricing service used by the department,
four dollars and fifty cents per prescription.
* NB Effective March 31, 2029
10. Any provider except for those providers certified under article
twenty-eight of the public health law, of ordered services or supplies
under the medical assistance program may be required to provide
financial security to assure that funds are available to repay any
overpayments made to the provider under this title and to assure the
financial security of the medical assistance program. For the purposes
of this subdivision, "ordered services or supplies" shall mean those
services or supplies described in paragraphs (g), (i) and (j) of
subdivision two of section three hundred sixty-five-a of this title.
(a) Any financial security required by this subdivision must meet the
requirements of this paragraph. Financial security may be provided
through a bond with a corporate surety, from a company authorized to do
business in this state, or an irrevocable letter of credit or
certificate of deposit from a New York state or federally chartered
bank, trust company, savings bank or savings and loan association
qualified to do business in New York state and insured by the federal
deposit insurance corporation.
(b) The bond, letter of credit or certificate of deposit shall be
payable in favor of the people of the state of New York for the purpose
of indemnifying the medical assistance program against any overpayments
made to the provider.
(c) The bond, letter of credit or certificate of deposit filed and
maintained pursuant to this section shall not be cancelled, revoked or
terminated except after notice to, and with the consent of, the
department at least forty-five days in advance of such cancellation,
revocation or termination.
(d) The department may bring and maintain an action against the
provider and the surety or bank, trust company, savings bank or savings
and loan association for any claimed overpayments made to the provider.
(e) Financial security shall not be required for providers which do
not submit claims for payment under the medical assistance program
exceeding five hundred thousand dollars per annum or forty-two thousand
dollars per month.
(f) Financial security shall be in an amount equal to the provider's
estimated claims for payment for a one year period and may be adjusted
bi-annually in accordance with the dollar amount of claims actually
submitted. If the commissioner is satisfied from an investigation of the
financial condition of a provider that the provider is solvent and
possessed of sufficient assets to provide reasonable assurance of
recovery of any overpayments, the commissioner may modify the amount of
financial security to be provided by such provider.
(g) Financial security must be submitted by a provider upon initial
application for enrollment as a provider of medical assistance and with
each subsequent enrollment. A change in ownership of a provider shall
not release, cancel or terminate liability under this section under any
bond, letter of credit or certificate of deposit filed for a provider
while such bond, letter of credit or certificate of deposit is in effect
unless the transferee, purchaser, successor or assignee of such provider
obtains a bond, letter of credit or certificate of deposit under this
section for the benefit of such new owner. All providers enrolled in the
medical assistance program on the effective date of this subdivision
will be required to submit financial security within ninety days of
notice of such requirements by the department.
(h) The department may make the submission of the financial security
required by this subdivision a condition of participation in the medical
assistance program.
11. (a) Any inconsistent provisions of this title or other law
notwithstanding, no health insurer, self-insured plan, managed care
organization, pharmacy benefit manager, or other party that is, by
statute, contract, or agreement, legally responsible for payment of a
claim for a health care item or service, employer or organization who
has a plan, including an employee retirement income security act or
service benefit plan, providing care and other medical benefits for
persons, whether by insurance or otherwise, shall exclude a person from
eligibility, coverage or entitlement to medical benefits by reason of
the eligibility of such person for medical assistance under this title,
or by reason of the fact that such person would, except for such plan,
be eligible for benefits under this title.
(b) Any inconsistent provisions of this title or other law
notwithstanding, no insurer may impose requirements on the department or
a social services district which has been assigned the rights of an
individual who is eligible for medical assistance under this title and
who is covered for health benefits from the insurer, that are different
from requirements applicable to an agent or assignee of any other
individual so covered.
(c) Any inconsistent provisions of this title or other law
notwithstanding, the department may, to the extent necessary to
reimburse the department and the social services districts for
expenditures under this title, certify to the commissioner of taxation
and finance pursuant to section one hundred seventy-one-f of the tax law
amounts to be withheld from tax refunds otherwise due to any individual
who is required by court order to provide medical support in the form of
health insurance benefits for a child who is eligible for medical
assistance under this title and who has received payment from a
third-party for the cost of such services for such child but has not
used such payments to reimburse either the other parent or guardian of
such child or the provider of such services or the appropriate social
services district; provided however, that any claims for current or
past-due child support shall take priority over any such claims for the
costs of such services and care. Such amounts shall be withheld pursuant
to section one hundred seventy-one-f of the tax law, and shall be
credited to unreimbursed medical assistance incurred on behalf of such
child. The department shall by regulation establish procedures
consistent with paragraphs (a) and (b) of subdivision four of section
one hundred seventy-one-c of the tax law by which any individual who is
the subject of a certification may contest such certification.
12. Prior to receiving medical assistance under subparagraphs five and
six of paragraph (c) of subdivision one of section three hundred
sixty-six of this title, a person whose net available income is at least
one hundred fifty percent of the applicable federal income official
poverty line, as defined and updated by the United States department of
health and human services, must pay a monthly premium, in accordance
with a procedure to be established by the commissioner. The amount of
such premium shall be twenty-five dollars for an individual who is
otherwise eligible for medical assistance under such subparagraphs, and
fifty dollars for a couple, both of whom are otherwise eligible for
medical assistance under such subparagraphs. No premium shall be
required from a person whose net available income is less than one
hundred fifty percent of the applicable federal income official poverty
line, as defined and updated by the United States department of health
and human services.
Medical assistance information and payment system. 1. The
department shall design and implement a statewide medical assistance
information and payments system for the purpose of providing individual
and aggregate data to social services districts to assist them in making
basic management decisions, to the department and other state agencies
to assist in the administration of the medical assistance program, and
to the governor and the legislature as may be necessary to assist in
making major administrative and policy decisions affecting such program.
Such system shall be designed so as to be capable of the following:
a. receiving and processing information relating to the eligibility of
each person applying for medical assistance and of issuing a medical
assistance identification card to persons determined by a social
services official to be eligible for such assistance;
b. receiving and processing information relating to each qualified
provider of medical assistance furnishing care, services or supplies for
which claims for payment are made pursuant to this title;
c. receiving and processing, in a form and manner prescribed by the
department, all claims for medical care, services and supplies, and
making payments for valid claims to providers of medical care, services
and supplies on behalf of social services districts;
d. maintaining information necessary to allow the department,
consistent with the powers and duties of the department of health, to
review the appropriateness, scope and duration of medical care, services
and supplies provided to any eligible person pursuant to this chapter;
and
e. initiating implementation of such a system for the district
comprising the city of New York, in a manner compatible with expansion
of such system to districts other than the district comprising the city
of New York.
2. Consistent with the capabilities of the system established pursuant
to subdivision one of this section, the department shall assume payment
responsibilities on behalf of social services districts by promulgation
of regulations approved by the director of the budget. Such regulations
shall specify the providers of medical assistance and the medical care,
services and/or supplies for the district or districts for which the
department will assume payment responsibilities and the date on which
such responsibilities shall be assumed. Such regulations shall be
published for comment at least thirty days in advance of their
promulgation and shall be filed with the secretary of state at least
sixty days in advance of the date of assumption of responsibilities;
provided, however, that with respect to a particular district the
requirements for advance publications and/or filing may be waived, or
the time limits reduced, with the written consent of the district to
such waiver or reduction. Providers of medical care and services shall
submit claims to the social services district for all items of care,
services and supplies furnished prior to the date of state assumption of
payment responsibilities and to the state for all such items furnished
subsequent to such date. Such regulations shall also specify a final
transition date after which any claiming submitted shall be enforceable
by such provider only against the state and shall not be enforceable by
such provider against the social services district; provided, however,
that the department and the district may enter into a written agreement
by which the department agrees on the basis of eligibility information
provided by such district to pay claims submitted to such district prior
to the final transition date.
3. Upon notice to a social services district in accordance with
subdivision two, that the department intends to assume payment
responsibilities on behalf of such district, (a) such district shall
promptly submit to the department requested information regarding each
person who applies for or has been determined eligible for medical
assistance and each provider of medical assistance in such district; and
(b) notwithstanding the provisions of paragraph (b) of subdivision three
of section three hundred sixty-six-a of this chapter, the department
shall provide each person found by such district to be eligible for
medical assistance under this title with a medical assistance
identification card.
4. Information relating to persons applying for or receiving medical
assistance shall be considered confidential and shall not be disclosed
to persons or agencies other than those considered entitled to such
information in accordance with section one hundred thirty-six when such
disclosure is necessary for the proper administration of public
assistance programs.
5. By no later than forty-five days following the end of each calendar
quarter after the second quarter of calendar year nineteen hundred
seventy-six, the department shall, until full implementation has been
achieved in all social services districts, report to the governor and
the legislature regarding the current status of the medical assistance
information and payment system, summarizing the progress achieved during
the previous quarter and the anticipated major achievements of the
succeeding two calendar quarters. The report shall include the current
and anticipated overall expenditure and staffing levels for functions
relating to the system, and shall specify each district affected or
anticipated to be affected during the succeeding two calendar quarters
and summarize the manner in which each such district is, or is
anticipated to be, affected. In addition, the department shall prepare
and submit to the governor and the legislature a special report
demonstrating the appropriateness and relative cost-effectiveness of
utilizing a fiscal intermediary.
In addition, for the purpose of insuring the compatability of the
system servicing the district comprising the city of New York with the
system servicing all other social services districts in the state, the
department shall prepare and submit to the governor and the legislature
on or before March first, nineteen hundred seventy-eight, a special
report and recommendation covering the appropriateness and relative cost
effectiveness of utilizing a fiscal intermediary or fiscal agent for all
districts other than the district comprising the city of New York.
6. Each social services district shall be responsible for paying to
the state a share of the state's expenditures for claims of providers of
medical assistance attributable to such district, which shall be equal
to the share of such expenditures such district would have borne after
reimbursement from state and federal funds in accordance with section
three hundred sixty-eight-a of this chapter, had the expenditure been
made by such district; provided, however, that no district shall be
responsible for the state's expenditures for the administrative costs of
developing, maintaining or operating the statewide medical assistance
information and payment system; and provided, further, that no district
shall be responsible for paying to the state any portion of the cost of
medical assistance which the department is responsible for furnishing
pursuant to section three hundred sixty-five of this chapter.
7. In any case in which the department has made payments for medical
assistance on behalf of a social services district pursuant to this
section, the commissioner on behalf of the social services official
shall be empowered to bring actions to recover the cost of such
assistance, pursuant to this subdivision and the provisions of title six
of article three of this chapter.
8. (a) For the purpose of orderly and timely implementation of the
medical assistance information and payment system, the department is
hereby authorized to enter into agreements with fiscal intermediaries or
fiscal agents for the design, development, implementation, operation,
processing, auditing and making of payments, subject to audits being
conducted by the state in accordance with the terms of such agreements,
for medical assistance claims under the system described by this section
in any social services district. Such agreements shall specifically
provide that the state shall have complete oversight responsibility for
the fiscal intermediaries' or fiscal agents' performance and shall be
solely responsible for establishing eligibility requirements for
recipients, provider qualifications, rates of payment, investigation of
suspected fraud and abuse, issuance of identification cards,
establishing and maintaining recipient eligibility files, provider
profiles, and conducting state audits of the fiscal intermediaries' or
agents' at least once annually. The system described in this subdivision
shall be operated by one or more fiscal intermediaries or fiscal agents
in accordance with this subdivision unless the department is otherwise
authorized by a law enacted subsequent to the effective date of this
subdivision to operate the system in another manner. In no event shall
such intermediary or agent be a political subdivision of the state or
any other governmental agency or entity. Notwithstanding the foregoing,
the department may make payments to a provider upon the commissioner's
determination that the provider is temporarily unable to comply with
billing requirements. The department shall consult with the office of
Medicaid inspector general regarding any activities undertaken by the
fiscal intermediaries or fiscal agents regarding investigation of
suspected fraud and abuse.
(b) The department of health, in consultation with the office of
Medicaid inspector general, shall develop, test and implement new
methods to strengthen the capability of the medical assistance
information and payment system to detect and control fraud and improve
expenditure accountability, and is hereby authorized to enter into
further agreements with fiscal and/or information technology agents for
the development, testing and implementation of such new methods. Any
such agreements shall be with agents which have demonstrated expertise
in the areas addressed by the agreement. Such methods shall, at a
minimum, address the following areas:
(1) Prepayment claims review. Develop, test and implement an automated
claims review process which, prior to payment, shall subject medical
assistance program services claims to review for proper coding and such
other review as may be deemed necessary. Services subject to review
shall be based on: the expected cost-effectiveness of reviewing such
service; the capabilities of the automated system for conducting such a
review; and the potential to implement such review with negligible
effect on the turnaround of claims for provider payment or on recipient
access to necessary services. Such initiative shall be designed to
provide for the efficient and effective operation of the medical
assistance program claims payment system by performing functions
including, but not limited to, capturing coding errors, misjudgments,
incorrect or multiple billing for the same service and possible excesses
in billing or service use, whether intentional or unintentional.
(2) Coordination of benefits. Develop, test and implement an automated
process to improve the coordination of benefits between the medical
assistance program and other sources of coverage for medical assistance
recipients. Such initiative shall initially examine the savings
potential to the medical assistance program through retrospective review
of claims paid which shall be completed not later than January
thirty-first, two thousand seven. If, based upon such initial
experience, the Medicaid inspector general deems the automated process
to be capable of including or moving to a prospective review, with
negligible effect on the turnaround of claims for provider payment or on
recipient access to services, then the Medicaid inspector general in
subsequent tests shall examine the savings potential through
prospective, pre-claims payment review.
(3) Comprehensive review of paid claims. Take all reasonable and
necessary actions to intensify the state's current level of monitoring,
analyzing, reporting and responding to medical assistance program claims
data maintained by the state's medical assistance information and
payment system contract agents. Pursuant to this initiative, the
department of health, in collaboration with the office of Medicaid
inspector general, shall make efforts to improve the utilization of such
data in order to better identify fraud and abuse within the medical
assistance program and to identify and implement further program and
patient care reforms for the improvement of such program. In addition,
the department of health, in consultation with such contract agents and
the office of Medicaid inspector general, shall identify additional data
elements that are maintained and otherwise accessible by the state,
directly or through any of its contractors, that would, if coordinated
with medical assistance data, further increase the effectiveness of data
analysis for the management of the medical assistance program. To
further the objectives of this subparagraph, the department of health,
in collaboration with the office of Medicaid inspector general, shall
provide or arrange in-service training for state and county medical
assistance personnel to increase the capability for state and local data
analysis, leading to a more cost-effective operation of the medical
assistance program.
(4) Targeted claims and utilization review. Develop, test and
implement an automated process for the targeted review of claims,
services and/or populations not later than January thirty-first, two
thousand seven. Such review shall be for the purposes of identifying
statistical aberrations in the use or billing of such services and for
assisting in the development and implementation of measures to ensure
that service use and billing are appropriate to recipients' needs.
(c) The commissioner of health shall prepare and submit an interim
report to the governor and legislature on the implementation of the
initiatives specified in paragraph (b) of this subdivision no later than
December first, two thousand seven. Such report shall also include
recommendations for any revisions that would further facilitate the
goals of such paragraph, including recommendations for expansion. In
addition, the commissioner of health shall submit a final report not
later than December first, two thousand eight. In preparing such interim
and final reports, the commissioner of health shall consult with the
Medicaid inspector general, third-party agents, providers and recipients
associated with the implementation of paragraph (b) of this subdivision.
9. (a) In order to accomplish a more orderly transition to the medical
assistance information and payment system authorized by this section,
and to continue for a limited transition period the rate at which
advanced revenues have been made available by local governmental units
to certain hospitals providing services to persons eligible for medical
assistance, the department is authorized to promulgate regulations
establishing a system of accelerated payments to hospitals meeting the
criteria set forth in this section.
(b) Such system of accelerated payments shall only be available to a
general hospital, other than a public general hospital:
(i) which prior to January first, nineteen hundred seventy-eight
received regular, periodic and recurring advanced revenues from a local
governmental unit, the amount of which was based on anticipated medical
assistance claims payments; and
(ii) which has demonstrated that its continued financial viability
depends in substantial part on the rate at which such advanced revenues
were made available by local governmental units prior to the time the
department, pursuant to this section, assumed payment for such hospital
responsibilities on behalf of the social services district in which it
is located, taking into account any funds remaining available from the
local governmental unit under its system of advanced revenues. For
purposes of this subdivision, it shall be presumed that a hospital does
not depend in substantial part on the rate at which advanced revenues
were made available by a local governmental unit if it received such
revenues for a period of less than nine months preceding the month in
which the department assumed payment responsibilities for such hospital;
(iii) for which payment responsibility is initially assumed by the
department pursuant to this section during the period beginning June
first, nineteen hundred seventy-eight and ending November thirtieth,
nineteen hundred seventy-eight; and
(iv) which meets performance criteria established by department
regulation relating to the ratio of acceptable claims for patient days
submitted for medical assistance payment compared to the total patient
days of the hospital and compared to such claims submitted in one or
more previous months, and the time lapse between the date the service
was provided and the date the claim was submitted.
(c) The regulations promulgated by the department pursuant to
paragraph (a) of this subdivision shall provide that the amount of the
accelerated payment for any month shall be determined for each hospital
meeting the criteria set forth in this section on the basis of
acceptable medical assistance claims submitted by the hospital in one or
more previous months and the amount of accelerated revenues made
available to the hospital by a local governmental unit prior to the time
the department assumed payment responsibilities for the hospital. The
amount of the accelerated payment for any given month shall not exceed
the amount of a monthly aggregate claim to be submitted by the hospital
to the department, which claim shall reflect items of care, services and
supplies authorized under the medical assistance program pursuant to
this title which are in fact provided prior to the date of the aggregate
claim to persons who have been determined eligible for medical
assistance, or based on the past performance of the hospital are likely
to be determined eligible for medical assistance, when no other source
of payment including third party health insurance and payments pursuant
to title eighteen of the Federal Social Security Act are available for
such items of care, service and supplies. Such aggregate claims shall be
subject to the audit and warrant of the state comptroller.
(d) Any schedule of accelerated payments established by the department
pursuant to this section shall assure that such payments are made for a
period of no more than six months from the month in which the department
assumes payment responsibility for the hospital, and shall provide for
repayment of any amounts in excess of current audited claims, through
reductions in current claims, at a rate that will assure full repayment
at the earliest time consistent with the purposes of this section, but
in no event more than twenty-four months following the month in which
the department assumes payment responsibilities for the hospital.
However, where the commissioner of health has determined with the
concurrence of the state hospital review and planning council that a
hospital has satisfied the department of health regulations and is or
has been authorized to participate in the emergency hospital
reimbursement program pursuant to which repayment of all or part of any
accelerated payments made by the department have been deferred in
accordance with such regulations, notwithstanding the time limitations
set forth above repayment of such deferred amounts shall be made in
accordance with an orderly schedule of repayment established by the
commissioner of health after consultation with the commissioner. In no
event shall any reduction be made against current claims, grant funds or
any amounts due said hospital in settlement of rate appeals, claims or
lawsuits to satisfy such repayment obligations.
(e) In making accelerated payments pursuant to this subdivision and
department regulations, the department shall utilize federal funds made
available, and local funds, for such purposes or for purposes of payment
by the department of medical assistance payments pursuant to this
section.
* 10. a. For the purpose of timely payment, the department is hereby
authorized to develop a concurrent payment system for general hospitals
which elect to participate in the concurrent payment system and which
are included in the payment component of the medical assistance
information and payment system, and to promulgate regulations to govern
such a system. The department may implement the concurrent payment
system for any general hospital which has elected to participate and for
which the department has chosen to implement the system.
b. For all participating general hospitals the department shall
determine a biweekly concurrent payment which shall equal one
twenty-sixth of the portion of the hospital's imputed or certified
inpatient revenue cap (as defined in section twenty-eight hundred
seven-a of the public health law) allocated for medical assistance
payments. The concurrent payment shall be reviewed at the beginning of
each quarter and adjusted to reflect any changes to the inpatient
revenue cap or portion allocated for medical assistance payments.
c. The department shall promulgate regulations, consistent with
federal requirements for participation, governing the concurrent payment
system. The regulations shall address, among other things, the method
of calculating the concurrent payment, the method of reconciliation, the
adjustment of the concurrent payment for the calculated difference, the
manner of eliminating underpayments or overpayments to hospitals in
exceptional circumstances such as significantly changing utilization,
changes in bed or service capacity, or imminent insolvency. The
department shall promulgate regulations establishing a procedure for
recognizing open cases as of the date of reconciliation. The department
shall also promulgate regulations setting forth standards for the
timeliness and quality of billings and may lower the concurrent payment
calculated in accordance with paragraph b of this subdivision for
noncompliance with such regulations.
d. Any payment claims made to the department for days of inpatient
care provided prior to the effective date of this subdivision shall be
paid or denied in accordance with department regulations in effect when
the care was provided.
e. For any general hospital which is not afforded the opportunity of
participating in the concurrent payment system and which is in
compliance with the billing requirements of the department, the
department shall pay any financing or working capital charge levied by
the hospital as authorized in section twenty-eight hundred seven-a of
the public health law.
f. This subdivision shall be effective only if federal participation
is available.
* NB Expires January 1, 1986
11. a. For the purpose of timely payment, the department is hereby
authorized to develop a concurrent payment system for general hospitals
which elect to participate in the concurrent payment system and which
are included in the payment component of the medical assistance
information and payment system, and to promulgate regulations to govern
such a system. The department may implement the concurrent payment
system for any general hospital which has elected to participate and for
which the department has chosen to implement the system.
b. For all participating general hospitals the department shall
determine a biweekly concurrent payment which shall equal one
twenty-sixth of the hospital's estimated yearly inpatient revenue from
medical assistance payments. The concurrent payment shall be reviewed at
the beginning of each quarter and adjusted to reflect any changes to the
rates for medical assistance payments.
c. The department shall promulgate regulations, consistent with
federal requirements for participation, governing the concurrent payment
system. The regulations shall address, among other things, the method
of calculating the concurrent payment, the method of reconciliation, the
adjustment of the concurrent payment for the calculated difference, the
manner of eliminating underpayments or overpayments to hospitals in
exceptional circumstances such as significantly changing utilization,
changes in bed or service capacity, or imminent insolvency. The
department shall promulgate regulations establishing a procedure for
recognizing open cases as of the date of reconciliation. The department
shall promulgate regulations setting forth standards for the timeliness
and quality of billings and may lower the concurrent payment calculated
in accordance with paragraph b of this subdivision for noncompliance
with such regulations.
d. Any payment claims made to the department for days of inpatient
care provided prior to the effective date of this subdivision shall be
paid or denied in accordance with department regulations in effect when
the care was provided.
e. For any general hospital which is not afforded the opportunity of
participating in the concurrent payment system and which is in
compliance with the billing requirements of the department, the
department shall pay any financing or working capital charge levied by
the hospital as authorized in section twenty-eight hundred seven-a of
the public health law.
f. This subdivision shall be effective only if federal participation
is available.
12. (a) For the purpose of regulating cash flow for general hospitals,
the department shall develop and implement a payment methodology to
provide for timely payments for inpatient hospital services eligible for
case based payments per discharge based on diagnosis-related groups
provided during the period January first, nineteen hundred eighty-eight
through March thirty-first two thousand twenty-nine, by such hospitals
which elect to participate in the system.
(b) In developing a payment methodology the department shall consider
a system under which hospitals may be reimbursed on the basis of
inpatient admissions, adjusted to payment on the basis of discharge
data, with reconciliations established at time periods specified by the
department. Under such a system variances between amounts paid on an
admission basis and actual amounts due and to be paid on a discharge
basis may be reflected in the amounts to be paid in a subsequent period.
13. Notwithstanding any inconsistent provision of law, in lieu of
payments authorized by this chapter and/or any of the general fund or
special revenue other appropriations made to the office of temporary and
disability assistance and the office of children and family services,
from funds otherwise due to local social services districts or in lieu
of payments of federal funds otherwise due to local social services
districts for programs provided under the federal social security act or
the federal food stamp act or the low income home energy assistance
program, funds in amounts certified by the commissioner of the office of
temporary and disability assistance or the commissioner of the office of
children and family services or the commissioner of health as due from
local social services districts as their share of payments made pursuant
to this section, may be set-aside by the state comptroller in an
interest-bearing account with such interest accruing to the credit of
the locality, pursuant to an estimate provided by the commissioner of
health of a local social services district's share of medical assistance
payments, except that in the case of the city of New York, such
set-aside shall be subject first to the requirements of a section of the
chapter of the laws of two thousand one which enacted this provision,
and then subject to the requirements of paragraph (i) of subdivision (b)
of section two hundred twenty-two-a of chapter four hundred seventy-four
of the laws of nineteen hundred ninety-six prior to the application of
this subdivision. Should funds otherwise payable to a local social
services district from appropriations made to the office of temporary
and disability assistance, the office of children and family services,
and the department of health be insufficient to fully fund the amounts
identified by the commissioner of health as necessary to liquidate the
local share of payments to be made pursuant to this section on behalf of
the local social services district, the commissioner of health may
identify other state or federal payments payable to that local social
services district or any other county agency including, but not limited
to the county department of health, from appropriations made to the
state department of health, and may authorize the state comptroller,
upon no less than five days written notice to such local social services
district or such other county agency, to set-aside such payments in the
interest-bearing account with such interest accruing to the credit of
the locality. Upon such determination by the commissioner of health that
insufficient funds are payable to a local social services district and
any other county agency receiving payments from the office of temporary
and disability assistance, the office of children and family services,
and the state department of health from appropriations made to these
agencies, the state comptroller shall, upon no less than five days
written notice to such local social services district or such other
county agency, withhold payments from any of the general fund - local
assistance accounts or payments made from any of the special revenue -
federal local assistance accounts, provided, however, that such federal
payments shall be withheld only after such federal funds are properly
credited to the county through vouchers, claims or other warrants
properly received, approved, and paid by the state comptroller, and
set-aside such disbursements in the interest-bearing account with such
interest accruing to the credit of the locality until such time that the
amount withheld from each county is determined by the commissioner of
health to be sufficient to fully liquidate the local share of payments,
as estimated by the commissioner of health, to be made pursuant to this
section on behalf of that local social services district.
14. Notwithstanding any other provision of law, effective on or before
January first, two thousand one, the local social services district
share of medical assistance payments made by the state on behalf of the
local social services district shall be paid to the state by the local
social services district using electronic funds transfer under the
supervision of the state comptroller and pursuant to rules and
regulations of the commissioner of health. The state comptroller shall
deposit such funds in the medicaid management information system
statewide escrow fund to the credit of each local district. In the event
that the state comptroller and commissioner of health determine that
there are insufficient funds available from the local district to
liquidate their local share of medical assistance payments, the
commissioner of health shall issue a repayment schedule to the state
comptroller for purposes of reducing reimbursement from other sources of
payment from the state to the city or county of which the local social
services district is a part in accordance with subdivision thirteen of
this section, until the amounts due from the local district are
recovered in full plus any interest that would have otherwise accrued to
the fund had such fund had sufficient balances from the local district.
Upon determination by the state comptroller that insufficient sources of
payment are available to fully liquidate the local social services
district share of medical assistance payments, the commissioner of
health shall include in such schedule a charge to the county equal to
the amount of interest otherwise earned by the state short-term interest
pool, plus any interest penalty as the commissioner of health may
determine, until such time as the district has fully liquidated its
liability pursuant to the provisions of this chapter.
Payment for long term home health care programs. 1. If a long
term home health care program as defined under article thirty-six of the
public health law is provided in the social services district for which
he has authority, the local social services official, before he
authorizes care in a nursing home or intermediate care facility for a
person eligible to receive services under this title, shall notify the
person in writing of the provisions of this section.
2. If a person eligible to receive services under the provisions of
this title who requires care, treatment, maintenance, nursing or other
services in a nursing home desires to remain and is deemed by his
physician able to remain in his own home or the home of a responsible
relative or other responsible adult if the necessary services are
provided, such person or his representative shall so inform the local
social services official. If a long term home health care program as
defined under article thirty-six of the public health law is provided in
the social services district for which he has authority, such official
shall authorize an assessment under the provisions of section thirty-six
hundred sixteen of the public health law. If the results of the
assessment indicate that the person can receive the appropriate level of
care at home, the official shall prepare for that person a plan for the
provision of services comparable to those that would be rendered in a
nursing home. In developing such plan, the official shall consult with
those persons performing the assessment. The services shall be provided
by a certified home health agency, hospital, or residential health care
facility authorized by the commissioner of health under article
thirty-six of the public health law to provide a long term home health
care program. At the time of the initial assessment, and at the time of
each subsequent assessment performed under the provisions of section
thirty-six hundred sixteen of the public health law, or more often if
the person's needs require, the official shall establish a monthly
budget in accordance with which he shall authorize payment for the
services provided under such plan. Total monthly expenditures made under
this title for such person shall not exceed a maximum of seventy-five
per cent, or such lesser percentage as may be determined by the
commissioner, of the average of the monthly rates payable under this
title for nursing home services within the social services district for
which the official has authority. However, if a continuing assessment of
the person's needs demonstrates that he requires increased services, the
social services official may authorize the expenditure of any amount
accrued under this section during the past twelve months as a result of
the expenditures for that person not exceeding such maximum. If an
assessment of the person's needs demonstrates that he requires services
the payment for which would exceed such monthly maximum, but it can be
reasonably anticipated that total expenditures for required services for
such person will not exceed such maximum calculated over a one year
period, the social services official may authorize payment for such
services.
3. If a person eligible to receive services under the provisions of
this title who requires health related care and services in an
intermediate care facility desires to remain and is deemed by his
physician able to remain in his own home or the home of a responsible
relative or other responsible adult if the necessary services are
provided, such person or his representative shall so inform the local
social services official. If a long term home health care program as
defined under article thirty-six of the public health law is provided in
the social services district for which he has authority, such official
shall authorize an assessment under the provisions of section thirty-six
hundred sixteen of the public health law. If the results of the
assessment indicate that the person can receive the appropriate level of
care at home, the official shall prepare for that person a plan for the
provision of services comparable to those that would be rendered in an
intermediate care facility. In developing such plan, the official shall
consult with those persons performing the assessment. The services shall
be provided by a certified home health agency, hospital, or residential
health care facility authorized by the commissioner of health under
article thirty-six of the public health law to provide a long term home
health care program. At the time of the initial assessment and at the
time of each subsequent assessment performed under the provisions of
section thirty-six hundred sixteen of the public health law, or more
often if the person's needs require, the official shall establish a
monthly budget in accordance with which he shall authorize payment for
the services provided under that plan. Total monthly expenditures made
under this title for such person shall not exceed a maximum of
seventy-five per cent, or such lesser percentage as may be determined by
the commissioner, of the average of the monthly rates paid under this
title for the provision of health related care and services in
intermediate care facilities within the social services district for
which the official has authority. However, if a continuing assessment of
the person's needs demonstrates that he requires increased services, the
social services official may authorize the expenditure of any amount
accrued under this section during the past twelve months as a result of
the expenditures for that person not exceeding such maximum. If an
assessment of the person's needs demonstrates that he requires services
the payment for which would exceed such monthly maximum, but it can be
reasonably anticipated that total expenditures for required services for
such person will not exceed such maximum calculated over a one year
period, the social services official may authorize payment for such
services.
3-a. (a) Notwithstanding any inconsistent provision of this section,
the commissioner is authorized and directed to establish a demonstration
program for the purpose of determining the impact of raising the
limitation on expenditures for the delivery of long term home health
care services to persons with special needs as defined in this
subdivision. Pursuant to such program, the commissioner shall permit
local social services officials to authorize, at their discretion, and
only after a determination that the maximum expenditure available
pursuant to subdivisions two and three of this section is not sufficient
to provide or continue to provide long term home health care services to
persons with special needs, maximum monthly expenditures for services
under this title to such persons, not to exceed one hundred percent of
the average of the monthly rates payable under this title for services
in a nursing home or intermediate care facility within the social
services district for which the social services official has authority.
However, if a continuing assessment of a person with special needs
demonstrates that he requires increased services, the social services
official may authorize the expenditure of any amount accrued under this
section during the past twelve months as a result of the expenditures
for that person not having exceeded such maximum. If an assessment of a
person with special needs demonstrates that he requires increased
services the payment for which would exceed such monthly maximum, but it
can be reasonably anticipated that total expenditures for required
services for such person will not exceed such maximum calculated over a
one year period, the social services official may authorize payment for
such services.
(b) As used in this subdivision, the term "person with special needs"
shall mean a person for whom a plan of care has been developed pursuant
to subdivision two or three of this section who (1) needs care including
but not limited to respiratory therapy, tube feeding, decubitus care or
insulin therapy which cannot be appropriately provided by a personal
care aide as defined in regulations issued by the commissioner, or (2)
has one or more of the following conditions: mental disability as
defined in section 1.03 of the mental hygiene law, acquired immune
deficiency syndrome, or dementias, including Alzheimer's disease.
(c) The number of persons with special needs for whom a local social
services official may authorize payment for services pursuant to
paragraph (a) of this subdivision shall be limited to twenty-five
percent of the total number of persons, all long term home health care
programs, within a social services district are authorized to serve;
provided, however, in any district containing a city having a population
of one million or more, such limit shall be fifteen percent.
(d) In the event that a district reaches the limitation specified in
paragraph (c) of this subdivision, the local social services official
may, upon the approval of the commissioner, authorize payment for
services, pursuant to paragraph (a) of this subdivision, for additional
persons with special needs.
4. Notwithstanding any inconsistent provision of this section, if two
members of this same household, eligible to receive services under this
title, require care and services in either a nursing home or an
intermediate care facility, and assessments conducted pursuant to the
provisions of this section indicate that such persons can receive the
appropriate level of care at home, then such care may be provided at
home where total monthly expenditures made under this title for such
persons shall not exceed a maximum of seventy-five percent, or such
lesser percentage as may be determined by the commissioner, of the
monthly rates which would be payable under this title for both members
of the household for nursing home and/or intermediate care facility
services within the social services district. If assessments of such
persons' needs demonstrate that they require services the payment for
which would exceed such monthly maximum, but it can be reasonably
anticipated that total expenditures for required services for such
persons will not exceed the maximum calculated over a one year period, a
social services official may authorize payment for such services.
5. If a person eligible to receive services under the provisions of
this title who is medically eligible for care, treatment, maintenance,
nursing or other services in a nursing home or is medically eligible for
health related care and services in an intermediate care facility
desires to and is deemed by his or her physician able to remain in an
adult care facility, other than a shelter for adults, which is able and
willing to retain such person if the necessary services are provided,
such person or his or her representatives shall so inform the local
social services official. If a long term home health care program is
provided in a social services district, an official of such district
shall authorize an assessment under the provisions of section three
thousand six hundred sixteen of the public health law. If the results of
the assessment indicate that the person can receive the appropriate
level of care at such location, and meets the appropriate standards for
continued stay for such facility as are established by law and
regulation, such official shall prepare for that person a plan for the
provision of services. In developing such plan, the official shall
consult with those persons performing the assessment and with the
operator of the adult care facility. The services shall be provided by a
long term home health care program authorized pursuant to article
thirty-six of the public health law, provided, however that
notwithstanding the provisions of section three thousand six hundred
sixteen of such law, services shall not be provided prior to the
completion of the assessment. At the time of the initial assessment and
at the time of each subsequent assessment performed under the provisions
of section three thousand six hundred sixteen of the public health law,
or more often if the person's needs require, the official shall
establish a monthly budget in accordance with which he shall authorize
payment for the services provided under that plan, provided, however
that no services shall be authorized in the plan which the operator of
the facility is required by law and regulation to provide. The long term
home health care program providing services authorized in such plan
shall be solely responsible for managing and providing or arranging for
such authorized services. The operator of the adult care facility shall
be solely responsible for managing and providing those services which
the facility is required by law or regulation to provide. However, the
two entities shall collaborate to assure coordination. Total monthly
expenditures made under this title for such person shall not exceed a
maximum of fifty percent, or such lesser percentage as may be determined
by the commissioner, of the average of the monthly rates paid under this
title for the provision of nursing home services or health related care
and services in intermediate care facilities, whichever is appropriate,
within the social services district for which the official has
authority. However, if a continuing assessment of the person's needs
demonstrates that he or she requires increased services, the social
services official may authorize the expenditure of any amount accrued
under this section during the past twelve months as a result of the
expenditures for that person not exceeding such maximum. If an
assessment of the person's needs demonstrates that he or she requires
services the payment for which would exceed such monthly maximum, but it
can be reasonably anticipated that total expenditures for required
services for such person will not exceed such maximum calculated over a
one year period, the social services official may authorize payment for
such services. The provisions of this subdivision shall not be deemed to
alter standards for admission to an adult care facility nor shall the
admission of a person into such facility be contingent on such person's
enrollment in a long term home health care program.
6. Notwithstanding any inconsistent provision of law but subject to
expenditure limitations of this section, the commissioner, subject to
the approval of the state director of the budget, may authorize the
utilization of medical assistance funds to pay for services provided by
specified long term home health care programs in addition to those
services included in the medical assistance program under section three
hundred sixty-five-a of this chapter, so long as federal financial
participation is available for such services. Expenditures made under
this subdivision shall be deemed payments for medical assistance for
needy persons and shall be subject to reimbursement by the state in
accordance with the provisions of section three hundred sixty-eight-a of
this chapter.
7. No social services district shall make payments pursuant to title
XIX of the federal Social Security Act for benefits available under
title XVIII of such act without documentation that title XVIII claims
have been filed and denied.
8. No social services district shall make payment for a person
receiving a long term home health care program while payments are being
made for that person for inpatient care in a residential health care
facility or hospital.
9. The commissioner, together with the commissioner of health, shall
submit a report to the governor, president pro tem of the senate and
speaker of the assembly by the first day of February, nineteen hundred
eighty, on the implementation of this section. Such report shall include
a statement of the scope and status of long term home health care
programs, the extent to which such programs have affected
institutionalization, the costs associated with such programs, any
recommendations for legislative action, and such other matters as may be
pertinent.
10. This section shall be effective if, and as long as, federal aid is
available therefor.
* § 367-d. Personal care need determination. The commissioner shall
annually determine the statewide need for personal care services for all
recipients except for those receiving personal care services pursuant to
section three hundred sixty-seven-c of this article and for those
recipients who are receiving personal care services and residing in
family care homes or community residences as defined in subdivision
twenty-eight-a of section 1.03 of the mental hygiene law certified by
the office of mental health and the office of mental retardation and
developmental disabilities. In determining such need the commissioner
shall consider such factors as the population characteristics, poverty
levels, the availability of informal support and other health care
resources, related demographic data, and such other factors the
commissioner deems pertinent for this purpose. The need for personal
care services, as used in this section, shall be expressed in hourly
units of service and the total number of personal care service units
established pursuant to this section shall be allocated to each social
services district on the same basis as the statewide need is determined.
Such allocations shall be in effect for the period April first through
March thirty-first of the following year and shall be made available to
each social services district prior to April first of each year, except
that during calendar year nineteen hundred eighty-three, such
allocations shall be made available within thirty days after enactment
of this section but no earlier than April first. Within thirty days of
receipt of a written request to the department made by a local social
services commissioner the department shall provide all documentation
used as the basis for determining aggregate statewide as well as their
individual district allocations determined pursuant to this section.
* NB Expired March 31, 1985
Payment for AIDS home care programs. 1. If an AIDS home care
program as defined under article thirty-six of the public health law is
provided in the social services district for which he has authority, the
local social services official, before he authorizes care in a nursing
home or intermediate care facility or before he authorizes home health
services or personal care services for a person eligible to receive
services under this title, shall notify the person in writing of the
provisions of this section.
2. If a person eligible to receive services under the provisions of
this title desires to remain and is deemed by his physician able to
remain in his own home or the home of a responsible relative or other
responsible adult if the necessary services are provided, such person or
his representative shall so inform the local social services official.
If an AIDS home care program as defined under article thirty-six of the
public health law is provided in the social services district for which
he has authority, such official shall authorize an assessment under the
provision of section three thousand six hundred sixteen of the public
health law. If the results of the assessment indicate that the person
can receive the appropriate level of care at home, the official shall
prepare for that person a plan for the provision of services comparable
to those that would be rendered in a hospital or residential health care
facility, as appropriate for the patient. In developing such plan, the
official shall consult with those persons performing the assessment and
shall assure that such plan is appropriate to the patient's needs and
will result in an efficient use of services. The services shall be
provided by a long term home health care program authorized by the
commissioner of health under article thirty-six of the public health law
to provide an AIDS home care program.
3. The commissioner shall apply for any waivers, including home and
community based services waivers pursuant to section nineteen hundred
fifteen-c of the social security act, necessary to implement AIDS home
care programs. Notwithstanding any inconsistent provision of law but
subject to expenditure limitations of this section, the commissioner,
subject to the approval of the state director of the budget, may
authorize the utilization of medical assistance funds to pay for
services provided by AIDS home care programs in addition to those
services included in the medical assistance program under section three
hundred sixty-five-a of this chapter, so long as federal financial
participation is available for such services. Expenditures made under
this subdivision shall be deemed payments for medical assistance for
needy persons and shall be subject to reimbursement by the state in
accordance with the provisions of section three hundred sixty-eight-a of
this chapter.
4. No social services district shall make payment for a person
receiving an AIDS home care program while payments are being made for
that person for inpatient care in a residential health care facility or
hospital.
6. This section shall be effective if, and as long as, federal
financial participation is available.
Partnership for long term care program. 1. Definitions. As
used in this section: (a) "Medicaid extended coverage" shall mean
eligibility for medical assistance (i) without regard to the resource
requirements of section three hundred sixty-six of this title, or in the
case of an individual covered under an insurance policy or certificate
described in subdivision two of this section that provided a residential
health care facility benefit less than two years in duration, without
consideration of an amount of resources equivalent to the value of
benefits received by the individual under such policy or certificate, as
determined under the rules of the partnership for long-term care
program; (ii) without regard to the recovery of medical assistance from
the estates of individuals and the imposition of liens on the homes of
persons pursuant to section three hundred sixty-nine of this title, with
respect to resources exempt from consideration pursuant to subparagraph
(i) of this paragraph; provided, however, that nothing in this section
shall prevent the imposition of a lien or recovery against property of
an individual on account of medical assistance incorrectly paid; and
(iii) based on an income eligibility standard for married couples equal
to the amount of the minimum monthly maintenance needs allowance defined
in paragraph (h) of subdivision two of section three hundred sixty-six-c
of this title, and for single individuals equal to one-half of such
amount; provided, however, that the commissioner of health shall not be
required to implement the provisions of this subparagraph if the use of
such income eligibility standards will result in a loss of federal
financial participation in the costs of Medicaid extended coverage
furnished in accordance with subparagraphs (i) and (ii) of this
paragraph.
(b) "Long term care services" shall include, but not be limited to
care, treatment, maintenance, and services: provided in a nursing
facility licensed under article twenty-eight of the public health law;
provided by a home care services agency, certified home health agency or
long term home health care program, as defined in section thirty-six
hundred two of the public health law; provided by an adult day health
care program in accordance with regulations of the department of health;
or provided by a personal care provider licensed or regulated by any
other state or local agency; and such other services for which medical
assistance is otherwise available under this chapter which are
designated as long term care services in law or regulations of the
department of health.
2. Notwithstanding any inconsistent provision of this chapter or any
other law to the contrary, the partnership for long term care program
shall provide Medicaid extended coverage to a person receiving long term
care services if there is federal participation pursuant to such
treatment and such person: (a) is or was covered by an insurance policy
or certificate providing coverage for long term care which meets the
applicable minimum benefit standards of the superintendent of financial
services and other requirements for approval of participation under the
program; and, (b) has exhausted the coverage and benefits as required by
the program.
3. Notwithstanding any inconsistent provision of this chapter or any
other law to the contrary, the commissioner of health, in consultation
with the superintendent of financial services and the director of the
budget, may enter into reciprocal agreements with other states which
administer partnership for long term care programs under which
purchasers of policies in those states with comparable benefits to
policies available in this state shall be eligible for Medicaid extended
coverage in this state so long as purchasers of policies in this state
with comparable benefits to policies available in such state or states
shall be eligible for Medicaid extended coverage in such state or
states.
Authorization and provision of personal emergency response
services. 1. Personal care services and home health services shall
include, where appropriate as determined by the social services
district, the provision of personal emergency response services and
shared aide services pursuant to the provisions of subdivision two of
section three hundred sixty-five-a of this chapter. For the purpose of
this section, "personal emergency response services" shall mean (a) the
provision and maintenance of electronic communication equipment in the
home of an individual which signals a monitoring agency for help when
activated by the individual, or after a period of time if a timer
mechanism has not been reset, or by any other activating method; and (b)
the continuous monitoring of such signals by a trained operator and, in
case of receipt of such signal, the immediate notification of such
emergency response organizations or persons, if necessary, as the
individual has previously specified.
2. The commissioner shall maintain standards for social services
district's use and approval of personal emergency response services and
shared aide services, which shall include, but need not be limited to
department standards:
(a) for the personal emergency response system equipment used to
ensure its reliability and appropriate design for the purpose;
(b) providing that use of personal emergency response services or
shared aide services are part of a plan of care for the recipient that
is based on the comprehensive assessment that such recipient has a
medical condition, disability or impairment that warrants use of the
service;
(c) requiring that the provider of the personal emergency response
service have sufficient qualifications and expertise, adequate
information on the client and the plan of care, and the capacity to
provide timely information on calls received to the social services
district or its designee;
(d) for coordination between the social services districts and the
emergency response organization, as well as guidelines for regular
updating of information on recipients receiving such service;
(e) with respect to appropriate supervision and safety for recipients
receiving personal emergency response service or shared aide services;
(f) assuring that the assessment determines that the recipient can
adequately utilize the personal emergency response system;
(g) assuring that personal emergency response services or shared aide
services are medically appropriate, can meet the needs of the recipient
for home care tasks, ensure the quality of the recipient's care and will
not jeopardize the health or safety of the recipient;
(h) for determining the geographic appropriateness, in relation to
staffing, of providing shared aide services and assuring that providers
of home care services and districts consider the impact of the site
selection on the staff who will be assigned to work at a shared aide
site and that such staff, and any employee organization representing
such staff where appropriate, are consulted with respect to the
management and operation of a shared aide site;
(i) assuring that social services districts have a plan for providing
information to consumers and their representatives concerning personal
emergency response services and shared aide services, including
information on how to express concerns about the service which they are
receiving.
3. The department shall establish and issue the standards required
under subdivision two hereof to social services districts on or before
the first day of August of nineteen hundred ninety-five, after first
seeking public comment thereon. The department, after consultation with
representatives of social services districts, home health and personal
care provider agencies and workers, providers of personal emergency
response services and elderly or disabled persons who are receiving such
services shall prepare a report to the governor and the legislature by
April first, nineteen hundred ninety-six outlining any changes which are
deemed appropriate to the standards for personal emergency response
services and shared aide services which have been established by the
department.
Payment for assisted living programs. 1. Subject to the
approval of the state director of the budget, the commissioner may
authorize the payment of medical assistance funds for assisted living
programs, as defined in section four hundred sixty-one-l of this
chapter, in accordance with capitated rates of payment established
pursuant to subdivision six of section thirty-six hundred fourteen of
the public health law.
2. No assisted living program shall cease providing services to a
medical assistance recipient solely because the cost of his or her care
exceeds the amount of such capitated payments.
3. No medical assistance payments shall be made pursuant to this
section while payments are also being made for inpatient care in a
residential health care facility or hospital with respect to the same
person.
4. This section shall be effective if, and as long as, federal
financial participation is available for medical assistance expenditures
made pursuant to it.
Personal care services provider assessments. 1. Providers of
personal care services, excepting those certified under article
thirty-six of the public health law, are charged assessments on their
gross receipts received from all personal care services and other
operating income on a cash basis in the percentage amounts and for the
periods specified in subdivision two of this section. Such assessments
shall be submitted by or on behalf of such personal care services
providers to the commissioner of health or his/her designee.
2. (a) The assessment shall be six-tenths of one percent of each such
provider's gross receipts received from all personal care services and
other operating income on a cash basis beginning January first, nineteen
hundred ninety-one; provided, however, that for all such gross receipts
received on or after April first, nineteen hundred ninety-nine, such
assessment shall be two-tenths of one percent, and further provided that
such assessment shall expire and be of no further effect for all such
gross receipts received on or after January first, two thousand.
(b) Notwithstanding any contrary provisions of this section or any
other contrary provision of law or regulation, the assessment shall be
thirty-five hundredths of one percent of each such provider's gross
receipts from all personal care services and other operating income on a
cash basis for periods on and after April first, two thousand nine.
3. Gross receipts received from all personal care services and other
operating income for purposes of the assessments pursuant to this
section shall include, but not be limited to, all monies received for or
on account of personal care services, provided, however, that subject to
the provisions of subdivision eleven of this section income received
from grants, charitable contributions, donations and bequests and
governmental deficit financing shall not be included, and provided
further, however, that moneys received from a certified home health
agency or a provider of a long term home health care program assessed on
such moneys pursuant to section thirty-six hundred fourteen-a of the
public health law shall not be included.
4. Estimated payments by or on behalf of such personal care services
providers to the commissioner of health or his/her designee of funds due
from the assessments pursuant to subdivision two of this section shall
be made on a monthly basis. Estimated payments shall be due on or before
the fifteenth day following the end of a calendar month to which an
assessment applies.
5. (a) If an estimated payment made for a month to which an assessment
applies is less than seventy percent of an amount the commissioner of
health determines is due, based on evidence of prior period moneys
received by a personal care services provider or evidence of moneys
received by such personal care services provider for that month, the
commissioner of health may estimate the amount due from such personal
care services provider and may collect the deficiency pursuant to
paragraph (c) of this subdivision.
(b) If an estimated payment made for a month to which an assessment
applies is less than ninety percent of an amount the commissioner of
health determines is due, based on evidence of prior period moneys
received by a personal care services provider or evidence of moneys
received by such personal care services provider for that month, and at
least two previous estimated payments within the preceding six months
were less than ninety percent of the amount due, based on similar
evidence, the commissioner of health may estimate the amount due from
such personal care services provider and may collect the deficiency
pursuant to paragraph (c) of this subdivision.
(c) Upon receipt of notification from the commissioner of health of a
provider's deficiency under this section, the comptroller or a fiscal
intermediary designated by the director of the budget, or the
commissioner of social services, or a corporation organized and
operating in accordance with article forty-three of the insurance law,
or an organization operating in accordance with article forty-four of
the public health law shall withhold from the amount of any payment to
be made by the state or by such article forty-three corporation or
article forty-four organization to the provider the amount of the
deficiency determined under paragraph (a) or (b) of this subdivision or
paragraph (e) of subdivision six of this section. Upon withholding such
amount, the comptroller or a designated fiscal intermediary, or the
commissioner of social services, or corporation organized and operating
in accordance with article forty-three of the insurance law or
organization operating in accordance with article forty-four of the
public health law shall pay the commissioner of health, or his designee,
such amount withheld on behalf of the provider.
(d) The commissioner of health shall provide a provider with notice of
any estimate of an amount due for an assessment pursuant to paragraph
(a) or (b) of this subdivision or paragraph (e) of subdivision six of
this section at least three days prior to collection of such amount by
the commissioner of health. Such notice shall contain the financial
basis for the commissioner of health's estimate.
(e) In the event a provider objects to an estimate by the commissioner
of health pursuant to paragraph (a) or (b) of this subdivision or
paragraph (e) of subdivision six of this section of the amount due for
an assessment, the provider, within sixty days of notice of an amount
due, may request a public hearing. If a hearing is requested, the
commissioner of health shall provide the provider an opportunity to be
heard and to present evidence bearing on the amount due for an
assessment within thirty days after collection of an amount due or
receipt of a request for a hearing, whichever is later. An
administrative hearing is not a prerequisite to seeking judicial relief.
(f) The commissioner of health may direct that a hearing be held
without any request by a personal care services provider.
6. (a) Every personal care services provider shall submit reports on a
cash basis of actual gross receipts received from all patient care
services and operating income for each month as follows:
(i) for the period January first, nineteen hundred ninety-one through
January thirty-first, nineteen hundred ninety-one, the report shall be
filed on or before March fifteenth, nineteen hundred ninety-one; and
(ii) for the quarter year ending March thirty-first, nineteen hundred
ninety-one and for each quarter thereafter, the report shall be filed on
or before the forty-fifth day after the end of such quarter.
(b) Every personal care services provider shall submit a certified
annual report on a cash basis of gross receipts received in such
calendar year from all patient care services and operating income.
(c) The reports shall be in such form as may be prescribed by the
commissioner of health to accurately disclose information required to
implement this section.
(d) Final payments shall be due for all personal care services
providers for the assessments pursuant to subdivision two of this
section upon the due date for submission of the applicable quarterly
report.
(e) The commissioner of health may recoup deficiencies in final
payments pursuant to paragraph (c) of subdivision five of this section.
7. (a) If an estimated payment made for a month to which an assessment
applies is less than ninety percent of the actual amount due for such
month, interest shall be due and payable to the commissioner of health
on the difference between the amount paid and the amount due from the
day of the month the estimated payment was due until the date of
payment. The rate of interest shall be twelve percent per annum or at
the rate of interest set by the commissioner of taxation and finance
with respect to underpayments of tax pursuant to subsection (e) of
section one thousand ninety-six of the tax law minus four percentage
points. Interest under this paragraph shall not be paid if the amount
thereof is less than one dollar. Interest, if not paid by the due date
of the following month's estimated payment, may be collected by the
commissioner of health pursuant to paragraph (c) of subdivision five of
this section in the same manner as an assessment pursuant to subdivision
two of this section.
(b) If an estimated payment made for a month to which an assessment
applies is less than seventy percent of the actual amount due for such
month, a penalty shall be due and payable to the commissioner of health
of five percent of the difference between the amount paid and the amount
due for such month when the failure to pay is for a duration of not more
than one month after the due date of the payment with an additional five
percent for each additional month or fraction thereof during which such
failure continues, not exceeding twenty-five percent in the aggregate. A
penalty may be collected by the commissioner of health pursuant to
paragraph (c) of subdivision five of this section in the same manner as
an assessment pursuant to subdivision two of this section.
(c) Overpayment by a personal care services provider of an estimated
payment shall be applied to any other payment due from the personal care
services provider pursuant to this section, or, if no payment is due, at
the election of the personal care services provider shall be applied to
future estimated payments or refunded to the personal care services
provider. Interest shall be paid on overpayments from the date of
overpayment to the date of crediting or refund at the rate determined in
accordance with paragraph (a) of this subdivision if the overpayment was
made at the direction of the commissioner of health. Interest under this
paragraph shall not be paid if the amount thereof is less than one
dollar.
8. Funds accumulated, including income from invested funds, from the
assessments specified in this section, including interest and penalties,
shall be deposited by the commissioner of health and credited to the
general fund.
9. Notwithstanding any inconsistent provision of law or regulation to
the contrary, the assessments pursuant to this section shall not be an
allowable cost in the determination of reimbursement rates pursuant to
this article.
10. The assessment shall not be collected in excess of twelve million
dollars from such providers for the period of January first, nineteen
hundred ninety-one through March thirty-first, nineteen hundred
ninety-two. The amount of the assessment collected pursuant to
subdivision two of this section in excess of twelve million dollars
shall be refunded to providers by the commissioner of health based on
the ratio which a provider's assessment for such period bears to the
total of the assessments for such period paid by such providers.
11. Each exclusion of sources of gross receipts received from the
assessments effective on or after April first, nineteen hundred
ninety-two established pursuant to this section shall be contingent upon
either: (a) qualification of the assessments for waiver pursuant to
federal law and regulation; or (b) consistent with federal law and
regulation, not requiring a waiver by the secretary of the department of
health and human services related to such exclusion; in order for the
assessments under this section to be qualified as a broad-based health
care related tax for purposes of the revenues received by the state
pursuant to the assessments not reducing the amount expended by the
state as medical assistance for purposes of federal financial
participation. The commissioner of health shall collect the assessments
relying on such exclusions, pending any contrary action by the secretary
of the department of health and human services. In the event the
secretary of the department of health and human services determines that
the assessments do not so qualify based on any such exclusion, then the
exclusion shall be deemed to have been null and void as of April first,
nineteen hundred ninety-two, and the commissioner of health shall
collect any retroactive amount due as a result, without interest or
penalty provided the personal care services provider pays the
retroactive amount due within ninety days of notice from the
commissioner of health to the provider that an exclusion is null and
void. Interest and penalties shall be measured from the due date of
ninety days following notice from the commissioner of health to the
provider.
Health insurance demonstration programs. 1. Notwithstanding
any inconsistent provision of law, the commissioner of health is
authorized to establish one or more demonstration programs for the
purposes of providing additional knowledge and experience in mechanisms
to provide, maintain or subsidize health insurance coverage for
unemployed and underemployed health care workers.
2. Health insurance continuation demonstration. (a) The commissioner
of health is hereby authorized to establish mechanisms to improve the
process of authorizing medical assistance payment of health insurance
premiums, pursuant to paragraph (c) of subdivision one of section three
hundred sixty-seven-a of this title, on behalf of personal care and home
health care workers who reside in any city with a population of one
million or more and any county with a population of nine hundred
thousand or more if such city or county is located within the
metropolitan commuter transportation district created pursuant to
section twelve hundred sixty-two of the public authorities law, and
whose employment is irregular, episodic, or cyclical, and whose health
insurance coverage therefore is frequently disrupted. Notwithstanding
the provisions of section three hundred sixty-five of this title, the
commissioner of health shall exercise discretion to determine whether
medical assistance payment of such premiums is cost effective. If the
commissioner of health determines that the test of cost effectiveness of
insurance premiums is based on other than a case-by-case basis, no
medical assistance payment for such premiums will be made until the
commissioner of health obtains all necessary approvals under federal law
and regulation to receive federal financial participation in the costs
of such medical assistance.
(b) The commissioner of health is authorized in consultation with the
superintendent of financial services to require group health insurance
plans and employer-based group health plans to report to the department
or its designee, insofar as such reporting does not violate any
provisions of the federal Employee Retirement Income Security Act of
1974 (ERISA), at such times and in such manner as the commissioner of
health shall decide, any information needed to operate such a
demonstration project, including, but not limited to, the number of
persons in such plans who become ineligible each month for the
continuation coverage described in paragraph (a) of this subdivision. In
addition, every health maintenance organization certified under article
forty-four of the public health law and every insurer licensed by the
superintendent of financial services shall submit reports to the
superintendent and to the commissioner of health in such form and at
such times as may be required to implement the provisions of this
subdivision.
3. Rate incentive demonstration. With respect to a demonstration
program authorized by subdivision one of this section, the commissioner
of health may solicit and accept applications for participation in the
demonstration program from any employer, or group of employers, of
personal care workers or home health workers, who are employed in any
city with a population of one million or more and any county with a
population of nine hundred thousand or more if such city or county is
located within the metropolitan commuter transportation district created
pursuant to section twelve hundred sixty-two of the public authorities
law, and whose employers provide services primarily to medical
assistance recipients, if the following conditions are met:
(a) at least fifty percent of the persons receiving services from such
employers are recipients of medical assistance;
(b) the employer contributes to a group health insurance plan or
employer based group health plan on behalf of such employees; and
(c) no benefits are provided under the group health insurance plan or
employer based group health plan in excess of the benefits provided to
the majority of hospital workers in the community in which the personal
care and home health care workers are employed. The commissioner of
health is authorized to add up to fifty-eight million dollars per year
for the period January first, two thousand through December
thirty-first, two thousand two, and up to one hundred sixty-three
million dollars per year for the period January first, two thousand
three through June thirtieth, two thousand seven, to rates of payment
for qualifying personal care providers and certified home health
agencies who are approved to participate in the demonstration program.
The commissioner may modify the amounts made available for any specific
annual period so long as the total amount made available for the period
of the demonstration is not exceeded.
3-a. (a) Notwithstanding subdivision three of this section or any
other contrary provision of law and subject to the availability of
federal financial participation, the commissioner of health shall, for
periods on and after July first, two thousand seven through March
thirty-first, two thousand eight, and within amounts appropriated,
adjust rates of payments for certified home health agencies and
providers of personal care services who, (i) are located in a city with
a population of over one million persons, or in a county with a
population of over nine hundred thousand persons if such county is
located within the metropolitan commuter transportation district created
pursuant to section twelve hundred sixty-two of the public authorities
law; and (ii) provide more than fifty percent of their total annual
hours of home care services to recipients of medical assistance; and
(iii) contribute, as of July first, two thousand seven, to a group
health insurance plan or employer based group health plan on behalf of
their employees.
(b) Payments made pursuant to this subdivision to eligible providers
shall be made proportionally in the form of an add-on to rates of
payment, based on each eligible provider's most currently available
total annual hours of home care services, as reported to the department,
provided to recipients of medical assistance.
(c) Providers which have their rates of payment adjusted pursuant to
this subdivision shall use such funds solely for the purpose of
supporting health insurance coverage for their employees and are
prohibited from using such funds for any other purpose. The commissioner
of health is authorized to audit such providers for the purpose of
ensuring compliance with the provisions of this paragraph and shall
recoup any funds determined to have been used for purposes other than as
authorized by this subdivision.
4. Notwithstanding any other law, rule or regulation to the contrary,
any subscriber contract issued by an organization certified pursuant to
article forty-four of the public health law may, for purposes of
implementation of the demonstration authorized by subdivision three of
this section, be issued on an experience rated basis.
5. Between January first, two thousand and December thirty-first, two
thousand two, the state share amount for all demonstrations pursuant to
this section shall be no more than twenty-seven million dollars per
twelve month period if averaged over the term of the demonstration; and
between January first, two thousand three and June thirtieth, two
thousand seven, the state share amount for all demonstrations pursuant
to this section shall be no more than sixty-nine million dollars per
twelve month period if averaged over the term of the demonstration and
between July first, two thousand seven and March thirty-first, two
thousand eight, the state share of medical assistance payments
authorized in accordance with subdivision two of this section shall not
exceed two million eight hundred fifty thousand dollars.
* § 367-p. Responsibilities of local districts for personal care
services, home care services and private duty nursing. Consistent with
the provisions of section three hundred sixty-seven-n of this title,
local social services district responsibilities for personal care
services, home care services and private duty nursing shall include the
following:
(a) local districts with programs which place individuals discharged
from hospitals solely into certified home health agencies shall ensure
that those individuals are reviewed for possible placement into personal
care services within two weeks of discharge and, if appropriate, placed
into personal care services within four weeks thereof;
(b) each local district shall, by September first, nineteen hundred
ninety-five, review that plan of care for every recipient receiving
personal care on a continuous basis pursuant to sections three hundred
sixty-seven-k and three hundred sixty-seven-l of this title;
(c) each local district shall ensure access to a consumer directed
personal assistance program operated pursuant to section three hundred
sixty-five-f of this title is available in the district to allow persons
receiving home care pursuant to this title to directly arrange and pay
for such care; and
(d) local districts shall not restrict, and shall not be restricted
from approving, the provision of private duty nursing as an alternative
to nursing services provided by a home health agency where appropriate
and cost-effective pursuant to section three hundred sixty-seven-l.
* NB There are 2 § 367-p's
Personal care services worker recruitment and retention
program. 1. The commissioner of health shall, subject to the
availability of federal financial participation adjust personal care
services medical assistance rates of payment established pursuant to
this title for personal care services providers located in local social
service districts which do not include a city with a population of over
one million persons in accordance with subdivisions two and three of
this section for purposes of improving recruitment and retention of
personal care services workers or any worker with direct patient care
responsibility in the following aggregate amounts for the following
periods:
(a) for the period April first, two thousand two through December
thirty-first, two thousand two, seven million dollars;
(b) for the period January first, two thousand three through December
thirty-first, two thousand three, fourteen million dollars;
(c) for the period January first, two thousand four through December
thirty-first, two thousand four, twenty-one million dollars;
(d) for the period January first, two thousand five through December
thirty-first, two thousand five, twenty-seven million dollars;
(e) for the period January first, two thousand six through December
thirty-first, two thousand six, thirty-one million dollars, provided
however that for the period August first, two thousand six through
December thirty-first, two thousand six, such rate adjustments shall be
increased by an additional aggregate amount of four million dollars;
(f) for the period January first, two thousand seven through June
thirtieth, two thousand seven, thirteen million five hundred thousand
dollars;
(g) for the period July first, two thousand seven through March
thirty-first, two thousand eight, twenty-six million two hundred fifty
thousand dollars;
(h) for the period April first, two thousand eight through March
thirty-first, two thousand nine, twenty-eight million five hundred
thousand dollars;
(i) for the period April first, two thousand nine through March
thirty-first, two thousand ten, twenty-eight million five hundred
thousand dollars;
(j) for the period April first, two thousand ten through March
thirty-first, two thousand eleven, twenty-eight million five hundred
thousand dollars;
(k) for the period April first, two thousand eleven through March
thirty-first, two thousand twelve, twenty-eight million five hundred
thousand dollars;
(l) for the period April first, two thousand twelve through March
thirty-first, two thousand thirteen, up to twenty-eight million five
hundred thousand dollars;
(m) for the period April first, two thousand thirteen through March
thirty-first, two thousand fourteen, up to twenty-eight million five
hundred thousand dollars;
(n) for the period April first, two thousand fourteen through March
thirty-first, two thousand fifteen, up to twenty-eight million five
hundred thousand dollars;
(o) for the period April first, two thousand fifteen through March
thirty-first, two thousand sixteen, up to twenty-eight million five
hundred thousand dollars; and
(p) for the period April first, two thousand sixteen through March
thirty-first, two thousand seventeen, up to twenty-eight million five
hundred thousand dollars;
(q) for the period April first, two thousand seventeen through March
thirty-first, two thousand eighteen, up to twenty-eight million five
hundred thousand dollars;
(r) for the period April first, two thousand eighteen through March
thirty-first, two thousand nineteen, twenty-eight million five hundred
thousand dollars;
(s) for the period April first, two thousand nineteen through March
thirty-first, two thousand twenty, twenty-eight million five hundred
thousand dollars;
(t) for the period April first, two thousand twenty through March
thirty-first, two thousand twenty-one, up to twenty-eight million five
hundred thousand dollars;
(u) for the period April first, two thousand twenty-one through March
thirty-first, two thousand twenty-two, up to twenty-eight million five
hundred thousand dollars;
(v) for the period April first, two thousand twenty-two through March
thirty-first, two thousand twenty-three, up to twenty-eight million five
hundred thousand dollars;
(w) for the period April first, two thousand twenty-three through
March thirty-first, two thousand twenty-four, up to twenty-eight million
five hundred thousand dollars;
(x) for the period April first, two thousand twenty-four through March
thirty-first, two thousand twenty-five, up to twenty-eight million five
hundred thousand dollars;
(y) for the period April first, two thousand twenty-five through March
thirty-first, two thousand twenty-six, up to twenty-eight million five
hundred thousand dollars;
(z) for the period April first, two thousand twenty-six through March
thirty-first, two thousand twenty-seven, up to twenty-eight million five
hundred thousand dollars;
(aa) for the period April first, two thousand twenty-seven through
March thirty-first, two thousand twenty-eight, up to twenty-eight
million five hundred thousand dollars;
(bb) for the period April first, two thousand twenty-eight through
March thirty-first, two thousand twenty-nine, up to twenty-eight million
five hundred thousand dollars.
2. Such adjustments to rates of payments shall be allocated
proportionally based on each personal care services providers' total
annual hours of personal care services provided, as reported in each
such provider's nineteen hundred ninety-nine cost report as submitted to
the department of health prior to November first, two thousand one,
provided, however, that for periods on and after July first, two
thousand seven, such payments shall be in the form of a percentage
add-on to rates of payments of eligible providers based on the
proportion of each personal care services providers' total annual hours
of personal care services provided to recipients of medical assistance
to the total annual hours of personal care services provided by such
providers.
3. Payments made pursuant to this section shall not be subject to
subsequent adjustment or reconciliation.
4. Personal care services providers which have their rates adjusted
pursuant to this section shall use such funds for the purpose of
recruitment and retention of non-supervisory personal care services
workers or any worker with direct patient care responsibility only and
are prohibited from using such funds for any other purpose. Each such
personal care services provider shall submit, at a time and in a manner
to be determined by the commissioner of health, a written certification
attesting that such funds will be used solely for the purpose of
recruitment and retention of non-supervisory personal care services
workers or any worker with direct patient care responsibility. The
commissioner of health is authorized to audit each such provider to
ensure compliance with the written certification required by this
subdivision and shall recoup any funds determined to have been used for
purposes other than recruitment and retention of non-supervisory
personal care services workers or any worker with direct patient care
responsibility. Such recoupment shall be in addition to any other
penalties provided by law.
Private duty nursing services worker recruitment and
retention program. 1. (a) The commissioner of health, with the approval
of the director of the budget, shall establish fees for the
reimbursement of private duty nursing services.
(b) The commissioner of health shall, subject to the provisions of
paragraph (b) of subdivision two of this section and to the availability
of federal financial participation, increase medical assistance rates of
payment by three percent for services provided on and after December
first, two thousand two, for private duty nursing services for the
purposes of improving recruitment and retention of private duty nurses.
2. Medically fragile children and medically fragile adults. (a) In
addition, the commissioner shall further increase rates for private duty
nursing services that are provided to medically fragile children to
ensure the availability of such services to such children. Furthermore,
no later than sixty days after the effective date of the chapter of the
laws of two thousand twenty-two that amended this subdivision, increased
rates shall be extended for private duty nursing services provided to
medically fragile adults. In establishing rates of payment under this
subdivision, the commissioner shall consider the cost neutrality of such
rates as related to the cost effectiveness of caring for medically
fragile children and medically fragile adults in a non-institutional
setting as compared to an institutional setting. Medically fragile
children shall, for the purposes of this subdivision, have the same
meaning as in subdivision three-a of section thirty-six hundred fourteen
of the public health law. For purposes of this subdivision, "medically
fragile adult" shall be defined as including but not limited to any
individual who previously qualified as a medically fragile child but no
longer meets the age requirement. Such increased rates for services
rendered to such children and adults may take into consideration the
elements of cost, geographical differentials in the elements of cost
considered, economic factors in the area in which the private duty
nursing service is provided, costs associated with the provision of
private duty nursing services to medically fragile children and
medically fragile adults, and the need for incentives to improve
services and institute economies and such increased rates shall be
payable only to those private duty nurses who can demonstrate, to the
satisfaction of the department of health, satisfactory training and
experience to provide services to such children and medically fragile
adults. Such increased rates shall be determined based on application of
the case mix adjustment factor for AIDS home care program services rates
as determined pursuant to applicable regulations of the department of
health. The commissioner may promulgate regulations to implement the
provisions of this subdivision.
(b) Private duty nursing services providers which have their rates
adjusted pursuant to paragraph (b) of subdivision one of this section
and paragraph (a) of this subdivision shall use such funds solely for
the purposes of recruitment and retention of private duty nurses or to
ensure the delivery of private duty nursing services to medically
fragile children and medically fragile adults and are prohibited from
using such funds for any other purpose. Funds provided under paragraph
(b) of subdivision one of this section and paragraph (a) of this
subdivision are not intended to supplant support provided by a local
government. Each such provider, with the exception of self-employed
private duty nurses, shall submit, at a time and in a manner to be
determined by the commissioner of health, a written certification
attesting that such funds will be used solely for the purpose of
recruitment and retention of private duty nurses or to ensure the
delivery of private duty nursing services to medically fragile children
and medically fragile adults. The commissioner of health is authorized
to audit each such provider to ensure compliance with the written
certification required by this subdivision and shall recoup all funds
determined to have been used for purposes other than recruitment and
retention of private duty nurses or the delivery of private duty nursing
services to medically fragile children and medically fragile adults.
Such recoupment shall be in addition to any other penalties provided by
law.
(c) The commissioner of health shall, subject to the provisions of
paragraph (b) of this subdivision, and the provisions of subdivision
three of this section, and subject to the availability of federal
financial participation, annually increase fees for the fee-for-service
reimbursement of private duty nursing services provided to medically
fragile children by fee-for-service private duty nursing services
providers who enroll and participate in the provider directory pursuant
to subdivision three of this section, over a period of three years,
commencing October first, two thousand twenty, by one-third annual
increments, until such fees for reimbursement equal the final benchmark
payment designed to ensure adequate access to the service. In developing
such benchmark the commissioner of health may utilize the average two
thousand eighteen Medicaid managed care payments for reimbursement of
such private duty nursing services. The commissioner may promulgate
regulations to implement the provisions of this paragraph.
(d) The commissioner of health shall, subject to the provisions of
paragraph (b) of this subdivision, and the provisions of subdivision
three of this section, and subject to the availability of federal
financial participation, increase fees for the fee-for-service
reimbursement of private duty nursing services provided to medically
fragile adults by fee-for-service private duty nursing services
providers who enroll and participate in the provider directory pursuant
to subdivision three of this section, no later than sixty days after the
effective date of the chapter of the laws of two thousand twenty-two
that amended this subdivision, so such fees for reimbursement equal the
benchmark payment designed to ensure adequate access to the service. In
developing such benchmark the commissioner of health may utilize the
average two thousand twenty Medicaid managed care payments for
reimbursement of such private duty nursing services. The commissioner
may promulgate regulations to implement the provisions of this
paragraph.
3. Provider directory for fee-for-service private duty nursing
services provided to medically fragile children and medically fragile
adults. The commissioner of health is authorized to establish a
directory of qualified providers for the purpose of promoting the
availability and ensuring delivery of fee-for-service private duty
nursing services to medically fragile children and medically fragile
adults. Qualified providers enrolling in the directory shall ensure the
availability and delivery of and shall provide such services to those
individuals as are in need of such services, and shall receive increased
reimbursement for such services pursuant to paragraphs (c) and (d) of
subdivision two of this section. The directory shall offer enrollment to
all private duty nursing services providers to promote and ensure the
participation in the directory of all nursing services providers
available to serve medically fragile children and medically fragile
adults.
* § 367-s. Long term care demonstration program. 1. Notwithstanding
any inconsistent provision of law, the commissioner of health is
authorized to establish a long term care demonstration program for
persons eligible to receive services under this title, to operate in up
to four social services districts, for the purposes of creating
incentives for providers to care for individuals with more complex
medical needs, supporting relatives and other caregivers to assist
patients needing care at home and reducing the need for
institutionalization.
2. The provisions of this section shall not take effect unless all
necessary approvals under federal law and regulation have been obtained
to receive federal financial participation in the costs of the health
care services provided pursuant to this section.
3. (a) The demonstration program established pursuant to this section
may include a program to improve the availability of care for persons
with clinically complex care needs who are being discharged from
hospitals or residential health care facilities. In this regard, and in
accordance with paragraph (d) of this subdivision, the commissioner
shall adjust the rates of payment to selected home health agencies
certified under article thirty-six of the public health law that provide
services to such persons.
(b) Eligible certified home health agencies shall:
(i) demonstrate they have the experience and resources to provide
services to individuals who are discharged from hospitals or residential
health care facilities with clinically complex care needs, as determined
in accordance with criteria established by the commissioner.
(ii) demonstrate that they are capable of meeting such other
conditions as may be established by the commissioner.
(c) In selecting eligible certified home health agencies, the
commissioner shall consider the likelihood that the agency will provide
improved availability of care and may consider such other matters as the
commissioner deems appropriate.
(d) The adjusted Medicaid rate pursuant to this subdivision shall be
available for eligible certified home health agencies for services
provided to individuals, eligible for medical assistance pursuant to
this title, who are discharged from a hospital or residential health
care facility and have clinically complex care needs, as determined in
accordance with criteria established by the commissioner. Such rate
shall be payable for services provided up to the first sixty days after
discharge from a hospital or residential health care facility.
4. One or more demonstration sites established pursuant to this
section may include the provision of respite care through innovative
models. Subject to the approval of the director of the division of the
budget, the commissioner is authorized to establish payment rates or
fees for services provided pursuant to this subdivision.
5. One or more of the demonstration sites established pursuant to this
section may include a program with authority to make payments for
personal care services that are provided by a consumer's family members.
* NB There are 2 § 367-s's
Payment for emergency physician services. Amounts payable
under this title for medical assistance for items and services provided
to eligible persons by qualified emergency physicians, provided in an
emergency room of an entity certified pursuant to article twenty-eight
of the public health law to treat an emergency condition, as defined in
subdivision three of section forty-nine hundred of the public health
law, which are authorized pursuant to section three hundred sixty-five-a
of this title shall be no less than twenty-five dollars per visit. For
the purpose of this section eligible persons shall not include persons
provided items and services by the medicaid managed care program.
Payment for home telehealth services. 1. Subject to the
approval of the state director of the budget, the commissioner may
authorize the payment of medical assistance funds for demonstration
rates or fees established for home telehealth services provided pursuant
to subdivision three-c of section thirty-six hundred fourteen of the
public health law.
2. Subject to federal financial participation and the approval of the
director of the budget, the commissioner shall not exclude from the
payment of medical assistance funds the delivery of health care services
through telehealth, as defined in subdivision four of section two
thousand nine hundred ninety-nine-cc of the public health law. Such
services shall meet the requirements of federal law, rules and
regulations for the provision of medical assistance pursuant to this
title.
County long-term care financing demonstration program. 1.
Notwithstanding any inconsistent provision of law, the commissioner is
authorized to establish a long-term care financing demonstration
program, to operate in up to five counties, for the purpose of creating
incentives and funding for the transformation of county nursing home
beds into other long-term care settings.
2. (a) The demonstration program established pursuant to this section
shall permit a participating county to reduce its county nursing home
bed capacity, or to close a county nursing home, and to invest any
resulting demonstrated savings in programs or services that will, to the
extent feasible, encourage the use of community-based long-term care
alternatives to institutional care.
(b) Such programs or services may include, but are not limited to:
(i) expansion of community-based services such as the program for
all-inclusive care for the elderly (PACE), the long term home health
care program, the managed long term care program, adult day care
services, and caregiver support services;
(ii) expansion of senior housing;
(iii) assisted living program;
(iv) payment of subsidies to encourage assisted living programs, adult
care facilities, and non-public nursing homes to accept hard-to-serve
residents; and
(v) contracts with non-public nursing homes to guarantee beds for
those hard-to-serve persons who choose nursing home care or for whom
other community-based options are not feasible or are unavailable.
3. A county wishing to participate in the demonstration program
established pursuant to this section shall develop a plan and submit an
application for participation to the commissioner of health detailing
such plan at a time and in a manner to be determined by such
commissioner. The commissioner is authorized to approve or disapprove
any such application and to certify the amount of demonstrated savings.
4. Notwithstanding the cap on social services district shares of
medical assistance expenditures established pursuant to section one of
part C of chapter fifty-eight of the laws of two thousand five, the
director of the division of the budget is authorized, in his or her sole
discretion, to adjust a district's cap amount to account for changes in
the non-federal share of medical assistance resulting from any approved
demonstration plan.
5. The commissioner of health is authorized to submit any amendments
to the state plan for medical assistance and any waivers of the federal
social security act that such commissioner determines to be necessary to
obtain federal financial participation in the costs of services provided
pursuant to this section.
6. The commissioner of health shall submit a report to the governor,
temporary president of the senate and speaker of the assembly by the
first day of November, two thousand fifteen, on the implementation of
this section. Such report shall include identification of the counties
approved to participate in the demonstration, a description of such
counties' approved demonstration plans, an analysis of the impact of the
demonstration on long-term care costs and service delivery, any
recommendations for legislative action, and such other matters as may be
pertinent.
Health care and mental hygiene worker bonuses. 1. Purpose and
intent. New York's essential front line health care and mental hygiene
workers have seen us through a once-in-a-century public health crisis
and turned our state into a model for battling and beating COVID-19. To
attract talented people into the profession at a time of such
significant strain while also retaining those who have been working so
tirelessly these past two years, we must recognize the efforts of our
health care and mental hygiene workforce and reward them financially for
their service.
To do that, the commissioner of health is hereby directed to seek
federal approvals as applicable, and, subject to federal financial
participation, to support with federal and state funding bonuses to be
made available during the state fiscal year of 2023 to recruit, retain,
and reward health care and mental hygiene workers.
2. Definitions. As used in this section, the term:
(a) "Employee" means certain front line health care and mental hygiene
practitioners, technicians, assistants and aides that provide hands on
health or care services to individuals, without regard to whether the
person works full-time, part-time, on a salaried, hourly, or temporary
basis, or as an independent contractor, that received an annualized base
salary of one hundred twenty-five thousand dollars or less, to include:
(i) Physician assistants, dental hygienists, dental assistants,
psychiatric aides, pharmacists, pharmacy technicians, physical
therapists, physical therapy assistants, physical therapy aides,
occupational therapists, occupational therapy assistants, occupational
therapy aides, speech-language pathologists, respiratory therapists,
exercise physiologists, recreational therapists, all other therapists,
orthotists, prosthetists, clinical laboratory technologists and
technicians, diagnostic medical sonographers, nuclear medicine
technologists, radiologic technologists, magnetic resonance imaging
technologists, ophthalmic medical technicians, radiation therapists,
dietetic technicians, cardiovascular technologists and technicians,
certified first responders, emergency medical technicians, advanced
emergency medical technicians, paramedics, surgical technologists, all
other health technologists and technicians, orderlies, medical
assistants, phlebotomists, all other health care support workers, nurse
anesthetists, nurse midwives, nurse practitioners, registered nurses,
nursing assistants, and licensed practical and licensed vocational
nurses;
(ii) to the extent not already included in subparagraph (i) of this
paragraph, staff who perform functions as described in the consolidated
fiscal report (CFR) manual with respect to the following title codes:
Mental Hygiene Worker;
Residence/Site Worker;
Counselor (OMH);
Manager (OMH);
Senior Counselor (OMH);
Supervisor (OMH);
Developmental Disabilities Specialist QIDP - Direct Care (OPWDD);
Certified Recovery Peer Advocate;
Peer Professional - Non-CRPA (OASAS Only);
Job Coach/Employment Specialist (OMH and OPWDD);
Peer Specialist (OMH);
Counselor - Alcoholism and Substance Abuse (CASAC);
Counseling Aide/Assistant - Alcoholism and Substance Abuse;
Other Direct Care Staff;
Case Manager;
Counselor - Rehabilitation;
Developmental Disabilities Specialist/Habilitation Specialist QIDP -
Clinical (OPWDD);
Emergency Medical Technician;
Intensive Case Manager (OMH);
Intensive Case Manager/Coordinator (OMH);
Nurse - Licensed Practical;
Nurse - Registered;
Psychologist (Licensed);
Psychologist (Master's Level)/Behavioral Specialist;
Psychology Worker/Other Behavioral Worker;
Social Worker - Licensed (LMSW, LCSW);
Social Worker - Master's Level (MSW);
Licensed Mental Health Counselor (OASAS, OMH, OCFS);
Licensed Psychoanalyst (OMH);
Therapist - Recreation;
Therapist - Activity/Creative Arts;
Therapist - Occupational;
Dietician/Nutritionist;
Therapy Assistant/Activity Assistant;
Nurse's Aide/Medical Aide;
Behavior Intervention Specialist 1 (OPWDD);
Behavior Intervention Specialist 2 (OPWDD);
Clinical Coordinator;
Intake/Screening;
Pharmacist;
Marriage and Family Counselor/Therapist;
Residential Treatment Facility (RTF) Transition Coordinator (OMH);
Crisis Prevention Specialist (OMH);
Early Recognition Specialist (OMH);
Other Clinical Staff/Assistants;
Nurse Practitioner/Nursing Supervisor;
Therapist - Physical;
Therapist - Speech;
Program or Site Director; and
Assistant Program or Assistant Site Director; and
(iii) such titles as determined by the commissioner, or relevant
agency commissioner as applicable, and approved by the director of the
budget.
(b) "Employer" means a provider enrolled in the medical assistance
program under this title that employs at least one employee and that
bills for services under the state plan or a home and community based
services waiver authorized pursuant to subdivision (c) of section
nineteen hundred fifteen of the federal social security act, or that has
a provider agreement to bill for services provided or arranged through a
managed care provider under section three hundred sixty-four-j of this
title or a managed long term care plan under section forty-four hundred
three-f of the public health law, to include:
(i) providers and facilities licensed, certified or otherwise
authorized under articles twenty-eight, thirty, thirty-six or forty of
the public health law, articles sixteen, thirty-one, thirty-two or
thirty-six of the mental hygiene law, article seven of this chapter,
fiscal intermediaries under section three hundred sixty-five-f of this
title, pharmacies registered under section six thousand eight hundred
eight of the education law, or school based health centers;
(ii) programs that participate in the medical assistance program and
are funded by the office of mental health, the office of addiction
services and supports, or the office for people with developmental
disabilities; and
(iii) other provider types determined by the commissioner and approved
by the director of the budget;
(iv) provided, however, that unless the provider is subject to a
certificate of need process as a condition of state licensure or
approval, such provider shall not be an employer under this section
unless at least twenty percent of the provider's patients or persons
served are eligible for services under this title and title XIX of the
federal social security act.
(c) Notwithstanding the definition of employer in paragraph (b) of
this subdivision, and without regard to the availability of federal
financial participation, "employer" shall also include an institution of
higher education, a public or nonpublic school, a charter school, an
approved preschool program for students with disabilities, a school
district or boards of cooperative educational services, programs funded
by the office of mental health, programs funded by the office of
addiction services and supports, programs funded by the office for
people with developmental disabilities, programs funded by the office
for the aging, a health district as defined in section two of the public
health law, or a municipal corporation, where such program or entity
employs at least one employee. Such employers shall be required to
enroll in the system designated by the commissioner, or relevant agency
commissioners, in consultation with the director of the budget, for the
purpose of claiming bonus payments under this section. Such system or
process for claiming bonus payments may be different from the system and
process used under subdivision three of this section.
(d) "Vesting period" shall mean a series of six-month periods between
the dates of October first, two thousand twenty-one and March
thirty-first, two thousand twenty-four for which employees that are
continuously employed by an employer during such six-month periods, in
accordance with a schedule issued by the commissioner or relevant agency
commissioner as applicable, may become eligible for a bonus pursuant to
subdivision four of this section.
(e) "Base salary" shall mean, for the purposes of this section, the
employee's gross wages with the employer during the vesting period,
excluding any bonuses or overtime pay.
(f) "Municipal corporation" means a county outside the city of New
York, a city, including the city of New York, a town, a village, or a
school district.
3. Tracking and submission of claims for bonuses. (a) The
commissioner, in consultation with the commissioner of labor and the
Medicaid inspector general, and subject to any necessary approvals by
the federal centers for Medicare and Medicaid services, shall develop
such forms and procedures as may be needed to identify the number of
hours employees worked and to provide reimbursement to employers for the
purposes of funding employee bonuses in accordance with hours worked
during the vesting period.
(b) Using the forms and processes developed by the commissioner under
this subdivision, employers shall, for a period of time specified by the
commissioner:
(i) track the number of hours that employees work during the vesting
period and, as applicable, the number of patients served by the employer
who are eligible for services under this title; and
(ii) submit claims for reimbursement of employee bonus payments. In
filling out the information required to submit such claims, employers
shall use information obtained from tracking required pursuant to
paragraph (a) of this subdivision and provide such other information as
may be prescribed by the commissioner. In determining an employee's
annualized base salary, the employer shall use information based on
payroll records.
(c) Employers shall be responsible for determining whether an employee
is eligible under this section and shall maintain and make available
upon request all records, data and information the employer relied upon
in making the determination that an employee was eligible, in accordance
with paragraph (d) of this subdivision.
(d) Employers shall maintain contemporaneous records for all tracking
and claims related information and documents required to substantiate
claims submitted under this section for a period of no less than six
years. Employers shall furnish such records and information, upon
request, to the commissioner, the Medicaid inspector general, the
commissioner of labor, the secretary of the United States Department of
Health and Human Services, and the deputy attorney general for Medicaid
fraud control.
4. Payment of worker bonuses. (a) Upon issuance of a vesting schedule
by the commissioner, or relevant agency commissioner as applicable,
employers shall be required to pay bonuses to employees pursuant to such
schedule based on the number of hours worked during the vesting period.
The schedule shall provide for total payments not to exceed three
thousand dollars per employee in accordance with the following:
(i) employees who have worked an average of at least twenty but less
than thirty hours per week over the course of a vesting period would
receive a five hundred dollar bonus for the vesting period;
(ii) employees who have worked an average of at least thirty but less
than thirty-five hours per week over the course of a vesting period
would receive a one thousand dollar bonus for such vesting period;
(iii) employees who have worked an average of at least thirty-five
hours per week over the course of a vesting period would receive a one
thousand five hundred dollar bonus for such vesting period.
(iv) full-time employees who are exempt from overtime compensation as
established in the labor commissioner's minimum wage orders or otherwise
provided by New York state law or regulation over the course of a
vesting period would receive a one thousand five hundred dollar bonus
for such vesting period.
(b) Notwithstanding paragraph (a) of this subdivision, the
commissioner may through regulation specify an alternative number of
vesting periods, provided that total payments do not exceed three
thousand dollars per employee.
(c) Employees shall be eligible for bonuses for no more than two
vesting periods per employer, in an amount equal to but not greater than
three thousand dollars per employee across all employers.
(d) Upon completion of a vesting period with an employer, an employee
shall be entitled to receive the bonus and the employer shall be
required to pay the bonus no later than the date specified under this
subdivision, provided however that prior to such date the employee does
not terminate, through action or inaction, the employment relationship
with the employer, in accordance with any employment agreement,
including a collectively bargained agreement, if any, between the
employee and employer.
(e) Any bonus due and payable to an employee under this section shall
be made by the employer no later than thirty days after the bonus is
paid to the employer.
(f) an employer shall be required to submit a claim for a bonus to the
department no later than thirty days after an employee's eligibility for
a bonus vests, in accordance with and upon issuance of the schedule
issued by the commissioner or relevant agency commissioner.
(g) No portion of any dollars received from claims under subparagraph
(ii) of paragraph (b) of subdivision three of this section for employee
bonuses shall be returned to any person other than the employee to whom
the bonus is due or used to reduce the total compensation an employer is
obligated to pay to an employee under section thirty-six hundred
fourteen-c of the public health law, section six hundred fifty-two of
the labor law, or any other provisions of law or regulations, or
pursuant to any collectively bargained agreement.
(h) No portion of any bonus available pursuant to this subdivision
shall be payable to a person who has been suspended or excluded under
the medical assistance program during the vesting period and at the time
an employer submits a claim under this section.
(i) The use of any accruals or other leave, including but not limited
to sick, vacation, or time used under the family medical leave act,
shall be credited towards and included in the calculation of the average
number of hours worked per week over the course of the vesting period.
5. Audits, investigations and reviews. (a) The Medicaid inspector
general shall, in coordination with the commissioner, conduct audits,
investigations and reviews of employers required to submit claims under
this section. Such claims, inappropriately paid, under this section
shall constitute overpayments as that term is defined under the
regulations governing the medical assistance program. The Medicaid
inspector general may recover such overpayments to employers as it would
an overpayment under the medical assistance program, impose sanctions up
to and including exclusion from the medical assistance program, impose
penalties, and take any other action authorized by law where:
(i) an employer claims a bonus not due to an employee or a bonus
amount in excess of the correct bonus amount due to an employee;
(ii) an employer claims, receives and fails to pay any part of the
bonus due to a designated employee;
(iii) an employer fails to claim a bonus due to an employee.
(b) Any employer identified in paragraph (a) of this subdivision who
fails to identify, claim and pay any bonus for more than ten percent of
its employees eligible for the bonus shall also be subject to additional
penalties under subdivision four of section one hundred forty-five-b of
this article.
(c) Any employer who fails to pay any part of the bonus payment to a
designated employee shall remain liable to pay such bonus to that
employee, regardless of any recovery, sanction or penalty the Medicaid
inspector general may impose.
(d) In all instances recovery of inappropriate bonus payments shall be
recovered from the employer. The employer shall not have the right to
recover any inappropriately paid bonus from the employee.
(e) Where the Medicaid inspector general sanctions an employer for
violations under this section, they may also sanction any affiliates as
defined under the regulations governing the medical assistance program.
6. Rules and regulations. The commissioner, in consultation with the
Medicaid inspector general as it relates to subdivision five of this
section, may promulgate rules, to implement this section pursuant to
emergency regulation; provided, however, that this provision shall not
be construed as requiring the commissioner to issue regulations to
implement this section.
Payment for violence prevention programs. 1. As used in this
section, the following terms shall have the following definitions:
(a) "Community violence" means intentional acts of interpersonal
violence committed by individuals who are not intimately related to the
victim.
(b) "Community violence prevention services" means evidence-informed,
trauma-informed, culturally responsive, supportive and
non-psychotherapeutic services provided by a qualified violence
prevention professional for the purpose of promoting improved health
outcomes, trauma recovery, and positive behavioral change, preventing
injury recidivism and reducing the likelihood that individuals who are
victims of community violence will commit or promote violence
themselves. "Community violence prevention services" may include the
provision of peer support and counseling, mentorship, conflict
mediation, crisis intervention, targeted case management, referrals to
certified or licensed health care professionals or social services
providers, case management, community and school support services,
patient education or screening services to victims of community
violence.
(c) "Prevention professional" means an individual who works in
programs aimed to address specific patient needs, such as suicide
prevention, violence prevention, alcohol avoidance, drug avoidance, and
tobacco prevention. The goal of such individual's work is to reduce the
risk of relapse, injury, or re-injury of the patient.
(d) "Qualified violence prevention professional" means a prevention
professional who meets all of the conditions specified in subdivision
five of this section.
2. Within thirty days of the effective date of this section, the
commissioner shall apply to the federal government for approval of an
amendment to the Medicaid state plan to make community violence
prevention services available, to the extent permitted by federal law,
to any Medicaid beneficiary who has:
(a) been exposed to community violence, or has a personal history of
injury sustained as a result of an act of community violence; and
(b) been referred by a certified or licensed health care provider or
social services provider to receive community violence prevention
services from a qualified violence prevention professional, after such
provider determines such beneficiary to be at elevated risk of a violent
injury or retaliation resulting from another act of community violence.
3. The commissioner shall seek any federal approvals necessary to
implement this section, including, but not limited to, any state plan
amendments or federal waivers by the federal Centers for Medicare and
Medicaid Services.
4. Once federal approval has been appplied for, the commissioner,
shall, in consultation with violence intervention organizations and
local community-based and hospital-based violence prevention programs:
(a) issue guidance on the use of community violence prevention
services for beneficiaries who access these services under the medical
assistance program; and
(b) determine maximum allowable rates for community violence
prevention services based upon the medical assistance program
fee-for-service outpatient rates for the same or similar services, or
any other data deemed reliable and relevant by the commissioner.
5. Any prevention professional seeking certification as a qualified
violence prevention professional shall:
(a) complete at least six months of full-time equivalent experience in
providing community violence prevention services or youth development
services through employment, volunteer work or as part of an internship
experience;
(b) complete a training and certification program approved by the
department of health for qualified violence prevention professionals,
approved in accordance with subdivision six of this section, by a
provider approved by the commissioner;
(c) complete annually at least four hours of continuing education, by
a provider approved by the commissioner, in the field of community
violence prevention services;
(d) complete prevention professionals training for the population of
patients with whom they work; and
(e) satisfy any other requirements established by the commissioner,
for certification as a qualified violence prevention professional.
6. Within ninety days of the effective date of this section, the
department of health shall approve at least one governmental or
nongovernmental accrediting body with expertise in community violence
prevention services to review and approve training and certification
programs for qualified violence prevention professionals. The
accrediting body shall approve programs that such body determines, in
its discretion, will adequately prepare individuals to provide community
violence prevention services to individuals who are victims of community
violence. Such programs shall include at least thirty-five hours of
training, collectively addressing all of the following:
(a) the profound effects of trauma and violence and the basics of
trauma-informed care; and
(b) community violence prevention strategies, including, but not
limited to, conflict mediation and retaliation prevention related to
community violence; case management and advocacy practices; and patient
privacy and the federal Health Insurance Portability and Accountability
Act of 1996, P.L. 104-191, as amended from time to time, (HIPAA).
7. Any entity that employs or contracts with a qualified violence
prevention professional to provide community violence prevention
services shall:
(a) maintain documentation that the qualified violence prevention
professional has met all of the conditions described in subdivision six
of this section; and
(b) ensure that the qualified violence prevention professional is
providing community violence prevention services in compliance with any
applicable standards of care, rules, regulations and governing law of
the state or federal government.
8. Nothing in this section shall alter the scope of practice for any
health care professional or authorize the delivery of health care
services in a setting or in a manner that is not currently authorized.
9. This section shall be implemented only to the extent that federal
financial participation is available, and any necessary federal
approvals have been obtained.
Reimbursement for treatment in place and transportation to
alternative health care settings. 1. Notwithstanding any provision of
law to the contrary, any provision of this title providing for
reimbursement of transportation costs for an ambulance service shall
also apply where, instead of providing transportation to a general
hospital, such ambulance service when responding to an emergency call:
(a) Administers treatment in place, including but not limited to
telehealth visits approved by Medicaid for reimbursement when deemed
necessary; and/or
(b) Transports an individual to an alternative health care setting.
2. For the purposes of this section, the following terms shall have
the following meanings:
(a) "Alternative health care setting" means the following facilities
or institutions approved by Medicaid for reimbursement and accepting
Medicaid recipients:
(i) a crisis stabilization center or certified community behavioral
health clinic operating pursuant to article thirty-six of the mental
hygiene law;
(ii) a facility under section 7.17 of the mental hygiene law;
(iii) a facility providing addiction disorder services or behavioral
health services, as such terms are defined by section 1.03 of the mental
hygiene law;
(iv) a diagnostic and treatment center established pursuant to article
twenty-eight of the public health law, or an upgraded diagnostic and
treatment center designated as such pursuant to section twenty-nine
hundred fifty-six of the public health law;
(v) a federally qualified health center; or
(vi) an urgent care center, which for the purposes of this section
shall mean a facility that provides episodic care related to an acute
illness or minor traumas that are not life-threatening or permanently
disabling.
(b) "Ambulance service" shall have the same meaning as defined by
section three thousand one of the public health law.
(c) "General hospital" shall have the same meaning as defined by
section twenty-eight hundred one of the public health law.
(d) "Treatment in place" means the administration of emergency medical
services, as defined by section three thousand one of the public health
law, by an employee or volunteer of an ambulance service. Such services
shall be consistent with protocols promulgated pursuant to article
thirty of the public health law.
3. This section shall be effective if, and as long as, federal
financial participation is available therefor.
4. Nothing in this section shall be deemed to allow a person to
provide any service for which a license, registration, certification or
other authorization under title eight of the education law is required
and which the person does not possess.
Quarterly estimates. Each public welfare district shall submit
to the department quarterly estimates of its anticipated expenditures
for medical assistance for needy persons and administrative expenses not
less than thirty days before the first day of each of the quarters
beginning on the first day of the months of July, October, January and
April, in such form and together with such other information as the
department may require.
State reimbursement. 1. The department shall review the
expenditures made by social services districts for medical assistance
for needy persons, and the administration thereof, before making
reimbursement. Before approving such expenditures for reimbursement, the
department shall give due consideration to the results of the reviews
and audits conducted by the department of health pursuant to subdivision
two of section three hundred sixty-four. If approved by the department,
such expenditures shall not be subject to reimbursement by the state
pursuant to section one hundred fifty-three or any provision of this
chapter other than this section, but shall be subject to reimbursement
by the state in accordance with this section and the regulations of the
department, as follows:
There shall be paid to each such district
(a) the amount of federal funds, if any, properly received or to be
received on account of such expenditures;
(b) the full amount expended on behalf of the department for medical
assistance furnished under this title to eligible patients in state
institutions for the mentally disabled, in facilities or parts thereof
for the care and treatment of drug dependent persons operated pursuant
to the mental hygiene law and in other hospitals while such patients are
on release from an institution in the state department of mental hygiene
or from a drug abuse treatment facility or part thereof operated in
compliance with applicable provisions of law and supervised by the state
division of substance abuse services, to eligible veterans and their
dependents in that part of the New York state home for veterans and
their dependents at Oxford that has been approved pursuant to law as a
nursing home and in a hospital while on release from that home for the
purpose of receiving care in such hospital, in that part of a public
institution operated for the care of the mentally disabled that has been
approved pursuant to law as an intermediate care facility, to eligible
veterans and their dependents in that part of the New York state home
for veterans and their dependents at Oxford that has been approved
pursuant to law as an intermediate care facility and in a hospital while
on release from such intermediate care facilities for the purpose of
receiving care in such hospital, and for the administration thereof,
after first deducting therefrom any federal funds properly received or
to be received on account thereof;
(c) the full amount expended for medical assistance furnished under
this title to eligible Indians and members of their families residing on
any Indian reservation in this state, and for the administration
thereof, after first deducting therefrom any federal funds properly
received or to be received on account thereof;
(d) fifty per centum of the amount expended for medical assistance
furnished under this title to other eligible persons, and for the
administration thereof, after first deducting therefrom any federal
funds properly received or to be received on account thereof.
(e) one hundred percentum of the amount expended for the development
of medical assistance data systems, after first deducting therefrom any
federal funds properly received or to be received on account thereof.
Such reimbursement shall be available only to the extent that such
projects have received federal approval and to the extent that claims
for ninety percent federal aid have been approved.
(f) The full amount expended on behalf of the department for medical
assistance furnished to persons described in subdivision five of section
three hundred sixty-five of this article, including the administration
thereof, after first deducting therefrom any federal funds properly
received or to be received on account of such expenditures.
(g) Notwithstanding any other provision of law, reimbursement for the
following services: care, treatment, maintenance and nursing services in
nursing homes and health related care and services in intermediate care
facilities provided in accordance with paragraph (b) of subdivision two
of section three hundred sixty-five-a of this title; home health
services provided in accordance with paragraph (d) of subdivision two of
section three hundred sixty-five-a of this title; personal care services
provided in accordance with paragraph (e) of subdivision two of section
three hundred sixty-five-a of this title; long term home health care
programs services provided in accordance with section three hundred
sixty-seven-c of this title; and nursing home transition and diversion
services provided in accordance with subdivision six-a of section three
hundred sixty-six of this title shall be made as follows:
(i) for services provided on or after January first, nineteen hundred
eighty-four through December thirty-first, nineteen hundred eighty-four,
seventy-two per centum after first deducting therefrom any federal funds
properly received or to be received on account thereof;
(ii) for services provided on or after January first, nineteen hundred
eighty-five through December thirty-first, nineteen hundred eighty-five,
seventy-six per centum after first deducting therefrom any federal funds
properly received or to be received on account thereof; and
(iii) for services provided on or after January first, nineteen
hundred eighty-six through March thirty-first, nineteen hundred
ninety-four, eighty per centum after first deducting therefrom any
federal funds properly received or to be received on account thereof;
(iv) for services provided on or after April first, nineteen hundred
ninety-four eighty-one and two hundred thirty-five thousandths per
centum after first deducting therefrom any federal funds properly
received or to be received on account thereof.
(h) (i) Beginning January first, nineteen hundred eighty-four, one
hundred per centum of the amount expended for medical assistance for
those individuals who are eligible pursuant to section three hundred
sixty-six of this article as a result of a mental disability as
determined by the commissioner in consultation with the commissioner of
the office of mental health and the commissioner of the office for
people with developmental disabilities and with the approval of the
director of the budget after first deducting therefrom any federal funds
properly received or to be received on account thereof.
(ii) Notwithstanding any other provision of law to the contrary, on
and after the effective date of this subparagraph, the department of
health shall make no further recovery or recoupment of monies that were
advanced to local social services districts, during the period from
April first, nineteen hundred ninety-two to the effective date of this
subparagraph, to cover the medical assistance costs pursuant to this
paragraph for rehabilitative services for residents of community
residences licensed or operated by the office of mental health or for
the office for people with developmental disabilities home and community
based waiver services.
(i) The full amount expended on behalf of the department for medical
assistance furnished to persons described in subdivision eight of
section three hundred sixty-five of this article, including the
administration thereof, after first deducting therefrom any federal
funds properly received or to be received on account thereof.
(j) Notwithstanding any other provision of law, but in conjunction
with the provisions of paragraph (g) of subdivision one of this section,
reimbursement for the care and services provided to those persons
eligible pursuant to subparagraph seven of paragraph (a) of subdivision
one of section three hundred sixty-six of this title shall be
seventy-five per centum after first deducting therefrom any federal
funds properly received or to be received on account thereof.
(k) Notwithstanding any other provision of law, reimbursement by the
state for payments made, whether by the department on behalf of a social
services district pursuant to section three hundred sixty-seven-b of
this article or by a social services district directly, for a
supplementary bad debt and charity care adjustment component of rates of
payment determined in accordance with subdivision fourteen-a of section
twenty-eight hundred seven-c of the public health law for general
hospital inpatient hospital services provided in accordance with
paragraph (b) of subdivision two of section three hundred sixty-five-a
of this article shall be limited to the amount of federal funds properly
received or to be received on account of such expenditures; provided,
however, that reimbursement shall be made by the state for the full
amount expended for a supplementary bad debt and charity care adjustment
for a general hospital operated by the state of New York or by the state
university of New York, after first deducting therefrom any federal
funds properly received or to be received on account of such
expenditure.
(l) Effective January first, nineteen hundred ninety, one hundred per
centum of the amount expended for medical assistance for those
individuals who are eligible pursuant to paragraphs (n) and (o) of
subdivision four of section three hundred sixty-six of this article
after first deducting therefrom any federal funds properly received or
to be received on account thereof.
(m) Notwithstanding any other provision of law, reimbursement by the
state for payments made, whether by the department on behalf of a social
services district pursuant to section three hundred sixty-seven-b of
this article or by a social services district directly, for a
supplementary low income patient adjustment component of rates of
payment for a public general hospital determined in accordance with
subdivision fourteen-d of section twenty-eight hundred seven-c of the
public health law for general hospital inpatient hospital services
provided in accordance with paragraph (b) of subdivision two of section
three hundred sixty-five-a of this article shall be limited to the
amount of federal funds properly received or to be received on account
of such expenditures; provided, however, that reimbursement shall be
made by the state for the full amount expended for a supplementary low
income patient adjustment for a general hospital operated by the state
of New York or by the state university of New York, after first
deducting therefrom any federal funds properly received or to be
received on account of such expenditure.
(n) Notwithstanding any inconsistent provision of law, reimbursement
for the amount expended for medical assistance furnished under this
title to eligible persons pursuant to a statewide managed care plan or
managed care demonstration program, or to eligible persons enrolled in
any health maintenance organization or other entity authorized by law to
furnish comprehensive health services pursuant to a plan, shall be
reimbursed, after first deducting therefrom any federal funds properly
received or to be received on account thereof, in accordance with the
following schedule: (i) for services provided for the period April
first, nineteen hundred ninety-four to March thirty-first, nineteen
hundred ninety-nine, fifty-three and eight hundred seventy-five
ten-thousandths percent thereof; and (ii) for services provided for the
period April first, nineteen hundred ninety-nine to March thirty-first,
two thousand three, fifty percent thereof.
(o) Notwithstanding any other provision of law, reimbursement by the
state for payments made, whether by the department on behalf of a social
services district pursuant to section three hundred sixty-seven-b of
this article or by a social services district directly, for the
component of rates of payment for a general hospital determined in
accordance with paragraph (s) of subdivision eleven of section
twenty-eight hundred seven-c of the public health law for general
hospital inpatient hospital services provided in accordance with
paragraph (b) of subdivision two of section three hundred sixty-five-a
of this article shall be one hundred per centum of the amount expended
for medical assistance, after first deducting therefrom any federal
funds properly received or to be received on account of such
expenditure.
(p) Notwithstanding any other provision of law, reimbursement by the
state for payments made, whether by the department on behalf of a social
services district pursuant to section three hundred sixty-seven-b of
this article or by a social services district directly, for a public
general hospital indigent care adjustment payment for a public general
hospital determined in accordance with subdivision fourteen-f of section
twenty-eight hundred seven-c of the public health law for general
hospital inpatient hospital services provided in accordance with
paragraph (b) of subdivision two of section three hundred sixty-five-a
of this article shall be limited to the amount of federal funds properly
received or to be received on account of such expenditures; provided,
however, that reimbursement shall be made by the state for the full
amount expended for a public general hospital indigent care adjustment
for a general hospital operated by the state of New York or by the state
university of New York, after first deducting therefrom any federal
funds properly received or to be received on account of such
expenditure.
* (q) Notwithstanding any inconsistent provision of this chapter or
any other provision of law to the contrary, reimbursement for the amount
expended for medical assistance furnished under this title to eligible
persons for services provided by a managed long term care plan, shall be
based upon a uniform average of expenditures reflecting a mix of
primary, acute and long term care services. Such uniform average, or
averages, will be determined by the commissioner of health and shall
reflect the mix of services as applied to the amounts calculated
pursuant to applicable paragraphs (g) and (n) of this subdivision, after
first deducting therefrom any federal funds properly received or to be
received on account of such expenditure.
* NB Repealed December 31, 2029
* (r) Notwithstanding any other provision of law, reimbursement by the
state for payments made, whether by the department of health on behalf
of a social services district pursuant to section three hundred
sixty-seven-b of this title or by a social services district directly,
for medical assistance furnished pursuant to the provisions of
subparagraph one of paragraph (q) of subdivision four of section three
hundred sixty-six of this title to children born on or before September
thirtieth, nineteen hundred eighty-three, shall be made for the full
amount expended for such children, after first deducting therefrom any
federal funds properly received or to be received on account of such
expenditure.
* NB Expired April 1, 2005
* (s) Notwithstanding any other provision of law, reimbursement by the
state for payments made, whether by the department of health on behalf
of a social services district pursuant to section three hundred
sixty-seven-b of this title or by a social services district directly,
for medical assistance furnished pursuant to the provisions of
subparagraph one of paragraph (t) of subdivision four of section three
hundred sixty-six of this title to children, shall be made for the full
amount expended for such children, after first deducting therefrom any
federal funds properly received or to be received on account of such
expenditure.
* NB Expired April 1, 2005
(t) (i) for services provided on or after January first, two thousand
three through December thirty-first, two thousand four, fifty percent of
the amount expended for health care services under section three hundred
sixty-nine-ee of this article, after first deducting therefrom any
federal funds properly received or to be received on account thereof;
(ii) for services provided on or after January first, two thousand
five, through September thirtieth, two thousand five, seventy-five
percent of the amount expended for health care services under section
three hundred sixty-nine-ee of this article, after first deducting
therefrom any federal funds properly received or to be received on
account thereof;
(iii) for services provided on or after October first, two thousand
five, through December thirty-first, two thousand five, seventy-five
percent of the amount expended by the social services district
consisting of the city of New York, and one hundred percent of the
amount expended by all other social services districts, for health care
services under section three hundred sixty-nine-ee of this article,
after first deducting therefrom any federal funds properly received or
to be received on account thereof; and
(iv) for services provided on or after January first, two thousand six
through December thirty-first, two thousand six, and thereafter, one
hundred percent of the amount expended for health care services under
section three hundred sixty-nine-ee of this article, after first
deducting therefrom any federal funds properly received or to be
received on account thereof.
(u) Notwithstanding any other provision of law, the full amount
expended for family planning services provided to eligible persons
pursuant to subparagraph eleven of paragraph (a) of subdivision one of
section three hundred sixty-six of this title, after first deducting
therefrom federal funds properly received or to be received on account
of such expenditures.
(v) One hundred per centum of the amount expended for the
administration of medical assistance furnished pursuant to subparagraphs
twelve and thirteen of paragraph (a) of subdivision one of section three
hundred sixty-six of this title, after first deducting any federal funds
properly received or to be received on account of such expenditures.
(w) One hundred per centum of the amount expended for the
administration of medical assistance furnished pursuant to paragraph (v)
of subdivision four of section three hundred sixty-six of this title,
after first deducting any federal funds properly received or to be
received on account of such expenditures.
(x) One hundred percent of the amount expended for health care
services as determined in accordance with paragraph (c) of subdivision
ten of section twenty-eight hundred seven-d of the public health law,
after first deducting therefrom any federal funds properly received or
to be received on account thereof.
(y) One hundred percent of the amount expended for health care
services as determined in accordance with paragraph (v-1) of subdivision
four of section three hundred sixty-six of this title, after first
deducting therefrom any federal funds properly received or to be
received on account thereof.
(z) One hundred percent of the amount expended for health care
services described in sections three hundred sixty-eight-d and three
hundred sixty-eight-e of this title, after first deducting therefrom any
federal funds properly received or to be received on account thereof.
2. (a) For the purpose of state reimbursement under this title,
expenditures for administration of medical assistance for needy persons
shall include expenditures for salaries of employees of local welfare
departments, except for those excluded under paragraph (b) of this
subdivision; operation, maintenance and service costs; and such other
expenditures, such as equipment costs, depreciation charges, and rental
values, as may be approved by the department. It shall not include
expenditures for capital additions or improvements.
(b) State reimbursement shall not be made for any part of the salary
of a social services official, or a chief executive officer of a social
services department, whose qualifications do not conform to those fixed
by the department, or a city or town service officer; nor shall such
reimbursement be made on the salary of a deputy commissioner, or deputy
director or an employee, unless his employment is necessary for the
administration of medical assistance and his qualifications conform to
those fixed by the department.
(c) State reimbursement shall not be made for any part of the salary
of a local medical director appointed after the effective date of this
act whose qualifications do not conform to those established pursuant to
section three hundred sixty-four of this title.
(d) State reimbursement shall not be made for any part of the cost of
those items of care, services, supplies and equipment, and drugs which
represent co-payment amounts for which a provider of medical assistance
is authorized to charge a recipient in accordance with subdivision six
of section three hundred sixty-seven-a of this article.
* 3. For the purpose of state reimbursement for personal care
services, such reimbursement to a social services district shall be
limited to expenditures for such district's allocation of the statewide
need for personal care services, pursuant to section three hundred
sixty-seven-d of this chapter.
* NB Expired March 31, 1985
3. (a) Claims for state reimbursement shall be made in such form and
manner and at such times and for such periods as the department shall
determine.
(b) When certified by the department, state reimbursement shall be
paid from the state treasury upon the audit and warrant of the
comptroller out of funds made available therefor.
(c) When the moneys allotted to the state by the federal department of
health, education and welfare or other authorized federal agency for any
quarter shall have been received by the department of taxation and
finance, the department shall, as soon as possible, certify to the
comptroller the amount to which each public welfare district is entitled
for such quarter and such amount shall be paid out of the state treasury
after audit by the comptroller to the respective public welfare
districts.
(d) The department is authorized in its discretion to make advances to
public welfare districts in anticipation of the state reimbursement
provided for in this section.
4. Payment of state reimbursement and advances shall be made to the
fiscal officer of the public welfare district entitled thereto pursuant
to the provisions of this chapter.
State reimbursement to local health districts; chargebacks.
1. Each approved local health district which enters into a contract
with the department of health pursuant to section three hundred
sixty-four-a of this title shall submit to the department of health a
quarterly report of expenditures for administrative expenses incurred in
the performance of such contract. The department of health shall review
such expenditures and, upon approval, shall submit the report to the
department. Upon receipt of such approved report, there shall be paid
to each such district
(a) the amount of federal funds, if any, properly received or to be
received on account of such expenditures; and
(b) fifty per centum of the amount expended for such administrative
expenses, after first deducting therefrom any federal funds properly
received or to be received on account thereof.
2. The department of health shall submit a quarterly report to the
department of expenditures for administrative expenses incurred by each
of the state health districts in the performance of the cooperative
agreement entered into pursuant to section three hundred sixty-four-a of
this title. Upon receipt of such report, the department shall deduct
the amount of federal funds, if any, properly received or to be received
on account of such expenditures from the total amounts reported for each
such district Fifty per centum of the balance shall be apportioned
among the public welfare districts served by such district in the ratio
that the total expenditures by each such public welfare district for
medical assistance for needy persons for the quarter bears to the total
expenditures by all such public welfare districts for such quarter. The
proportionate share shall be deducted from the next payment due each of
such public welfare districts pursuant to section three hundred
sixty-eight-a of this title.
Audit of state rates of payment to providers of health care
services. 1. The commissioner may conduct, or have conducted, an audit
of financial and statistical reports used for the purpose of
establishing rates of payment or fees made in accordance with the
medical assistance program.
2. The commissioner shall implement audit procedures and activities to
enable the identification of the appropriate rates of payment made
through the medical assistance program. Furthermore the commissioner
shall conduct an annual review of financial and statistical reports with
respect to residential health care facilities certified pursuant to
article twenty-eight of the public health law. Where such review
indicates substantial noncompliance, as defined in regulation by the
commissioner, with the requirements of the medical assistance program
the commissioner shall conduct or have conducted an on-site audit.
Provided further however, that at least once every four fiscal years an
on-site audit shall be conducted.
3. To allow for the recomputation of affected fees or rates of
payment, the commissioner shall, as appropriate, supply audit findings
to the governmental agency or corporation organized and operating in
accordance with article forty-three of the insurance law responsible for
the promulgation of fees or rates of reimbursement.
4. The commissioner shall enter into interagency agreements, subject
to the approval of the director of the budget, to delineate the
respective responsibilities of the department and other governmental
agencies with respect to this section.
5. The commissioner is authorized to promulgate regulations to
implement the provisions of this section.
Reimbursement to public school districts and state
operated/state supported schools which operate pursuant to article
eighty-five, eighty-seven or eighty-eight of the education law.
1. The department of health shall review claims for expenditures made
by or on behalf of local public school districts, and state
operated/state supported schools which operate pursuant to article
eighty-five, eighty-seven or eighty-eight of the education law, for
medical care, services and supplies which are furnished to children with
handicapping conditions or such children suspected of having
handicapping conditions, as such children are defined in the education
law. If approved by the department, payment for such medical care,
services and supplies which would otherwise qualify for reimbursement
under this title and which are furnished in accordance with this title
and the regulations of the department to such children, shall be made in
accordance with the department's approved medical assistance fee
schedules by payment to such local public school district, and state
operated/state supported schools which operate pursuant to article
eighty-five, eighty-seven or eighty-eight of the education law, which
furnished the care, services or supplies either directly or by contract.
2. Claims for payment under this section shall be made in such form
and manner, at such times, and for such periods as the department may
require.
3. The provisions of this section shall be of no force and effect
unless all necessary approvals under federal law and regulation have
been obtained to receive federal financial participation in the costs of
health care services provided pursuant to this section.
4. The commissioner of health is authorized to contract with one or
more entities to conduct a study to determine actual direct and indirect
costs incurred by public school districts and state operated/state
supported schools which operate pursuant to article eighty-five,
eighty-seven or eighty-eight of the education law for medical care,
services and supplies, including related special education services and
special transportation, furnished to children with handicapping
conditions.
5. Notwithstanding any inconsistent provision of sections one hundred
twelve and one hundred sixty-three of the state finance law, or section
one hundred forty-two of the economic development law, or any other law,
the commissioner of health is authorized to enter into a contract or
contracts under subdivision four of this section without a competitive
bid or request for proposal process, provided, however, that:
(a) The department of health shall post on its website, for a period
of no less than thirty days:
(i) A description of the proposed services to be provided pursuant to
the contract or contracts;
(ii) The criteria for selection of a contractor or contractors;
(iii) The period of time during which a prospective contractor may
seek selection, which shall be no less than thirty days after such
information is first posted on the website; and
(iv) The manner by which a prospective contractor may seek such
selection, which may include submission by electronic means;
(b) All reasonable and responsive submissions that are received from
prospective contractors in timely fashion shall be reviewed by the
commissioner of health; and
(c) The commissioner of health shall select such contractor or
contractors that, in his or her discretion, are best suited to serve the
purposes of this section.
(d) Upon selection of a contractor or contractors, the department of
health shall provide written notification of such selection and a
summary of the criteria employed in such selection to the chair of the
senate finance committee and the chair of the assembly ways and means
committee.
6. The commissioner shall evaluate the results of the study conducted
pursuant to subdivision four of this section to determine, after
identification of actual direct and indirect costs incurred by public
school districts, whether it is advisable to claim federal reimbursement
for expenditures under this section as certified public expenditures. In
the event such claims are submitted, if federal reimbursement received
for certified public expenditures on behalf of medical assistance
recipients whose assistance and care are the responsibility of a social
services district results in a decrease in the state share of annual
expenditures pursuant to this section for such recipients, then to the
extent that the amount of any such decrease when combined with any
decrease in the state share of annual expenditures described in
subdivision five of section three hundred sixty-eight-e of this title
exceeds one hundred fifty million dollars for the period April 1, 2011
through March 31, 2013, or exceeds one hundred million dollars in state
fiscal years 2013-14 and 2014-15, the excess amount shall be transferred
to such public school districts in amounts proportional to their
percentage contribution to the statewide savings; an amount equal to
thirteen and five hundredths percent of any decrease in the state share
of annual expenditures pursuant to this section for such recipients in
state fiscal year 2015-16 and any fiscal year thereafter shall be
transferred to such public school districts in amounts proportional to
their percentage contribution to the statewide savings. Any amount
transferred pursuant to this section shall not be considered a revenue
received by such social services district in determining the district's
actual medical assistance expenditures for purposes of paragraph (b) of
section one of part C of chapter fifty-eight of the laws of two thousand
five.
Reimbursement to counties for pre-school children with
handicapping conditions. 1. The department of health shall review claims
for expenditures made by counties and the city of New York for medical
care, services and supplies which are furnished to preschool children
with handicapping conditions or such preschool children suspected of
having handicapping conditions, as such children are defined in the
education law. If approved by the department, payment for such medical
care, services and supplies which would otherwise qualify for
reimbursement under this title and which are furnished in accordance
with this title and the regulations of the department to such children,
shall be made in accordance with the department's approved medical
assistance fee schedules by payment to such county or city which
furnished the care, services or supplies either directly or by contract.
Notwithstanding any provisions of law, rule or regulation to the
contrary, any clinic or diagnostic and treatment center licensed under
article twenty-eight of the public health law, which as determined by
the state education department, in conjunction with the department of
health, has a less than arms length relationship with the provider
approved under section forty-four hundred ten of the education law
shall, subject to the approval of the department and based on standards
developed by the department, be authorized to directly submit such
claims for medical assistance, services or supplies so furnished for any
period beginning on or after July first, nineteen hundred ninety-seven.
The actual full cost of the individualized education program (IEP)
related services incurred by the clinic shall be reported on the New
York State Consolidated Fiscal Report in the education law section
forty-four hundred ten program cost center in which the student is
placed and the associated medical assistance revenue shall be reported
in the same manner.
2. Claims for payment under this section shall be made in such form
and manner, at such times, and for such periods as the department may
require.
3. The commissioner of health is authorized to contract with one or
more entities to conduct a study to determine actual direct and indirect
costs incurred by counties for medical care, services and supplies,
including related special education services and special transportation,
furnished to pre-school children with handicapping conditions.
4. Notwithstanding any inconsistent provision of sections one hundred
twelve and one hundred sixty-three of the state finance law, or section
one hundred forty-two of the economic development law, or any other law,
the commissioner of health is authorized to enter into a contract or
contracts under subdivision three of this section without a competitive
bid or request for proposal process, provided, however, that:
(a) The department of health shall post on its website, for a period
of no less than thirty days:
(i) A description of the proposed services to be provided pursuant to
the contract or contracts;
(ii) The criteria for selection of a contractor or contractors;
(iii) The period of time during which a prospective contractor may
seek selection, which shall be no less than thirty days after such
information is first posted on the website; and
(iv) The manner by which a prospective contractor may seek such
selection, which may include submission by electronic means;
(b) All reasonable and responsive submissions that are received from
prospective contractors in timely fashion shall be reviewed by the
commissioner of health; and
(c) The commissioner of health shall select such contractor or
contractors that, in his or her discretion, are best suited to serve the
purposes of this section.
(d) Upon selection of a contractor or contractors, the department of
health shall provide written notification of such selection and a
summary of the criteria employed in such selection to the chair of the
senate finance committee and the chair of the assembly ways and means
committee.
5. The commissioner shall evaluate the results of the study conducted
pursuant to subdivision three of this section to determine, after
identification of actual direct and indirect costs incurred by counties
for medical care, services, and supplies furnished to pre-school
children with handicapping conditions, whether it is advisable to claim
federal reimbursement for expenditures under this section as certified
public expenditures. In the event such claims are submitted, if federal
reimbursement received for certified public expenditures on behalf of
medical assistance recipients whose assistance and care are the
responsibility of a social services district, results in a decrease in
the state share of annual expenditures pursuant to this section for such
recipients, then to the extent that the amount of any such decrease when
combined with any decrease in the state share of annual expenditures
described in subdivision six of section three hundred sixty-eight-d of
this title exceeds one hundred fifty million dollars for the period
April 1, 2011 through March 31, 2013, or exceeds one hundred million
dollars in state fiscal years 2013-14 and 2014-15, the excess amount
shall be transferred to such counties in amounts proportional to their
percentage contribution to the statewide savings; an amount equal to
thirteen and five hundredths percent of any decrease in the state share
of annual expenditures pursuant to this section for such recipients in
state fiscal year 2015-16 and any fiscal year thereafter shall be
transferred to such counties in amounts proportional to their percentage
contribution to the statewide savings. Any amount transferred pursuant
to this section shall not be considered a revenue received by such
social services district in determining the district's actual medical
assistance expenditures for purposes of paragraph (b) of section one of
part C of chapter fifty-eight of the laws of two thousand five.
The provisions of this section shall be of no force and effect unless
all necessary approvals under federal law and regulation have been
obtained to receive federal financial participation in the costs of
health care services provided pursuant to this section.
Reimbursement of costs under the early intervention program.
1. The department shall review claims for expenditures made by or on
behalf of social services districts for the administration of the early
intervention program as established under title II-A of article
twenty-five of the public health law. If approved by the department,
payment for such expenditures, which were made in accordance with this
title and the regulations of the department, shall be made by payment to
such district, which incurred the expenditure, either directly or by
contract, of the amount of any federal funds properly received or to be
received on account of such expenditures.
2. Claims for payment under this section shall be made in such form
and manner, at such times, and for such periods as the department may
require.
3. The department's liability for payment for such administrative
expenditures made by or on behalf of districts under this section shall
be limited solely to payment of the federal funds received, or to be
received, on account of such expenditures. In the event of any
subsequent disallowances or recoupment of such funds by a federal
governmental agency, upon notification by the commissioner, the
comptroller shall withhold or cause to be withheld the amount of such
disallowance or recoupment from any moneys otherwise due the district,
as state aid pursuant to any provision of law, and the comptroller shall
transfer such amount to the credit of the department of social services
medical assistance administration program - local assistance account.
Application of other provisions. 1. All provisions of this
chapter not inconsistent with this title shall be applicable to medical
assistance for needy persons and the administration thereof by the
social services districts.
2. (a) Notwithstanding any inconsistent provision of this chapter or
other law, no lien may be imposed against the property of any individual
prior to his or her death on account of medical assistance paid or to be
paid on his or her behalf under this title, except:
(i) pursuant to the judgment of a court on account of benefits
incorrectly paid on behalf of such individual, or
(ii) with respect to the real property of an individual who is an
inpatient in a nursing facility, intermediate care facility for
individuals with developmental disabilities, or other medical
institution, who is not reasonably expected to be discharged from the
medical institution and to return home, and who is required, as a
condition of receiving services in such institution under the state plan
for medical assistance, to spend for costs of medical care all but a
minimal amount of his or her income required for personal needs;
provided, however, any such lien will dissolve upon the individual's
discharge from the medical institution and return home; in addition, no
such lien may be imposed on the individual's home if one of the
following persons is lawfully residing in the home:
(A) the spouse of the individual;
(B) a child of the individual who is under twenty-one years of age or
who is blind or permanently and totally disabled; or
(C) a sibling of the individual who has an equity interest in the home
and who was residing in the home for a period of at least one year
immediately before the date of the individual's admission to the medical
institution.
(b) (i) Notwithstanding any inconsistent provision of this chapter or
other law, no adjustment or recovery may be made against the property of
any individual on account of any medical assistance correctly paid to or
on behalf of an individual under this title, except that recoveries must
be pursued:
(A) upon the sale of the property subject to a lien imposed on account
of medical assistance paid to an individual described in clause (ii) of
paragraph (a) of this subdivision, or from the estate of such
individual; and
(B) from the estate of an individual who was fifty-five years of age
or older when he or she received such assistance, provided that for
individuals whose eligibility for medical assistance was based on
paragraph (b) of subdivision one of section three hundred sixty-six of
this title, recovery shall be limited to medical assistance consisting
of nursing facility services, home and community-based services, and
related hospital and prescription drug services.
(ii) Any such adjustment or recovery shall be made only after the
death of the individual's surviving spouse, if any, and only at a time
when the individual has no surviving child who is under twenty-one years
of age or is blind or permanently and totally disabled, provided,
however, that nothing herein contained shall be construed to prohibit
any adjustment or recovery for medical assistance furnished pursuant to
subdivision three of section three hundred sixty-six of this chapter.
(iii) In the case of a lien on an individual's home, any such
adjustment or recovery shall be made only when:
(A) no sibling of the individual who was residing in the individual's
home for a period of at least one year immediately before the date of
the individual's admission to a medical institution referred to in
subparagraph (ii) of paragraph (a) of subdivision two of this section,
and is lawfully residing in such home and has lawfully resided in such
home on a continuous basis since the date of the individual's admission
to the medical institution, and
(B) no child of the individual who was residing in the individual's
home for a period of at least two years immediately before the date of
the individual's admission to a medical institution referred to in
subparagraph (ii) of paragraph (a) of subdivision two of this section,
and who establishes to the satisfaction of the state that he or she
provided care to such individual which permitted such individual to
reside at home rather than in an institution, and is lawfully residing
in such home and has lawfully resided in such home on a continuous basis
since the date of the individual's admission to the medical institution.
(c) Nothing contained in this subdivision shall be construed to alter
or affect the right of a social services official to recover the cost of
medical assistance provided to an injured person in accordance with the
provisions of section one hundred four-b of this chapter.
(d) Where a recovery or adjustment is made pursuant to this title with
respect to a case in a federally-aided category of medical assistance, a
part of the net amount resulting from such recovery or adjustment shall
be paid or credited to the federal government pursuant to federal law
and the regulations of the federal department of health and human
services.
3. The department and any social services district is hereby
authorized to maintain an action subject to sections one hundred one and
one hundred four of this chapter to collect from either a trustee,
creator, or creator's spouse any beneficial interest of either the
creator or creator's spouse in any trust, other than a testamentary
trust, to reimburse such department or district for the costs of medical
assistance furnished to, or on behalf of, a creator or creator's spouse.
For the purpose of this subdivision, the beneficial interest of the
creator or creator's spouse includes the income and any principal
amounts to which the creator or creator's spouse would have been
entitled by the terms of such trust by right or in the discretion of the
trustee, assuming the full exercise of discretion by the trustee for the
distribution of the maximum amount to either the creator or the
creator's spouse.
4. Any inconsistent provision of this chapter or other law
notwithstanding, all information received by social services and public
health officials and service officers concerning applicants for and
recipients of medical assistance may be disclosed or used only for
purposes directly connected with the administration of medical
assistance for needy persons.
5. The requirements of this section with respect to adjustments and
recoveries of medical assistance correctly paid shall be waived in cases
of undue hardship, as determined pursuant to the regulations of the
department in accordance with criteria established by the secretary of
the federal department of health and human services.
6. For purposes of this section, the term "estate" means all real and
personal property and other assets included within the individual's
estate and passing under the terms of a valid will or by intestacy.
7. Notwithstanding any provision of law to the contrary, the
department shall, when it determines necessary program features are in
place, assume sole responsibility for commencing actions or proceedings
in accordance with the provisions of this section, sections one hundred
one, one hundred four, one hundred four-b, paragraph (a) of subdivision
three of section three hundred sixty-six, subparagraph one of paragraph
(h) of subdivision four of section three hundred sixty-six, and
paragraph (b) of subdivision two of section three hundred sixty-seven-a
of this chapter, to recover the cost of medical assistance furnished
pursuant to this title and title eleven-D of this article. The
department is authorized to contract with an entity that shall conduct
activities on behalf of the department pursuant to this subdivision.
Prior to assuming such responsibility from a social services district,
the department of health shall, in consultation with the district,
define the scope of the services the district will be required to
perform on behalf of the department of health pursuant to this
subdivision.
TITLE 11-B Health Insurance Continuation Program For Persons With Aids
Definitions. As used in this section:
1. "Health insurance" shall mean insurance or an employee benefit plan
against sickness, ailment or bodily injury of the employee and, if
covered, his or her dependents, other than (i) insurance or an employee
benefit plan providing disability benefits; or (ii) medical assistance
benefits received under title eleven of this article.
2. "Health insurance costs" means the premiums or contributions paid
for health insurance by or on behalf of a person with AIDS.
3. "Household" means the person with AIDS and all other persons
residing in the same dwelling for whom such person would be responsible
pursuant to section one hundred one of this chapter, or for whom such
person has assumed responsibility.
4. "Persons with AIDS" means persons who are diagnosed as having
acquired immune deficiency syndrome (AIDS) or who have human
immunodeficiency virus (HIV)-related illness, as defined in regulation
by the state department of health.
5. "Poverty line" means the federal income official poverty line (as
defined and annually revised by the federal office of management and
budget).
6. "Program" means the health insurance continuation program for
persons with AIDS established by section three hundred sixty-nine-l of
this article.
Establishment of program. 1. There is hereby established
within the department of social services the health insurance
continuation program for persons with AIDS.
2. Notwithstanding any inconsistent provision of law, the
commissioner, subject to the approval of the director of the budget, may
apply for appropriate waivers under federal law and regulation or take
other actions to secure federal financial participation in the costs of
the program; may waive or modify any provisions of this chapter or
regulation of the department to implement this title; or may promulgate
such regulations as necessary to implement this title.
Program eligibility and operations. 1. In accordance with
regulations of the commissioner, a social services district shall pay
all or part of the health insurance costs on behalf of a person with
AIDS who:
(a) is unemployed, or, if employed, currently is ineligible to
participate in health insurance through his or her current employer or
such employer offers no such plan; and
(b) participated in the plan of health insurance provided by his or
her prior employer and is eligible to continue or convert his or her
participation in such plan by assuming the health insurance costs
associated with such plan although no longer employed by such employer;
and
(c) resides in a household whose household income is less than or
equal to one hundred eighty-five percent of the poverty line.
2. For purposes of determining eligibility under this title, household
income shall be determined by use of the same methodology used to
determine eligibility for federal supplemental security income benefits,
provided that costs incurred for medical or remedial care shall not be
taken into account in determining household income; and, provided
further, that any resources available to such household shall not be
considered nor required to be applied to the payment of health care
expenses.
Relationship of program to medical assistance program. 1. Any
person eligible for medical assistance benefits under title eleven of
this article or who would be eligible for such benefits if an
application were to be made pursuant to section three hundred sixty-six
of this article shall not be eligible for the payment of all or part of
such person's health insurance costs under this program. If all members
of a household can establish eligibility for medical assistance benefits
under the excess income program by use of paid or incurred bills, no
person in that household shall be eligible for the payment of all or
part of such person's health insurance costs under this program.
2. Notwithstanding any inconsistent provision of law, expenditures
incurred by social services districts under this title related to
program expenses shall be considered expenditures under the program of
medical assistance for needy persons under title eleven of this article
and there shall be paid to each such district fifty percent of the
amount expended by such district under this title, and for the
administration thereof, after first deducting therefrom any federal
funds properly received or to be received on account thereof.
TITLE 11-C Medicaid Drug Utilization Review
Definitions. In this article:
1. "Drug utilization review or (DUR)" shall mean the program designed
to measure and to assess on a retrospective and a prospective basis the
proper use of outpatient drugs in the medicaid program. Such program
shall be in addition to the activities of the department with respect to
the detection of fraud and abuse in the medical assistance program, the
sanctioning of providers determined to have engaged in unacceptable
practices under the medical assistance program, and the recovery of
overpayments of medical assistance made to providers under the medical
assistance program.
2. "Board" shall mean the drug utilization review board created under
this title.
3. "Intervention" shall mean a form of communication utilized by the
DUR board with a prescriber or pharmacist to inform about or to
influence prescribing or dispensing practices.
4. "SURS" shall mean the surveillance utilization review system of
medicaid.
5. "Retrospective DUR" shall mean that part of the drug utilization
review program that assesses or measures drug use based on an historical
review of drug use data against predetermined and explicit criteria and
standards on an ongoing basis with professional input.
6. "Prospective DUR" shall mean that part of the drug utilization
review program that is to occur before the drug is dispensed that is
designed to screen for potential drug therapy problems based on explicit
and predetermined standards.
7. "Criteria" shall mean those predetermined and explicitly accepted
elements that are used to measure drug use on an ongoing basis to
determine if the use is appropriate, medically necessary, and not likely
to result in adverse medical outcomes.
8. "Compendia" shall mean those resources widely accepted by the
medical profession in the efficacious use of drugs which is based on,
but not limited to, these sources: "American Hospital Formulary Services
Drug Information," "U.S. Pharmacopeia - Drug Information," "AMA Drug
Evaluations," the peer-reviewed medical literature, and information
provided from the manufacturers of drug products.
9. "Standards" shall mean the acceptable range of deviation from the
criteria that reflects appropriate medical practice and that is tested
on the medicaid recipient database.
10. "Therapeutic duplication" shall mean the prescribing and
dispensing of the same drug or of two or more drugs from the same
therapeutic class where overlapping time periods of drug administration
are involved and where such prescribing or dispensing is not medically
indicated.
11. "Drug-disease contraindications" shall mean the occurrence where
the therapeutic effect of a drug is adversely altered by the presence of
another disease condition.
12. "Drug-interactions" shall mean the occurrence where two or more
drugs taken by a recipient lead to clinically significant toxicity that
is characteristic of one or any of the drugs present or that leads to
the interference with the effectiveness of one or any of the drugs.
13. "Therapeutic appropriateness" shall mean drug prescribing and
dispensing based on rational drug therapy that is consistent with
criteria and standards of the compendia.
14. "Overutilization or underutilization" shall mean the use of a drug
in such quantities where the desired therapeutic goal is not achieved.
15. "Appropriate and medically necessary" shall mean drug prescribing
and dispensing and patient medication usage in conformity with the
criteria and standards developed under this chapter.
16. "Step therapy" shall mean the practice of beginning drug therapy
for a medical condition with the most medically appropriate and cost
effective therapy and progressing to other drugs as medically necessary.
Drug utilization review board. 1. A twenty-three-member
drug utilization review board is hereby created in the department. The
board is responsible for the establishment and implementation of medical
standards and criteria for the retrospective and prospective DUR
program.
2. The members of the DUR board shall be appointed by the commissioner
and shall serve a three-year term. Members may be reappointed upon the
completion of other terms. The membership shall be comprised of the
following:
(a) Six persons licensed and actively engaged in the practice of
medicine in the state, with expertise in the areas of mental health,
HIV/AIDS, geriatrics, pediatrics or internal medicine and who may be
selected based on input from professional associations and/or advocacy
groups in New York state.
(b) Six persons licensed and actively practicing in pharmacy in the
state who may be selected based on input from professional associations
and/or advocacy groups in New York state.
(c) Two persons with expertise in drug utilization review who are
health care professionals licensed under Title VIII of the education law
at least one of whom is a pharmacologist.
(d) Three persons that are consumers or consumer representatives of
organizations with a regional or statewide constituency and who have
been involved in activities related to health care consumer advocacy,
including issues affecting Medicaid or EPIC recipients.
(e) One person licensed and actively practicing as a nurse
practitioner or midwife.
(f) Two persons who are health care economists.
(g) One person who is an actuary.
(h) One person representing the department of financial services.
(i) The commissioner shall designate a person from the department to
serve as chairperson of the board.
3. The appointed members to the board, or its agents shall have no
sanctions against them by medicare or medicaid.
4. The appointments to this board shall be made so that the length of
the terms are staggered. In making the appointments, the commissioner
shall consider geographic balance in the representation on the board.
5. (a) The functions, powers and duties of the former pharmacy and
therapeutics committee as established in article two-A of the public
health law shall now be considered a function of the drug utilization
review board, including but not limited to:
(i) conducting an executive session for the purpose of receiving and
evaluating drug pricing information related to supplemental rebates, or
receiving and evaluating trade secrets, or other information which, if
disclosed, would cause substantial injury to the competitive position of
the manufacturer; and
(ii) evaluating and providing recommendations to the commissioner of
health on other issues relating to pharmacy services under Medicaid or
EPIC, including, but not limited to: therapeutic comparisons; enhanced
use of generic drug products; enhanced targeting of physician
prescribing patterns; and
(iii) collaborating with managed care organizations to address drug
utilization concerns and to implement consistent management strategies
across the fee-for-service and managed care pharmacy benefits.
(b) Any business or other matter undertaken or commenced by the
pharmacy and therapeutics committee pertaining to or connected with the
functions, powers, obligations and duties are hereby transferred and
assigned to the drug utilization review board and pending on the
effective date of this subdivision, may be conducted and completed by
the drug utilization review board in the same manner and under the same
terms and conditions and with the same effect as if conducted and
completed by the pharmacy and therapeutics committee. All books, papers,
and property of the pharmacy and therapeutics committee shall continue
to be maintained by the drug utilization review board.
(c) All rules, regulations, acts, orders, determinations, and
decisions of the pharmacy and therapeutics committee pertaining to the
functions and powers herein transferred and assigned, in force at the
time of such transfer and assumption, shall continue in full force and
effect as rules, regulations, acts, orders, determinations and decisions
of the drug utilization review board until duly modified or abrogated by
the commissioner of health.
6. Members of the DUR utilization review board and all its employees
and agents shall be deemed to be an "employee" for purposes of section
seventeen of the public officers law.
7. The department shall provide administrative support to the DUR
board.
8. The duties of the DUR board are as follows:
(a) The development and application of the predetermined criteria and
standards to be used in retrospective and prospective DUR that ensure
that such criteria and standards are based on the compendia and that
they are developed with professional input in a consensus fashion with
provisions for timely revisions and assessments as necessary. Further,
that the DUR standards shall reflect the appropriate practices of
physicians in order to monitor:
(i) Therapeutic appropriateness;
(ii) Overutilization or underutilization;
(iii) Therapeutic duplication;
(iv) Drug-disease contraindications;
(v) Drug-drug interactions;
(vi) Incorrect drug dosage or duration of drug treatment; and
(vii) Clinical abuse/misuse.
(b) The development, selection, application, and assessment of
interventions or remedial strategies for physicians, pharmacists, and
recipients that are educational and not punitive in nature to improve
the quality of care including:
(i) Information disseminated to physicians and pharmacists to ensure
that physicians and pharmacists are aware of the board's duties and
powers;
(ii) Written, oral, or electronic reminders of patient-specific or
drug-specific information that are designed to ensure recipient,
physician, and pharmacist confidentiality, and suggested changes in the
prescribing or dispensing practices designed to improve the quality of
care;
(iii) Use of face-to-face discussions between experts in drug therapy
and the prescriber or pharmacist who has been targeted for educational
intervention;
(iv) Intensified reviews or monitoring of selected prescribers or
pharmacists;
(v) The creation of an educational program using data provided through
DUR to provide for active and ongoing educational outreach programs to
improve prescribing and dispensing practices as provided in this
subdivision. (This may be done directly or through contract with other
entities);
(vi) The timely evaluation of interventions to determine if the
interventions have improved the quality of care; and
(vii) The review of case profiles prior to the conducting of an
intervention.
(c) The publication of an annual report which shall be subject to the
department's comment prior to its issuance to the federal department of
health and human services by December first of each year. The annual
report also shall be submitted to the governor and the legislature
before December first of each year. The report shall include the
following information:
(i) A description of the activities of the board, including the nature
and scope of the prospective and retrospective drug use review programs;
(ii) A summary of the interventions used;
(iii) An assessment of the impact of these educational interventions
in quality of care;
(iv) An estimate of the cost savings generated as a result of such
program; and
(v) Recommendations for program improvement.
(d) The development of a working agreement for the DUR board with
related boards or agencies, including, but not limited to: the board of
pharmacy, the board of medicine, the SURS staff, and staff of the
department of health and the office of mental health, in order to
clarify the areas of responsibility for each where such areas may
overlap.
(e) The establishment of a process where physicians or pharmacists
will have the opportunity to submit responses to the DUR educational
letters.
(f) The publication and dissemination of educational information to
physicians and pharmacists on the DUR board and the DUR program to
include information on:
(i) Identifying and reducing the frequency of patterns of fraud,
abuse, gross overuse, or inappropriate or medically unnecessary care
among physicians, pharmacists, and recipients;
(ii) Potential or actual severe/adverse reactions to drugs;
(iii) Therapeutic appropriateness;
(iv) Overutilization or underutilization;
(v) Appropriate use of generics;
(vi) Therapeutic duplication;
(vii) Drug-disease contraindications;
(viii) Drug-drug interactions;
(ix) Incorrect drug dosage/duration of drug treatments;
(x) Drug allergy interactions; and
(xi) Clinical abuse/misuse.
(g) The evaluation of specific drugs submitted to the board for review
pursuant to section two hundred eighty of the public health law, and the
formulation of recommended target supplemental rebates, in accordance
with the standards established in such section.
(h) The adoption and implementation of procedures designed to ensure
the confidentiality of any information collected, stored, retrieved,
assessed or analyzed by the DUR board, staff to the board, or
contractors to the DUR program, that identifies individual physicians,
pharmacists, or recipients. The board may have access to identifying
information for purposes of carrying out intervention activities, but
such identifying information may not be released to anyone other than a
member of the DUR board or the department and its agents.
(i) The improper release of identifying information in violation of
this article may subject that person to criminal or civil penalties.
(j) The board may release cumulative non-identifying information for
purposes of legitimate research.
9. The relationship of the DUR board to the department is as follows:
(a) The department shall monitor the DUR board's compliance to federal
and state statute and regulation.
(b) The DUR board shall serve at the discretion of the commissioner.
(c) The department shall have authority on all fiscal matters relating
to the DUR program.
(d) The department shall have authority on all administrative matters
relating to the administration of the medical assistance program within
the DUR program.
(e) The DUR board shall have responsibility for all medical matters
relating to the DUR program.
(f) The DUR board may utilize medical consultants and review
committees as necessary, subject to department approval.
Retrospective and prospective drug utilization review. The
department, in cooperation with the DUR board, shall include in its
state plan the creation and implementation of a retrospective and
prospective DUR program for medicaid outpatient drugs to ensure that the
prescriptions are appropriate, medically necessary, and not likely to
result in adverse medical outcomes.
1. The retrospective and prospective DUR program shall be operated
under the guidelines and procedures established by the DUR board.
2. The retrospective DUR program shall be based on the guidelines
established by the DUR board and shall use the mechanized drug claims
processing and information retrieval system to analyze claims data to:
(a) Identify patterns of gross overuse, and inappropriate or medically
unnecessary care.
(b) Assess data on drug use against explicit predetermined standards
that are based on the compendia and other sources to monitor the
following:
(i) Therapeutic appropriateness;
(ii) Overutilization or underutilization;
(iii) Therapeutic duplication;
(iv) Drug-disease contraindications;
(v) Drug-drug interactions;
(vi) Incorrect drug dosage or duration of drug treatment; and
(vii) Clinical abuse/misuse.
3. The prospective DUR program shall be based on the guidelines
established by the DUR board not in conflict with education or social
services laws and shall provide that prior to the prescription being
filled or delivered, a review will be conducted by the pharmacist at the
point of sale to screen for potential drug therapy problems resulting
from:
(a) Therapeutic duplication;
(b) Drug-drug interactions;
(c) Incorrect dosage/duration of treatment;
(d) Drug-allergy interactions;
(e) Clinical abuse/misuse.
In conducting the prospective DUR, the pharmacist may not alter the
prescribed outpatient drug therapy without the consent of the prescriber
who prescribed that therapy.
4. (a) The commissioner, through the prospective DUR program, may
require step therapy when there is more than one drug appropriate to
treat a medical condition. The purpose of step therapy is to encourage
the use of medically appropriate, cost effective drugs when clinically
indicated and to limit use of alternative drug therapies unless certain
clinical requirements are met. The DUR board shall recommend guidelines
for specific diagnoses and therapy regimens within which practitioners
may prescribe drugs without the requirement for prior authorization of
those drugs. In establishing these guidelines, the board shall consider
clinical effectiveness, safety, and cost effectiveness. Prior
authorization under this paragraph shall be obtained under section two
hundred seventy-three of the public health law.
(b) The commissioner, through the prospective DUR program, may from
time to time limit the quantity, frequency, and duration of drug
therapy, using guidelines developed by the DUR board. The DUR board
shall develop clinical prescribing guidelines relating to quantity,
frequency, and duration of drug therapy for the commissioner's use under
this paragraph. In establishing these guidelines, the board shall
consider clinical effectiveness, safety, and cost effectiveness. Prior
authorization under this paragraph shall be obtained under section two
hundred seventy-three of the public health law. Exceptions to any prior
authorization imposed as a result of these guidelines shall include, but
need not be limited to, provision for emergency circumstances where a
medical condition requires alleviation of severe pain or which threatens
to cause disability or to take a life if not promptly treated.
TITLE 11-D Essential Plan
Basic health program. 1. Definitions. For purposes of this
section:
(a) "Eligible organization" means an insurer licensed pursuant to
article thirty-two or forty-two of the insurance law, a corporation or
an organization under article forty-three of the insurance law, or an
organization certified under article forty-four of the public health
law, including providers certified under section forty-four hundred
three-e of the public health law;
(b) "Approved organization" means an eligible organization approved by
the commissioner to underwrite a basic health insurance plan pursuant to
this title;
* (c) "Health care services" means (i) the services and supplies as
defined by the commissioner in consultation with the superintendent of
financial services, and shall be consistent with and subject to the
essential health benefits as defined by the commissioner in accordance
with the provisions of the patient protection and affordable care act
(P.L. 111-148) and consistent with the benefits provided by the
reference plan selected by the commissioner for the purposes of defining
such benefits, and shall include coverage of and access to the services
of any national cancer institute-designated cancer center licensed by
the department of health within the service area of the approved
organization that is willing to agree to provide cancer-related
inpatient, outpatient and medical services to all enrollees in approved
organizations' plans in such cancer center's service area under the
prevailing terms and conditions that the approved organization requires
of other similar providers to be included in the approved organization's
network, provided that such terms shall include reimbursement of such
center at no less than the fee-for-service medicaid payment rate and
methodology applicable to the center's inpatient and outpatient
services; and (ii) dental and vision services as defined by the
commissioner;
* NB Effective until January 1, 2031
* (c) "Health care services" means (i) the services and supplies as
defined by the commissioner in consultation with the superintendent of
financial services, and shall be consistent with and subject to the
essential health benefits as defined by the commissioner in accordance
with the provisions of the patient protection and affordable care act
(P.L. 111-148) and consistent with the benefits provided by the
reference plan selected by the commissioner for the purposes of defining
such benefits, and shall include coverage of and access to the services
of any national cancer institute-designated cancer center licensed by
the department of health within the service area of the approved
organization that is willing to agree to provide cancer-related
inpatient, outpatient and medical services to all enrollees in approved
organizations' plans in such cancer center's service area under the
prevailing terms and conditions that the approved organization requires
of other similar providers to be included in the approved organization's
network, provided that such terms shall include reimbursement of such
center at no less than the fee-for-service medicaid payment rate and
methodology applicable to the center's inpatient and outpatient
services; (ii) dental and vision services as defined by the
commissioner; and (iii) as defined by the commissioner and subject to
federal approval, certain services and supports provided to enrollees
eligible pursuant to subparagraph one of paragraph (g) of subdivision
one of section three hundred sixty-six of this article who have
functional limitations and/or chronic illnesses that have the primary
purpose of supporting the ability of the enrollee to live or work in the
setting of their choice, which may include the individual's home, a
worksite, or a provider-owned or controlled residential setting;
* NB Effective January 1, 2031
(d) "Qualified health plan" means a health plan that meets the
criteria for certification described in § 1311(c) of the Patient
Protection and Affordable Care Act (P.L. 111-148), and is offered to
individuals through the health insurance exchange marketplace; and
* (e) "Basic health insurance plan" means a standard health plan
providing health care services, separate and apart from qualified health
plans, that is issued by an approved organization and certified in
accordance with this section.
* NB Repealed if federal approval is withdrawn or 42 U.S.C. 18051 is
repealed
* (e) "Basic health insurance plan" means a standard health plan,
separate and apart from qualified health plans, that is issued by an
approved organization and certified in accordance with this section.
* NB Effective if federal approval is withdrawn or 42 U.S.C. 18051 is
repealed
2. Authorization. If it is in the financial interest of the state to
do so, the commissioner of health is authorized, with the approval of
the director of the budget, to establish a basic health program. The
commissioner's authority pursuant to this section is contingent upon
obtaining and maintaining all necessary approvals from the secretary of
health and human services to offer a basic health program in accordance
with 42 U.S.C. 18051. The commissioner may take any and all actions
necessary to obtain such approvals. Notwithstanding the foregoing,
within ninety days of the effective date of the chapter of the laws of
two thousand fifteen which amended this subdivision the commissioner
shall submit a report to the temporary president of the senate and the
speaker of the assembly detailing a contingency plan in the event
eligibility rules or regulations are modified or repealed; or in the
event federal payment is reduced from ninety five percent of the premium
tax credits and cost-sharing reductions pursuant to the patient
protection and affordable care act (P.L. 111-148). The contingency plan
shall be implemented within ninety days of the above stated events or
the time period specified in federal law.
3. Eligibility. A person is eligible to receive coverage for health
care services pursuant to this title if he or she:
(a) resides in New York state and is under sixty-five years of age;
(b) is not eligible for medical assistance under title eleven of this
article or for the child health insurance plan described in title one-A
of article twenty-five of the public health law;
(c) is not eligible for minimum essential coverage, as defined in
section 5000A(f) of the Internal Revenue Service Code of 1986, or is
eligible for an employer-sponsored plan that is not affordable, in
accordance with section 5000A of such code; and
* (d) (i) except as provided by subparagraph (ii) of this paragraph,
has household income at or below two hundred percent of the federal
poverty line defined and annually revised by the United States
department of health and human services for a household of the same
size; and has household income that exceeds one hundred thirty-three
percent of the federal poverty line defined and annually revised by the
United States department of health and human services for a household of
the same size; however, MAGI eligible noncitizens lawfully present in
the United States with household incomes at or below one hundred
thirty-three percent of the federal poverty line shall be eligible to
receive coverage for health care services pursuant to the provisions of
this title if such noncitizen would be ineligible for medical assistance
under title eleven of this article due to their immigration status;
(ii) subject to federal approval and the use of state funds, unless
the commissioner may use funds under subdivision seven of this section,
has household income at or below two hundred fifty percent of the
federal poverty line defined and annually revised by the United States
department of health and human services for a household of the same
size; and has household income that exceeds one hundred thirty-three
percent of the federal poverty line defined and annually revised by the
United States department of health and human services for a household of
the same size; however, MAGI eligible aliens lawfully present in the
United States with household incomes at or below one hundred
thirty-three percent of the federal poverty line shall be eligible to
receive coverage for health care services pursuant to the provisions of
this title if such alien would be ineligible for medical assistance
under title eleven of this article due to their immigration status;
(iii) subject to federal approval if required and the use of state
funds, unless the commissioner may use funds under subdivision seven of
this section, a pregnant individual who is eligible for and receiving
coverage for health care services pursuant to this title is eligible to
continue to receive health care services pursuant to this title during
the pregnancy and for a period of one year following the end of the
pregnancy without regard to any change in the income of the household
that includes the pregnant individual, even if such change would render
the pregnant individual ineligible to receive health care services
pursuant to this title;
(iv) subject to federal approval, a child born to an individual
eligible for and receiving coverage for health care services pursuant to
this title who would be eligible for coverage pursuant to subparagraphs
(2) or (4) of paragraph (b) of subdivision 1 of section three hundred
and sixty-six of the social services law shall be deemed to have applied
for medical assistance and to have been found eligible for such
assistance on the date of such birth and to remain eligible for such
assistance for a period of one year.
An applicant who fails to make an applicable premium payment, if any,
shall lose eligibility to receive coverage for health care services in
accordance with time frames and procedures determined by the
commissioner.
* NB Repealed if federal approval is withdrawn or 42 U.S.C. 18051 is
repealed
* (d) (i) except as provided by subparagraph (ii) of this paragraph,
has household income at or below two hundred percent of the federal
poverty line defined and annually revised by the United States
department of health and human services for a household of the same
size; and has household income that exceeds one hundred thirty-three
percent of the federal poverty line defined and annually revised by the
United States department of health and human services for a household of
the same size; however, MAGI eligible noncitizens lawfully present in
the United States with household incomes at or below one hundred
thirty-three percent of the federal poverty line shall be eligible to
receive coverage for health care services pursuant to the provisions of
this title if such noncitizen would be ineligible for medical assistance
under title eleven of this article due to their immigration status;
(ii) subject to federal approval and the use of state funds, unless
the commissioner may use funds under subdivision seven of this section,
has household income at or below two hundred fifty percent of the
federal poverty line defined and annually revised by the United States
department of health and human services for a household of the same
size; and has household income that exceeds one hundred thirty-three
percent of the federal poverty line defined and annually revised by the
United States department of health and human services for a household of
the same size; however, MAGI eligible aliens lawfully present in the
United States with household incomes at or below one hundred
thirty-three percent of the federal poverty line shall be eligible to
receive coverage for health care services pursuant to the provisions of
this title if such alien would be ineligible for medical assistance
under title eleven of this article due to their immigration status;
(iii) subject to federal approval if required and the use of state
funds, unless the commissioner may use funds under subdivision seven of
this section, a pregnant individual who is eligible for and receiving
coverage for health care services pursuant to this title is eligible to
continue to receive health care services pursuant to this title during
the pregnancy and for a period of one year following the end of the
pregnancy without regard to any change in the income of the household
that includes the pregnant individual, even if such change would render
the pregnant individual ineligible to receive health care services
pursuant to this title;
(iv) subject to federal approval, a child born to an individual
eligible for and receiving coverage for health care services pursuant to
this title who would be eligible for coverage pursuant to subparagraphs
(2) or (4) of paragraph (b) of subdivision 1 of section three hundred
and sixty-six of the social services law shall be deemed to have applied
for medical assistance and to have been found eligible for such
assistance on the date of such birth and to remain eligible for such
assistance for a period of one year.
An applicant who fails to make an applicable premium payment shall
lose eligibility to receive coverage for health care services in
accordance with time frames and procedures determined by the
commissioner.
* NB Effective if federal approval is withdrawn or 42 U.S.C. 18051 is
repealed
4. Enrollment. (a) Subject to federal approval, the commissioner is
authorized to establish an application and enrollment procedure for
prospective enrollees. Such procedure shall include a verification
system for applicants, which shall be consistent with 42 USC § 1320b-7.
(b) Such procedure shall allow for continuous enrollment for enrollees
to the basic health program where an individual may apply and enroll for
coverage at any point.
(c) Upon an applicant's enrollment in a basic health insurance plan,
coverage for health care services pursuant to the provisions of this
title shall be prospective. Coverage shall begin in a manner consistent
with the requirements for qualified health plans offered through the
health insurance exchange marketplace, as delineated in federal
regulation at 42 CFR 155.420(b)(1) or any successor regulation thereof.
(d) A person who has enrolled for coverage pursuant to this title, and
who loses eligibility to enroll in the basic health program for a reason
other than citizenship status, lack of state residence, failure to
provide a valid social security number, providing inaccurate information
that would affect eligibility when requesting or renewing health
coverage pursuant to this title, or failure to make an applicable
premium payment, before the end of a twelve month period beginning on
the effective date of the person's initial eligibility for coverage, or
before the end of a twelve month period beginning on the date of any
subsequent determination of eligibility, shall have his or her
eligibility for coverage continued until the end of such twelve month
period, provided that the state receives federal approval for using
funds from the basic health program trust fund, established under
section 97-oooo of the state finance law, for the costs associated with
such assistance.
* 5. Premiums and cost sharing. (a) Subject to federal approval, the
commissioner shall establish premium payments enrollees shall pay to
approved organizations for coverage of health care services pursuant to
this title. No payment is required for individuals with a household
income at or below two hundred percent of the federal poverty line
defined and annually revised by the United States department of health
and human services for a household of the same size.
(b) The commissioner shall establish cost sharing obligations for
enrollees, subject to federal approval. There shall be no cost-sharing
obligations for enrollees for dental and vision services as defined in
subparagraph (ii) of paragraph (c) of subdivision one of this section;
services and supports as defined in subparagraph (iii) of paragraph (c)
of subdivision one of this section; and health care services authorized
under subparagraphs (iii) and (iv) of paragraph (d) of subdivision three
of this section.
* NB Repealed if federal approval is withdrawn or 42 U.S.C. 18051 is
repealed
* 5. Premiums and cost sharing. (a) Subject to federal approval, the
commissioner shall establish premium payments enrollees shall pay to
approved organizations for coverage of health care services pursuant to
this title. Such premium payments shall be established in the following
manner:
(i) up to twenty dollars monthly for an individual with a household
income above one hundred and fifty percent of the federal poverty line
but at or below two hundred percent of the federal poverty line defined
and annually revised by the United States department of health and human
services for a household of the same size; and
(ii) no payment is required for individuals with a household income at
or below one hundred and fifty percent of the federal poverty line
defined and annually revised by the United States department of health
and human services for a household of the same size.
(b) The commissioner shall establish cost sharing obligations for
enrollees, subject to federal approval. There shall be no cost-sharing
obligations for services and supports as defined in subparagraph (iii)
of paragraph (c) of subdivision one of this section; and health care
services authorized under subparagraphs (iii) and (iv) of paragraph (d)
of subdivision three of this section.
* NB Effective if federal approval is withdrawn or 42 U.S.C. 18051 is
repealed
6. Rates of payment. (a) The commissioner shall select the contract
with an independent actuary to study and recommend appropriate
reimbursement methodologies for the cost of health care service coverage
pursuant to this title. Such independent actuary shall review and make
recommendations concerning appropriate actuarial assumptions relevant to
the establishment of reimbursement methodologies, including but not
limited to; the adequacy of rates of payment in relation to the
population to be served adjusted for case mix, the scope of health care
services approved organizations must provide, the utilization of such
services and the network of providers required to meet state standards.
(b) Upon consultation with the independent actuary and entities
representing approved organizations, the commissioner shall develop
reimbursement methodologies and fee schedules for determining rates of
payment, which rate shall be approved by the director of the division of
the budget, to be made by the department to approved organizations for
the cost of health care services coverage pursuant to this title. Such
reimbursement methodologies and fee schedules may include provisions for
capitation arrangements.
(c) The commissioner shall have the authority to promulgate
regulations, including emergency regulations, necessary to effectuate
the provisions of this subdivision.
(d) The department shall require the independent actuary selected
pursuant to paragraph (a) of this subdivision to provide a complete
actuarial report, along with all actuarial assumptions made and all
other data, materials and methodologies used in the development of rates
for the basic health plan authorized under this section. Such report
shall be provided annually to the temporary president of the senate and
the speaker of the assembly.
* 7. Any funds transferred by the secretary of health and human
services to the state pursuant to 42 U.S.C. 18051(d) shall be deposited
in trust. Funds from the trust shall be used for providing health
benefits through an approved organization, which, at a minimum, shall
include essential health benefits as defined in 42 U.S.C. 18022(b); to
reduce the premiums, if any, and cost sharing of participants in the
basic health program; or for such other purposes as may be allowed by
the secretary of health and human services. Health benefits available
through the basic health program shall be provided by one or more
approved organizations pursuant to an agreement with the department of
health and shall meet the requirements of applicable federal and state
laws and regulations.
* NB Repealed if federal approval is withdrawn or 42 U.S.C. 18051 is
repealed
* 7. Any funds transferred by the secretary of health and human
services to the state pursuant to 42 U.S.C. 18051(d) shall be deposited
in trust. Funds from the trust shall be used for providing health
benefits through an approved organization, which, at a minimum, shall
include essential health benefits as defined in 42 U.S.C. 18022(b); to
reduce the premiums and cost sharing of participants in the basic health
program; or for such other purposes as may be allowed by the secretary
of health and human services. Health benefits available through the
basic health program shall be provided by one or more approved
organizations pursuant to an agreement with the department of health and
shall meet the requirements of applicable federal and state laws and
regulations.
* NB Effective if federal approval is withdrawn or 42 U.S.C. 18051 is
repealed
8. An individual who is lawfully admitted for permanent residence,
permanently residing in the United States under color of law, or who is
a non-citizen in a valid nonimmigrant status, as defined in 8 U.S.C.
1101(a)(15), and who would be ineligible for medical assistance under
title eleven of this article due to his or her immigration status if the
provisions of section one hundred twenty-two of this chapter were
applied, shall be considered to be ineligible for medical assistance for
purposes of paragraphs (b) and (c) of subdivision three of this section.
9. Reporting. The commissioner shall submit a report to the temporary
president of the senate and the speaker of the assembly annually by
December thirty-first. The report shall include, at a minimum, an
analysis of the basic health program and its impact on the financial
interest of the state; its impact on the health benefit exchange
including enrollment and premiums; its impact on the number of uninsured
individuals in the state; its impact on the Medicaid global cap; and the
demographics of basic health program enrollees including age and
immigration status.
TITLE 12 Community Centers and Services For Senior Citizens
Community centers and services for senior citizens; when
social services official to furnish. 1. A social services official of a
county, city or town is authorized, provided funds have been made
available therefor, to provide at public expense one or more community
centers and services for senior citizens residing in his territory who
are eligible therefor pursuant to the provisions of this title. Such
centers and services may be provided only in cases where it is
determined, under criteria established by the department, that there is
a need therefor.
2. The furnishing of such centers and services is hereby declared to
be proper municipal purpose for which the moneys of a county, city or
town may be raised and expended. A county, city or town may receive and
expend moneys from the state, the federal government or private
individuals, corporations or associations for furnishing such centers
and services.
3. Community centers and services for senior citizens under this
title may be provided by a social services official either directly or
through the purchase or rental of such centers and services from a
private non-profit corporation, company or association provided they are
operated and furnished in compliance with regulations of the department.
Federal grants. 1. The department of taxation and finance
is authorized to accept and receive from the federal government any
moneys which the federal government shall offer to the state for or with
respect to the construction, maintenance or operation of centers for
senior citizens or for or with respect to the provision of services for
senior citizens, under or pursuant to any federal law heretofore or
hereafter enacted authorizing grants to the state for such purpose or
similar purposes, including payments to political subdivisions of, and
any public agencies in the state.
2. The department of social services is hereby designated and
empowered to act as the agent of the state in carrying out the
provisions of any such federal law with respect to such centers and
services for senior citizens in this state.
3. Any and all such grants and moneys awarded for assistance to this
state under or pursuant to any federal law shall be accepted and
received by the department of taxation and finance as custodian thereof
and such moneys, so received, shall be deposited by such department of
taxation and finance in a special fund or funds and shall be used
exclusively for the purposes of any such federal law. Such moneys shall
be paid from such fund or funds on the audit and warrant of the
comptroller upon vouchers certified or approved by the commissioner of
social services.
4. Any federal funds available to the state for such centers and
services for senior citizens shall be retained by the state.
State reimbursement. 1. (a) Expenditures made by counties,
cities, and towns for services for senior citizens and their
administration, and senior citizens center projects, pursuant to this
title, shall, if approved by the department, be subject to reimbursement
by the state, in accordance with the regulations of the department, as
follows: There shall be paid to each county, city or town (1) the
amount of federal funds, if any, properly received or to be received on
account of such expenditures; (2) fifty per centum of its expenditures
for services for senior citizens and their administration and senior
citizens center projects, after first deducting therefrom any federal
funds received or to be received on account thereof, and any
expenditures defrayed by fees paid by senior citizens or by other
private contributions.
(b) For the purposes of this title, expenditures for administration
of services for senior citizens shall include expenditures for
compensation of employees in connection with the furnishing of such
services, including but not limited to costs incurred for pensions,
federal old age and survivors insurance and health insurance for such
employees; training programs for personnel, operation, maintenance and
service costs; and such other expenditures such as equipment costs,
depreciation and charges and rental values as may be approved by the
department. It shall not include expenditures for capital costs. In
the case of centers and services for senior citizens purchased or leased
from a non-profit corporation, company or association, expenditures
shall include an allocable proportion of all operating costs of such
centers as may be approved by the department including but not limited
to the expenditures enumerated in this paragraph (b) and expenditures
for amortization, interest and other financing costs of any mortgage
loan made to such non-profit corporation, company or association.
2. (a) Claims for state reimbursement shall be made in such form and
manner and at such times and for such periods as the department shall
determine.
(b) When certified by the department, state reimbursement shall be
paid from the state treasury upon the audit and warrant of the
comptroller out of funds made available therefor.
3. The department is authorized in its discretion to approve and
certify to the comptroller for payment, advances to counties, cities or
towns in anticipation of the state reimbursement provided for in this
section.
4. Payment of state reimbursement and advances shall be made to local
fiscal officers as in the case of state reimbursement for public
assistance and care under other provisions of this chapter.
TITLE 12-A Supports and Services For Youth Suffering From Adverse Childhood Experiences
Supports and services for youth suffering from adverse
childhood experiences. 1. Youth suffering from or at risk of adverse
childhood experiences, as defined in paragraph (c) of subdivision one of
section twenty-d of this chapter, may be eligible for a range of
appropriate services and supports that enhance protective factors, or
are culturally competent, evidence based and trauma informed and
beneficial to the overall health and well-being of the youth, including
but not necessarily limited to available: (i) appropriate health and
behavioral health services provided to youth who are otherwise eligible
under subdivision seven of section twenty-five hundred ten of the public
health law and subdivision two of section three hundred sixty-five-a of
this article; (ii) preventive services provided to youth who are
otherwise eligible pursuant to section four hundred nine-a of this
article; (iii) services provided to youth who are otherwise eligible
pursuant to subdivision two of section four hundred fifty-eight-m of
this chapter; or (iv) to the extent funds are specifically appropriated
therefor, any other services necessary to serve youth suffering from
adverse childhood experiences.
2. The office of children and family services, in consultation with
the office of temporary and disability assistance, the office of mental
health, the office of addiction services and supports, the department of
health and not-for-profit organizations that have expertise providing
services to individuals suffering from adverse childhood experiences,
shall develop or utilize existing educational materials to be used to
educate parents, guardians and other authorized individuals about
adverse childhood experiences including the environmental events that
may impact or lead to adverse childhood experiences, the importance of
protective factors and the availability of services for children at risk
of or suffering from adverse childhood experiences. Such information
shall be made available electronically and shall be posted on each
agency's website.
TITLE 13 State Heating Fuel Crisis Assistance
* § 370-aa. State heating fuel crisis assistance. 1. The commissioner
shall establish a state program to provide heating fuel related crisis
assistance to households whose total income from all sources is between
one hundred twenty-five percent and two hundred percent of the federal
community services administration poverty guidelines and who have not
received a grant for heating fuel assistance during the nineteen hundred
seventy-nine--nineteen hundred eighty winter from any other emergency or
energy assistance program. To the extent funds are available, such
household may apply and be eligible for assistance if the household is
threatened with shut-off or nondelivery of heating fuel due to
nonpayment and in the case of a one person household, the household's
liquid resources do not exceed one thousand five hundred dollars or in
the case of households of more than one person liquid resources do not
exceed two thousand two hundred fifty dollars. Liquid resources shall
mean those resources which are in cash or are financial instruments
which are convertible to cash.
2. Eligible households with incomes between one hundred twenty-five
percent and one hundred fifty percent of the federal community services
administration poverty guidelines may receive a total benefit not to
exceed two hundred dollars; eligible households with incomes between one
hundred fifty per cent and one hundred seventy-five percent of the
federal community services administration poverty guidelines may receive
a total benefit not to exceed one hundred fifty dollars; and eligible
households with incomes between one hundred seventy-five percent and two
hundred percent of the federal community services administration poverty
guidelines may receive a total benefit not to exceed one hundred
dollars. Eligible households which pay for heat directly may receive
benefits in the form of direct payment to suppliers of home heating
fuels. All households may receive assistance in the form of cash up to
fifty dollars for warm clothing, blankets, replacement of broken window
panes, firewood, temporary shelter, emergency repairs to heating
equipment, nutrition, health and other supportive services. In no event
shall the sum of assistance under this program made to or on behalf of
any household exceed the actual amount needed to ameliorate the heating
fuel crisis.
3. a. Assistance may also be provided to households whose rent
includes heat. Such assistance may be provided only in the event that
the owner of the rented dwelling has abandoned responsibility for paying
heating costs. Such assistance may be in the form of emergency heating
fuel deliveries.
b. Such assistance shall be provided for a period not to exceed
fifteen days, in order to allow time for appropriate action to be taken
by city or county officials.
c. In such cases where the landlord or owner has abandoned his
responsibility for paying heating costs, and where tenants or landlords
can verify that at least sixty percent of the building's households are
at or below two hundred percent of the federal community services
administration poverty guidelines, the buildings may qualify.
d. The department shall make all reasonable efforts to recover from
the landlord, emergency expenditures for heating fuel.
4. This program shall be administered at the county level and in the
city of New York by the local departments of social services. Local
departments shall distribute funds allocated for heating fuel crisis
assistance to eligible households for the payment of heating fuel costs
as described in subdivisions two and three of this section. The
department shall prepare application forms for use by the local
departments and instructions to be used in completing applications.
Certification of eligibility and authorization of payment shall be the
responsibility of the local departments. The local departments shall
provide for preliminary screening and assistance to applicants by
community action agencies, area offices on aging and other community
agencies.
5. The department and local departments shall contract for the
provision of an outreach program to inform potentially eligible
households of the availability of heating fuel crisis assistance. The
department shall enter into an agreement with the state office for the
aging which will provide outreach to the elderly and with community
action agencies and other community based agencies for outreach to other
potentially eligible households. The department shall develop program
materials which will be made available to utilities, fuel oil dealers
and community agencies for the purpose of informing the public about the
availability of crisis assistance.
6. Elderly persons over the age of sixty shall be a priority class to
be served by this program. To insure the priority becomes operational,
local departments shall provide directly or when appropriate through
contract the following special services to the elderly: priority in
scheduling appointments; arrangements for transportation when no other
transportation is available; intake and certification at home or through
a representative for those elderly who are homebound.
7. Payments made under this program shall not be considered as income
or resource for the purpose of determining eligibility for benefits
under any income maintenance or medical assistance program.
8. The department shall be responsible for monitoring the local
implementation of this program. All cases including a declaration of
income shall be subject to a redetermination and verification of income
eligibility. To insure that the elderly receive priority, the department
shall periodically review the population certified to receive benefits
and in districts where the elderly are not being served shall, with the
state office for aging, take appropriate actions to ensure that the
elderly are served. The department and local districts shall maintain a
system of records for this program which is separate from any other
emergency or energy related assistance program.
No later than July thirty-first, nineteen hundred eighty, the
department shall provide the governor and legislature with a report on
the state heating fuel crisis assistance program's implementation and
use in each district. Such report shall include the total number of
households and the number of elderly households served in each income
category, the amount and type of assistance provided to each household
and the activities and expenditures for all administering and outreach
agencies in each district.
9. The department shall promulgate all regulations necessary for
operation of the state heating fuel crisis assistance program which are
consistent with the state plan for the nineteen hundred eighty community
services administration energy crisis assistance program.
10. Within the amounts appropriated therefor funds will be made
available to each social services district for heating fuel crisis
assistance. If a county or city social services district incurs
expenditures in excess of its allocated amount, the county or city as
the case may be shall be liable for such expenditures. Funds will be
allocated by the department according to the following formula: Five
percent of the funds shall be set aside by the department to be used in
meeting any unanticipated heating fuel related crisis caused by
especially severe weather. All remaining funds and set aside funds which
are unexpended by April first, nineteen hundred eighty shall be
allocated according to the following formula: Twenty percent of the
funds shall be allocated equally to every county and the remaining
eighty percent shall be allocated to the fifty-seven counties outside
the city of New York and the city of New York based on the corrected
product of the percentage of state's poverty population residing in each
county, the average heating degree days for the county divided by the
state average and the percentage of county population which is aged
divided by the percentage of state population which is aged.
When thirty percent of the funds are obligated the department will
review the expenditures of program funds for the elderly with a view
toward increasing outreach and support services if this priority
population is not being reached.
When fifty percent of the funds are obligated, the department will
review the initial allocation to determine variances in utilization and
make appropriate adjustments or transfers.
11. Notwithstanding the foregoing, if the commissioner determines that
a federally funded program of energy crisis assistance is in effect and
is duplicative in whole or part to the program provided for in this
section the commissioner shall notify the local social services district
in writing of such determination of duplication and the date after which
state reimbursement for all or part of the expenditures made pursuant to
this section shall not be authorized.
12. For purposes of this section, the term "home heating fuel" shall
mean fuel oil, coal, wood, propane, natural gas, electricity, steam,
kerosene and any other fuel when used for residential heating purposes.
* NB Expired October 1, 1980
ARTICLE 6 Children
TITLE 1 Care and Protection of Children
Definitions
Unless the context or the subject matter manifestly requires a
different interpretation, when used in this article or in any special
act relating to children,
1. "Child" means a person actually or apparently under the age of
eighteen years;
2. "Abandoned child" means a child under the age of eighteen years who
is abandoned by both parents, or by the parent having its custody, or by
any other person or persons lawfully charged with its care or custody,
in accordance with the definition and other criteria set forth in
subdivision five of section three hundred eighty-four-b;
3. "Destitute child" means:
(a) a child under the age of eighteen who is in a state of want or
suffering due to lack of sufficient food, clothing, shelter, or medical
or surgical care; and:
(i) does not fit within the definition of an "abused child" or a
"neglected child" as such terms are defined in section one thousand
twelve of the family court act; and
(ii) is without any parent or caretaker as such term is defined in
section one thousand ninety-two of the family court act, available to
sufficiently care for him or her, due to:
(A) the death of a parent or caretaker; or
(B) the incapacity or debilitation of a parent or caretaker, where
such incapacity or debilitation would prevent such parent or caretaker
from being able to knowingly and voluntarily enter into a written
agreement to transfer the care and custody of said child pursuant to
section three hundred fifty-eight-a or three hundred eighty-four-a of
the social services law; or
(C) the inability of the local social services district to locate any
parent or caretaker, after making reasonable efforts to do so; or
(D) the parent or caretaker being physically located outside of the
state of New York and the local social services district is or has been
unable to return said child to such parent or caretaker while or after
making reasonable efforts to do so, unless the lack of such efforts is
or was appropriate under the circumstances;
(b) a child who is under the age of eighteen years and absent from his
or her legal residence without the consent of his or her parent, legal
guardian or custodian; or
(c) a child under the age of eighteen who is without a place of
shelter where supervision and care are available who is not otherwise
covered under paragraph (a) of this subdivision; or
(d) a person who is a former foster care youth under the age of
twenty-one who was previously placed in the care and custody or custody
and guardianship of the local commissioner of social services or other
officer, board or department authorized to receive children as public
charges, and who was discharged from foster care due to a failure to
consent to continuation in placement, who has returned to foster care
pursuant to section one thousand ninety-one of the family court act.
4-a. "Neglected child" means a child less than eighteen years of age
(i) whose physical, mental or emotional condition has been impaired or
is in imminent danger of becoming impaired as a result of the failure of
his parent or other person legally responsible for his care to exercise
a minimum degree of care
(A) in supplying the child with adequate food, clothing, shelter,
education, medical or surgical care, though financially able to do so or
offered financial or other reasonable means to do so; or
(B) in providing the child with proper supervision or guardianship, by
unreasonably inflicting or allowing to be inflicted harm, or a
substantial risk thereof, including the infliction of excessive corporal
punishment; or by misusing a drug or drugs; or by misusing alcoholic
beverages to the extent that he loses self-control of his actions; or by
any other acts of a similarly serious nature requiring the aid of the
court; provided, however, that where the respondent is voluntarily and
regularly participating in a rehabilitative program, evidence that the
respondent has repeatedly misused a drug or drugs or alcoholic beverages
to the extent that he loses self-control of his actions shall not
establish that the child is a neglected child in the absence of evidence
establishing that the child's physical, mental or emotional condition
has been impaired or is in imminent danger of becoming impaired as set
forth in paragraph (i) of this subdivision; or
(ii) who has been abandoned by his parents or other person legally
responsible for his care.
4-b. "Abused child" means a child less than eighteen years of age
whose parent or other person legally responsible for his care
(i) inflicts or allows to be inflicted upon such child physical injury
by other than accidental means which causes or creates a substantial
risk of death, or serious or protracted disfigurement, or protracted
impairment of physical or emotional health or protracted loss or
impairment of the function of any bodily organ, or
(ii) creates or allows to be created a substantial risk of physical
injury to such child by other than accidental means which would be
likely to cause death or serious or protracted disfigurement, or
protracted impairment of physical or emotional health or protracted loss
or impairment of the function of any bodily organ, or
(iii) commits, or allows to be committed, an act of sexual abuse
against such child as defined in the penal law.
5. "Juvenile delinquent" means a person as defined in section 301.2 of
the family court act.
6. "Person in need of supervision" means a person as defined in
section seven hundred twelve of the family court act.
7. "Dependent child" means a child who is in the custody of, or wholly
or partly maintained by an authorized agency or an institution, society
or other organization of charitable, eleemosynary, correctional, or
reformatory character;
8. "Mentally disabled child" means a child who has a mental disability
as defined in section 1.03 of the mental hygiene law;
9. "Physically handicapped child" means a child who, by reason of a
physical disability or infirmity, whether congenital or acquired by
accident, injury or disease, is or may be expected to be totally or
partially incapacitated for education or for remunerative occupation, as
provided in the education law, or is or may be expected to be
handicapped, as provided in the public health law;
10. "Authorized agency" means
(a) Any agency, association, corporation, institution, society or
other organization which is incorporated or organized under the laws of
this state with corporate power or empowered by law to care for, to
place out or to board out children, which actually has its place of
business or plant in this state and which is approved, visited,
inspected and supervised by the office of children and family services
or which shall submit and consent to the approval, visitation,
inspection and supervision of such office as to any and all acts in
relation to the welfare of children performed or to be performed under
this title; provided, however, that on and after June first, two
thousand seven, such term shall not include any for-profit corporation
or other for-profit entity or organization for the purposes of the
operation, management, supervision or ownership of agency boarding
homes, group homes, homes including family boarding homes of family free
homes, or institutions which are located within this state;
(b) Any court or any social services official of this state authorized
by law to place out or to board out children or any Indian tribe that
has entered into an agreement with the department pursuant to section
thirty-nine of this chapter;
(c) Any agency, association, corporation, institution, society or
other organization which is not incorporated or organized under the laws
of this state, placing out a child for adoption whose admission to the
United States as an eligible orphan with non-quota immigrant status
pursuant to the federal immigration and nationality act is sought for
the purpose of adoption in the State of New York or who has been brought
into the United States with such status and for such purpose, provided,
however, that such agency, association, corporation, institution,
society or other organization is licensed or otherwise authorized by
another state to place out children for adoption, that such agency,
association, corporation, institution, society or other organization is
approved by the department to place out such children with non-quota
immigrant status for adoption in the State of New York, and provided
further, that such agency, association, corporation, institution,
society or other organization complies with the regulations of the
department pertaining to such placements. Notwithstanding any other
provision of law to the contrary, such agency shall be limited in its
functioning as an authorized agency to the placing out and adoption of
such children. This paragraph shall not require the department to
approve any such agency, association, corporation, institution, society
or other organization which is located in a state which is a party to
the interstate compact on the placement of children.
11. "Custody" means custody in pursuance of or in compliance with
expressed provisions of law;
12. "Place out" means to arrange for the free care of a child in a
family other than that of the child's parent, step-parent, grandparent,
brother, sister, uncle, or aunt or legal guardian, for the purpose of
adoption or for the purpose of providing care;
13. "Place" or "commit" includes replace and recommit;
14. "Board out" means to arrange for the care of a child in a family,
other than that of the child's parent, step-parent or legal guardian, to
whom payment is made or agreed to be made for care and maintenance.
15. "Home" includes a family boarding home or a family free home.
16. agency boarding home shall mean a family-type home for children
and/or for minors operated by an authorized agency, in quarters or
premises owned, leased or otherwise under the control of such agency,
for the purpose of providing care and maintenance therein for children
or minors under the care of such agency.
17. "Group home" shall mean a facility for the care and maintenance of
not less than seven, nor more than twelve children, who are at least
five years of age, operated by an authorized agency except that such
minimum age shall not be applicable to siblings placed in the same
facility nor to children whose mother is placed in the same facility.
18. "Public institution for children" shall mean an institution which
is established and maintained by a public welfare district for the
purpose of providing care and maintenance therein for children and
minors for whose care such district is responsible and who require care
away from their own homes.
19. "Foster parent" shall mean any person with whom a child, in the
care, custody or guardianship of an authorized agency, is placed for
temporary or long-term care, and "foster child" shall mean any person,
in the care, custody or guardianship of an authorized agency, who is
placed for temporary or long-term care.
20. "Therapeutic foster parent" means a foster parent who is certified
or licensed pursuant to section three hundred seventy-five or section
three hundred seventy-six of this article, or otherwise approved and who
has successfully completed a training program developed by professionals
experienced in treating children who exhibit high levels of disturbed
behavior, emotional disturbance or physical or health needs. For any
such child placed in their care, such parent shall assist in the
implementation of the therapeutic treatment portion of the family
service plan required by section four hundred nine-e of this article.
21. "Supervised independent living program" shall mean one or more of
a type of agency boarding home operated and certified by an authorized
agency in accordance with the regulations of the office of children and
family services to provide a transitional experience for older youth
who, based upon their circumstances, are appropriate for transition to
the level of care and supervision provided in the program. Each
supervised independent living unit shall be located in the community
separate from any of the agency's other congregate dwellings.
* 22. "Supervised setting" shall mean a residential placement in the
community approved and supervised by an authorized agency or the local
social services district in accordance with the regulations of the
office of children and family services to provide a transitional
experience for older youth in which such youth may live independently. A
supervised setting includes, but is not limited to, placement in a
supervised independent living program, as defined in subdivision
twenty-one of this section.
* NB There are 2 sb 22's
* 22. "Kinship caregiver" means a relative or non-relative who is
acting as a parent and who:
(a) is related to the child through blood, marriage or adoption;
(b) is related to a half-sibling of the child through blood, marriage
or adoption; or
(c) is an adult with a positive prior relationship with the child, a
half-sibling of the child or the child's parent, including, but not
limited to, a step-parent, godparent, neighbor or family friend.
* NB There are 2 sb 22's
Procedure. In any proceeding commenced pursuant to this
chapter in which the family court has exercised jurisdiction, the
provisions of articles one, two and eleven of the family court act shall
apply to the extent that they do not conflict with the specific
provisions of the social services law.
Citizen review panels. 1. There shall be established at least
three citizen review panels. At least one panel shall be established for
the city of New York and at least two panels shall be established for
social services districts or combinations of districts outside of the
city of New York. The panel in the city of New York shall create one
subcommittee for each borough for the purposes of evaluating the extent
to which the state and the social services district are discharging
their child protection responsibilities within that particular borough,
in accordance with subsection three of this section. The office of
children and family services shall make available resources to support
the needs of each citizen review panel.
2. Each citizen review panel shall consist of thirteen members, seven
of whom shall be appointed by the governor, three of whom shall be
appointed by the temporary president of the senate, and three of whom
shall be appointed by the speaker of the assembly. Each panel shall duly
elect a chairperson of such panel. Each panel shall be composed of
volunteer members who are broadly representative of the community in
which such panel is established, including members who have expertise in
the prevention and treatment of child abuse and neglect. No person
employed by federal, state, county or municipal agencies which directly
deliver child welfare services may be appointed to a panel.
3. Each citizen review panel shall, by examining the policies and
procedures of the state and social services districts and, where
appropriate, specific cases, evaluate the extent to which the agencies
are effectively discharging their child protection responsibilities in
accordance with: (a) the state plan established pursuant to 42 U.S.C. §
5106a(b); (b) the child protection standards set forth in 42 U.S.C. §
5106a(b); and (c) any other criteria that the panel considers important
to ensure the protection of children. Each panel shall meet not less
than once every three months. Each panel may hold public hearings on
issues within the panel's jurisdiction.
4. Each citizen review panel shall have access to information on
specific cases in accordance with paragraph (A) of subdivision four of
section four hundred twenty-two of this chapter. Each panel shall also
have reasonable access to public and private facilities which are in
receipt of public funds and are providing child welfare services within
the panel's jurisdiction. Where necessary, the office shall assist a
panel in obtaining access to information or facilities as authorized in
accordance with this section. Each panel shall also have access to the
report prepared by the state pursuant to 42 U.S.C. § 5106a(d).
5. Each citizen review panel shall prepare and make available to the
public, on an annual basis, a report containing: (a) a summary of the
activities of the panel; and (b) the findings and recommendations of the
panel. Each report shall be submitted by February first and shall omit
all confidential information used to prepare the report.
6. The members of each citizen review panel shall not disclose to any
person or government official any identifying information about any
specific child protection case. A member who knowingly violates this
duty of confidentiality may be subject to a civil penalty not to exceed
one thousand dollars and removal from the panel.
7. The legal defense of a member of a citizen review panel shall be
governed by the terms of section seventeen of the public officers law.
Records and reports. 1. Every court, and every public board,
commission, institution, or officer having powers or charged with duties
in relation to abandoned, delinquent, destitute, neglected or dependent
children who shall receive, accept or commit any child shall provide and
keep a record showing:
(a) the full and true name of the child;
(b) the child's sex and date and place of birth, if ascertainable, or
the child's apparent age;
(c) the full and true names and places of birth of the child's
parents, and such parents' actual residence if living, or such parents'
latest known residence, if deceased or whereabouts unknown and the name
and actual residence of any other person having custody of the child, as
nearly as the same can reasonably be ascertained;
(d) the religious faith of the parents and of the child;
(e) the name and address of any person, agency, institution or other
organization to which the child is committed, placed out, boarded out,
or otherwise given into care, custody or control;
(f) the religious faith and occupation of the head or heads of the
family with whom the child is placed out or boarded out and their
relationship, if any, to the child;
(g) if any such child shall die, the date and cause of death and place
of burial;
(h) any further disposition or change in care, custody or control of
the child;
(i) the date or dates of reception and of any subsequent disposition
or change in care, custody or control and, in case of adoption, the name
and title of the judge or surrogate making the order of adoption, the
date of such order and the date and place of filing of such order;
(j) the reasons for any act performed in reference to such child
herein required to be recorded, together with such further information
as the department may require; and shall make to the department upon
blanks provided by the department reports of each such child placed out,
or boarded out, containing the information herein required to be kept;
and shall furnish such information to any authorized agency to which any
such child shall be committed or otherwise given into custody; and
(k) if any such child shall have a developmental disability as defined
pursuant to subdivision twenty-two of section 1.03 of the mental hygiene
law, and, if so, the type of such developmental disability.
2. Every charitable, eleemosynary, reformatory, or correctional
institution, public or private, incorporated or unincorporated, and
every agency, association, corporation, institution, society or other
organization which shall receive, accept, or admit any child whether or
not in receipt of payments from public funds for the support of such
child shall provide and keep a record as described in subdivision one,
and also showing how, by whom and for what reason such child shall have
been given into its custody or committed to it and shall make reports of
each such child to the department upon blanks provided by the department
giving all the information required by subdivision one to be recorded
together with such further information as the department may require.
Except as to children placed out, boarded out or surrendered or for whom
guardianship is accepted or adoption provided, the requirement of this
section shall not apply to hospitals, day nurseries, eleemosynary day
schools, and summer and vacation homes and camps, or to institutions for
the care of convalescent, anaemic, under-nourished or cardiac children,
preventoria, working boys' homes, emergency shelters and schools for the
blind and for the deaf, but all such hospitals, homes and institutions
shall keep such records and make to the department such reports as the
department may require.
3. Such records maintained by the department or an authorized agency,
including a local social services district, regarding such children are
confidential, provided, however, that such records are subject to the
provisions of article thirty-one of the civil practice law and rules.
When either the subject foster child, or such child's parent, or such
child's guardian if any, is not a party to the action, a copy of the
notice or motion for discovery shall be served upon such parent,
guardian, and child and, if the child is still a minor, the child's
attorney. Such persons may thereafter appear in the action with regard
to such discovery. Where no action is pending, upon application by a
parent, relative or legal guardian of such child or by an authorized
agency, after due notice to the institution or authorized agency
affected and hearing had thereon, the supreme court may by order direct
the officers of such institution or authorized agency to furnish to such
parent, relative, legal guardian or authorized agency such extracts from
the record relating to such child as the court may deem proper. The
department through its authorized agents and employees may examine at
all reasonable times the records required by this section to be kept.
4. (a) All such records relating to such children shall be open to the
inspection of the board and the department at any reasonable time, and
the information called for under this section and such other data as may
be required by the department shall be reported to the department, in
accordance with the regulations of the department. Such records kept by
the department shall be deemed confidential and shall be safeguarded
from coming to the knowledge of and from inspection or examination by
any person other than one authorized, by the department, by a judge of
the court of claims when such records are required for the trial of a
claim or other proceeding in such court or by a justice of the supreme
court, or by a judge of the family court when such records are required
for the trial of a proceeding in such court, after a notice to all
interested persons and a hearing, to receive such knowledge or to make
such inspection or examination. No person shall divulge the information
thus obtained without authorization so to do by the department, or by
such judge or justice.
(b)(i) Notwithstanding any inconsistent provision of law to the
contrary, records relating to children kept pursuant to this section
shall be made available to officers and employees of the state
comptroller or of the city comptroller of the city of New York, or of
the county officer designated by law or charter to perform the auditing
function in any county not wholly contained within a city, for the
purposes of a duly authorized performance audit, provided that such
comptroller shall have certified to the keeper of such records that he
or she has instituted procedures developed in consultation with the
department to limit access to client-identifiable information to persons
requiring such information for purposes of the audit, that such persons
shall not use such information in any way except for purposes of the
audit and that appropriate controls and prohibitions are imposed on the
dissemination of client-identifiable information obtained in the conduct
of the audit. Information pertaining to the substance or content of any
psychological, psychiatric, therapeutic, clinical or medical reports,
evaluations or like materials or information pertaining to such child or
the child's family shall not be made available to such officers and
employees unless disclosure of such information is absolutely essential
to the specific audit activity and the department gives prior written
approval.
(ii) Any failure to maintain the confidentiality of
client-identifiable information shall subject such comptroller or
officer to denial of any further access to records until such time as
the audit agency has reviewed its procedures concerning controls and
prohibitions imposed on the dissemination of such information and has
taken all reasonable and appropriate steps to eliminate such lapses in
maintaining confidentiality to the satisfaction of the department. The
department shall establish the grounds for denial of access to records
contained under this section and shall recommend, as necessary, a plan
of remediation to the audit agency. Except as provided in this section,
nothing in this paragraph shall be construed as limiting the powers of
such comptroller or officer to access records which he is otherwise
authorized to audit or obtain under any other applicable provision of
law. Any person given access to information pursuant to this paragraph
who releases data or information to persons or agencies not authorized
to receive such information shall be guilty of a class A misdemeanor.
4-a. Notwithstanding any provisions of law to the contrary, social
services districts shall provide a written summary of services rendered
to a child upon the request of a probation service conducting an
investigation pursuant to the provisions of section 351.1 of the family
court act. Information provided to a probation service pursuant to the
provisions of this subdivision shall be maintained by such service
according to the provisions of subdivision five of section 351.1 of the
family court act.
4-b. Notwithstanding any other provision of law, foster care
information governed by this section may be released by the department
or an authorized agency to a person, agency or organization for purposes
of a bona fide research project. Identifying information shall not be
made available, however, unless it is absolutely essential to the
research purpose and the department gives prior approval. Information
released pursuant to this subdivision shall not be re-disclosed except
as otherwise permitted by law and upon the approval of the department.
5. The requirements of this section to keep records and make reports
shall not apply to the birth parent or parents, or relatives within the
second degree of such parents.
6. The provisions of this section as to records and reports to the
department shall apply also to the placing out, adoption or boarding out
of a child and the acceptance of guardianship or of surrender of a
child.
7. An authorized agency as defined in paragraphs (a) and (b) of
subdivision ten of section three hundred seventy-one of this chapter or
any primary or secondary school or an office of the division for youth,
except agencies operating pursuant to article nineteen-H of the
executive law, who shall receive, accept, enroll or commit any child
under such circumstances as shall reasonably indicate that such child
may be a missing person shall make inquiries of each such child to the
division of criminal justice services in a manner prescribed by such
division; provided that as used in this subdivision a court shall not be
included within the definition of an authorized agency. If such child
appears to match a child registered with the statewide central register
for missing children as described in section eight hundred
thirty-seven-e of the executive law, or one registered with the national
crime information center register, such agency shall immediately contact
the local law enforcement agency.
8. In any case where a child is to be placed with or discharged to a
relative or other person legally responsible pursuant to section ten
hundred seventeen or ten hundred fifty-five of the family court act,
such relative or other person shall be provided with such information by
an authorized agency as is provided to foster parents pursuant to this
section and applicable regulations of the department.
Adoption services. 1. a. A prospective adoptive parent shall
have a right to a fair hearing pursuant to section twenty-two of this
chapter concerning the failure of a social services official to provide
adoption services authorized to be provided pursuant to this section and
the state's consolidated services plan. At the time a child is placed
in a prospective adoptive home, the prospective adoptive parent shall be
notified in writing of his or her right to such fair hearing.
b. Each social services official shall provide, either directly or
through purchase of service, adoption services for each child in their
care who is freed for adoption. Such adoption services shall include
the evaluation of a child's placement needs and pre-placement planning,
recruitment of and homestudy for prospective adoptive parents, training
of adoptive parents, placement planning, supervision and post adoption
services.
2. The department shall promulgate regulations which shall require
that adoption services be made available to all children who are listed
with the New York state adoption service. Such regulations shall also
provide for cooperation between local social services commissioners, and
for apportioning reimbursement for adoption services where more than one
agency or social services district has provided such services for a
child.
2-a. The department shall promulgate regulations requiring all
adoption agencies to forward names and addresses of all persons who have
applied for adoption of a hard-to-place or handicapped child, as defined
in section four hundred fifty-one of this chapter. A list of such names
and addresses shall be maintained by the department and made available,
without charge, to every agency in the state to assist them in placing
such children for adoption.
3. The department shall promulgate regulations to maintain
enlightened adoption policies and to establish standards and criteria
for adoption practices.
Putative father registry. 1. The department shall establish a
putative father registry which shall record the names and addresses of:
(a) any person adjudicated by a court of this state to be the parent of
a child born out of wedlock; (b) any person who has filed with the
registry before or after the birth of a child out of wedlock, a notice
of intent to claim parentage of the child; (c) any person adjudicated by
a court of another state or territory of the United States to be the
father of an out of wedlock child, where a certified copy of the court
order has been filed with the registry by such person or any other
person; (d) any person who has filed with the registry an instrument
acknowledging paternity pursuant to section 4-1.2 of the estates, powers
and trusts law.
2. A person filing a notice of intent to claim parentage of a child or
an acknowledgement of paternity shall include therein his current
address and shall notify the registry of any change of address pursuant
to procedures prescribed by regulations of the department.
3. A person who has filed a notice of intent to claim paternity may at
any time revoke a notice of intent to claim paternity previously filed
therewith and, upon receipt of such notification by the registry, the
revoked notice of intent to claim paternity shall be deemed a nullity
nunc pro tunc.
4. An unrevoked notice of intent to claim paternity of a child may be
introduced in evidence by any party, other than the person who filed
such notice, in any proceeding in which such fact may be relevant.
5. The department shall, upon request, provide the names and addresses
of persons listed with the registry to any court or authorized agency,
and such information shall not be divulged to any other person, except
upon order of a court for good cause shown.
Adoption services; purchase by department. 1. The
department may provide, through purchase of services from authorized
agencies, adoption services for any child who has been referred to the
statewide adoption service pursuant to section three hundred
seventy-two-c and who has not been placed for adoption within three
months after the date of such referral.
2. As used in this section "adoption services" shall mean those
services and activities set forth in subdivision one of section three
hundred seventy-two-b of this chapter.
3. In accordance with regulations of the department, expenditures
made by the department for the provision, through purchase, of adoption
services for a child pursuant to this section shall be subject to
reimbursement to the state by the social services district charged with
the guardianship and custody of the child, as follows: fifty percent of
the amount expended for the provision of such adoption services after
first deducting from such amount any federal funds properly received or
to be received on account thereof.
Adoption applications; appeals. 1. An authorized agency shall
keep a record of applications received from persons seeking to become
adoptive parents, including all actions taken on such applications.
2. The department shall promulgate regulations setting forth
standards and procedures to be followed by authorized agencies in
evaluating persons who have applied to such agencies for the adoption of
a child. Such regulations shall also restrict the evaluation process so
as not to unnecessarily duplicate previous investigations which may have
been made of the adoptive applicant in the context of a prior adoption
application or an application for licensure or certification to board
children.
3. (a) Upon an authorized agency's denial of an application, the
authorized agency shall furnish the applicant with a written statement
setting forth its reason for the denial of the application. Such written
statement shall include a notice to the applicant, in bold face type, of
such applicant's right to request and be granted a hearing in accordance
with the provisions of subdivision four of this section.
(b) Upon an authorized agency's failure to act on an application
within six months of its submission, the authorized agency shall, on
such applicant's request, furnish the applicant with a written statement
setting forth its reason for its failure to act on the application. Such
written statement shall include a notice to the applicant, in bold face
type, of such applicant's right to request and be granted a hearing in
accordance with the provisions of subdivision four of this section.
4. Any person whose application has been denied or whose application
has not been acted upon by an authorized agency within six months of its
submission may request and shall be granted a hearing in accordance with
the provisions of section twenty-two of this chapter relating to fair
hearings.
Statewide adoption service. 1. There shall be established by
the department either directly or through purchase a statewide adoption
service which shall serve all authorized agencies in the state as a
means of recruiting adoptive families for children who have been legally
freed for adoption but have remained in foster care for a period of
three months or more. Such period in foster care shall include any
period of foster care immediately preceding the date on which the child
was legally freed for adoption. The service shall provide descriptions
and photographs of such children, and shall also provide any other
information deemed useful in the recruitment of adoptive families for
each such child. The service shall be updated monthly.
2. The service may be organized on a regional basis, but shall be
provided to all authorized child caring agencies and in accordance with
the regulations of the department, to all appropriate citizen groups and
other organizations and associations interested in children's services.
3. The department shall promulgate regulations governing the
operations of the adoption service.
4. (a) Except as set forth in paragraph (b) of this subdivision, each
authorized agency shall refer to the adoption service, accompanied by a
photograph and description, as shall be required by departmental
regulations, each child in its care who has been legally freed for
adoption and who has been in foster care for the period specified in
subdivision one of this section and for whom no adoptive home has been
found. If the child is fourteen years or older and will not consent to
his or her adoption, such child need not be listed on the service. Such
children's names shall be forwarded to the department by the authorized
agency, with reference to the specific reason by which the child was not
placed on the service. The department shall establish procedures for
periodic review of the status of such children. If the department
determines that adoption would be appropriate for a child not listed
with the service, the agency shall forthwith list the child. Each
authorized agency may voluntarily refer any child who has been legally
freed for adoption. In addition, upon referral of a child by an
authorized agency, the department may determine that the listing of a
child with the service is not in the child's best interest where: the
child has been placed with a relative within the third degree of
consanguinity of the parents of the child and the child does not have a
permanency goal of adoption, or the child is not emotionally prepared
for an adoptive placement. Any child who is not listed based on one of
these factors and who is not placed in an adoptive placement within six
months of referral to the department must be listed with the service at
the end of the six month period in accordance with regulations of the
department except where the child is placed with a relative within the
third degree of consanguinity of the parents of the child, in which case
the department may determine that the listing continues to be contrary
to the child's best interests. The department shall establish procedures
for the periodic review of the status of such children.
(b) An authorized agency shall not refer to the adoption service a
child in its care who has been legally freed for adoption when the child
has been placed with a foster parent who has expressed, in writing, an
interest in adopting the child; provided, however, that such child shall
be referred to the adoption service in accordance with paragraph (a) of
this subdivision where the foster parent has withdrawn interest in
adopting the child or has been disapproved as an adoptive resource for
the child. An authorized agency shall not refer to the adoption service
a child in its care who has been legally freed for adoption where the
agency has identified two or more potential placements for the child;
provided, however, that such child shall be referred to the adoption
service in accordance with paragraph (a) of this subdivision when such
child has not been placed into an adoptive home within nine months of
having been freed for adoption.
Abandoned infant protection program. The office of children
and family services shall develop and implement a public information
program to inform the general public of the provisions of the abandoned
infant protection act. The program may include but not be limited to the
following elements:
1. educational and informational materials in print, audio, video,
electronic, or other media;
2. public service announcements and advertisements; and
3. establishment of toll-free telephone hotlines to provide
information.
Reporting on post adoption services. 1. The office of
children and family services shall place information on its website in
English, French, Polish, and the ten most common non-English languages
spoken by individuals with limited English proficiency in the state of
New York, based on United States census data regarding post adoption
services funded by the office. The office shall work with social
services districts to place information, to the extent that it is
available, on each social services district website in English, French,
Polish, and the ten most common non-English languages spoken by
individuals with limited English proficiency in the state of New York,
based on United States census data regarding post adoption services
funded by the social services district. Authorized agencies shall notify
a foster parent, who has expressed interest in adopting a foster child,
of such websites listing potentially eligible services for a foster
child, upon the adoption of such foster child.
2. The office of children and family services shall collect and
compile, by social services district:
(a) the following information on post adoption services funded by the
office:
(i) the number of children and families served; and
(ii) the type of services provided; and
(b) the number of families receiving preventive services where post
adoption services was identified as a necessary and appropriate service
as part of the family assessment service plan held pursuant to section
four hundred nine-e of this article and the status of such services.
3. The office of children and family services shall compile, to the
extent that such information is available electronically through the
state automated child welfare information system, the following non-
identifying information by social services district:
(a) the number of children entering foster care that had previously
been adopted;
(b) the number of families receiving preventive services where at
least one child in the household had previously been adopted; and
(c) for the children and families identified in paragraphs (a) and (b)
of this subdivision, the types of services, including post adoption
services, identified as necessary and appropriate for the child or the
members of the child's family as part of the family assessment service
plan held pursuant to section four hundred nine-e of this article and
the status of such services.
4. (a) The office of children and family services shall submit, and
publish on its website, an annual report to the speaker of the assembly,
the temporary president of the senate and the chairpersons of the senate
and assembly children and families committees starting no later than
September first, two thousand fifteen. Such report shall include data
and information required by subdivision two of this section for the
preceding year, to the extent that such information is available, and
any other information the office of children and family services deems
appropriate. The office of children and family services shall indicate
the extent to which the information collected reflects the total
population described in subdivision two of this section, and identify
any impediments to collecting such information.
(b) Beginning September first, two thousand seventeen, the annual
report required by paragraph (a) of this subdivision shall be expanded
to include data and information required by subdivision three of this
section for the preceding year, to the extent that such information is
available, and any other information the office of children and family
services deems appropriate.
Religious faith. 1. Whenever a child is committed to any
agency, association, corporation, institution or society, other than an
institution supported and controlled by the state or a subdivision
thereof, such commitment shall be made, when practicable, to an
authorized agency under the control of persons of the same religious
faith as that of the child.
2. Whenever any child is surrendered, released, placed out, or boarded
out, in a family, a home or an institution, or in an agency boarding
home, or in a group home, or to an authorized agency, or in the custody
of any person other than that of a relative within the second degree,
such surrender, release, placement or boarding out shall when
practicable, be to, with or in the custody of a person or persons of the
same religious faith as that of the child or to an authorized agency
under the control of persons of the same religious faith as that of the
child.
3. In appointing guardians of children, and in granting orders of
adoption of children, the court shall, when practicable, appoint as such
guardians, and give custody through adoption, only to a person or
persons of the same religious faith as that of the child.
4. The provisions of subdivision one, two and three of this section
shall be so interpreted as to assure that in the care, protection,
adoption, guardianship, discipline and control of any child, its
religious faith shall be preserved and protected.
5. Whenever a child is placed out or boarded out in the custody, or
under the supervision or control, of a person or of persons of a
religious faith different from that of the child, or if a guardian of a
child is appointed whose religious faith is different from that of the
child, or if letters of adoption of a child are granted to a person or
persons whose religious faith is different from that of the child or if
a child is committed to an agency, association, corporation, society or
institution, which is under the control of persons of a religious faith
different from that of the child, the court, public board, commission or
official shall state or recite the facts which impelled such disposition
to be made contrary to the religious faith of the child or to any person
whose religious faith is different from that of the child and such
statement shall be a part of the minutes of the proceeding, and subject
to inspection by the department or an authorized agency. This
subdivision shall not apply to institutions supported and controlled by
the state or a subdivision thereof.
6. The provisions of this section in relation to the protection of the
religious faith of children shall also apply to minors between sixteen
and eighteen years of age.
7. The provisions of subdivisions one, two, three, four, five and six
of this section shall, so far as consistent with the best interests of
the child, and where practicable, be applied so as to give effect to the
religious wishes of the birth mother, and of the birth father whose
consent would be required for the child's adoption pursuant to section
one hundred eleven of the domestic relations law, if the child is born
out-of-wedlock, or if born in-wedlock, the religious wishes of the birth
parents of the child, or if only one of the birth parents of an
in-wedlock child is then living, the religious wishes of the birth
parent then living. Religious wishes of a parent shall include wishes
that the child be placed in the same religion as the birth parent or in
a different religion from the birth parent or with indifference to
religion or with religion a subordinate consideration. Expressed
religious wishes of a birth parent shall mean those which have been set
forth in a writing signed by the birth parent, except that, in a
non-agency adoption, such writing shall be an affidavit of the birth
parent. In the absence of expressed religious wishes, as defined in this
subdivision, determination of the religious wishes, if any, of the birth
parent, shall be made upon the other facts of the particular case, and,
if there is no evidence to the contrary, it shall be presumed that the
birth parent wishes the child to be reared in the religion of the birth
parent.
Medical histories. Notwithstanding any other provision of law
to the contrary, to the extent they are available, the medical histories
of a child legally freed for adoption or of a child to be placed in
foster care and of his or her birth parents, with information
identifying such birth parents eliminated, shall be provided by an
authorized agency to such child's prospective adoptive parent or foster
parent and upon request to the adoptive parent or foster parent when
such child has been adopted or placed in foster care. To the extent they
are available, the medical histories of a child in foster care and of
his or her birth parents shall be provided by an authorized agency to
such child when discharged to his or her own care and upon request to
any adopted former foster child; provided, however, medical histories of
birth parents shall be provided to an adoptee with information
identifying such birth parents eliminated. Such medical histories shall
include all available information setting forth conditions or diseases
believed to be hereditary, any drugs or medication taken during
pregnancy by the child's birth mother and any other information,
including any psychological information in the case of a child legally
freed for adoption or when such child has been adopted, or in the case
of a child to be placed in foster care or placed in foster care which
may be a factor influencing the child's present or future health. The
department shall promulgate and may alter or amend regulations governing
the release of medical histories pursuant to this section.
Authority to place out or board out children. 1. An authorized
agency is hereby empowered and permitted to place out and board out
children.
1-a. In any agreement between an authorized agency and foster parents
with whom a child or children are to be placed or boarded, there shall
be contained therein the following language: "It is duly acknowledged by
the parties hereto that pursuant to the law of the state of New York, a
foster parent shall have preference in any proceedings to adopt the
child subject to this agreement upon such child having been in the
custody of such foster parent for a period in excess of twelve months".
2. No person, agency, association, corporation, institution, society
or other organization except an authorized agency shall place out or
board out any child but the provisions of this section shall not
restrict or limit the right of a parent, legal guardian or relative
within the second degree to place out or board out a child.
3. Except as hereinafter provided no court, public board, commission
or official shall place out or board out a child in a family not
residing within this state.
(a) A commissioner of public welfare or a city public welfare officer
authorized, pursuant to the provisions of section three hundred
ninety-eight of the social welfare law, to accept the surrender of a
child, may place out a child for the purpose of adoption in a family not
residing within this state. No placement of a child in a family not
residing within this state shall be made unless an agreement for such
placement shall have been reached between the public welfare official
making such placement and the appropriate welfare or other public
official on a state or local level in the state where the family resides
who is authorized by law to supervise children in institutional or
foster care homes. Such agreement shall include provision for the
supervision of the family and the child during the period preceding a
final adoption.
(b) A commissioner of public welfare or a city public welfare officer
authorized, pursuant to the provisions of section three hundred
ninety-eight of the social welfare law, to place children in family
homes, may board out a child in a family not residing within this state.
No child may be boarded out in a family not residing within this state
unless an agreement for such placement shall have been reached between
the public welfare official making such placement and the appropriate
welfare or other public official on a state or local level in the state
where the family resides who is authorized by law to supervise children
in institutional or foster care homes. Such agreement shall include
provision for the supervision of the family and the child during the
period while the child is boarded out.
4. (a) No hospital or lying-in asylum whether incorporated or
unincorporated where women or girls may be received, cared for or
treated during pregnancy or during or after delivery except as
hereinafter provided and no person licensed to carry on like work under
the provisions of article twenty-eight of the public health law shall be
an authorized agency for placing out or boarding out children or place
out any child in a foster home whether for adoption or otherwise either
directly or indirectly or as agent or representative of the mother or
parents of such child.
(b) Every such hospital and licensed person shall forthwith report to
the county or city officer or board charged by law with the care of
destitute children away from their homes where such hospital is located
or where such child is cared for by such licensed person any child
abandoned or left in the care or custody of such hospital or licensed
person provided, however, that no such report except as provided in
section three hundred seventy-two shall be required to be made by a
hospital which is also an authorized agency.
(c) Such officer or board shall receive and care for such child as a
destitute or abandoned child and may bring the case of such child before
the family court in the county or city for adjudication.
(d) The expense of caring for such child as a public charge shall be
paid as provided by this chapter.
5. Nothing contained in this section shall deprive any hospital of any
right or power conferred upon it by its charter or act of incorporation
or specified in its certificate of incorporation.
6. (a) An authorized agency, as defined in paragraphs (a) and (c) of
subdivision ten of section three hundred seventy-one of this title, may
charge or accept a fee or other compensation to or from a person or
persons with whom it has placed out a child, for the reasonable and
necessary expenses of such placement; and no agency, association,
corporation, institution, society or organization, except such an
authorized agency, and no person may or shall request, accept or receive
any compensation or thing of value, directly or indirectly, in
connection with the placing out or adoption of a child or for assisting
a birth parent, relative or guardian of a child in arranging for the
placement of the child for the purpose of adoption; and no person may or
shall pay or give to any person or to any agency, association,
corporation, institution, society or organization, except such an
authorized agency, any compensation or thing of value in connection with
the placing out or adoption of a child or for assisting a birth parent,
relative or guardian of a child in arranging for the placement of the
child for the purpose of adoption. The prohibition set forth in this
section applies to any adoptive placement activity involving a child
born in New York state or brought into this state or involving a New
York resident seeking to bring a child into New York state for the
purpose of adoption.
(b) This subdivision shall not be construed to prevent the payment of
salaries or other compensation by an authorized agency to the officers
or employees thereof; nor shall it be construed to prevent the payment
by a person with whom a child has been placed out of reasonable and
actual medical fees or hospital charges for services rendered in
connection with the birth of such child or of other necessary expenses
incurred by the birth mother in connection with or as a result of such
birth mother's pregnancy or the birth of the child, or of reasonable and
actual nursing, medical or hospital fees for the care of such child, if
such payment is made to the physician, nurse or hospital who or which
rendered the services or to the birth mother of the child, or to prevent
the receipt of such payment by such physician, nurse, hospital or birth
mother. This subdivision shall not be construed to prevent the payment
by an adoptive parent, as defined in section one hundred nine of the
domestic relations law, of the birth mother's reasonable and actual
expenses for housing, maternity clothing, clothing for the child and
transportation for a reasonable period not to exceed one hundred eighty
days prior to the birth and the later of forty-five days after the birth
or forty-five days after the parental consent to the adoption, unless a
court determines, in writing, that circumstances exist which require the
payment of the birth mother's expenses beyond the time periods stated in
this sentence. This subdivision shall not be construed to prevent the
payment by an adoptive parent, as defined in section one hundred nine of
the domestic relations law, of reasonable and actual legal fees charged
for consultation and legal advice, preparation of papers and
representation and other legal services rendered in connection with an
adoption proceeding or of necessary disbursements incurred for or in an
adoption proceeding. No attorney or law firm shall serve as the attorney
for, or provide any legal services to both the birth parent and adoptive
parent in regard to the placing out of a child for adoption or in an
adoption proceeding. No attorney or law firm shall serve as the attorney
for, or provide any legal services to, both an authorized agency and
adoptive parent or both an authorized agency and birth parent where the
authorized agency provides adoption services to such birth parent or
adoptive parent, where the authorized agency provides foster care for
the child, or where the authorized agency is directly or indirectly
involved in the placing out of such child for adoption.
7. After receipt of notice from the state commissioner of health or
the department of health of the city of New York, as the case may be,
that an application has been received by such commissioner or department
for a license or for the renewal of a license to conduct a maternity
hospital or lying-in asylum, pursuant to the provisions of article
twenty-eight of the public health law, the department shall, after
notice to the applicant and opportunity for him to be heard, certify in
writing to such commissioner or city department that the department has
reasonable cause to believe that the applicant is violating or has
violated the provisions of this section, if such be the case. The
department shall so certify within thirty days of the date it received
notice, or within such additional period, not to exceed thirty days, as
the department may request in writing addressed to the commissioner or
administration giving notice.
Interstate compact on the placement of children. 1. The
interstate compact on the placement of children is hereby enacted into
law and entered into with all other jurisdictions legally joining
therein in form substantially as follows:
INTERSTATE COMPACT ON THE PLACEMENT OF CHILDREN
ARTICLE I. PURPOSE AND POLICY
It is the purpose and policy of the party states to cooperate with
each other in the interstate placement of children to the end that:
(a) Each child requiring placement shall receive the maximum
opportunity to be placed in a suitable environment and with persons or
institutions having appropriate qualifications and facilities to provide
a necessary and desirable degree and type of care.
(b) The appropriate authorities in a state where a child is to be
placed may have full opportunity to ascertain the circumstances of the
proposed placement, thereby promoting full compliance with applicable
requirements for the protection of the child.
(c) The proper authorities of the state from which the placement is
made may obtain the most complete information on the basis of which to
evaluate a projected placement before it is made.
(d) Appropriate jurisdictional arrangements for the care of children
will be promoted.
ARTICLE II. DEFINITIONS
As used in this compact:
(a) "Child" means a person who, by reason of minority, is legally
subject to parental, guardianship or similar control.
(b) "Sending agency" means a party state, officer or employee thereof;
a subdivision of a party state, or officer or employee thereof; a court
of a party state; a person, corporation, association, charitable agency
or other entity which sends, brings, or causes to be sent or brought any
child to another party state.
(c) "Receiving state" means the state to which a child is sent,
brought, or caused to be sent or brought, whether by public authorities
or private persons or agencies, and whether for placement with state or
local public authorities or for placement with private agencies or
persons.
(d) "Placement" means the arrangement for the care of a child in a
family free or boarding home or in a child-caring agency or institution
but does not include any institution caring for the mentally ill,
mentally defective or epileptic or any institution primarily educational
in character, and any hospital or other medical facility.
ARTICLE III. CONDITIONS FOR PLACEMENT
(a) No sending agency shall send, bring, or cause to be sent or
brought into any other party state any child for placement in foster
care or as a preliminary to a possible adoption unless the sending
agency shall comply with each and every requirement set forth in this
article and with the applicable laws of the receiving state governing
the placement of children therein.
(b) Prior to sending, bringing or causing any child to be sent or
brought into a receiving state for placement in foster care or as a
preliminary to a possible adoption, the sending agency shall furnish the
appropriate public authorities in the receiving state written notice of
the intention to send, bring, or place the child in the receiving state.
The notice shall contain:
(1) The name, date and place of birth of the child.
(2) The identity and address or addresses of the parents or legal
guardian.
(3) The name and address of the person, agency or institution to or
with which the sending agency proposes to send, bring, or place the
child.
(4) A full statement of the reasons for such proposed action and
evidence of the authority pursuant to which the placement is proposed to
be made.
(c) Any public officer or agency in a receiving state which is in
receipt of a notice pursuant to paragraph (b) of this article may
request of the sending agency, or any other appropriate officer or
agency of or in the sending agency's state, and shall be entitled to
receive therefrom, such supporting or additional information as it may
deem necessary under the circumstances to carry out the purpose and
policy of this compact.
(d) The child shall not be sent, brought, or caused to be sent or
brought into the receiving state until the appropriate public
authorities in the receiving state shall notify the sending agency, in
writing, to the effect that the proposed placement does not appear to be
contrary to the interests of the child.
ARTICLE IV. PENALTY FOR ILLEGAL PLACEMENT
The sending, bringing, or causing to be sent or brought into any
receiving state of a child in violation of the terms of this compact
shall constitute a violation of the laws respecting the placement of
children of both the state in which the sending agency is located or
from which it sends or brings the child and of the receiving state.
Such violation may be punished or subjected to penalty in either
jurisdiction in accordance with its laws. In addition to liability for
any such punishment or penalty, any such violation shall constitute full
and sufficient grounds for the suspension or revocation of any license,
permit, or other legal authorization held by the sending agency which
empowers or allows it to place, or care for children.
ARTICLE V. RETENTION OF JURISDICTION
(a) The sending agency shall retain jurisdiction over the child
sufficient to determine all matters in relation to the custody,
supervision, care, treatment and disposition of the child which it would
have had if the child had remained in the sending agency's state, until
the child is adopted, reaches majority, becomes self-supporting or is
discharged with the concurrence of the appropriate authority in the
receiving state. Such jurisdiction shall also include the power to
effect or cause the return of the child or its transfer to another
location and custody pursuant to law. The sending agency shall continue
to have financial responsibility for support and maintenance of the
child during the period of the placement. Nothing contained herein shall
defeat a claim of jurisdiction by a receiving state sufficient to deal
with an act of delinquency or crime committed therein.
(b) When the sending agency is a public agency, it may enter into an
agreement with an authorized public or private agency in the receiving
state providing for the performance of one or more services in respect
of such case by the latter as agent for the sending agency.
(c) Nothing in this compact shall be construed to prevent a private
charitable agency authorized to place children in the receiving state
from performing services or acting as agent in that state for a private
charitable agency of the sending state; nor to prevent the agency in the
receiving state from discharging financial responsibility for the
support and maintenance of a child who has been placed on behalf of the
sending agency without relieving the responsibility set forth in
paragraph (a) hereof.
ARTICLE VI. INSTITUTIONAL CARE OF DELINQUENT CHILDREN
A child adjudicated delinquent may be placed in an institution in
another party jurisdiction pursuant to this compact, but no such
placement shall be made unless the child is given a court hearing on
notice to the parent or guardian with opportunity to be heard, prior to
his being sent to such other party jurisdiction for institutional care
and the court finds that:
1. Equivalent facilities for the child are not available in the
sending agency's jurisdiction; and
2. Institutional care in the other jurisdiction is in the best
interest of the child and will not produce undue hardship.
ARTICLE VII. COMPACT ADMINISTRATOR
The executive head of each jurisdiction party to this compact shall
designate an officer who shall be general coordinator of activities
under this compact in his jurisdiction and who, acting jointly with like
officers of other party jurisdictions, shall have power to promulgate
rules and regulations to carry out more effectively the terms and
provisions of this compact.
ARTICLE VIII. LIMITATIONS
This compact shall not apply to:
(a) The sending or bringing of a child into a receiving state by his
parent, step-parent, grandparent, adult brother or sister, adult uncle
or aunt, or his guardian and leaving the child with any such relative or
non-agency guardian in the receiving state.
(b) Any placement, sending or bringing of a child into a receiving
state pursuant to any other interstate compact to which both the state
from which the child is sent or brought and the receiving state are
party, or to any other agreement between said states which has the force
of law.
ARTICLE IX. ENACTMENT AND WITHDRAWAL
This compact shall be open to joinder by any state, territory or
possession of the United States, the district of Columbia, the
commonwealth of Puerto Rico, and, with the consent of congress, the
government of Canada or any province thereof. It shall become effective
with respect to any such jurisdiction when such jurisdiction has enacted
the same into law. Withdrawal from this compact shall be by the
enactment of a statute repealing the same, but shall not take effect
until two years after the effective date of such statute and until
written notice of the withdrawal has been given by the withdrawing state
to the governor of each other party jurisdiction. Withdrawal of a party
state shall not affect the rights, duties and obligations under this
compact of any sending agency therein with respect to a placement made
prior to the effective date of withdrawal.
ARTICLE X. CONSTRUCTION AND SEVERABILITY
The provisions of this compact shall be liberally construed to
effectuate the purposes thereof. The provisions of this compact shall be
severable and if any phrase, clause, sentence or provision of this
compact is declared to be contrary to the constitution of any party
state or of the United States or the applicability thereof to any
government, agency, person or circumstance is held invalid, the validity
of the remainder of this compact and the applicability thereof to any
other government, agency, person or circumstance shall not be affected
thereby. If this compact shall be held contrary to the constitution of
any state party thereto, the compact shall remain in full force and
effect as to the remaining states and in full force and effect as to the
state affected as to all severable matters.
2. Any requirement of this state for a license, permit, or the posting
of a bond to entitle an agency to place children shall not apply to a
public sending agency (within the meaning of the interstate compact on
the placement of children) of or in another state party to said compact.
3. Financial responsibility for any child placed pursuant to the
provisions of the interstate compact for the placement of children shall
be determined in accordance with the provisions of article five thereof
in the first instance. However, in the event of partial or complete
default of performance thereunder, the provisions of section three
hundred eighty-two of this chapter with respect to such responsibility
also may be invoked.
4. The "appropriate public authorities" as used in article three of
the interstate compact on the placement of children shall, with
reference to New York, mean the department of social services, except
that, with respect to the placement of children "adjudicated
delinquent", as that phrase is used in article six thereof, who are to
be placed in a facility operated or supervised by the division for
youth, shall mean the division for youth, and said department and
division shall receive and act with reference to notices required by
said article three.
5. As used in paragraph (a) of article five of the interstate compact
on the placement of children the phrase "appropriate authority in the
receiving state" with reference to New York state shall mean the
commissioner of social services of the social services district in which
the child may be at the time of discharge, and, with respect to children
"adjudicated delinquent", as that phrase is used in article six thereof,
who are to be discharged from a facility operated or supervised by the
division for youth, shall mean the division for youth.
6. The officers and agencies of this state and its subdivisions having
authority to place children are hereby empowered to enter into
agreements with appropriate officers or agencies of or in other party
states pursuant to paragraph (b) of article five of the interstate
compact on the placement of children. Any such agreement which contains
a financial commitment or imposes a financial obligation on this state
or subdivision or agency thereof shall not be binding unless it has the
approval in writing of the comptroller in the case of the state and of
the chief local fiscal officer in the case of a subdivision of the
state.
7. Any requirements for visitation, inspection or supervision of
children, homes, institutions or other agencies in another party state
which may apply under sections three hundred eighty-two, three hundred
eighty-six or three hundred ninety-eight of this chapter shall be deemed
to be met if performed pursuant to an agreement entered into by
appropriate officers or agencies of this state or a subdivision thereof
as contemplated by paragraph (b) of article five of the interstate
compact on the placement of children.
8. Neither the prohibition of, nor the limitations on out of state
placement of children contained in sections three hundred seventy-four
and three hundred ninety-eight of this chapter shall apply to placements
made pursuant to the interstate compact on the placement of children.
9. Any court having jurisdiction to place delinquent children may
place such a child in an institution of or in another state pursuant to
article six of the interstate compact on the placement of children and
shall retain jurisdiction as provided in article five thereof.
10. As used in article seven of the interstate compact on the
placement of children, the term "executive head" means the governor. The
governor is hereby authorized to appoint a compact administrator in
accordance with the terms of said article seven.
11. (a) In addition to the conditions for placement set forth in
subdivision one of this section, the sending agency shall, in the case
of a placement preliminary to a possible adoption, submit to the compact
administrator a full statement setting forth all fees, including the
categories of such fees, paid and to be paid by the adoptive parent to
any agency or person in exchange for the adoptive placement.
(b) The compact administrator shall not approve a proposed placement
where such placement violates subdivision six of section three hundred
seventy-four of this chapter.
12. Placement of a child in this state in violation of subdivision one
of this section by an out of state sending agency shall, in addition to
any other remedy or sanction imposed by law, subject the agency
violating such provision to a civil action for money damages including
fees, compensation and other remuneration paid by any person on account
of or incident to the placement of a child in violation of such
provision.
Placement of a child by an out of state sending agency in violation of
such provision shall subject such agency to the exercise of personal
jurisdiction over such agency by a court pursuant to subparagraph (i) of
paragraph three of subdivision (a) of section three hundred two of the
civil practice law and rules.
Authority to operate agency boarding home. 1. An authorized
agency which is not a court, public board, commission, or official, is
hereby empowered and permitted to operate agency boarding homes in
compliance with regulations of the department; and a social services
official who is authorized to place children in family homes and
institutions, pursuant to section three hundred ninety-eight, may be
authorized by the department to operate agency boarding homes, in
compliance with such regulations, if such official applies for such
authority and demonstrates to the department his need therefor and that
suitable care is not otherwise available for children and/or minors
under the care of such official through an authorized agency under the
control of persons of the same religious faith as such children. No
agency boarding home shall care for more than six children or minors
except that such a home may provide care for more than six brothers and
sisters of the same family. Such homes shall be subject to supervision,
visitation and inspection by the department and shall also be subject to
visitation and inspection by the board.
2. (a) If an authorized agency plans to establish one or more boarding
homes within a municipality, it shall notify the chief executive officer
of the municipality in writing of its intentions and include in such
notice a description of the nature, size and the community support
requirements of the program.
(b) For purposes of this subdivision, "municipality" means an
incorporated village, if a facility is to be located therein; a town, if
the facility is to be located therein, and not simultaneously within an
incorporated village; or a city, except that in the city of New York,
the community board with jurisdiction over the area in which such a
facility is to be located shall be considered the municipality.
3. An authorized agency that has received approval from the office of
children and family services may operate a supervised independent living
program, as defined in section three hundred seventy-one of this title.
The office of children and family services shall promulgate regulations
establishing the standards for approval and operation of supervised
independent living programs.
Authority to operate group homes. 1. An authorized agency
which is not a court, public board, commission or official is hereby
empowered and permitted to operate group homes in compliance with
regulations of the department. A social services official who is
authorized to place children in family homes and institutions, pursuant
to section three hundred ninety-eight, may be authorized by the
department to operate group homes in compliance with such regulations,
provided that such official demonstrates to the satisfaction of the
department the need therefor and that suitable care is not otherwise
available for children under the care of such official through an
authorized agency under the control of persons of the same religious
faith as such children. Such homes shall be subject to supervision,
visitation and inspection by the department and shall also be subject to
visitation and inspection by the board.
2. (a) If an authorized agency plans to establish one or more group
homes within a municipality, it shall notify the chief executive officer
of the municipality in writing of its intentions and include in such
notice a description of the nature, size and the community support
requirements of the program.
(b) For purposes of this subdivision, "municipality" means an
incorporated village, if a facility is to be located therein; a town, if
the facility is to be located therein, and not simultaneously within an
incorporated village; or a city, except that in the city of New York,
the community board with jurisdiction over the area in which such a
facility is to be located shall be considered the municipality.
Authority to operate public institutions for children. A
social services official who is authorized to place children in family
homes and institutions, pursuant to section three hundred ninety-eight,
may be authorized by the department to operate public institutions for
children in compliance with regulations of the department, provided that
such official demonstrates to the satisfaction of the department the
need therefor and that suitable care is not otherwise available for
children under the care of such official. Such institutions shall be
subject to supervision, visitation and inspection by the department and
shall also be subject to visitation and inspection by the board.
Authority to place out or board out children with therapeutic
foster parents. A social services official or agency who is authorized
to place out or board out children pursuant to section three hundred
ninety-eight or three hundred seventy-four of this article, is
authorized by the department to place out or board out children having
special needs with therapeutic foster parents pursuant to subdivision
fifteen of section three hundred ninety-eight of this article and in
compliance with regulations of the department. Such placement shall only
be made, however, when the official or agency demonstrates to the
satisfaction of the department that state expenditures incurred in
placing a child with a therapeutic foster parent are less than those
that would be incurred if the children were placed in an institution.
Authority to enter into leases for dwelling units. Any
inconsistent provisions of this chapter or any other law
notwithstanding, a public welfare official authorized to operate agency
boarding homes or group homes is hereby empowered to rent or lease
dwelling units in his capacity as a public welfare official, as lessee,
in any federal project, state project or municipal project, as defined
in the public housing law, or in any municipally-aided project or
state-aided project, or other project, as defined in the private housing
finance law, or elsewhere, for the purpose of operating therein such
agency boarding homes or group homes, and is hereby empowered to
contract, in his capacity as a public welfare official, as contractor,
with individuals for their services in conducting such homes and caring
for children or minors placed in such homes.
Requirement of certificate or license to board children.
Except for relatives within the second degree or third degree of the
parents of a child or children, relatives within the second degree or
third degree of the step-parent of a child or children, legally
appointed guardians, schools and academies meeting the requirements of
the education law as to compulsory education, camps operated for profit
for the accommodation of school age children during school vacation
periods under permits issued by health officers pursuant to chapter
seven of the state sanitary code, and persons with whom a child or
children are placed out, no person shall receive, board or keep any
child under the age of eighteen years unless certified or licensed to do
so as provided in this title.
Certificate to board children and/or minors under age of
eighteen years. 1. An authorized agency which shall board out any child
and/or minor under the age of eighteen years shall issue to the person
receiving such child and/or minor for board a certificate to receive,
board or keep a child and/or minor under the age of eighteen years.
Prior to issuing such certificate, the agency shall require that an
applicant set forth: his or her employment history, provide personal and
employment references and sign a sworn statement indicating whether the
applicant, to the best of his or her knowledge, has ever been convicted
of a crime in this state or any other jurisdiction. In accordance with
the regulations of the office of children and family services, in
addition to the requirements set forth in subdivision two of section
three hundred seventy-eight-a of this title and paragraph (a) of
subdivision one of section four hundred twenty-four-a of this article,
the agency shall review information available in the statewide automated
child welfare information system to determine whether the applicant
previously held such a certificate, or a license or approval as a foster
parent and, if so, whether such certificate, license or approval was
revoked, not renewed, or a foster child was removed from his or her home
for health or safety reasons and shall consider such information in
determining whether a certificate should be issued to such applicant.
Not until all inquiries are completed and evaluated shall the agency
cause such certificate to be issued.
2. The agency issuing or renewing any such certificate shall forthwith
transmit a copy or report thereof to the board.
3. No person shall be certified by more than one authorized agency but
any person so certified may receive for care at board or otherwise a
child and/or minor under the age of eighteen years from other sources
upon the written consent and approval of the certifying agency as to
each such child and/or minor.
License to board children. 1. Application for a license to
receive, board or keep any child shall be made in writing to the
commissioner of social services in and for the social services district
wherein the premises to be licensed are located, in the form and manner
prescribed by the office of children and family services. The office
shall require that an applicant set forth: his or her employment
history, provide personal and employment references and sign a sworn
statement indicating whether, to the best of his or her knowledge, he or
she has ever been convicted of a crime in this state or any other
jurisdiction. In accordance with the regulations of the office of
children and family services, in addition to the requirements set forth
in subdivision two of section three hundred seventy-eight-a of this
title and paragraph (a) of subdivision one of section four hundred
twenty-four-a of this article, such commissioner of social services
shall review information available in the statewide automated child
welfare information system to determine whether the applicant previously
held such a license, or a certificate or approval as a foster parent,
and, if so, whether such license, certificate or approval was revoked,
not renewed, or a foster child was removed from his or her home for
health or safety reasons and shall consider such information in
determining whether a license should be issued to such applicant. Not
until all inquiries are completed and evaluated shall the commissioner
of social services cause such license to be issued.
2. Before any such license shall be issued an authorized agent or
employee of the social services district shall visit and inspect the
premises for which such license is requested, make such further inquiry
and investigation as may be required to ascertain compliance with
applicable requirements.
3. If it appears from such inquiry and investigation that the
applicant maintains a home suitable for the care of children in
accordance with the regulations of the department, the commissioner of
social services shall cause such license to be issued in such manner as
the department may provide.
4. The commissioner of social services, issuing or renewing any such
license, shall in accordance with the directions of the department,
transmit a copy or report thereof to the department.
Form, duration and limitation of certificates and licenses. 1.
Certificates or licenses to receive, board or keep any child and/or
minor shall be in the form prescribed and provided by the department to
the effect that such person is regarded by the issuing authorized agency
or social services department, as the case may be, as maintaining a home
suitable for the care of children and/or minors and specifying the name,
address, and religious faith of the person to whom issued, the number of
children and/or minors for whom such person is certified or licensed to
care and such other information as the department may require.
2. Such certificates and licenses shall be valid for not more than two
years after date of issue but may be renewed or extended subject to
regulations established by the office of children and family services.
3. No such license shall permit the reception for board of more than
six children and if there are children not received for board living in
the home of a person to whom such license is issued, whether children of
such person or otherwise, the sum of the number of such children and of
the number of children permitted to be received for board by such
license shall not exceed six, excepting, however, that such license may
permit the reception for board of additional children if such children
(a) are siblings or half-siblings, or are siblings or half-siblings of a
child living in the home, (b) are children freed for adoption as defined
in subdivision (b) of section one thousand eighty-seven of the family
court act, and have been placed for adoption with the person to whom
such license is issued, or (c) are minor parents who are foster children
and the minor parents' children.
4. No such certificate shall permit the reception for board of more
than six children and/or minors and if there are children under thirteen
years of age not received for board living in the home of the person to
whom such certificate is issued, whether children of such person or
otherwise, the total number of such children and of the number of
children and/or minors permitted to be received for board by such
certificate shall not exceed six, excepting, however, that such
certificate may permit the reception for board of up to two additional
children if such children (a) are siblings or half-siblings, or are
siblings or half-siblings of a child living in the home, (b) are
children freed for adoption as defined in subdivision (b) of section one
thousand eighty-seven of the family court act, and have been placed for
adoption with the person to whom such certificate is issued, or (c) are
minor parents who are foster children and the minor parents' children.
5. The department shall establish and may alter or amend regulations
governing the issuing and revocation of such licenses and certificates
and prescribing standards, records, accommodations and equipment for the
care of children and/or minors received under such licenses and
certificates.
Access to conviction records by authorized agencies. 1.
Every authorized agency which operates a residential program for
children licensed or certified by the office of children and family
services, and the office of children and family services in relation to
any juvenile justice program it operates, shall request that the justice
center for the protection of people with special needs check, and upon
such request, such justice center shall request and shall be authorized
to receive from the division of criminal justice services and the
federal bureau of investigation criminal history information, as such
phrase is defined in paragraph (c) of subdivision one of section eight
hundred forty-five-b of the executive law concerning each prospective
operator, employee or volunteer of such a residential program who will
have regular and substantial unsupervised or unrestricted physical
contact with children in such program.
(a) Provided however, any authorized agency required to request
criminal history information pursuant to this subdivision that operates
a residential program for foster children that is licensed or certified
by the office of children and family services shall request that the
justice center for the protection of people with special needs check,
and upon such request, such justice center shall request and shall be
authorized to receive from the division of criminal justice services and
the federal bureau of investigation criminal history information, as
such phrase is defined in paragraph (c) of subdivision one of section
eight hundred forty-five-b of the executive law, for every: (i)
prospective employee of such program that is not already required to be
cleared pursuant to the opening paragraph of this subdivision; and (ii)
notwithstanding any other provision of law to the contrary, prior to
April first, two thousand twenty and in accordance with a schedule
developed by the office of children and family services, any person who
is employed in a residential foster care program that has not previously
had a clearance conducted pursuant to this section in connection to such
employment.
(b) For the purposes of this section, "operator" shall include any
natural person with an ownership interest in the authorized agency.
(c) Access to and the use of information obtained pursuant to this
subdivision shall be governed by the provisions of section eight hundred
forty-five-b of the executive law.
1-a. Excluding the authorized agencies authorized to request and
receive criminal history information pursuant to subdivision one of this
section, and subject to the rules and regulations of the division of
criminal justice services, an authorized agency defined in subdivision
ten of section three hundred seventy-one of this title shall have access
to criminal history information, as such phrase is defined in paragraph
(c) of subdivision one of section eight hundred forty-five-b of the
executive law, pertaining to persons who have applied for and are under
active consideration for employment by such authorized agency in
positions where such persons will have the potential for regular and
substantial unsupervised and unrestricted physical contact with children
in the program. Upon receipt of such criminal history information, the
authorized agency shall provide the prospective employee with a copy of
such criminal history information and a copy of article twenty-three-A
of the correction law and inform such prospective employee of his or her
right to seek correction of any incorrect information contained in such
criminal history information pursuant to the regulations and procedures
established by the division of criminal justice services. The authorized
agency shall designate one or two persons in its employ who shall be
authorized to request, receive and review the criminal history
information pursuant to this subdivision, and only such persons and the
prospective employee to which the criminal history information relates
shall have access to such information; provided, however, that such
criminal history information may be disclosed to other personnel
empowered by the agency to make decisions concerning prospective
employees. The authorized agency shall notify the division of criminal
justice services of each person authorized to have access to such
criminal history information pursuant to this subdivision. Except as
otherwise provided in this subdivision, such criminal history
information shall be confidential and any person who willfully permits
the release of such confidential criminal history information to persons
not permitted by this subdivision to receive such information shall be
guilty of a misdemeanor.
2. (a) Notwithstanding any other provision of law to the contrary, and
subject to rules and regulations of the division of criminal justice
services, an authorized agency, as defined in subdivision ten of section
three hundred seventy-one of this title, shall perform a criminal
history record check with the division of criminal justice services
regarding any prospective foster parent or prospective adoptive parent
or, a prospective successor guardian in accordance with paragraph (d) of
subdivision two of section four hundred fifty-eight-b of this article,
and any person over the age of eighteen who is currently residing in the
home of such prospective foster parent, prospective adoptive parent or
prospective successor guardian. Provided, however, that for prospective
foster parents and prospective adoptive parents and other persons over
the age of eighteen in their homes, the checks required by this
paragraph shall be conducted before the foster parent or adoptive parent
is finally certified or approved for the placement of a child. Persons
who are over the age of eighteen residing in the home of a certified or
approved foster parent and who previously did not have a criminal
history record check performed in accordance with this subdivision shall
have such a criminal history record check performed when the foster
parent applies for renewal of his or her certification or approval as a
foster parent. The division of criminal justice services is authorized
to submit fingerprints to the federal bureau of investigation for the
purpose of a nationwide criminal history record check pursuant to and
consistent with public law 92-544 to determine whether such prospective
foster parent, prospective adoptive parent, prospective successor
guardian or person over the age of eighteen currently residing in the
home of such prospective parent or guardian has a criminal history in
any state or federal jurisdiction. The provisions and procedures of this
section, including the criminal history record check of persons over the
age of eighteen who are currently residing in the home of the foster
parent, also shall apply to prospective foster parents certified by the
office of children and family services and to family homes certified by
any other state agency where such family homes care for foster children
in accordance with a memorandum of understanding with the office of
children and family services.
(b) Every authorized agency shall obtain a set of the prospective
foster parent, prospective adoptive parent or prospective successor
guardian's fingerprints and those of any person over the age of eighteen
who currently resides in the home of such prospective foster parent,
prospective adoptive parent or prospective successor guardian, and such
other information as is required by the office of children and family
services and the division of criminal justice services. The authorized
agency shall provide to the applicant blank fingerprint cards and a
description of how the completed fingerprint cards will be used upon
submission to the authorized agency. The authorized agency shall
promptly transmit such fingerprint cards to the office of children and
family services. The office of children and family services shall
promptly submit such fingerprint cards and the processing fee imposed
pursuant to subdivision eight-a of section eight hundred thirty-seven of
the executive law to the division of criminal justice services for its
full search and retain processing. Notwithstanding any other provision
of law to the contrary, the processing fee shall be submitted by the
office of children and family services and no part thereof shall be
charged to the prospective foster parent, prospective adoptive parent,
prospective successor guardian or any person over the age of eighteen
who currently resides in the home of such prospective foster parent,
prospective adoptive parent or prospective successor guardian who
submitted a fingerprint card pursuant to this subdivision.
(c) The division of criminal justice services shall promptly provide
to the office of children and family services a criminal history record,
if any, with respect to the prospective foster parent, prospective
adoptive parent or prospective successor guardian and any other person
over the age of eighteen who resides in the home of the prospective
foster parent, prospective adoptive parent or prospective successor
guardian, or a statement that the individual has no criminal history
record.
(d) Notwithstanding any other provision of law to the contrary, the
office of children and family services, upon receipt of a criminal
history record from the division of criminal justice services, may
request, and is entitled to receive, information pertaining to any
offense contained in such criminal history record from any state or
local law enforcement agency or court for the purposes of determining
whether any ground relating to such criminal conviction or pending
criminal charge exists for denying an application.
(e) Except as set forth in paragraph (m) of this section, after
reviewing any criminal history record information provided by the
division of criminal justice services, the office of children and family
services shall promptly notify the authorized agency or other state
agency that:
(1) Notwithstanding any other provision of law to the contrary, an
application for certification or approval of a prospective foster parent
or prospective adoptive parent shall be denied and, in the event of
death or incapacity of a relative guardian, an agreement to provide
payments to a prospective successor guardian pursuant to title ten of
this article shall not be approved pursuant to subparagraph (ii) of
paragraph (b) of subdivision five of section four hundred fifty-eight-b
of this article, as applicable, where a criminal history record of the
prospective foster parent, prospective adoptive parent or prospective
successor guardian, as applicable, reveals a conviction for:
(A) a felony conviction at any time involving: (i) child abuse or
neglect; (ii) spousal abuse; (iii) a crime against a child, including
child pornography; or (iv) a crime involving violence, including rape,
sexual assault, or homicide, other than a crime involving physical
assault or battery; or
(B) a felony conviction within the past five years for physical
assault, battery, or a drug-related offense, unless such offense is
eligible for expungement pursuant to section 160.50 of the criminal
procedure law; or
(2) Notwithstanding any other provision of law to the contrary, a
final determination of an application for certification or approval of a
prospective foster parent or prospective adoptive parent and, in
relation to prospective successor guardians, approval pursuant to
subparagraph (ii) of paragraph (b) of subdivision five of section four
hundred fifty-eight-b of this article shall be held in abeyance whenever
the criminal history record of the prospective foster parent,
prospective adoptive parent or prospective successor guardian, as
applicable, reveals:
(A) a charge for a crime set forth in subparagraph one of this
paragraph which has not been finally resolved; or
(B) a felony conviction that may be for a crime set forth in
subparagraph one of this paragraph. An authorized agency may proceed
with a determination of such application, in a manner consistent with
this subdivision, only upon receiving subsequent notification from the
office of children and family services regarding the status of such
charge or the nature of such conviction; or
(3) consistent with the provisions of article twenty-three-A of the
correction law, an application for certification or approval of a
prospective foster parent or prospective adoptive parent may be denied,
an agreement to provide payments to a prospective successor guardian
pursuant to title ten of this article may not be approved pursuant to
subparagraph (ii) of paragraph (b) of subdivision five of section four
hundred fifty-eight-b of this article, as applicable, where:
(A) a criminal history record of the prospective foster parent,
prospective adoptive parent or prospective successor guardian reveals a
charge or a conviction of a crime other than one set forth in
subparagraph one of this paragraph; or
(B) a criminal history record of any other person over the age of
eighteen who resides in the home of the prospective foster parent,
prospective adoptive parent or prospective successor guardian reveals a
charge or a conviction of any crime; or
(4) Notwithstanding any other provision of law to the contrary, an
application for renewal of the certification or approval of a foster
parent submitted on or after October first, two thousand eight shall be
denied based on the conviction of the foster parent of a crime set forth
in subparagraph one of this paragraph where such conviction occurred on
or after October first, two thousand eight; or
(5) Notwithstanding any other provision of law to the contrary, the
certification or approval of a foster parent, or the approval of an
adoptive parent who has not completed the adoption process, shall be
revoked based on the conviction of the foster parent or the adoptive
parent of a crime set forth in subparagraph one of this paragraph; or
(6) the prospective foster parent, prospective adoptive parent or
prospective successor guardian and any person over the age of eighteen
who is residing in the home of the prospective foster parent,
prospective adoptive parent or prospective successor guardian has no
criminal history record.
(f) Except as otherwise set forth in this paragraph, any notification
by the office of children and family services pursuant to paragraph (e)
of this subdivision shall include a summary of the criminal history
record provided by the division of criminal justice services, including,
but not limited to, the specific crime or crimes for which the
prospective foster parent or parents, adoptive parent or parents or
prospective successor guardian or guardians or any adults over the age
of eighteen living in the home have been charged or convicted, as
applicable. When responding to an inquiry from a voluntary authorized
agency or other non-public agency with respect to the results of a
national criminal history check performed by the federal bureau of
investigation, the office of children and family services shall advise
the voluntary authorized agency or other non-public agency of the
category or categories of crime or crimes and shall not provide the
voluntary authorized agency or other non-public agency with the specific
crime or crimes absent the written consent of the person for whom the
national criminal history check was performed.
(g) When an authorized agency has denied an application or approval in
accordance with the provisions of paragraph (e) of this subdivision, the
authorized agency shall provide to the applicant a written statement
setting forth the reasons for such denial, including, as authorized by
paragraph (f) of this subdivision, the summary of the criminal history
record provided to the authorized agency by the office of children and
family services. The authorized agency shall also provide a description
of the division of criminal justice services' record review process and
any remedial processes provided by the office of children and family
services to any prospective foster parent, prospective adoptive parent
or prospective successor guardian. If the applicant is disqualified
under item (ii) of clause (A) of subparagraph one of paragraph (e) of
this subdivision, then the applicant may apply for relief from the
mandatory disqualification based on the grounds that the offense was not
spousal abuse as that term is defined in paragraph (j) of this
subdivision.
(h) Where a criminal history record of the certified or approved
foster parent, prospective adoptive parent or of any other person over
the age of eighteen who resides in the home of the certified or approved
foster parent or prospective adoptive parent reveals a charge or
conviction of any crime, the authorized agency shall perform a safety
assessment of the conditions in the household. Such assessment shall
include: whether the subject of the charge or conviction resides in the
household; the extent to which such person may have contact with foster
children or other children residing in the household; and the status,
date and nature of the criminal charge or conviction. The authorized
agency shall thereafter take all appropriate steps to protect the health
and safety of such child or children, including, when appropriate, the
removal of any foster child or children from the home. Where the
authorized agency denies the application or revokes the approval or
certification of the foster parent or the prospective adoptive parent in
accordance with the standards set forth in paragraph (e) of this
subdivision, such authorized agency shall remove any foster child or
children from the home of the foster parent or the prospective adoptive
parent.
(i) Any criminal history record provided by the division of criminal
justice services, and any summary of the criminal history record
provided by the office of children and family services to an authorized
agency pursuant to this subdivision, is confidential and shall not be
available for public inspection; provided, however, nothing herein shall
prevent an authorized agency, the office of children and family services
or other state agency referenced in paragraph (a) of this subdivision
from disclosing criminal history information to any administrative or
judicial proceeding relating to the denial or revocation of a
certification or approval of a foster parent or an adoptive parent or
the removal of the foster child from the home or the failure to approve
a prospective successor guardian pursuant to subparagraph (ii) of
paragraph (b) of subdivision five of section four hundred fifty-eight-b
of this article or the termination of an agreement for payments pursuant
to title ten of this article that is made in accordance with paragraph
(h) of subdivision four of section four hundred fifty-eight-b of this
article. Where there is a pending court case, the authorized agency
which received the criminal history record summary from the office of
children and family services, shall provide a copy of such summary to
the family court or surrogate's court.
(j) For the purposes of this subdivision "spousal abuse" is an offense
defined in section 120.05, 120.10, 121.12 or 121.13 of the penal law
where the victim of such offense was the defendant's spouse; provided,
however, spousal abuse shall not include a crime in which the
prospective foster parent, prospective adoptive parent or prospective
successor guardian, who was the defendant, has received notice pursuant
to paragraph (g) of this subdivision and the office of children and
family services finds after a fair hearing held pursuant to section
twenty-two of this chapter, that he or she was the victim of physical,
sexual or psychological abuse by the victim of such offense and such
abuse was a factor in causing the prospective foster parent, prospective
adoptive parent or prospective successor guardian to commit such
offense.
(k) The office of children and family services shall inform the
division of criminal justice services when a person is no longer
certified or approved as a foster parent or is no longer a prospective
adoptive parent so that the division of criminal justice services may
terminate its retain processing with regard to such person and any
person over the age of eighteen who is residing in the home of the
foster parent or prospective adoptive parent. At least once a year, the
office of children and family services will be required to conduct a
validation of the records maintained by the division of criminal justice
services.
(l) The office of children and family services, in consultation with
the division of criminal justice services, shall promulgate regulations
for the purpose of implementing the provisions of this subdivision
relating to the standards for the certification or approval of foster
parents or adoptive parents.
(m)(1) The office of children and family services shall not release
the content of the results of the nationwide criminal history record
check conducted by the federal bureau of investigation in accordance
with this subdivision to an authorized agency, as defined in paragraphs
(a) or (c) of subdivision ten of section three hundred seventy-one of
this title.
(2) For any application made to such an authorized agency under this
subdivision, the office of children and family services shall:
(A) review and evaluate the results of the nationwide criminal history
record check of the prospective foster parent, prospective adoptive
parent and any other person over the age of eighteen who resides in the
home of such applicant in accordance with the standards set forth in
paragraph (e) of this subdivision relating to mandatory disqualifying
convictions, hold in abeyance charges or convictions, and discretionary
charges and convictions; and
(B) based on the results of the nationwide criminal history record
check, inform such authorized agency that the application for
certification or approval of the prospective foster parent or the
prospective adoptive parent either: (i) must be denied; (ii) must be
held in abeyance pending subsequent notification from the office of
children and family services; or (iii) that the office of children and
family services has no objection, solely based on the nationwide
criminal history record check, for the authorized agency to proceed with
a determination on such application based on the standards for
certification or approval of a prospective foster parent or prospective
adoptive parent, as set forth in the regulations of the office of
children and family services.
(3) Where the office of children and family services directs the
authorized agency to deny the application of a prospective foster parent
or a prospective adoptive parent in accordance with this paragraph, the
office of children and family services shall also notify the prospective
foster parent, prospective adoptive parent or other person over the age
of eighteen who resided in the home of the applicant whose criminal
history was the basis for the denial and shall provide such prospective
foster parent, prospective adoptive parent or other person a copy of the
results of the nationwide criminal history record check upon which such
denial was based and a written statement setting forth the reasons for
such denial. If the applicant is disqualified under item (ii) of clause
(A) of subparagraph one of paragraph (e) of this subdivision, then the
applicant may apply for relief from the mandatory disqualification based
on the grounds that the offense was not spousal abuse as that term is
defined in paragraph (j) of this subdivision.
(4) This paragraph does not apply to nationwide criminal history
record checks conducted by the federal bureau of investigation on behalf
of state agencies or authorized agencies, as defined in paragraph (b) of
subdivision ten of section three hundred seventy-one of this title, or
to the results of statewide criminal history record checks conducted by
the division of criminal justice services.
Revocation of certificates and licenses. 1. A certificate or
license to receive, board or keep any child and/or minor under the age
of eighteen years may be revoked for cause by the authorized agency or
the commissioner of social services by which it was issued and any such
certificate or license to receive, board or keep any child may be
revoked for cause by the commissioner.
2. An agency revoking any such certificate and a commissioner of
social services revoking any such license shall notify the department of
such revocation at once.
Boarding and free homes; records. Every person who receives,
boards or keeps a child and/or minor under a license or certificate
shall keep a record in a register to be provided by the department
showing the name, date of birth and religious faith of each child and/or
minor received, the names and addresses of his parents or guardian or of
the authorized agency from whom received and of the person by whom
placed and by whom removed, the dates of reception and removal and such
other information as may be required by the department.
Maternity homes; records and reports. Every hospital or
lying-in asylum whether incorporated or unincorporated where women or
girls may be received, cared for or treated during pregnancy or during
or after delivery and every person licensed to carry on like work under
the provisions of article twenty-eight of the public health law shall
keep a record showing the full and true name and address including
street and number, if any, of every such woman or girl and of each child
of such woman or girl received, admitted or born on the premises, the
full and true names and addresses and the religious faith of the parents
of every such child, the dates of reception, admission or birth and of
discharge or departure of each such woman, girl or child, the full and
true names and addresses of the person or persons by whom any such child
is removed or taken away, the amount paid for the care of any such
woman, girl or child and the full and true names and addresses of the
person or persons making such payment or payments; and shall keep such
further record as may be required by regulations of the department. The
department may, through its authorized agents and employees, at all
reasonable times, inspect and examine such records and may require from
such licensed person or from such hospital and its directors, officers,
trustees, employees, manager, superintendent, owner or other person
responsible for its operation, all information in their possession with
reference to any such child not taken away or removed from such hospital
by his parents or parent.
Responsibility for children without state residence; license
and board. 1. Any person, institution, corporation or agency which
shall bring, or cause to be brought, into the state of New York any
child not having a state residence, or which shall receive or accept any
child from outside of the state of New York, not having state residence,
shall be responsible for the care and maintenance of such child whether
placed out, boarded out or otherwise cared for unless adopted by foster
parents. Such responsibility shall continue during the minority of such
child and thereafter until he is self-supporting.
2. (a) It shall be unlawful for any person, agency, association,
corporation, society, institution or other organization, except an
authorized agency, to bring, send or cause to be brought or sent into
the state of New York any child for the purpose of placing or boarding
such child or procuring the placing of such child, by adoption,
guardianship, or otherwise, in a family, a home or institution, except
with an authorized agency, in this state, without first obtaining a
license from the department.
(b) This subdivision shall not apply to a sending agency, as defined
in article two of section three hundred seventy-four-a of this title,
which is located in a state which is a party to the interstate compact
on the placement of children, provided, however, that all persons who
reside in such a state, except officers or employees of the state or a
subdivision thereof who are acting in their official capacity, shall
comply with the provisions of this section.
(c) This section shall not apply to and shall not restrict or limit
the right of a parent, legal guardian, or relative within the second
degree of a child from bringing or sending the child or causing the
child to be brought or sent, into the state of New York for the purpose
of placing out or boarding out the child.
3. Application for a license shall be submitted on a form approved
and provided by the department and be accompanied by proof that the
applicant holds a license, or is approved by the department or similar
body in the state where the applicant resides, or where its chief office
is located, or where it has its place of business.
4. Before bringing, sending, or causing to be brought or sent into
this state any child, the person, agency, association, corporation,
society, institution or other organization, duly licensed as provided in
this section must furnish the department a blanket indemnity bond of a
reputable surety company in favor of the state in the penal sum of not
less than ten thousand dollars. Such bond must be approved as to form
and sufficiency by the department and conditioned as follows:
That such licensee (a) will report to the department immediately the
name of each such child, its age, the name of the state, and city, town,
borough or village, or the name of the country from which such child
came, the religious faith of the parents of the child, the full name and
last residence of its parent or parents, the name of the custodian from
whom it is taken, and the name and residence of the person or authorized
agency with whom it is placed or boarded, released or surrendered, or to
whom adoption or guardianship is granted, and the death of such child or
any reboarding, replacement or other disposition;
(b) will remove from the state within thirty days after written
notice is given any such child becoming a public charge during his
minority;
(c) will remove from the state immediately upon its release any such
child who within three years from the time of its arrival within the
state is committed to an institution or prison as a result of conviction
for juvenile delinquency or crime;
(d) will place or cause to be placed or board or cause to be boarded
such child under agreement which will secure to such child a proper
home, and will make the person so receiving such child responsible for
its proper care, education and training;
(e) will comply with section three hundred seventy-three;
(f) will supervise the care and training of such child and cause it
to be visited at least annually by a responsible agent of the licensee;
and
(g) will make to the department such reports as it from time to time
may require.
5. In the event of the failure of such licensee to comply with the
second and third conditions of the bond hereinbefore mentioned, and to
remove, after thirty days' notice so to do, a child becoming a public
charge, such portion of the bond shall be forfeited to the state or the
county or municipality thereof as shall equal the sum which shall have
been expended by the state or such county or municipality thereof for
the care or maintenance or in the prosecution of such child or for its
return to the licensee.
Care and custody of children. 1. The parent of a child remanded
or committed to an authorized agency shall not be entitled to the
custody thereof, except upon consent of the court, public board,
commission, or official responsible for the commitment of such child, or
in pursuance of an order of a court or judicial officer of competent
jurisdiction, determining that the interest of such child will be
promoted thereby and that such parent is fit, competent and able to duly
maintain, support and educate such child. The name of such child shall
not be changed while in the custody of an authorized agency.
2. The custody of a child placed out or boarded out and not legally
adopted or for whom legal guardianship has not been granted shall be
vested during his minority, or until discharged by such authorized
agency from its care and supervision, in the authorized agency placing
out or boarding out such child and any such authorized agency may in its
discretion remove such child from the home where placed or boarded.
3. Any adult husband and his adult wife and any adult unmarried
person, who, as foster parent or parents, have cared for a child
continuously for a period of twelve months or more, may apply to such
authorized agency for the placement of said child with them for the
purpose of adoption, and if said child is eligible for adoption, the
agency shall give preference and first consideration to their
application over all other applications for adoption placements.
However, final determination of the propriety of said adoption of such
foster child shall be within the sole discretion of the court, as
otherwise provided herein.
Foster parents having had continuous care of a child, for more than
twelve months, through an authorized agency, shall be permitted as a
matter of right, as an interested party to intervene in any proceeding
involving the custody of the child. Such intervention may be made
anonymously or in the true name of said foster parents.
4. An adult married person who has executed a legally enforceable
separation agreement or is a party to a marriage in which a valid decree
of separation has been entered and who becomes or has been the custodian
of a child placed in their care as a result of court ordered foster care
may apply to such authorized agency for placement of said child with
them for the purpose of adoption. Applications filed pursuant to this
subdivision by persons who, as foster parents, have cared for a child
continuously for a period of twelve months or more shall be entitled to
the same consideration and preference as are given to applications filed
pursuant to subdivision three of this section. Final determination of
the propriety of said adoption of such foster child, however, shall be
within the sole discretion of the court, as otherwise provided herein.
5. Any proceeding brought in connection with the provisions of this
section shall have preference over all other causes in all courts.
Immunity from liability for application of the reasonable and
prudent parent standard. 1. Legislative intent. It is the intent of the
legislature to promote a safe and nurturing environment for children in
foster care that, among other things, allows them to engage in age and
developmentally appropriate activities with their peers. It is also the
intent of the legislature to encourage caregivers to allow foster
children to participate in such activities by providing training,
guidance, and appropriate liability protections when caregivers make
reasonable and prudent decisions with regard to such activities. It is
not the intent of the legislature to relieve caregivers or any other
person of any duty or responsibility owed to a foster child.
2. Definitions. As used in this section, the following terms shall
have the following meanings:
(a) "Caregiver" shall mean the following person or entity at the time
that such person or entity was responsible for the care of the foster
child or children:
(i) a foster parent who has been trained in the reasonable and prudent
parent standard in accordance with 42 U.S.C. 671 as amended by P.L.
113-183 and the regulations of the office of children and family
services; or
(ii) the employee of a child care facility operated by an authorized
agency that is designated to apply the reasonable and prudent parent
standard who has been trained in the reasonable and prudent parent
standard in accordance with 42 U.S.C. 671 as amended by P.L. 113-183 and
the regulations of the office of children and family services.
(b) "Child" shall mean a child who is in foster care or who was in
foster care at the time the reasonable and prudent parent standard was
applied.
(c) "Child care facility" shall mean an institution, group residence,
group home, agency operated boarding home, or supervised setting,
including a supervised independent living program.
(d) "Reasonable and prudent parent standard" shall mean, in accordance
with 42 U.S.C. 675 as amended by P.L. 113-183, the standard
characterized by careful and sensible parental decisions that maintain
the health, safety, and best interests of a child while at the same time
encouraging the emotional and developmental growth of the child that a
caregiver shall use when determining whether to allow a child in foster
care to participate in extracurricular, enrichment, cultural or social
activities.
(e) "Age or developmentally-appropriate" shall mean:
(i) activities or items that are generally accepted as suitable for
children of the same chronological age or level of maturity or that are
determined to be developmentally-appropriate for a child, based on the
development of cognitive, emotional, physical, and behavioral capacities
that are typical for an age or age group; and
(ii) in the case of a specific child, activities or items that are
suitable for the child based on the developmental stage attained by the
child with respect to the cognitive, emotional, physical, and behavioral
capacities of the child.
3. Caregivers shall apply the reasonable and prudent parent standard
when deciding whether or not to allow a child in foster care to
participate in age or developmentally appropriate extracurricular,
enrichment, cultural, or social activities. Where such decisions require
the input or permission of a local department of social services or a
voluntary authorized agency, such department or agency shall also apply
the reasonable and prudent parent standard in making a decision about
participation in such activities.
4. Whether or not a caregiver is liable for injuries to the child that
occur as a result of participation in age or developmentally appropriate
extracurricular, enrichment, cultural, or social activities shall be
determined based upon whether such decision to allow participation was
made in compliance with the standard defined in paragraph (d) of
subdivision two of this section and any other factors as required by
law. Where such child is injured as a result of the decision to allow
participation in such activities, a caregiver shall not be liable for
such injuries if the decision to allow such participation was made in
compliance with the reasonable and prudent parent standard as set forth
herein. Provided however nothing in this section shall otherwise limit
the ability of a child to bring an action against a caregiver or any
other party whose acts or omissions result in injury to such child.
Where a local department of social services or voluntary authorized
agency has made or been involved in the decisions under subdivision
three of this section, the liability standards for caregivers shall
apply to such district or agency.
Medical treatment for abused, neglected and destitute
children; consent of commissioners. The local commissioner of social
services or the local commissioner of health may give effective consent
for medical, dental, health and hospital services for any child who has
been found by the family court to be an abused, neglected or destitute
child, or who has been taken into or kept in protective custody or
removed from the place where he or she is residing, or who has been
placed in the custody of such commissioner, pursuant to section four
hundred seventeen of this article or section one thousand twenty-two,
section one thousand twenty-four, section one thousand twenty-seven,
section one thousand ninety-four or section one thousand ninety-five of
the family court act.
Guardianship and custody of children in foster care. 1.
Method. For the purposes of this section, a child in foster care shall
mean a child in the care and custody of an authorized agency pursuant to
section three hundred eighty-four-a of this title or article three,
seven or ten of the family court act. The guardianship of the person and
the custody of a child in foster care under the age of eighteen years
may be committed to an authorized agency by a written instrument which
shall be known as a surrender, and signed:
(a) if both parents shall then be living, by the parents of such
child, or by the surviving parent, if either parent of such child be
dead;
(b) if either one of such parents shall have for a period of six
months then next preceding abandoned such child as set forth in section
three hundred eighty-four-b of this title, by the other of such parents;
(c) if such child is born out of wedlock, by the mother of such child,
and by the father of such child, if such father's consent would be
required for the child's adoption, pursuant to section one hundred
eleven of the domestic relations law;
(d) if both parents of such child are dead, or if such child is born
out of wedlock and the mother of such child is dead, by the guardian of
the person of such child lawfully appointed, with the approval of the
court or officer which appointed such guardian to be entered of record.
2. Terms. (a) Such guardianship shall be in accordance with the
provisions of this article and the instrument shall be upon such terms
and subject to such conditions as may be agreed upon by the parties
thereto and shall comply with subdivision five of this section;
provided, however, that an authorized agency shall not accept a
surrender instrument conditioned upon adoption by a particular person,
unless such person is a certified or approved foster parent, where the
permanency plan for the child is for the child to be adopted by that
person or the agency has fully investigated and approved such person as
an adoptive parent in accordance with applicable statute and
regulations. No such agency shall draw or receive money from public
funds for the support of any such child except upon the written order or
permit of the social services official of the county or city sought to
be charged with the support of such child.
(b) If a surrender instrument designates a particular person or
persons who will adopt a child, such person or persons, the child's
birth parent or parents, the authorized agency having care and custody
of the child and the child's attorney, may enter into a written
agreement providing for communication or contact between the child and
the child's parent or parents on such terms and conditions as may be
agreed to by the parties. If a surrender instrument does not designate
a particular person or persons who will adopt the child, then the
child's birth parent or parents, the authorized agency having care and
custody of the child and the child's attorney may enter into a written
agreement providing for communication or contact, on such terms and
conditions as may be agreed to by the parties. Such agreement also may
provide terms and conditions for communication with or contact between
the child and the child's biological siblings or half-siblings, if any.
If any such sibling or half-sibling is fourteen years of age or older,
such terms and conditions shall not be enforceable unless such sibling
or half-sibling consents to the agreement in writing. If the court
before which the surrender instrument is presented for approval
determines that the agreement concerning communication and contact is in
the child's best interests, the court shall approve the agreement. If
the court does not approve the agreement, the court may nonetheless
approve the surrender; provided, however, that the birth parent or
parents executing the surrender instrument shall be given the
opportunity at that time to withdraw such instrument. Enforcement of any
agreement prior to the adoption of the child shall be in accordance with
subdivision (b) of section one thousand fifty-five-a of the family court
act. Subsequent to the adoption of the child, enforcement of any
agreement shall be in accordance with section one hundred twelve-b of
the domestic relations law.
3. Judicial surrenders. (a) A surrender of a child to an authorized
agency for the purpose of adoption may be executed and acknowledged
before a judge of the family court or a surrogate in this state. If the
child being surrendered is in foster care as a result of a proceeding
before the family court pursuant to article ten or ten-A of the family
court act or section three hundred fifty-eight-a of this chapter, the
surrender shall be executed and acknowledged before the family court
that exercised jurisdiction over such proceeding and, shall be assigned,
wherever practicable, to the judge who last presided over such
proceeding. A surrender executed and acknowledged before a court in
another state shall satisfy the requirements of this section if it is
executed by a resident of the other state before a court of record which
has jurisdiction over adoption proceedings in that state, and a
certified copy of the transcript of that proceeding, showing compliance
with paragraph (b) of this subdivision, is filed as part of the adoption
proceeding in this state.
(b) Before a judge or surrogate approves a judicial surrender, the
judge or surrogate may order that notice of the surrender proceeding be
given to such persons as the judge or surrogate may, in his or her
discretion, prescribe. At the time that a parent appears before a judge
or surrogate to execute and acknowledge a surrender, the judge or
surrogate shall inform such parent of the right to be represented by
legal counsel of the parent's own choosing and of the right to obtain
supportive counseling and of any right to have counsel assigned pursuant
to section two hundred sixty-two of the family court act, section four
hundred seven of the surrogate's court procedure act, or section
thirty-five of the judiciary law. The judge or surrogate also shall
inform the parent of the consequences of such surrender, including
informing such parent that the parent is giving up all rights to have
custody, visit with, speak with, write to or learn about the child,
forever, unless the parties have agreed to different terms pursuant to
subdivision two of this section, or, if the parent registers with the
adoption information register, as specified in section forty-one hundred
thirty-eight-d of the public health law, that the parent may be
contacted at any time after the child reaches the age of eighteen years,
but only if both the parent and the adult child so choose. The court
shall determine whether the terms and conditions agreed to by the
parties pursuant to subdivision two of this section are in the child's
best interests before approving the surrender. The judge or surrogate
shall inform the parent that where a surrender containing conditions has
been executed, the parent is obligated to provide the authorized agency
with a designated mailing address, as well as any subsequent changes in
such address, at which the parent may receive notices regarding any
substantial failure of a material condition, unless such notification is
expressly waived by a statement written by the parent and appended to or
included in such instrument. The judge or surrogate also shall inform
the parent that the surrender shall become final and irrevocable
immediately upon its execution and acknowledgment. The judge or
surrogate shall give the parent a copy of such surrender upon the
execution thereof.
4. Extra-judicial surrenders. (a) In any case where a surrender is not
executed and acknowledged before a judge or surrogate pursuant to
subdivision three of this section, such surrender shall be executed and
acknowledged by the parent, in the presence of at least two witnesses,
before a notary public or other officer authorized to take proof of
deeds. At least one witness shall be an employee of an authorized agency
trained, in accordance with the regulations of the department of
children and family services, to receive surrenders. At least one
witness shall be a person who is either a licensed master social worker,
licensed clinical social worker or an attorney and who is not an
employee, volunteer, consultant or agent of or attorney for the
authorized agency to which the child is being surrendered. The
commissioner of the office of children and family services, after
consultation with the chief administrator of the courts, shall
promulgate standards to help ensure the impartial selection and
independence of such witnesses. Any witness may, if so commissioned,
serve as notary under this subdivision.
(b) The authorized agency to which the child was surrendered shall
file an application for approval of the extra-judicial surrender with
the court in which the adoption proceeding is expected to be filed or,
if not known, the family or surrogate's court in the county in which the
agency has its principal office. If the child being surrendered is in
foster care as a result of a proceeding before the family court pursuant
to article ten or ten-A of the family court act or section three hundred
fifty-eight-a of this chapter, the application shall be filed in the
family court that exercised jurisdiction over such proceeding and, shall
be assigned, wherever practicable, to the judge who last presided over
such proceeding. The application shall be filed no later than fifteen
days after execution of such surrender. The application shall be
accompanied by affidavits from all the witnesses before whom the
surrender was executed and acknowledged as provided for in paragraph (a)
of this subdivision, stating:
(i) the date, time and place where the surrender was executed and
acknowledged;
(ii) that the parent was provided with a copy of the surrender;
(iii) that the surrender was read in full to the parent in his or her
principal language and the parent was given an opportunity to ask
questions and obtain answers regarding the nature and consequences of
the surrender, including the consequences of, and procedures to be
followed in, cases of a substantial failure of a material condition, if
any, contained in the surrender instrument and the obligation to provide
the authorized agency with a designated mailing address, as well as any
subsequent changes in such address, at which the parent may receive
notices regarding any substantial failure of a material condition,
unless such notification is expressly waived by a statement written by
the parent and appended to or included in such instrument; and
(iv) that the parent executed and acknowledged the surrender.
(c) The authorized agency to which a child is surrendered pursuant to
this subdivision must affix an affidavit to the application, by an
employee responsible for providing or arranging supportive counseling,
which specifies:
(i) when supportive counseling was offered to the parent by the
authorized agency;
(ii) whether the parent accepted the offer of supportive counseling;
and
(iii) if accepted, when supportive counseling was provided and the
nature of such supportive counseling.
(d) Before a judge or surrogate approves an extra-judicial surrender,
the judge or surrogate shall order notice to be given to the person who
executed the surrender and to such other persons as the judge or
surrogate may, in his or her discretion, prescribe. No person who has
received such notice and been afforded an opportunity to be heard may
challenge the validity of a surrender approved pursuant to this
subdivision in any other proceeding. Nothing in this section shall be
deemed to dispense with the consent to adopt if otherwise required of
any person who has not executed the surrender.
(e) The agency to which the child is surrendered promptly shall notify
such court of any correspondence or communication received from the
parent or a person on the parent's behalf subsequent to the execution of
the surrender and prior to a final order of adoption of the child, if
such correspondence or communication could reasonably indicate the
parent's wish to revoke the surrender.
(f) The court shall enter an order either approving or disapproving
the surrender. If the court disapproves the surrender, the surrender
shall be deemed a nullity and without force or effect, and the court may
direct that any subsequent surrender shall be executed only before the
court in accordance with subdivision three of this section.
5. Instrument. (a) There shall be a form of instrument for a judicial
surrender and a form of instrument for an extra-judicial surrender.
(b) The instrument for a judicial surrender and the instrument for an
extra-judicial surrender shall be in a form prescribed by the
commissioner after consultation with the chief administrator of the
courts and shall state in plain language in conspicuous bold print on
the first page:
(i) that the parent has the right, before signing the surrender, to
speak to a lawyer of her or his own choosing and any other person she or
he wishes; to have that lawyer and any other person present with her or
him at the time of the signing of the surrender; and has the right to
ask the court to appoint a lawyer free of charge if the parent cannot
afford to hire one; and has the right to have supportive counseling;
(ii) that the parent is giving up all rights to have custody, visit
with, speak with, write to or learn about the child, forever, unless the
parties have agreed to different terms pursuant to subdivision two of
this section, and unless such terms are written in the surrender, or, if
the parent registers with the adoption information register, as
specified in section forty-one hundred thirty-eight-d of the public
health law, that the parent may be contacted at anytime after the child
reaches the age of eighteen years, but only if both the parent and the
adult child so choose;
(iii) that the child will be adopted without the parent's consent and
without further notice to the parent, and will be adopted by any person
that the agency chooses, unless the surrender paper contains the name of
the person or persons who will be adopting the child; and
(iv) that the parent cannot be forced to sign the surrender paper, and
cannot be punished if he or she does not sign the paper; and would not
be subject to any penalty for refusing to sign the surrender.
(c) A surrender instrument for a judicial surrender also shall state
in plain language in conspicuous bold print at the beginning thereof
that the surrender becomes final and irrevocable immediately upon
execution and acknowledgement, and that the parent cannot bring a case
in court to revoke the surrender or to regain custody of the child.
Where the parties have agreed that the surrender shall be subject to
conditions pursuant to subdivision two of this section, the instrument
shall further state in plain language that:
(i) the authorized agency shall notify the parent, unless such notice
is expressly waived by a statement written by the parent and appended to
or included in such instrument, the attorney for the child and the court
that approved the surrender within twenty days of any substantial
failure of a material condition of the surrender prior to the
finalization of the adoption of the child; and
(ii) except for good cause shown, the authorized agency shall file a
petition on notice to the parent unless notice is expressly waived by a
statement written by the parent and appended to or included in such
instrument and the child's attorney in accordance with section one
thousand fifty-five-a of the family court act within thirty days of such
failure, in order for the court to review such failure and, where
necessary, to hold a hearing; provided, however, that, in the absence of
such filing, the parent and/or attorney for the child may file such a
petition at any time up to sixty days after notification of the failure.
Such petition filed by a parent or attorney for the child must be filed
prior to the child's adoption; and
(iii) the parent is obligated to provide the authorized agency with a
designated mailing address, as well as any subsequent changes in such
address, at which the parent may receive notices regarding any
substantial failure of a material condition, unless such notification is
expressly waived by a statement written by the parent and appended to or
included in such instrument.
Nothing in this paragraph shall limit the notice on the instrument
with respect to a failure to comply with a material condition of a
surrender subsequent to the finalization of the adoption of the child.
(d) An extra-judicial surrender instrument also shall state in plain
language in conspicuous bold print at the beginning thereof that:
(i) the name and address of the court in which the application for
approval of the extra-judicial surrender will be filed;
(ii) that a revocation of the surrender will be effective if it is in
writing and postmarked or received by the court named in the surrender
within forty-five days of the signing of the surrender; and
(iii) that a revocation of the surrender more than forty-five days
after its signing will not be effective if the child has been placed in
an adoptive home, and the surrender shall be final and irrevocable and
the parent cannot revoke the surrender or bring a case in court to
revoke the surrender or regain custody of the child, and that the agency
will not notify the parent when the child is placed in an adoptive home,
and the parent may lose all rights at the end of the forty-five day
period without further notice. Where the parties have agreed that the
surrender shall be subject to conditions pursuant to subdivision two of
this section, the instrument shall further state in plain language that:
(A) the authorized agency shall notify the parent, unless such notice
is expressly waived by a statement written by the parent and appended to
or included in such instrument, the law guardian for the child and the
court that approved the surrender within twenty days of any substantial
failure of a material condition of the surrender prior to the
finalization of the adoption of the child; and
(B) except for good cause shown, the authorized agency shall file a
petition on notice to the parent unless notice is expressly waived by a
statement written by the parent and appended to or included in such
instrument and law guardian in accordance with section one thousand
fifty-five-a of the family court act within thirty days of such failure
in order for the court to review such failure and, where necessary, to
hold a hearing; provided, however, that, in the absence of such filing,
the parent and/or law guardian for the child may file such a petition at
any time up to sixty days after notification of the failure. Such
petition filed by a parent or law guardian must be filed prior to the
adoption of the child; and
(C) the parent is obligated to provide the authorized agency with a
designated mailing address, as well as any subsequent changes in such
address, at which the parent may receive notices regarding any
substantial failure of a material condition, unless such notice is
expressly waived by a statement written by the parent and appended to or
included in such instrument.
Nothing in this subparagraph shall limit the notice on the instrument
with respect to a failure to comply with a material condition of a
surrender subsequent to the finalization of the adoption of the child.
(e) Any surrender instrument subject to the provisions of this section
shall include an adoption information registry birth parent registration
consent form, stating whether or not such biological parent or parents
whose consent is subject to the provisions of this section, consents to
the receipt of identifying information by the child to be adopted upon
registration with the adoption information registry established by
section forty-one hundred thirty-eight-c of the public health law and
upon the adoptee reaching the age of eighteen. If such consent is made,
it shall be revocable by either of the biological parents at any time.
The revocation of the consent by one of the parents shall revoke the
consent of both parents. The failure of a biological parent to complete
the consent form shall have no effect on the finality of the consent to
adoption. A copy of the form required by this subdivision, shall be
forwarded to the state adoption information registry for inclusion in
the records maintained by such registry. Any fees authorized to be
charged by the state adoption registry for filing documentation with
such registry shall be waived for the form required by this subdivision.
(f) A surrender shall be recorded in the office of the county clerk in
the county where the surrender is executed, or where the principal
office of such authorized agency is located, in a book which such county
clerk shall provide and shall keep under seal. Such record shall be
subject to inspection and examination only as provided in subdivisions
three and four of section three hundred seventy-two of this title.
(g) Whenever the term surrender, surrender paper or surrender
instrument is used in any law relating to the adoption of children in
foster care, it shall mean and refer exclusively to the instrument
described herein for the commitment of the guardianship of the person
and the custody of a child to an authorized agency by the child's
parent, parents or guardian, and in no case shall it be deemed to apply
to any instrument purporting to commit the guardianship of the person
and the custody of a child to any person other than an authorized
agency, nor shall such term or the provisions of this section be deemed
to apply to any instrument transferring the care and custody of a child
to an authorized agency pursuant to section three hundred eighty-four-a
of this title.
(h) Upon execution of a surrender instrument, the parent executing the
surrender shall provide information to the extent known regarding the
other parent, any person to whom the surrendering parent had been
married at the time of the conception or birth of the child and any
other person who would be entitled to consent to the adoption of the
child pursuant to subdivision one of section one hundred eleven of the
domestic relations law. Such information shall include, but not be
limited to, such parent's or person's name, last-known address, social
security number, employer's address and any other identifying
information. Any information provided pursuant to this paragraph shall
be recorded in the uniform case record maintained pursuant to section
four hundred nine-f of this article; provided, however, that the failure
to provide such information shall not invalidate the surrender.
6. Effect of surrender and revocation. (a) If the court disapproves
the surrender pursuant to subdivision four of this section, or if a
revocation of an extra-judicial surrender is mailed and postmarked or
otherwise delivered to the court named in the surrender within
forty-five days of the execution of the surrender, such surrender shall
be deemed a nullity, and the child shall be returned to the care and
custody of the authorized agency.
(b) If a revocation of an extra-judicial surrender is mailed and
postmarked or otherwise delivered to the court named in the surrender
more than forty-five days after its execution and the child has not been
placed in an adoptive home, such surrender shall be deemed a nullity,
and the child shall be returned to the care and custody of the
authorized agency. For the purposes of this subdivision, no child shall
be deemed to have been placed in the home of adoptive parents unless the
fact of such placement, the date thereof, the date of the agreement
pertaining thereto and the names and addresses of the adoptive parents
shall have been recorded in a bound volume maintained by the agency for
the purpose of recording such information in chronological order. The
absence of judicial approval of an extra-judicial surrender shall not
revive, extend or toll the period for revocation of such surrender.
(c) In any case in which the authorized agency determines that the
persons specified in the surrender will not adopt the child or in any
other case of a substantial failure of a material condition prior to the
finalization of the adoption of the child, the agency promptly shall
notify the parent thereof, unless such notice is expressly waived by a
statement written by the parent and appended to or included in such
instrument, and shall notify the court and the law guardian for the
child within twenty days. In any such case, the authorized agency shall
file a petition on notice to the parent unless notice is expressly
waived by a statement written by the parent and appended to or included
in such instrument and law guardian in accordance with section one
thousand fifty-five-a of the family court act, as applicable, within
thirty days, except for good cause shown, in order for the court to
review such failure and, where necessary, to hold a hearing; provided,
however, that, in the absence of such a filing, the parent and/or law
guardian for the child may file such a petition at any time up to sixty
days after the notification of the failure. Such petition filed by a
parent or law guardian must be filed prior to the adoption. Nothing in
this paragraph shall limit the rights and remedies, if any, available to
the parties and the law guardian with respect to a failure to comply
with a material condition of a surrender subsequent to the finalization
of the adoption of the child.
(d) Nothing contained in this section shall bar actions or proceedings
brought on the ground of fraud, duress or coercion in the execution or
inducement of a surrender. No action or proceeding may be maintained by
the surrendering parent or guardian for the custody of the surrendered
child or to revoke or annul such surrender except as provided herein.
7. Surrenders by persons in foster care. Notwithstanding any other
provision of law, a surrender for adoption executed by a parent, parents
or guardian who is in foster care shall be executed only before a judge
of the family court.
8. Adoption proceeding. (a) Upon the court's order approving the
surrender, the attorney for the petitioning authorized agency shall
promptly serve upon persons who have been approved by such agency as the
child's adoptive parents, notice of entry of the order approving the
surrender and advising such persons that they may commence an adoption
proceeding. In accordance with the regulations of the department, the
authorized agency shall advise such persons of the procedures necessary
for adoption of the child. The authorized agency shall cooperate with
such persons in the provision of necessary documentation.
(b) The adoptive parent may commence the adoption proceeding in a
court of competent jurisdiction in accordance with subdivision three of
section one hundred thirteen or subdivision two of section one hundred
fifteen of the domestic relations law, as applicable; provided, however,
that in the case of an extra-judicial surrender, such proceeding shall
be initiated more than forty-five days after the surrender is executed.
Commencement of such a proceeding shall not revive, extend or toll the
period for revocation of an extra-judicial surrender pursuant to this
section.
9. Intervention. (a) Any person or persons having custody of a child
for the purpose of adoption through an authorized agency shall be
permitted as a matter of right, as an interested party, to intervene in
any proceeding commenced to set aside a surrender purporting to commit a
guardianship of the person or custody of a child executed under the
provisions of this section. Such intervention may be made anonymously or
in the true name of such person.
(b) Any person or persons having custody for more than twelve months
through an authorized agency for the purpose of foster care shall be
permitted as a matter of right, as an interested party, to intervene in
any proceeding commenced to set aside a surrender purporting to commit
the guardianship of the person and custody of a child executed under the
provisions of this section. Such intervention may be made anonymously or
in the true name of such person or persons having custody of the child
for the purpose of foster care.
10. Adoption and permanency hearing.
a. Upon acceptance of a judicial surrender or approval of an
extra-judicial surrender pursuant to subdivision three or four of this
section, the court shall inquire whether any foster parent or parents
with whom the child resides, or any relative of the child, or other
person, seeks to adopt such child. If such person or persons do seek to
adopt such child, such person or persons may submit, and the court shall
accept, all such petitions for the adoption of the child, together with
an adoption home study, if any, completed by an authorized agency, or
disinterested person as such term is defined in subdivision three of
section one hundred sixteen of the domestic relations law. The court
shall thereafter establish a schedule for completion of other inquiries
and investigations necessary to complete review of the adoption of the
child and shall immediately set a schedule for completion of the
adoption.
b. Upon acceptance of a judicial surrender or approval of an
extra-judicial surrender pursuant to subdivision three or four of this
section, the court shall schedule an initial freed child permanency
hearing pursuant to section one thousand eighty-nine of the family court
act. Subsequent permanency hearings shall be held pursuant to section
one thousand eighty-nine of the family court act.
11. Acceptance of surrender. Acceptance of a judicial surrender or
approval of an extra-judicial surrender pursuant to this section shall
not be construed to terminate any rights of the child to contact his or
her siblings. For purposes of this section, "siblings" shall include
half-siblings and those who would be deemed siblings or half-siblings
but for the surrender, termination of parental rights or death of a
parent.
Guardianship and custody of children not in foster care. 1.
Method. The guardianship of the person and the custody of a child who is
not in foster care under the age of eighteen years may be committed to
an authorized agency by a written instrument which shall be known as a
surrender, and signed:
(a) if both parents shall then be living, by the parents of such
child, or by the surviving parent, if either parent of such child be
dead;
(b) if either one of such parents shall have for a period of six
months then next preceding abandoned such child, by the other of such
parents;
(c) if such child is born out of wedlock, by the mother of such child,
and by the father of such child, if such father's consent would be
required for the child's adoption, pursuant to section one hundred
eleven of the domestic relations law;
(d) if both parents of such child are dead, or if such child is born
out of wedlock and the mother of such child is dead by the guardian of
the person of such child lawfully appointed, with the approval of the
court or officer which appointed such guardian to be entered of record.
2. Terms. (a) Such guardianship shall be in accordance with the
provisions of this article and the instrument shall be upon such terms
and subject to such conditions as may be agreed upon by the parties
thereto. The instrument shall recite that the authorized agency is
thereby authorized and empowered to consent to the adoption of such
child in the place and stead of the person signing the instrument, and
may recite that the person signing the instrument waives any notice of
such adoption; provided, however, that an authorized agency shall not
accept a surrender instrument conditioned upon adoption by a particular
person, unless the agency has fully investigated and certified or
approved such person as a qualified adoptive parent. Any surrender
instrument subject to the provisions of this section shall include an
adoption information registry birth parent registration consent form,
stating whether or not such biological parent or parents whose consent
is subject to the provisions of this section, consents to the receipt of
identifying information by the child to be adopted, upon registration
with the adoption information registry established by section forty-one
hundred thirty-eight-c of the public health law and upon the adoptee
reaching the age of eighteen. If such consent is made, it shall be
revocable by either of the biological parents at any time. The
revocation of the consent by one of the parents shall revoke the consent
of both parents. The failure of a biological parent to complete the
consent form shall have no effect on the finality of the consent to
adoption. A copy of the form required by this subdivision, shall be
forwarded to the state adoption information registry for inclusion in
the records maintained by such registry. Any fees authorized to be
charged by the state adoption registry for filing documentation with
such registry shall be waived for the form required by this subdivision.
No such agency shall draw or receive money from public funds for the
support of any such child except upon the written order or permit of the
local social services official of the county or city sought to be
charged with the support of such child.
(b) If a surrender instrument designates a particular person or
persons who will adopt a child, such person or persons, the child's
birth parent or parents, the authorized agency having care and custody
of the child and the child's attorney, may enter into a written
agreement providing for communication or contact between the child and
the child's parent or parents on such terms and conditions as may be
agreed to by the parties.
If a surrender instrument does not designate a particular person or
persons who will adopt the child, then the child's birth parent or
parents, the authorized agency having care and custody of the child and
the child's attorney may enter into a written agreement providing for
communication or contact, on such terms and conditions as may be agreed
to by the parties. Such agreement also may provide terms and conditions
for communication with or contact between the child and the child's
biological sibling or half-sibling, if any. If any such sibling or
half-sibling is fourteen years of age or older, such terms and
conditions shall not be enforceable unless such sibling or half-sibling
consents to the agreement in writing. If the court before which the
surrender instrument is presented for approval determines that the
agreement concerning communication and contact is in the child's best
interests, the court shall approve the agreement. If the court does not
approve the agreement, the court may nonetheless approve the surrender;
provided, however, that the birth parent or parents executing the
surrender instrument shall be given the opportunity at that time to
withdraw such instrument. Enforcement of any agreement prior to the
adoption of the child shall be in accordance with subdivision (b) of
section one thousand fifty-five-a of the family court act. Subsequent to
the adoption of the child, enforcement of any agreement shall be in
accordance with section one hundred twelve-b of the domestic relations
law.
3. Instrument. The instrument herein provided shall be executed and
acknowledged (a) before any judge or surrogate in this state having
jurisdiction over adoption proceedings, except that if the child is
being surrendered as a result of, or in connection with, a proceeding
before the family court pursuant to article ten or ten-A of the family
court act, the instrument shall be executed and acknowledged in the
family court that exercised jurisdiction over such proceeding and shall
be assigned, wherever practicable, to the judge who last presided over
such proceeding; or (b) in the presence of one or more witnesses and
acknowledged by such witness or witnesses, in the latter case before a
notary public or other officer authorized to take proof of deeds, and
shall be recorded in the office of the county clerk in the county where
such instrument is executed, or where the principal office of such
authorized agency is located, in a book which such county clerk shall
provide and shall keep under seal. Such record shall be subject to
inspection and examination only as provided in subdivisions three and
four of section three hundred seventy-two of this title. Notwithstanding
any other provision of law, if the parent surrendering the child for
adoption is in foster care the instrument shall be executed before a
judge of the family court.
Whenever the term surrender or surrender instrument is used in any law
relating to the adoption of children who are not in foster care, it
shall mean and refer exclusively to the instrument hereinabove described
for the commitment of the guardianship of the person and the custody of
a child to an authorized agency by his parents, parent or guardian; and
in no case shall it be deemed to apply to any instrument purporting to
commit the guardianship of the person and the custody of a child to any
person other than an authorized agency, nor shall such term or the
provisions of this section be deemed to apply to any instrument
transferring the care and custody of a child to an authorized agency
pursuant to section three hundred eighty-four-a of this chapter.
Any person or persons having custody of a child for the purpose of
adoption through an authorized agency shall be permitted as a matter of
right, as an interested party, to intervene in any proceeding commenced
to set aside a surrender purporting to commit a guardianship of the
person or custody of a child executed under the provisions of this
section. Such intervention may be made anonymously or in the true name
of said person.
Any person or persons having custody for more than twelve months
through an authorized agency for the purpose of foster care shall be
permitted as a matter of right, as an interested party, to intervene in
any proceeding commenced to set aside a surrender purporting to commit
the guardianship of the person and custody of a child executed under the
provisions of this section. Such intervention may be made anonymously or
in the true name of said person or persons having custody of the child
for the purpose of foster care.
A copy of such surrender shall be given to such surrendering parent
upon the execution thereof. The surrender shall include the following
statement: "I, (name of surrendering parent), this ___ day of
__________, _____, have received a copy of this surrender. (Signature of
surrendering parent)". Such surrendering parent shall so acknowledge the
delivery and the date of the delivery in writing on the surrender.
Where the parties have agreed that the surrender shall be subject to
conditions pursuant to subdivision two of this section, the instrument
shall further state in plain language that:
(i) the authorized agency shall notify the parent, unless such notice
is expressly waived by a statement written by the parent and appended to
or included in such instrument, the attorney for the child and the court
that approved the surrender within twenty days of any substantial
failure of a material condition of the surrender prior to the
finalization of the adoption of the child; and
(ii) except for good cause shown, the authorized agency shall file a
petition on notice to the parent unless notice is expressly waived by a
statement written by the parent and appended to or included in such
instrument and the child's attorney in accordance with section one
thousand fifty-five-a of the family court act within thirty days of such
failure, in order for the court to review such failure and, where
necessary, to hold a hearing; provided, however, that, in the absence of
such filing, the parent and/or attorney for the child may file such a
petition at any time up to sixty days after notification of such
failure. Such petition filed by a parent or attorney for the child must
be filed prior to the child's adoption; and
(iii) the parent is obligated to provide the authorized agency with a
designated mailing address, as well as any subsequent changes in such
address, at which the parent may receive notices regarding any
substantial failure of a material condition, unless such notification is
expressly waived by a statement written by the parent and appended to or
included in such instrument.
Nothing in this paragraph shall limit the notice on the instrument
with respect to a failure to comply with a material condition of a
surrender subsequent to the finalization of the adoption of the child.
4. Upon petition by an authorized agency, a judge of the family court,
or a surrogate, may approve such surrender, on such notice to such
persons as the surrogate or judge may in his or her discretion
prescribe. If the child is being surrendered as a result of, or in
connection with, a proceeding before the family court pursuant to
article ten or ten-A of the family court act, the petition shall be
filed in the family court that exercised jurisdiction over such
proceeding and shall be assigned, wherever practicable, to the judge who
last presided over such proceeding. The petition shall set forth the
names and last known addresses of all persons required to be given
notice of the proceeding, pursuant to section three hundred
eighty-four-c of this title, and there shall be shown by the petition or
by affidavit or other proof satisfactory to the court that there are no
persons other than those set forth in the petition who are entitled to
notice pursuant to such section. No person who has received such notice
and been afforded an opportunity to be heard may challenge the validity
of a surrender approved pursuant to this subdivision in any other
proceeding. However, this subdivision shall not be deemed to require
approval of a surrender by a surrogate or judge for such surrender to be
valid.
5. If a duly executed and acknowledged adoption surrender shall so
recite, no action or proceeding may be maintained by the surrendering
parent or guardian for the custody of the surrendered child or to revoke
or annul such surrender where the child has been placed in the home of
adoptive parents and more than thirty days have elapsed since the
execution of the surrender or where the purpose of such action or
proceeding is to return the child to or vest the child's custody in any
person other than the parent or guardian who originally executed such
surrender. This subdivision shall not bar actions or proceedings brought
on the ground of fraud, duress or coercion in the execution or
inducement of a surrender.
For the purposes of this subdivision, no child shall be deemed to have
been placed in the home of adoptive parents unless the fact of such
placement, the date thereof, the date of the agreement pertaining
thereto and the names and addresses of the adoptive parents shall have
been recorded in a bound volume maintained by the agency for the purpose
of recording such information in chronological order.
Where the parties have agreed that the surrender shall be subject to
conditions pursuant to subdivision two of this section and where there
has been a substantial failure of a material condition prior to the
finalization of the adoption of the child, the agency shall notify the
parent thereof, unless such notice is expressly waived by a statement
written by the parent and appended to or included in such instrument,
and shall notify the court and the law guardian for the child within
twenty days of such failure. In any such case, the authorized agency
shall file a petition on notice to the parent unless notice is expressly
waived by a statement written by the parent and appended to or included
in such instrument and law guardian in accordance with section one
thousand fifty-five-a of the family court act within thirty days of such
failure, except for good cause shown, in order for the court to review
such failure and, where necessary, to hold a hearing; provided, however,
that, in the absence of such a filing, the parent and/or law guardian
for the child may file such a petition at any time up to sixty days
after notification of the failure. Such a petition filed by a parent or
law guardian must be filed prior to the adoption. Nothing in this
paragraph shall limit the rights and remedies available to the parties
and the law guardian pursuant to section one hundred twelve-b of the
domestic relations law with respect to a failure to comply with a
material condition of a surrender subsequent to the finalization of the
adoption of a child.
6. In an action or proceeding to determine the custody of a child not
in foster care surrendered for adoption and placed in an adoptive home
or to revoke or annul a surrender instrument in the case of such child
placed in an adoptive home, the parent or parents who surrendered such
child shall have no right to the custody of such child superior to that
of the adoptive parents, notwithstanding that the parent or parents who
surrendered the child are fit, competent and able to duly maintain,
support and educate the child. The custody of such child shall be
awarded solely on the basis of the best interests of the child, and
there shall be no presumption that such interests will be promoted by
any particular custodial disposition.
7. Upon acceptance of a judicial surrender or approval of an
extra-judicial surrender pursuant to this section, the court shall
schedule an initial freed child permanency hearing pursuant to section
one thousand eighty-nine of the family court act.
8. Upon execution of a surrender instrument, the parent executing the
surrender shall provide information to the extent known regarding the
other parent, any person to whom the surrendering parent had been
married at the time of the conception or birth of the child and any
other person listed in subdivision two of section three hundred
eighty-four-c of this title. Such information shall include, but not be
limited to, such parent's or person's name, last-known address, social
security number, employer's address and any other identifying
information. Any information provided pursuant to this subdivision shall
be recorded in the uniform case record maintained pursuant to section
four hundred nine-f of this article; provided, however, that the failure
to provide such information shall not invalidate the surrender.
9. Acceptance of a judicial surrender or approval of an extra-judicial
surrender pursuant to this section shall not be construed to terminate
any rights of the child to contact his or her siblings. For purposes of
this section, "siblings" shall include half-siblings and those who would
be deemed siblings or half siblings but for the surrender, termination
of parental rights or death of a parent.
Transfer of care and custody of children. 1. Method. The care
and custody of a child may be transferred by a parent or guardian, and
the care of a child may be transferred by any person to whom a parent
has entrusted the care of the child, to an authorized agency by a
written instrument in accordance with the provisions of this section.
Such transfer by a person who is not the child's parent or guardian
shall not affect the rights or obligations of the parents or guardian,
and such transfer shall be deemed a transfer of the care and custody of
the child for the purposes of section three hundred fifty-eight-a of
this chapter.
1-a. Prior to accepting a transfer of care and custody, a local social
services official shall commence a search to locate any non-respondent
parent of the child and shall conduct an immediate investigation to (a)
locate relatives of the child, including all of the child's
grandparents, all suitable relatives identified by either and any
relative identified by a child over the age of five as a relative who
plays or has played a significant positive role in his or her life, and
to inform them of the opportunity for becoming foster parents or for
seeking custody or care of the child, and that the child may be adopted
by foster parents if attempts at reunification with the birth parent are
not required or are unsuccessful; and to determine whether the child may
appropriately be placed with a suitable person related to the child and
whether such relative seeks approval as a foster parent pursuant to this
chapter for the purposes of providing care for such child, or wishes to
provide care and custody for the child until the parent or other person
responsible for the care of the child is able to resume custody; and (b)
identify minor siblings or half-siblings of the child and to determine
whether such siblings or half-siblings have been or are being
transferred to the care and custody of such official. Such official
shall provide or arrange for the provision of care so as to permit the
child and his or her minor siblings or half-siblings to be placed
together unless, in the judgment of such official, such placement would
be contrary to the best interests of the children; whereupon, such
official shall provide or arrange for regular visitation and other forms
of regular communication between such children unless, in the judgment
of such official, such visitation and communication would be contrary to
the best interests of such children. Placement or regular visitation and
communication with siblings or half-siblings shall be presumptively in
the child's best interests unless such placement or visitation and
communication would be contrary to the child's health, safety or
welfare, or the lack of geographic proximity precludes or prevents
visitation.
1-b. Upon accepting the transfer of care and custody of a child from
the parent, guardian or other person to whom care of the child has been
entrusted, a local social services official shall obtain information to
the extent known from such person regarding the other parent, any person
to whom the parent transferring care and custody had been married at the
time of the conception or birth of the child, any person who would be
entitled to consent to the adoption of the child pursuant to subdivision
one of section one hundred eleven of the domestic relations law, and any
other person listed in subdivision two of section three hundred
eighty-four-c of this title. Such information shall include, but not be
limited to, such parent's or person's name, last-known address, social
security number, employer's address and any other identifying
information. Any information provided pursuant to this subdivision shall
be recorded in the uniform case record maintained pursuant to section
four hundred nine-f of this article; provided, however, that the failure
to provide such information shall not invalidate the transfer of care
and custody.
2. Terms. (a) The instrument shall be upon such terms, for such time
and subject to such conditions as may be agreed upon by the parties
thereto. The office of children and family services may promulgate
suggested terms and conditions for inclusion in such instruments, but
shall not require that any particular terms and conditions be included.
If the instrument provides that the child is to be returned by the
authorized agency on a date certain or upon the occurrence of an
identifiable event, such agency shall return such child at such time
unless such action would be contrary to court order entered at any time
prior to such date or event or within ten days thereafter pursuant to
section three hundred eighty-four-b of this title or article six, ten,
or ten-A of the family court act or unless and so long as the parent or
guardian is unavailable or incapacitated to receive the child. The
parent or guardian may, upon written notice to such agency, request
return of the child at any time prior to the identified date or event,
whereupon such agency may, without court order, return the child or,
within ten days after such request, may notify the parent or guardian
that such request is denied. If such agency denies or fails to act upon
such request, the parent or guardian may seek return of the care and
custody of the child by motion in family court for return of such child
and order to show cause, or by writ of habeas corpus in the supreme
court or family court. If the instrument fails to specify a date or
identifiable event upon which such agency shall return such child, such
agency shall return the child within twenty days after having received
notice that the parent or guardian wishes the child returned, unless
such action would be contrary to court order entered at any time prior
to the expiration of such twenty day period pursuant to section three
hundred eighty-four-b of this title or article six, ten, or ten-A of the
family court act. Expenditures by a local social services district for
the care and maintenance of a child who has been continued in the care
of an authorized agency in violation of the provisions of this
subdivision shall not be subject to state reimbursement.
(b) No provisions set forth in any such instrument regarding the right
of the parent or guardian to visit the child or to have services
provided to the child and to the parent or guardian to strengthen the
parental relationship may be terminated or limited by the authorized
agency having the care and custody of the child unless: (i) the
instrument shall have been amended to so limit or terminate such right,
pursuant to subdivision three of this section; or (ii) the right of
visitation or to such services would be contrary to or inconsistent with
a court order obtained in any proceeding in which the parent or guardian
was a party.
(c) The instrument shall state, in lay terms, in conspicuous print of
at least eighteen point type:
(i) that the parent or guardian has the right, prior to signing the
instrument transferring the care and custody of the child to an
authorized agency, to legal representation of the parent's own choosing.
The agency shall provide the parent or guardian with a list of attorneys
or legal services organizations, if any, which provide free legal
services to persons unable to otherwise obtain such services;
(ii) that the parent or guardian has no legal obligation to transfer
the care and custody of the child to such official, and will incur no
legal sanction for failing to do so;
(iii) that the law permits the instrument to specify a date certain or
an identifiable event upon which the child is to be returned, and if no
date or event is specified, that the parent or guardian has a right to
the return of the child within twenty days of a request for return,
unless otherwise ordered by the court; and to otherwise have the child
returned in accordance with the terms of the instrument and the
provisions of this section;
(iv) that the parent or guardian has a right to supportive services,
which shall include preventive and other supportive services authorized
to be provided pursuant to the state's consolidated services plan, to
visit the child, and to determine jointly with the agency the terms and
frequency of visitation;
(v) that the parent or guardian, subject to the terms of the
instrument, has an obligation
(A) to visit the child,
(B) to plan for the future of the child,
(C) to meet with and consult with the agency about such plan,
(D) to contribute to the support of the child to the extent of his or
her financial ability to do so, and
(E) to inform the agency of any change of name and address;
(vi) that the failure of the parent or guardian to meet the
obligations listed in subparagraph (v) could be the basis for a court
proceeding for the commitment of the guardianship and custody of the
child to an authorized agency thereby terminating parental rights;
(vii) that the parent or guardian has a right to a fair hearing
pursuant to section twenty-two of this chapter concerning the agency's
failure to permit the parent or guardian to visit the child or to
provide supportive services, which shall include preventive and other
supportive services authorized to be provided pursuant to the state's
consolidated services plan, to the child and to the parent or guardian;
(viii) the amount of money which the parent will periodically
contribute to the support of the child and the schedule for such
payments, if known.
(ix) that if the child remains in foster care for fifteen of the most
recent twenty-two months, the agency may be required by law to file a
petition to terminate parental rights.
(d) In any case where a parent who has transferred care and custody of
a child to a social services official pursuant to this section informs
the social services official that an order or judgment conferring
visitation rights relating to the child has been entered by the family
court or supreme court or that a written agreement as described in
section two hundred thirty-six of the domestic relations law between the
parents confers such rights, any instrument executed pursuant to this
section shall incorporate the provisions of such order, judgment or
agreement to the extent that visitation rights are affected and shall
provide for visitation or other rights as required by such order,
judgment or agreement. Such incorporation shall not preclude a social
services official from exercising his authority pursuant to paragraph
(e) or (f) of this subdivision.
(e) Where a social services official opposes incorporation of an
order, judgment or agreement described in paragraph (d) of this
subdivision, such official may, upon execution of the instrument
described in this section and upon notice to the non-custodial parent or
grandparent named in such order, judgment or agreement, be heard thereon
in a proceeding pursuant to section three hundred fifty-eight-a of this
chapter.
(f) Nothing in this section shall be deemed to prohibit a social
services official or an attorney for the child, if any, from making an
application to modify the terms of a visitation order, incorporated
pursuant to this section, for good cause shown, upon notice to all
interested parties, or to limit the right of a non-custodial parent or
grandparent to seek visitation pursuant to applicable provisions of law.
(g) In the event a child whose care and custody is transferred
pursuant to this section is admitted to a hospital operated or licensed
by the office of mental health and cannot be returned to the physical
custody of his or her parent or guardian upon request because, pursuant
to section four hundred of this chapter, the medical director of the
facility has not authorized the removal of the child, the child shall
nonetheless be deemed to have been returned to the legal care and
custody of his or her parent or guardian. Expenditures by a social
services district for the care and maintenance of such a child shall be
subject to state reimbursement notwithstanding the provisions of section
one hundred fifty-three-b of this chapter.
(h) (i) Where a local social services official determines that a child
is at significant risk of placement in the care and custody of the local
commissioner of social services during the eighteen months immediately
following review by such official because the custodial parent or legal
guardian of such child is suffering from a progressively chronic or
irreversibly fatal illness and it is determined that there is neither a
relative nor a close friend identified by the custodial parent or the
legal guardian able to assume legal guardianship of the child, the
custodial parent or legal guardian shall be assisted by the local social
services district in transferring the care and custody of the child to
an authorized agency by a written instrument in accordance with the
provisions for this section which provides the transfer shall not take
effect until the parent or legal guardian dies, becomes debilitated or
incapacitated as defined in subdivision one of section seventeen hundred
twenty-six of the surrogate's court procedure act.
(ii) Where a local social services official determines that a child is
at significant risk of placement in the care and custody of the local
commissioner of social services during the eighteen months immediately
following a review of such official because the custodial parent or
legal guardian is suffering from a progressively chronic or irreversibly
fatal illness and there is a relative or close friend identified by the
custodial parent or legal guardian who is able and willing to assume
care and custody of the child, but who requires foster care services and
financial support thereof pursuant to section three hundred
ninety-eight-a of this article, the custodial parent or legal guardian
shall be assisted by the local social services district in transferring
the care and custody of the child to an authorized agency by a written
instrument in accordance with the provisions of this section. Such
instrument shall provide that the transfer of custody shall not take
effect until the parent or legal guardian dies, becomes debilitated or
incapacitated as defined in subdivision one of section seventeen hundred
twenty-six of the surrogate's court procedure act. If otherwise
qualified, the social services official shall assist the person
identified to accept care and custody of the child to become certified
as a foster parent.
(iii) A local social services official who accepts or proposes to
accept the care and custody of a child by means of a written instrument
executed pursuant to this paragraph, shall, pursuant to section three
hundred fifty-eight-a of this chapter, petition the family court of the
county or city in which the local social services official has his or
her office to approve such written instrument. A written instrument
executed pursuant to this paragraph and approved pursuant to section
three hundred fifty-eight-a of this chapter shall be in effect until the
court reviews the child's placement pursuant to article ten-A of the
family court act. The status of a child subject to such an instrument
shall be reviewed by the court pursuant to article ten-A of the family
court act.
(iv) Upon receiving a notice from the custodial parent or the legal
guardian that the parent or legal guardian is no longer debilitated or
incapacitated and that the parent or legal guardian requests the
immediate return of the child, the social services district shall return
such child to the parent or legal guardian within ten days of receiving
notice, except where a contrary court order has been issued pursuant to
part two, five or seven of article ten of the family court act.
3. Amendment. (a) The parties to the instrument or anyone acting on
their behalf with their consent may amend it by mutual consent but only
by a supplemental instrument executed in the same manner as the original
instrument. The supplemental instrument shall be attached to, and become
part of, the original instrument. The supplemental instrument shall
contain the recitation required in paragraph (c) of subdivision two of
this section.
(b) The instrument shall also be deemed amended where ordered by the
family court pursuant to the provisions of paragraph (d) of subdivision
ten of section three hundred fifty-eight-a of this chapter.
4. Execution. The instrument shall be executed in the presence of one
or more witnesses and shall include only the provisions, terms and
conditions agreed upon by the parties thereto.
5. Records. The instrument shall be kept in a file maintained for that
purpose by the agency accepting the care and custody of the child. A
copy of the instrument shall be given to the parent or guardian at the
time of the execution of the instrument.
6. An instrument executed pursuant to the provisions of this section
shall not constitute a remand or commitment pursuant to this chapter.
Guardianship and custody of destitute or dependent children;
commitment by court order; modification of commitment and restoration of
parental rights.
1. Statement of legislative findings and intent.
(a) The legislature recognizes that the health and safety of children
is of paramount importance. To the extent it is consistent with the
health and safety of the child, the legislature further hereby finds
that:
(i) it is desirable for children to grow up with a normal family life
in a permanent home and that such circumstance offers the best
opportunity for children to develop and thrive;
(ii) it is generally desirable for the child to remain with or be
returned to the birth parent because the child's need for a normal
family life will usually best be met in the home of its birth parent,
and that parents are entitled to bring up their own children unless the
best interests of the child would be thereby endangered;
(iii) the state's first obligation is to help the family with services
to prevent its break-up or to reunite it if the child has already left
home; and
(iv) when it is clear that the birth parent cannot or will not provide
a normal family home for the child and when continued foster care is not
an appropriate plan for the child, then a permanent alternative home
should be sought for the child.
(b) The legislature further finds that many children who have been
placed in foster care experience unnecessarily protracted stays in such
care without being adopted or returned to their parents or other
custodians. Such unnecessary stays may deprive these children of
positive, nurturing family relationships and have deleterious effects on
their development into responsible, productive citizens. The legislature
further finds that provision of a timely procedure for the termination,
in appropriate cases, of the rights of the birth parents could reduce
such unnecessary stays.
It is the intent of the legislature in enacting this section to
provide procedures not only assuring that the rights of the birth parent
are protected, but also, where positive, nurturing parent-child
relationships no longer exist, furthering the best interests, needs, and
rights of the child by terminating parental rights and freeing the child
for adoption.
2. For the purposes of this section, (a) "child" shall mean a person
under the age of eighteen years; and, (b) "parent" shall include an
incarcerated parent unless otherwise qualified.
3. (a) The guardianship of the person and the custody of a destitute
or dependent child may be committed to an authorized agency, or to a
foster parent authorized pursuant to section one thousand eighty-nine of
the family court act to institute a proceeding under this section, or to
a relative with care and custody of the child, by order of a surrogate
or judge of the family court, as hereinafter provided. Where such
guardianship and custody is committed to a foster parent or to a
relative with care and custody of the child, the family court or
surrogate's court shall retain continuing jurisdiction over the parties
and the child and may, upon its own motion or the motion of any party,
revoke, modify or extend its order, if the foster parent or relative
fails to institute a proceeding for the adoption of the child within six
months after the entry of the order committing the guardianship and
custody of the child to such foster parent or relative. Where the foster
parent or relative institutes a proceeding for the adoption of the child
and the adoption petition is finally denied or dismissed, the court
which committed the guardianship and custody of the child to the foster
parent or relative shall revoke the order of commitment. Where the court
revokes an order committing the guardianship and custody of a child to a
foster parent or relative, it shall commit the guardianship and custody
of the child to an authorized agency.
(b) A proceeding under this section may be originated by an authorized
agency or by a foster parent authorized to do so pursuant to section one
thousand eighty-nine of the family court act or by a relative with care
and custody of the child or, if an authorized agency ordered by the
court to originate a proceeding under this section fails to do so within
the time fixed by the court, by the child's attorney or guardian ad
litem on the court's direction.
(c) Where a child was placed or continued in foster care pursuant to
article ten, ten-A or ten-C of the family court act or section three
hundred fifty-eight-a of this chapter, a proceeding under this section
shall be originated in the family court in the county in which the
proceeding pursuant to article ten, ten-A or ten-C of the family court
act or section three hundred fifty-eight-a of this chapter was last
heard and shall be assigned, wherever practicable, to the judge who last
heard such proceeding. Where multiple proceedings are commenced under
this section concerning a child and one or more siblings or
half-siblings of such child, placed or continued in foster care with the
same commissioner pursuant to section one thousand fifty-five, one
thousand eighty-nine or one thousand ninety-five of the family court
act, all of such proceedings may be commenced jointly in the family
court in any county which last heard a proceeding under article ten,
ten-A or ten-C of the family court act regarding any of the children who
are the subjects of the proceedings under this section. In such
instances, the case shall be assigned, wherever practicable, to the
judge who last presided over such proceeding. In any other case, a
proceeding under this section, including a proceeding brought in the
surrogate's court, shall be originated in the county where either of the
parents of the child reside at the time of the filing of the petition,
if known, or, if such residence is not known, in the county in which the
authorized agency has an office for the regular conduct of business or
in which the child resides at the time of the initiation of the
proceeding. To the extent possible, the court shall, when appointing an
attorney for the child, appoint an attorney who has previously
represented the child.
(c-1) Before hearing a petition under this section, the court in which
the termination of parental rights petition has been filed shall
ascertain whether the child is under the jurisdiction of a family court
pursuant to a placement in a child protective or foster care proceeding
or continuation in out-of-home care pursuant to a permanency hearing
and, if so, which court exercised jurisdiction over the most recent
proceeding. If the court determines that the child is under the
jurisdiction of a different family court, the court in which the
termination of parental rights petition was filed shall stay its
proceeding for not more than thirty days and shall communicate with the
court that exercised jurisdiction over the most recent proceeding. The
communication shall be recorded or summarized on the record by the court
in which the termination of parental rights petition was filed. Both
courts shall notify the parties and child's attorney, if any, in their
respective proceedings and shall give them an opportunity to present
facts and legal argument or to participate in the communication prior to
the issuance of a decision on jurisdiction. The court that exercised
jurisdiction over the most recent proceeding shall determine whether it
will accept or decline jurisdiction over the termination of parental
rights petition. This determination of jurisdiction shall be
incorporated into an order regarding jurisdiction that shall be issued
by the court in which the termination of parental rights petition was
filed within thirty days of such filing. If the court that exercised
jurisdiction over the most recent proceeding determines that it should
exercise jurisdiction over the termination of parental rights petition,
the order shall require that the petition shall be transferred to that
court forthwith but in no event more than thirty-five days after the
filing of the petition. The petition shall be assigned, wherever
practicable, to the judge who heard the most recent proceeding. If the
court that exercised jurisdiction over the most recent proceeding
declines to exercise jurisdiction over the adoption petition, the court
in which the termination of parental rights petition was filed shall
issue an order incorporating that determination and shall proceed
forthwith.
(d) The family court shall have exclusive, original jurisdiction over
any proceeding brought upon grounds specified in paragraph (c), (d) or
(e) of subdivision four of this section, and the family court and
surrogate's court shall have concurrent, original jurisdiction over any
proceeding brought upon grounds specified in paragraph (a) or (b) of
subdivision four of this section, except as provided in paragraphs (c)
and (c-1) of this subdivision.
(e) A proceeding under this section is originated by a petition on
notice served upon the child's parent or parents, the attorney for the
child's parent or parents and upon such other persons as the court may
in its discretion prescribe. Such notice shall inform the parents and
such other persons that the proceeding may result in an order freeing
the child for adoption without the consent of or notice to the parents
or such other persons. Such notice also shall inform the parents and
such other persons of their right to the assistance of counsel,
including any right they may have to have counsel assigned by the court
in any case where they are financially unable to obtain counsel. When
the proceeding is initiated in family court service of the petition and
other process shall be made in accordance with the provisions of section
six hundred seventeen of the family court act, and when the proceeding
is initiated in surrogate's court, service shall be made in accordance
with the provisions of section three hundred seven of the surrogate's
court procedure act. When the proceeding is initiated on the grounds of
abandonment of a child less than one year of age at the time of the
transfer of the care and custody of such child to a local social
services official, the court shall take judicial notice of efforts to
locate the child's parents or other known relatives or other persons
legally responsible pursuant to paragraph (ii) of subdivision (b) of
section one thousand fifty-five of the family court act.
(f) In any proceeding under this section in which the surrogate's
court has exercised jurisdiction, the provisions of the surrogate's
court procedure act shall apply to the extent that they do not conflict
with the specific provisions of this section. In any proceeding under
this section in which the family court has exercised jurisdiction, the
provisions of articles one, two and eleven of the family court act shall
apply to the extent that they do not conflict with the specific
provisions of this section. In any proceeding under this section, the
provisions and limitations of article thirty-one of the civil practice
law and rules shall apply to the extent that they do not conflict with
the specific provisions of this section. In determining any motion for a
protective order, the court shall consider the need of the party for the
discovery to assist in the preparation of the case and any potential
harm to the child from the discovery. The court shall set a schedule for
discovery to avoid unnecessary delay. Any proceeding originated in
family court upon the ground specified in paragraph (d) of subdivision
four of this section shall be conducted in accordance with the
provisions of part one of article six of the family court act.
(g) (i) An order committing the guardianship and custody of a child
pursuant to this section shall be granted only upon a finding that one
or more of the grounds specified in subdivision four of this section are
based upon clear and convincing proof.
(ii) Where a proceeding has been properly commenced under this section
by the filing of a petition before the eighteenth birthday of a child,
an order committing the guardianship and custody of a child pursuant to
this section upon a finding under subdivision four of this section shall
be granted after the eighteenth birthday of a child where the child
consents to such disposition.
(h) In any proceeding brought upon a ground set forth in paragraph (c)
of subdivision four, neither the privilege attaching to confidential
communications between husband and wife, as set forth in section
forty-five hundred two of the civil practice law and rules, nor the
physician-patient and related privileges, as set forth in section
forty-five hundred four of the civil practice law and rules, nor the
psychologist-client privilege, as set forth in section forty-five
hundred seven of the civil practice law and rules, nor the social
worker-client privilege, as set forth in section forty-five hundred
eight of the civil practice law and rules, shall be a ground for
excluding evidence which otherwise would be admissible.
(i) In a proceeding instituted by an authorized agency pursuant to the
provisions of this section, proof of the likelihood that the child will
be placed for adoption shall not be required in determining whether the
best interests of the child would be promoted by the commitment of the
guardianship and custody of the child to an authorized agency.
(j) The order and the papers upon which it was granted in a proceeding
under this section shall be filed in the court, and a certified copy of
such order shall also be filed in the office of the county clerk of the
county in which such court is located, there to be recorded and to be
inspected or examined in the same manner as a surrender instrument,
pursuant to the provisions of section three hundred eighty-four of this
chapter.
(k) Where the child is over fourteen years of age, the court may, in
its discretion, consider the wishes of the child in determining whether
the best interests of the child would be promoted by the commitment of
the guardianship and custody of the child.
(l) (i) Notwithstanding any other law to the contrary, whenever: the
child shall have been in foster care for fifteen months of the most
recent twenty-two months; or a court of competent jurisdiction has
determined the child to be an abandoned child; or the parent has been
convicted of a crime as set forth in subdivision eight of this section,
the authorized agency having care of the child shall file a petition
pursuant to this section unless based on a case by case determination:
(A) the child is being cared for by a relative or relatives; or (B) the
agency has documented in the most recent case plan, a copy of which has
been made available to the court, a compelling reason for determining
that the filing of a petition would not be in the best interest of the
child; or (C) the agency has not provided to the parent or parents of
the child such services as it deems necessary for the safe return of the
child to the parent or parents, unless such services are not legally
required; or (D) the parent or parents are incarcerated, in immigration
detention or immigration removal proceedings, or participating in a
residential substance abuse treatment program, or the prior
incarceration, immigration detention or immigration removal proceedings,
or participation of a parent or parents in a residential substance abuse
treatment program is a significant factor in why the child has been in
foster care for fifteen of the last twenty-two months, provided that the
parent maintains a meaningful role in the child's life based on the
criteria set forth in subparagraph (v) of this paragraph and the agency
has not documented a reason why it would otherwise be appropriate to
file a petition pursuant to this section.
(ii) For the purposes of this section, a compelling reason whereby a
social services official is not required to file a petition for
termination of parental rights in accordance with subparagraph (i) of
this paragraph includes, but is not limited to, where:
(A) the child was placed into foster care pursuant to article three or
seven of the family court act and a review of the specific facts and
circumstances of the child's placement demonstrate that the appropriate
permanency goal for the child is either (1) return to his or her parent
or guardian or (2) discharge to independent living;
(B) the child has a permanency goal other than adoption;
(C) the child is fourteen years of age or older and will not consent
to his or her adoption;
(D) there are insufficient grounds for filing a petition to terminate
parental rights; or
(E) the child is the subject of a pending disposition under article
ten of the family court act, except where such child is already in the
custody of the commissioner of social services as a result of a
proceeding other than the pending article ten proceeding, and a review
of the specific facts and circumstances of the child's placement
demonstrate that the appropriate permanency goal for the child is
discharge to his or her parent or guardian.
(iii) For the purposes of this paragraph, the date of the child's
entry into foster care is the earlier of sixty days after the date on
which the child was removed from the home or the date the child was
found by a court to be an abused or neglected child pursuant to article
ten of the family court act.
(iv) In the event that the social services official or authorized
agency having care and custody of the child fails to file a petition to
terminate parental rights within sixty days of the time required by this
section, or within ninety days of a court direction to file a proceeding
not otherwise required by this section, such proceeding may be filed by
the foster parent of the child without further court order or by the
attorney for the child on the direction of the court. In the event of
such filing the social services official or authorized agency having
care and custody of the child shall be served with notice of the
proceeding and shall join the petition.
(v) For the purposes of clause (D) of subparagraph (i) of this
paragraph, an assessment of whether a parent maintains a meaningful role
in his or her child's life shall be based on evidence, which may include
the following: a parent's expressions or acts manifesting concern for
the child, such as letters, telephone calls, visits, and other forms of
communication with the child; efforts by the parent to communicate and
work with the authorized agency, attorney for the child, foster parent,
the court, and the parent's attorney or other individuals providing
services to the parent, including correctional, mental health and
substance abuse treatment program personnel for the purpose of complying
with the service plan and repairing, maintaining or building the
parent-child relationship; a positive response by the parent to the
authorized agency's diligent efforts as defined in paragraph (f) of
subdivision seven of this section; and whether the continued involvement
of the parent in the child's life is in the child's best interest. In
assessing whether a parent maintains a meaningful role in his or her
child's life, the authorized agency shall gather input from individuals
and agencies in a reasonable position to help make this assessment,
including but not limited to, the authorized agency, attorney for the
child, parent, child, foster parent or other individuals of importance
in the child's life, and parent's attorney or other individuals
providing services to the parent, including correctional, mental health
and substance abuse treatment program personnel. The court may make an
order directing the authorized agency to undertake further steps to aid
in completing its assessment.
4. An order committing the guardianship and custody of a child
pursuant to this section shall be granted only upon one or more of the
following grounds:
(a) Both parents of the child are dead, and no guardian of the person
of such child has been lawfully appointed; or
(b) The parent or parents, whose consent to the adoption of the child
would otherwise be required in accordance with section one hundred
eleven of the domestic relations law, abandoned such child for the
period of six months immediately prior to the date on which the petition
is filed in the court; or
(c) The parent or parents, whose consent to the adoption of the child
would otherwise be required in accordance with section one hundred
eleven of the domestic relations law, are presently and for the
foreseeable future unable, by reason of mental illness or intellectual
disability, to provide proper and adequate care for a child who has been
in the care of an authorized agency for the period of one year
immediately prior to the date on which the petition is filed in the
court; or
(d) The child is a permanently neglected child; or
(e) The parent or parents, whose consent to the adoption of the child
would otherwise be required in accordance with section one hundred
eleven of the domestic relations law, severely or repeatedly abused such
child. Where a court has determined that reasonable efforts to reunite
the child with his or her parent are not required, pursuant to the
family court act or this chapter, a petition to terminate parental
rights on the ground of severe abuse as set forth in subparagraph (iii)
of paragraph (a) of subdivision eight of this section may be filed
immediately upon such determination.
5. (a) For the purposes of this section, a child is "abandoned" by his
parent if such parent evinces an intent to forego his or her parental
rights and obligations as manifested by his or her failure to visit the
child and communicate with the child or agency, although able to do so
and not prevented or discouraged from doing so by the agency. In the
absence of evidence to the contrary, such ability to visit and
communicate shall be presumed.
(b) The subjective intent of the parent, whether expressed or
otherwise, unsupported by evidence of the foregoing parental acts
manifesting such intent, shall not preclude a determination that such
parent has abandoned his or her child. In making such determination, the
court shall not require a showing of diligent efforts, if any, by an
authorized agency to encourage the parent to perform the acts specified
in paragraph (a) of this subdivision.
6. (a) For the purposes of this section, "mental illness" means an
affliction with a mental disease or mental condition which is manifested
by a disorder or disturbance in behavior, feeling, thinking or judgment
to such an extent that if such child were placed in or returned to the
custody of the parent, the child would be in danger of becoming a
neglected child as defined in the family court act.
(b) For the purposes of this section, "intellectual disability" means
subaverage intellectual functioning which originates during the
developmental period and is associated with impairment in adaptive
behavior to such an extent that if such child were placed in or returned
to the custody of the parent, the child would be in danger of becoming a
neglected child as defined in the family court act; provided, however,
that case law regarding use of the phrase "mental retardation" under
this section shall be applicable to the term "intellectual disability".
(c) The legal sufficiency of the proof in a proceeding upon the ground
set forth in paragraph (c) of subdivision four of this section shall not
be determined until the judge has taken the testimony of a psychologist,
or psychiatrist, in accordance with paragraph (e) of this subdivision.
(d) A determination or order upon a ground set forth in paragraph (c)
of subdivision four shall in no way affect any other right, or
constitute an adjudication of the legal status of the parent.
(e) In every proceeding upon a ground set forth in paragraph (c) of
subdivision four the judge shall order the parent to be examined by, and
shall take the testimony of, a qualified psychiatrist or a psychologist
licensed pursuant to article one hundred fifty-three of the education
law as defined in section 730.10 of the criminal procedure law in the
case of a parent alleged to be mentally ill or retarded, such
psychologist or psychiatrist to be appointed by the court pursuant to
section thirty-five of the judiciary law. The parent and the authorized
agency shall have the right to submit other psychiatric, psychological
or medical evidence. If the parent refuses to submit to such
court-ordered examination, or if the parent renders himself unavailable
therefor whether before or after the initiation of a proceeding under
this section, by departing from the state or by concealing himself
therein, the appointed psychologist or psychiatrist, upon the basis of
other available information, including, but not limited to, agency,
hospital or clinic records, may testify without an examination of such
parent, provided that such other information affords a reasonable basis
for his opinion.
7. (a) For the purposes of this section, "permanently neglected
child" shall mean a child who is in the care of an authorized agency and
whose parent or custodian has failed for a period of either at least one
year or fifteen out of the most recent twenty-two months following the
date such child came into the care of an authorized agency substantially
and continuously or repeatedly to maintain contact with or plan for the
future of the child, although physically and financially able to do so,
notwithstanding the agency's diligent efforts to encourage and
strengthen the parental relationship when such efforts will not be
detrimental to the best interests of the child. The court shall consider
the special circumstances of an incarcerated parent or parents, or of a
parent or parents participating in a residential substance abuse
treatment program, when determining whether a child is a "permanently
neglected child" as defined in this paragraph. In such cases, the court
also shall consider the particular constraints, including but not
limited to, limitations placed on family contact and the unavailability
of social or rehabilitative services to aid in the development of a
meaningful relationship between the parent and his or her child, that
may impact the parent's ability to substantially and continuously or
repeatedly maintain contact with his or her child and to plan for the
future of his or her child as defined in paragraph (c) of this
subdivision. Where a court has previously determined in accordance with
paragraph (b) of subdivision three of section three hundred
fifty-eight-a of this chapter or section one thousand thirty-nine-b,
subparagraph (A) of paragraph (i) of subdivision (b) of section one
thousand fifty-two, paragraph (b) of subdivision two of section seven
hundred fifty-four or paragraph (c) of subdivision two of section 352.2
of the family court act that reasonable efforts to make it possible for
the child to return safely to his or her home are not required, the
agency shall not be required to demonstrate diligent efforts as defined
in this section. In the event that the parent defaults after due notice
of a proceeding to determine such neglect, such physical and financial
ability of such parent may be presumed by the court.
(b) For the purposes of paragraph (a) of this subdivision, evidence of
insubstantial or infrequent contacts by a parent with his or her child
shall not, of itself, be sufficient as a matter of law to preclude a
determination that such child is a permanently neglected child. A visit
or communication by a parent with the child which is of such character
as to overtly demonstrate a lack of affectionate and concerned
parenthood shall not be deemed a substantial contact.
(c) As used in paragraph (a) of this subdivision, "to plan for the
future of the child" shall mean to take such steps as may be necessary
to provide an adequate, stable home and parental care for the child
within a period of time which is reasonable under the financial
circumstances available to the parent. The plan must be realistic and
feasible, and good faith effort shall not, of itself, be determinative.
In determining whether a parent has planned for the future of the child,
the court may consider the failure of the parent to utilize medical,
psychiatric, psychological and other social and rehabilitative services
and material resources made available to such parent.
(d) For the purposes of this subdivision:
(i) A parent shall not be deemed unable to maintain contact with or
plan for the future of the child by reason of such parent's use of drugs
or alcohol, except while the parent is actually hospitalized or
institutionalized therefor; and
(ii) The time during which a parent is actually hospitalized or
institutionalized shall not interrupt, but shall not be part of, a
period of failure to maintain contact with or plan for the future of a
child.
(e) Notwithstanding the provisions of paragraph (a) of this
subdivision, evidence of diligent efforts by an agency to encourage and
strengthen the parental relationship shall not be required when:
(i) The parent has failed for a period of six months to keep the
agency apprised of his or her location, provided that the court may
consider the particular delays or barriers an incarcerated parent or
parents, or a parent or parents participating in a residential substance
abuse treatment program, may experience in keeping the agency apprised
of his or her location; or
(ii) An incarcerated parent has failed on more than one occasion while
incarcerated to cooperate with an authorized agency in its efforts to
assist such parent to plan for the future of the child, as such phrase
is defined in paragraph (c) of this subdivision, or in such agency's
efforts to plan and arrange visits with the child as described in
subparagraph five of paragraph (f) of this subdivision.
(f) As used in this subdivision, "diligent efforts" shall mean
reasonable attempts by an authorized agency to assist, develop and
encourage a meaningful relationship between the parent and child,
including but not limited to:
(1) consultation and cooperation with the parents in developing a plan
for appropriate services to the child and his family;
(2) making suitable arrangements for the parents to visit the child
except that with respect to an incarcerated parent, arrangements for the
incarcerated parent to visit the child outside the correctional facility
shall not be required unless reasonably feasible and in the best
interest of the child;
(3) provision of services and other assistance to the parents, except
incarcerated parents, so that problems preventing the discharge of the
child from care may be resolved or ameliorated;
(4) informing the parents at appropriate intervals of the child's
progress, development and health;
(5) making suitable arrangements with a correctional facility and
other appropriate persons for an incarcerated parent to visit the child
within the correctional facility, if such visiting is in the best
interests of the child. When no visitation between child and
incarcerated parent has been arranged for or permitted by the authorized
agency because such visitation is determined not to be in the best
interest of the child, then no permanent neglect proceeding under this
subdivision shall be initiated on the basis of the lack of such
visitation. Such arrangements shall include, but shall not be limited
to, the transportation of the child to the correctional facility, and
providing or suggesting social or rehabilitative services to resolve or
correct the problems other than incarceration itself which impair the
incarcerated parent's ability to maintain contact with the child. When
the parent is incarcerated in a correctional facility located outside
the state, the provisions of this subparagraph shall be construed to
require that an authorized agency make such arrangements with the
correctional facility only if reasonably feasible and permissible in
accordance with the laws and regulations applicable to such facility;
and
(6) providing information which the authorized agency shall obtain
from the office of children and family services, outlining the legal
rights and obligations of a parent who is incarcerated or in a
residential substance abuse treatment program whose child is in custody
of an authorized agency, and on social or rehabilitative services
available in the community, including family visiting services, to aid
in the development of a meaningful relationship between the parent and
child. Wherever possible, such information shall include transitional
and family support services located in the community to which an
incarcerated parent or parent participating in a residential substance
abuse treatment program shall return.
8. (a) For the purposes of this section a child is "severely abused"
by his or her parent if (i) the child has been found to be an abused
child as a result of reckless or intentional acts of the parent
committed under circumstances evincing a depraved indifference to human
life, which result in serious physical injury to the child as defined in
subdivision ten of section 10.00 of the penal law; or
(ii) the child has been found to be an abused child, as defined in
paragraph (iii) of subdivision (e) of section ten hundred twelve of the
family court act, as a result of such parent's acts; provided, however,
the respondent must have committed or knowingly allowed to be committed
a felony sex offense as defined in sections 130.25, 130.30, 130.35,
former sections 130.40, 130.45, 130.50, sections 130.65, 130.67, 130.70,
130.75, 130.80, 130.95 and 130.96 of the penal law and, for the purposes
of this section the corroboration requirements contained in the penal
law shall not apply to proceedings under this section; or
(iii) (A) the parent of such child has been convicted of murder in the
first degree as defined in section 125.27, murder in the second degree
as defined in section 125.25, manslaughter in the first degree as
defined in section 125.20, or manslaughter in the second degree as
defined in section 125.15, and the victim of any such crime was another
child of the parent or another child for whose care such parent is or
has been legally responsible as defined in subdivision (g) of section
one thousand twelve of the family court act, or another parent of the
child, unless the convicted parent was a victim of physical, sexual or
psychological abuse by the decedent parent and such abuse was a factor
in causing the homicide; or has been convicted of an attempt to commit
any of the foregoing crimes, and the victim or intended victim was the
child or another child of the parent or another child for whose care
such parent is or has been legally responsible as defined in subdivision
(g) of section one thousand twelve of the family court act, or another
parent of the child, unless the convicted parent was a victim of
physical, sexual or psychological abuse by the decedent parent and such
abuse was a factor in causing the attempted homicide; (B) the parent of
such child has been convicted of criminal solicitation as defined in
article one hundred, conspiracy as defined in article one hundred five
or criminal facilitation as defined in article one hundred fifteen of
the penal law for conspiring, soliciting or facilitating any of the
foregoing crimes, and the victim or intended victim was the child or
another child of the parent or another child for whose care such parent
is or has been legally responsible; (C) the parent of such child has
been convicted of assault in the second degree as defined in section
120.05, assault in the first degree as defined in section 120.10 or
aggravated assault upon a person less than eleven years old as defined
in section 120.12 of the penal law, and the victim of any such crime was
the child or another child of the parent or another child for whose care
such parent is or has been legally responsible; or has been convicted of
an attempt to commit any of the foregoing crimes, and the victim or
intended victim was the child or another child of the parent or another
child for whose care such parent is or has been legally responsible; or
(D) the parent of such child has been convicted under the law in any
other jurisdiction of an offense which includes all of the essential
elements of any crime specified in clause (A), (B) or (C) of this
subparagraph; and
(iv) the agency has made diligent efforts to encourage and strengthen
the parental relationship, including efforts to rehabilitate the
respondent, when such efforts will not be detrimental to the best
interests of the child, and such efforts have been unsuccessful and are
unlikely to be successful in the foreseeable future. Where a court has
previously determined in accordance with this chapter or the family
court act that reasonable efforts to make it possible for the child to
return safely to his or her home are not required, the agency shall not
be required to demonstrate diligent efforts as set forth in this
section.
(b) For the purposes of this section a child is "repeatedly abused" by
his or her parent if:
(i) the child has been found to be an abused child, (A) as defined in
paragraph (i) of subdivision (e) of section ten hundred twelve of the
family court act, as a result of such parent's acts; or (B) as defined
in paragraph (iii) of subdivision (e) of section ten hundred twelve of
the family court act, as a result of such parent's acts; provided,
however, the respondent must have committed or knowingly allowed to be
committed a felony sex offense as defined in sections 130.25, 130.30,
130.35, former sections 130.40, 130.45, 130.50, sections 130.65, 130.67,
130.70, 130.75, 130.80, 130.95 and 130.96 of the penal law; and
(ii) (A) the child or another child for whose care such parent is or
has been legally responsible has been previously found, within the five
years immediately preceding the initiation of the proceeding in which
such abuse is found, to be an abused child, as defined in paragraph (i)
or (iii) of subdivision (e) of section ten hundred twelve of the family
court act, as a result of such parent's acts; provided, however, in the
case of a finding of abuse as defined in paragraph (iii) of subdivision
(e) of section ten hundred twelve of the family court act the respondent
must have committed or knowingly allowed to be committed a felony sex
offense as defined in sections 130.25, 130.30, 130.35, former sections
130.40, 130.45, 130.50, sections 130.65, 130.67, 130.70, 130.75 and
130.80 of the penal law, or (B) the parent has been convicted of a crime
under section 130.25, 130.30, 130.35, former sections 130.40, 130.45,
130.50, sections 130.65, 130.67, 130.70, 130.75 or 130.80 of the penal
law against the child, a sibling of the child or another child for whose
care such parent is or has been legally responsible, within the five
year period immediately preceding the initiation of the proceeding in
which abuse is found; and
(iii) the agency has made diligent efforts, to encourage and
strengthen the parental relationship, including efforts to rehabilitate
the respondent, when such efforts will not be detrimental to the best
interests of the child, and such efforts have been unsuccessful and are
unlikely to be successful in the foreseeable future. Where a court has
previously determined in accordance with this chapter or the family
court act that reasonable efforts to make it possible for the child to
return safely to his or her home are not required, the agency shall not
be required to demonstrate diligent efforts as set forth in this
section.
(c) Notwithstanding any other provision of law, the requirements of
paragraph (g) of subdivision three of this section shall be satisfied if
one of the findings of abuse pursuant to subparagraph (i) or (ii) of
paragraph (b) of this subdivision is found to be based on clear and
convincing evidence.
(d) A determination by the court in accordance with article ten of the
family court act based upon clear and convincing evidence that the child
was a severely abused child as defined in subparagraphs (i) and (ii) of
paragraph (a) of this subdivision shall establish that the child was a
severely abused child in accordance with this section. Such a
determination by the court in accordance with article ten of the family
court act based upon a fair preponderance of evidence shall be
admissible in any proceeding commenced in accordance with this section.
(e) A determination by the court in accordance with article ten of the
family court act based upon clear and convincing evidence that a child
was abused (A) as defined in paragraph (i) of subdivision (e) of section
ten hundred twelve of the family court act, as a result of such parent's
acts; or (B) as defined in paragraph (iii) of subdivision (e) of section
ten hundred twelve of the family court act, as a result of such parent's
acts; provided, however, the respondent must have committed or knowingly
allowed to be committed a felony sex offense as defined in sections
130.25, 130.30, 130.35, former sections 130.40, 130.45, 130.50, sections
130.65, 130.67, 130.70, 130.75 and 130.80 of the penal law shall
establish that the child was an abused child for the purpose of a
determination as required by subparagraph (i) or (ii) of paragraph (b)
of this subdivision. Such a determination by the court in accordance
with article ten of the family court act based upon a fair preponderance
of evidence shall be admissible in any proceeding commenced in
accordance with this section.
(f) Upon a finding pursuant to paragraph (a) or (b) of this
subdivision that the child has been severely or repeatedly abused by his
or her parent, the court shall enter an order of disposition either (i)
committing the guardianship and custody of the child, pursuant to this
section, or (ii) suspending judgment in accordance with section six
hundred thirty-three of the family court act, upon a further finding,
based on clear and convincing, competent, material and relevant evidence
introduced in a dispositional hearing, that the best interests of the
child require such commitment or suspension of judgment. Where the
disposition ordered is the commitment of guardianship and custody
pursuant to this section, an initial freed child permanency hearing
shall be completed pursuant to section one thousand eighty-nine of the
family court act.
9. Nothing in this section shall be construed to terminate, upon
commitment of the guardianship and custody of a child to an authorized
agency or foster parent, any rights and benefits, including but not
limited to rights relating to contact with siblings, inheritance,
succession, social security, insurance and wrongful death action claims,
possessed by or available to the child pursuant to any other provision
of law. For purposes of this section, "siblings" shall include
half-siblings and those who would be deemed siblings or half-siblings
but for the termination of parental rights or death of a parent.
Notwithstanding any other provision of law, a child committed to the
custody and guardianship of an authorized agency pursuant to this
section shall be deemed to continue in foster care until such time as an
adoption or another planned permanent living arrangement is finalized.
Where the disposition ordered is the commitment of guardianship and
custody pursuant to this section, an initial freed child permanency
hearing shall be held pursuant to section one thousand eighty-nine of
the family court act.
10. Upon the court's order transferring custody and guardianship to
the commissioner, the attorney for the petitioning authorized agency
shall promptly serve upon the persons who have been approved by such
agency as the child's adoptive parents, notice of entry of such order
and advise such persons that an adoption proceeding may be commenced. In
accordance with the regulations of the department, the authorized agency
shall advise such persons of the procedures necessary for adoption of
the child. The authorized agency shall cooperate with such persons in
the provision of necessary documentation.
11. Upon the entry of an order committing the guardianship and custody
of a child pursuant to this section, the court shall inquire whether any
foster parent or parents with whom the child resides, or any relative of
the child, or other person, seeks to adopt such child. If such person or
persons do seek to adopt such child, such person or persons may submit,
and the court shall accept, all such petitions for the adoption of the
child, together with an adoption home study, if any, completed by an
authorized agency or disinterested person as such term is defined in
subdivision three of section one hundred sixteen of the domestic
relations law. The court shall thereafter establish a schedule for
completion of other inquiries and investigations necessary to complete
review of the adoption of the child and shall immediately set a schedule
for completion of the adoption.
13. A petition to modify a disposition of commitment of guardianship
and custody in order to restore parental rights may be brought in
accordance with part one-A of article six of the family court act where
the conditions enumerated in section six hundred thirty-five of such
part have been met.
Notice in certain proceedings to fathers of children born
out-of-wedlock. 1. Notwithstanding any inconsistent provision of this
or any other law, and in addition to the notice requirements of any law
pertaining to persons other than those specified in subdivision two of
this section, notice as provided herein shall be given to the persons
specified in subdivision two of this section of any proceeding initiated
pursuant to sections three hundred fifty-eight-a and three hundred
eighty-four of this title, involving a child born out-of-wedlock.
Persons specified in subdivision two of this section shall not include
any person who has been convicted of one or more of the following sexual
offenses in this state or convicted of one or more offenses in another
jurisdiction which, if committed in this state, would constitute one or
more of the following offenses, when the child who is the subject of the
proceeding was conceived as a result: (a) rape in first or second
degree; (b) course of sexual conduct against a child in the first
degree; (c) predatory sexual assault; or (d) predatory sexual assault
against a child.
2. Persons entitled to notice, pursuant to subdivision one of this
section, shall include:
(a) any person adjudicated by a court in this state to be the father
of the child;
(b) any person adjudicated by a court of another state or territory of
the United States to be the father of the child, when a certified copy
of the court order has been filed with the putative father registry,
pursuant to section three hundred seventy-two-c of this chapter;
(c) any person who has timely filed an unrevoked notice of intent to
claim paternity of the child, pursuant to section three hundred
seventy-two-c of this chapter;
(d) any person who is recorded on the child's birth certificate as the
child's father;
(e) any person who is openly living with the child and the child's
mother at the time the proceeding is initiated or at the time the child
was placed in the care of an authorized agency, and who is holding
himself out to be the child's father;
(f) any person who has been identified as the child's father by the
mother in written, sworn statement;
(g) any person who was married to the child's mother within six months
subsequent to the birth of the child and prior to the execution of a
surrender instrument or the initiation of a proceeding pursuant to
section three hundred eighty-four-b; and
(h) any person who has filed with the putative father registry an
instrument acknowledging paternity of the child, pursuant to section
4-1.2 of the estates, powers and trusts law.
3. The provisions of this section shall not apply to persons entitled
to notice pursuant to section one hundred eleven of the domestic
relations law. The sole purpose of notice under this section shall be to
enable the person served pursuant to subdivision two of this section to
present evidence to the court relevant to the best interests of the
child.
4. Notice under this section shall be given at least twenty days prior
to the proceeding by delivery of a copy of the petition and notice to
the person. Upon a showing to the court, by affidavit or otherwise, on
or before the date of the proceeding or within such further time as the
court may allow, that personal service cannot be effected at the
person's last known address with reasonable effort, notice may be given,
without prior court order therefor, at least twenty days prior to the
proceeding by registered or certified mail directed to the person's last
known address or, where the person has filed a notice of intent to claim
paternity pursuant to section three hundred seventy-two-c, to the
address last entered therein. Notice by publication shall not be
required to be given to a person entitled to notice pursuant to the
provisions of this section.
5. A person may waive his right to notice under this section by
written instrument subscribed by him and acknowledged or proved in the
manner required for the execution of a surrender instrument pursuant to
section three hundred eighty-four of this chapter.
6. The notice given to persons pursuant to this section shall inform
them of the time, date, place and purpose of the proceeding and shall
also apprise such persons that their failure to appear shall constitute
a denial of their interest in the child which denial may result, without
further notice, in the transfer or commitment of the child's care,
custody or guardianship or in the child's adoption in this or any
subsequent proceeding in which such care, custody or guardianship or
adoption may be at issue.
7. No order of the court in any proceeding pursuant to section three
hundred fifty-eight-a or three hundred eighty-four of this title or in
any subsequent proceeding involving the child's custody, guardianship or
adoption shall be vacated, annulled or reversed upon the application of
any person who was properly served with notice in accordance with this
section but failed to appear, or who waived notice pursuant to
subdivision five of this section. Nor shall any order of the court in
any proceeding involving the child's custody, guardianship or adoption
be vacated, annulled or reversed upon the application of any person who
was properly served with notice in accordance with this section in any
previous proceeding in which the court determined that the transfer or
commitment of the child's care, custody or guardianship to an authorized
agency was in the child's best interests.
Orders; prohibiting placing out or boarding out; removal. 1.
Prohibiting placing out or boarding out. Whenever the commissioner
shall decide that any disposition of a child under this title has been
made for purposes of gain, or without due inquiry as to the character
and reputation of the person with whom such child is placed, or in such
manner that such child is subjected to cruel or improper treatment or
neglect or immoral surroundings, or in such manner that the religious
faith of the child is not preserved and protected as provided by this
title, the commissioner may issue an order prohibiting such an
authorized agency, association, corporation, institution, society or
other organization from thereafter placing out or boarding out any
child. No such order shall be issued until after an opportunity to be
heard before the commissioner or his designee and after reasonable
notice has been given, with a copy of the charge. A full record of the
proceedings and decision on such hearing shall be kept by the
department. Any such order issued by the commissioner may be revoked by
the commissioner.
2. Whenever the commissioner shall find a minor
(a) placed out or boarded out in a home which is unsuitable or has no
license or certificate, or
(b) cared for under a certificate or license but neglected or without
suitable care or protection, he may order its removal within thirty days
by the agency which placed it and if such order cannot be served upon
such agency, it may be addressed to the public board, commission, or
officer of the county charged with the care of such child. If such
child is not removed within the specified time, the matter may be
brought before the children's court or other court having jurisdiction,
for adjudication and disposition.
3. Review of orders. Any person, agency, association, corporation,
institution, society or other organization, aggrieved by the decision of
the commissioner in making any order pursuant to the provisions of this
title, may institute, in the judicial district in which the applicant
resides or has its chief office, a proceeding under article
seventy-eight of the civil practice law and rules in which the
reasonableness of such decision shall be subject to review.
Visitation; inspection and supervision. 1. The board or the
department is authorized to visit, in its discretion, any minor under
the age of twenty-one years committed, placed out or boarded out and not
legally adopted or in the custody of a legal guardian.
2. The board or the department is authorized to visit, in its
discretion, any home or place where a child or children are received,
boarded or kept under a license or certificate whether or not such
children are maintained as public charges. Every licensed home shall, if
practicable, be visited by the department at least four times in each
year.
* Ineligibility for public foster care funds; fiscal penalties.
* NB Effective until June 30, 2027
* Public foster care funds; ineligibility.
* NB Effective June 30, 2027
* 1. The office of children and family services shall, by regulation,
promulgate standards to determine that an authorized agency, or one or
more of its programs or facilities, is ineligible to receive public
foster care funds or should be assessed a fiscal penalty. Such standards
shall include the following:
(a) lack of public need, including but not limited to geographic or
programmatic need, for the agency or one or more of its programs or
facilities;
(b) failure of the agency to promote the placement of children in
permanent, safe family homes through return to the children's own
families or through adoption, or other appropriate objectives for
children, as measured by such factors as length of stay in foster care
for children with similar personal and family characteristics; and
(c) a pattern or practice of repeated violation of the provisions of
this chapter or of the regulations of the office of children and family
services promulgated thereunder.
* NB Effective until June 30, 2027
* 1. The department shall, by regulation, promulgate standards to
determine that an authorized agency, or one or more of its programs or
facilities, is ineligible to receive public foster care funds. Such
standards shall include the following:
(a) lack of public need, including but not limited to geographic or
programmatic need, for the agency or one or more of its programs or
facilities;
(b) failure of the agency to promote the placement of children in
permanent family homes through return to the children's own families or
through adoption, or other appropriate objectives for children, as
measured by such factors as length of stay in foster care for children
with similar personal and family characteristics; and
(c) a pattern or practice of repeated violation of the provisions of
this chapter or of the regulations of the department promulgated
thereunder which have occasioned the denial of reimbursement pursuant to
section one hundred fifty-three-d or three hundred ninety-eight-b of
this chapter.
Such standards shall be developed with the participation of the child
welfare standards advisory council established pursuant to section four
hundred nine-h of this chapter and in consultation with public and
voluntary authorized agencies, citizens' groups and concerned
individuals and organizations including the state council on children
and families.
* NB Effective June 30, 2027
* 2. A determination of ineligibility to receive public foster care
funds or the assessment of a fiscal penalty shall be made upon a finding
of substantial noncompliance with one or more of the standards developed
and adopted pursuant to subdivision one of this section. Such findings
and determination shall be made in accordance with the hearing
procedures set forth in section four hundred sixty-d of this chapter
relating to the revocation, suspension or limiting of operating
certificates. Such determination shall be subject to judicial review in
accordance with article seventy-eight of the civil practice law and
rules.
* NB Effective until June 30, 2027
* 2. A determination of ineligibility to receive public foster care
funds shall be made upon a finding of substantial noncompliance with one
or more of the standards developed and adopted pursuant to subdivision
one of this section. Such findings and determination shall be made in
accordance with the hearing procedures set forth in section four hundred
sixty-d of this chapter relating to the revocation, suspension or
limiting of operating certificates. Such determination shall be subject
to judicial review in accordance with article seventy-eight of the civil
practice law and rules.
* NB Effective June 30, 2027
3. A determination of ineligibility to receive public foster care
funds shall specify whether it applies to the agency generally or to a
particular program or facility of the agency.
4. A social services official shall not purchase foster care from any
authorized agency, or program or facility thereof, which has been
determined to be ineligible to receive public foster care funds in
accordance with the provisions of this section. Any contract between a
social services district and an authorized agency shall be deemed null
and void to the extent that it is inconsistent with the provisions of
this subdivision.
5. The commissioner shall report forthwith in writing, to the
governor, the temporary president of the senate and the speaker of the
assembly with respect to each case in which a determination of
ineligibility to receive public foster care funds has been made pursuant
to this section. Such report shall contain the name of the agency and
the reason or reasons for the determination of ineligibility.
* 6. Any fiscal penalty received by the office of children and family
services pursuant to this section shall be deposited to the credit of
the children and family services quality enhancement fund established
pursuant to section ninety-seven-yyy of the state finance law.
* NB Repealed June 30, 2027
Special charters. The power and authority given to agencies,
associations, corporations, institutions and societies in their charters
shall not be abrogated or nullified, except as the same are in conflict
with this title.
Penalty for violations. 1. Except as hereinafter provided, any
person, corporation, agency, society, institution or other organization,
wilfully violating this title, other than section three hundred ninety-g
of this title, or failing to comply with any order which the department
is authorized under this title to make, shall be guilty of a
misdemeanor.
2. (a) Any person, corporation, society, institution or other
organization who or which violates the provisions of subdivision six of
section three hundred seventy-four of this chapter shall be guilty of a
misdemeanor, for the first such offense. Any person, corporation,
society, institution or other organization who or which violates the
provisions of subdivision six of section three hundred seventy-four of
this chapter, after having been once convicted of violating such
provisions, shall be guilty of a felony.
(b) Notwithstanding the provisions of paragraph (a) of this
subdivision, any person, corporation, society, institution or other
organization who or which violates subdivision six of section three
hundred seventy-four of this title, where such unlawful compensation or
thing of value accepted or received exceeds five thousand dollars in
value, shall be guilty of a class E felony as defined in the penal law.
Any person, corporation, society, institution, or other organization who
or which violates subdivision six of section three hundred seventy-four
of this title, where such unlawful compensation or thing of value
accepted or received exceeds five thousand dollars in value, after
having been previously convicted of violating subdivision six of section
three hundred seventy-four of this title, shall be guilty of a class D
felony as defined in the penal law.
Child day care; license or registration required. 1.
Definitions. (a) (i) "Child day care" shall mean child care where a
license or registration pursuant to this section is required and shall
include care for a child on a regular basis provided away from the
child's residence for less than twenty-four hours per day by someone
other than: (1) the parent, step-parent, guardian, or relative within
the third degree of consanguinity of the parents or step-parents of such
child; or (2) an enrolled legally-exempt provider as such term is
defined in paragraph (g) of this subdivision.
(ii) Child day care shall not refer to care provided in:
(A) a day camp, as defined in the state sanitary code;
(B) an after-school program operated for the purpose of religious
education, sports, or recreation;
(C) a facility:
(1) providing day services under an operating certificate issued by
the department;
(2) providing day treatment under an operating certificate issued by
the office of mental health or the office for people with developmental
disabilities; or
(D) a kindergarten, pre-kindergarten, or nursery school for children
three years of age or older, or after-school program for children
operated by a public school district or by a private school or academy
which is providing elementary or secondary education or both, in
accordance with the compulsory education requirements of the education
law, provided that the kindergarten, pre-kindergarten, nursery school,
or after school program is located on the premises or campus where the
elementary or secondary education is provided. Provided however, a
kindergarten or a pre-kindergarten operated by a public school district
shall not be considered a child day care if the kindergarten or
pre-kindergarten is not located on the premises or campus where the
elementary or secondary education is provided.
(b) "Child day care provider" shall mean any individual, association,
corporation, partnership, institution or agency whose activities include
providing child day care or operating a home or facility where child day
care is provided.
(c) "Child day care center" shall mean any program or facility caring
for children for more than three hours per day per child in which child
day care is provided by a child day care provider except those programs
operating as a group family day care home as such term is defined in
paragraph (d) of this subdivision, a family day care home, as such term
is defined in paragraph (e) of this subdivision, and a school-age child
care program, as such term is defined in paragraph (f) of this
subdivision.
(d) "Group family day care home" shall mean a program caring for
children for more than three hours per day per child in which child day
care is provided in a family home for seven to twelve children of all
ages, except for those programs operating as a family day care home, as
such term is defined in paragraph (e) of this subdivision, which care
for seven or eight children. A group family day care provider may
provide child day care services to four additional children if such
additional children are of school age and such children receive services
only before or after the period such children are ordinarily in school
or during school lunch periods, or school holidays, or during those
periods of the year in which school is not in session. There shall be
one caregiver for every two children under two years of age in the group
family home. A group family day care home must have at least one
assistant to the operator present when child day care is being provided
to seven or more children when none of the children are school age, or
nine or more children when at least two of the children are school age
and such children receive services only before or after the period such
children are ordinarily in school or during school lunch periods, or
school holidays, or during those periods of the year in which school is
not in session. This assistant shall be selected by the group family day
care operator and shall meet the qualifications established for such
position by the regulations of the office of children and family
services.
(e) "Family day care home" shall mean a program caring for children
for more than three hours per day per child in which child day care is
provided in a family home for three to six children. There shall be one
caregiver for every two children under two years of age in the family
day care home. A family day care provider may, however, care for seven
or eight children at any one time if no more than six of the children
are less than school age and the school-aged children receive care
primarily before or after the period such children are ordinarily in
school, during school lunch periods, on school holidays, or during those
periods of the year in which school is not in session in accordance with
the regulations of the office of children and family services and the
office inspects such home to determine whether the provider can care
adequately for seven or eight children.
(f) "School age child care" shall mean a program caring for more than
six school-aged children who are under thirteen years of age or who are
incapable of caring for themselves. Such programs shall be in operation
consistent with the local school calendar. School age child care
programs shall offer care during the school year to an enrolled group of
children at a permanent site before or after the period children
enrolled in such program are ordinarily in school or during school lunch
periods and may also provide such care on school holidays and those
periods of the year in which school is not in session.
(g) "Enrolled legally exempt provider" shall mean a person who is a
caregiver or entity that is not required to be licensed or registered
pursuant to this section and that is enrolled to be a caregiver and
provide subsidized child care services to eligible families in
accordance with title five-C of this article and the regulations of the
office of children and family services.
2. * (a) Child day care centers caring for seven or more children and
group family day care programs, as defined in subdivision one of this
section, shall obtain a license from the office of children and family
services and shall operate in accordance with the terms of such license
and the regulations of such office. Initial licenses and subsequent
licenses shall be valid for a period of up to four years so long as the
provider remains substantially in compliance with applicable law and
regulations during such period.
* NB Effective until June 5, 2027
* (a) Child day care centers caring for seven or more children and
group family day care programs, as defined in subdivision one of this
section, shall obtain a license from the office of children and family
services and shall operate in accordance with the terms of such license
and the regulations of such office. Initial licenses and subsequent
licenses shall be valid for a period of up to six years so long as the
provider remains substantially in compliance with applicable law and
regulations during such period.
* NB Effective June 5, 2027
(b) Family day care homes, child day care centers caring for at least
three but fewer than seven children, and school-age child care programs
shall register with the department and shall operate in compliance with
the regulations of the department.
(c) Any child day care provider not required to obtain a license
pursuant to paragraph (a) of this subdivision or to register with the
department pursuant to paragraph (b) of this subdivision may register
with the department.
(d) (i) The office of children and family services shall promulgate
regulations for licensure and for registration of child day care
pursuant to this section. Procedures for obtaining a license or
registration or renewing a license shall include a satisfactory
inspection of the facility by the office of children and family services
prior to issuance of the license or registration or renewal of the
license.
(ii) * (A) Initial registrations and subsequent registrations shall be
valid for a period of up to four years so long as the provider remains
substantially in compliance with applicable law and regulations during
such period.
* NB Effective until June 5, 2027
* (A) Initial registrations and subsequent registrations shall be
valid for a period of up to six years so long as the provider remains
substantially in compliance with applicable law and regulations during
such period.
* NB Effective June 5, 2027
(B) After initial registration by the child day care provider, the
office of children and family services shall not accept any subsequent
registration by such provider, unless:
(1) such provider has met the training requirements set forth in
section three hundred ninety-a of this title;
(2) such provider has met the requirements of section three hundred
ninety-b of this title relating to criminal history screening;
(3) such provider has complied with the requirements of section four
hundred twenty-four-a of this article; and
(4) the office of children and family services has received no
complaints about the home, center, or program alleging statutory or
regulatory violations, or, having received such complaints, the office
of children and family services has determined, after inspection
pursuant to paragraph (a) of subdivision three of this section, that the
home, center, or program is operated in compliance with applicable
statutory and regulatory requirements.
(C) Where the office of children and family services has determined
that a registration should not be continued because the requirements of
clause (B) of this subparagraph have not been satisfied, the office of
children and family services may terminate the registration. If the
office of children and family services does not terminate the
registration, the office of children and family services shall inspect
the home or program before acknowledging any subsequent registration.
Where the home or program has failed to meet the requirements of this
section, the office of children and family services may reject any
subsequent registration of a provider. Nothing herein shall prohibit the
office of children and family services from terminating or suspending
registration pursuant to subdivision ten of this section where the
office of children and family services determines that termination or
suspension is necessary.
(iv) Child day care providers who have been issued a license shall
openly display such license in the facility or home for which the
license is issued. Child day care providers who have registered with the
department shall provide proof of registration upon request.
(d-1) (i) The office of children and family services shall promulgate
regulations for inspections of enrolled legally exempt providers, which
shall include the completion of a satisfactory inspection of the
premises where care is to be provided, by the office of children and
family services.
(ii) Provided however, unless a complaint is made in or as otherwise
authorized such inspections shall not be required when the enrolled
legally exempt provider is an individual, age eighteen or older, and
who, by virtue of blood, marriage or court decree, is, to all of the
children that such person is enrolled to provide subsidized child care
services to in accordance with title five-C of this article:
(A) a grandparent;
(B) a great-grandparent;
(C) a sibling, provided that such sibling resides in a separate
household from the child;
(D) an aunt; or
(E) an uncle.
(e) Notwithstanding any other provision of this section, where a child
is cared for by a parent, guardian or relative within the third degree
of consanguinity of the parent of such child and such person
simultaneously provides child day care for other children, only the
other children shall be considered in determining whether such person
must be registered or licensed, provided that such person is not caring,
in total, for more than eight children.
2-a. (a) The office of children and family services shall promulgate
regulations which establish minimum quality program requirements for
licensed and registered child day care homes, programs and facilities.
Such requirements shall include but not be limited to (i) the need for
age appropriate activities, materials and equipment to promote
cognitive, educational, social, cultural, physical, emotional, language
and recreational development of children in care in a safe, healthy and
caring environment (ii) principles of childhood development (iii)
appropriate staff/child ratios for family day care homes, group family
day care homes, school age day care programs and day care centers (iv)
appropriate levels of supervision of children in care (v) minimum
standards for sanitation, health, infection control, nutrition,
buildings and equipment, safety, security procedures, first aid, fire
prevention, fire safety, evacuation plans and drills, prevention of
child abuse and maltreatment, staff qualifications and training, record
keeping, and child behavior management.
(b) The use of electronic monitors as a sole means of supervision of
children in day care shall be prohibited, except that electronic
monitors may be used in family day care homes and group family day care
homes as an indirect means of supervision where the parents of any child
to be supervised have agreed in advance to the use of such monitors as
an indirect means of supervision and the use of such monitors is
restricted to situations where the children so supervised are sleeping.
(c) No child less than six weeks of age may be cared for by a licensed
or registered day care provider, except in extenuating circumstances
where prior approval for care of such children has been given by the
office of children and family services. Extenuating circumstances for
the purposes of this section shall include but not be limited to the
medical or health needs of the parent or child, or the economic hardship
of the parent.
3. (a) The office of children and family services may make announced
or unannounced inspections of the records and premises of any child care
provider, whether or not such provider has a license from, or is
registered with, the office of children and family services. The office
of children and family services shall make unannounced inspections of
the records and premises of any child day care provider within fifteen
days after the office of children and family services receives a
complaint that, if true, would indicate such provider does not comply
with the applicable regulations of the office of children and family
services or with statutory requirements. If the complaint indicates that
there may be imminent danger to the children, the office of children and
family services shall investigate the complaint no later than the next
day of operation of the provider. The office of children and family
services may provide for inspections through the purchase of services.
(b) (i) Where inspections have been made and violations of applicable
statutes or regulations have been found, the office of children and
family services shall within ten days advise the child day care provider
in writing of the violations and require the provider to correct such
violations. The office of children and family services may also act
pursuant to subdivisions ten and eleven of this section.
(ii) Where inspections have been made and violations of applicable
statutes or regulations have been found, the office of children and
family services or its designee shall, within ten days, advise the
enrolled legally-exempt provider in writing of the violations and
require the provider to correct such violations.
(c) (i) The office of children and family services shall establish a
toll-free statewide telephone number to receive inquiries about child
day care homes, programs and facilities and complaints of violations of
the requirements of this section or regulations promulgated under this
section. The office of children and family services shall develop a
system for investigation, which shall include inspection, of such
complaints. The office of children and family services may provide for
such investigations through purchase of services. The office of children
and family services shall develop a process for publicizing such
toll-free telephone number to the public for making inquiries or
complaints about child day care homes, programs or facilities.
(ii) Information to be maintained and available to the public through
such toll-free telephone number shall include, but not be limited to:
(A) current license and registration status of child day care homes,
programs and facilities including whether a license or registration is
in effect or has been revoked or suspended; and
(B) child care resource and referral programs providing services
pursuant to title five-B of this article and other resources known to
the office of children and family services which relate to child day
care homes, programs and facilities in the state.
(iii) Upon written request identifying a particular child day care
home, program or facility, the office of children and family services
shall provide the information set forth below. The office of children
and family services may charge reasonable fees for copies of documents
provided, consistent with the provisions of article six of the public
officers law. The information available pursuant to this clause shall
be:
(A) the results of the most recent inspection for licensure or
registration and any subsequent inspections by the office of children
and family services;
(B) complaints filed against child day care homes, programs or
facilities which describes the nature of the complaint and states how
the complaint was resolved, including the status of the office of
children and family services investigation, the steps taken to rectify
the complaint, and the penalty, if any, imposed; and
(C) child day care homes, programs or facilities which have requested
or received a waiver from any applicable rule or regulation, and the
regulatory requirement which was waived.
(iv) Nothing in this paragraph shall be construed to require or permit
the disclosure either orally or in writing of any information that is
confidential pursuant to law.
(d) Where investigation or inspection reveals that a child day care
provider which must be licensed or registered is not, the office of
children and family services shall advise the child day care provider in
writing that the provider is in violation of the licensing or
registration requirements and shall take such further action as is
necessary to cause the provider to comply with the law, including
directing an unlicensed or unregistered provider to cease operation. In
addition, the office of children and family services shall require the
provider to notify the parents or guardians of children receiving care
from the provider that the provider is in violation of the licensing or
registration requirements and shall require the provider to notify the
office of children and family services that the provider has done so.
Any provider who is directed to cease operations pursuant to this
paragraph shall be entitled to a hearing before the office of children
and family services. If the provider requests a hearing to contest the
directive to cease operations, such hearing must be scheduled to
commence as soon as possible but in no event later than thirty days
after the receipt of the request by the office of children and family
services. The provider may not operate the center, home or program after
being directed to cease operations, regardless of whether a hearing is
requested. If the provider does not cease operations, the office of
children and family services may impose a civil penalty pursuant to
subdivision eleven of this section, seek an injunction pursuant to
section three hundred ninety-one of this title, or both.
(e) (i) Where an authorized agency is subsidizing child day care
pursuant to any provision of this chapter, the authorized agency may
submit to the department justification for a need to impose additional
requirements upon child day care providers and a plan to monitor
compliance with such additional requirements. No such additional
requirements or monitoring may be imposed without the written approval
of the department.
(ii) An authorized agency may refuse to allow a child day care
provider who is not in compliance with this section and regulations
issued hereunder or any approved additional requirements of the
authorized agency to provide child day care to the child. In accordance
with the plan approved by the department, an authorized agency shall
have the right to make announced or unannounced inspections of the
records and premises of any provider who provides care for such
children, including the right to make inspections prior to subsidized
children receiving care in a home where the inspection is for the
purpose of determining whether the child day care provider is in
compliance with applicable law and regulations and any additional
requirements imposed upon such provider by the authorized agency. Where
an authorized agency makes such inspections, the authorized agency shall
notify the department immediately of any violations of this section or
regulations promulgated hereunder, and shall provide the department with
an inspection report whether or not violations were found, documenting
the results of such inspection.
(iii) Nothing contained in this paragraph shall diminish the authority
of the department to conduct inspections or provide for inspections
through purchase of services as otherwise provided for in this section.
Nothing contained in this paragraph shall obligate the department to
take any action to enforce any additional requirements imposed on child
day care providers by an authorized agency.
(f) Individual local social services districts may alter their
participation in activities related to arranging for, subsidizing,
delivering and monitoring the provision of subsidized child day care
provided, however, that the total participation of an individual
district in all activities related to the provision of subsidized child
day care shall be no less than the participation level engaged in by
such individual district on the effective date of this section.
4. (a) The office of children and family services on an annual basis
shall inspect all child day care programs and all enrolled
legally-exempt providers except when such provider is determined to be
exempt in accordance with subparagraph (ii) of paragraph (d-one) of
subdivision two of this section. The office of children and family
services may provide for such inspections through purchase of services.
(b) Any family day care home or school-age child care program
licensed, registered, or certified by the department or by any
authorized agency on the effective date of this section shall be deemed
registered until the expiration of its then-current license or
certificate unless such license or certificate is suspended or revoked
pursuant to subdivision ten of this section. Family day care homes and
school-age child care programs not licensed, registered, or certified on
the effective date of this section shall register pursuant to
subdivision two of this section.
5. Child day care providers required to have a license from the
department or to be registered with the department pursuant to this
section shall not be exempt from such requirement through registration
with another state agency, or certification, registration, or licensure
by any local governmental agency or any authorized agency.
5-a. The office of children and family services shall provide, upon
request, all applications and forms necessary to become a licensed or
registered child day care provider in English, French, Polish, or any of
the ten most common non-English languages spoken by individuals with
limited-English proficiency in the state of New York, based on United
States census data.
6. Unless otherwise limited by law, a parent with legal custody or a
legal guardian of any child in a child day care program shall have
unlimited and on demand access to such child or ward. Such parent or
guardian unless otherwise limited by law, also shall have the right to
inspect on demand during its hours of operation any area of a child day
care center, group family day care home, school-age child care program,
or family day care home to which the child or ward of such parent or
guardian has access or which could present a hazard to the health and
safety of the child or ward.
7. (a) The department shall implement on a statewide basis programs to
educate parents and other potential consumers of child day care programs
about their selection and use. The department may provide for such
implementation through the purchase of services. Such education shall
include, but not be limited to, the following topics:
(i) types of child day care programs;
(ii) factors to be considered in selecting and evaluating child day
care programs;
(iii) regulations of the department governing the operation of
different types of programs;
(iv) rights of parents or guardians in relation to access to children
and inspection of child day care programs;
(v) information concerning the availability of child day care
subsidies;
(vi) information about licensing and registration requirements;
(vii) prevention of child abuse and maltreatment in child day care
programs, including screening of child day care providers and employees;
(viii) tax information; and
(ix) factors to be considered in selecting and evaluating child day
care programs when a child needs administration of medications during
the time enrolled.
(b) The department shall implement a statewide campaign to educate the
public as to the legal requirements for registration of family day care
and school-age child care, and the benefits of such registration. The
department may provide for such implementation through the purchase of
services. The campaign shall:
(i) use various types of media;
(ii) include the development of public educational materials for
families, family day care providers, employers and community agencies;
(iii) explain the role and functions of child care resource and
referral programs, as such term is used in title five-B of this article;
(iv) explain the role and functions of the department in regard to
registered programs; and
(v) publicize the department's toll-free telephone number for making
complaints of violations of child day care requirements related to
programs which are required to be licensed or registered.
(c) The office of children and family services shall implement a
statewide campaign to educate parents and other consumers of child day
care programs about adverse childhood experiences, the importance of
protective factors, and the availability of services for children at
risk for or experiencing adverse childhood experiences as defined in
paragraph (c) of subdivision one of section twenty-d of this chapter.
Such statewide campaign, shall include but is not limited to, providing
all licensed, registered and enrolled child care providers with
educational materials developed pursuant to subdivision two of section
three hundred seventy-c of this chapter. The educational materials may
be made available electronically and shall be offered to parents and
other consumers at the time of enrollment.
8. The department shall establish and maintain a list of all current
registered and licensed child day care programs and a list of all
programs whose license or registration has been revoked, rejected,
terminated, or suspended. Such information shall be available to the
public, pursuant to procedures developed by the department.
8-a. The office of children and family services shall not make
available to the public online any group family day care home provider's
or family day care provider's home street address or map showing the
location of such provider's home where such provider has requested to
opt out of the online availability of this information. The office shall
provide a written form informing a provider of their right to opt out of
providing information online, and shall also permit a provider to
request to opt out through the office's website.
9. The department shall make available, directly or through purchase
of services, to registered child day care providers information
concerning:
(a) liability insurance;
(b) start-up grants;
(c) United States department of agriculture food programs;
(d) subsidies available for child day care;
(e) tax information; and
(f) support services required to be provided by child care resource
and referral programs as set forth in subdivision three of section four
hundred ten-r of this article.
10. Any home or facility providing child day care shall be operated in
accordance with applicable statutes and regulations. Any violation of
applicable statutes or regulations shall be a basis to deny, limit,
suspend, revoke, or terminate a license or registration. Consistent with
articles twenty-three and twenty-three-A of the correction law, and
guidelines referenced in subdivision two of section four hundred
twenty-five of this article, if the office of children and family
services is made aware of the existence of a criminal conviction or
pending criminal charge concerning an operator of a family day care
home, group family day care home, school-age child care program, or
child day care center or concerning any assistant, employee or volunteer
in such homes, programs or centers, or any persons age eighteen or over
who reside in such homes, such conviction or charge may be a basis to
deny, limit, suspend, revoke, reject, or terminate a license or
registration. Before any license issued pursuant to the provisions of
this section is suspended or revoked, before registration pursuant to
this section is suspended or terminated, or when an application for such
license is denied or registration rejected, the applicant for or holder
of such registration or license is entitled, pursuant to section
twenty-two of this chapter and the regulations of the office of children
and family services, to a hearing before the office of children and
family services. However, a license or registration shall be temporarily
suspended or limited without a hearing upon written notice to the
operator of the facility following a finding that the public health, or
an individual's safety or welfare, are in imminent danger. The holder of
a license or registrant is entitled to a hearing before the office of
children and family services to contest the temporary suspension or
limitation. If the holder of a license or registrant requests a hearing
to contest the temporary suspension or limitation, such hearing must be
scheduled to commence as soon as possible but in no event later than
thirty days after the receipt of the request by the office of children
and family services. Suspension shall continue until the condition
requiring suspension or limitation is corrected or until a hearing
decision has been issued. If the office of children and family services
determines after a hearing that the temporary suspension or limitation
was proper, such suspension or limitation shall be extended until the
condition requiring suspension or limitation has been corrected or until
the license or registration has been revoked.
11. (a) (i) The office of children and family services shall adopt
regulations establishing civil penalties of no more than five hundred
dollars per day to be assessed against child day care centers, school
age child care programs, group family day care homes or family day care
homes for violations of this section, sections three hundred ninety-a
and three hundred ninety-b of this title and any regulations promulgated
thereunder. The regulations establishing civil penalties shall specify
the violations subject to penalty.
(ii) The office of children and family services shall adopt
regulations establishing civil penalties of no more than five hundred
dollars per day to be assessed against child day care providers who
operate child day care centers or group family day care homes without a
license or who operate family day care homes, school-age child care
programs, or child day care centers required to be registered without
obtaining such registration.
(iii) In addition to any other civil or criminal penalty provided by
law, the office of children and family services shall have the power to
assess civil penalties in accordance with its regulations adopted
pursuant to this subdivision after a hearing conducted in accordance
with procedures established by regulations of the office of children and
family services. Such procedures shall require that notice of the time
and place of the hearing, together with a statement of charges of
violations, shall be served in person or by certified mail addressed to
the school age child care program, group family day care home, family
day care home, or child day care center at least thirty days prior to
the date of the hearing. The statement of charges shall set forth the
existence of the violation or violations, the amount of penalty for
which the program may become liable, the steps which must be taken to
rectify the violation, and where applicable, a statement that a penalty
may be imposed regardless of rectification. A written answer to the
charges of violations shall be filed with the office of children and
family services not less than ten days prior to the date of hearing with
respect to each of the charges and shall include all material and
relevant matters which, if not disclosed in the answer, would not likely
be known to the office of children and family services.
(iv) The hearing shall be held by the commissioner of the office of
children and family services or the commissioner's designee. The burden
of proof at such hearing shall be on the office of children and family
services to show that the charges are supported by a preponderance of
the evidence. The commissioner of the office of children and family
services or the commissioner's designee, in his or her discretion, may
allow the child day care center operator or provider to attempt to prove
by a preponderance of the evidence any matter not included in the
answer. Where the child day care provider satisfactorily demonstrates
that it has rectified the violations in accordance with the requirements
of paragraph (c) of this subdivision, no penalty shall be imposed except
as provided in paragraph (c) of this subdivision.
(b)(i) In assessing penalties pursuant to this subdivision, the office
of children and family services may consider the completeness of any
rectification made and the specific circumstances of such violations as
mitigating factors.
(ii) Upon the request of the office of children and family services,
the attorney general shall commence an action in any court of competent
jurisdiction against any child day care program subject to the
provisions of this subdivision and against any person, entity or
corporation operating such center or school age child care program,
group family day care home or family day care home for the recovery of
any penalty assessed by the office of children and family services in
accordance with the provisions of this subdivision.
(iii) Any such penalty assessed by the office of children and family
services may be released or compromised by the office of children and
family services before the matter has been referred to the attorney
general; when such matter has been referred to the attorney general,
such penalty may be released or compromised and any action commenced to
recover the same may be settled and discontinued by the attorney general
with the consent of the office of children and family services.
(c)(i) Except as provided for in this paragraph, a child day care
provider shall avoid payment of a penalty imposed pursuant to this
subdivision where the provider has rectified the condition which
resulted in the imposition of the penalty within thirty days of
notification of the existence of the violation of statute or regulation.
(ii) Clause (i) of this paragraph notwithstanding, rectification shall
not preclude the imposition of a penalty pursuant to this subdivision
where:
(A) the child day care provider has operated a child day care center
or group family day care home without a license, has refused to seek a
license for the operation of such a center or home, or has continued to
operate such a center or home after denial of a license application,
revocation of an existing license or suspension of an existing license;
(B) the child day care provider has operated a family day care home,
school-age child care program or child day care center required to be
registered without being registered, has refused to seek registration
for the operation of such home, program or center or has continued to
operate such a home, program or center after denial of a registration
application, revocation of an existing registration or suspension of an
existing registration;
(C) there has been a total or substantial failure of the facility's
fire detection or prevention systems or emergency evacuation procedures;
(D) the child day care provider or an assistant, employee or volunteer
has failed to provide adequate and competent supervision;
(E) the child day care provider or an assistant, employee or volunteer
has failed to provide adequate sanitation;
(F) the child day care provider or an assistant, employee, volunteer
or, for a family day care home or group family day care home, a member
of the provider's household, has injured a child in care, unreasonably
failed to obtain medical attention for a child in care requiring such
attention, used corporal punishment against a child in care or abused or
maltreated a child in care;
(G) the child day care provider has violated the same statutory or
regulatory standard more than once within a six month period;
(H) the child day care provider or an assistant, employee or volunteer
has failed to make a report of suspected child abuse or maltreatment
when required to do so pursuant to section four hundred thirteen of this
article; or
(I) the child day care provider or an assistant, employee or volunteer
has submitted to the office of children and family services a forged
document as defined in section 170.00 of the penal law.
(d) Any civil penalty received by the office of children and family
services pursuant to this subdivision shall be deposited to the credit
of the "quality child care and protection fund" established pursuant to
section ninety-seven-www of the state finance law.
(e)(i) The office of children and family services shall deny a new
application for licensure or registration made by a day care provider
whose license or registration was previously revoked or terminated based
on a violation of statute or regulation for a period of two years from
the date that the revocation or termination of the license or
registration became finally effective, unless such office determines, in
its discretion, that approval of the application will not in any way
jeopardize the health, safety or welfare of children in the center,
program or home. For the purposes of this paragraph, the date that the
revocation or termination became finally effective shall be, as
applicable:
(A) the date that the revocation or termination became effective based
on the notice of revocation or termination;
(B) the date that the hearing decision was issued upholding the
revocation or termination;
(C) the date of issuance of a final court order affirming the
revocation or termination or affirming a hearing decision that upheld
the revocation or termination; or
(D) another date mutually agreed upon by the office of children and
family services and the provider.
(ii)(A) Such office shall deny a new application for licensure or
registration made by a day care provider who is enjoined or otherwise
prohibited by a court order from operation of a day care center, group
family day care home, family day care home or school-age child care
program without a license or registration for a period of two years from
the date of the court order unless the court order specifically enjoins
the provider from providing day care for a period longer than two years,
in which case the office shall deny any new application made by the
provider while the provider is so enjoined.
(B) Such office shall deny a new application for licensure or
registration made by a day care provider who is assessed a second civil
penalty by such office for having operated a day care center, group
family day care home, family day care home or school-age child care
program without a license or registration for a period of two years from
the date of the second fine. For the purposes of this paragraph, the
date of the second fine shall be either the date upon which the day care
provider signs a stipulation agreement to pay the second fine or the
date upon which a hearing decision is issued affirming the determination
of such office to impose the second fine, as applicable.
(iii) A day care provider who surrenders the provider's license or
registration while such office is engaged in enforcement seeking
suspension, revocation or termination of such provider's license or
registration pursuant to the regulations of such office, shall be deemed
to have had their license or registration revoked or terminated and
shall be subject to the prohibitions against licensing or registration
pursuant to subparagraph (i) of this paragraph for a period of two years
from the date of surrender of the license or registration.
12. (a) Notwithstanding any other provision of law, except as may be
required as a condition of licensure or registration by regulations
promulgated pursuant to this section, no village, town (outside the area
of any incorporated village), city or county shall adopt or enact any
law, ordinance, rule or regulation which would impose, mandate or
otherwise enforce standards for sanitation, health, fire safety or
building construction on a one or two family dwelling or multiple
dwelling used to provide group family day care or family day care than
would be applicable were such child day care not provided on the
premises. No village, town (outside the area of any incorporated
village), city or county shall prohibit or restrict use of a one or two
family dwelling, or multiple dwelling for family or group family day
care where a license or registration for such use has been issued in
accordance with regulations issued pursuant to this section. Nothing in
this paragraph shall preclude local authorities with enforcement
jurisdiction of the applicable sanitation, health, fire safety or
building construction code from making appropriate inspections to assure
compliance with such standards.
(b) Notwithstanding any other provision of law, but pursuant to
section five hundred eighty-one-b of the real property tax law, no
assessing unit, as defined in subdivision one of section one hundred two
of the real property tax law, in the assessment of the value of any
parcel used for residential purposes and registered as a family day care
home pursuant to this section, shall consider the use or registration of
such parcel as a family day care home.
13. Notwithstanding any other provision of law, this section, except
for subdivision fifteen of this section, shall not apply to child day
care centers in the city of New York.
14. The office of children and family services, in conjunction with
the department of health, shall be required to annually distribute
informational materials related to the occurrence, transmission, birth
defects, methods of diagnosis and preventive measures of Cytomegalovirus
established pursuant to subdivision six of section two hundred sixty-six
of the public health law to every licensed, registered or enrolled child
care provider and their staff.
15. (a) Each child day care provider, enrolled legally-exempt
provider, enrolled legally-exempt group provider, and child care program
permitted under the New York City health code shall establish written
procedures that identify the actions the provider or program shall take
if the provider or program becomes aware that the parent or guardian
shall be unavailable to retrieve the child at the conclusion of the
child care program hours or the child is not picked up as scheduled, and
such child is in need of an alternate plan for pickup for any reason,
including that the parent or guardian has been detained by federal
immigration authorities.
(b) Such procedures shall be established and implemented no later than
ninety days after the effective date of this subdivision, and shall be
provided to families upon implementation, admission, and revision.
(c) Such procedures shall include, at a minimum, that the provider
shall not contact the statewide central register for child abuse and
maltreatment unless the provider has made reasonable efforts to contact
all known individuals authorized by the parent or guardian to retrieve
the child, and that the provider shall retain the child on the premises
until such child is picked up by an individual authorized by the parent
or guardian or by law.
Standards and training for child day care. 1. All office of
children and family services and municipal staff employed to accept
registrations, issue licenses or conduct inspections of child day care
homes, programs or facilities, subject to the amounts appropriated
therefor, shall receive: (a) training in at least the following:
regulations promulgated by the office of children and family services
pursuant to section three hundred ninety of this title; child abuse
prevention and identification; safety and security procedures in child
day care settings; the principles of childhood development, and the
laws, regulations and procedures governing the protection of children
from abuse or maltreatment; and (b) guidance on identification of
circumstances that may indicate the presence of controlled substances
and referrals to law enforcement.
2. No license or registration shall be issued to a family day care
home, group family day care home, school age child care program or child
day care center and no such registration or license shall be renewed
until it can be demonstrated by the employer or licensing agency that
there is a procedure developed and implemented, in accordance with
section three hundred ninety-b of this title and pursuant to regulations
of the office of children and family services, to:
(a) review and evaluate the backgrounds of and information supplied by
any person applying to be a child day care center or school-age child
care program employee or volunteer or group family day care assistant, a
provider of family day care or group family day care, or a director of a
child day care center, head start day care center or school-age child
care program. Such procedures shall include but not be limited to the
following requirements: that the applicant set forth his or her
employment history, provide personal and employment references; submit
such information as is required for screening with the statewide central
register of child abuse and maltreatment in accordance with the
provisions of section four hundred twenty-four-a of this article; sign a
sworn statement indicating whether, to the best of his or her knowledge,
he or she has ever been convicted of a crime in this state or any other
jurisdiction; and provide his or her fingerprints for submission to the
division of criminal justice services in accordance with the provisions
of section three hundred ninety-b of this title;
(b) establish relevant minimal experiential and educational
qualifications for employees and directors of child day care centers or
head start day care center programs;
(c) assure adequate and appropriate supervision of employees and
volunteers of group family day care homes, family day care homes, child
day care centers and school-age child care programs; and
(d) demonstrate, in the case of child day care centers, group family
day care homes, family day care homes and school-age child care programs
the existence of specific procedures which will assure the safety of a
child who is reported to the state central register of child abuse and
maltreatment as well as other children provided care by such homes,
centers or programs, immediately upon notification that a report has
been made with respect to a child named in such report while the child
was in attendance at such homes, centers or programs.
(e) establish necessary rules to provide for uniform visitor control
procedures, including visitor identification.
3. (a) The office of children and family services shall promulgate
regulations requiring operators, program directors, employees and
assistants of family day care homes, group family day care homes,
school-age child care programs and child day care centers to receive
pre-service and annual training, as applicable. Provided however that
such providers shall be required to receive thirty hours of training
every two years; provided, however, any individual or provider who is
already in compliance with this subdivision, prior to the effective date
of the chapter of the laws of two thousand nineteen that amended this
subdivision, shall only be required to complete any additional federal
training requirements which they have not already completed in order to
be deemed in compliance with this subdivision. Fifteen hours of such
training must be received within the first six months of the initial
licensure, registration or employment. Such training requirements shall
also apply to any volunteer in such day care homes, programs or centers
who has the potential for regular and substantial contact with children.
The thirty hours of training required during the first biennial cycle
after initial licensure or registration shall include training received
while an application for licensure or registration pursuant to section
three hundred ninety of this title is pending. The office of children
and family services may provide this training through purchase of
services.
(b) The training required in paragraph (a) of this subdivision shall
address topics and subject matters required by federal law and the
following topics or subject matters, unless such topics or subject
matters are substantially covered in training that is required pursuant
to federal law:
(i) principles of childhood development, focusing on the developmental
stages of the age groups for which the program provides care;
(ii) nutrition and health needs of infants and children;
(iii) child day care program development;
(iv) safety and security procedures;
(v) business record maintenance and management;
(vi) child abuse and maltreatment identification and prevention;
(vii) statutes and regulations pertaining to child day care;
(viii) statutes and regulations pertaining to child abuse and
maltreatment;
(ix) for operators, program directors, employees and assistants of
family day care homes, group family day care homes and child day care
centers, education and information on the identification, diagnosis and
prevention of shaken baby syndrome; and
(x) adverse childhood experiences (ACEs), focused on understanding
trauma and on nurturing resiliency.
(c) For the thirty hours of biennial training required after the
initial period of licensure or registration, each provider who can
demonstrate basic competency shall determine in which of the specified
topics he or she needs further study, based on the provider's experience
and the needs of the children in the provider's care.
(d) Family day care home and group family day care home operators
shall obtain training pertaining to protection of the health and safety
of children, as required by regulation, prior to the issuance of a
license or registration by the office of children and family services.
(e) Upon request by the office of children and family services, the
child day care applicant or provider shall submit documentation
demonstrating compliance with the training requirements of this section.
4. No license or registration shall be issued to a family day care
home or group family day care home and no such registration shall be
renewed if barriers, as defined in paragraph (d) of subdivision one of
section three hundred ninety-d of this title, are not present around any
swimming pool or body of water, as defined in paragraphs (b) and (c) of
subdivision one of section three hundred ninety-d of this title, located
on its grounds, pursuant to section three hundred ninety-d of this
title.
5. a. The site provider of a family day care home or group family day
care home shall provide that at least one employee who holds a valid
certification in a course of study in first aid knowledge and skills and
cardiopulmonary resuscitation, with an emphasis on providing that aid to
children, as approved by the commissioner of the office of children and
family services, be on premises during the operating hours of such
family day care home or group family day care home.
b. The site supervisor of a school-age child care program shall
provide that at least one employee who holds a valid certification in a
course of study in first aid knowledge and skills and cardiopulmonary
resuscitation, with an emphasis on providing that aid to children, as
approved by the commissioner of the office of children and family
services, be on premises during the operating hours of such school-age
child care program.
c. The director of a child day care center shall provide that at least
one employee who holds a valid certification in a course of study in
first aid knowledge and skills and cardiopulmonary resuscitation, with
an emphasis on providing that aid to children, as approved by the
commissioner of the office of children and family services, be on
premises during the operating hours of such child day care center.
Criminal history review and background clearances of child
care providers, generally.
1. Notwithstanding any other provision of law to the contrary, and
subject to rules and regulations of the office of children and family
services and, where applicable, the division of criminal justice
services, the following clearances shall be conducted for entities
specified in subdivision two of this section in the time and manner as
required by this section:
(a) a criminal history record check with the division of criminal
justice services;
(b) a search of the criminal history repository in each state other
than New York where such person resides or resided during the preceding
five years, if applicable unless such state's criminal history record
information will be provided as part of the results or the clearance
conducted pursuant to paragraph (c) of this subdivision;
(c) a national criminal record check with the federal bureau of
investigation; the division of criminal justice services is directed to
submit fingerprints to the federal bureau of investigation for the
purpose of a nationwide criminal history record check, pursuant to and
consistent with public law 113-186 to determine whether such persons
shall have a criminal history in any state or federal jurisdiction;
(d) a search of the New York state sex offender registry;
(e) a search of any state sex offender registry or repository in each
state other than New York where such person resides or resided during
the preceding five years, if applicable unless such state's sex offender
registry information will be provided as part of the clearance conducted
pursuant to paragraph (f) of this subdivision;
(f) a search of the national sex offender registry using the national
crime and information center, established under the Adam Walsh child
protection and safety act of 2006 (42 U.S.C. 16901 et seq.);
(g) a database check of the statewide central register of child abuse
and maltreatment in accordance with section four hundred twenty-four-a
of this article; and
(h) a search of a state-based child abuse or neglect repository of any
state other than New York where such person resides or resided during
the preceding five years; if applicable.
1-a. For purposes of this section, and in accordance with federal law,
the term "enrolled legally-exempt provider" shall refer to a person who
meets the definition of "enrolled legally-exempt provider" as defined in
paragraph (g) of subdivision one of section three hundred ninety of this
title and who is not an individual who is related to all children for
whom child care services are provided.
2. In relation to any child day care program and any enrolled
legally-exempt provider:
(a) the clearances required pursuant to paragraphs (a), (c), (d) and
(g) of subdivision one of this section shall be conducted for:
(i) every prospective volunteer with the potential for unsupervised
contact with children in care;
(ii) every applicant to become an enrolled legally-exempt provider;
(iii) every prospective employee, director or operator of such a
program or provider; and
(iv) every individual eighteen years of age and over residing or who
begins to reside in a home where services are or will be provided in a
family or group family setting; and
(v) every individual eighteen years of age and over residing or who
begins to reside in a home where services are or will be provided who
are not related in any way to all children receiving services as or will
be provided by an enrolled legally exempt provider;
(b) notwithstanding any other provision of law to the contrary, prior
to October first, two thousand twenty, all clearances listed in
subdivision one of this section that have not previously been conducted
pursuant to paragraph (a) of this subdivision and for which on-going
criminal history results are not already provided, shall be conducted in
accordance with a schedule developed by the office of children and
family services, for all:
(i) existing volunteers with the potential for unsupervised contact
with children in care;
(ii) existing caregivers for an enrolled legally exempt provider;
(iii) existing employees, directors and operators of any such program
or provider; and
(iv) every individual eighteen years of age and over residing or who
begins to reside in a home where services are or will be provided in a
family or group family setting; and
(v) every individual eighteen years of age and over residing or who
begins to reside in a home where services are or will be provided who
are not related in any way to all children receiving services as or will
be provided by an enrolled legally exempt provider;
(c) notwithstanding any other provision of law to the contrary, the
clearances required pursuant to this section other than those for which
on-going criminal history results are provided, shall be conducted for a
person listed in subparagraphs (i), (ii), (iii) and (iv) of paragraph
(b) of this subdivision at least once every five years in accordance
with a schedule developed by the office of children and family services.
3. (a) Notwithstanding any other provision of law to the contrary, in
relation to the clearances required pursuant to this section, an
individual or a program or provider shall be deemed ineligible, as such
term is defined in paragraph (b) of this subdivision, if such
individual:
(i) refuses to consent to such clearance;
(ii) knowingly makes a materially false statement in connection with
such a clearance;
(iii) is registered, or is required to be registered, on a state sex
offender registry or repository or the national sex offender registry
established under the Adam Walsh child protection and safety act of 2006
(42 U.S.C. 16901 et seq.); or
(iv) has been convicted of a crime enumerated in subparagraph (E) or
clauses (i) through (viii) of subparagraph (D) of paragraph (1) of
subdivision (C) of 42 U.S.C. 9858f.
(b) For purpose of this subdivision, the term "ineligible" shall mean:
(i) the individual who engaged in conduct listed in paragraph (a) of
this subdivision shall not be permitted to:
(1) operate, direct, be the caregiver for, or be employed by a child
day care program or an enrolled legally-exempt provider; or
(2) be a volunteer with the potential for unsupervised contact with
children in a child day care program or with an enrolled legally-exempt
provider; or
(3) be an enrolled legally exempt provider; or
(ii) in relation to child day care programs or any enrolled
legally-exempt providers, where child care is, or is proposed to be
provided, to a child in a home setting where such child does not reside,
such program or provider shall not be eligible to operate or to be
enrolled to serve children receiving child care subsidies pursuant to
title five-C of this article, if an individual over the age of eighteen
who is not related in any way to all children for whom child care
services are or will be provided, resides in the household where child
care is, or is proposed to be provided, engaged in conduct listed in
paragraph (a) of this subdivision.
3-a. (a) In relation to child day care programs and any enrolled
legally-exempt provider, when a clearance conducted pursuant to this
section reveals that any existing operator, director, caregiver, or
person over the age of eighteen who is not related in any way to all
children for whom child care services are or will be provided, that
resides in a home where child care is provided in a home setting where
the child does not reside has been convicted of a crime other than one
set forth in subparagraph (iv) of paragraph (a) of subdivision three of
this section, and unless such crime is eligible for expungement pursuant
to section 160.50 of the criminal procedure law, the office of children
and family services shall conduct a safety assessment of the program and
take all appropriate steps to protect the health and safety of the
children in the program, and may deny, limit, suspend, revoke or reject
such program's license or registration or terminate or reject such
program's enrollment, as applicable, unless the office of children and
family services, determines in its discretion, that continued operation
by the child day care program or enrolled legally-exempt provider will
not in any way jeopardize the health, safety or welfare of the children
cared for in the program or by the provider.
(b) In relation to child day care programs and any enrolled
legally-exempt provider, when a clearance conducted pursuant to this
section reveals that any existing employee or volunteer with the
potential for unsupervised contact with children has been convicted of a
crime other than one set forth in subparagraph (iv) of paragraph (a) of
subdivision three of this section, and unless such crime is eligible for
expungement pursuant to section 160.50 of the criminal procedure law,
the office of children of family services shall conduct a safety
assessment of the program and take all appropriate steps to protect the
health and safety of the children in the program. The office of children
and family services may direct the program or provider to terminate the
employee or volunteer based on such a conviction, consistent with
article twenty-three-A of the correction law.
(c) (i) In relation to any child day care programs and any enrolled
legally-exempt providers, where a clearance conducted pursuant to this
section reveals a conviction for a crime other than one set forth in
subparagraph (iv) of paragraph (a) of subdivision three of this section,
and unless such crime is eligible for expungement pursuant to section
160.50 of the criminal procedure law, for any prospective employee or
volunteer, the office of children and family services may direct that
such person not be hired, as applicable, based on such a conviction,
consistent with article twenty-three-A of the correction law.
(ii) In relation to any child day care program and any enrolled
legally-exempt provider, when a clearance conducted pursuant to this
section reveals a conviction for a crime other than one set forth in
subparagraph (iv) of paragraph (a) of subdivision three of this section,
and unless such crime is eligible for expungement pursuant to section
160.50 of the criminal procedure law, for any prospective caregiver
seeking enrollment, or applicant to be a director or operator, the
office of children and family services may deny the application or
enrollment, consistent with article twenty-three-A of the correction
law.
(d) (i) Where a clearance conducted pursuant to this section reveals
that an applicant to be the operator or director of a child day care
program, or applicant to be a caregiver, or anyone who is not related in
any way to all children for whom child care services will be provided,
resides in the home over the age of eighteen where child day care is
proposed to be provided to children in a home-based setting has been
charged with a crime, the office of children and family services shall
hold the application in abeyance until the charge is finally resolved.
(ii) Where a clearance conducted pursuant to this section reveals that
the current operator or director of a child day care program, or any
person over the age of eighteen who is not related in any way to all
children for whom child care services will be provided, that resides in
a home where child day care is provided has been charged with a crime,
the office of children and family services shall conduct a safety
assessment of the program and take all appropriate steps to protect the
health and safety of children in the program. The office of children and
family services may suspend a license or registration or terminate
enrollment based on such a charge when necessary to protect the health
and safety of children in the program.
(iii) Where a clearance conducted pursuant to this section reveals
that an existing caregiver, volunteer or an existing employee of an
enrolled legally-exempt provider or any person over the age of eighteen
that resides in a home where the child care is provided by an enrolled
legally-exempt provider in a home setting where the child does not
reside, has been charged with a crime, the office of children and family
services shall take one or more of the following steps:
(A) Conduct a safety assessment; or
(B) Take all appropriate steps to protect the health and safety of
children in the program.
(iv) Where a clearance conducted pursuant to this section reveals that
an applicant to be an employee or volunteer with the potential for
unsupervised contact with children of a child day care program or
enrolled legally-exempt provider has been charged with a crime, the
office shall hold the application in abeyance until the charge is
finally resolved.
(v) Where a clearance conducted pursuant to this section reveals that
a current employee, or current volunteer with the potential for
unsupervised contact with children of a child day care program has been
charged with a crime, the office of children and family services shall
conduct a safety assessment of the program and take all appropriate
steps to protect the health and safety of the children in the program.
3-b. All persons who are subjected to a criminal history and
background clearance and safety assessment pursuant to this section who
the office of children and family services determines: (i) should be
denied enrollment, employment, or the ability to volunteer pursuant to a
background clearance analysis performed by the office of children and
family services, and (ii) where such denial is not based on an offense
listed in paragraph (a) of subdivision three of this section, shall have
the ability to request a de novo review of the article twenty-three-a of
the correction law determination in an administrative hearing before an
administrative law judge, to be held and completed before the present
employer is notified of such clearance determination. Such person shall
have reasonable notice concerning the determination, and information
regarding how to request a hearing to review that determination, and an
opportunity to provide any additional information that such person deems
relevant to such determination. Such person may choose to be heard in
person, by video conference if reasonably available, or through
submission of written materials. Where such request is made, the office
of children and family services shall also have an opportunity to be
heard.
4. Prior to making a determination to deny an application pursuant to
subdivision three of this section, the office of children and family
services shall afford the applicant an opportunity to explain, in
writing, why the application should not be denied.
5. Notwithstanding any other provision of law to the contrary, the
office of children and family services, upon receipt of a criminal
history record from the division of criminal justice services, may
request, and is entitled to receive, information pertaining to any crime
contained in such criminal history record from any state or local law
enforcement agency, district attorney, parole officer, probation officer
or court for the purposes of determining whether any ground relating to
such criminal conviction or pending criminal charge exists for denying a
license, registration, application or employment.
6. The office of children and family services shall pay any required
processing fee for a criminal history or sex offender clearance pursuant
to this section. The office of children and family services shall
promptly submit fingerprints obtained pursuant to this section and such
processing fee to the division of criminal justice services.
7. Where the office of children and family services or its designee
denies or directs a child day care or an enrolled legally-exempt
provider to deny an application based on the criminal history record;
(a) the provider must notify the applicant that such record is the basis
of the denial; and (b) the office of children and family services shall
also notify as the case may be, such current or prospective operator,
director, employee, assistant, legally exempt provider, volunteer with
the potential for unsupervised contact with children or other person
eighteen years of age or older, who resides in the home where care is
provided, other than the child's home, that the criminal record check
was the basis for the denial of clearance and shall provide such
individual with a copy of the results of the national criminal record
check upon which such denial was based together with a written statement
setting forth the reasons for such denial, as well as a copy of article
twenty-three-A of the correction law and inform such individual of his
or her right to seek correction of any incorrect information contained
in such national record check provided by the federal bureau of
investigation.
8. Any safety assessment required pursuant to this section shall
include a review of the duties of the individual, the extent to which
such individual may have contact with children in the program or
household and the status and nature of the criminal charge or
conviction. Where the office of children and family services performs
the safety assessment, it shall thereafter take all appropriate steps to
protect the health and safety of children receiving care in the child
day care center, school age child care program, family day care home or
group family day care home.
9. (a) Any criminal history record provided by the division of
criminal justice services, and any summary of the criminal history
record provided by the office of children and family services to a
person that receives a clearance pursuant to this section, is
confidential and shall not be available for public inspection; provided,
however, nothing herein shall prevent the office of children and family
services from disclosing criminal history information or the individual
from disclosing his or her criminal history information at any
administrative or judicial proceeding relating to the denial or
revocation of an application, employment, license or registration. The
subject of a criminal history review conducted pursuant to this section
shall be entitled to receive, upon written request, a copy of the
summary of the criminal history record. Unauthorized disclosure of such
records or reports shall be subject to civil penalties in accordance
with the provisions of subdivision eleven of section three hundred
ninety of this title.
(b) The office of children and family services shall not release the
content of the results of the nationwide criminal history record check
conducted by the federal bureau of investigation in accordance with this
subdivision to any non-public entity.
10. A child day care or enrolled legally-exempt provider shall advise
the office of children and family services when an individual who is
subject to criminal history record review in accordance with subdivision
one or two of this section is no longer subject to such review. The
office of children and family services shall inform the division of
criminal justice services when an individual who is subject to criminal
history review is no longer subject to such review so that the division
of criminal justice services may terminate its retain processing with
regard to such person. At least once a year, the office of children and
family services will be required to conduct a validation of the records
maintained by the division of criminal justice services.
11. Child day care centers which are not subject to the provisions of
section three hundred ninety of this title shall not be subject to the
provisions of this section, provided however, that the city of New York
shall require that such child day care centers meet the requirements of
any federal laws and regulations pertaining to the child care
development and block grant and the related federally approved plans of
the state of New York.
12. A child care support center certified pursuant to section three
hundred ninety-n of this title shall be authorized to request clearances
for substitute caregivers in accordance with this section. Substitute
caregivers shall be considered "prospective employees" of a child day
care program under subparagraph (iii) of paragraph (a) of subdivision
two of this section.
* § 390-c. Notice of pesticide applications. 1. For the purposes of
this section the following terms shall have the meanings set forth
below:
(a) "Pesticide" shall have the same meaning as in subdivision
thirty-five of section 33-0101 of the environmental conservation law.
(b) "Daycare facility" shall mean licensed and registered child
daycare homes, programs and facilities.
2. Each daycare facility shall be subject to the following notice
requirements when pesticides are used at such facility:
(a) A notice of each pesticide application shall be posted in a common
area of the facility which is conspicuously visible to persons dropping
off or picking up children from the facility. Such notice shall be
posted not less than forty-eight hours prior to the pesticide
application.
(b) The notice required to be posted pursuant to paragraph (a) of this
subdivision shall include at a minimum:
(i) the location and specific date of the application at the daycare
facility. In case of outdoor applications the notice must provide a
specific date, and may include two alternative dates in case the
application cannot be made due to weather conditions.
(ii) the product name and pesticide registration number assigned by
the United States Environmental Protection Agency.
(iii) the following statement "This notice is to inform you of a
pending pesticide application at this facility. You may wish to discuss
with a representative of the daycare facility what precautions are being
taken to protect your child from exposure to these pesticides. Further
information about the product or products being applied, including any
warnings that appear on the label of the pesticide or pesticides that
are pertinent to the protection of humans, animals or the environment,
can be obtained by calling the National Pesticide Telecommunications
Network Information at 1-800-858-7378 or the New York State Department
of Health Center for Environmental Health Info line at 1-800-458-1158".
(iv) the name of a representative of the daycare facility and contact
number for additional information.
(c) For purposes of this section the following pesticide applications
shall not be subject to the notification posting requirements:
(i) the application of anti microbial pesticides and anti microbial
products as defined by FIFRA in 7 U.S.C. §136 (mm) and 136q (h) (2);
(ii) the use of an aerosol product with a directed spray, in
containers of eighteen fluid ounces, or less, when used to protect
individuals from an imminent threat from stinging and biting insects
including venomous spiders, bees, wasps and hornets. This section shall
not exempt from notification the use of any fogger product or aerosol
product that discharges to a wide area;
(iii) any application where the daycare facility remains unoccupied
for a continuous seventy-two hour period following the application of
the pesticide;
(iv) nonvolatile rodenticides in tamper resistant bait stations or in
areas inaccessible to children;
(v) silica gels and other nonvolatile ready-to-use, paste, foam or gel
formulations of insecticides in areas inaccessible to children;
(vi) nonvolatile insecticidal baits in tamper resistant bait stations
or in areas inaccessible to children;
(vii) application of a pesticide classified by the United States
Environmental Protection Agency as an exempt material under section 40
CFR Part 152.25;
(viii) boric acid and disodium octaborate tetrahydrate;
(ix) the application of a pesticide which the United States
Environmental Protection Agency has determined satisfies its reduced
risk criteria, including a biopesticide; or
(x) any emergency application of a pesticide when necessary to protect
against an imminent threat to human health, provided however, that prior
to any such emergency application, the person making such application
shall make a good faith effort to supply the written notice required
pursuant to this section. Upon making such an emergency application, the
person making such application shall notify the commissioner of health,
using a form developed by such commissioner for such purposes that shall
include minimally the name of the person making the application, the
pesticide business registration number or certified applicator number of
the person making such application, the location and date of such
application, the product name and USEPA registration number of the
pesticide applied and the reason for such application. The commissioner
of health shall review such form to ensure that the circumstance did
warrant such emergency application. Such forms shall be kept on file at
the department of health for three years from the date of application
and shall be available to any individual upon request.
3. Any person, other than a daycare facility, who contracts for the
application of a pesticide at a daycare facility shall provide to such
facility operator information required to be contained in the posting
pursuant to subdivision two of this section at least forty-eight hours
prior to such application.
4. (a) Any daycare facility that violates the provisions of
subdivision two of this section shall, for a first such violation of
this section, in lieu of penalty, be issued a written warning and shall
also be issued educational materials pursuant to subdivision two of
section 33-1005 of the environmental conservation law. Such facility
shall, however, for a second violation, be liable to the people of the
state for a civil penalty not to exceed one hundred dollars, and not to
exceed two hundred fifty dollars for any subsequent violation, such
penalties to be assessed by the commissioner after a hearing or
opportunity to be heard.
(b) Any person who violates subdivision three of this section shall,
for a first such violation of this section, in lieu of penalty, be
issued a written warning, and shall also be issued educational materials
pursuant to subdivision two of section 33-1005 of the environmental
conservation law. Such person shall, however, for a second violation, be
liable to the people of the state for a civil penalty not to exceed one
hundred dollars, and not to exceed two hundred fifty dollars for any
subsequent violation, such penalties to be assessed by the commissioner
of environmental conservation after a hearing or opportunity to be
heard.
* NB There are 2 § 390-c's
Requiring barriers to be placed around swimming pools and
bodies of water on the grounds of family day care homes or group family
day care homes. 1. For the purposes of this section the following terms
shall have the meanings set forth below:
(a) "Grounds of a family day care home or group family day care home"
shall mean in, on or within any building, structure or land contained
within the real property boundary line of a family day care home or a
group family day care home.
(b) "Swimming pool" shall mean any outdoor pool or tub intended for
swimming, bathing or wading purposes.
(c) "Bodies of water" shall include, but not limited to, ponds,
springs, streams, creeks, lakes, rivers and oceans.
(d) "Barriers" shall mean all fences, enclosures or other materials
sufficient to form an obstruction to the free passage of persons through
such materials.
2. (a) Any swimming pool or body of water located on the grounds of a
family day care home or group family day care home shall be surrounded
by a barrier sufficient to form an obstruction to the free passage of
children through such barrier into such swimming pool or body of water.
Such barrier shall be adequate to make such swimming pool or body of
water inaccessible to children which, including gates thereto, shall be
at least four feet high from the adjacent ground. All such gates shall
include a locked barrier which shall be located at least four feet high
above the adjacent ground or otherwise made inaccessible to children
from the outside.
(b) Where a body of water is present and not wholly contained within
the grounds of family day care home or group family day care home, the
grounds of such home must be surrounded and enclosed by a barrier
sufficient to make such body of water inaccessible to children.
(c) All pathways, walkways, decks or any other connecting entrance to
such swimming pool or body of water shall be obstructed by a barrier
sufficient to impede the free passage of children into or around the
area immediately adjacent to such swimming pool or body of water.
(d) Swimming pools or bodies of water that are entirely covered by a
solid object which is secured by sufficient weight, locking apparatus,
and/or other device that would prevent a child in care from removing the
solid object and accessing the swimming pool or body of water, shall be
considered a sufficient barrier for the purposes of this section.
(e) As an alternative to surrounding the pool or other body of water
located on the grounds of a family day care home or group family day
care home with a barrier as described in paragraph (a) of this
subdivision, the day care provider may use the property for day care if
the provider bars access to such pool or other body of water by
surrounding a part of the grounds not including such pool or other body
of water with a barrier as described in paragraph (a) of this
subdivision provided that:
(i) There is no unsecured means of egress from the home by which
children could gain access to the pool or other body of water. For
purposes of this paragraph, the day care provider may secure a door or
other means of egress that is remotely located from the pool or other
body of water by use of an alarm device or system that will alert the
day care provider if the door or other means of egress is opened;
(ii) All children in care are directly and closely supervised by the
provider or an assistant at all times the children are outside the home
or other dwelling where the day care is provided; and
(iii) The parents or guardians of each child in care have submitted to
the provider a written acknowledgment that the pool or other body of
water exists, that a barrier as otherwise required by this section has
not been provided, and that the children will have the potential for
access to the pool or other body of water.
(f) Where a natural barrier or other obstacle located on the property
lies between the pool or body of water and the building in which the
family or group family day care is provided such that the natural
barrier or other obstacle prevents access by children in care to the
pool or body of water, a fence or additional barrier as otherwise
required by this section shall not be required and the day care provider
may use the property for day care provided that:
(i) There is no unsecured means of egress from the home by which
children could gain access to the pool or other body of water. For
purposes of this paragraph, the day care provider may secure a door or
other means of egress that is remotely located from the pool or other
body of water by use of an alarm device or system that will alert the
day care provider if the door or other means of egress is opened;
(ii) All children in care are directly and closely supervised by the
provider or an assistant at all times the children are outside the home
or other dwelling where the day care is provided; and
(iii) The parents or guardians of each child in care have submitted to
the provider a written acknowledgment that the pool or other body of
water exists, that a barrier as otherwise required by this section has
not been provided, and that the children will have the potential for
access to the body of water.
In determining what constitutes a natural barrier or other obstacle
for purposes of this paragraph, the presence of natural and artificial
terrain features or constructs may be considered along with the distance
between the building in which the family or group family day care is
provided and the pool or body of water.
3. Where a swimming pool or body of water is located on a property
adjacent to a family or group family day home, the child day care
provider must take suitable precautions to prevent the children in care
from having access to the adjacent swimming pool or body of water,
including taking any precautions specifically required by the office of
children and family services to protect the safety of children receiving
day care.
4. Nothing in this section shall preclude local authorities with
enforcement jurisdiction of the applicable sanitation, health, fire
safety or building construction code from making appropriate inspections
to assure compliance with such standards.
Criminal history review; mentoring programs. 1. For the
purposes of this section, the following words shall have the following
meanings:
(a) "Prospective employee" shall mean a person being considered for
employment by a mentoring program.
(b) "Prospective mentor" shall mean an individual who is currently
applying to volunteer to help a child or a group of children in a
mentoring program for a period of time. Such help shall include, but not
be limited to, being a positive role model for youth, building
relationships with youth, and providing youth with academic assistance
and exposure to new experiences and examples of opportunity that enhance
the ability of children to become responsible adults.
(c) "Mentoring program" shall mean a formalized program, operated by a
corporation which has been incorporated pursuant to subparagraph five of
paragraph (a) of section one hundred two of the not-for-profit
corporation law or pursuant to subparagraph four of paragraph (a) of
section one hundred two of the business corporation law, or operated by
an educational institution or school district, that matches youth with
adult volunteers with the purpose of providing such youth with positive
role models to enhance their development.
(d) "Office" shall mean the office of children and family services.
2. Mentoring programs may perform a criminal history record check on
all prospective employees and mentors.
3. Notwithstanding any other provision of law to the contrary, subject
to the rules and regulations of the division of criminal justice
services, mentoring programs may apply for a criminal history record
check with the division of criminal justice services regarding any
prospective employee or any prospective mentor who may engage in
unsupervised activities with youth or in activities with youth in a
setting without constant agency or parental oversight. Each mentoring
program that chooses to complete such criminal background checks on
prospective employees or on prospective mentors shall establish a policy
for completing criminal background checks on such prospective employees
or mentors. Such policy shall apply one uniform standard for the
completion of criminal background checks for all prospective employees
and one uniform standard for the completion of criminal background
checks for all prospective mentors. Any mentoring program that chooses
to complete criminal background checks on both prospective employees and
prospective mentors may utilize the same uniform process for the
completion of the criminal background checks on prospective employees
and prospective mentors or they may choose one uniform process for
prospective employees and another uniform process for prospective
mentors.
4. Every mentoring program that chooses to apply for a criminal
history background check with the division of criminal justice services
shall obtain a set of fingerprints from each individual for whom a
criminal background check is to be completed and such other information
as is required by the office and the division of criminal justice
services. For each prospective employee or mentor for whom the
mentoring program completes a criminal background check, the mentoring
program shall provide the applicant with blank fingerprint cards and a
description of how the completed fingerprint card will be used upon
submission to the mentoring program. The mentoring program shall
promptly transmit such fingerprint card and the processing fee to the
office. The office shall promptly submit the fingerprint card and the
processing fee, imposed pursuant to subdivision eight-a of section eight
hundred thirty-seven of the executive law, to the division of criminal
justice services for its full search and retain processing.
5. Upon receipt of a criminal history record from the division of
criminal justice services, the office shall promptly provide to the
mentoring program the criminal history record, if any, with respect to
the prospective employee or mentor, or a statement that the individual
has no criminal history record.
6. Upon receipt of the results of a criminal background check pursuant
to this section, the mentoring program shall determine whether or not
the prospective employee or mentor shall be offered employment or the
opportunity to volunteer with the program. Such determination shall be
made in accordance with the criteria established in section seven
hundred fifty-two of the correction law.
7. Upon the request of any person previously convicted of one or more
criminal offenses who has been denied employment pursuant to subdivision
six of this section, the mentoring program shall provide, within thirty
days of such request, a written statement setting forth the reasons for
such denial. Any such person denied employment pursuant to subdivision
six of this section shall be afforded the opportunities for enforcement
available pursuant to section seven hundred fifty-five of the correction
law.
8. Notwithstanding the provisions of this section, with the exception
of a sex offense or a crime against a child, a custodial parent or
guardian may sign a waiver authorizing a mentor to work with his or her
child regardless of a criminal charge or crime related to a mentor. Such
process shall only be initiated upon the consent of the prospective
mentor, and be on a form and of a content to be developed by the office.
Where applicable, a mentoring program may notify a custodial parent or
guardian of his or her waiver right, but a waiver shall only be
authorized by a custodial parent or guardian.
9. Any criminal history record provided to a mentoring program
pursuant to this section shall be confidential pursuant to the
applicable federal and state laws, rules and regulations, and shall not
be published or in any way disclosed to persons other than authorized
personnel, unless otherwise authorized by law.
10. Every mentoring program shall provide each custodial parent or
guardian of every child participating in its mentoring program with a
description of the kind of criminal background checks conducted by the
mentoring program on its prospective employees and mentors. Such
description shall include identification of the source utilized to
obtain criminal background histories on prospective employees and
mentors, a list of crimes that would lead the program to deny employment
or the opportunity to volunteer as a prospective employee or mentor, and
any other process utilized to determine whether or not a prospective
employee or mentor with a conviction record shall be offered employment
or the opportunity to volunteer. Such description shall clearly state
whether or not prospective employees or mentors may be hired or offered
the opportunity to volunteer despite the existence of a conviction
history.
Report on child care insurance. The commissioner of the
office of children and family services in consultation with the
superintendent of financial services, shall undertake a study of the
availability, accessibility, and affordability of insurance policies to
child care providers. The study shall include, but not be limited to, a
review of homeowner insurance policies and health insurance policies.
The study shall be completed and a report submitted no later than
January first, two thousand nine, to the governor, the commissioner of
the office of children and family services, the temporary president of
the senate and the speaker of the assembly.
Pesticide alternatives. 1. For purposes of this section the
following terms shall have the meanings set forth below:
(a) "Day care" shall apply to all child day care centers or head start
day care centers, as defined in section three hundred ninety of this
title.
(b) "Pesticide" shall have the same meaning as set forth in
subdivision thirty-five of section 33-0101 of the environmental
conservation law, provided however that it shall not include:
(i) the application of anti-microbial pesticides and anti-microbial
products as defined by FIFRA in 7 U.S.C. Section 136(mm) and 136q(h)(2);
(ii) the use of an aerosol product with a directed spray, in
containers of eighteen fluid ounces or less, when used to protect
individuals from an imminent threat from stinging and biting insects,
including venomous spiders, bees, wasps and hornets;
(iii) the use of non-volatile insect or rodent bait in a tamper
resistant container;
(iv) the application of a pesticide classified by the United States
Environmental Protection Agency as an exempt material under 40 CFR Part
152.25;
(v) the use of boric acid and disodium octaborate tetrahydrate; or
(vi) the use of horticultural soap and oils that do not contain
synthetic pesticides or synergists.
2. No day care shall apply pesticide to any playgrounds, turf,
athletic or playing fields, except that an emergency application of a
pesticide may be made as determined by the county health department or
for a county not having a health department such authority as the county
legislature shall designate, the commissioner of health or his or her
designee, the commissioner of environmental conservation or his or her
designee, or, in the case of a public school, the school board.
Notice requirement before closing certain day care centers.
1. For the purposes of this section, the following terms shall have the
following meanings:
(a) "Child day care center" shall mean a child day care center as
defined in paragraph (c) of subdivision one of section three hundred
ninety of this title.
(b) "Person legally responsible" shall mean a person legally
responsible as defined in subdivision (g) of section one thousand twelve
of the family court act.
2. (a) Notwithstanding any other provision of law to the contrary, in
a city having a population of one million or more, if the social
services district seeks to close a child day care center under contract
with such district, it shall provide at least six months written notice
to the child day care center and the parents or persons legally
responsible for children enrolled in such centers, prior to the closing.
(b) Paragraph (a) of this subdivision shall not apply in cases where a
local social services district seeks to close a child day care center
for violating the regulations of the office of children and family
services, or for health and safety reasons.
(c) Paragraph (a) of this subdivision shall not apply in cases where a
local social services district seeks to close a child day care center on
an expedited basis for reasons of public safety, criminal behavior by
the center, breach of contract with the local social services district,
suspension or revocation of the center's license for non-economic
reasons.
Notice of inspection report. In every child day care program
that is licensed or registered pursuant to section three hundred ninety
of this title, the child day care provider shall post and maintain in a
prominent place, a notice, to be provided by the office of children and
family services, that shall state the date the most recent child care
inspection occurred and provide information for parents and caregivers
regarding how to obtain information from such office regarding the
results of the inspection. If possible, the child day care provider
shall also post such information on the child day care program's
website. Such child day care programs shall post and maintain, in a
prominent place, such program's most recent compliance history as shown
on the office of children and family services website.
Performance summary card in a city having a population of one
million or more. 1. Definitions. For the purposes of this section, the
following terms shall have the following meanings:
(a) "Child care service" shall mean any person who provides child day
care in a city having a population of one million or more that is
required to obtain a permit to operate pursuant to the health code of
such city.
(b) "Performance summary card" shall mean an individualized placard
that summarizes the health and safety inspections of a child care
service to reflect its compliance with applicable laws. The performance
summary card shall summarize recent inspection violations and
suspensions as required by rules promulgated by the department issuing
such card. A performance summary card may also include additional
information such as the capacity of the child care service, the length
of time for which such child care service has operated, a comparison of
the child care service to other child care services in the same social
services district, and other information required by such department's
rules.
2. Performance summary card. The department of health and mental
hygiene of a city having a population of one million or more shall issue
a performance summary card to each child care service that is required
to be permitted by the board of health of such city. Such performance
card shall be updated and reissued by such department at least once
every twelve months. The child care service shall conspicuously post its
most recently issued performance summary card at or near its entrance in
accordance with rules promulgated by such department.
Securing of furniture. 1. This section shall apply to any
child day care center as defined in paragraph (c) of subdivision one of
section three hundred ninety of this title, or any authorized agency as
defined in paragraph (a) of subdivision ten of section three hundred
seventy-one of this title, including any agency boarding home or group
home.
2. Any facility to which this section applies shall take measures to
securely anchor to the floors or walls of such facility all items of
large furniture and all electronic appliances capable of being tipped
over due to design, height, weight, stability or other features, using
angle-braces, anchors or other anchoring devices. Any item of furniture
or electronic device which cannot be so anchored shall be removed from
the facility.
3. If a violation of the provisions of this section is discovered by
the office of children and family services or any local social services
district authorized to inspect the facility at which the violation
occurs, the agency discovering the violation shall provide written
notice of the violation to the operator of the facility and to the
office of children and family services if such office is not the
inspecting agency within ten calendar days of the discovery of the
violation. The operator of the facility shall correct the violation
immediately, upon notice. If the violation is not corrected, the office
of children and family services may take enforcement action in
accordance with the applicable sections of state law.
Window coverings. 1. For purposes of this section the
following terms shall have the meanings set forth below:
(a) "Beaded chain" means a cord with a series of small spheres,
typically made of metal or plastic.
(b) "Cord loop" means a loop formed by an inner cord that does not
diminish in size when the force used to create the loop is removed.
(c) "Cordless window covering" means:
(i) a horizontal blind or cellular shade that has no draw cord and the
internal lift cord runs in the slats of the horizontal blind so that the
cord is incapable of forming a loop greater than 4 inches in diameter
resulting in a 12-inch maximum circumference;
(ii) a Roman shade, roll-up blind, or woven shade that has no draw
cord and the lift cord is completely enclosed so that it is not
accessible;
(iii) a vertical blind that has a wand as its operating mechanism and
does not contain any beaded chains, corded pulleys, or other cord loop
operating mechanisms; and
(iv) a roller shade that does not contain a cord or beaded chain.
(d) "Draw cord" means any form of rope, strap, or string used to raise
or lower a window covering.
(e) "Internal lift cord" means a cord that is contained inside the
body and rails of the blind or shade.
(f) "Wand" means a rigid material used for manual operation.
2. Any child day care center as defined in paragraph (c) of
subdivision one of section three hundred ninety of this title installing
new or replacement window coverings shall install cordless window
coverings or window coverings with inaccessible operational and inner
cords.
3. Any child day care center as defined in paragraph (c) of
subdivision one of section three hundred ninety of this title that has
window coverings in place on the effective date of this section, shall
ensure that all window and door blind cords, ropes, wires and other
strangulation hazards are secured and inaccessible to children in
accordance with the regulations of the office of children and family
services.
4. If a child day care center fails to comply with the requirements of
subdivision three of this section, the office of children and family
services may require replacement of existing window coverings with
cordless window coverings or window coverings with inaccessible
operational and inner cords.
Child care support center; operating certificate required. 1.
For purposes of this section, "child care support center" shall mean an
entity operating as a child care resource and referral program as
defined in title five-B of this article that is certified by the office
of children and family services to place individuals as substitute
caregivers at child day care centers, group family day care homes,
family day care homes, or school age child care programs as defined in
section three hundred ninety of this title for the purpose of providing
child day care.
2. The office of children and family services shall be authorized to
certify child care support centers and may, at its discretion, limit the
number of operating certificates issued. The office of children and
family services shall regulate and monitor child care support centers.
3. No entity may place substitute caregivers at child day care
centers, group family day care homes, family day care homes, or school
age child care programs unless it possesses a valid operating
certificate issued by the office of children and family services.
4. Prior to placing an individual as a substitute caregiver at a child
day care center, group family day care home, family day care home, or
school age child care program as defined in section three hundred ninety
of this title for the purpose of providing child day care, a child care
support center shall verify that the substitute caregiver has met the:
(a) standards and training requirements set forth in section three
hundred ninety-a of this title for child day care program employees;
(b) criminal history review and background clearance requirements of
section three hundred ninety-b of this title for prospective employees
of a child day care program; and
(c) any other requirements established by the regulations of the
office of children and family services.
5. Any child day care program licensed or registered by the office of
children and family services shall be authorized to request placement of
a substitute caregiver by a child care support center in accordance with
procedures established by the child care support center.
6. Operating certificates issued under this section shall remain valid
unless surrendered by the child care support center or revoked by the
office of children and family services. The office of children and
family services may revoke an operating certificate at any time upon a
determination that the child care support center has not operated in
accordance with applicable state or federal law.
7. The office of children and family services shall deny an
application for certification of a child care support center if the
applicant had an operating certificate revoked within the two years
prior to the date of application.
Prohibit the use of infant walkers in child care facilities.
1. For the purposes of this section:
(a) "Infant walker" shall mean a mobile unit that enables a child to
move on a horizontal surface when propelled by the child sitting or
standing within the walker.
(b) "Child care facility" shall mean any child day care provider as
defined in section three hundred ninety of this title or child care
program as defined in article forty-seven of the New York city health
code as authorized by section five hundred fifty-eight of the New York
city charter.
2. (a) On or after the effective date of this section, no child care
facility shall use or have on the premises any infant walker.
(b) The office of children and family services, in consultation with
the city of New York department of health and mental hygiene, shall
notify child care facilities of the provisions of this subdivision in
plain, non-technical language. Such notice shall be given to every child
care facility upon the effective date of this section or as soon as
practicable thereafter, and such notice shall also be given to each
applicant for license or registration pursuant to section three hundred
ninety of this title and each applicant for a permit pursuant to article
forty-seven of the New York city health code.
Violation; injunction. Violations of any provision of this
title may be prohibited by injunction. Whenever the commissioner has
reason to believe that any provision of this title is being violated, or
is about to be violated, he may maintain and prosecute, in the name of
the people of this state, an action in the supreme court for the purpose
of obtaining an injunction restraining such violation.
Notwithstanding any limitation of the civil practice law and rules,
such court may, on motion and affidavit, and upon proof that such
violation is one which reasonably may result in injury to any person,
whether or not such person is a party to such action, grant a
preliminary injunction or interlocutory injunction upon such terms as
may be just. No security on the part of the people of this state shall
be required.
Services for relative and non-relative kinship caregivers. 1.
Notwithstanding any other provision of law to the contrary, when a local
social services district is in contact with a relative or non-relative
kinship caregiver or a suitable person who the district has approached
about being a kinship caregiver, such district shall provide written
information as described in subdivision two of this section to such
caregivers or prospective suitable persons. Such information shall also
be made available through the website of both the office and the
district and by other appropriate means in a manner accessible to
relatives and non-relatives caring for children outside of the foster
care system.
2. Such information shall include but not be limited to:
a. information relating to child only grants, including but not
limited to, how to apply for child only grants;
b. information about how to become a kinship foster parent and other
options for care; and
c. information on how to contact the department of family assistance
kinship programs and any resources funded through or operating in the
local social services district for relative and non-relative kinship
caregivers, including those that provide supportive services for all
relative and non-relative kinship caregivers in the district.
* § 393. Court review of placement in a qualified residential
treatment program. 1. The provisions of this section shall apply when a
child is placed on or after September twenty-ninth, two thousand
twenty-one and resides in a qualified residential treatment program, as
defined in section four hundred nine-h of this article, and whose care
and custody were transferred to the commissioner of a local social
services district in accordance with section three hundred fifty-eight-a
of this chapter, or whose custody and guardianship were transferred to
the commissioner of a local social services district in accordance with
section three hundred eighty-three-c, or three hundred eighty-four-b of
this title.
2. (a) Within sixty days of the start of a placement of a child
referenced in subdivision one of this section in a qualified residential
treatment program, the court shall:
(i) Consider the assessment, determination, and documentation made by
the qualified individual pursuant to section four hundred nine-h of this
article;
(ii) Determine whether the needs of the child can be met through
placement in a foster family home and, if not, whether placement of the
child in a qualified residential treatment program provides the most
effective and appropriate level of care for the child in the least
restrictive environment and whether that placement is consistent with
the short-term and long-term goals for the child, as specified in the
child's permanency plan; and
(iii) Approve or disapprove the placement of the child in a qualified
residential treatment program. Provided that, where the qualified
individual determines that the placement of the child in a qualified
residential treatment program is not appropriate in accordance with the
assessment required pursuant to section four hundred nine-h of this
article, the court may only approve the placement of the child in the
qualified residential treatment program if:
(A) the court finds, and states in the written order that:
(1) circumstances exist that necessitate the continued placement of
the child in the qualified residential treatment program;
(2) there is not an alternative setting available that can meet the
child's needs in a less restrictive environment; and
(3) that continued placement in the qualified residential treatment
program is in the child's best interest; and
(B) the court's written order states the specific reasons why the
court has made the findings required pursuant to clause (A) of this
subparagraph.
(iv) Nothing herein shall prohibit the court from considering other
relevant and necessary information to make a determination.
(b) At the conclusion of the review, if the court disapproves
placement of the child in a qualified residential treatment program the
court shall, on its own motion, determine a schedule for the return of
the child and direct the local social services district to make such
other arrangements for the child's care and welfare that is in the best
interest of the child and in the most effective and least restrictive
setting as the facts of the case may require. If a new placement order
is necessary due to restrictions in the existing governing placement
order, the court may issue a new order.
3. The court may, on its own motion, or the motion of any of the
parties or the attorney for the child, proceed with the court review
required pursuant to this section on the basis of the written records
received and without a hearing. Provided however, the court may only
proceed with the court review without a hearing pursuant to this
subdivision upon the consent of all parties. Provided further, in the
event that the court conducts the court review requirement pursuant to
this section but does not conduct it in a hearing, the court shall issue
a written order specifying any determinations made pursuant to clause
(A) of subparagraph (iii) of paragraph (a) of subdivision two of this
section and provide such written order to the parties and the attorney
for the child expeditiously, but no later than five days.
4. Documentation of the court's determination pursuant to this section
shall be recorded in the child's case record.
5. Nothing in this section shall prohibit the court's review of a
placement in a qualified residential treatment program from occurring at
the same time as another hearing scheduled for such child, including but
not limited to the child's permanency hearing, provided such approval is
completed within sixty days of the start of such placement.
* NB There are 2 § 393's
TITLE 1-A Child Care Creation and Expansion Tax Credit Program
Short title. This title shall be known and may be cited as the
"child care creation and expansion tax credit program act".
Definitions. For the purposes of this title:
1. "Certificate of tax credit" shall mean the document issued to a
business entity by the office after the office has verified that the
business entity has met all applicable eligibility criteria in this
title. The certificate shall specify the exact amount of the tax credit
under this title that a business entity may claim, pursuant to section
three hundred ninety-four-d of this title, and the service year.
2. "Child care program" shall mean a child day care for which a
license or registration to operate such program has been issued by the
office pursuant to section three hundred ninety of this article.
3. "Child care rate" shall mean the weekly child care subsidy market
rates, based on the eightieth percentile of the 2021-22 New York state
child care market rate survey, for infant and toddler care provided by a
licensed or registered child care program, as reflected in the 2022
child care market rate survey report published by the office in
compliance with section 98.45 of title forty-five of the code of federal
regulations.
4. "Child care seats" shall mean the maximum number of children to be
allowed on the premises of a child care program at any time that such
program is in operation as specified on the license or registration
issued for such program by the office.
5. "Creates child care" shall mean the making available of child care
seats in a child care program by a business entity, directly or through
a third-party, for employees of such business entity, where such child
care program was not available prior to April first, two thousand
twenty-three, provided that the costs imposed on such employees for such
child care program do not exceed forty percent of the child care rate.
6. "Commissioner" shall mean commissioner of the office of children
and family services.
7. "Expands child care" shall mean the increase in the number of child
care seats in a child care program made available by a business entity,
directly or through a third party, for employees of such business
entity, provided that such increase requires a new or amended license or
registration issued by the office pursuant to section three hundred
ninety of this article on or after April first, two thousand
twenty-three, and, provided further, that the costs imposed on such
employees for such child care program do not exceed forty percent of the
child care rate.
8. "Occupied" shall mean, for each service year in which a child care
program is in operation, the average daily number of children in
attendance on the premises of such child care program.
9. "Office" shall mean the office of children and family services.
10. "Service year" shall mean the twelve-month period, or portion
thereof, commencing on January first and ending on December
thirty-first.
Eligibility criteria. 1. To be eligible for a tax credit
under the child care creation and expansion tax credit program, a
business entity must:
(a) be a business entity that is required to file a tax return
pursuant to article nine-A, twenty-two or thirty-three of the tax law;
(b) be a child care program, or contract with such child care program,
as defined in this title that is licensed or registered pursuant to
section three hundred ninety of this article;
(c) create or expand child care seats, directly or through a third
party, for the employees of such business entity on or after April
first, two thousand twenty-three and before January first, two thousand
twenty-five;
(d) operate a business location in New York state;
(e) be in substantial compliance with any child care licensing laws
and regulations related to the entity's business sector or other laws
and regulations as determined by the commissioner; and
(f) not owe past due state taxes or local property taxes unless the
business entity is making payments and complying with an approved
binding payment agreement entered into with the taxing authority.
Application and approval process. 1. A business entity must
submit a complete application as prescribed by the commissioner by the
thirty-first of January after the end of the service year.
2. The commissioner shall establish procedures for a business entity
to submit applications. As part of the application, each business entity
must:
(a) provide evidence in a form and manner prescribed by the
commissioner of their business eligibility;
(b) provide the license or registration issued to the business entity,
directly or through a third party, by the office to operate a child care
program indicating the number of child care seats created or, in the
case of a child care program that has experienced an expansion of child
care seats, the license or registration issued by the office
demonstrating such expansion;
(c) provide evidence in a form and manner prescribed by the
commissioner establishing:
(i) the total number of child care seats that were occupied during the
service year;
(ii) of such total number of child care seats that were occupied, the
number of infant child care seats that were occupied and the number of
toddler child care seats that were occupied;
(iii) that, to the extent the business entity, directly or through a
third party, has expanded child care, the number of child care seats in
existence before such expansion and the number of such child care seats
that were occupied before such expansion; and
(iv) that the costs imposed on the business entity's employees for
such child care program do not exceed forty percent of the child care
rate;
(d) agree to allow the department of taxation and finance to share the
business entity's tax information relevant to the administration of this
title with the office. However, any information shared as a result of
this title shall not be available for disclosure or inspection under the
state freedom of information law;
(e) allow the office and its agents access to any and all books and
records the office may require to monitor compliance; and
(f) agree to provide any additional information required by the office
relevant to this title.
3. After reviewing a business entity's completed final application and
determining that the business entity meets the eligibility criteria as
set forth in this title, the office may issue to that business entity a
certificate of tax credit, which shall set forth the amount of the
credit that may be claimed and the service year.
Child care creation and expansion tax credit. 1. A business
entity in the child care creation and expansion tax credit program that
meets the eligibility requirements of section three hundred
ninety-four-b of this title may be eligible to claim a credit for the
portion of the service year in which the child care program was in
operation, equal to the sum of: (a) the product of the number of infant
child care seats that have been created or expanded and twenty percent
of the child care rate for such infant child care seats and (b) the
product of the number of toddler child care seats that have been created
or expanded and twenty percent of the child care rate for such toddler
child care seats; provided that such infant and toddler child care seats
are child care seats that are occupied. Notwithstanding the preceding
sentence, a credit shall not be allowed for more than twenty-five child
care seats that are occupied, and the amount of such credit may be
reduced as a result of an allocation of available funds, as described in
section three hundred ninety-four-e of this title.
2. The credit shall be allowed as provided in section forty-eight,
subdivision fifty-nine of section two hundred ten-B, subsection (ooo) of
section six hundred six and subdivision (ee) of section fifteen hundred
eleven of the tax law.
Allocation of credit. The aggregate amount of tax credits
allowed under this title, subdivision fifty-nine of section two hundred
ten-B, subsection (ooo) of section six hundred six and subdivision (ee)
of section fifteen hundred eleven of the tax law shall be twenty-five
million dollars each year during the period two thousand twenty-three
and two thousand twenty-four. Such aggregate amount of credits shall be
allocated by the office on a pro rata basis to each business entity that
demonstrates eligibility pursuant to section three hundred ninety-four-b
of this title.
Powers and duties of the commissioner. 1. The commissioner
may promulgate regulations establishing an application process and
eligibility criteria, which will be applied consistent with the purposes
of this title so as not to exceed the annual cap on tax credits set
forth in this title, that, notwithstanding any provisions to the
contrary in the state administrative procedure act, may be adopted on an
emergency basis.
2. The commissioner shall, in consultation with the department of
taxation and finance, develop a certificate of tax credit that shall be
issued by the commissioner to eligible businesses. Such certificate
shall contain such information as required by the department of taxation
and finance.
3. The commissioner shall solely determine the eligibility of any
business entity applying for entry into the program and shall remove any
business entity from the program for failing to meet any of the
requirements set forth in section three hundred ninety-four-b of this
title.
Maintenance of records. Each business entity participating in
the program shall keep all relevant records for the duration of their
participation in the program for at least three years.
TITLE 2 Powers and Duties of Public Welfare Officials
Responsibility of public welfare districts for the welfare of
children. A public welfare district shall be responsible for the
welfare of children who are in need of public assistance and care,
support and protection, residing or found in its territory, insofar as
not inconsistent with the jurisdiction of a family court. Such
assistance and care shall be administered either directly by the public
welfare official charged therewith, or by another public welfare
official acting on his behalf by and pursuant to the provisions of this
chapter, or through an authorized agency as defined by this chapter.
Health and welfare services to all children. All public
welfare districts and towns, shall provide children who attend schools
other than public with all or any of the health and welfare services and
facilities, including but not limited to health, surgical, medical,
dental and therapeutic care and treatment, and corrective aids and
appliances, authorized by law and now granted or hereafter made
available by the public welfare district or districts and/or towns for
or to children in the public schools in so far as these services and
facilities may be requested by the authorities of the schools other than
public. Any such services or facilities shall be so provided
notwithstanding any provision of any charter or other provision of law
inconsistent herewith.
Powers and duties of social services officials in relation to
children. All social services officials responsible for the
administration of safety net assistance to families shall, in relation
to all children in such families other than delinquent children, persons
in need of supervision, mentally disabled children, physically
handicapped children and children born out of wedlock who shall be cared
for under the provisions of the following section, have powers and
perform duties as follows:
1. As to destitute children:
(a) Investigate the family circumstances of each child reported as
destitute in order to determine what care, supervision or treatment, if
any, such child requires.
(b) Administer and supervise relief to families with destitute
children when such families are unable to care for such children and
relief is necessary to prevent the separation of children from their
parents.
(c) Furnish children, whose parents or guardians are unable to do so,
with suitable clothing, shoes, books, food and other necessaries to
enable them to attend upon instruction as required by law.
2. As to neglected and abused children:
(a) Investigate complaints of neglect and abuse of children and offer
protective social services to prevent injury to the child, to safeguard
his welfare, and to preserve and stabilize family life wherever
possible.
(b) Bring such case when necessary before the family court for
adjudication.
(c) Institute proceedings in a court of competent jurisdiction against
a parent or adult for neglect or abuse of a child.
3. Provide any necessary medical or hospital care for such children
when responsible for the provision of such care under section
4. The provisions of this section shall not be deemed to confer on
social services officials responsible only for the authorization of
safety net assistance or of safety net assistance and hospital care, any
powers and duties in relation to destitute and neglected children except
as follows:
(a) As to destitute children:
(1) Authorize relief to families with destitute children when such
families are unable to care for such children and relief is necessary to
prevent the separation of children from their parents.
(2) Furnish children, whose parents or guardians are unable to do so,
with suitable clothing, shoes, books, food and other necessaries to
enable them to attend upon instruction as required by law.
(b) As to neglected and abused children:
Report to the county commissioner any complaint they may receive of
neglect and abuse of children.
(c) Provide any necessary medical care or hospital care for such
children when responsible for the provision of such care under section
sixty-nine.
Additional powers and duties of commissioners of public welfare
and certain city public welfare officers in relation to children.
Commissioners of public welfare and city public welfare officers
responsible under the provisions of a special or local law for the
children hereinafter specified shall have powers and perform duties as
follows:
1. As to destitute children:
(a) offer preventive services in accordance with section four hundred
nine-a of this article when necessary to avert an impairment or
disruption of a family which could result in the placement of the child
in foster care;
(b) report to the local criminal justice agency and to the statewide
central register for missing children as described in section eight
hundred thirty-seven-e of the executive law such relevant information as
required on a form prescribed by the commissioner of the division of
criminal justice services, in appropriate instances; and
(c) assume charge of and provide care and support for any child who is
a destitute child pursuant to paragraph (a) of subdivision three of
section three hundred seventy-one of this article who cannot be properly
cared for in his or her home, and if required, petition the family court
to obtain custody of the child in accordance with article ten-C of the
family court act.
2. As to neglected, abused or abandoned children:
(a) Investigate the alleged neglect, abuse or abandonment of a child,
offer protective social services to prevent injury to the child, to
safeguard his welfare, and to preserve and stabilize family life
wherever possible and, if necessary, bring the case before the family
court for adjudication and care for the child until the court acts in
the matter and, in the case of an abandoned child, shall promptly
petition the family court to obtain custody of such child.
(b) Receive and care for any child alleged to be neglected, abused or
abandoned who is temporarily placed in his care by the family court
pending adjudication by such court of the alleged neglect, abuse or
abandonment including the authority to establish, operate, maintain and
approve facilities for such purpose in accordance with the regulations
of the department; and receive and care for any neglected, abused or
abandoned child placed or discharged to his care by the family court.
(c) Any facility designated as of the effective date of this act shall
not be disapproved except after consultation with the designating
appellate division.
(d) The local social services department shall list all facilities
approved under this article for the temporary custody and care of
children remanded by the family court and shall file a copy of that list
periodically with the clerk of the family court in each county in the
judicial district in which the facility is located.
(e) Report to the local registrar of vital statistics of the district
in which the child was found the sex, color, approximate date of birth,
place of finding, and the name assigned to any child who may be found
whose parents are unknown, within ten days whenever possible after the
child is found, on a form prescribed therefor by the state commissioner
of health, and report the subsequent identification of any such child to
the state commissioner of health; provided, however, that in the city of
New York such form shall be prescribed by, and such report shall be made
to, the department of health.
(f) Report to the local criminal justice agency and to the statewide
central register for missing children as described in section eight
hundred thirty-seven-e of the executive law such information as required
on a form prescribed by the commissioner of the division of criminal
justice services within forty-eight hours after an abandoned child is
found.
3. As to delinquent children and persons in need of supervision:
(a) Investigate complaints as to alleged delinquency of a child.
(b) Bring such case of alleged delinquency when necessary before the
family court.
(c) Receive within fifteen days from the order of placement as a
public charge any delinquent child committed or placed or person in need
of supervision placed in his or her care by the family court provided,
however, that the commissioner of the social services district with whom
the child is placed may apply to the state commissioner or his or her
designee for approval of an additional fifteen days, upon written
documentation to the office of children and family services that the
youth is in need of specialized treatment or placement and the diligent
efforts by the commissioner of social services to locate an appropriate
placement.
* 3-a. As to delinquent children:
(a)(1) Conditionally release any juvenile delinquent placed with the
district to aftercare whenever the district determines conditional
release to be consistent with the needs and best interests of such
juvenile delinquent, that suitable care and supervision can be provided,
and that there is a reasonable probability that such juvenile delinquent
can be conditionally released without endangering public safety;
provided, however, that such conditional release shall be made in
accordance with the regulations of the office of children and family
services, and provided further that no juvenile delinquent while absent
from a facility or program without the consent of the director of such
facility or program shall be conditionally released by the district
solely by reason of the absence.
(2) It shall be a condition of such release that a juvenile delinquent
so released shall continue to be the responsibility of the social
services district for the period provided in the order of placement.
(3) The social services district may provide clothing, services and
other necessities for any conditionally released juvenile delinquent, as
may be required, including medical care and services not provided to
such juvenile delinquent as medical assistance for needy persons
pursuant to title eleven of article five of this chapter.
(4) The social services district, pursuant to the regulations of the
office of children and family services, may cause a juvenile delinquent
to be returned to a facility operated and maintained by the district, or
an authorized agency under contract with the district, at any time
within the period of placement, where there is a violation of the
conditions of release or a change of circumstances.
(5) Juvenile delinquents conditionally released by a social services
district may be provided for as follows:
(i) If, in the opinion of the social services district, there is no
suitable parent, relative or guardian to whom a juvenile delinquent can
be conditionally released, and suitable care cannot otherwise be
secured, the district may conditionally release such juvenile delinquent
to the care of any other suitable person; provided that where such
suitable person has no legal relationship with the juvenile, the
district shall advise such person of the procedures for obtaining
custody or guardianship of the juvenile.
(ii) If a conditionally released juvenile delinquent is subject to
article sixty-five of the education law or elects to participate in an
educational program leading to a high school diploma, he or she shall be
enrolled in a school or educational program leading to a high school
diploma following release, or, if such release occurs during the summer
recess, upon the commencement of the next school term. If a
conditionally released juvenile delinquent is not subject to article
sixty-five of the education law, and does not elect to participate in an
educational program leading to a high school diploma, steps shall be
taken, to the extent possible, to facilitate his or her gainful
employment or enrollment in a vocational program following release.
(b) When a juvenile delinquent placed with the social services
district is absent from placement without consent, such absence shall
interrupt the calculation of time for his or her placement. Such
interruption shall continue until such juvenile delinquent returns to
the facility or authorized agency in which he or she was placed.
Provided, however, that any time spent by a juvenile delinquent in
custody from the date of absence to the date placement resumes shall be
credited against the time of such placement provided that such custody:
(1) was due to an arrest or surrender based upon the absence; or
(2) arose from an arrest or surrender on another charge which did not
culminate in a conviction, adjudication or adjustment.
(c) In addition to the other requirements of this section, no juvenile
delinquent placed with a social services district operating an approved
juvenile justice services close to home initiative pursuant to section
four hundred four of this chapter pursuant to a restrictive placement
under the family court act shall be released except pursuant to section
353.5 of the family court act.
* NB Repealed March 31, 2028
4. As to mentally disabled and physically handicapped children:
(a) Obtain admission to state and other suitable schools, hospitals,
other institutions, or care in their own homes or in family free or
boarding homes or in agency boarding homes or group homes for such
children in accordance with the provisions of the mental hygiene law,
education law and acts relating to the family court.
(b) Maintain supervision over such disabled or physically handicapped
children as are not in institutions, hospitals or schools or under the
jurisdiction of the family court.
5. As to children born out of wedlock:
(a) Provide care in a family free or boarding home, in an agency
boarding home or group home or in an institution for any child born out
of wedlock and for his mother as for any other person in need of public
assistance and care during pregnancy and during and after delivery, when
in the judgment of such social services official needed care cannot be
provided in the mother's own home. However, nothing in this section or
elsewhere in this chapter contained shall be construed to make any such
child or his mother ineligible for such care away from home, regardless
of ability or liability to pay therefor; provided, however, that except
as hereinafter provided, it shall rest in the discretion of the social
services official, in view of all the facts and circumstances present in
each case, to determine whether or not to require such mother, or any
other person or persons liable by law to contribute to the support
thereof, to pay all or any part of such cost, pursuant to the provisions
of this section or any other section of this chapter. Any inconsistent
provision of law notwithstanding, the acceptance by a private authorized
adoption agency of an absolute surrender of a child born out of wedlock
from the mother of such child shall relieve her from any and all
liability for the support of such child. When in the judgment of a
social services official needed care cannot be provided in the home of a
minor pregnant with an out of wedlock child, and he has made a
determination pursuant to subdivision one of section one hundred
thirty-two of this chapter not to make an investigation of the
circumstances of such minor and not to require support from persons
liable therefor, the authorization of such social services official of
necessary medical care for such minor shall have the same force and
effect as a consent executed by a parent or guardian of such minor.
(b) Institute proceedings to establish paternity and secure the
support and education of any child born out of wedlock or make a
compromise with the father of such child, in accordance with the
provisions of law, relating to children born out of wedlock.
(c) Hold and disburse the money received from such a compromise or pay
it to the mother if she gives security for the support of the child.
(d) When practicable, require the mother to contribute to the support
of the child.
6. As to all foregoing classes of children:
(a) Investigate the family circumstances of each child reported to him
as destitute, neglected, abused, delinquent, disabled or physically
handicapped in order to determine what assistance and care, supervision
or treatment, if any, such child requires.
(b) Provide for expert mental and physical examination of any child
whom he has reason to suspect of mental or physical disability or
disease and pay for such examination from public funds, if necessary.
(c) Provide necessary medical or surgical care in a suitable hospital,
sanatorium, preventorium or other institution or in his own home for any
child needing such care and pay for such care from public funds, if
necessary. However, in the case of a child or minor who is eligible to
receive care as medical assistance for needy persons pursuant to title
eleven of article five of this chapter, such care shall be provided
pursuant to the provisions of that title.
(d) Ascertain the financial ability of the parents of children who
become public charges and collect toward the expense of such child's
care such sum as the parents are able to pay.
(e) Collect from parents whose children have been discharged to his
care by the family court such sums as they are ordered to pay for the
maintenance of such children and report any failure to comply with such
order to such court.
(f) When in his judgment it is advisable for the welfare of the child,
accept the surrender of a child by an instrument in writing in
accordance with the provisions of this chapter. Any inconsistent
provision of law notwithstanding, the acceptance by the social services
official of a surrender of a child born out of wedlock from the mother
or father of such child shall relieve the parent executing such
surrender from any and all liability for the support of such child.
(g) (1) Place children in its care and custody or its custody and
guardianship, in suitable instances, in supervised settings, family
homes, agency boarding homes, group homes or institutions under the
proper safeguards. Such placements can be made either directly, or
through an authorized agency, except that, direct placements in agency
boarding homes or group homes may be made by the social services
district only if the office of children and family services has
authorized the district to operate such homes in accordance with the
provisions of section three hundred seventy-four-b of this article and
only if suitable care is not otherwise available through an authorized
agency under the control of persons of the same religious faith as the
child. Where such district places a child in a supervised setting,
agency boarding home, group home or institution, either directly, or
through an authorized agency, the district shall certify in writing to
the office of children and family services, that such placement was made
because it offers the most appropriate and least restrictive level of
care for the child, and, is more appropriate than a family foster home
placement, or, that such placement is necessary because there are no
qualified foster families available within the district who can care for
the child. If placements in agency boarding homes, group homes or
institutions are the result of a lack of foster parents within a
particular district, the office of children and family services shall
assist such district to recruit and train foster parents. Placements
shall be made only in institutions visited, inspected and supervised in
accordance with title three of article seven of this chapter and
conducted in conformity with the applicable regulations of the
supervising state agency in accordance with title three of article seven
of this chapter. With the approval of the office of children and family
services, a social services district may place a child in its care and
custody or its custody and guardianship in a federally funded job corps
program and may receive reimbursement for the approved costs of
appropriate program administration and supervision pursuant to a plan
developed by the department and approved by the director of the budget.
(2) A social services district may place a child in its care and
custody or its custody and guardianship in a home or facility operated
or licensed by any office of the department of mental hygiene, subject
to the relevant provisions of the mental hygiene law and the admission
criteria of the facility. The director of the budget may authorize such
transfers of appropriations under the provisions of section fifty of the
state finance law as may be necessary to secure federal reimbursement
for such placements.
(3) (i) Effective sixty days after the enactment of this subparagraph,
there is hereby established within a social services district with a
population in excess of two million a two-year demonstration project
which affords authorized agencies with which foster children are placed
enhanced administrative flexibility. Pursuant to such demonstration
project, an authorized agency with which the social services district
has placed a child shall have the authority to:
(A) give all necessary consents to the discharge of the child from
foster care when such authorized agency has submitted a written request
for approval of such discharge to the social services official and the
social services official has not disapproved such discharge within
thirty days of receiving such request;
(B) change a goal for the child when such authorized agency has
submitted a written request for approval of such change of goal to the
social services official and the social services official has not
disapproved such goal within thirty days of receiving such request;
(C) commence a proceeding to free the child for adoption when such
authorized agency has submitted a written request for approval of the
commencement of such proceeding to the social services official, if the
social services official has not disapproved such commencement within
thirty days of receiving such request, in which case such a request
shall be deemed approved; and
(D) consent to the adoption of a child whose custody and guardianship,
or of a child where such child's parents are both deceased, or where one
parent is deceased and the other parent is not entitled to notice
pursuant to sections one hundred eleven and one hundred eleven-a of the
domestic relations law, and whose care and custody, has been transferred
to a social services district and who has been placed by the social
services official with the authorized agency when the authorized agency
has submitted a written request for approval to consent to the adoption,
if the social services district has not disapproved the request to
consent to adoption within sixty days after its submission, in which
case such request shall be deemed approved and the authorized agency may
give all necessary consent to the adoption of the child.
(ii) Nothing herein shall result in the transfer of care and custody
or custody and guardianship of a child from the social services official
to the authorized agency.
(iii) Within three months of the conclusion of the demonstration
project, such social services district shall issue a report to the
department regarding the effectiveness of the demonstration project.
Such report shall include recommendations for possible statutory and
regulatory amendments in relation to the administration of foster care.
(4) A social services district may place a child in its care and
custody or its custody and guardianship in a family home certified by
the division for youth, which shall not include a group home. Such
placements shall be subject to the relevant provisions of this chapter,
the executive law and the admission criteria of the home.
(h) Supervise children who have been cared for away from their
families until such children become twenty-one years of age or until
they are discharged to their own parents, relatives within the third
degree or guardians, or adopted, provided, however, that in the case of
a child who is developmentally disabled as such term is defined in
section 1.03 of the mental hygiene law, emotionally disturbed or
physically handicapped, and who is receiving care in a group home,
agency boarding home or any child care facility operated by an
authorized agency with a capacity of thirteen or more children, and who
is in receipt of educational services and under the care and custody of
a local department of social services, the commissioner of the office of
children and family services shall allow such child who reaches the age
of twenty-one during the period commencing on the first day of September
and ending on the thirtieth day of June to be entitled to continue in
such program until the thirtieth day of June or until the termination of
the school year, whichever shall first occur.
(j) Permit children and minors who are being cared for away from their
own homes as public charges to retain the maximum amount of their
monthly earned income for future identifiable needs in accordance with
the regulations of the department and consistent with the federal law
applicable to the treatment of income and resources under the aid to
families with dependent children program.
(k) In accordance with regulations of the department, provide suitable
vocational training through any institution licensed or approved by the
state education department, for any minor in his care who demonstrates
to his satisfaction the possession of talent, aptitude and ability
necessary to benefit therefrom, provided such minor could not otherwise
obtain such training. Expenditures may be made for tuition, books,
supplies, and all other necessary items to enable such minor to obtain
such training.
(l) In accordance with regulations of the department, provide
maintenance in a summer camp for children and minors who are being cared
for away from their own homes as public charges, when in his judgment it
is advisable for the welfare of such children and minors.
(n) When it is in the best interest of the child, place a child who is
being returned to foster care, following an interruption in care, or a
child who is being returned to a family boarding home following
placement in a foster care facility with the foster care parents with
whom that child was last placed, notwithstanding the provisions of
subdivisions three and four of section three hundred seventy-eight of
this chapter. When it is in the best interests of the minor parent and
the minor parent's child or children, place the minor parent who is
being returned to foster care following an interruption in care, and the
minor parent's child or children or the minor parent who is being
returned to a family boarding home following placement in a foster care
facility and the minor parent's child or children with the foster care
parents with whom the minor parent was last placed, notwithstanding the
provisions of subdivisions three and four of section three hundred
seventy-eight of this chapter.
(o) Compliance with a court order enforcing visitation rights of a
non-custodial parent or grandparent pursuant to part eight of article
ten of the family court act, subdivision ten of section three hundred
fifty-eight-a or paragraph (d) of subdivision two of section three
hundred eighty-four-a of this chapter, and responsibility for the return
of such child after visitation so ordered.
* (p) Provide respite care for children who have special needs as
described in subdivision fifteen of this section including, but not
limited to, those children who are diagnosed as having AIDS or HIV
related disease. For the purposes of this paragraph, respite care shall
mean the provision of temporary care and supervision of children on
behalf of a foster parent of a child with such special needs. Such care
may be provided by a foster family boarding home, an agency operated
boarding home, a group home, an institution or by an authorized staff
member of such programs or other provider approved by the local district
based on the individual circumstances of the caregiver and the needs of
the child, for up to three consecutive weeks but no more than seven
weeks in a calendar year. The department shall, by regulation, establish
standards for respite care and training for the providers of such care.
* NB There are 2 par (p)'s
* (p) Consistent with the provisions of this chapter, provide
necessary care, services and supervision including medical care, to a
child placed in foster care pursuant to subparagraph (ii) of paragraph
(a) of subdivision two of section ten hundred seventeen of the family
court act, and reimbursement therefor to relatives of such child as
approved foster parents with whom such child is residing.
* NB There are 2 par. (p)'s
7. Notwithstanding any inconsistent provisions of law, no city forming
part of a county public welfare district may hereafter assume any of the
powers, duties and responsibilties mentioned in this section. However,
this subdivision shall not be deemed or construed to prohibit a public
welfare officer of a city forming part of a county public welfare
district from exercising and performing on behalf of the county
commissioner of public welfare, pursuant to the provisions of title
three-a of article three, any of the powers and duties mentioned in this
section. A city forming part of a county public welfare district which
heretofore assumed or upon which was heretofore imposed the
responsibility for providing any or all of the assistance, care and
service mentioned in this section, shall hereafter continue to have such
responsibility, provided, however, that the continuance of such
responsibility shall be consistent with the powers, duties and
responsibilities of such city under and pursuant to the provisions of
title three-a of article three.
8. A public welfare official who is authorized to place children or
minors in homes or institutions pursuant to provisions of this section
shall have the power to place children or minors in a public institution
for children.
9. A social services official shall have the same authority as a peace
officer to remove a child from his home without an order of the family
court and without the consent of the parent or person responsible for
such child's care if the child is in such condition that his continuing
in the home presents an imminent danger to the child's life or health.
When a child is removed from his home pursuant to the provisions of this
subdivision, the social services official shall promptly inform the
parent or person responsible for such child's care and the family court
of his action.
10. Any provision of this chapter or any other law notwithstanding,
where a foster child for whom a social services official has been making
foster care payments is in attendance at a college or university away
from his or her foster family boarding home, group home, agency boarding
home or institution, and residing in a supervised setting or other
approved location, a social services official may make foster payments,
at a rate to be developed by the office of children and family services,
to such college or university, provider of room and board, or youth, as
appropriate, in lieu of payment to the foster parents or authorized
agency, for the purpose of room and board, if not otherwise provided.
Such rate shall be no lower than the rate paid for a child's care in a
foster family boarding home.
11. In the case of a child who is adjudicated a person in need of
supervision or a juvenile delinquent and is placed by the family court
with the division for youth and who is placed by the division for youth
with an authorized agency pursuant to court order, the social services
official shall make expenditures in accordance with the regulations of
the department for the care and maintenance of such child during the
term of such placement subject to state reimbursement pursuant to this
title, or article nineteen-G of the executive law in applicable cases.
12. A social services official shall be permitted to place persons
adjudicated in need of supervision or delinquent, and alleged persons to
be in need of supervision in detention pending transfer to a placement,
in the same foster care facilities as are providing care to destitute,
neglected, abused or abandoned children. Such foster care facilities
shall not provide care to a youth in the care of a social services
official as a convicted juvenile offender.
13. (a) In the case of a child with a handicapping condition who is
placed, pursuant to this chapter, in a foster care agency or institution
located outside the state, and who attains the age of eighteen, the
social services official shall:
(i) determine whether such child will need services after the age of
twenty-one, and, if such need exists;
(ii) assess the nature of the services required;
(iii) notify the parent or guardian of such child's need for services;
and
(iv) upon the written consent of the parent or guardian, and
notwithstanding section three hundred seventy-two of this article,
submit a report on the child's need for services after age twenty-one to
the department for planning purposes.
(b) Upon the written consent of the parent or guardian, the department
shall submit the report received pursuant to paragraph (a) of this
subdivision to the council on children and families.
(c) When a child's report is submitted to the council on children and
families pursuant to this subdivision, the council shall cooperate with
adult service providers, such as the department of social services, the
office for people with and developmental disabilities, the office of
mental health and the office of vocational rehabilitation of the
education department in planning and coordinating such child's return to
New York state for adult services. The council shall arrange with the
appropriate state agency for the development of a recommendation of all
appropriate in-state programs operated, licensed, certified or
authorized by such agency and which may be available when such child
attains the age of twenty-one. Such recommendation of all programs shall
be made available to the parent or guardian of such child at least six
months before such child attains the age of twenty-one. All records,
reports and information received, compiled or maintained by the council
pursuant to this subdivision shall be subject to the confidentiality
requirements of the department.
14. (a) In the case of a child who is developmentally disabled as such
term is defined in section 1.03 of the mental hygiene law, emotionally
disturbed or physically handicapped and who is receiving care in a group
home, agency boarding home, or any child care facility operated by an
authorized agency with a capacity of thirteen or more children, who
attains the age of eighteen and who will continue in such care after the
age of eighteen, or who is placed in such care after the age of
eighteen, the social services official shall notify the parent or
guardian of such child that such care will terminate when such child
attains the age of twenty-one provided, however, that any such child in
receipt of educational services and under the care and custody of a
local department of social services who reaches the age of twenty-one
during the period commencing on the first day of September and ending on
the thirtieth day of June shall be entitled to continue in such program
until the thirtieth day of June or until the termination of the school
year, whichever shall first occur. Such notice shall be in writing and
shall describe in detail the parent's or guardian's opportunity to
consent to having such child's name and other information forwarded in a
report to the commissioner of mental health, commissioner of the office
for people with developmental disabilities, commissioner of education or
commissioner of the office of children and family services or their
designees for the purpose of determining whether such child will likely
need services after the age of twenty-one and, if so, recommending
possible adult services.
(b) Upon the written consent of the parent or guardian, and
notwithstanding section three hundred seventy-two of this article, the
social services official shall submit a report on such child's possible
need for services after age twenty-one to the commissioner of mental
health, commissioner of the office for people with developmental
disabilities, commissioner of social services or commissioner of
education or their designees for the development of a recommendation
pursuant to section 7.37 or 13.37 of the mental hygiene law, section
three hundred ninety-eight-c of this title or subdivision ten of section
four thousand four hundred three of the education law. The social
services official shall determine which commissioner shall receive the
report by considering the child's handicapping condition. If the social
services official determines that the child will need adult services
from the department and such social services official is the
commissioner's designee pursuant to this subdivision and section three
hundred ninety-eight-c of this title, such social services official
shall perform the services described in section three hundred
ninety-eight-c of this title.
(c) A copy of such report shall also be submitted to the department at
the same time that such report is submitted to the commissioner of
mental health, commissioner of the office for people with developmental
disabilities or commissioner of education or their designees.
(d) When the social services official is notified by the commissioner
who received the report that such state agency is not responsible for
determining and recommending adult services for the child, the social
services official shall forward the report to another commissioner; or,
if the social services official determines that there exists a dispute
between state agencies as to which state agency has the responsibility
for determining and recommending adult services, the social services
official may forward the report to the council on children and families
for a resolution of such dispute.
(e) The social services official shall prepare and submit an annual
report to the department on October first, nineteen hundred eighty-four
and thereafter on or before October first of each year. Such annual
report shall contain the number of cases submitted to each commissioner
pursuant to paragraph (b) of this subdivision, the type and severity of
the handicapping condition of each such case, the number of notices
received which deny responsibility for determining and recommending
adult services, and other information necessary for the department and
the council on children and families to monitor the need for adult
services, but shall not contain personally identifying information. The
department shall forward copies of such annual reports to the council on
children and families. All information received by the council on
children and families pursuant to this paragraph shall be subject to the
confidentiality requirements of the department.
15. (a) In the case of a child who has special needs due to a high
level of disturbed behavior, emotional disturbance or physical or health
needs as determined by the district in accordance with the rules and
regulations of the department and who has been placed with a therapeutic
foster parent, the social services official shall make available
periodic respite care services for such parent, necessary consultation
services between the therapeutic foster care parent and professionals
familiar with the special needs of the child and such other support
services as are reasonably necessary to prevent placement of the child
in a group home, an agency operated boarding home or an institution.
(b) Prior to placement of a child who has been determined to have
special needs with a therapeutic foster parent, the social services
official shall require such foster parent to complete an approved
training program. The department shall not provide enhanced
reimbursement for such placement unless the social services official
certifies that the foster parent has successfully completed an approved
training program.
(c) A social services official shall require that the family services
plan developed pursuant to section four hundred nine-e of this article
for a child placed with a therapeutic foster parent include a treatment
plan prepared in consultation with the therapeutic foster parent and
approved by the social services official.
16. Notwithstanding any provision of law to the contrary, with regard
to the placement of all categories of foster children, the social
services official or the voluntary authorized agency under contract with
such official must consider giving preference to placement of a child
with an adult relative over a non-related caregiver, provided that the
relative caregiver meets relevant child welfare standards.
Standards of payment for foster care. (1) For purposes of
this section, notwithstanding any other provisions of law, the term
foster child shall mean a person who is cared for away from his or her
home under conditions prescribed by regulations of the department and
who is: (a) under the age of eighteen years, (b) under the age of
twenty-one years if a student attending a school, college or university
or regularly attending a course of vocational or technical training
designed to fit him or her for gainful employment or (c) between the
ages of eighteen and twenty-one who lacks the skills or ability to live
independently and consents to continue in care.
* (2) The office of children and family services shall promulgate,
subject to consultation with appropriate state agencies, the approval of
the director of the budget and certification to the chairmen of the
senate finance and assembly ways and means committees, regulations
establishing standards of payment for care provided foster children when
the care of such children is subject to public financial support, when
such care is provided by relatives, authorized agencies, family boarding
homes, or state agencies. Such standards of payment shall include the
care required to be provided for foster children and the cost of such
care. When the office of children and family services has established
such standards, reimbursement under subdivision two of section one
hundred fifty-three-k of this chapter, for the care of foster children
shall be limited in accordance with such standards.
* NB Effective until June 30, 2027
* (2) The department shall promulgate, subject to consultation with
appropriate state agencies, the approval of the director of the budget
and certification to the chairmen of the senate finance and assembly
ways and means committees, regulations establishing standards of payment
for care provided foster children when the care of such children is
subject to public financial support, when such care is provided by
relatives, authorized agencies, family boarding homes, or state
agencies. Such standards of payment shall include the care required to
be provided for the foster child and the cost of such care. When the
department has established such standards, reimbursement under section
one hundred fifty-three of this chapter, for the care of foster children
shall be limited in accordance with such standards.
* NB Effective June 30, 2027
(2-a) Those social services districts that as of January first, two
thousand five were paying at least one hundred percent of the applicable
rates published by the office of children and family services for the
two thousand four--two thousand five rate year for care provided to
foster children in institutions, group residences, group homes and
agency boarding homes and/or the applicable administrative/services
rates published by the office for the operations of authorized agencies
for care provided to foster children in therapeutic, special needs and
emergency foster boarding homes must pay for the two thousand five--two
thousand six rate year and for each subsequent rate year thereafter at
least one hundred percent of the applicable rates published by the
office for that rate year. Those social services districts that as of
January first, two thousand five were paying less than the applicable
rates published by the office for the two thousand four--two thousand
five rate year for care provided to foster children in institutions,
group residences, group homes and agency boarding homes and/or the
applicable administrative/services rates published by the office for the
operations of authorized agencies for care provided to foster children
in therapeutic, special needs and emergency foster boarding homes must
increase their rates of payment so that: effective July first, two
thousand five, the difference between the percentage of the applicable
rates published by the office for the two thousand five--two thousand
six rate year and the rates such districts are paying is at least
two-thirds less than the difference between the percentage of the
applicable rates published by the office for the two thousand four--two
thousand five rate year and the rates that such districts were paying
for such programs on January first, two thousand five; and effective
July first, two thousand six for the two thousand six--two thousand
seven rate year and for each subsequent year thereafter all social
services districts shall pay at least one hundred percent of the
applicable rates published by the office for the applicable rate year.
(2-b) Payments made directly by social services districts to foster
boarding homes for foster care pursuant to this section may be made by
direct deposit or debit card, as elected by the recipient, and
administered electronically, and in accordance with such guidelines as
may be set forth by regulation of the office of children and family
services. The office of children and family services may enter into
contracts on behalf of social services districts for such direct deposit
or debit card services in accordance with section twenty-one-a of this
chapter.
(2-c) Those social services districts that as of July first, two
thousand twenty-two were paying at least one hundred percent of the
applicable rates published by the office of children and family services
for the two thousand twenty-two--two thousand twenty-three rate year for
care provided to foster children in regular, therapeutic, special needs,
and emergency foster boarding homes shall pay for the two thousand
twenty-two--two thousand twenty-three rate year and for each subsequent
rate year thereafter at least one hundred percent of the applicable
rates published by the office of children and family services for that
rate year. Those social services districts that as of July first, two
thousand twenty-two were paying less than the applicable rates published
by the office of children and family services for the two thousand
twenty-two--two thousand twenty-three rate year for care provided to
foster children in regular, therapeutic, special needs and emergency
foster boarding homes shall increase their rates of payment so that:
effective July first, two thousand twenty-two the difference between the
percentage of the applicable rates published by the office of children
and family services for the two thousand twenty-two--two thousand
twenty-three rate year and the rates such districts are paying is at
least one-half less than the difference between the percentage of the
applicable rates published by the office of children and family services
for the two thousand twenty-two--two thousand twenty-three rate year and
the rates that such districts were paying for such programs on July
first, two thousand twenty-two; and effective July first, two thousand
twenty-three for the two thousand twenty-three--two thousand twenty-four
rate year and for each subsequent year thereafter all social services
districts shall pay at least one hundred percent of the applicable rates
published by the office of children and family services for the
applicable rate year.
(3) If the commissioner finds that a social services district or a
city containing a social services district has adopted regulations
establishing standards of payment for care provided foster children by
relatives, authorized agencies or family boarding homes, when the care
of such children is subject to public financial support, which standards
are substantially equivalent to those promulgated by the department,
such department standards shall not be applicable in such district or
city.
(4) If and so long as federal aid is available therefor and subject to
the approval of the director of the budget, the department is authorized
to conduct a three year demonstration project to test the effectiveness
of establishing capitated rates for foster care. The demonstration
project shall be entitled the homerebuilders demonstration project. The
goal of the project shall be to demonstrate how innovative methods to
fund foster care programs may result in the discharge of children from
foster care to suitable, permanent homes in a more timely manner, at no
additional costs to state and local governments, through service
continuity, intensified discharge planning, pre-adoption services,
after-care services and/or post-adoption services. Notwithstanding any
inconsistent provision of law, in order to implement a demonstration
project relating to the effectiveness of establishing capitated rates
for foster care, the department may waive provisions set forth in: (a)
section one hundred fifty-three and this section, with regard to
limitations on capitated reimbursement to a social services district for
after-care or post-adoption services to children and families
participating in the homerebuilders demonstration project, where the
child is no longer in the care and custody or custody and guardianship
of the local commissioner of social services; and (b) subparagraph (ii)
of paragraph (e) of subdivision five of section four hundred nine-a of
this title, with regard to limitations on reimbursement for intensive
home based family preservation services to children participating in the
homerebuilders demonstration project who are in the care and custody or
custody and guardianship of a local commissioner of social services; and
(c) the regulations promulgated implementing such provisions of law. The
authority of the department to waive such provisions shall be limited to
the purpose of implementing such demonstration project and shall expire
with the completion of the demonstration project, unless otherwise
authorized by law. The department shall report to the governor and the
legislature on the status of the homerebuilders demonstration project at
least annually after its commencement and shall submit a final report
thereon to the governor and the legislature no later than July first,
nineteen hundred ninety-seven. Such final report shall set forth the
findings of the homerebuilders demonstration project and any
recommendations for statutory or regulatory changes.
(5) (a) The office of children and family services shall establish,
subject to consultation with appropriate state agencies, the approval of
the director of the budget and federal approval, standards of payment
for the capital costs of approved projects for residential institutions
for children which enter into a lease, sublease or other agreement with
the dormitory authority pursuant to subdivision forty of section sixteen
hundred eighty of the public authorities law. The maintenance rate
established by the commissioner of the office of children and family
services for such residential institutions for children shall be
established in two parts, one part of which will be the capital
financing add on rate, which shall be the cost per child of the annual
payment pursuant to such lease, sublease or other agreement. The
applicable social services district or school district responsible for
the maintenance cost of a child placed in such residential institution
for children, must agree to pay and is responsible for paying the
residential institution for children one hundred percent of the capital
financing add-on rate for each such child placed in such institution. To
the extent permissible under federal law and regulation, the capital
financing add-on rate shall not be subject to any cost screens, caps or
parameters limiting or reducing the amount of such cost required by this
subdivision.
(b) The expenditures made by a social services district or school
district for the capital financing add on rate for children placed by a
committee on special education of a school district in a residential
institution for children which has a lease, sublease or other agreement
with the dormitory authority pursuant to subdivision forty of section
sixteen hundred eighty of the public authorities law, shall be subject
to state reimbursement in accordance with subdivision ten of section one
hundred fifty-three of this chapter or article eighty-nine of the
education law, as applicable.
(c) The expenditures of a social services district for the capital
financing add-on rate for foster children placed in a residential
institution for children which has a lease, sublease or other agreement
with the dormitory authority pursuant to subdivision forty of section
sixteen hundred eighty of the public authorities law shall be subject to
fifty percent state reimbursement from the office of children and family
services, net of any available federal funds, for the portion of the
costs that exceed the district's foster care block grant allocation.
* (6) (a) Any federal paycheck protection program loan forgiveness
funding or other extraordinary federal funding, as determined by the
office of children and family services, received by an authorized agency
as defined in subdivision ten of section three hundred seventy-one of
this article, to the extent consistent with federal law, shall be
disregarded when calculating the maximum state aid rate when such
funding is utilized for allowable costs or expenses incurred due to the
state of emergency that was declared in executive order two hundred two
on March seventh, two thousand twenty. Allowable costs or expenses shall
include costs incurred due to the pandemic, as allowable pursuant to the
program through which such funding was received or, to the extent
permitted by federal law, expenses related to offsetting lost revenue
due to a reduction in placements that can be directly attributed to the
novel coronavirus (COVID-19) pandemic.
(b) The office of children and family services shall hold harmless the
prospective maximum state aid rate to the extent that extraordinary
federal revenue was disregarded in accordance with paragraph (a) of this
subdivision for the two thousand twenty-one--two thousand twenty-two
rate year and subsequent applicable rate years.
* NB Repealed April 16, 2026
Transition to managed care. 1. Notwithstanding any
inconsistent provision of law to the contrary and subject to the
availability of federal financial participation, the commissioner is
authorized to make grants up to a gross amount of five million dollars
for state fiscal year two thousand fourteen--fifteen and up to a gross
amount of fifteen million dollars for state fiscal year two thousand
fifteen--sixteen to facilitate the transition of foster care children
placed with voluntary foster care agencies to managed care. The use of
such funds may include providing training and consulting services to
voluntary agencies to assess readiness and make necessary infrastructure
and organizational modifications, collecting service utilization and
other data from voluntary agencies and other entities, and making
investments in health information technology, including the
infrastructure necessary to establish and maintain electronic health
records. Such funds shall be distributed pursuant to a formula to be
developed by the commissioner of health, in consultation with the
commissioner of the office of children and family services. In
developing such formula the commissioners may take into account size and
scope of provider operations as a factor relevant to eligibility for
such funds. Each recipient of such funds shall be required to document
and demonstrate the effective use of funds distributed herein. If
federal financial participation is unavailable, then the nonfederal
share of payments pursuant to this subdivision may be made as state
grants.
2. Data provided by voluntary foster care agencies shall be compliant
with the health insurance portability and accountability act, and shall
be transmitted securely using eMEDS or other mechanism to be determined
by the department of health. Such data may be used by the department of
health to establish rates of payment for managed care organizations for
services provided to children in foster care. In establishing such rates
the commissioner of health shall also take into account care
coordination services that will continue to be provided by the voluntary
foster care agencies.
3. The commissioner of health shall issue a report to be made public
on the department of health's website. Such report shall conform to the
requirements of subdivision five of section ninety-two of part H of
chapter fifty-nine of the laws of two thousand eleven.
Powers and duties of the commissioner in relation to
children. 1. The commissioner shall determine whether a child, whose
report is submitted to the department pursuant to subparagraph five of
paragraph b of subdivision one of section forty-four hundred two of the
education law or subdivision thirteen of section three hundred
ninety-eight of this article, will likely need adult services and, if
such need will likely exist, develop a recommendation of all appropriate
programs authorized or operated by the department which may be available
when the child attains the age of twenty-one. If necessary and
appropriate, the commissioner may conduct an evaluation of the child to
determine if adult services will be necessary. Such recommendation of
all programs shall be made available to the parent or guardian of such
child as soon as practicable but no later than six months before such
child attains the age of twenty-one.
2. If the commissioner determines pursuant to subdivision one of this
section, that such child will not require adult services, the
commissioner shall notify the child's parent or guardian in writing of
such determination. Such notice shall be given as soon as practicable
but no later than six months before the child attains the age of
twenty-one.
3. Notwithstanding subdivisions one and two of this section, the
commissioner may determine that the department is not responsible for
determining and recommending adult services for such child. When such a
determination is made it shall be made as soon as practicable after
receiving the report and the commissioner shall promptly notify in
writing the committee on special education, multidisciplinary team or
social services official who sent the report that such determination has
been made. Such notice shall state the reasons for the determination and
may recommend a state agency which may be responsible for determining
and recommending adult services.
4. Nothing in this section shall be construed to create an entitlement
to adult services.
5. A designee of the commissioner may carry out the functions of the
commissioner described in this section.
Child welfare services community demonstration projects. 1.
The legislature finds that the centralized delivery of child protective
services, preventive services, adoption services and foster care
services in a social service district with a population of more than two
million hinders their effective delivery and adds unnecessary costs.
Numerous studies have recommended that such services serve small areas,
be located in such areas, and be integrated. Such relocation will: give
caseworkers greater knowledge of their assigned community, the residents
of that community and the availability of community-based services;
increase the availability of caseworkers; reduce travel time for
caseworkers; enable children in foster care to remain in their own
communities and schools and maintain their friendships; enable children
in foster care to have greater visitation with their parents; provide
for more effective delivery of preventive services; and expedite
adoptions and otherwise reduce the amount of time children spend in
foster care.
The relocation of child welfare service delivery to the community
sites will strengthen efforts to provide a wide range of community-based
early intervention programs including, but not limited to, school-based
health clinics and community schools, thereby ensuring the continued
development of a critical mass of community services.
2. No later than March first, nineteen hundred ninety-six, a social
service district with a population in excess of two million shall
implement at least three demonstration projects for a period of at least
two years to provide child welfare services on a community level to
improve the delivery of child welfare services, increase adoptions and
reduce the rate of foster care placements. These projects shall be
located in and serve community school districts which have high rates
of: children at risk of becoming a part of the foster care system,
poverty, households on public assistance, juvenile delinquency, and
unemployment. Such projects shall provide foster care, preventive,
adoption and child protective services as required by this article.
3. In proposed demonstration areas, child welfare services must be
coordinated with community schools, school health clinics, and other
relevant programs to provide and administer the most efficient services.
In one demonstration area, the district shall use a caseworker to client
ratio equal to the preferred national average of one to fourteen.
4. A report evaluating such projects shall be presented no later than
June first, nineteen hundred ninety-eight, to the governor, the
department and the respective chairpersons of the assembly children and
families committee, the senate children and families committee, the
assembly ways and means committee, and the senate finance committee.
Such report shall include:
(a) the number of children and families who received preventive
services, child protective services and foster care, (b) the number of
delinquent and incarcerated youth in the demonstration projects, (c) the
length of an average foster care placement, (d) the number of completed
adoptions for youth residing within the demonstration area, including
their age, gender, race, ethnicity and religion, (e) the gross
expenditures for foster care, compared to the gross expenditures for
child protective, preventive and adoption services, (f) changes in the
quality and quantity of time spent by caseworkers with clients, (g)
staffing ratios of foster care, preventive and child protective
services, (h) the perspective (attitude, viewpoint, outlook) of
caseworkers serving and clients served in the demonstration project, and
(i) recommendations for expansion of community-based provisions for
child welfare services. For purposes of the report, the data described
above should be compared to the extent possible with non-demonstration
areas.
Eligibility for protective services, foster care services,
and residential services for victims of domestic violence. A noncitizen,
including a non-qualified alien, as determined by applicable federal
statute and regulation, is eligible for protective services for adults
and children, foster care services, and residential services for victims
of domestic violence, to the extent such person is otherwise eligible
pursuant to this chapter and the regulations of the office of children
and family services and the office of temporary and disability
assistance.
Duty to provide luggage to children in foster care. 1. For
the purposes of this section, "luggage" means a durable suitcase, duffel
bag, backpack, or similar reusable container that is new or is in
new-like condition, and is designed to hold an individual's personal
belongings and is not a disposable bag, trash bag, or cardboard box.
2. Each local social services district shall supply luggage to
children in foster care who do not have appropriate luggage of their
own. If any child in foster care reports that their luggage has been
lost, stolen, or damaged, the local social services district may provide
replacement luggage at its discretion. Any luggage provided by the local
social services district may not be reclaimed or retained by the office
of children and family services, the local social services districts,
voluntary authorized agencies, or the child's foster parent.
3. Eligible expenditures made by a local social services district for
luggage for children in foster care under this section shall be subject
to state reimbursement under the foster care block grant in accordance
with section one hundred fifty-three-k of this chapter.
Children discharged from state institutions. The
commissioner of social services shall co-operate with the state
institutions for delinquent, mentally disabled and physically
handicapped children to ascertain the conditions of the home and the
character and habits of the parents of a child before his discharge from
a state institution, and make recommendations as to the advisability of
returning said child to his home. In case the commissioner of social
services shall deem it unwise to have any such child returned to his
former home, such state institution may, with the consent of the
commissioner, place such child into the care of said commissioner of
social services.
Removal of children. 1. When any child shall have been placed
in an institution or in a family home by a social services official,
the social services official may remove such child from such institution
or family home and make such disposition of such child as is provided by
law, provided however, that in the case of a child who is a patient in a
hospital licensed or operated by the office of mental health, such
social services official may remove such child only upon the written
authorization of the medical director of the facility in which the child
is a patient. A medical director may only refuse to authorize the
removal of a child if involuntary care and treatment of the child is
warranted. In such case the director shall institute necessary civil
commitment proceedings in accordance with article nine of the mental
hygiene law.
2. Any person aggrieved by such decision of a social services
official may appeal to the department pursuant to the provisions of
section twenty-two of this chapter.
Births to inmates of public homes. No commissioner of public
welfare shall provide care in a public home for any pregnant woman
during confinement unless such public home has adequate hospital or
infirmary facilities, is equipped to give the necessary medical and
nursing care and has a certificate from the department authorizing such
public home to care for maternity cases. Certificates authorizing a
public home to care for maternity cases may be issued by the department
for a one-year period, subject to renewal, but may be revoked at any
time by the department. If the public home is not so certified, a
commissioner of public welfare shall, a reasonable time before the
expected confinement of any pregnant woman inmate, provide suitable
maintenance and medical care for her in a hospital or some other place
equipped to give adequate care.
Children forbidden in public homes. No public welfare
official shall send a child to be cared for in a public home, and no
commissioner of public welfare and no superintendent of a public home
shall receive a child in a public home, except that a child under the
age of two years may be cared for with his mother in a public home.
Such child shall not remain in the public home after he becomes two
years of age. Provided, however, that when so authorized by the
department a child may be sent to a general hospital connected with a
public home or to a separate institution located in the grounds of a
public home used only for special or temporary care of children.
Provided, further, that the provisions of this section shall not be
deemed to prohibit the placement of a child or minor in a public
institution for children, as defined in section three hundred
seventy-one of this chapter.
The religious faith of children and minors. The religious
faith of children and minors between sixteen and eighteen years of age
coming under the jurisdiction of public welfare officials shall be
preserved and protected in accordance with section three hundred
seventy-three.
* § 404. Juvenile justice services close to home initiative. 1. A
social services district in a city with a population in excess of one
million may implement a close to home initiative to provide juvenile
justice services to all adjudicated juvenile delinquents determined by a
family court in such district as needing placement other than in a
secure facility and to enter into contracts with any authorized agency,
as defined by section three hundred seventy-one of this chapter, to
operate and maintain non-secure and limited secure facilities. Such a
social services district shall have sufficient capacity to serve all
adjudicated juvenile delinquents needing residential placements within
the district within twenty-four months of approval of a plan for each
setting level except for those juvenile delinquents who need specialized
services that are not available within the district.
2. A social services district shall obtain prior approval from the
office of children and family services of its plan for establishing and
implementing such an initiative in accordance with guidelines
established and in the format, and including the information required,
by such office. Such district shall submit separate plans for how the
district will implement initiatives for juvenile delinquents placed in
non-secure settings and in limited secure settings. Any such plan shall
specify, in detail, as applicable:
(a) how the district will provide a continuum of evidence informed,
high-quality community-based and residential programming that will
protect community safety and provide appropriate services to youth,
including the operation of non-secure and limited secure facilities, in
sufficient capacity and in a manner designed to meet the needs of
juvenile delinquents cared for under the initiative. Such programming
shall be based on an analysis of recent placement trends of youth from
within such district, including the number of youth who have been placed
in the custody of the office of children and family services for
placement in other than a secure facility;
(b) the anticipated start-up and on-going services and administrative
costs of the initiative;
(c) the readiness of the district to establish the initiative and the
availability of all needed resources, including the location of services
and availability of the providers that will provide all necessary
services under the initiative including, but not limited to,
residential, non-residential, educational, medical, substance abuse,
mental health and after care services and community supervision;
(d) the proposed effective date of the plan and documentation of the
district's readiness to begin accepting and appropriately serving
juvenile delinquents under the plan;
(e) how the district will provide necessary and appropriate staffing
to implement the initiative;
(f) how the district will monitor the quality of services provided to
youth, including how the district will provide case management services;
(g) how, throughout the initiative, the district will seek and receive
on-going community and stakeholder input relating to the implementation
and effectiveness of the initiative;
(h) how the district will ensure that all staff working directly with
youth served under the initiative have received necessary and
appropriate training;
(i) how the district will monitor the use of restraints on youth,
including, but not limited to, the use of mechanical restraints;
(j) how the district will develop and implement programs and policies
to ensure program safety and that youth receive appropriate services
based on their needs, including, but not limited to, educational,
behavioral, mental health and substance abuse services in accordance
with individualized treatment plans developed for each youth;
(k) how the district will develop and implement gender specific
programming and policies to meet the specialized needs of lesbian, gay,
bisexual and transgender youth;
(l) how the district will develop and implement programming that is
culturally competent to meet the diverse needs of the youth;
(m) how the district will develop and implement local programs that
will seek to reduce the disproportionate placement of minority youth in
residential programs in the juvenile justice system;
(n) how the district will develop and implement a plan to reduce the
number of youth absent without leave from placement;
(o) how the district will develop and implement policies to serve
youth in the least restrictive setting consistent with the needs of
youth and public safety, and to avoid modifications of placements to the
office of children and family services;
(p) how the district will engage in permanency and discharge planning
for juvenile delinquents placed in its custody including, but not
limited to, securing adequate housing and health insurance and education
and employment, as appropriate;
(q) how the district will develop and implement a comprehensive after
care program to provide services and supports for youth who have
re-entered the community following a juvenile justice placement with the
district;
(r) how the district will develop and implement policies focused on
reducing recidivism of youth who leave the program;
(s) how the local probation department will implement a comprehensive
predisposition investigation process that includes, at least, the use of
appropriate assessments to determine the cognitive,
educational/vocational, and substance abuse needs of the youth and the
use of a validated risk assessment instrument, approved by the office of
children and family services; and how the district will implement an
intake process for youth placed in residential care that includes the
use of appropriate assessments to determine the medical, dental, mental
and behavioral health needs of the youth; and
(t) how the district will provide for the restrictive setting and
programs necessary to serve youth who need placement in a limited secure
setting consistent with the necessity for the protection of the health
and safety of the juvenile delinquents in the facility and the
surrounding community.
3. (a) Prior to submitting any plan pursuant to subdivision two of
this section to implement a juvenile justice services close to home
initiative for juvenile delinquents placed in non-secure settings, the
social services district shall conduct at least one public hearing on
the proposed plan. Any such public hearings shall only be held after
thirty days notice has been provided in a newspaper of general
circulation within the jurisdiction for which the social services
district is located. The notice shall specify the times of the public
hearing and provide information on how written comments on the plan may
be submitted to the district for consideration. Additionally, for a
period of at least thirty days prior to a hearing, the district shall
post on its website a notice of the hearing, a copy of the proposed
plan, and information on how written comments on the plan may be
submitted to the district for consideration.
(b) Prior to submitting a plan pursuant to subdivision two of this
section to implement a juvenile justice services close to home
initiative for juvenile delinquents placed in limited secure settings,
the social services district shall:
(i) hold at least one forum in each of the five boroughs within the
district for community members and relevant stakeholders including
potential provider agencies to discuss, in general, the manner in which
the district intends to provide the residential and aftercare services
to youth who need placement in limited secure settings in a manner to
protect community safety and provide appropriate services to such youth,
and to respond to concerns and receive suggested alternatives;
(ii) conduct at least one public hearing in each of the five boroughs
within the district on the proposed plan. Such public hearings shall
only be held after thirty days notice has been provided in a newspaper
of general circulation in the respective borough. The notice shall
specify the time of the hearing in the respective borough and provide
information on how written comments on the plan may be submitted to the
district for consideration. Additionally, for a period of at least
thirty days prior to each such hearing, the district shall post on its
website a notice of the hearing, a copy of the proposed plan, and
information on how written comments on the plan may be submitted to the
district for consideration.
4. The social services district shall submit, with any such plan, an
assessment of any written comments received, and any comments presented
at the public hearing. At a minimum, such assessment shall contain:
(a) a summary and analysis of the issues raised and significant
alternatives suggested;
(b) a statement of the reasons why any significant alternatives were
not incorporated into the plan; and
(c) a description of any changes made to the plan as a result of such
comments.
At the time of, or prior to, the submission of each such plan to the
office, the social services district shall post on its website the plan
and the assessment of comments. At the time it submits its plan to the
office, the social services district shall provide a copy of the plan
and assessment of comments to the temporary president of the senate and
the speaker of the assembly.
5. The office of children and family services, in consultation with
the office of mental health and the office of alcoholism and substance
abuse services, shall be authorized to request amendments to any plan
prior to approval. For any plan that only covers juvenile delinquents
placed in non-secure settings, the office shall, within thirty days of
receiving the plan, either approve or disapprove the plan or request
amendments to the plan. If any amendments are requested to the plan, the
office shall approve or disapprove the plan within fifteen days of its
resubmission with the requested amendments. For any plan that covers
juvenile delinquents placed in limited secure settings, the office
shall, within sixty days of receiving the plan, either approve or
disapprove the plan or request amendments to the plan. If any amendments
are requested to the plan, the office shall approve or disapprove the
plan within fifteen days of its resubmission with the requested
amendments. In no event shall the office approve such a plan for limited
secure settings prior to April first, two thousand thirteen.
6. (a) Notwithstanding any other provision of law to the contrary, if
the office of children and family services approves a social services
district's plan to implement a juvenile justice services close to home
initiative for juvenile delinquents placed in non-secure settings, such
office shall work with such district to identify those juvenile
delinquents in the office's custody residing in non-secure placements
and those conditionally released from a facility who were placed by a
family court within the jurisdiction of said social services district.
The office shall evaluate the placement length and the needs of such
juvenile delinquents and, where appropriate, file a petition pursuant to
section 355.1 of the family court act to transfer custody of such youth
to said social services district on the effective date of the plan, or
as soon as appropriate thereafter, but in no event later than ninety
days after such effective date; provided, however, if the office
determines, on a case-by-case basis, for reasons documented in writing
submitted to the social services district, that a transfer within ninety
days of the effective date of the plan would be detrimental to the
education or the emotional, mental or physical health of a youth, or
would seriously interfere with the youth's interstate transfer or
imminent discharge, the office shall provide an estimated time by which
the office expects to be able to petition for the transfer of such youth
or to release such youth from its care, and shall notify the district
and the attorney for the respondent of any delay of that expected date
and the reasons for such a delay.
(b) Notwithstanding any other provision of law to the contrary, if the
office approves a social services district's plan to implement a
juvenile justice services close to home initiative for juvenile
delinquents placed in limited-secure settings, such office shall work
with such district to identify juvenile delinquents in the office's
custody residing in limited secure placements who were placed by a
family court in the social services district. The office of children and
family services shall evaluate the placement length and needs of such
juvenile delinquents and, where appropriate, file a petition pursuant to
section 355.1 of the family court act to transfer custody of such youth
to said social services district on the effective date of the plan or as
soon as appropriate thereafter, but in no event later than ninety days
after such effective date; provided, however, if the office determines,
on a case-by-case basis, for reasons documented in writing submitted to
the social services district, that a transfer within ninety days of the
effective date of the plan would be detrimental to the education or the
emotional, mental or physical health of a youth, or would seriously
interfere with the youth's interstate transfer or imminent discharge,
the office shall provide an estimated time by which the office expects
to be able to petition for the transfer of such youth or to release such
youth from its care, and shall notify the district and the attorney for
the respondent of any delay of that expected date and the reasons for
such a delay.
7. (a) Notwithstanding the provisions of paragraph (c) of subdivision
fifteen of section five hundred one of the executive law, or any other
law to the contrary, if the office of children and family services
approves a social services district's plan for a juvenile justice
services close to home initiative to implement services for juvenile
delinquents placed in non-secure or limited secure settings, such office
shall be authorized, for up to a year after the effective date of the
first of any such approved plan for a district to implement services for
each setting level, but in no event later than September first, two
thousand fourteen: (1) to close any of its facilities in the
corresponding setting levels covered by the approved plan and to make
significant associated service reductions and public employee staffing
reductions and transfer operations for those setting levels to a private
or not-for-profit entity, as determined by the commissioner of the
office of children and family services solely to reflect the decrease in
the number of juvenile delinquents placed with such office from such
social services district; (2) to reduce costs to the state and other
social services districts resulting from such decrease; and (3) to
adjust services to provide regionally-based care to juvenile delinquents
from other parts of the state needing services in those levels of
residential services. At least sixty days prior to taking any such
action, the commissioner of the office shall provide notice of such
action to the speaker of the assembly and the temporary president of the
senate and shall post such notice upon its public website. Such notice
may be provided at any time on or after the date the office approves a
plan authorizing a social services district to implement programs for
juvenile delinquents placed in the applicable setting level. Such
commissioner shall be authorized to conduct any and all preparatory
actions which may be required to effectuate such closures or significant
service or staffing reductions and transfer of operations during such
sixty day period. In assessing which of such facilities to close, or at
which to implement any significant service reductions, public employee
staffing reductions and/or transfer of operations to a private or
not-for-profit entity, the commissioner shall consider the following
factors: (1) ability to provide a safe, humane and therapeutic
environment for placed youth; (2) ability to meet the educational,
mental health, substance abuse and behavioral health treatment needs of
placed youth; (3) community networks and partnerships that promote the
social, mental, economic and behavioral development of placed youth; (4)
future capacity requirements for the effective operation of youth
facilities; (5) the physical characteristics, conditions and costs of
operation of the facility; and (6) the location of the facility in
regards to costs and ease of transportation of placed youth and their
families.
(b) Any transfers of capacity or any resulting transfer of functions
shall be authorized to be made by the commissioner of the office of
children and family services and any transfer of personnel upon such
transfer of capacity or transfer of functions shall be accomplished in
accordance with the provisions of section seventy of the civil service
law.
8. (a) Notwithstanding any other provision of law to the contrary,
eligible expenditures during the applicable time periods made by a
social services district for an approved juvenile justice services close
to home initiative shall, if approved by the department of family
assistance, be subject to reimbursement with state funds only up to the
extent of an annual appropriation made specifically therefor, after
first deducting therefrom any federal funds properly received or to be
received on account thereof; provided, however, that when such funds
have been exhausted, a social services district may receive state
reimbursement from other available state appropriations for that state
fiscal year for eligible expenditures for services that otherwise would
be reimbursable under such funding streams. Any claims submitted by a
social services district for reimbursement for a particular state fiscal
year for which the social services district does not receive state
reimbursement from the annual appropriation for the approved close to
home initiative may not be claimed against that district's appropriation
for the initiative for the next or any subsequent state fiscal year.
(b) The department of family assistance is authorized, in its
discretion, to make advances to a social services district in
anticipation of the state reimbursement provided for in this section.
(c) A social services district shall conduct eligibility
determinations for federal and state funding and submit claims for
reimbursement in such form and manner and at such times and for such
periods as the department of family assistance shall determine.
(d) Notwithstanding any inconsistent provision of law or regulation of
the department of family assistance, state reimbursement shall not be
made for any expenditure made for the duplication of any grant or
allowance for any period.
(e) Claims submitted by a social services district for reimbursement
shall be paid after deducting any expenditures defrayed by fees, third
party reimbursement, and any non-tax levy funds including any donated
funds.
(f) The office of children and family services shall not reimburse any
claims for expenditures for residential services that are submitted more
than twenty-two months after the calendar quarter in which the
expenditures were made.
(g) Notwithstanding any other provision of law, the state shall not be
responsible for reimbursing a social services district and a district
shall not seek state reimbursement for any portion of any state
disallowance or sanction taken against the social services district, or
any federal disallowance attributable to final federal agency decisions
or to settlements made, when such disallowance or sanction results from
the failure of the social services district to comply with federal or
state requirements, including, but not limited to, failure to document
eligibility for the federal or state funds in the case record. To the
extent that the social services district has sufficient claims other
than those that are subject to disallowance or sanction to draw down the
full annual appropriation, such disallowance or sanction shall not
result in a reduction in payment of state funds to the district unless
the district requests that the department use a portion of the
appropriation toward meeting the district's responsibility to repay the
federal government for the disallowance or sanction and any related
interest payments.
(h) Rates for residential services. (i) The office shall establish the
rates, in accordance with section three hundred ninety-eight-a of this
chapter, for any non-secure facilities established under an approved
juvenile justice services close to home initiative. For any such
non-secure facility that will be used primarily by the social services
district with an approved close to home initiative, final authority for
establishment of such rates and any adjustments thereto shall reside
with the office, but such rates and any adjustments thereto shall be
established only upon the request of, and in consultation with, such
social services district.
(ii) A social services district with an approved juvenile justice
services close to home initiative for juvenile delinquents placed in
limited secure settings shall have the authority to establish and
adjust, on an annual or regular basis, maintenance rates for limited
secure facilities providing residential services under such initiative.
Such rates shall not be subject to the provisions of section three
hundred ninety-eight-a of this chapter but shall be subject to maximum
cost limits established by the office of children and family services.
9. Upon approval of a social services district's plan, the office of
children and family services shall notify the supervising family court
judge responsible for the family courts serving such district of the
effective date and placement settings covered by the plan.
(a) Beginning on the effective date of a district's approved plan that
only covers juvenile delinquents placed in non-secure settings, a family
court judge serving in a county where such social services district is
located shall only be authorized to place an adjudicated juvenile
delinquent in the custody of the commissioner of the office of children
and family services for placement in a secure or limited secure facility
pursuant to section 353.3 or 353.5 of the family court act.
(b) Beginning on the effective date of a district's approved plan to
implement programs for juvenile delinquents placed in limited secure
settings, a family court judge serving in a county where such social
services district is located shall only be authorized to place an
adjudicated juvenile delinquent in the custody of the commissioner of
the office of children and family services for placement in a secure
facility pursuant to section 353.3 or 353.5 of the family court act.
10. If the social services district receives the necessary approval to
implement a close to home initiative, the district shall implement the
initiative in accordance with all applicable federal and state laws and
regulations. If the social services district receives the necessary
approval of a plan for juvenile delinquents placed in limited secure
settings, the office shall promulgate regulations governing the
operation of such limited secure facilities. If such regulations are not
adopted prior to the date that an authorized agency applies for a
license to operate such a facility, the facility shall be subject to the
existing regulations of the office that would apply to the operation of
a foster care facility of the same size; provided, however, that the
office shall be authorized to grant an exception to the authorized
agency, until such limited secure regulations are adopted, to any such
existing regulation that the office determines would impede the ability
of the authorized agency to provide the restrictive setting and programs
necessary to serve youth who need placement in a limited secure setting
in accordance with the approved plan. Any limited secure facility that
is granted such a waiver shall comply with any alternate requirements
the office may consider necessary for the protection of the health or
safety of the juvenile delinquents in the facility or the surrounding
community. The office shall take all reasonable steps available to
finalize the adoption of regulations governing the operation of such
limited secure facilities no later than six months after it issues the
first license for a program to provide services to juvenile delinquents
placed in limited secure settings but in no event shall such regulations
be adopted on an emergency basis.
(a) The initiative shall be subject to the office of children and
family services' ongoing oversight and monitoring including, but not
limited to: case record reviews; staff, family, and client interviews;
on-site inspections; review of data regarding provider performance,
youth and staff safety, and quality of care, which must be provided to
the office in order to carry out its responsibilities, in the form and
manner and at such times as required by the office; and continued
licensing and monitoring of the authorized agencies providing services
under the plan pursuant to this chapter.
(b) The social services district shall provide each juvenile
delinquent with an appropriate level of services designed to meet his or
her individual needs and to enhance public safety and shall provide the
office of children and family services with specific information as
required by the office, in the format and at such times as required by
such office, on the youth participating in the initiative and the
programs serving such youth. Such information shall be provided to the
office of children and family services on a monthly basis for the first
twelve months immediately following the implementation of the programs
for each level of care and shall be provided to such office on a
quarterly basis thereafter.
11. The social services district shall submit an annual report to the
office of children and family services, the temporary president of the
senate and the speaker of the assembly, in the format required by such
office, detailing overall initiative performance. Such report shall
include, but not be limited to:
(a) number of juvenile delinquents placed with the local social
services district;
(b) number of juvenile delinquents placed in a non-secure facility
with the social services district;
(c) number of juvenile delinquents placed in a limited secure facility
with the social services district, as applicable;
(d) demographic information about juvenile delinquents in care;
(e) number of specialized beds in each category of specialized
program;
(f) number and nature of incident reports;
(g) number of juvenile delinquents absent without leave per facility;
(h) average length of stay;
(i) number of conditionally released juvenile delinquents;
(j) number of discharged juvenile delinquents who are subsequently
placed with the district;
(k) number and nature of corrective action plans and resolutions;
(l) number of juvenile delinquents transferred between facilities,
including the number of juvenile delinquents transferred between
non-secure and limited-secure facilities, as applicable; and
(m) number of petitions filed to transfer juvenile delinquents between
the custody of the office and the social services district.
12. If the office of children and family services determines that the
social services district is failing to adequately provide for the
juvenile delinquents placed under an approved plan, such office may
require the social services district to submit a corrective action plan,
for such office's approval, demonstrating how it will rectify the
inadequacies in the time specified by the office, but no later than
thirty days from such request. If the office determines that the social
services district is failing to make sufficient progress towards
implementing the corrective action plan in the time and manner approved
by the office but no later than sixty days from the date of submission
of the corrective action plan, the office shall provide the district
written notice of such determination and the basis therefor, and mandate
that the district take all necessary actions to implement the plan. If a
district has failed, within a reasonable time thereafter as specified by
the office based on the nature of the failure, which shall in no event
exceed sixty days, to make progress implementing any regulation, or any
other portion of such plan that is intended to prevent imminent danger
to the health, safety or welfare of the youth being served under the
plan, the office may withhold or set aside a portion of the funding due
under subdivision eight of this section until the district demonstrates
that sufficient progress is being made; or terminate the district's
authority to operate all or a portion of the juvenile justice services
close to home initiative, take all necessary steps to assume custody
for, and provide services to, the applicable juvenile delinquents being
served under the initiative, and discontinue funds provided to the
district for such services. The office shall not withhold, set aside or
discontinue state aid to a district until written notice is given to the
commissioner of the district, and in the event funding is withheld, set
aside or discontinued, the district may appeal to the office, which
shall hold a fair hearing thereon in accordance with the provisions of
section twenty-two of this chapter relating to fair hearings. The
district may institute a proceeding for a review of the determination of
the office following the fair hearing pursuant to article seventy-eight
of the civil practice law and rules. Any funds withheld, set aside or
discontinued pursuant to this provision shall be applied to address the
problem which was the basis for such sanction. If the office terminates
a district's authority to operate any portion of a juvenile justice
services close to home initiative in accordance with this subdivision,
the office shall notify the supervising family court judge responsible
for the family courts serving such district of such termination and the
effective date of such termination.
13. Once a plan becomes operative pursuant to this section, the social
services district shall carry out the following functions, powers and
duties with respect to placements of juvenile delinquents in accordance
with the provisions of such plan and all applicable federal and state
laws and regulations:
(a) to enter into contracts with authorized agencies, as defined in
section three hundred seventy-one of this chapter, to operate and
maintain facilities authorized under such plan; such contracts may
include such program requirements as deemed necessary by the district;
(b) to determine the particular facility or program in which a
juvenile delinquent placed with the district shall be cared for, based
upon any applicable court order, pursuant to subdivision two of section
353.3 of the family court act, and an evaluation of such juvenile
delinquent;
(c) to transfer a juvenile delinquent from one facility to any other
facility, when the interests of such juvenile delinquent require such
action, upon prior notice to the respondent, the attorney for the
respondent and the respondent's parent or legal guardian, unless an
immediate change of placement is necessary, in which case such notice
shall be transmitted on the next business day; provided that, if the
district has an approved plan to implement services for juvenile
delinquents placed in limited secure settings, a juvenile delinquent
transferred to a non-secure facility from a limited secure facility may
be returned to a limited secure facility upon a determination by the
district that, for any reason, care and treatment at the non-secure
facility is no longer suitable;
(d) to cause a juvenile delinquent under the jurisdiction of the
district who has run away from a facility run by the district or an
authorized agency; or is conditionally released and has violated a
condition of release therefrom, or if there is a change in circumstances
and the district determines that it would be consistent with the needs
and best interests of said juvenile delinquent and the need to protect
the community; to be apprehended and returned to the district, detention
facility, authorized agency, or program pursuant to regulations of the
office of children and family services; provided further that:
(i) a social services official shall give immediate written notice to
both the office and the family court when any juvenile delinquent placed
with the social services district is absent from such placement without
consent;
(ii) an authorized agency shall give immediate written notice to the
office, the district and the family court when any juvenile delinquent
placed by the district for care in such authorized agency is absent from
such placement without consent;
(iii) a magistrate may cause a runaway or conditionally released
juvenile delinquent to be held in custody until returned to the
district;
(e) to issue a warrant for the apprehension and return of a juvenile
delinquent under the jurisdiction of the district who has run away from
a facility run by the district or an authorized agency; or is
conditionally released and has violated a condition of release
therefrom, or if there is a change in circumstances and the district
determines that it would be consistent with the needs and best interest
of said juvenile delinquent and the need to protect the community;
pursuant to regulations of the office of children and family services;
provided that:
(i) a social services official, pursuant to the regulations of the
office of children and family services, shall issue a warrant directed
generally to any peace officer, acting pursuant to such officer's
special duties, or police officer in the state for the apprehension and
return of any runaway or conditionally released juvenile delinquent
under the jurisdiction of the district and such warrant shall be
executed by any peace officer, acting pursuant to such officer's special
duties, or police officer to whom it may be delivered; the social
services district also shall provide relevant law enforcement agencies
within forty-eight hours with any photographs of any runaway or
conditionally released juvenile delinquent for whom a warrant is issued,
together with any pertinent information relative to such juvenile
delinquent; such photographs shall remain the property of the social
services district and shall be kept confidential for use solely in the
apprehension of such juvenile delinquent and shall be returned promptly
to the district upon apprehension of such juvenile delinquent, or upon
the demand of the district;
(f) to authorize an employee designated by the social services
district, without a warrant, to apprehend a runaway or conditionally
released juvenile delinquent under the jurisdiction of the district who
has run away from a facility run by the district or an authorized
agency; or is conditionally released and has violated a condition of
release therefrom, or if there is a change in circumstances and the
district determines that it would be consistent with the needs and best
interests of said juvenile delinquent and the need to protect the
community; in any county in this state whose return has been ordered by
the district pursuant to the regulations of the office, and return said
juvenile delinquent to any appropriate social services district,
detention facility, authorized agency or program;
(g) pursuant to the regulations of the office of children and family
services, to develop and operate programs for youth placed or referred
to the district or in conjunction with an order provided in accordance
with section 353.6 of the family court act;
(h) upon the placement of any juvenile delinquent eighteen years of
age or older, or upon the eighteenth birthday of any youth placed in the
custody of the social services district for an adjudication of juvenile
delinquency for having committed an act which if committed by an adult
would constitute a felony, and still in the custody of the social
services district, to notify the division of criminal justice services
of such placement or birthday. Provided, however, in the case of a youth
eleven or twelve years of age at the time the act or acts were
committed, the division of criminal justice services shall not be
provided with the youth's name, unless the acts committed by such youth
would constitute a class A or B felony. Upon the subsequent discharge it
shall be the duty of the social services district to notify the division
of criminal justice services of that fact and the date of discharge. For
the purposes of this paragraph, a youth's age shall be determined to be
the age stated in the placement order;
(i) to provide juvenile delinquents in residential placements with
reasonable and appropriate visitation by family members and consultation
with their legal representative in accordance with the regulations of
the office of children and family services; and
(j) to provide residential care in programs subject to the regulations
of the office of children and family services, for infants born to or
being nursed by female juvenile delinquents placed with the district;
residential care for such an infant may be provided for such period of
time as is deemed desirable for the welfare of the mother or infant.
14. The following persons shall be authorized to visit, at their
pleasure, all programs operated by a social services district pursuant
to, or in accordance with this section: the governor; lieutenant
governor; comptroller; attorney general; members of the legislature;
judges of the court of appeals; judges from supreme court, family court
and county courts and district attorneys, county attorneys and attorneys
employed in the office of the corporation counsel having jurisdiction
within the applicable social services district or county where a program
is located; and any person or agency otherwise authorized by statute.
15. A juvenile delinquent in the care of the social services district
who attends public school while in residence at a facility shall be
deemed a resident of the school district where the youth's parent or
guardian resides at the commencement of each school year for the purpose
of determining which school district shall be responsible for the
youth's tuition.
16. The social services district shall be permitted to appear as
amicus in any action involving an appeal from a decision of any court of
this state that relates to programs, conditions or services provided by
such district or any authorized agency with which the district has
placed a juvenile delinquent pursuant to this section. Written notice
shall be given by the corporation counsel of the city of New York, or
county attorney, as applicable, to the parties to the appeal when such
amicus status is requested.
17. Notwithstanding any provision of law to the contrary, the social
services district may delay acceptance of a juvenile delinquent in
detention who is placed in the district's custody in accordance with the
regulations of the office of children and family services; provided,
however, that where the juvenile delinquent is in detention, such delay
may not exceed fifteen days from the date the placement was made except
as provided for in subdivision three of section three hundred
ninety-eight of this article.
18. No order that places a juvenile delinquent in the custody of the
social services district that recites the facts upon which it is based
shall be deemed or held to be invalid by reason of any imperfection or
defect in form.
* NB Repealed March 31, 2028
TITLE 3 Child Welfare Services
Department of social welfare designated as state agency. The
department is hereby designated as the agency of the state to administer
and expend any and all grants of moneys allocated or made available to
the state under the provisions of the federal social security act for
child welfare services as defined in such act, subject to the provisions
of such act and rules and regulations established thereunder and to the
laws of the state and rules and regulations established by the state
comptroller.
Powers of department of social welfare. The department is
hereby authorized and required:
1. to prepare a plan or plans for such child welfare services and
upon their approval by such federal authority to execute the same. Such
plans shall make provision for coordination between the services
provided under such plans and the services provided as family assistance
under title ten of article five with the view of providing welfare and
related services which will best promote the welfare of children and
their families.
2. to allocate and disburse to districts, counties or other local
subdivisions of the state such amounts from moneys received by the state
under the provisions of this title as are available for payment of part
of the cost of district, county or other local child welfare services in
accordance with such approved plans. Such district, county and other
local subdivisions of the state are hereby authorized to receive and
expend such allotments but only for the purposes of such plans and
subject to the supervision and general direction of the department.
Such district, county and other local subdivisions shall, when required
by the department to comply with the provisions of such approved plan,
perform the functions required.
3. to develop within the department services for the encouragement
and assistance of adequate methods of community child welfare
organization in accordance with such approved plans.
4. to establish and to alter and amend such regulations as may be
necessary for the administration of such plans and the provisions of
this title.
5. to prepare for inclusion in the annual report required by
subdivision (d) of section seventeen of this chapter to be filed with
the governor and the legislature prior to the fifteenth day of December
of each year, a written evaluation report of the delivery of child
welfare services in the state. Such evaluation report shall include,
but need not be limited to, supervision of foster care and the agencies
providing such care, information on the types of problems creating the
need for foster care placements, preventive and protective services, the
transfer of children in care and the reasons therefor, identification of
target groups not receiving adequate services, and projected plans for
providing services to such groups. Such report shall include progress
made and problems encountered in the implementation of "the child
welfare reform act of 1979", and amendments thereto. Such report shall
also include aggregate expenditures; persons receiving services; cost
comparisons among social services districts, among types of services and
services programs, and among fiscal periods; unit costs; and
cost-effectiveness of the provision of preventive services pursuant to
title four of this chapter. In developing such evaluation, the
department shall consult and coordinate with the board of social
welfare, the division for youth, and the departments of mental hygiene,
health and education.
Custodian of funds. The department of taxation and finance is
hereby authorized to accept and receive on behalf of the state any and
all grants or allotments of money made available to the state by or
pursuant to the federal social security act for such child welfare
services. All moneys so accepted and received shall be deposited by the
department of taxation and finance to the credit of a special fund for
use exclusively for the purposes for which such grants or allotments
were made. The department shall certify to the comptroller all
expenditures to be made from such special fund for payment of the part
of the cost of district, county or other local child welfare services
and for developing state services for the encouragement and assistance
of adequate methods of community child welfare organization. Such
expenditures may be made for personal service and for administrative and
other costs of operation.
TITLE 4 Preventive Services For Children and Their Families
Preventive services; definition. As used in this title,
"preventive services" shall mean supportive and rehabilitative services
provided, in accordance with the provisions of this title and
regulations of the department, to children and their families for the
purpose of: averting an impairment or disruption of a family which will
or could result in the placement of a child in foster care; enabling a
child who has been placed in foster care to return to his family at an
earlier time than would otherwise be possible; or reducing the
likelihood that a child who has been discharged from foster care would
return to such care.
Preventive services; provision by social services officials.
1. (a) A social services official shall provide preventive services to
a child and his or her family, in accordance with the family's service
plan as required by section four hundred nine-e of this chapter and the
social services district's child welfare services plan submitted and
approved pursuant to section four hundred nine-d of this chapter, upon a
finding by such official that (i) the child will be placed, returned to
or continued in foster care unless such services are provided and that
it is reasonable to believe that by providing such services the child
will be able to remain with or be returned to his or her family, and for
a former foster care youth under the age of twenty-one who was
previously placed in the care and custody or custody and guardianship of
the local commissioner of social services or other officer, board or
department authorized to receive children as public charges where it is
reasonable to believe that by providing such services the former foster
care youth will avoid a return to foster care or * (ii) the child is the
subject of a petition under article seven of the family court act or by
the probation service, to be at risk of being the subject of such a
petition, and the social services official determines that the child is
at risk of placement into foster care or
* NB Effective until June 30, 2027
* (ii) the child is the subject of a petition under article seven of the
family court act, or has been determined by the assessment service
established pursuant to section two hundred forty-three-a of the
executive law, or by the probation service where no such assessment
service has been designated, to be at risk of being the subject of such
a petition, and the social services official determines according to
standards promulgated pursuant to section three hundred ninety-eight-b
of this chapter that the child is at risk of placement into foster care.
Such finding shall be entered in the child's uniform case record
established and maintained pursuant to section four hundred nine-f of
this chapter. The commissioner shall promulgate regulations to assist
social services officials in making determinations of eligibility for
mandated preventive services pursuant to clause (ii) of this paragraph.
* NB Effective June 30, 2027
(iii) the child is under the age of twelve, the child does not fall
under the definition of a juvenile delinquent pursuant to subparagraph
(iii) of paragraph (a) of subdivision one of section 301.2 of the family
court act and but for their age, their behavior would bring them within
the jurisdiction of the family court pursuant to article three of the
family court act, and the social services official determines that the
child is at risk of placement into foster care. Such finding shall be
entered in the child's uniform case record established and maintained
pursuant to section four hundred nine-f of this article. The
commissioner shall promulgate regulations to assist social services
officials in making determinations of eligibility for mandated
preventive services pursuant to this subparagraph.
(b) When a child and his family have received preventive services for
a period of six months pursuant to this subdivision, the social services
official shall continue to provide such services only upon making a new
finding that the child will be placed or continued in foster care unless
such services are provided and that it is reasonable to believe that by
providing such services, the child will be able to remain with or be
returned to his family. Such new finding shall be entered in the child's
uniform case record established and maintained pursuant to section four
hundred nine-f of this chapter.
2. A social services official is authorized to provide preventive
services to a child and his family to accomplish the purposes set forth
in section four hundred nine of this chapter, when such services are not
required to be provided pursuant to subdivision one of this section.
3. * (a) A social services official is authorized to provide community
preventive services to communities likely to benefit from such services
to accomplish the purposes set forth in section four hundred nine of
this chapter. Social services officials may apply to the office of
children and family services for waiver of eligibility and
administrative requirements for preventive services to be provided
pursuant to this subdivision. Such application shall include a plan
setting forth the services to be provided, the persons or community that
will receive the services and the estimated cost of such services. Upon
approval of the application by the office of children and family
services, eligibility requirements established in statute or regulation
may be waived for those persons and communities identified in the plan
as recipients of the services set forth in the plan. Where services are
administered pursuant to a plan approved by the office of children and
family services, the office of children and family services may waive
the requirements of section four hundred nine-f or four hundred
forty-two of this article.
* NB Effective until June 30, 2027
* (a) A social services official is authorized to provide community
preventive services to communities likely to benefit from such services
to accomplish the purposes set forth in section four hundred nine of
this chapter. Social services officials may apply to the department for
waiver of eligibility and administrative requirements for preventive
services to be provided pursuant to this subdivision. Such application
shall include a plan setting forth the services to be provided, the
persons or community that will receive the services and the estimated
cost of such services. Upon approval of the application by the
department, eligibility requirements established in statute or
regulation may be waived for those persons and communities identified in
the plan as recipients of the services set forth in the plan. Where
services are administered pursuant to a plan approved by the department,
the department may waive the requirements of sections one hundred
fifty-three-d and three hundred ninety-eight-b of this chapter
pertaining to denial or reimbursement. Where such a waiver is approved,
the department approval must specify standards whereby services provided
will be subject to denial of reimbursement. Where services are
administered pursuant to a plan approved by the department, the
department may waive the requirements of section four hundred nine-f or
four hundred forty-two of this article.
* NB Effective June 30, 2027
(b) The department must inform social services districts of procedures
governing application for waivers of eligibility and administrative
requirements and approval of waivers of eligibility and administrative
requirements. Where such waivers are granted, the department shall have
the authority to establish alternative standards to be followed by
social services officials who are granted waivers by the department.
Upon approval of an application for such waivers, the department
approval must specify the requirements being waived and any alternative
standards established.
(c) Community preventive services may be provided pursuant to this
subdivision through demonstration projects to the extent the department
makes funds available for such projects.
(d) The department shall develop an evaluation plan no later than
April first, nineteen hundred eighty-eight, for community service
demonstration projects and, subject to the approval of the director of
the budget, may use up to five percent of the amount annually
appropriated for project grants to conduct such evaluation which shall
include but need not be limited to: an assessment of the effectiveness
of various service delivery models in creating or enhancing linkages
among school, housing, health, and income support services available in
the community; the effectiveness of various preventive services in
averting family disruption; the cost effectiveness of providing
community focused preventive services; the impact of this service
provision on requirements for more intensive mandated preventive
services; and, the feasibility of replicating successful service models
in other communities throughout the state.
4. Preventive services may be provided directly by the social services
official or through purchase of service, in accordance with regulations
of the department.
5. (a) Regulations of the department, promulgated pursuant to and not
inconsistent with this section, shall contain program standards
including, but not limited to: specification of services to be
classified as preventive services; appropriate circumstances and
conditions for the provision of particular services; appropriate
providers and recipients of such services; and time limits, as may be
appropriate, for the provision of particular services. The department
shall, subject to the approval of the director of the budget, establish
reimbursement or charge limitations for particular services or groups of
services to be provided. The department shall also promulgate
regulations to prevent social services districts from overutilizing
particular forms or types of preventive services and to encourage
districts to provide balanced preventive services programs based on the
identified needs of children and families residing in such districts.
(b) The program standards promulgated pursuant to this subdivision
shall be developed with the participation of the child welfare standards
advisory council established pursuant to section four hundred nine-h of
this chapter and in consultation with public and voluntary authorized
agencies, citizens' groups and concerned individuals and organizations,
including the state council on children and families.
(c) Notwithstanding any other provision of this section, where a
social services official determines that a lack of adequate housing is
the primary factor preventing the discharge of a child or children from
foster care including, but not limited to, children with the goal of
discharge to independent living, preventive services shall include, in
addition to any other payments or benefits received by the family,
special cash grants in the form of rent subsidies, including rent
arrears, or any other assistance, sufficient to obtain adequate housing.
Such rent subsidies or assistance shall not exceed the sum of seven
hundred twenty-five dollars per month, shall not be provided for a
period of more than three years, and shall be considered a special
grant. Nothing in this paragraph shall be construed to limit the ability
of those using such rent subsidy to live with roommates. The provisions
of this paragraph shall not be construed to limit such official's
authority to provide other preventive services.
(e) (i) A social services official is authorized to establish and
operate, or contract for the establishment and operation of, intensive,
homebased, family preservation programs.
(ii) Notwithstanding any other provision of law, reimbursement for
intensive, homebased family preservation services shall be limited to
those programs that reduce or avoid the need for foster care of children
who are in imminent danger of placement. Such programs shall employ
caseworkers trained in family preservation techniques and who provide at
least half of their direct services in the client's residence or
temporary home, work with no more than four families at any given time,
provide direct therapeutic services for up to thirty days which may be
extended up to an additional thirty days per family and are available
twenty-four hours a day. No program described herein shall receive
reimbursement unless such program agrees to collect and provide to the
department information necessary to evaluate and assess the degree to
which such program results in lower costs to the state and to social
services districts than those of foster care placement. Such information
shall be compiled in a manner that permits comparisons between families
served by such programs and those families who meet eligibility criteria
but who were not able to be served within available resources.
(f) Notwithstanding any other provision of law, where a social
services official authorizes the provision of respite care, such care
shall mean the temporary care and supervision of a child to relieve
parents or other persons legally responsible for the care of such child
where immediate relief is needed to maintain or restore family
functioning.
6. In accordance with regulations of the department, where the child's
family is able to pay all or part of the cost of such services, payments
of such fees as may be reasonable or other third party reimbursement as
may be available in the light of such ability shall be required.
Expenditures subject to reimbursement pursuant to section four hundred
nine-b of this title shall be reduced by the sum of all fees received or
to be received pursuant to this subdivision.
* 7. Notwithstanding any other provision of this section, if a social
services official determines that a lack of adequate housing is a factor
that may cause the entry of a child or children into foster care and the
family has at least one service need other than lack of adequate
housing, preventive services may include, in addition to any other
payments or benefits received by the family, special cash grants in the
form of rent subsidies, including rent arrears, or any other assistance,
sufficient to obtain adequate housing. Such rent subsidies or assistance
shall not exceed the sum of seven hundred twenty-five dollars per month,
shall not be provided for a period of more than three years, and shall
be considered a special grant. Nothing in this subdivision shall be
construed to limit the ability of those using such rent subsidy to live
with roommates. The provisions of this paragraph shall not be construed
to limit such official's authority to provide other preventive services.
* NB There are two sub 7's
* 7. Notwithstanding any other provision of law, preventive services
information governed by this section may be released by the department,
social services district or other provider of preventive services to a
person, agency or organization for purposes of a bona fide research
project. Identifying information shall not be made available, however,
unless it is absolutely essential to the research purpose and the
department gives prior approval. Information released pursuant to this
subdivision shall not be re-disclosed except as otherwise permitted by
law and upon the approval of the department.
* NB There are 2 sub 7's
8. In contracting for the provision of preventive services, social
services districts shall, to the extent feasible, place such services in
areas with a high rate of child abuse and neglect and foster care
placements. Social services districts shall, to the extent feasible,
consider as a priority community-based organizations with a record of
providing quality services to children and families in such communities.
9. (a) Notwithstanding any provision of law to the contrary, records
relating to children pursuant to this section shall be made available to
officers and employees of the state comptroller, or of the city
comptroller of the city of New York, or of the county officer designated
by law or charter to perform the auditing function in any county not
wholly contained within a city, for purposes of a duly authorized
performance audit, provided, however that such comptroller or officer
shall have certified to the keeper of such records that he or she has
instituted procedures developed in consultation with the department to
limit access to client-identifiable information to persons requiring
such information for purposes of the audit, that such persons shall not
use such information in any way except for purposes of the audit and
that appropriate controls and prohibitions are imposed on the
dissemination of client-identifiable information obtained in the conduct
of the audit. Information pertaining to the substance or content of any
psychological, psychiatric, therapeutic, clinical or medical reports,
evaluations or like materials or information pertaining to such child or
the child's family shall not be made available to such officers and
employees unless disclosure of such information is absolutely essential
to the specific audit activity and the department gives prior written
approval.
(b) Any failure to maintain the confidentiality of client-identifiable
information shall subject such comptroller or officer to denial of any
further access to records until such time as the audit agency has
reviewed its procedures concerning controls and prohibitions imposed on
the dissemination of such information and has taken all reasonable and
appropriate steps to eliminate such lapses in maintaining
confidentiality to the satisfaction of the department. The department
shall establish the grounds for denial of access to records contained
under this section and shall recommend as necessary a plan of
remediation to the audit agency, except as provided in this section,
nothing in this subdivision shall be construed as limiting the powers of
such comptroller or officer to records which he is otherwise authorized
to audit or obtain under any other applicable provision of law, any
person given access to information pursuant to this subdivision who
released data or information to persons or agencies not authorized to
receive such information shall be guilty of a class A misdemeanor.
10. All sums received by the state under section 201 of Federal Public
Law 105-89 shall be paid to the districts in proportion to the amount
earned by the district for federal adoption incentives and shall only be
used to provide preventive services to a child and his or her family as
defined in paragraph (a) of subdivision five of this section, in
addition to those required by the maintenance of effort requirement
contained in subdivision six of section one hundred fifty-three-i of
this chapter, except that up to thirty percent of such sums may be used
to provide post-adoption services to children or families. Preventive
services shall include substance abuse treatment services provided to
pregnant women or a caretaker person in an outpatient, residential or
in-patient setting. Amounts expended by the state in accordance with
this section shall be disregarded in determining the state's
expenditures for purposes of federal matching payments under sections
four hundred twenty-three, four hundred thirty-four and four hundred
seventy-four of this chapter.
* 11. (a) The office of children and family services shall collect the
following data regarding preventive services, as defined in section four
hundred nine of this title, and compile an annual report on such data by
local social services district:
(i) the total number of children and families admitted to or receiving
a new service authorization for preventive services during the preceding
calendar year;
(ii) the total annual number of unduplicated children and families
receiving one or more days of preventive services including how many new
preventive cases were opened during the preceding calendar year and to
the extent such information is known and available after making all
diligent efforts, the referral source for each new case;
(iii) the total number of children and families whose preventive
services authorization was closed during the preceding calendar year;
(iv) a descriptive list of the services and their utilization rate, if
practicable, in each local social services district which utilize
preventive service funding as allowable under section one hundred
fifty-three-k of this chapter;
(v) a descriptive list and their utilization rate, if practicable, of
other preventive services provided by a local social services district
that does not utilize preventive service funding pursuant to section one
hundred fifty-three-k of this chapter. For purposes of this paragraph,
other preventive services shall include but not be limited to primary
preventive services which may be funded through community optional
preventive services funding or home visiting funds;
(vi) the total number of children who entered foster care during the
preceding calendar year who had received preventive services at any
point during the twelve-months prior to their entry into foster care;
and
(vii) any other information the commissioner may deem necessary to
include in said report.
(b) The office of children and family services shall submit such
report to the governor, the speaker of the assembly, the temporary
president of the senate, the chairpersons of the assembly and senate
children and families committees, the chairperson of the assembly ways
and means committee and the chairperson of the senate finance committee
starting no later than September first, two thousand twenty-one. Such
report shall include data and information required by paragraph (a) of
this subdivision for the preceding calendar year, to the extent such
information is available. When practicable, such information shall be
disaggregated by age, sex, race and ethnicity.
(c) The initial report shall include the aforementioned data from the
preceding two calendar years.
* NB Repealed September 1, 2027
TITLE 4-A Child Welfare Services Planning and Administration
District-wide child welfare services plan. 1. Each social
services district shall prepare and submit to the department, in such
form and manner and times as the department shall by regulation require,
a district-wide child welfare services plan which shall be a component
of the district's multi-year consolidated services plan setting forth:
the child welfare services needs of children and families for whom the
social services district is or may be responsible; historic program and
fiscal trends of the district in the level of care, maintenance and
services provided to children and their families, including but not
limited to expenditure trends, children and families served and costs of
services provided; an assessment of projected program and fiscal
requirements of the district in meeting identified needs in the next
state fiscal year; and a description of the resources known to be
available or likely to become available to meet those needs. Commencing
the year following preparation of a multi-year consolidated services
plan, each social services district shall prepare an annual
implementation report related to its child welfare services plan. As
used in this section "services" shall mean and include preventive
services, foster care maintenance and services, and adoption services.
Such regulations shall include but need not be limited to criteria and
methodology for determining child welfare services needs and the
adequacy of the resources known to be available or likely to become
available to meet those needs.
2. The child welfare services plan and annual implementation reports
shall be developed by the district in consultation with other government
agencies concerned with the welfare of children residing in the
district, authorized agencies, and other concerned individuals and
organizations. The plan as submitted to the department for approval and
as approved by the department shall be made available to such agencies,
individuals and organizations upon request.
3. (a) Each social services district shall submit its child welfare
services plan and annual implementation reports pertaining to this plan
to the department as a component of the multi-year consolidated services
plan and subsequent annual implementation reports and the department
shall review and approve or disapprove the proposed plan in accordance
with the procedures set forth in section thirty-four-a of this chapter.
(b) Such plan shall not be approved unless:
(i) it complies with the provisions of this section;
(ii) it demonstrates that child welfare services included in the plan
are appropriate to meet the assessed needs of the children and families
for whom the social services district is or may be responsible;
(iii) it is consistent with applicable provisions of this chapter and
regulations of the department promulgated thereunder; and
(iv) it is in the format and includes such standardized information
and data as may be required by the department to effectively evaluate
such plans.
Family service plan. 1. With respect to each child who is
identified by a local social services district as being considered for
placement in foster care as defined in section one thousand eighty-seven
of the family court act by a social services district, such district,
within thirty days from the date of such identification, shall perform
an assessment of the child and his or her family circumstances. Where a
child has been removed from his or her home, within thirty days of such
removal the local social services district shall perform an assessment
of the child and his or her family circumstances, or update any
assessment performed when the child was considered for placement. Any
assessment shall be in accordance with such uniform procedures and
criteria as the office of children and family services shall by
regulation prescribe. Such assessment shall include the following:
(a) a statement of the specific immediate problems which appear to
require some intervention by the social services officials;
(b) a description of the long term family relationships, an assessment
of trends in the stability of the family unit, and of the likelihood
that specific preventive services will increase family stabilization
sufficiently to prevent placement or to reduce the duration of a
necessary placement;
(c) an estimate of the time period necessary to ameliorate the
conditions leading to a need for placement, and a description of any
immediate actions that have been taken or must be taken during or
immediately after the conclusion of the assessment; and
(d) where placement in foster care is determined necessary, the
reasonable efforts made to prevent or eliminate the need for placement
or the reason such efforts were not made, the kind and level of
placement and the reasons therefor, whether the child will be placed
with the child's siblings and half-siblings and, if not, the reasons
therefor and the arrangements made for contact between the siblings and
half-siblings, identification of all available placement alternatives
and the specific reasons why they were rejected, an estimate of the
anticipated duration of placement, and plan for termination of services
under appropriate circumstances, with specific explanation of the
reasons for such termination plan.
2. Upon completion of any assessment provided for in subdivision one
of this section, and not later than thirty days after placement of a
child in foster care pursuant to article three or seven of the family
court act or not later than thirty days after a child is removed from
his or her home, the local social services district shall establish or
update and maintain a family service plan based on the assessment
required by subdivision one of this section. The plan shall be prepared
in consultation with the child's parent or guardian, unless such person
is unavailable or unwilling to participate, or such participation would
be harmful to the child, and with the child if the child is ten years of
age or older, and, where appropriate, with the child's siblings. Such
consultation shall be done in person, unless such a meeting is
impracticable or would be harmful to the child. If it is impracticable
to hold such consultation in person, such consultation may be done
through the use of technology, including but not limited to,
videoconferencing and teleconference technology. If the parent is
incarcerated or residing in a residential drug treatment facility, the
plan shall reflect the special circumstances and needs of the child and
the family. The plan shall include at least the following:
(a) time frames for periodic reassessment of the care and maintenance
needs of each child and the manner in which such reassessments are to be
accomplished;
(b) short term, intermediate and long range goals for the child and
family and actions planned to meet the need of the child and family and
each goal;
(c) identification of necessary and appropriate services and
assistance to the child and members of the child's family. The services
so identified shall, before being included in the family service plan,
be assessed to determine the projected effectiveness of such plan
including but not limited to the following considerations:
(i) the family's concurrence with the plan;
(ii) the ability and motivation of the family to access services,
including geographic accessibility;
(iii) the relatedness of the services to the family's needs and its
socio-economic and cultural circumstances; and
(iv) other factors which may impact upon the effectiveness of such
plan. The service plan shall also describe the availability of such
services and the manner in which they are to be provided;
(d) any alternative plans for services where specific services are not
available, and any viable options for services considered during the
planning process;
(e) where placement in foster care is determined necessary,
specification of the reasons for such determination, the kind and level
of placement, any available placement alternatives, an estimate of the
anticipated duration of placement, and plan for termination of services
under appropriate circumstances.
3. The plan shall be reviewed and revised, in accordance with the
procedures and standards in subdivision two of this section, at least
within the first ninety days following the date the child was first
considered for placement in foster care, and, if the child has been
placed in foster care pursuant to article three or seven of the family
court act or removed from his or her home, within the first ninety days
following the date of placement or removal. The plan shall be further
reviewed and revised not later than one hundred twenty days from this
initial review and at least every six months thereafter; provided,
however, that if a sibling or half-sibling of the child has previously
been considered for placement or removed from the home, the plan shall
be further reviewed and revised on the schedule established for the
family based on the earliest of those events. Such revisions shall
indicate the types, dates and sources of services that have actually
been provided and an evaluation of the efficacy of such services, and
any necessary or desirable revisions in goals or planned services. The
review and revision of the plan shall be prepared in consultation with
the child's parent or guardian, unless such person is unavailable or
unwilling to participate, or such participation would be harmful to the
child, and with the child if the child is ten years of age or older,
and, where appropriate, with the child's siblings. Such consultation
shall be done in person, unless such a meeting is impracticable or would
be harmful to the child. If it is impracticable to hold such
consultation in person, such consultation may be done through the use of
technology, including but not limited to, videoconferencing and
teleconference technology.
4. In accordance with regulations of the department, relevant portions
of the assessment of the child and family circumstances, including but
not limited to the material described in paragraph (d) of subdivision
one of this section, and a complete copy of the family service plan,
established pursuant to subdivisions one and two, respectively, of this
section shall be given to the child's parent or guardian, counsel for
such parent or guardian, and the child's attorney, if any, within ten
days of preparation of any such plan.
5. The family service plan developed in regard to a child in foster
care pursuant to this section shall include the permanency plan provided
to the court in accordance with the family court act and this chapter.
6. Nothing in this section shall require a social services district to
complete an assessment or service plan for a child who is in the custody
of the office of children and family services, unless the child is also
in the care and custody or custody and guardianship of the commissioner
of the social services district.
Uniform case recording. 1. With respect to each child
described in subdivision one of section four hundred nine-e of this
title, the social services district shall establish and maintain a
uniform case record, consisting of the assessment, the family service
plan, descriptions of care, maintenance or services provided to such
child and family and the dates provided, essential data relating to the
identification and history of such child and family, all official
documents and records of any judicial or administrative proceedings
relating to the district's contact with the child and family, and such
other records as the department may by regulation require to adequately
review case management by the districts. The department shall by
regulation specify the format and contents of the uniform case record.
Such regulation shall be developed in consultation with public and
voluntary authorized agencies, citizens' groups and concerned
individuals and organizations, including the state council on children
and families. The uniform case record shall be maintained by the
district in a manner consistent with the confidential nature of such
records and shall be made available in accordance with applicable
provisions of law. When a hearing has been requested in accordance with
section twenty-two of this chapter, a copy of the portions of the record
relevant to the hearing shall also be made available to the child's
parent or guardian, counsel for the parent or guardian, and, if
participating in the hearing, the child's attorney.
2. Notwithstanding any other provision of law, uniform case record
information governed by this section may be released by the department,
social services district or other provider of child welfare services to
a person, agency or organization for purposes of a bona fide research
project. Identifying information shall not be made available, however,
unless it is absolutely essential to the research purpose and the
department gives prior approval. Information released pursuant to this
subdivision shall not be re-disclosed except as otherwise permitted by
law and upon the approval of the department.
3. (a) Notwithstanding any inconsistent provision of law to the
contrary, records relating to children pursuant to this section shall be
made available to officers and employees of the state comptroller or of
the city comptroller of the city of New York, or of the county officer
designated bylaw or charter to perform the auditing function in any
county not wholly contained within a city, for purposes of a duly
authorized performance audit; provided, however, that such comptroller
or officer shall have certified to the keeper of such records that he or
she has instituted procedures developed in consultation with the
department to limit access to client-identifiable information to persons
requiring such information for purposes of the audit, that such persons
shall not use such information in any way except for purposes of the
audit and that appropriate controls and prohibitions are imposed on the
dissemination of client-identifiable information obtained in the conduct
of the audit. Information pertaining to the substance or content of any
psychological, psychiatric, therapeutic, clinical or medical reports,
evaluations or like materials or information pertaining to such child or
the child's family shall not be made available to such officers and
employees unless disclosure of such information is absolutely essential
to the specific audit activity and the department gives prior written
approval.
(b) Any failure to maintain the confidentiality of client-identifiable
information shall subject such comptroller or officer to denial of any
further access to records until such time as the audit agency has
reviewed its procedures concerning controls and prohibitions imposed on
the dissemination of such information and has taken all reasonable and
appropriate steps to eliminate such lapses in maintaining
confidentiality to the satisfaction of the department. The department
shall establish the grounds for denial of access to records contained
under this section and shall recommend as necessary a plan of
remediation to the audit agency. Except as provided in this section,
nothing in this subdivision shall be construed as limiting the powers of
such comptroller or officer to access records which he is otherwise
authorized to audit or obtain under any other applicable provision of
law. Any person given access to information pursuant to this subdivision
who releases data or information to persons or agencies not authorized
to receive such information shall be guilty of a class A misdemeanor.
Training of child welfare personnel. Within the amounts
appropriated therefor, including all federal reimbursement received or
to be received on account thereof, the department shall develop and
implement a plan for the training of social services district and other
authorized agency personnel, including caseworkers involved in the
provision or supervision of preventive services, foster care services
and adoption services. Such training shall include but need not be
limited to:
1. Permanence casework: casework methodologies focused on activities
designed to prevent placement in foster care or to shorten the length of
stay in care for those children who can be returned home or freed for
adoption;
2. Development of skills to facilitate rehabilitation or restoration
of the family unit;
3. Development of knowledge and skills in legally freeing children
for adoption and providing adoption services;
4. Development of knowledge and skills to prepare for court processes
necessary in foster care and adoption; and
5. Development of case management skills including planning for
permanence for each child.
Assessment of appropriateness of placement in a qualified
residential treatment program. 1. (a) Prior to a child's placement in a
qualified residential treatment program, as defined in subdivision four
of this section, but at least within thirty days of the start of a
placement in a qualified residential treatment program of a child in the
care and custody or the custody and guardianship of the commissioner of
a local social services district or the office of children and family
services that occurs on or after September twenty-ninth, two thousand
twenty-one, a qualified individual as defined in subdivision five of
this section shall complete an assessment as to the appropriateness of
such placement utilizing an age-appropriate, evidence-based, validated,
functional assessment tool approved by the federal government for such
purpose. Such assessment shall be in accordance with 42 United States
Code sections 672 and 675a and the state's approved title IV-E state
plan and shall include, but not be limited to: (i) an assessment of the
strengths and needs of the child; and (ii) a determination of the most
effective and appropriate level of care for the child in the least
restrictive setting, including whether the needs of the child can be met
with family members or through placement in a foster family home, or in
a setting specified in paragraph (c) of this subdivision, consistent
with the short-term and long-term goals for the child as specified in
the child's permanency plan. Such assessment shall be completed in
conjunction with the family and permanency team established pursuant to
paragraph (b) of this subdivision.
(b) The family and permanency team shall consist of all appropriate
biological family members, relatives, and fictive kin of the child, as
well as, as appropriate, professionals who are a resource to the family
of the child, including but not limited to, the attorney for the child
or the attorney for the parent if applicable, teachers, medical or
mental health providers who have treated the child, or clergy. In the
case of a child who has attained the age of fourteen, the family and
permanency team shall include the members of the permanency planning
team for the child in accordance with 42 United States Code section 675
and the state's approved title IV-E state plan.
(c) Where the qualified individual determines that the child may not
be placed in a foster family home, the qualified individual must specify
in writing the reasons why the needs of the child cannot be met by the
child's family or in a foster family home. A shortage or lack of foster
family homes shall not constitute circumstances warranting a
determination that the needs of the child cannot be met in a foster
family home. The qualified individual shall also include why such a
placement is not the most effective and appropriate level of care for
such child. Such determination shall include whether the needs of the
child can be met through placement in:
(i) An available supervised setting, as such term is defined in
section three hundred seventy-one of this article;
(ii) If the child has been found to be, or is at risk of becoming, a
sexually exploited child as defined in subdivision one of section four
hundred forty-seven-a of this article, a setting providing residential
care and supportive services for sexually exploited children;
(iii) A setting specializing in providing prenatal, post-partum or
parenting supports for youth; or
(iv) A qualified residential treatment program.
2. The qualified individual or their designee shall promptly, but no
later than five days following the completion of the assessment, provide
the assessment, determination and documentation pursuant to subdivision
one of this section to the court, the parent or guardian of the child,
and to the attorney for the child and the attorney for the parent, if
applicable, and a written summary detailing the assessment findings
required pursuant to subdivision one of this section to either the local
social services district or the office of children and family services
that has care and custody or custody and guardianship of the child, as
applicable, and the parties to the proceeding, redacting any information
necessary to comply with federal and state confidentiality laws.
3. Where the qualified individual determines that the placement of the
child in a qualified residential treatment program is not appropriate
after the assessment conducted pursuant to subdivision one of this
section, the child's placement shall continue until the court has an
opportunity to hold a hearing to consider the qualified individual's
assessment and make an independent determination required pursuant to
section three hundred ninety-three of this article or sections 353.7,
seven hundred fifty-six-b, one thousand fifty-five-c, one thousand
ninety-one-a or one thousand ninety-seven of the family court act, as
applicable. Provided however, nothing herein shall prohibit a motion
from being filed pursuant to sections 355.1, seven hundred sixty-four or
one thousand eighty-eight of the family court act, as applicable. If the
appropriate party files such motion, the court shall hold a hearing, as
required, and also complete the assessment required pursuant to section
three hundred ninety-three of this article or sections 353.7, seven
hundred fifty-six-b, one thousand fifty-five-c, one thousand
ninety-one-a or one thousand ninety-seven of the family court act, as
applicable, at the same time. The court shall consider all relevant and
necessary information as required and make a determination about the
appropriateness of the child's placement based on standards required
pursuant to the applicable sections.
4. "Qualified residential treatment program" means a program that is a
non-foster family residential program in accordance with 42 United State
Code sections 672 and 675a and the state's approved title IV-E state
plan.
5. "Qualified individual" shall mean a trained professional or
licensed clinician acting within their scope of practice who shall have
current or previous relevant experience in the child welfare field.
Provided however, such individual shall not be an employee of the office
of children and family services, nor shall such person have a direct
role in case management or case planning decision making authority for
the child for whom such assessment is being conducted, in accordance
with 42 United States Code sections 672 and 675a and the state's
approved title IV-E state plan.
TITLE 4-B Services; Pregnant Adolescents
Short title; legislative findings; purpose. 1. This title
shall be known and may be cited and referred to as the "teenage services
act".
2. The legislature finds that the rising incidence of adolescent
pregnancy and teenage parenthood is the subject of a widespread and
growing concern. As a result of early pregnancy, the attainment of
needed education and job skills is often curtailed. Coupled with the
added responsibilities accompanying parenthood, these young families are
often locked into long term public dependency. Studies have confirmed
that up to sixty percent of the current aid to families with dependent
children cases in New York state are headed by mothers who were
teenagers when they gave birth to their first child. In fact, the
predominant cause of welfare dependency in New York state may well be
due to the result of teenage pregnancy and adolescent motherhood. The
objective of this title is to increase the potential of these youths to
become financially independent by helping the teenager to complete her
education, and receive sufficient manpower skills for participation in
the labor market.
The department of social services is not only statutorily required to
provide financial support to these dependent teenagers and their
children, but also has equal responsibility to provide personal
counselling and support services needed to strengthen family life and
provide opportunities for economic independence. In order to facilitate
accessibility to the full range of needed services, case management
responsibilities should be assigned to appropriate local social services
staff or to authorized agencies outside of the department. Any
reluctance or refusal on the part of the teenager to participate in a
program of services shall not carry any threat of fiscal sanctions as
regards public assistance benefits. In the event that a teenager refuses
to participate, it shall be the responsibility of the local social
services district to make continued and repeated efforts to engage the
teenager in a counselling relationship which has as its result a
mutually agreed upon service plan which meets the objectives of this
title.
Therefore, this title provides for the establishment of a service case
management system in order to strengthen the service role of the
department of social services. Local social services districts shall be
required to separate public assistance cases involving pregnant
adolescents and teenage mothers under eighteen years of age, and assign
ongoing case management services for such caseloads to appropriate staff
responsible for service delivery. By defining such specialized
caseloads, personal counselling and provision of needed community-based
support services will be facilitated. Such case management activities
shall also include the follow-up and evaluation of services rendered.
The enactment of the provisions of this title shall maximize the
effectiveness, efficiency and accountability of support services
provided on behalf of pregnant adolescents and teenage parents under
eighteen years of age, thereby reducing the long-term dependency needs
of this youthful population.
Case management. 1. As used in this title, "case management"
shall refer to a method of providing necessary prevention and support
services, directly or by purchase of services, to recipients of public
assistance and shall require the facilitating of such services for the
purpose of insuring family stability and assistance in achieving the
greatest degree of economic independence.
2. Appropriate local social services staff shall be designated as
responsible on a case by case basis, for the assessment of services
needed by the adolescent or teenage recipient to achieve defined service
goals, and for the planning and referral of services and follow-up
activities, including the monitoring and evaluation of services
provided. Designated case management staff shall be responsible for
performing such activities for a specified period prescribed pursuant to
department regulations dependent on such factors as age, education and
job skills attainment of the individual, household size and stability of
the family unit.
3. When referrals to services are provided under other state-funded
programs or are directly purchased by the social services district, the
district may request that the provider obtain and transmit to the
district the information necessary to perform the case management
function.
4. The provisions of this title shall apply to those cases involving
pregnant adolescents and teen parents in receipt of public assistance,
including any males and females under eighteen years of age who are
designated payees of their own cases, payees of their children's cases
or those public assistance recipients under eighteen years of age
identified pursuant to rules and regulations as at-risk youth needing
prevention services, where appropriate. At local option, case management
services may be provided to those cases headed by persons eighteen years
of age or older but under twenty-one years of age.
5. In the event that an adolescent or teenage recipient refuses to
accept services identified by social services district staff as needed
by the adolescent or teenager, such refusal shall not carry any threat
of fiscal sanctions.
6. Case records developed by social services districts and other
agencies for persons eligible for or receiving services pursuant to the
provisions of this section shall be confidential and maintained in
accordance with the provisions of section one hundred thirty-six of this
chapter and the regulations of the department.
Case plan and service record. 1. With respect to each
individual who is identified as requiring case management services
pursuant to this title, the social services district shall, within
thirty days of such identification, perform or have performed an initial
joint assessment with the individual, and other persons where
appropriate, for the purpose of identifying those problems that have an
impact on family stability and hinder the potential for economic
independence. A social services district shall prior to implementing the
provisions of this title submit a plan for a service case management
system to the commissioner for approval.
2. Upon completion of the assessment provided in subdivision one of
this section, the social services district shall, in consultation with
the individual, establish and maintain or have established and
maintained a case plan and service record prescribed pursuant to
regulations of the department which shall include at least the
following:
(a) identification of short term and long range goals which will
ameliorate the problems indicated in subdivision one of this section.
Such identification shall also include an estimate of the time period
necessary to meet these goals;
(b) identification of services needed by the client, and a description
of the available resources in the community to meet identified needs; if
services are not available the record should reflect such;
(c) documentation of the arrangements made for the referral of the
client to service providers;
(d) listing of all services rendered, both direct and those provided
by other public and private agencies in the community;
(e) follow-up action taken to assure clients are in receipt of
services, and any actions taken to remove any existing barriers which
impede the maximum efficiency of service delivery; and
(f) recordation of the types, cost and auspices of services provided.
3. The case plan and service record shall be reviewed and may be
revised, in consultation with the individual, at least once every six
months after the plan and record have been prepared. Such review shall
include an evaluation of the effectiveness of services rendered and any
necessary revisions in goals or planned services as they meet the
objectives indicated in paragraph (a) of subdivision two of this
section.
4. The case plan and service record shall include information for the
purpose of obtaining information regarding services rendered and the
cost of such services based on assessed values or the value of services
rendered, where no fees are charged as in other publicly financed
programs together with such other information as may be required by
rules and regulations of the department.
5. The department is authorized and directed to make such rules and
regulations as are necessary to carry out the provisions of this title.
Advisory board. An advisory board shall be established by the
commissioner to assist in the development and implementation of the case
management provisions. It will be the responsibility of this board to
assist in the development of various service models that local social
services districts shall employ, assist in the formulation of
appropriate procedures for evaluating such case management services, and
determine the fiscal impact of such services as defined in section four
hundred nine-j of this title. Appointments to the advisory board shall
be obtained from public and private organizations providing teenage and
child welfare services.
Reports. 1. The commissioner shall prepare, for inclusion in
the annual report required by subdivision (d) of section seventeen of
this chapter to be filed with the governor and the legislature prior to
December fifteenth of each year, a progress report on the planning and
implementation of the provisions of this title.
2. The report shall contain, but not be limited to, information
reported statewide and by districts, the number of individuals certified
as eligible for services under this title, and those for whom services
were rendered and expenditures made for services identified by type,
provider, and funding source. Such report shall also include progress
made in implementing the provisions of this title with particular
reference to efforts made to insure the effectiveness of the case
management provisions.
Implementation. 1. The department shall plan for the
implementation of the services case management system during the period
from the first day of July, nineteen hundred eighty-four to the
thirty-first day of March, nineteen hundred eighty-five.
2. Subject to the appropriation of funds, the provisions of this title
shall be implemented from the first day of October, nineteen hundred
eighty-five in a select number of representative pilot social services
districts which shall be designated by the commissioner in consultation
with the advisory board established pursuant to this title, in
communities with a higher than state average teen population applying
for or receiving public assistance.
3. Subject to the appropriation of funds, social services districts
which had not implemented the provisions of this title by the
thirty-first day of March, nineteen hundred eighty-seven shall be
required to implement the provisions of this title during the period
April first, nineteen hundred eighty-seven through March thirty-first,
nineteen hundred ninety. The social services districts subject to the
provisions of this subdivision shall implement this title in accordance
with a schedule to be developed by the department which will ensure
statewide implementation by the thirty-first day of March, nineteen
hundred eighty-eight.
TITLE 5 Day Care For Certain Children
Day care; when public welfare official to furnish. 1. A public
welfare official of a county, city or town is authorized, provided funds
have been made available therefor, to provide day care at public expense
for children residing in his territory who are eligible therefor
pursuant to provisions of this title. Such care may be provided only in
cases where it is determined, under criteria established by the office
of children and family services, that there is a need and that such care
is in the best interest of the child and parent; provided however that
the public welfare official shall not be required to limit authorized
child care services strictly based on the work, training, or educational
schedule of the parents or the number of hours the parents spend in
work, training, or educational activities. Where the family is able to
pay part or all of the costs of such care, payment of such fees as may
be reasonable in the light of such ability shall be required.
2. The furnishing of such care is hereby declared to be a proper
municipal purpose for which the monies of a county, city or town may be
raised and expended. A county, city or town may receive and expend
monies from the state, the federal government or private individuals,
corporations or associations for furnishing such care.
3. (a) Day care under this title shall mean care in a group facility,
in a family home, in a group family day care home or in a day care
center project as defined in title five-a of this article for part of
the day. Day care may be provided by a social services official either
directly or through purchase. Purchase of such care may be made only
from a private non-profit corporation or association except when the
commissioner shall have approved the purchase of such care from private
proprietary facilities by a social services official who has
demonstrated that conveniently accessible non-profit facilities are
inadequate to provide required care. Purchase of such care may also be
made from a school district in accordance with state and federal
requirements pursuant to a contract between the social services district
and the school district.
(b) Care under this title may be provided only in group facilities,
family homes, group family day care homes or in a day care center
project as defined in title five-a which are operated in compliance with
applicable regulations of the office of children and family services. A
group facility shall include a public school which provides day care
pursuant to this subdivision.
(c) Except as hereinafter provided, care under this title shall not
include care, supervision, training or participation in kindergartens,
nursery schools or other schools, classes or activities operated or
conducted by public or private schools. However such care shall include
day care provided by a school district pursuant to the provisions of
this subdivision and subdivision thirty-three of section sixteen hundred
four of the education law in accordance with a contract entered into
between such school district and a social services district.
(d) The commissioner shall encourage social services districts and day
care providers to offer flexible hours of day care. Each provider may
provide a flexible schedule in accordance with the rules and regulations
of the commissioner and an application for day care services shall not
be denied solely by reason of the time of day or days that care will be
required provided that an available day care provider can accommodate
such hours or days of care in accordance with such regulations.
4. The provisions of this title shall not apply to child care
assistance provided under title five-C of this article.
Day care; when department to furnish. Any inconsistent
provision of law notwithstanding, if and so long as federal funds are
available for the care provided pursuant to the provisions of this
section, and to the extent of such funds and state funds appropriated or
made available therefor, the department shall be authorized to provide
day care, through appropriate arrangements and cooperative agreements
with the state departments of education and agriculture and markets,
approved by the director of the budget, in public schools operated by
school districts and in facilities operated by or for the state
department of agriculture and markets for children who are receiving
family assistance or who are former or potential recipients of such
aid in accordance with the regulations of the department, including only
such children who are in pre-kindergarten programs of such schools or
who are children of migrant workers.
* § 410-aa. Waitlist requirements. 1. Each social services district
shall maintain a waiting list of families who have applied for child
care assistance pursuant to this title but have not been authorized for
such assistance due to a lack of available funds under either the
district's allocation from the state child care block grant program or
any local funds appropriated for such program. Such waiting list shall
contain:
(a) the date the child care assistance was requested;
(b) the date the eligibility determination or redetermination was
made;
(c) the age of the child or children the assistance was requested on
behalf of;
(d) whether the family was a new applicant or recertifying; and
(e) the total number of families on such waiting list.
2. The office shall post annually on their website the total number of
families on the waitlist for each social services district.
3. (a) Each social services district shall collect data regarding the
families who applied for child care assistance pursuant to this title,
specifying:
(i) the number of families who were denied because they were
determined ineligible for assistance, including: (A) the family size,
(B) the income of those families, where available; and (C) the age of
the child, where available;
(ii) the number of families who were placed on a waitlist, including:
(A) the family size; (B) the income of those families, where available;
and (C) the age of the child, where available; and
(iii) the number of families who received such assistance, including:
(A) the family size; (B) the income of those families, where available;
and (C) the age of the child, where available.
(b) Each social services district shall provide the information
collected pursuant to paragraph (a) of this subdivision to the office
annually. The office shall re-post this information on their website
upon receipt.
* NB Effective October 1, 2026
Federal grants. 1. The department of taxation and finance
is authorized to accept and receive from the federal government any
moneys which the federal government shall offer to the state for or with
respect to the construction, maintenance or operation of facilities for
day care for children, under or pursuant to any federal law heretofore
or hereafter enacted authorizing grants to the state for such purpose or
similar purposes, including payments to political subdivisions of, and
any public agencies in the state.
2. The department of social welfare is hereby designated and
empowered to act as the agent of the state in carrying out the
provisions of any such federal law with respect to such day care
facilities in this state.
3. Any and all such grants and moneys awarded for assistance to this
state under or pursuant to any federal law shall be accepted and
received by the department of taxation and finance as custodian thereof
and such moneys, so received, shall be deposited by such department of
taxation and finance in a special fund or funds and shall be used
exclusively for the purposes of any such federal law. Such moneys shall
be paid from such fund or funds on the audit and warrant of the
comptroller upon vouchers certified or approved by the commissioner of
welfare.
4. Any federal funds made available to the state for day care
facilities shall be retained by the state.
Grants to not-for-profit facilities providing day care for
children for employee salary and benefit enhancements. 1. The
legislature finds and declares that a crisis exists in the availability
and quality of child day care in New York state and that this crisis
poses a danger both to the welfare and safety of the children and to the
productivity of this state's workforce; that inadequate salaries and in
many cases nonexistent benefit packages have substantially contributed
to the existing crisis by precluding day care centers from recruiting
and retaining necessary teaching and supervisory staff; that an
extremely high turnover rate has interfered in many instances with the
ability of day care centers to comply with regulatory requirements and
to properly serve the children in their care; and that because of these
extraordinary circumstances New York state must intervene and provide
assistance for recruitment and retention of child care workers. The
legislature recognizes that a long-term solution to this crisis will
require cooperative efforts among the business community, local and
state governments and families.
2. Within amounts appropriated specifically therefor, and after
deducting funds as specified in subdivision three of this section the
commissioner shall allocate funds to local social services districts for
grants to eligible not-for-profit day care centers for retention and
recruitment of teaching and supervisory staff, as follows:
(a) a city social services district with a population in excess of one
million shall be allocated a portion of such funds based on an equal
weighting of:
(i) its proportion of the state population of children aged five and
under, and
(ii) its proportion of total claims for reimbursement received by the
department by May thirty-first, nineteen hundred eighty-eight for the
low income, transitional and teen parent day care programs authorized by
chapter fifty-three of the laws of nineteen hundred eighty-seven.
(b) all other eligible local social services districts shall be
allocated the remaining portion of funds based on each district's
proportionate share of licensed not-for-profit day care capacity
relative to the total capacity of all such other eligible districts.
3. Five percent of the funds appropriated for such recruitment and
retention purposes shall be reserved for administration of the program
and allocated as follows:
(a) each local social services district shall be allocated an amount
equivalent to five percent of the funds it receives under paragraphs (a)
and (b) of subdivision two of this section, provided that no district
shall receive an amount less than twenty-five hundred dollars nor
greater than one hundred fifty thousand dollars, and
(b) remaining funds shall be allocated to the department. In the event
that a not-for-profit child care resource and referral agency or the
department distributes funds in an eligible district, as provided
herein, such agency or department may retain the amount that otherwise
would be available to the eligible district.
4. Not later than thirty days following the effective date of this
section, the commissioner shall notify local social services districts
of the amounts allocated to each district and provide forms for the
collecting of information pursuant to this section.
5. For the purposes of this section, an eligible district shall mean a
local social services district that is providing, as of the effective
date of this section, or which shall agree to provide in such written
form and by such date as shall be acceptable to the department,
subsidized day care services under the special day care services program
authorized by chapter fifty-three of the laws of nineteen hundred
eighty-eight.
6. Eligible districts may apply on or before the ninetieth day
following the effective date of this section to receive such allocated
funds by submitting to the department a plan on forms provided by the
department. Such plan shall be developed by the local social services
commissioner in consultation with directors of participating eligible
day care centers, as such term is defined herein. Such plan shall
include: methods to increase the amount of day care provided for
families having an income at or below two hundred percent of the federal
proverty level in such district; proposed steps to be taken to sustain
gains in recruitment and retention of staff achieved by funds provided
herein; information specified in paragraph (c) of subdivision seven of
this section; and a proposed allocation of funds to eligible day care
centers based on the following factors:
(a) forty percent of the funds allocated to such district shall be
distributed to each eligible center based on such center's share of the
total full time equivalent teaching and supervisory staff of such
centers in the district as a whole;
(b) forty percent of the funds allocated to such district shall be
distributed to each eligible center based on such center's share of the
number of children from families having an income at or below two
hundred percent of the federal poverty level receiving day care services
in all such centers in the district, regardless of whether such children
are receiving subsidized care; and
(c) notwithstanding any other provision of this subdivision, twenty
percent of the funds allocated to such district shall be distributed to
some or all eligible centers in a manner to further improve recruitment
and retention of qualified staff. Distributions under this paragraph
shall be based on factors including, but not be limited to seniority;
educational qualifications; worker income; benefit levels, vacancy and
turnover rates; or enhancement of distributions pursuant to paragraph
(a) or (b) of this subdivision.
The commissioner shall make copies of proposals available to the
public upon request.
7. For the purposes of this section, an eligible day care center means
a not-for-profit center which provides services for children in single
or double sessions for six or more hours per day for five or more days
per week and holds a permit or certificate issued pursuant to (i) the
provisions of section three hundred ninety of this article, or (ii) the
New York city health code as authorized by section five hundred
fifty-eight of the New York city charter; provided, however, that:
(a) a center whose permit has been denied, suspended or revoked, or
which is found in any twelve month period preceding or following the
date of the allocation of funds made pursuant to subdivision two of this
section to be in violation of section three hundred ninety of this
article after a hearing conducted as provided therein or after decision
by any court of competent jurisdiction, shall not be eligible to receive
funds pursuant to this section;
(b) the existence of a current contract for purchase of day care
services between an eligible district and a center may not be required
as a precondition to receive such funds, but such center shall agree to
accept children subsidized by the district in the next available space
after receipt of a request from the district to place a child in such
center;
(c) each such center must provide to the local social services
district the following information on forms provided by the department:
(i) child care capacity, by ages of children;
(ii) the number of children in such center, by ages, whose families
have incomes at or below two hundred percent of the federal poverty
level, regardless of whether such children are receiving subsidized
care;
(iii) the number of children specified in subparagraph (ii) of this
paragraph receiving subsidies and the type of subsidy;
(iv) a schedule of fees charged for services;
(v) the total annual revenue from all sources, including fees,
donations, grants, revenue from local governments and revenue from state
agencies;
(vi) the total annual expenditures for rent or mortgage payments;
equipment, property, liability and other insurance; utilities; food;
supplies and materials; and
(vii) total annual expenditures for salaries and benefits, including
the number, title, qualifications and salary levels of existing staff
and types and amounts of benefits; and
(d) each eligible day care center must agree, to the maximum extent
feasible, to enhance its future revenues to sustain the level of staff
salary and benefits as provided herein.
8. Should an eligible district not apply for such funds, the
commissioner may contract with a not-for-profit child care resource and
referral agency as such term is defined in title five-B of this article
which is serving such district to distribute such funds allocated to the
district in the same manner as is required of an eligible district in
accordance with the other provisions of this section. If two or more
not-for-profit child care resource and referral agencies are serving
such district, preference shall be given to the agency or agencies with
existing contracts with the commissioner. If such agency does not exist
or declines to participate, the department shall disburse funds in the
manner as is required of an eligible district pursuant to this section.
9. A plan developed and submitted to the department pursuant to the
provisions of this section shall be considered approved unless, within
thirty days of the receipt of such plan, the department notifies the
eligible district or agency that the plan is not approved and specifies
in writing the basis for such disapproval. The commissioner shall make
allocated funds and administrative funds available as advances to
eligible districts whose plans have been approved pursuant to this
section.
10. Eligible districts shall make allocated funds available as
advances to eligible day care centers in accordance with the plan
approved by the department. Such districts shall notify the department
when all such funds have been disbursed but all such funds must be
disbursed not later than October first, nineteen hundred eighty-nine.
11. Any funds allocated to eligible districts or day care centers
which cannot be used in the manner as provided herein shall be
reallocated among other eligible districts as provided in paragraph (b)
of subdivision two of this section.
12. Funds received by eligible day care centers shall be used solely
for employee benefits and salary enhancements for teaching and
supervisory staff, and shall not be used to supplant or substitute for
any other funding available for day care services, or to provide
services which eligible day care centers are required to provide
pursuant to contracts with the state, local social services districts,
authorized agencies, individuals or other organizations.
13. Nothing contained herein shall prevent an eligible district, or
any other person or entity, at its discretion, from contributing funds,
including administrative funds received pursuant to subdivision three of
this section, to the program established pursuant to this section.
14. The department shall: (a) provide or cause to be provided, to
the maximum extent feasible, technical assistance to eligible day care
centers and districts concerning employee benefit options, long-term
planning, management of funds, responsibilities required pursuant to
this section, maximization of the use of available subsidy funds
including Title XX and Title IV-A of the Federal Social Security Act
and such other matters as may be helpful to sustain the level of staff
salary and benefits as provided herein;
(b) annually examine cost data concerning rates of payment for day
care and establish appropriate recommended fee schedules as guidelines
for use by local social services districts in developing comprehensive
annual social services program plans;
(c) promulgate regulations not later than July first, nineteen
hundred eighty-nine, to establish a maximum rate of payment for day care
centers which shall reflect adjustments in the cost of care since the
establishment of the maximum rate in effect on January first, nineteen
hundred eighty-six. Such maximum rate shall be calculated by applying
thereto increases in the cost of living since January first, nineteen
hundred eighty-six, updated by the department through December
thirty-first, nineteen hundred eighty-nine, and also to the extent
possible and based on the availability of such information, factors such
as changes in the costs of insurance, rent, utilities and labor and
benefits and such other factors the department shall deem appropriate,
which exceed such increases in the cost of living, as updated through
December thirty-first, nineteen hundred eighty-nine; provided, however,
that:
(i) actual payment for day care services rendered shall not exceed the
actual cost of such care;
(ii) nothing contained herein shall prevent the department from
establishing a rate of payment for day care centers greater than that
required pursuant to this subdivision;
(iii) approved rates of payment in excess of the rate established
pursuant to this paragraph in effect prior to July first, nineteen
hundred eighty-nine shall be continued;
(iv) nothing contained herein shall prevent the department from
approving exceptions to the rate of payment established herein to meet
specific identified needs of a local social services district;
(v) such regulations may include a higher maximum rate of payment for
infant care, or care of children with special needs.
d. Notwithstanding any other section of law to the contrary, by April
first, nineteen hundred eighty-nine, the department shall develop
guidelines and may, with the approval of the director of the division of
the budget grant to local districts for one year waivers to income
eligibility standards established pursuant to law for subsidized day
care under the special day care services program. Such waivers shall be
granted to increase eligibility standards up to twenty-five percent of
the federal poverty level above the income eligibility standard
established by law as a percentage of the federal poverty level. Waivers
shall be granted only upon the submission of documentation establishing
that:
(i) the local social services district is serving substantially all
eligible families with incomes at or below the established income
eligibility standard. A district shall be deemed to be serving
substantially all eligible families if it meets the following two
criteria: (a) the percentage of eligible children served in the district
meets or exceeds the percentage of eligible children served statewide
under the special day care services program and (b) the district has
provided day care services to any additional children whose families
have been identified in such district's outreach program as described in
subparagraph (ii) of this paragraph as eligible for and desiring
subsidized day care services;
(ii) the local district has established a district-wide outreach
program which identifies eligible families who are not receiving
subsidized child day care under the special day care services program,
and informs all such families of their availability, and assists such
families desiring subsidized services to obtain them;
(iii) a family receiving a subsidy under the district's waiver
provisions shall be required to contribute a greater amount towards the
cost of care than a family eligible under the established income
eligibility standard;
(iv) the local district has included an estimate of the number of
children who will be served under the waiver provisions;
(v) the local district has submitted claims to income eligible day
care expenses under Title XX of the federal Social Security Act;
(vi) the district has available to it a higher allocation in the
current fiscal year than the amount of reimbursement received by such
district in the previous fiscal year for subsidized care under the
special day care services program.
(e) submit a report to the governor and to the chairmen of the senate
finance committee and the assembly ways and means committee not later
than December thirty-first, nineteen hundred eighty-nine on the program
established pursuant to this section, including the number, amount and
recipients of grants in each eligible district; the purposes and uses of
such grants; an evaluation of any resulting improvements in recruitment
and retention of qualified staff, current local eligibility standards,
any use of the waiver process, state cost of increasing the eligibility
standards established by law up to twenty-five percent and fifty percent
of the federal poverty level on a county by county basis for subsidized
day care under the special day care services program and recommendations
for long-term solutions to the problems of recruitment and retention of
teaching and supervisory staff.
State reimbursement. 1. (a) Expenditures made by counties,
cities, and towns for day care and its administration, and day care
center projects, pursuant to the provisions of this title, shall, if
approved by the department, be subject to reimbursement by the state, in
accordance with the regulations of the department, as follows: There
shall be paid to each county, city or town (1) the amount of federal
funds, if any, properly received or to be received on account of such
expenditures; (2) fifty per centum of its expenditures for day care and
its administration and day care center projects, after first deducting
therefrom any federal funds received or to be received on account
thereof, and any expenditures defrayed by fees paid by parents or by
other private contributions.
(b) For the purpose of this title, expenditures for administration of
day care shall include expenditures for compensation of employees in
connection with the furnishing of day care, including but not limited to
costs incurred for pensions, federal old age and survivors insurance and
health insurance for such employees; training programs for personnel,
operation, maintenance and service costs; and such other expenditures
such as equipment costs, depreciation and charges and rental values as
may be approved by the department. It shall not include expenditures for
capital costs. In the case of day care purchased from a non-profit
corporation constituting an eligible borrower pursuant to title five-a
of this article, expenditures shall include an allocable proportion of
all operating costs of such facility as may be approved by the
department including but not limited to the expenditures enumerated in
this paragraph (b) and expenditures for amortization, interest and other
financing costs of any mortgage loan made to such non-profit
corporation.
2. (a) Claims for state reimbursement shall be made in such form and
manner and at such times and for such periods as the department shall
determine.
(b) When certified by the department, state reimbursement shall be
paid from the state treasury upon the audit and warrant of the
comptroller out of funds made available therefor.
3. The department is authorized in its discretion to approve and
certify to the comptroller for payment, advances to counties, cities or
towns in anticipation of the state reimbursement provided for in this
section.
4. Payment of state reimbursement and advances shall be made to local
fiscal officers as in the case of state reimbursement for public
assistance and care under other provisions of this chapter.
5. (a) As used in this subdivision "school age child day care
programs" shall mean programs which offer care to school age children
under the age of fourteen before or after the period when these children
are in school. Such programs may include, but are not limited to,
programs provided in school buildings in accordance with paragraph (i)
of subdivision one of section four hundred fourteen of the education
law.
(b) The commissioner shall, within appropriations made available
therefor, select proposed school age child day care programs which shall
be eligible to receive an award of no more than twenty-five thousand
dollars for start up or expansion costs, including planning, rental,
operational and equipment costs, or minor renovations identified as
being necessary in order for the program to comply with applicable state
or local building, fire safety or licensing standards, based on plans
submitted to him. The commissioner shall give preference to those areas
of the state which are significantly underserved by existing school age
child day care programs and to those programs which involve parents in
the development and implementation of programs. The commissioner shall
publicize this availability of funds to be used for purposes of this
subdivision in awarding grants. Plans may be submitted by private
not-for-profit corporations, organizations or governmental subdivisions.
(c) Notwithstanding any other provisions of law, social services
districts shall be authorized to purchase services which are to be
provided pursuant to this subdivision from programs which have been
approved by the commissioner to receive funds pursuant to this
subdivision.
6. Any other provision of law notwithstanding, and within amounts
appropriated therefor, the department shall have authority to make
start-up grants to prospective programs that will provide child day
care, as such term is defined in section three hundred ninety of this
article, from any funds available for such purpose.
Start up grants for child day care. The commissioner shall
provide funds to start up grants to not-for-profit organizations or
corporations for the development of new or expanded all day child day
care programs including costs related to planning, renting, renovating,
operating, and purchasing equipment. The commissioner shall establish
guidelines including, but not limited to, allowable costs, and criteria
for eligibility for grants giving preference to those child day care
providers who will, to the maximum extent feasible, target services to
households having incomes up to two hundred percent of the federal
poverty standard. The commissioner shall publicize the availability of
funds. No awards shall be granted which exceed twenty-five hundred
dollars for a new family day care provider or new group family day care
provider, and one hundred thousand dollars for a new child day care
center. Child care resource and referral agencies may receive family day
care start up grants not to exceed two thousand five hundred dollars per
new provider if the agency trains such new family provider and thereby
expands the supply of family day care programs in the community. The
commissioner shall give preference to those communities which are
significantly underserved by existing programs and to those programs
which and those providers who will serve infants under two years of age.
Child day care facility development. 1. Notwithstanding any
other provision of law, of the moneys appropriated to the department in
section one of chapter fifty-four of the laws of nineteen hundred
ninety-four, enacting the capital projects budget, four million seven
hundred fifty thousand dollars shall be available as follows: seven
hundred fifty thousand dollars for child care project development grants
and related administrative expenses; the remaining four million dollars
shall be available for the child care facilities construction program as
defined in section sixteen-g of the urban development corporation act;
of this amount, no less than three million dollars shall be available
for child care construction grants and related administrative expenses
and any remaining funds may be available for child care construction
revolving loans and loan guarantees, and related administrative
expenses. The amounts available for the child care facilities
construction program, as defined in section sixteen-g of the urban
development corporation act, shall be suballocated to the urban
development corporation pursuant to this section.
Up to five percent of the moneys available pursuant to this
subdivision may be used for payments to the department or other state
agencies or authorities, and the urban development corporation for
administrative expenses required to develop requests for proposals and
to approve contracts for child care construction projects pursuant to
this section and/or section sixteen-g of the urban development
corporation act. The director of the division of the budget shall
approve such payments.
2. Child care project development grants. The department shall develop
a request for proposals to provide grants to not-for-profit
organizations, including, but not limited to, child care resource and
referral programs, local development corporations, neighborhood
preservation companies and rural preservation companies as defined in
section nine hundred two of the private housing finance law, to support
pre-development planning, management, and coordination of activities,
leading to the development of child day care centers in under-served
areas meeting the needs of low-income working families. Such activities
may include: (a) design studies and services and other development or
redevelopment work in connection with the design and development of
child day care centers; and (b) studies, surveys or reports, including
preliminary planning studies to assess a particular site or sites or
facility or facilities for the development of child day care centers.
(c) In determining grants to be awarded, the department shall consider
the following: (i) that a not-for-profit organization applying for a
grant under this subdivision is a bonafide organization which shall have
demonstrated by its immediate past and current activities its ability to
lead or to assist in the development of projects, such as child day care
centers meeting the needs of low-income families; (ii) the need for day
care centers in the area; (iii) the potential viability for a child day
care center to succeed in the area; and (iv) such other matters as the
department determines necessary.
(d) Grants shall be awarded to eligible entities where the department
identifies an insufficient supply of child day care programs. Grants
awarded pursuant to the request for proposals shall not exceed
seventy-five thousand dollars per project.
3. Child care construction grants. (a) The child care construction
grants awarded pursuant to this section and section sixteen-g of the
urban development corporation act shall be available for not-for-profit
child care facilities construction projects owned or to be owned by
not-for-profit corporations for use as child day care centers that will
be duly approved, licensed, inspected, supervised, and regulated as may
be determined to be necessary and appropriate by the department, except
that with respect to child day care centers located in the city of New
York, such child day care centers will be duly approved, licensed,
inspected, supervised, and regulated as may be determined to be
necessary and appropriate by the commissioner of the department of
health of the city of New York.
(b) Grants shall be made through contracts to not-for-profit
corporations for child care facilities construction projects pursuant to
a request for proposal process jointly developed by the department and
the urban development corporation in consultation with the department of
economic development. The department shall receive, initially review,
and assess applications to determine which projects should be referred
to the urban development corporation and to rank by groups, the referred
projects according to the capacity of such projects to meet identified
needs for child day care. In assessing such applications, the department
shall consider: (i) the need for day care services in the area; (ii) the
potential viability for a child day care center to succeed in the area;
(iii) the qualifications of the proposed provider to operate a child
care center; (iv) the potential for meeting applicable regulatory
requirements; (v) the appropriateness of the site for licensing as a day
care center and (vi) such other matters as the department determines
necessary.
(c) Upon the timely completion of the department's initial review and
selection of applications meeting criteria, the department shall
immediately submit such selected applications and the group rankings of
such applications to the urban development corporation which, in
consultation with the department of economic development, shall select
award recipients. No later than upon submission of the selected
applications, the department shall also suballocate all moneys
appropriated for such purposes to such corporation.
4. Programs conducted pursuant to this section of law are limited to
the amounts appropriated therefor.
TITLE 5-A Youth Facilities Improvement Act
Short title: policy and purposes of title. This title shall
be known, and may be cited and referred to, as the "Youth Facilities
Improvement Act".
There is a serious shortage throughout the state of facilities
suitable for use for the care of children especially those of pre-school
age and primary school age whose parents are unable to provide such care
for all or a substantial part of the day or post-school day. A similar
shortage of residential child care facilities also exists. Existing day
care and residential child care facilities are overcrowded with long
waiting lists. Many such facilities are so located that they are not
accessible to families in need of such services. The absence of
adequate day care and residential child care facilities is contrary to
the interest of the people of the state, is detrimental to the health
and welfare of the child and his parents and prevents the gainful
employment of persons, who are otherwise qualified, because of the need
to provide such care in their home.
It is the purpose of this article to encourage the timely construction
and equipment of such facilities with mortgage loan participation by the
New York state housing finance agency. The provision of such facilities
is hereby declared to be a public purpose which it is the policy of the
state to encourage.
Definitions. As used in this title the following words and
phrases shall have the following meanings unless a different meaning is
plainly required by the context:
1. "Board". The state board of social welfare.
2. "Commissioner". The commissioner of social services of the state
of New York.
3. "Department". The state department of social services.
4. "Eligible borrower". A non-profit corporation organized under the
laws of the state of New York which is authorized to care for children
and which has entered into a regulatory agreement in accordance with the
provisions of section four hundred ten-f of this title.
5. "Project." "Youth facilities project." A specific work or
improvement, including lands, buildings, improvements, fixtures and
articles of personal property acquired, constructed, rehabilitated,
managed, owned and operated by an eligible borrower to provide day care
in the manner prescribed by the department for children of pre-school
and primary school age or to provide residential child care in the
manner prescribed by the rules of the board for children of pre-school,
primary school or secondary school age, or to provide any combination of
the foregoing, and for facilities incidental or appurtenant thereto.
6. "Project cost". "Youth facilities project cost". The sum total
of all costs incurred by an eligible borrower as approved by the
commissioner as reasonable and necessary for carrying out all works and
undertakings and providing all necessary equipment for the development
of a project exclusive of any private or federal, state or local
financial assistance available for and received by an eligible borrower
for the payment of such project cost. These shall include but are not
necessarily limited to the carrying charges during construction or
rehabilitation up to and including the occupancy date, working capital
not exceeding three percentum of the estimated total cost or three
percentum of the actual total final cost, whichever is larger, the cost
of all necessary studies, surveys, plans and specifications,
architectural, engineering, legal or other special services, the cost of
acquisition of land and any buildings and improvements thereon, site
preparation and development, construction, reconstruction and equipment,
including fixtures, equipment, and articles of personal property
required for the operation of the project, the reasonable cost of
financing incurred by the eligible borrower in the course of the
development of the project, up to and including the occupancy date, the
fees imposed by the commissioner and by the New York state housing
finance agency; other fees charged, including any premium payments to
the youth facilities project guarantee fund created by the youth
facilities project guarantee fund act, and necessary expenses incurred
in connection with the initial occupancy of the project, and the cost of
such other items as the commissioner may determine to be reasonable and
necessary for the development of a project, less any and all rents and
other net revenues from the operation of the real property, improvements
or personal property on the project site, or any part thereof, by the
eligible borrower on and after the date on which the contract between
the eligible borrower and the New York state housing finance agency was
entered into and prior to the occupancy date.
7. "Occupancy date". The date defined in the documents providing for
a mortgage loan between an eligible borrower and the New York state
housing finance agency.
8. "Youth facilities development fund company". A company
incorporated and organized pursuant to subdivision two of section four
hundred ten-n of this title.
9. "Youth Facilities Center" means a facility suitable to provide day
care for children of pre-school age and primary school age or to provide
residential child care for children of pre-school, primary school or
secondary school age or to provide any combination of the foregoing,
which has been approved by the state department of social services.
Regulation of eligible borrowers. 1. Every eligible
borrower, as a condition precedent to borrowing funds from the agency,
shall enter into a regulatory agreement with the commissioner which
shall provide:
(a) that the real property or other assets mortgaged or otherwise
pledged to the agency shall not be sold, transferred, encumbered or
assigned until the eligible borrower shall have repaid in full all
obligations under the mortgage of the agency and has paid such other
obligations as may be required by the commissioner provided, however,
the provisions of this paragraph (a) shall not apply to any actions
taken pursuant to section four hundred ten-l of this article;
(b) that the eligible borrower will maintain books and records and a
system of accounts satisfactory to the commissioner and the agency
including but not limited to separate books, records and accounts for
(i) all monies advanced to the eligible borrower by the agency or from
any other source or sources, public or private, for the construction,
reconstruction, rehabilitation, improvement or equipment of the project
and (ii) all monies repaid in satisfaction of any indebtedness to the
agency or other indebtedness as required by the commissioner; and the
eligible borrower agrees that all of its books, records and accounts
shall be open to examination by the commissioner and the agency at any
time;
(c) that the eligible borrower shall file with the commissioner and
the agency such financial statements including an annual report setting
forth such information as the commissioner may require;
(d) that the eligible borrower shall not acquire any real property or
interest therein for the purpose of constructing, reconstructing,
rehabilitating or improving a project without first having obtained from
the commissioner a certificate that such acquisition is consistent with
the purposes of this article;
(e) that the eligible borrower shall not issue notes, bonds,
debentures or other obligations other than for money or property
actually received for the use and lawful purposes of the eligible
borrower and no such note, bond, debenture or other obligation shall
constitute a lien or encumbrance against the project, or any real
property or other asset mortgaged or otherwise pledged to the agency;
(f) that the eligible borrower shall not without first having
obtained the written consent of the commissioner:
(i) construct, reconstruct, rehabilitate, improve, alter or repair
the project or enter into a contract therefor;
(ii) enter into contracts relating to the management or operation of
the project;
(iii) make a guaranty of payment out of monies pledged to the agency
or pledge any or all of its assets, income or revenue pledged to the
agency to secure payment of its obligations;
(iv) lease a project or a portion thereof to a third party for the
purposes of operation;
(v) voluntarily dissolve;
(g) that no member, officer or employee of the corporation which is
an eligible borrower shall acquire any interest, direct or indirect, in
any property then or thereafter included or planned to be included in a
project, nor retain any interest direct or indirect in any property
acquired subsequent to his appointment or employment which is later
included or planned to be included in a project. If any member, officer
or employee of a corporation which is an eligible borrower owns or
controls an interest, direct or indirect, in any property included in a
project which was acquired prior to his appointment or employment, he
shall disclose such interest and the date of acquisition to the
corporation and such disclosure shall be entered upon the minutes of
such corporation and a copy of such minutes shall be forwarded to the
commissioner;
(h) that all income and earnings of the eligible borrower shall be
used exclusively for its corporate purposes;
(i) that no part of the net income or earnings of the corporation
shall inure to the benefit or profit of any private individual, firm or
corporation;
j. That the eligible borrower, in the case of a residential child
care center project, will be subject to the visitation, inspection and
supervision of the department, and that the eligible borrower, in the
case of a day care center project will be subject to the visitation,
inspection and supervision of the department, as to any and all acts in
relation to the welfare of children to be performed pursuant to this
title;
(k) such other matters as the commissioner or the agency may require;
2. This regulatory agreement shall terminate at any time after the
expiration of ten years after the occupancy date upon the consent of the
commissioner and upon the repayment in full of all obligations under the
mortgage of the agency and of such other obligations as the commissioner
may require.
Mortgage loans. 1. Any eligible borrower may, subject to
the approval of the commissioner, borrow funds from the agency and
secure the repayment thereof by bond or note and mortgage which shall
contain such terms and conditions as may be deemed necessary or
desirable by the agency or required by any agreement between the agency
and the holders of its notes and bonds, including the right to
assignment of rates and charges and entry into possession in case of
default, but the operation of such project, in the event of such entry,
shall be subject to the regulations of the commissioner.
2. The agency may make contracts to make loans to an eligible
borrower in an amount not to exceed the total project cost. Any such
loan shall be secured by a first mortgage lien upon all the real
property and improvements of which the project consists and may be
secured by such a lien upon other real property owned by the eligible
borrower, and upon all fixtures and articles of personal property
attached to or used in connection with the operation of the project.
3. Any inconsistent provision of law to the contrary notwithstanding,
mortgages of an eligible borrower shall be exempt from the mortgage
recording taxes imposed by article eleven of the tax law.
Conditions and security for loans. No loan shall be made by
the agency to an eligible borrower until the commissioner has approved
the project and finds that:
1. The eligible borrower has been approved by the commissioner and
complied with all the provisions of this title;
2. The plans and specifications conform to the requirements of all
laws and regulations applicable thereto and assure adequate light, air,
sanitation and fire protection and are satisfactory to him;
3. The estimated revenue of the project or from other funds of the
eligible borrower pledged, assigned or otherwise to be made available to
the agency will be sufficient to cover all probable costs of operation
and maintenance, of fixed charges and such reserves as may be authorized
by the commissioner or required by the agency;
4. Provision has been made for the purpose of providing for the
payment of the difference between the estimated project cost and the
mortgage loan; and in the event the final project cost shall exceed the
estimated project cost, the difference between such final project cost
and the mortgage loan;
5. The eligible borrower has entered into a regulatory agreement
pursuant to section four hundred ten-f of this title.
Rates and admission of children. 1. An eligible borrower
shall, with the approval of the commissioner, fix a schedule of rates to
be charged parents, guardians or other persons having legal custody of
the child and to social services officials or other authorized agencies
for the facilities and services provided by the eligible borrower
pursuant to this title. The commissioner upon his own motion, or upon
application by the eligible borrower or lienholder may vary the amount
of such charge from time to time so as to secure, together with all
other income of the eligible borrower pledged, assigned or otherwise
made available to the agency, sufficient income to meet, within
reasonable limits, all necessary payments by the said eligible borrower
of all expenses, including fixed charges, sinking funds and reserves.
2. The facilities and services to be provided by the eligible
borrower pursuant to this title shall be available to all children in
need thereof.
Transfer of real property. Notwithstanding any requirement
of law to the contrary or any provision of any general, special or local
law, charter or ordinance, every executor, administrator, trustee,
guardian or other person holding trust funds or acting in a fiduciary
capacity, unless the instrument under which such fiduciary is acting
expressly forbids, and the state, its subdivisions, municipalities, all
other public bodies, all public officers, persons, partnerships and
corporations owning or holding any real property, may grant, sell, lease
or otherwise transfer any such real property or interest therein to an
eligible borrower and receive and hold any cash, exchange therefor by
such an eligible borrower and may execute such instruments and do such
acts as may be deemed necessary or desirable by them or it and by the
eligible borrower in connection with a project or projects and such
sale, lease or transfer may be made without public auction or bidding;
providing, however, that where such real property is within an urban
renewal area the disposition thereof shall be in accordance with the
provisions of paragraph (d) of subdivision two of section five hundred
seven of the general municipal law.
Supervision. 1. The commissioner may from time to time
make, alter, amend and repeal rules and regulations for the supervision,
examination, regulation and audit of an eligible borrower and for
carrying into effect this title, and each eligible borrower shall submit
an annual report of its operations to the commissioner and the agency
who may examine and audit the books and records of the eligible borrower
at any time.
2. The commissioner and the department shall have power to act for
and in behalf of the agency in servicing the project mortgage loans of
the agency, and to perform such functions and services in connection
with the making, servicing and collection of such loans as shall be
requested by the agency.
3. (a) The commissioner and the department may, with respect to any
project of which the agency has acquired the fee or otherwise, enter
into an agreement with said agency subject to the approval of the
director of the budget, for the department, as provided in paragraph (b)
hereof, to operate the said project in a manner consistent with the
purposes of this title. In such event, the commissioner, on behalf of
the department, shall have the power to use any available funds to pay
all operating expenses and to comply with all the terms and provisions
of the mortgage, as though the mortgage had not been foreclosed, and to
comply with the provisions of this title.
(b) Subject to the provisions of the agreement with said agency, the
commissioner may contract with any person, firm or corporation which he
deems qualified to operate and manage such project and to perform such
duties and functions as he may deem necessary.
4. Whenever the commissioner shall be of the opinion that an eligible
borrower is failing or omitting, or is about to fail or omit to do
anything required of it by law or by order of the commissioner and is
doing or is about to do anything, or permitting anything, or is about to
permit anything to be done, contrary to or in violation of law or of any
order of the commissioner, or which is improvident or prejudicial to the
interest of the public, the lienholders, the shareholders, or the
occupants, the commissioner may, in addition to such other remedies as
may be available, commence an action or proceeding in the supreme court
of the state of New York in the name of the commissioner, for the
purpose of having such violations or threatened violations stopped and
prevented, and in such action or proceeding, the court may appoint a
temporary or permanent receiver or both. Such action or proceeding
shall be commenced by a petition to the supreme court, alleging the
violation complained of and praying for appropriate relief. It shall
thereupon be the duty of the court to specify the time, not exceeding
twenty days after service of a copy of the petition, within which the
eligible borrowers complained of must answer the petition. In case of
any default or after answer the court shall immediately inquire into the
facts and circumstances in such manner as the court shall direct in the
interest of substantial justice without other or formal pleading. Such
other persons or corporations as it shall seem to the court necessary or
proper to join as parties in order to make its order or judgment
effective, may be joined as parties. The final judgment in any such
action or proceeding shall either dismiss the action or proceeding or
direct that an order or an injunction, or both, issue, or provide for
the appointment of a receiver as prayed for in the petition, or grant
such other relief as the court may deem appropriate.
Foreclosures and judgments. 1. In any foreclosure action
the commissioner shall be made a party defendant. He shall take all
steps necessary to protect the interests of the public therein and no
costs shall be awarded against him. Foreclosures shall not be decreed
unless the court to which application is made shall be satisfied that
the interests of the lienholder or holders cannot be adequately assured
except by the sale of the property. In any such proceeding, the court
shall be authorized to appoint the commissioner as receiver of the
property, or to grant such other and further relief as may be reasonable
and proper.
2. Notwithstanding the foregoing provisions of this section, wherever
it shall appear that the agency shall have loaned on a mortgage which is
a first lien upon any such property, such agency shall have all the
remedies available to a mortgagee under the laws of the state of New
York, free from any restrictions contained in this section, except that
the commissioner shall be made a party defendant and that the
commissioner shall take all steps necessary to protect the interests of
the public and no costs shall be awarded against him.
3. In the event of a judgment against an eligible borrower in any
action not pertaining to the collection of a mortgage indebtedness,
there shall be no sale of any of the real property of such eligible
borrower except upon sixty days' written notice to the commissioner and
the agency. Upon receipt of such notice the commissioner and the agency
shall take such steps as in their judgment may be necessary to protect
the rights of all parties.
Fees and charges. The commissioner may, by regulation,
establish and charge to eligible borrowers such fees and charges for
inspection, regulation, supervision and audit as to the commissioner may
appear just and reasonable in order to recover the departmental costs in
performing these functions.
Separability. If any clause, sentence, paragraph or part of
this article shall be adjudged by any court of competent jurisdiction to
be invalid, such judgment shall not affect, impair or invalidate the
remainder thereof, but shall be confined in its operation to the clause,
sentence, paragraph, section or part thereof directly involved in the
controversy in which such judgment shall have been rendered.
TITLE 5-B Child Care Resource and Referral Program
Definitions. As used in this title, the term:
1. "Agency" shall mean a not-for-profit corporation or group of
not-for-profit corporations. With respect to any county for which no
appropriate not-for-profit corporation or group of corporations has
submitted a proposal, such term shall mean a statewide or regional
not-for-profit corporation which establishes such a corporation or shall
mean a local governmental entity which provides the services authorized
by this title;
2. "Resource and referral program" shall mean an agency funded
pursuant to this title to provide services specified in section four
hundred ten-r of this title within a defined geographic area;
3. "Early childhood services" shall mean services which include, but
are not limited to, registered, certified or licensed care in family day
care homes, group family day care homes, school-age child care programs;
head start programs, day care centers; child care which may be provided
without a permit, certificate or registration in accordance with this
statute; early childhood education programs approved by the state
education department; and care provided in a children's camp as defined
in section one thousand four hundred of the public health law;
4. "Required resource and referral services" shall mean those services
listed in subdivision one of section four hundred ten-q of this title
which must be provided by each child care resource and referral program
to parents and other guardians, child care and early childhood services
providers, employers and communities within the geographic area served
by the program, to the extent funds are available for such services;
5. "Enhanced services" shall mean additional or more intensive levels
of services as listed in subdivision two of section four hundred ten-q
of this title, which an agency agrees to provide in order to receive
additional funding pursuant to this title;
6. "Parent" or "Parents" shall mean and include biological and
adoptive parents, guardians or other persons in parental relationship to
a child.
Child care resource and referral program services. 1. Each
agency approved to receive funding pursuant to this title shall, to the
extent funds are available for such purposes, provide the following:
(a) Information and referral services directed at educating parents
who contact the agency regarding early childhood services options and
methods of selecting the best option for his or her child; referring
parents or guardians to early childhood services providers; informing
parents about the availability of financial assistance and tax credits;
referral for parents in coordinating part-day early childhood services
providers and programs to meet the full-day care needs of parents;
referrals for parents of preschool children with handicapping conditions
pursuant to section forty-four hundred ten of the education law and
section twenty-five hundred forty-two of the public health law;
providing written information to those who contact the agency seeking
information about early childhood services; maintaining a provider
resource file and a file of parents currently seeking early childhood
services; and publicizing child care resource and referral services as
necessary to assure that the availability of those services are known to
the community;
(b) Services directed at expanding the number of available family day
care providers and recruiting potential providers; providing information
on licensing and registration requirements and available funding sources
to potential early childhood services providers and programs; and
assisting individuals or organizations to qualify as legal early
childhood services providers or programs by providing information on
applicable laws and regulations relating to zoning, taxes, insurance,
government licensing or registration, and other matters of concern to
new providers;
(c) Services directed at maintaining and providing information and
resources on early childhood training and other relevant programs for
prospective and current providers, including educating child care
providers not requiring a license or registration pursuant to section
three hundred ninety of this article with information on available
training opportunities at the time of enrollment and re-enrollment;
(d) Services directed at developing and maintaining provider data
bases to determine service utilization and unmet needs for additional
early childhood services;
(e) Assuring access to the United States department of agriculture
child care food program for providers in the service area;
(f) Services directed at providing written materials and conducting
outreach to employers to encourage their support of child care resource
and referral services and other early childhood services; and
(g) Each agency funded herein shall provide services in a manner
responsive to the cultural, linguistic and economic characteristics of
the community served.
2. Enhanced services which an agency agrees to provide pursuant to a
contract may include one or more of the following:
(a) Services directed at expanding the supply of regulated care in
areas where such care is not readily available;
(b) Services directed at enhancing the availability and quality of
early childhood services which serve families with particular language,
ethnic and cultural backgrounds;
(c) Services directed at meeting the early childhood services needs of
children with special needs;
(d) Training or technical assistance services targeted to meet
specific local early childhood services needs; and
(e) Services directed at promoting, coordinating and assisting
collaborative efforts between early childhood services providers and
programs to meet the local need for full-day early childhood services.
Child care resource and referral programs. 1. The
commissioner shall solicit applications for available funds from
agencies pursuant to this title in a manner to ensure that agencies in
every area of the state will have an opportunity to apply for funds. The
commissioner shall designate areas to be served by child care resource
and referral services to ensure that services are accessible statewide
to the maximum extent feasible.
2. (a) In reviewing the applications, the commissioner shall consider
the ability of each applicant to provide the services delineated in
section four hundred ten-q of this title. Each agency shall demonstrate
that it has a viable plan to offer the required services to families in
the area without regard to income, and to attract local support for
additions to the required and enhanced services delineated in section
four hundred ten-q of this title.
(b) In connection with the review of an application for funds pursuant
to this title, the commissioner shall consider requests from agencies
for additional funding for the provision of enhanced services.
3. In accordance with the provisions of this title and subject to
funds appropriated specifically therefor, the commissioner is authorized
to award contracts for the operation of child care resource and referral
programs.
State reimbursement. 1. The commissioner shall allocate
annually any state funds, including any available federal funds,
appropriated for such purposes among the agencies approved for funding
pursuant to this title. The commissioner shall allocate such funds
pursuant to a statewide formula developed by the department, which shall
be based upon the relative numbers of children, children in working
families, and children in low income families in each county, as defined
by the department for this purpose. The commissioner shall notify the
legislature prior to the implementation of any change or adjustment in
the formula.
2. As a condition of receiving funds pursuant to this section, the
child care resource and referral program shall demonstrate that it is
receiving or has an agreement to receive funds, from sources other than
the department pursuant to this title. Funds other than those paid by
the department pursuant to this title may come from any other source,
including but not limited to the department or other state agencies,
federal programs such as the United States department of agriculture
child care food program, local agencies, employers or community
organizations, so long as such funds are for reasonably related
services. To continue to receive funds pursuant to this section, such
resource and referral program must demonstrate to the commissioner that
it has secured funds or commitments from other sources or that
extraordinary circumstances exist which preclude the securing of such
funds.
3. All applications approved by the commissioner shall include a
commitment to use appropriate accounting and fiscal control procedures
which shall include the filing of an annual financial statement which
has been audited as required by the department so as to ensure:
(a) the proper disbursement and accounting for funds received; and
(b) appropriate written records regarding the population served and
type and extent of services rendered.
Responsibilities of the commissioner. 1. The commissioner
shall monitor the performance of agencies to assure that the terms of
the contract are met, that the services are provided in accordance with
the intent of this title and that funds are used as required by this
title.
2. The commissioner may contract for technical support, planning,
coordination and data collection services to assist agencies in offering
child care resource services in unserved areas.
3. Beginning July first, nineteen hundred ninety-four and biennially
thereafter, the commissioner shall submit a report to the governor and
the legislature on the implementation of this title which shall include
but not be limited to:
(a) the names of the agencies serving the counties and the counties
served by a child care resources and referral agency;
(b) the awards made to each agency;
(c) the characteristics and number of children and families who have
received services;
(d) the improvements in the accessibility of early childhood services,
the improvement in quality and the expanded supply;
(e) the nature of services contracted for and additional services the
agency is able to provide with other funding sources;
(f) the amount of state and federal funding available for services
provided under this title; and
(g) the cost to the state to administer the programs funded under this
title.
TITLE 5-C Block Grant For Child Care
Establishment of block grant for child care. 1. The
department shall establish a state block grant for child care comprised
of all of the federal funds appropriated for child care under title IV-A
of the federal social security act and under the federal child care and
development block grant act and any additional federal funds that the
state chooses to transfer from the federal family assistance to needy
families block grant to the child care and development block grant plus
any state funds appropriated for the provision by social services
districts of child care assistance to families in receipt of family
assistance and other low income families and for activities to increase
the availability and/or quality of child care programs.
2. The state block grant for child care shall be divided into two
parts pursuant to a plan developed by the department and approved by the
director of the budget. One part shall be retained by the state to
provide child care on a statewide basis to special groups and for
activities to increase the availability and/or quality of child care
programs, including, but not limited to, the start-up of child care
programs, the operation of child care resource and referral programs,
training activities, the regulation and monitoring of child care
programs, the development of computerized data systems, and consumer
education, provided however, that child care resource and referral
programs funded under title five-B of article six of this chapter shall
meet additional performance standards developed by the department of
social services including but not limited to: increasing the number of
child care placements for persons who are at or below eighty-five
percent of the state median income, with emphasis on placements
supporting local efforts in meeting federal and state work participation
requirements, increasing technical assistance to all modalities of legal
child care to persons who are at or below eighty-five percent of the
state median income, including the provision of training to assist
providers in meeting child care standards or regulatory requirements,
and creating new child care opportunities, and assisting social services
districts in assessing and responding to child care needs for persons at
or below eighty-five percent of the state median income. The department
shall have the authority to withhold funds from those agencies which do
not meet performance standards. Agencies whose funds are withheld may
have funds restored upon achieving performance standards. The other part
shall be allocated to social services districts to provide child care
assistance to families receiving family assistance and to other low
income families.
3. Notwithstanding any other provision of law, expenditures of funds
from the block grant shall be governed by this title.
Allocation of block grant funds. 1. The part of the block
that is determined to be available to social services districts for
child care assistance shall be apportioned among the social services
districts by the department according to an allocation plan developed by
the department and approved by the director of the budget. The
allocation plan shall be based, at least in part, on historical costs
and on the availability and cost of, and the need for, child care
assistance in each social services district. Annual allocations shall
be made on a federal fiscal year basis.
2. Reimbursement under the block grant to a social services district
for its expenditures for child care assistance shall be available for
seventy-five percent of the district's expenditures for child care
assistance provided to those families in receipt of public assistance
which are eligible for child care assistance under this title and for
one hundred percent of the social services district's expenditures for
other eligible families; provided, however, that such reimbursement
shall be limited to the social services district's annual state block
grant allocation.
3. Any portion of a social services district's block grant allocation
for a particular federal fiscal year that is not claimed by such
district during that federal fiscal year shall be added to that social
services district's block grant allocation for the next federal fiscal
year.
4. Any claims for child care assistance made by a social services
district for services that occurred from October first, nineteen hundred
ninety-six through September thirtieth, nineteen hundred ninety-seven,
other than claims made under title XX of the federal social security
act, shall be counted against the social services district's first block
grant allocation.
Eligible families. 1. A social services district may use the
funds allocated to it from the block grant to provide child care
assistance to:
(a) families receiving public assistance when such child care
assistance is necessary: to enable a parent or caretaker relative to
engage in work, participate in work activities or perform a community
service pursuant to title nine-B of article five of this chapter; to
enable a teenage parent to attend high school or other equivalent
training program; because the parent or caretaker relative is physically
or mentally incapacitated; or because family duties away from home
necessitate the parent or caretaker relative's absence; child day care
shall be provided during breaks in activities. Such child day care shall
be authorized for the period designated by the regulations of the
department;
(b) families with incomes up to eighty-five percent of the state
median income who are attempting through work activities to transition
off of public assistance when such child care is necessary in order to
enable a parent or caretaker relative to engage in work provided such
families' public assistance has been terminated as a result of increased
hours of or income from employment or increased income from child
support payments or the family voluntarily ended assistance; provided
that the family received public assistance at least three of the six
months preceding the month in which eligibility for such assistance
terminated or ended or provided that such family has received child care
assistance under subdivision four of this section;
(c) families with incomes up to eighty-five percent of the state
median income, which are determined in accordance with the regulations
of the department to be at risk of becoming dependent on family
assistance;
(d) families with incomes up to eighty-five percent of the state
median income, who are attending a post secondary educational program;
and
(e) other families with incomes up to eighty-five percent of the state
median income in accordance with criteria established by the department.
2. For the purposes of this title, the term "state income standard"
means the most recent federal income official poverty line (as defined
and annually revised by the federal office of management and budget)
updated by the department for a family size of four and adjusted by the
department for family size.
3. A social services district shall guarantee child care assistance to
families in receipt of public assistance with children under thirteen
years of age when such child care assistance is necessary for a parent
or caretaker relative to engage in work or participate in work
activities pursuant to the provisions of title nine-B of article five of
this chapter. Child care assistance shall continue to be guaranteed for
such a family for a period of twelve months or, upon approval by the
office, may be provided by a social services district for a period up to
twenty-four months, after the month in which the family's eligibility
for public assistance has terminated or ended when such child care is
necessary in order to enable the parent or caretaker relative to engage
in work, provided that the family's public assistance has been
terminated as a result of an increase in the hours of or income from
employment or increased income from child support payments or because
the family voluntarily ended assistance; that the family received public
assistance in at least three of the six months preceding the month in
which eligibility for such assistance terminated or ended or provided
that such family has received child care assistance under subdivision
four of this section; and that the family's income does not exceed
eighty-five percent of the state median income. Such child day care
shall recognize the need for continuity of care for the child and a
district shall not move a child from an existing provider unless the
participant consents to such move.
3-a. A local social services district may, upon notification to the
office, utilize a presumptive eligibility standard to provide child care
assistance, in accordance with this subdivision. The office of children
and family services shall issue guidance regarding the preliminary
eligibility criteria to be used by local social services districts
utilizing a presumptive eligibility standard.
(a) A local social services district opting to utilize a presumptive
eligibility standard, shall, upon receipt of an application for child
care assistance, including all completed documentation required by the
district, complete a preliminary eligibility determination.
(b) If the family meets the preliminary eligibility criteria, the
family shall be presumed eligible for child care assistance for the
period from the date of the application to the date of the final
eligibility determination.
(c) A local social services district may utilize child care block
grant funds for the presumptive eligibility period to the extent
permitted by federal law.
(d) If, upon final determination, the application for child care
services is denied, the social services district shall send written
notice to the applicant of the determination of ineligibility and of the
applicant's right to a fair hearing in accordance with the regulations
of the office.
4. (a) Local social services districts shall guarantee applicants who
would otherwise be eligible for, or are recipients of, public assistance
benefits and who are employed, the option to choose to receive
continuing child day care subsidies in lieu of public assistance
benefits, for such period of time as the recipient continues to be
eligible for public assistance. For the purposes of this subdivision, an
eligible applicant for, or recipient of, public assistance benefits and
who is employed includes a person whose gross earnings equal, or are
greater than, the required number of work hours times the state minimum
wage. Recipients of child care subsidies under this subdivision who are
no longer eligible for public assistance benefits, shall be eligible for
transitional child care described in paragraph (b) of subdivision one of
this section as if they had been recipients of public assistance.
(b) Nothing herein shall be construed to waive the right of an
applicant who chooses to receive continuing child day care subsidies
pursuant to this section from applying for ongoing public assistance.
5. (a) A family eligible for child care assistance pursuant to
subdivision one of this section, unless such family voluntarily ends
such assistance, shall be deemed eligible for a period of no less than
twelve months from the date of the eligibility determination for such
assistance, provided the family income does not exceed eighty-five
percent of the state median income. A social services district may
extend this period to up to twenty-four months, provided the family
income does not exceed eighty-five percent of the state median income.
(b) A family eligible for child care assistance under paragraph (a) of
subdivision one of this section shall suffer no break in child care
services and shall not be required to reapply for such assistance so
long as eligibility under subdivision three of this section continues.
6. Notwithstanding any other provision of law, rule or regulation to
the contrary, applicants for child care subsidy assistance shall be
encouraged to obtain a child support order and shall be advised of the
benefits of obtaining such orders. Provided however, no applicant for,
or recipient of, child care assistance under this title shall be
required to pursue, or to obtain, a court order for child support as a
condition of eligibility for child care assistance.
7. For purposes of determining financial eligibility under this title,
the earned income of a dependent child under the age of eighteen, who is
not legally responsible for the child or children for which child care
assistance is sought, shall be disregarded when determining the
eligibility of a household for a child care subsidy.
8. Notwithstanding any other provision of law, rule or regulations to
the contrary, a social services district that implements a plan
amendment to the child care portion of its child and family services
plan, either as part of an annual plan update, or through a separate
plan amendment process, where such amendment reduces eligibility for, or
increases the family share percentage of, families receiving child care
services, or that implements the process for closing child care cases as
set forth in the district's approved child and family services plan, due
to the district determining that it cannot maintain its current caseload
because all of the available funds are projected to be needed for open
cases, shall provide all families whose eligibility for child care
assistance or family share percentage will be impacted by such action
with at least thirty days prior written notice of the action. Provided,
however, that a family receiving assistance pursuant to this title shall
not be required to contribute more than one percent of their income
exceeding the federal poverty level.
9. Parents and caretakers who are otherwise eligible for child care
assistance, and provided with such assistance, shall be able to utilize
the assistance when care is necessary to enable them to sleep because
they work non-traditional hours and have a child who is under the age of
six and not in school for a full school day. The authorization for child
care assistance shall be sufficient to allow the parent to obtain up to
eight hours of sleep, as needed.
10. For the purposes of this title, the term "state median income"
means the most recent state median income data published by the bureau
of the census, for a family of the same size, updated by the department
for a family size of four and adjusted by the department for family
size.
Use of funds. 1. A social services district shall expend its
allocation from the block grant in a manner that provides for equitable
access to child care assistance funds to eligible families, and in
accordance with the applicable provisions in federal law regarding the
portion of the funds which must be spent on families in receipt of
family assistance, families who are attempting through work activities
to transition off of family assistance and families at-risk of becoming
dependent on family assistance and the portion which must be spent on
other working low-income families. Each social services district may
spend no more than five percent of its block grant allocation for
administrative activities. The term "administrative activities" shall
not include the costs of providing direct services.
2. (a) The office of children and family services may establish
priorities for the families which will be eligible to receive funding;
provided that the priorities provide that eligible families will receive
equitable access to child care assistance funds to the extent that these
funds are available. The office of children and family services shall
ensure that families in receipt of child care assistance as of September
thirtieth, two thousand twenty-three who were identified as a priority
population under a local social services district's consolidated
services plan shall continue to be eligible for such assistance,
provided they meet all other applicable eligibility requirements for
such assistance.
(d) Each social services district shall collect and submit to the
commissioner of the office of children and family services in a manner
to be specified by the commissioner of the office of children and family
services information concerning the disbursement of child care
assistance funds showing geographic distribution of children receiving
assistance within the district.
(e) The commissioner of the office of children and family services
shall submit a report to the governor, temporary president of the senate
and the speaker of the assembly on or before August thirty-first, two
thousand one concerning the implementation of this section. This report
shall include information concerning the disbursement of child care
assistance funds showing geographic distribution of children receiving
assistance within the state.
3. Child care assistance funded under the block grant must meet all
applicable standards set forth in section three hundred ninety of this
article or the administrative code of the city of New York, including
child day care in a child day care center, family day care home, group
family day care home, school age child care program, or in home care
which is not subject to licensure, certification or registration, or any
other lawful form of care for less than twenty-four hours per day. The
department also is required to establish, in regulation, minimum health
and safety requirements that must be met by those providers providing
child care assistance funded under the block grant which are not
required to be licensed or registered under section three hundred ninety
of this article or to be licensed under the administrative code of the
city of New York and to those public assistance recipients who are
providing child care assistance as part of their work activities or as
community service under title nine-B of article five of this chapter. A
social services district may submit to the department justification for
a need to impose additional minimum health and safety requirements on
such providers and a plan to monitor compliance with such additional
requirements. No such additional requirements or monitoring may be
imposed without the written approval of the department. Social services
districts shall provide, directly or through referral, technical
assistance and relevant health and safety information to all public
assistance recipients who voluntarily choose to provide child care
assistance as part of their work activities under title nine-B of
article five of this chapter.
4. The amount to be paid or allowed for child care assistance funded
under the block grant shall be the actual cost of care but no more than
the applicable market-related payment rate established by the department
in regulations. The payment rates established by the department shall be
sufficient to ensure equal access for eligible children to comparable
child care assistance in the substate area that are provided to children
whose parents are not eligible to receive assistance under any federal
or state programs. Such payment rates shall take into account the
variations in the costs of providing child care in different settings
and to children of different age groups, and the additional costs of
providing child care for children with special needs.
5. The department shall promulgate regulations under which provision
for child care assistance may be made by providing child care directly;
through purchase of services contracts; by providing cash, vouchers or
reimbursement to the providers of child care or to the parents or
caretaker relatives; or through such other arrangement as the department
finds appropriate. Such regulations shall require the use of at least
one method by which child care arranged by the parent or caretaker
relative can be paid.
6. Pursuant to department regulations, child care assistance shall be
provided on a sliding fee basis based upon the family's ability to pay;
provided, however, that a family receiving assistance pursuant to this
title shall not be required to contribute more than one percent of their
income exceeding the federal poverty level.
7. A social services district may suspend the eligibility of a
provider who is not required to be licensed or registered under section
three hundred ninety of this article to provide child care assistance
funded under the block grant, where the provider is the subject of a
report of child abuse or maltreatment that is under investigation by
child protective services.
8. Notwithstanding any provision of law to the contrary, child care
assistance payments made pursuant to this section may be made by direct
deposit or debit card, as elected by the recipient, and administered
electronically, and in accordance with such guidelines, as may be set
forth by regulation of the office of children and family services. The
office of children and family services may enter into contracts on
behalf of local social services districts for such direct deposit or
debit card services in accordance with section twenty-one-a of this
chapter.
9. Reimbursement for payment on behalf of children who are temporarily
absent from child care shall be paid for up to eighty days per year.
Reimbursement for additional absences may be allowable in the case of
extenuating circumstances, as determined by the office of children and
family services.
10. Differential payment rates for child care services shall be
established as required by this subdivision; provided however no
provider shall receive an aggregate differential in excess of a limit to
be set by the regulations of the office.
(a) Local social services districts shall establish a differential
payment rate for child care services provided by licensed or registered
child care providers who provide care to a child or children
experiencing homelessness. Such differential payment rate shall be no
less than ten percent higher but no greater than fifteen percent higher
than the actual cost of care or the applicable market-related payment
rate established by the office in regulations, whichever is less.
(b) Local social services districts shall establish a differential
payment rate for child care services provided by licensed, registered,
or enrolled child care providers who provide care to a child during
nontraditional hours. Nontraditional hours shall mean care provided
other than between six o'clock ante meridian and seven o'clock post
meridian on weekdays. Such differential payment rate shall be no less
than ten percent higher but no greater than fifteen percent higher than
the actual cost of care or the applicable market-related payment rate
established by the office in regulations, whichever is less.
(c) Nothing in this subdivision shall be construed to limit the
authority of the office of children and family services to establish
additional differential payment rates by regulation.
Maintenance of effort. 1. Each social services district shall
maintain the amount of local funds spent for child care assistance under
the child care block grant at a level equal to or greater than the
amount the district spent for child care assistance during federal
fiscal year nineteen hundred ninety-five under title IV-A of the federal
social security act, the federal child care development block grant
program and the state low income child care program; provided however, a
social services district for a city of a population of a million or more
shall spend local funds for child care assistance at an amount no less
than three hundred twenty-eight million dollars.
2. If the state fails to meet the level of state and local child care
funding necessary to maintain the federal matching funds for child care
assistance available under title IV-a of the federal social security
act, the state shall withhold funding from those social services
districts which spent a lower amount of local funds for child care
assistance than the amount required by subdivision one of this section,
based on a formula established in department regulations, equal to the
amount of the matching funds which have been lost.
Reporting requirements. Each social services district shall
collect and submit to the office of children and family services, in
such form and at such times as specified by the office of children and
family services, such data and information regarding child care
assistance provided under the block grant as the office of children and
family services may need to comply with federal reporting requirements.
TITLE 6 Child Protective Services
Findings and purpose. Abused and maltreated children in this
state are in urgent need of an effective child protective service to
prevent them from suffering further injury and impairment. It is the
purpose of this title to encourage more complete reporting of suspected
child abuse and maltreatment and to establish in each county of the
state a child protective service capable of investigating such reports
swiftly and competently and capable of providing protection for the
child or children from further abuse or maltreatment and rehabilitative
services for the child or children and parents involved.
General definitions. When used in this title and unless the
specific context indicates otherwise:
1. An "abused child" means a child under eighteen years of age and who
is defined as an abused child by the family court act;
2. A "maltreated child" includes a child under eighteen years of age:
(a) defined as a neglected child by the family court act, or
(b) who has had serious physical injury inflicted upon him or her by
other than accidental means;
3. "Person legally responsible" for a child means a person legally
responsible as defined by the family court act;
4. "Subject of the report" means any parent of, guardian of, or other
person eighteen years of age or older legally responsible for, as
defined in subdivision (g) of section one thousand twelve of the family
court act, a child reported to the statewide central register of child
abuse and maltreatment who is allegedly responsible for causing injury,
abuse or maltreatment to such child or who allegedly allows such injury,
abuse or maltreatment to be inflicted on such child; or a director or an
operator of, or employee or volunteer in, a home operated or supervised
by an authorized agency, the office of children and family services, or
in a family day-care home, a day-care center, a group family day care
home, a school-age child care program or a day-services program who is
allegedly responsible for causing injury, abuse or maltreatment to a
child who is reported to the statewide central register of child abuse
or maltreatment or who allegedly allows such injury, abuse or
maltreatment to be inflicted on such child;
5. "Other persons named in the report" shall mean and be limited to
the following persons who are named in a report of child abuse or
maltreatment other than the subject of the report: the child who is
reported to the statewide central register of child abuse and
maltreatment; and such child's parent, guardian, or other person legally
responsible for the child who has not been named in the report as
allegedly responsible for causing injury, abuse or maltreatment to the
child or as allegedly allowing such injury, abuse or maltreatment to be
inflicted on such child;
6. An "unfounded report" means any report made pursuant to this title
unless an investigation: (i) commenced on or before December
thirty-first, two thousand twenty-one determines that some credible
evidence of the alleged abuse or maltreatment exists; or (ii) commenced
on or after January first, two thousand twenty-two determines that a
fair preponderance of the evidence of the alleged abuse or maltreatment
exists;
7. An "indicated report" means a report made pursuant to this title if
an investigation: (i) commenced on or before December thirty-first, two
thousand twenty-one determines that some credible evidence of the
alleged abuse or maltreatment exists; or (ii) commenced on or after
January first, two thousand twenty-two determines that a fair
preponderance of the evidence of the alleged abuse or maltreatment
exists;
8. "Substance abuse counselor" or "alcoholism counselor" means any
person who has been issued a credential therefor by the office of
alcoholism and substance abuse services, pursuant to paragraphs one and
two of subdivision (d) of section 19.07 of the mental hygiene law.
9. A "publicly-funded emergency shelter for families with children"
means any facility with overnight sleeping accommodations and that is
used to house recipients of temporary housing assistance and which
houses or may house children and families with children.
Persons and officials required to report cases of suspected
child abuse or maltreatment. 1. (a) The following persons and officials
are required to report or cause a report to be made in accordance with
this title when they have reasonable cause to suspect that a child
coming before them in their professional or official capacity is an
abused or maltreated child, or when they have reasonable cause to
suspect that a child is an abused or maltreated child where the parent,
guardian, custodian or other person legally responsible for such child
comes before them in their professional or official capacity and states
from personal knowledge facts, conditions or circumstances which, if
correct, would render the child an abused or maltreated child: any
physician; registered physician assistant; surgeon; medical examiner;
coroner; dentist; dental hygienist; osteopath; optometrist;
chiropractor; podiatrist; resident; intern; athletic trainer;
psychologist; registered nurse; social worker; emergency medical
technician; licensed creative arts therapist; licensed marriage and
family therapist; licensed mental health counselor; licensed
psychoanalyst; licensed behavior analyst; certified behavior analyst
assistant; hospital personnel engaged in the admission, examination,
care or treatment of persons; a Christian Science practitioner; school
official, which includes but is not limited to school teacher, school
guidance counselor, school psychologist, school social worker, school
nurse, school administrator or other school personnel required to hold a
teaching or administrative license or certificate; full or part-time
compensated school employee required to hold a temporary coaching
license or professional coaching certificate; social services worker;
employee of a publicly-funded emergency shelter for families with
children; director of a children's overnight camp, summer day camp or
traveling summer day camp, as such camps are defined in section thirteen
hundred ninety-two of the public health law; day care center worker;
school-age child care worker; provider of family or group family day
care; employee or volunteer in a residential care facility for children
that is licensed, certified or operated by the office of children and
family services; or any other child care or foster care worker; mental
health professional; substance abuse counselor; alcoholism counselor;
all persons credentialed by the office of alcoholism and substance abuse
services; employees, who are expected to have regular and substantial
contact with children, of a health home or health home care management
agency contracting with a health home as designated by the department of
health and authorized under section three hundred sixty-five-l of this
chapter or such employees who provide home and community based services
under a demonstration program pursuant to section eleven hundred fifteen
of the federal social security act who are expected to have regular and
substantial contact with children; peace officer; police officer;
district attorney or assistant district attorney; investigator employed
in the office of a district attorney; or other law enforcement official.
(b) Whenever such person is required to report under this title in his
or her capacity as a member of the staff of a medical or other public or
private institution, school, facility or agency, he or she shall make
the report as required by this title and immediately notify the person
in charge of such institution, school, facility or agency, or his or her
designated agent. Such person in charge, or the designated agent of such
person, shall be responsible for all subsequent administration
necessitated by the report. Any report shall include the name, title and
contact information for every staff person of the institution who is
believed to have direct knowledge of the allegations in the report.
Nothing in this section or title is intended to require more than one
report from any such institution, school or agency.
(c) A medical or other public or private institution, school, facility
or agency shall not take any retaliatory personnel action, as such term
is defined in paragraph (e) of subdivision one of section seven hundred
forty of the labor law, against an employee because such employee
believes that he or she has reasonable cause to suspect that a child is
an abused or maltreated child and that employee therefore makes a report
in accordance with this title. No school, school official, child care
provider, foster care provider, residential care facility provider,
hospital, medical institution provider or mental health facility
provider shall impose any conditions, including prior approval or prior
notification, upon a member of their staff specifically required to
report under this title. At the time of the making of a report, or at
any time thereafter, such person or official may exercise the right to
request, pursuant to paragraph (A) of subdivision four of section four
hundred twenty-two of this title, the findings of an investigation made
pursuant to this title.
(d) Social services workers are required to report or cause a report
to be made in accordance with this title when they have reasonable cause
to suspect that a child is an abused or maltreated child where a person
comes before them in their professional or official capacity and states
from personal knowledge facts, conditions or circumstances which, if
correct, would render the child an abused or maltreated child.
2. Any person, institution, school, facility, agency, organization,
partnership or corporation which employs persons mandated to report
suspected incidents of child abuse or maltreatment pursuant to
subdivision one of this section shall provide consistent with section
four hundred twenty-one of this chapter, all such current and new
employees with written information explaining the reporting requirements
set out in subdivision one of this section and in sections four hundred
fifteen through four hundred twenty of this title. The employers shall
be responsible for the costs associated with printing and distributing
the written information.
3. Any state or local governmental agency or authorized agency which
issues a license, certificate or permit to an individual to operate a
family day care home or group family day care home shall provide each
person currently holding or seeking such a license, certificate or
permit with written information explaining the reporting requirements
set out in subdivision one of this section and in sections four hundred
fifteen through four hundred twenty of this title.
4. Any person, institution, school, facility, agency, organization,
partnership or corporation, which employs persons who are mandated to
report suspected incidents of child abuse or maltreatment pursuant to
subdivision one of this section and whose employees, in the normal
course of their employment, travel to locations where children reside,
shall provide, consistent with section four hundred twenty-one of this
title, all such current and new employees with information on
recognizing the signs of an unlawful methamphetamine laboratory.
Pursuant to section 19.27 of the mental hygiene law, the office of
alcoholism and substance abuse services shall make available to such
employers information on recognizing the signs of unlawful
methamphetamine laboratories.
6. The office of children and family services shall update training
issued to persons and officials required to report cases of suspected
child abuse or maltreatment to include guidance on identifying an abused
or maltreated child when such child is an individual with an
intellectual or developmental disability as defined in section 1.03 of
the mental hygiene law. Such guidance shall be developed in consultation
with the justice center for the protection of people with special needs.
Persons and officials required to report cases of suspected child abuse
or maltreatment shall have two years from the effective date of this
subdivision to receive such updated mandated reporter training.
Any person permitted to report. In addition to those persons
and officials required to report suspected child abuse or maltreatment,
any person may make such a report if such person has reasonable cause to
suspect that a child is an abused or maltreated child.
Reporting procedure. Reports of suspected child abuse or
maltreatment made pursuant to this title shall be made immediately by
telephone or by telephone facsimile machine on a form supplied by the
commissioner of the office of children and family services. Oral reports
shall be followed by a report in writing within forty-eight hours after
such oral report. Oral reports shall be made to the statewide central
register of child abuse and maltreatment unless the appropriate local
plan for the provision of child protective services provides that oral
reports should be made to the local child protective service. In those
localities in which oral reports are made initially to the local child
protective service, the child protective service shall immediately make
an oral or electronic report to the statewide central register. Written
reports shall be made to the appropriate local child protective service
except that written reports involving children being cared for in a home
operated or supervised by an authorized agency or the office of children
and family services shall be made to the statewide central register of
child abuse and maltreatment which shall transmit the reports to the
agency responsible for investigating the report, in accordance with
section four hundred twenty-four-b of this title. Written reports shall
be made in a manner prescribed and on forms supplied by the commissioner
of the office of children and family services and shall include the
following information: the names and addresses of the child and his or
her parents or other person responsible for his or her care, if known,
and, as the case may be, the name and address of the program in which
the child is receiving care; the child's age, sex and race; the nature
and extent of the child's injuries, abuse or maltreatment, including any
evidence of prior injuries, abuse or maltreatment to the child or, as
the case may be, his or her siblings; the name of the person or persons
alleged to be responsible for causing the injury, abuse or maltreatment,
if known; family composition, where appropriate; the source of the
report; the person making the report and where he or she can be reached;
the actions taken by the reporting source, including the taking of
photographs and x-rays, removal or keeping of the child or notifying the
medical examiner or coroner; and any other information which the
commissioner of the office of children and family services may, by
regulation, require, or the person making the report believes might be
helpful, in the furtherance of the purposes of this title.
Notwithstanding the privileges set forth in article forty-five of the
civil practice law and rules, and any other provision of law to the
contrary, mandated reporters who make a report which initiates an
investigation of an allegation of child abuse or maltreatment are
required to comply with all requests for records made by a child
protective service relating to such report, including records relating
to diagnosis, prognosis or treatment, and clinical records, of any
patient or client that are essential for a full investigation of
allegations of child abuse or maltreatment pursuant to this title;
provided, however, that disclosure of substance abuse treatment records
shall be made pursuant to the standards and procedures for disclosure of
such records delineated in federal law. Written reports from persons or
officials required by this title to report shall be admissible in
evidence in any proceedings relating to child abuse or maltreatment.
Obligations of persons required to report. Any person or
official required to report cases of suspected child abuse and
maltreatment may take or cause to be taken at public expense photographs
of the areas of trauma visible on a child who is subject to a report
and, if medically indicated, cause to be performed a radiological
examination on the child. Any photographs or x-rays taken shall be sent
to the child protective service at the time the written report is sent,
or as soon thereafter as possible. Whenever such person is required to
report under this title in his capacity as a member of the staff of a
medical or other public or private institution, school, facility, or
agency, he shall immediately notify the person in charge of such
institution, school, facility or agency, or his designated agent, who
shall then take or cause to be taken at public expense color photographs
of visible trauma and shall, if medically indicated, cause to be
performed a radiological examination on the child.
Taking a child into protective custody. 1. (a) Pursuant to the
requirements and provisions of the family court act, a peace officer,
acting pursuant to his or her special duties, a police officer, a law
enforcement official, or a designated employee of a city or county
department of social services, or an agent or employee of an Indian
tribe that has entered into an agreement with the department pursuant to
section thirty-nine of this chapter to provide child protective services
shall take all appropriate measures to protect a child's life and health
including, when appropriate, taking or keeping a child in protective
custody without the consent of a parent or guardian if such person has
reasonable cause to believe that the circumstances or condition of the
child are such that continuing in his or her place of residence or in
the care and custody of the parent, guardian, custodian or other person
responsible for the child's care presents an imminent danger to the
child's life or health.
(b) Any physician shall notify the appropriate police authorities or
the local child protective service to take custody of any child such
physician is treating whether or not additional medical treatment is
required, if such physician has reasonable cause to believe that the
circumstances or condition of the child are such that continuing in his
place of residence or in the care and custody of the parent, guardian,
custodian or other person responsible for the child's care presents an
imminent danger to the child's life or health.
2. Notwithstanding any other provision of law, the person in charge of
any hospital or similar institution shall, where he has reasonable cause
to believe that the circumstances or conditions of the child are such
that continuing in his place of residence or in the care and custody of
the parent, guardian, custodian or other person responsible for the
child's care presents an imminent danger to the child's life or health,
take all necessary measures to protect the child including, where
appropriate, retaining custody of an abused or maltreated child, until
the next regular week day session of the family court in which a child
protection proceeding pursuant to article ten of the family court act
may be commenced whether or not additional medical treatment is required
during that period and whether or not a request is made by a parent or
guardian for the return of the child during that period. In all cases
where the person in charge of a hospital or similar institution has
retained custody of a child pursuant to this section, he shall
immediately notify the appropriate local child protective service which
immediately shall commence an investigation. In the case of a child in
residential care, the child protective service shall notify the
appropriate state agency which shall immediately commence an
investigation. If no further medical treatment is necessary, the child
protective service shall take all necessary measures to protect a
child's life and health, including when appropriate, taking custody of a
child. Such child protective service shall commence a child protective
proceeding in the family court at the next regular week day session of
the appropriate family court or recommend to the court at that time that
the child be returned to his parents or guardian.
3. Whenever a child protective service takes a child into protective
custody and the parent, guardian or custodian of the child is not
present, the service shall immediately notify the local police station
closest to the child's home of such removal, and shall provide them with
a copy of the notice required pursuant to paragraph (iii) of subdivision
(b) of section one thousand twenty-four of the family court act. Upon
request by the parent, guardian or custodian of the child, the police
shall provide such person with a copy of the notice.
Mandatory reporting to and post-mortem investigation of deaths
by medical examiner or coroner. Any person or official required to
report cases of suspected child abuse or maltreatment, including workers
of the local child protective service who has reasonable cause to
suspect that a child died as a result of child abuse or maltreatment
shall report that fact to the appropriate medical examiner or coroner.
The medical examiner or coroner shall accept the report for
investigation and shall issue a preliminary written report of his or her
finding within sixty days of the date of death, absent extraordinary
circumstances, and his or her final written report promptly, absent
extraordinary circumstances, to the police, the appropriate district
attorney, the local child protective service, the office of children and
family services, and, if the institution making the report is a
hospital, the hospital. The office of children and family services shall
promptly provide a copy of the preliminary and final reports to the
statewide central register of child abuse and maltreatment.
Immunity from liability. Any person, official, or institution
participating in good faith in the providing of a service pursuant to
section four hundred twenty-four of this title, the making of a report,
the taking of photographs, the removal or keeping of a child pursuant to
this title, or the disclosure of child protective services information
in compliance with sections twenty, four hundred twenty-two and four
hundred twenty-two-a of this chapter shall have immunity from any
liability, civil or criminal, that might otherwise result by reason of
such actions. For the purpose of any proceeding, civil or criminal, the
good faith of any such person, official, or institution required to
report cases of child abuse or maltreatment or providing a service
pursuant to section four hundred twenty-four or the disclosure of child
protective services information in compliance with sections twenty, four
hundred twenty-two and four hundred twenty-two-a of this chapter shall
be presumed, provided such person, official or institution was acting in
discharge of their duties and within the scope of their employment, and
that such liability did not result from the willful misconduct or gross
negligence of such person, official or institution.
Penalties for failure to report. 1. Any person, official or
institution required by this title to report a case of suspected child
abuse or maltreatment who willfully fails to do so shall be guilty of a
class A misdemeanor.
2. Any person, official or institution required by this title to
report a case of suspected child abuse or maltreatment who knowingly and
willfully fails to do so shall be civilly liable for the damages
proximately caused by such failure.
Responsibility of the office. The office shall: 1. in
conjunction with local departments, both jointly and individually,
within the appropriation available, conduct a continuing publicity and
education program for local department staff, persons and officials
required to report including district attorneys, assistant district
attorneys, police officers, peace officers, investigators employed in
the office of a district attorney, and any other appropriate persons to
encourage the fullest degree of reporting of suspected child abuse or
maltreatment. Such program shall be developed and implemented in
coordination with those established pursuant to section 31.06 of the
mental hygiene law, section twenty-eight hundred five-n of the public
health law, section thirty-two hundred nine-a of the education law,
sections two hundred fourteen-a and eight hundred forty of the executive
law and article eleven of this chapter. The program shall include but
not be limited to responsibilities, obligations and powers under this
title and chapter as well as the diagnosis of child abuse and
maltreatment, the procedures of the child protective service, the family
court and other duly authorized agencies and the prevention, treatment
and remediation of abuse and maltreatment of children in residential
care.
2. (a) provide technical assistance to local social services
departments regarding case planning and provision of services and
performance of other responsibilities pursuant to this title. Such
assistance shall be provided on a regular, ongoing basis and shall also
be made available as needed, upon request of any such local department.
(b) issue guidelines to assist local social services departments in
evaluating and establishing investigative priorities for reports
describing situations or events which may pose a clear and present
danger to the life, health or safety of a child and which require
immediate, personal contact between the local child protective service
and the subject of the report, the subject's family, or any other
persons named in the report.
(c) issue guidelines to assist local child protective services in the
interpretation and assessment of reports of abuse and maltreatment made
to the statewide central register described in section four hundred
twenty-two of this article. Such guidelines shall include information,
standards and criteria for the identification of evidence of alleged
abuse and maltreatment as required to determine whether a report may be
indicated pursuant to this article. Provided further, the office of
children and family services shall update such guidelines, standards and
criteria issued to the local child protective services to include
protocols to reduce implicit bias in the decision-making processes,
strategies for identifying adverse childhood experiences as defined in
paragraph (c) of subdivision one of section twenty-d of this chapter,
guidelines to assist in recognizing signs of abuse or maltreatment while
interacting virtually, and guidance on identifying an abused or
maltreated child when such child is an individual with an intellectual
or developmental disability as defined in section 1.03 of the mental
hygiene law. The office may utilize existing programs or materials
established pursuant to section twenty-d of this chapter.
3. * promulgate regulations setting forth requirements for the
performance by local social services departments of the duties and
powers imposed and conferred upon them by the provisions of this title
and of article ten of the family court act. Such regulations shall
establish uniform requirements for the investigation of reports of child
abuse or maltreatment under this title. The department shall also issue
guidelines which shall set forth the circumstances or conditions under
which:
* NB Effective until December 12, 2026
* promulgate regulations setting forth requirements for the
performance by local social services departments of the duties and
powers imposed and conferred upon them by the provisions of this title
and of article ten of the family court act. Such regulations shall
establish uniform requirements for the investigation of reports of child
abuse or maltreatment under this title. The office of children and
family services shall also issue guidelines which shall set forth the
circumstances or conditions under which:
* NB Effective December 12, 2026
(a) personal contact shall be made with the child named in the report
and any other children in the same household, including interviewing
such child or children absent the subject of the report whenever
possible and appropriate;
(b) photographs of visible physical injuries or trauma of children who
may be the victims of abuse or maltreatment shall be taken or arranged
for;
(c) medical examination of a child who may be a victim of abuse or
maltreatment and documentation of findings of such examination, shall be
required.
* The department shall promulgate regulations to establish standards
for intervention, criteria for case closings, criteria for determining
whether or not to initiate a child protective proceeding, and criteria
for the formulation of treatment plans and for the delivery of child
protective services including specification of the services to be
classified as child protective services, which shall also apply to any
society for the prevention of cruelty to children which has entered into
a currently valid contract with a local department of social services to
investigate child abuse or maltreatment reports. The department shall
promulgate regulations establishing minimum standards and practices for
the delivery of child protective services in connection with monitoring
and supervising respondents and their families as ordered by a family
court pursuant to section ten hundred thirty-nine and paragraphs (i),
(iii), (iv) and (v) of subdivision (a) of section ten hundred fifty-two
of the family court act. Such regulations shall also require local child
protective services to comply with notification requirements of the
family court act in connection with such monitoring and supervisory
responsibilities.
* NB Effective until March 12, 2026
* The office of children and family services shall promulgate
regulations to establish training requirements for child protective
services workers consistent with subdivision five of this section,
standards for intervention, criteria for case closings, criteria for
determining whether or not to initiate a child protective proceeding,
and criteria for the formulation of treatment plans and for the delivery
of child protective services including specification of the services to
be classified as child protective services, which shall also apply to
any society for the prevention of cruelty to children which has entered
into a currently valid contract with a local department of social
services to investigate child abuse or maltreatment reports. The office
of children and family services shall promulgate regulations
establishing minimum standards and practices for the delivery of child
protective services in connection with monitoring and supervising
respondents and their families as ordered by a family court pursuant to
section ten hundred thirty-nine and paragraphs (i), (iii), (iv) and (v)
of subdivision (a) of section ten hundred fifty-two of the family court
act. Such regulations shall also require local child protective services
to comply with notification requirements of the family court act in
connection with such monitoring and supervisory responsibilities.
* NB Effective March 12, 2026
4. (a) after consultation with the local child protective services,
promulgate regulations relating to staff qualifications for
non-supervisory child protective services workers, prescribing any
baccalaureate or equivalent college degree and/or relevant human service
experience as requirements. Such requirements shall not apply to persons
currently employed by such child protective services who were hired
before January first, nineteen hundred eighty-six.
(b) after consultation with the local child protective services,
promulgate regulations relating to staff qualifications for those
assigned to be supervisors of child protective services, prescribing any
baccalaureate or equivalent college degree and/or relevant human
services experience as requirements. Provided, however, that such
regulations shall at a minimum provide that those assigned to be
supervisors of child protective services have either a baccalaureate
degree or three years of relevant work experience in a human services
field. Such requirements shall not apply to persons currently assigned
to be a child protective services supervisor who were hired before
December first, two thousand six.
5. (a) directly or through the purchase of services, implement,
subject to the amounts appropriated therefor, an ongoing, statewide
training program for employees of the department and of each local
department of social services employed in the provision and supervision
of child protective services or in other activities required in
accordance with the provisions of this title.
* (b) promulgate regulations setting forth training requirements which
shall specify, among other things, that all persons hired by a child
protective service on or after April first, nineteen hundred eighty-six
shall have satisfactorily completed a course approved by the department
within the first three months of employment, in the fundamentals of
child protection, provided, however, that on or after April first, two
thousand twenty-five, such course may be satisfactorily completed
through distance learning methods which evince that all participants are
in attendance for the duration of the course and are able to ask
questions of the instructor. Each county shall be authorized to adopt a
local law, ordinance or resolution to provide for a local department of
social services to fulfill the training requirement established by this
paragraph through a distance learning method, excluding the annual in
service training requirement. Such course shall include at least basic
training in the principles and techniques of investigations, including
relationships with other investigative bodies, legal issues in child
protection, and methods of remediation, diagnosis, treatment and
prevention. Such regulations shall also specify that all persons
employed by a child protective service on or after December first, two
thousand six shall satisfactorily complete six hours of annual in
service training, beginning in their second year of employment. Such
annual in service training shall include, but is not limited to, review
of the protocols for identification and investigation of child abuse and
maltreatment, any developments in legal, treatment and prevention issues
in child protection, and review and analysis of field experiences of
child protective services workers.
* NB Effective until December 12, 2026
* (b) promulgate regulations setting forth training requirements which
shall specify, among other things, that all persons hired by a child
protective service on or after April first, nineteen hundred eighty-six
shall have satisfactorily completed a course approved by the office of
children and family services within the first three months of
employment, in the fundamentals of child protection, provided, however,
that on or after April first, two thousand twenty-five, such course may
be satisfactorily completed through distance learning methods which
evince that all participants are in attendance for the duration of the
course and are able to ask questions of the instructor. Each county
shall be authorized to adopt a local law, ordinance or resolution to
provide for a local department of social services to fulfill the
training requirement established by this paragraph through a distance
learning method, excluding the annual in service training requirement.
Such course shall include at least basic training in the principles and
techniques of investigations, including relationships with other
investigative bodies, legal issues in child protection, and methods of
remediation, diagnosis, treatment and prevention. Such regulations shall
also specify that all persons employed by a child protective service on
or after December first, two thousand six shall satisfactorily complete
six hours of annual in service training, beginning in their second year
of employment. Such annual in service training shall include, but is not
limited to, review of the protocols for identification and investigation
of child abuse and maltreatment, any developments in legal, treatment
and prevention issues in child protection, and review and analysis of
field experiences of child protective services workers.
* NB Effective December 12, 2026
(c) require all persons assigned to be a supervisor by a child
protective service on or after April first, nineteen hundred eighty-six,
shall have satisfactorily completed, within the first three months of
employment as a supervisor or within three months of the effective date
of this paragraph, whichever shall occur first, a course in the
fundamentals of child protection developed by the office of children and
family services. Such training course shall, among other things,
strengthen and expand current training procedures for child protective
service supervisors; provide the skills, knowledge and standards to
practice effective case planning and case management; provide
comprehensive assessment tools needed in critical decision making;
require participation in the existing next generation training required
by child protective service caseworkers; strengthen recognition and
response to safety and risk indicators; improve skills to promote
consistent implementation of training and practice; provide the
necessary tools and assistance to build the ability to coach and monitor
child protective service caseworkers and model effective investigation
practice; increase cultural competency and sensitivity; and establish an
annual in service training program specifically focused on child
protective service supervisors.
(d) withhold reimbursement, otherwise payable to social services
districts, for the salaries of employees of child protective services
who do not comply with the background review, educational, experience or
training requirements of this title.
* (e) promulgate regulations setting forth training requirements for
child protective services workers assigned to a multidisciplinary
investigative team established pursuant to subdivision six of section
four hundred twenty-three of this title, which shall include appropriate
techniques for investigating reports of sexual abuse and requirements
for ongoing training.
* NB Effective December 12, 2026
6. promulgate regulations which require social services districts to
make local procedural manuals and service directories available to
employees of a child protective service, service providers and other
professionals involved in the prevention of child abuse and
maltreatment.
* 7. take all reasonable and necessary actions to assure that the
local departments of social services are kept apprised on a current
basis of the laws, regulations and policies of the department concerning
child abuse and maltreatment.
* NB Effective until December 12, 2026
* 7. take all reasonable and necessary actions to assure that the
local departments of social services are kept apprised on a current
basis of the laws, regulations and policies of the office of children
and family services concerning child abuse and maltreatment.
* NB Effective December 12, 2026
8. monitor and supervise the performance of the local departments of
social services.
Statewide central register of child abuse and maltreatment. 1.
There shall be established in the office of children and family services
a statewide central register of child abuse and maltreatment reports
made pursuant to this title.
2. (a) The central register shall be capable of receiving telephone
calls alleging child abuse or maltreatment and of immediately
identifying prior reports of child abuse or maltreatment and capable of
monitoring the provision of child protective service twenty-four hours a
day, seven days a week. To effectuate this purpose, but subject to the
provisions of the appropriate local plan for the provision of child
protective services, there shall be a single statewide telephone number
that all persons, whether mandated by the law or not, may use to make
telephone calls alleging child abuse or maltreatment and that all
persons so authorized by this title may use for determining the
existence of prior reports in order to evaluate the condition or
circumstances of a child. In addition to the single statewide telephone
number, there shall be a special unlisted express telephone number and a
telephone facsimile number for use only by persons mandated by law to
make telephone calls, or to transmit telephone facsimile information on
a form provided by the commissioner of children and family services,
alleging child abuse or maltreatment, and for use by all persons so
authorized by this title for determining the existence of prior reports
in order to evaluate the condition or circumstances of a child. When any
allegations contained in such telephone calls could reasonably
constitute a report of child abuse or maltreatment, after utilizing
protocols that would reduce implicit bias from the decision-making
process, such allegations, the caller's name pursuant to paragraph (d)
of this subdivision, the caller's contact information pursuant to
paragraph (d) of this subdivision and any previous reports to the
central registry involving the subject of such report or children named
in such report, including any previous report containing allegations of
child abuse and maltreatment alleged to have occurred in other counties
and districts in New York state shall be immediately transmitted orally
or electronically by the office of children and family services to the
appropriate local child protective service for investigation. The
inability of the person calling the register to identify the alleged
perpetrator shall, in no circumstance, constitute the sole cause for the
register to reject such allegation or fail to transmit such allegation
for investigation. If the records indicate a previous report concerning
a subject of the report, the child alleged to be abused or maltreated, a
sibling, other children in the household, other persons named in the
report or other pertinent information, the appropriate local child
protective service shall be immediately notified of the fact. If the
report involves either (i) an allegation of an abused child described in
paragraph (i), (ii) or (iii) of subdivision (e) of section one thousand
twelve of the family court act or sexual abuse of a child or the death
of a child or (ii) suspected maltreatment which alleges any physical
harm when the report is made by a person required to report pursuant to
section four hundred thirteen of this title within six months of any
other two reports that were indicated, or may still be pending,
involving the same child, sibling, or other children in the household or
the subject of the report, the office of children and family services
shall identify the report as such and note any prior reports when
transmitting the report to the local child protective services for
investigation.
(b) Any telephone call made by a person required to report cases of
suspected child abuse or maltreatment pursuant to section four hundred
thirteen of this chapter containing allegations, which if true would
constitute child abuse or maltreatment shall constitute a report and
shall be immediately transmitted orally or electronically by the
department to the appropriate local child protective service for
investigation.
(c) Whenever a telephone call to the statewide central register
described in this section is received by the department, and the
department finds that the person allegedly responsible for abuse or
maltreatment of a child cannot be a subject of a report as defined in
subdivision four of section four hundred twelve of this chapter, but
believes that the alleged acts or circumstances against a child
described in the telephone call may constitute a crime or an immediate
threat to the child's health or safety, the department shall convey by
the most expedient means available the information contained in such
telephone call to the appropriate law enforcement agency, district
attorney or other public official empowered to provide necessary aid or
assistance.
(d) A caller making a report of suspected child abuse or maltreatment
to the central register shall be asked for their name and contact
information. The central register may not transmit a report to a local
child protective service for investigation if the caller's name and
contact information are not provided, unless the central register
reasonably believes the caller is a child under the age of eighteen.
(e) If a caller declines to provide their name and contact
information, the central register must connect the caller with a
supervisor, who shall inform the caller of the statutory provisions that
protect callers' confidentiality. If the caller, including a caller
reasonably believed to be a child under the age of eighteen, declines to
provide their name and contact information to the supervisor, the
supervisor shall inform the caller that (i) preventive and supportive
services may be available to assist in addressing concerns relative to
the care and well-being of a child and referrals for such services may
be provided upon request; and (ii) knowingly reporting false or baseless
allegations is a violation of subdivision four of section 240.50 of the
penal law.
3. The central register shall include but not be limited to the
following information: all the information in the written report; a
record of the final disposition of the report, including services
offered and services accepted; the plan for rehabilitative treatment;
the names and identifying data, dates and circumstances of any person
requesting or receiving information from the register; and any other
information which the commissioner believes might be helpful in the
furtherance of the purposes of this chapter.
4. (A) Reports made pursuant to this title as well as any other
information obtained, reports written or photographs taken concerning
such reports in the possession of the office or local departments shall
be confidential and shall only be made available to:
(a) a physician who has before him or her a child whom he or she
reasonably suspects may be abused or maltreated;
(b) a person authorized to place a child in protective custody when
such person has before him or her a child whom he or she reasonably
suspects may be abused or maltreated and such person requires the
information in the record to determine whether to place the child in
protective custody;
(c) a duly authorized agency having the responsibility for the care or
supervision of a child who is reported to the central register of abuse
and maltreatment;
(d) any person who is the subject of the report or other persons named
in the report;
(e) a court, upon a finding that the information in the record is
necessary for the determination of an issue before the court;
(f) a grand jury, upon a finding that the information in the record is
necessary for the determination of charges before the grand jury;
(g) any appropriate state legislative committee responsible for child
protective legislation;
(h) any person engaged in a bona fide research purpose provided,
however, that no information identifying the subjects of the report or
other persons named in the report shall be made available to the
researcher unless it is absolutely essential to the research purpose and
the department gives prior approval;
(i) a provider agency as defined by subdivision three of section four
hundred twenty-four-a of this chapter, or a licensing agency as defined
by subdivision four of section four hundred twenty-four-a of this
chapter, subject to the provisions of such section;
(j) the justice center for the protection of people with special needs
or a delegate investigatory entity in connection with an investigation
being conducted under article eleven of this chapter;
(k) a probation service conducting an investigation pursuant to
article three or seven or section six hundred fifty-three of the family
court act where there is reason to suspect the child or the child's
sibling may have been abused or maltreated and such child or sibling,
parent, guardian or other person legally responsible for the child is a
person named in an indicated report of child abuse or maltreatment and
that such information is necessary for the making of a determination or
recommendation to the court; or a probation service regarding a person
about whom it is conducting an investigation pursuant to article three
hundred ninety of the criminal procedure law, or a probation service or
the department of corrections and community supervision regarding a
person to whom the service or department is providing supervision
pursuant to article sixty of the penal law or article eight of the
correction law, where the subject of investigation or supervision has
been convicted of a felony under article one hundred twenty, one hundred
twenty-five or one hundred thirty-five of the penal law or any felony or
misdemeanor under article one hundred thirty, two hundred thirty-five,
two hundred forty-five, two hundred sixty or two hundred sixty-three of
the penal law, or has been indicted for any such felony and, as a
result, has been convicted of a crime under the penal law, where the
service or department requests the information upon a certification that
such information is necessary to conduct its investigation, that there
is reasonable cause to believe that the subject of an investigation is
the subject of an indicated report and that there is reasonable cause to
believe that such records are necessary to the investigation by the
probation service or the department, provided, however, that only
indicated reports shall be furnished pursuant to this subdivision;
(l) a criminal justice agency, which for the purposes of this
subdivision shall mean a district attorney, an assistant district
attorney or an investigator employed in the office of a district
attorney; a sworn officer of the division of state police, of the
regional state park police, of a county department of parks, of a city
police department, or of a county, town or village police department or
county sheriff's office or department; or an Indian police officer,
when:
(i) such criminal justice agency requests such information stating
that such information is necessary to conduct a criminal investigation
or criminal prosecution of a person, that there is reasonable cause to
believe that such person is the subject of a report, and that it is
reasonable to believe that due to the nature of the crime under
investigation or prosecution, such person is the subject of a report,
and that it is reasonable to believe that due to that nature of the
crime under investigation or prosecution, such records may be related to
the criminal investigation or prosecution; or
(ii) such criminal justice agency requests such information stating
that: such agency is conducting an investigation of a missing child;
such agency has reason to suspect such child's parent, guardian or other
person legally responsible for such child is or may be the subject of a
report, or, such child or such child's sibling is or may be another
person named in a report of child abuse or maltreatment and that any
such information is or may be needed to further such investigation;
(m) the New York city department of investigation provided however,
that no information identifying the subjects of the report or other
persons named in the report shall be made available to the department of
investigation unless such information is essential to an investigation
within the legal authority of the department of investigation and the
state department of social services gives prior approval;
(n) chief executive officers of authorized agencies, directors of day
care centers and directors of facilities operated or supervised by the
department of education, the office of children and family services, the
office of mental health or the office for people with developmental
disabilities, in connection with a disciplinary investigation, action,
or administrative or judicial proceeding instituted by any of such
officers or directors against an employee of any such agency, center or
facility who is the subject of an indicated report when the incident of
abuse or maltreatment contained in the report occurred in the agency,
center, facility or program, and the purpose of such proceeding is to
determine whether the employee should be retained or discharged;
provided, however, a person given access to information pursuant to this
subparagraph shall, notwithstanding any inconsistent provision of law,
be authorized to redisclose such information only if the purpose of such
redisclosure is to initiate or present evidence in a disciplinary,
administrative or judicial proceeding concerning the continued
employment or the terms of employment of an employee of such agency,
center or facility who has been named as a subject of an indicated
report and, in addition, a person or agency given access to information
pursuant to this subparagraph shall also be given information not
otherwise provided concerning the subject of an indicated report where
the commission of an act or acts by such subject has been determined in
proceedings pursuant to article ten of the family court act to
constitute abuse or neglect;
(o) a provider or coordinator of services to which a child protective
service or social services district has referred a child or a child's
family or to whom the child or the child's family have referred
themselves at the request of the child protective service or social
services district, where said child is reported to the register when the
records, reports or other information are necessary to enable the
provider or coordinator to establish and implement a plan of service for
the child or the child's family, or to monitor the provision and
coordination of services and the circumstances of the child and the
child's family, or to directly provide services; provided, however, that
a provider of services may include appropriate health care or school
district personnel, as such terms shall be defined by the department;
provided however, a provider or coordinator of services given access to
information concerning a child pursuant to this subparagraph (o) shall,
notwithstanding any inconsistent provision of law, be authorized to
redisclose such information to other persons or agencies which also
provide services to the child or the child's family only if the
consolidated services plan prepared and approved pursuant to section
thirty-four-a of this chapter describes the agreement that has been or
will be reached between the provider or coordinator of service and the
local district. An agreement entered into pursuant to this subparagraph
shall include the specific agencies and categories of individuals to
whom redisclosure by the provider or coordinator of services is
authorized. Persons or agencies given access to information pursuant to
this subparagraph may exchange such information in order to facilitate
the provision or coordination of services to the child or the child's
family;
(p) a disinterested person making an investigation pursuant to section
one hundred sixteen of the domestic relations law, provided that such
disinterested person shall only make this information available to the
judge before whom the adoption proceeding is pending;
(s) a child protective service of another state when such service
certifies that the records and reports are necessary in order to conduct
a child abuse or maltreatment investigation within its jurisdiction of
the subject of the report and shall be used only for purposes of
conducting such investigation and will not be redisclosed to any other
person or agency;
(t) an attorney for a child, appointed pursuant to the provisions of
section one thousand sixteen of the family court act, at any time such
appointment is in effect, in relation to any report in which the
respondent in the proceeding in which the attorney for a child has been
appointed is the subject or another person named in the report, pursuant
to sections one thousand thirty-nine-a and one thousand fifty-two-a of
the family court act;
(u) a child care resource and referral program subject to the
provisions of subdivision six of section four hundred twenty-four-a of
this title;
(v)(i) officers and employees of the state comptroller or of the city
comptroller of the city of New York, or of the county officer designated
by law or charter to perform the auditing function in any county not
wholly contained within a city, for purposes of a duly authorized
performance audit, provided that such comptroller shall have certified
to the keeper of such records that he or she has instituted procedures
developed in consultation with the department to limit access to
client-identifiable information to persons requiring such information
for purposes of the audit and that appropriate controls and prohibitions
are imposed on the dissemination of client-identifiable information
contained in the conduct of the audit. Information pertaining to the
substance or content of any psychological, psychiatric, therapeutic,
clinical or medical reports, evaluations or like materials or
information pertaining to such child or the child's family shall not be
made available to such officers and employees unless disclosure of such
information is absolutely essential to the specific audit activity and
the department gives prior written approval.
(ii) any failure to maintain the confidentiality of
client-identifiable information shall subject such comptroller or
officer to denial of any further access to records until such time as
the audit agency has reviewed its procedures concerning controls and
prohibitions imposed on the dissemination of such information and has
taken all reasonable and appropriate steps to eliminate such lapses in
maintaining confidentiality to the satisfaction of the office of
children and family services. The office of children and family services
shall establish the grounds for denial of access to records contained
under this section and shall recommend as necessary a plan of
remediation to the audit agency. Except as provided in this section,
nothing in this subparagraph shall be construed as limiting the powers
of such comptroller or officer to access records which he or she is
otherwise authorized to audit or obtain under any other applicable
provision of law. Any person given access to information pursuant to
this subparagraph who releases data or information to persons or
agencies not authorized to receive such information shall be guilty of a
class A misdemeanor;
(w) members of a local or regional fatality review team approved by
the office of children and family services in accordance with section
four hundred twenty-two-b of this title;
(x) members of a local or regional multidisciplinary investigative
team as established pursuant to subdivision six of section four hundred
twenty-three of this title;
(y) members of a citizen review panel as established pursuant to
section three hundred seventy-one-b of this article; provided, however,
members of a citizen review panel shall not disclose to any person or
government official any identifying information which the panel has been
provided and shall not make public other information unless otherwise
authorized by statute;
(z) an entity with appropriate legal authority in another state to
license, certify or otherwise approve prospective foster parents,
prospective adoptive parents, prospective relative guardians,
prospective successor guardians or child care program where disclosure
of information regarding such prospective foster or prospective adoptive
parents or prospective relative or prospective successor guardians and
other persons over the age of eighteen residing in the home of such
persons or where child care is provided, as required under either title
IV-E of the federal social security act or the federal child care and
development block grant act (section nine thousand eight hundred
fifty-eight, et seq. of title forty-two of the United States Code); and
(aa) a social services official who is investigating whether an adult
is in need of protective services in accordance with the provisions of
section four hundred seventy-three of this chapter, when such official
has reasonable cause to believe such adult may be in need of protective
services due to the conduct of an individual or individuals who had
access to such adult when such adult was a child and that such reports
and information are needed to further the present investigation.
(bb) an entity with appropriate legal authority in another state to
license, certify or otherwise approve residential programs for foster
children where disclosure of information regarding any prospective or
current employee of such program is required by paragraph twenty of
subdivision (a) of section six hundred seventy-one of title forty-two of
the United States code.
After a child, other than a child in residential care, who is reported
to the central register of abuse or maltreatment reaches the age of
eighteen years, access to a child's record under subparagraphs (a) and
(b) of this paragraph shall be permitted only if a sibling or off-spring
of such child is before such person and is a suspected victim of child
abuse or maltreatment. In addition, a person or official required to
make a report of suspected child abuse or maltreatment pursuant to
section four hundred thirteen of this chapter shall receive, upon
request, the findings of an investigation made pursuant to this title.
However, no information may be released unless the person or official's
identity is confirmed by the office. If the request for such information
is made prior to the completion of an investigation of a report, the
released information shall be limited to whether the report is
"indicated", "unfounded" or "under investigation", whichever the case
may be. If the request for such information is made after the completion
of an investigation of a report, the released information shall be
limited to whether the report is "indicated" or "unfounded", whichever
the case may be. A person given access to the names or other information
identifying the subjects of the report, or other persons named in the
report, except the subject of the report or other persons named in the
report, shall not divulge or make public such identifying information
unless he or she is a district attorney or other law enforcement
official and the purpose is to initiate court action or the disclosure
is necessary in connection with the investigation or prosecution of the
subject of the report for a crime alleged to have been committed by the
subject against another person named in the report. Nothing in this
section shall be construed to permit any release, disclosure or
identification of the names or identifying descriptions of persons who
have reported suspected child abuse or maltreatment to the statewide
central register or the agency, institution, organization, program or
other entity where such persons are employed or the agency, institution,
organization or program with which they are associated without such
persons' written permission except to persons, officials, and agencies
enumerated in subparagraphs (e), (f), (h), (j), (l), (m) and (v) of this
paragraph.
To the extent that persons or agencies are given access to information
pursuant to subparagraphs (a), (b), (c), (j), (k), (l), (m), (o) and (q)
of this paragraph, such persons or agencies may give and receive such
information to each other in order to facilitate an investigation
conducted by such persons or agencies.
(B) Notwithstanding any inconsistent provision of law to the contrary,
a city or county social services commissioner may withhold, in whole or
in part, the release of any information which he or she is authorized to
make available to persons or agencies identified in subparagraphs (a),
(k), (l), (m), (n), (o), (p) and (q) of paragraph (A) of this
subdivision if such commissioner determines that such information is not
related to the purposes for which such information is requested or when
such disclosure will be detrimental to the child named in the report.
(C) A city or county social services commissioner who denies access by
persons or agencies identified in subparagraphs (a), (k), (l), (m), (n),
(o), (p) and (q) of paragraph (A) of this subdivision to records,
reports or other information or parts thereof maintained by such
commissioner in accordance with this title shall, within ten days from
the date of receipt of the request fully explain in writing to the
person requesting the records, reports or other information the reasons
for the denial.
(D) A person or agency identified in subparagraphs (a), (k), (l), (m),
(n), (o), (p) and (q) of paragraph (A) of this subdivision who is denied
access to records, reports or other information or parts thereof
maintained by a local department pursuant to this title may bring a
proceeding for review of such denial pursuant to article seventy-eight
of the civil practice law and rules.
5. (a) Unless an investigation of a report conducted pursuant to this
title that is commenced on or before December thirty-first, two thousand
twenty-one determines that there is some credible evidence of the
alleged abuse or maltreatment or unless an investigation of a report
conducted pursuant to this title that is commenced on or after January
first, two thousand twenty-two determines that there is a fair
preponderance of the evidence that the alleged abuse or maltreatment
occurred, all information identifying the subjects of the report and
other persons named in the report shall be legally sealed forthwith by
the central register and any local child protective services which
investigated the report. Such unfounded reports may only be unsealed and
made available:
(i) to the office of children and family services for the purpose of
supervising a social services district;
(ii) to the office of children and family services and local or
regional fatality review team members for the purpose of preparing a
fatality report pursuant to section twenty or four hundred twenty-two-b
of this chapter;
(iii) to a local child protective service, the office of children and
family services, or all members of a local or regional multidisciplinary
investigative team or the justice center for the protection of people
with special needs when investigating a subsequent report of suspected
abuse, neglect or maltreatment involving a subject of the unfounded
report, a child named in the unfounded report, or a child's sibling
named in the unfounded report pursuant to this article or article eleven
of this chapter;
(iv) to the subject of the report; and
(v) to a district attorney, an assistant district attorney, an
investigator employed in the office of a district attorney, or to a
sworn officer of the division of state police, of a city, county, town
or village police department or of a county sheriff's office when such
official verifies that the report is necessary to conduct an active
investigation or prosecution of a violation of subdivision four of
section 240.50 of the penal law.
(b) Persons given access to unfounded reports pursuant to subparagraph
(v) of paragraph (a) of this subdivision shall not redisclose such
reports except as necessary to conduct such appropriate investigation or
prosecution and shall request of the court that any copies of such
reports produced in any court proceeding be redacted to remove the names
of the subjects and other persons named in the reports or that the court
issue an order protecting the names of the subjects and other persons
named in the reports from public disclosure. The local child protective
service or state agency shall not indicate the subsequent report solely
based upon the existence of the prior unfounded report or reports.
Notwithstanding section four hundred fifteen of this title, section one
thousand forty-six of the family court act, or, except as set forth
herein, any other provision of law to the contrary, an unfounded report
shall not be admissible in any judicial or administrative proceeding or
action; provided, however, an unfounded report may be introduced into
evidence: (i) by the subject of the report where such subject is a
respondent in a proceeding under article ten of the family court act or
is a plaintiff or petitioner in a civil action or proceeding alleging
the false reporting of child abuse or maltreatment; or (ii) in a
criminal court for the purpose of prosecuting a violation of subdivision
four of section 240.50 of the penal law. Legally sealed unfounded
reports shall be expunged ten years after the receipt of the report.
(c) Notwithstanding any other provision of law, the office of children
and family services may, in its discretion, grant a request to expunge
an unfounded report where: (i) the source of the report was convicted of
a violation of subdivision three of section 240.55 of the penal law in
regard to such report; or (ii) the subject of the report presents clear
and convincing evidence that affirmatively refutes the allegation of
abuse or maltreatment; provided however, that the absence of a fair
preponderance of the evidence supporting the allegation of abuse or
maltreatment shall not be the sole basis to expunge the report. Nothing
in this paragraph shall require the office of children and family
services to hold an administrative hearing in deciding whether to
expunge a report. Such office shall make its determination upon
reviewing the written evidence submitted by the subject of the report
and any records or information obtained from the state or local agency
which investigated the allegations of abuse or maltreatment.
5-a. Upon notification from a local social services district, that a
report is part of the family assessment and services track pursuant to
subparagraph (i) of paragraph (c) of subdivision four of section four
hundred twenty-seven-a of this title, the central register shall
forthwith identify the report as an assessment track case and legally
seal such report. Access to reports assigned to, and records created
under the family assessment and services track and information
concerning such reports and records is governed by paragraph (d) of
subdivision five of section four hundred twenty-seven-a of this title.
6. In all other cases, the record of the report to the statewide
central register shall be expunged ten years after the eighteenth
birthday of the youngest child named in the report. In the case of a
child in residential care the record of the report to the statewide
central register shall be expunged ten years after the reported child's
eighteenth birthday. In any case and at any time, the commissioner of
the office of children and family services may amend any record upon
good cause shown and notice to the subjects of the report and other
persons named in the report. Provided however, any report indicated for
maltreatment based solely on the purchase, possession or consumption of
cannabis, without a showing that the child's physical, mental or
emotional condition was impaired or was in imminent danger of becoming
impaired in accordance with the definition of child maltreatment as
provided for in section four hundred twelve of this title is established
by a fair preponderance of the evidence shall immediately be sealed upon
a request pursuant to subdivision eight of this section or section four
hundred twenty-four-a of this title.
7. At any time, a subject of a report and other persons named in the
report may receive, upon request, a copy of all information contained in
the central register; provided, however, that the office of children and
family services shall not release information identifying a person who
made a report pursuant to section four hundred fourteen of this title
except with that person's permission or pursuant to subdivision (b) of
section one thousand thirty-eight of the family court act or pursuant to
section four hundred twenty-four-a of this title; and that the
commissioner is authorized to prohibit the release of data that would
identify the person who made the report or who cooperated in a
subsequent investigation or the agency, institution, organization,
program or other entity where such person is employed or with which such
person is associated, which the commissioner reasonably finds will be
detrimental to the safety or interests of such person.
8. (a) (i) At any time subsequent to the completion of the
investigation but in no event later than ninety days after the subject
of the report is notified that the report is indicated the subject may
request the commissioner to amend the record of the report. If the
commissioner does not amend the report in accordance with such request
within ninety days of receiving the request, the subject shall have the
right to a fair hearing, held in accordance with paragraph (b) of this
subdivision, to determine whether the record of the report in the
central register should be amended on the grounds that it is inaccurate
or it is being maintained in a manner inconsistent with this title.
(ii) Upon receipt of a request to amend the record of a child abuse
and maltreatment report the office of children and family services shall
immediately send a written request to the child protective service which
was responsible for investigating the allegations of abuse or
maltreatment for all records, reports and other information maintained
by the service pertaining to such indicated report. Where a proceeding
pursuant to article ten of the family court act based on the same
allegations that were indicated is pending, the request to amend shall
be stayed until the disposition of such family court proceeding. The
service shall as expeditiously as possible but within no more than
twenty working days of receiving such request, forward all records,
reports and other information it maintains on such indicated report to
the office of children and family services, including a copy of any
petition or court order based on the allegations that were indicated.
Unless such request to amend has been stayed, the office of children and
family services shall as expeditiously as possible but within no more
than fifteen working days of receiving such materials from the child
protective service or state agency, review all such materials in its
possession concerning the indicated report and determine, after
affording such service a reasonable opportunity to present its views,
whether there is a fair preponderance of the evidence to find that the
subject committed the act or acts of child abuse or maltreatment giving
rise to the indicated report and whether, based on guidelines developed
by the office of children and family services pursuant to subdivision
five of section four hundred twenty-four-a of this title, such act or
acts could be relevant and reasonably related to employment of the
subject of the report by a provider agency, as defined by subdivision
three of section four hundred twenty-four-a of this title, or relevant
and reasonably related to the subject of the report being allowed to
have regular and substantial contact with children who are cared for by
a provider agency, or relevant and reasonably related to the approval or
disapproval of an application submitted by the subject of the report to
a licensing agency, as defined by subdivision four of section four
hundred twenty-four-a of this title.
(iii) If it is determined at the review held pursuant to this
paragraph that there is not a fair preponderance of the evidence in the
record to find that the subject committed an act or acts of child abuse
or maltreatment, the office of children and family services shall amend
the record to indicate that the report is "unfounded" and notify the
subject forthwith.
(iv) If it is determined at the review held pursuant to this paragraph
that there is a fair preponderance of the evidence in the record to find
that the subject committed such act or acts but that such act or acts
could not be relevant and reasonably related to the employment of the
subject by a provider agency or to the subject being allowed to have
regular and substantial contact with children who are cared for by a
provider agency or the approval or disapproval of an application which
could be submitted by the subject to a licensing agency, the office of
children and family services shall be precluded from informing a
provider or licensing agency which makes an inquiry to such office
pursuant to the provisions of section four hundred twenty-four-a of this
title concerning the subject that the person about whom the inquiry is
made is the subject of an indicated report of child abuse or
maltreatment. The office of children and family services shall notify
forthwith the subject of the report of such determinations and that a
fair hearing has been scheduled pursuant to paragraph (b) of this
subdivision. The sole issue at such hearing shall be whether the subject
has been shown by a fair preponderance of the evidence to have committed
the act or acts of child abuse or maltreatment giving rise to the
indicated report.
(v) If it is determined at the review held pursuant to this paragraph
that there is a fair preponderance of the evidence in the record to
prove that the subject committed an act or acts of child abuse or
maltreatment and that such act or acts could be relevant and reasonably
related to the employment of the subject by a provider agency or to the
subject being allowed to have regular and substantial contact with
children cared for by a provider agency or the approval or disapproval
of an application which could be submitted by the subject to a licensing
agency, the office of children and family services shall notify
forthwith the subject of the report of such determinations and that a
fair hearing has been scheduled pursuant to paragraph (b) of this
subdivision.
(b) (i) If the department, within ninety days of receiving a request
from the subject that the record of a report be amended, does not amend
the record in accordance with such request, the department shall
schedule a fair hearing and shall provide notice of the scheduled
hearing date to the subject, the statewide central register and, as
appropriate, to the child protective service or the state agency which
investigated the report.
(ii) The burden of proof in such a hearing shall be on the child
protective service which investigated the report. In such a hearing,
where a family court proceeding pursuant to article ten of the family
court act has occurred and where the petition for such proceeding
alleges that a respondent in that proceeding committed abuse or neglect
against the subject child in regard to an allegation contained in a
report indicated pursuant to this section: (A) where the court finds
that such respondent did commit abuse or neglect there shall be an
irrebuttable presumption in a fair hearing held pursuant to this
subdivision that said allegation is substantiated by a fair
preponderance of the evidence as to that respondent on that allegation;
and (B) where such child protective service withdraws such petition with
prejudice, where the family court dismisses such petition, or where the
family court finds on the merits in favor of the respondent, there shall
be an irrebuttable presumption in a fair hearing held pursuant to this
subdivision that said allegation as to that respondent has not been
proven by a fair preponderance of the evidence.
(c) (i) If it is determined at the fair hearing that there is not a
fair preponderance of the evidence in the record to find that the
subject committed an act or acts of child abuse or maltreatment, the
office of children and family services shall amend the record to reflect
that such a finding was made at the administrative hearing, order any
child protective service which investigated the report to similarly
amend its records of the report, and shall notify the subject forthwith
of the determination.
(ii) Upon a determination made at a fair hearing scheduled pursuant to
the provisions of subparagraph (v) of paragraph (a) of this subdivision
that the subject has been shown by a fair preponderance of the evidence
to have committed the act or acts of child abuse or maltreatment giving
rise to the indicated report, the hearing officer shall determine, based
on guidelines developed by the office of children and family services
pursuant to subdivision five of section four hundred twenty-four-a of
this title, whether such act or acts are relevant and reasonably related
to employment of the subject by a provider agency, as defined by
subdivision three of section four hundred twenty-four-a of this title,
or relevant and reasonably related to the subject being allowed to have
regular and substantial contact with children who are cared for by a
provider agency or relevant and reasonably related to the approval or
disapproval of an application submitted by the subject to a licensing
agency, as defined by subdivision four of section four hundred
twenty-four-a of this title.
Upon a determination made at a fair hearing that the act or acts of
abuse or maltreatment are relevant and reasonably related to employment
of the subject by a provider agency or the subject being allowed to have
regular and substantial contact with children who are cared for by a
provider agency or the approval or denial of an application submitted by
the subject to a licensing agency, the office of children and family
services shall notify the subject forthwith. The office of children and
family services shall inform a provider or licensing agency which makes
an inquiry to such office pursuant to the provisions of section four
hundred twenty-four-a of this title concerning the subject that the
person about whom the inquiry is made is the subject of an indicated
child abuse or maltreatment report.
The failure to determine at the fair hearing that the act or acts of
abuse and maltreatment are relevant and reasonably related to the
employment of the subject by a provider agency or to the subject being
allowed to have regular and substantial contact with children who are
cared for by a provider agency or the approval or denial of an
application submitted by the subject to a licensing agency shall
preclude the office of children and family services from informing a
provider or licensing agency which makes an inquiry to such office
pursuant to the provisions of section four hundred twenty-four-a of this
title concerning the subject that the person about whom the inquiry is
made is the subject of an indicated child abuse or maltreatment report.
(d) The commissioner or his or her designated agent is hereby
authorized and empowered to make any appropriate order respecting the
amendment of a record to make it accurate or consistent with the
requirements of this title.
(e) Should the office of children and family services grant the
request of the subject of the report pursuant to this subdivision either
through an administrative review or fair hearing to amend an indicated
report to an unfounded report, such report shall be legally sealed and
shall be released and expunged in accordance with the standards set
forth in subdivision five of this section.
9. Written notice of any expungement or amendment of any record, made
pursuant to the provisions of this title, shall be served forthwith upon
each subject of such record, other persons named in the report, the
commissioner, and, as appropriate, the applicable local child protective
service, the justice center for the protection of people with special
needs, department of education, office of mental health, office for
people with developmental disabilities, the local social services
commissioner or school district placing the child, any attorney for the
child appointed to represent the child whose appointment has been
continued by a family court judge during the term of a child's
placement, and the director or operator of a residential care facility
or program. The local child protective service or the state agency which
investigated the report, upon receipt of such notice, shall take the
appropriate similar action in regard to its child abuse and maltreatment
register and records and inform, for the same purpose, any other agency
which received such record.
12. Any person who willfully permits and any person who encourages the
release of any data and information contained in the central register to
persons or agencies not permitted by this title shall be guilty of a
class A misdemeanor.
13. There shall be a single statewide telephone number for use by all
persons seeking general information about child abuse, maltreatment or
welfare other than for the purpose of making a report of child abuse or
maltreatment.
14. The office shall refer suspected cases of falsely reporting child
abuse and maltreatment in violation of subdivision four of section
240.50 of the penal law to the appropriate law enforcement agency or
district attorney.
Child abuse and neglect investigations; disclosure. 1.
Notwithstanding any inconsistent provision of law to the contrary, the
commissioner or a city or county social services commissioner may
disclose information regarding the abuse or maltreatment of a child as
set forth in this section, and the investigation thereof and any
services related thereto if he or she determines that such disclosure
shall not be contrary to the best interests of the child, the child's
siblings or other children in the household and any one of the following
factors are present:
(a) the subject of the report has been charged in an accusatory
instrument with committing a crime related to a report maintained in the
statewide central register; or
(b) the investigation of the abuse or maltreatment of the child by the
local child protective service or the provision of services by such
service has been publicly disclosed in a report required to be disclosed
in the course of their official duties, by a law enforcement agency or
official, a district attorney, any other state or local investigative
agency or official or by judge of the unified court system; or
(c) there has been a prior knowing, voluntary, public disclosure by an
individual concerning a report of child abuse or maltreatment in which
such individual is named as the subject of the report as defined by
subdivision four of section four hundred twelve of this title; or
(d) the child named in the report has died or the report involves the
near fatality of a child. For the purposes of this section, "near
fatality" means an act that results in the child being placed, as
certified by a physician, in serious or critical condition.
2. For the purposes of this section, the following information may be
disclosed:
(a) the name of the abused or maltreated child;
(b) the determination by the local child protective service or the
state agency which investigated the report and the findings of the
applicable investigating agency upon which such determination was based;
(c) identification of child protective or other services provided or
actions, if any, taken regarding the child named in the report and his
or her family as a result of any such report or reports;
(d) whether any report of abuse or maltreatment regarding such child
has been "indicated" as maintained by the statewide central register;
(e) any actions taken by the local child protective service and the
local social services district in response to reports of abuse or
maltreatment of the child to the statewide central register including
but not limited to actions taken after each and every report of abuse or
maltreatment of such child and the dates of such reports;
(f) whether the child or the child's family has received care or
services from the local social services district prior to each and every
report of abuse or maltreatment of such child;
(g) any extraordinary or pertinent information concerning the
circumstances of the abuse or maltreatment of the child and the
investigation thereof, where the commissioner or the local commissioner
determines such disclosure is consistent with the public interest.
3. Information may be disclosed pursuant to this section as follows:
(a) information released prior to the completion of the investigation
of a report shall be limited to a statement that a report is "under
investigation";
(b) when there has been a prior disclosure pursuant to paragraph (a)
of this subdivision, information released in a case in which the report
has been unfounded shall be limited to the statement that "the
investigation has been completed, and the report has been unfounded";
(c) if the report has been "indicated" then information may be
released pursuant to subdivision two of this section.
4. Any disclosure of information pursuant to this section shall be
consistent with the provisions of subdivision two of this section. Such
disclosure shall not identify or provide an identifying description of
the source of the report, and shall not identify the name of the abused
or maltreated child's siblings, the parent or other person legally
responsible for the child or any other members of the child's household,
other than the subject of the report.
5. In determining pursuant to subdivision one of this section whether
disclosure will be contrary to the best interests of the child, the
child's siblings or other children in the household, the commissioner or
a city or county social services commissioner shall consider the
interest in privacy of the child and the child's family and the effects
which disclosure may have on efforts to reunite and provide services to
the family.
6. Whenever a disclosure of information is made pursuant to this
section, the city or county social services commissioner shall make a
written statement prior to disclosing such information to the chief
county executive officer where the incident occurred setting forth the
paragraph in subdivision one of this section upon which he or she is
basing such disclosure.
7. Except as it applies directly to the cause of the abuse or
maltreatment of the child, nothing in this section shall be deemed to
authorize the release or disclosure of the substance or content of any
psychological, psychiatric, therapeutic, clinical or medical reports,
evaluations or like materials or information pertaining to such child or
the child's family. Prior to the release or disclosure of any
psychological, psychiatric or therapeutic reports, evaluations or like
materials or information pursuant to this subdivision, the city or
county social services commissioner shall consult with the local mental
hygiene director.
Local and regional fatality review teams. 1. A fatality
review team may be established at a local or regional level, with the
approval of the office of children and family services, for the purpose
of investigating the death of any child whose care and custody or
custody and guardianship has been transferred to an authorized agency,
other than a vulnerable child as defined in article eleven of this
chapter, any child for whom child protective services has an open case,
any child for whom the local department of social services has an open
preventive services case, and in the case of a report made to the
statewide central register of child abuse and maltreatment involving the
death of a child. A fatality review team may also investigate any
unexplained or unexpected death of any child under the age of eighteen.
2. A local or regional fatality review team may exercise the same
authority as the office of children and family services with regard to
the preparation of a fatality report as set forth in paragraphs (b) and
(c) of subdivision five of section twenty of this chapter.
Notwithstanding any other provision of law to the contrary and to the
extent consistent with federal law, such local or regional fatality
review team shall have access to those client-identifiable records
necessary for the preparation of the report, as authorized in accordance
with paragraph (d) of subdivision five of section twenty of this
chapter. A fatality report prepared by a local or regional fatality
review team and approved by the office of children and family services
satisfies the obligation to prepare a fatality report as set forth in
subdivision five of section twenty of this chapter. Such report shall be
subject to the same redisclosure provisions applicable to fatality
reports prepared by the office of children and family services.
3. For the purposes of this section, a local or regional fatality
review team must include, but need not be limited to, representatives
from the child protective service, office of children and family
services, county department of health, or, should the locality not have
a county department of health, the local health commissioner or his or
her designee or the local public health director or his or her designee,
office of the medical examiner, or, should the locality not have a
medical examiner, office of the coroner, office of the district
attorney, office of the county attorney, local and state law
enforcement, emergency medical services and a pediatrician or comparable
medical professional, preferably with expertise in the area of child
abuse and maltreatment or forensic pediatrics. A local or regional
fatality review team may also include representatives from local
departments of social services, mental health agencies, domestic
violence agencies, substance abuse programs, hospitals, local schools,
and family court.
4. A local or regional fatality review team established pursuant to
this section shall have access to all records, except those protected by
statutory privilege, within twenty-one days of receipt of a request.
5. Members of a local or regional fatality review team, persons
attending a meeting of a local or regional fatality review team, and
persons who present information to a local or regional fatality review
team shall have immunity from civil and criminal liability for all
reasonable and good faith actions taken pursuant to this section, and
shall not be questioned in any civil or criminal proceeding regarding
any opinions formed as a result of a meeting of a local or regional
fatality review team. Nothing in this section shall be construed to
prevent a person from testifying as to information obtained
independently of a local or regional fatality review team or which is
public information.
6. All meetings conducted and all reports and records made and
maintained, and books and papers obtained, by a local or regional
fatality review team shall be confidential and not open to the general
public except by court order and except for an annual report or a
fatality report, if the fatality review team chooses to complete such an
annual report or fatality report. The release of any fatality report
prepared by a local or regional fatality review team shall be governed
by the provisions of subdivision five of section twenty of this chapter.
Any such annual report or fatality report shall not contain any
individually identifiable information and shall be provided to the
office of children and family services upon completion. The office of
children and family services shall forward copies of any such report to
all other local or regional fatality review teams established pursuant
to this section, to all citizen review panels established pursuant to
section three hundred seventy-one-b of this chapter, and to the
governor, the temporary president of the senate and the speaker of the
assembly.
Establishment of the child abuse medical provider program
(CHAMP). 1. The child abuse medical provider program shall be
established by the office of children and family services and operated
by the child abuse referral and evaluation (CARE) program of the SUNY
Upstate medical university, provided other similarly qualified
organizations may also operate a CHAMP program, to improve access to
quality medical care for suspected child abuse victims by providing
training in the assessment and diagnostic skills for medical providers
to identify and treat child abuse victims and by developing and
providing continuing education and mentoring to certain persons mandated
to report suspected child abuse or maltreatment pursuant to section four
hundred thirteen of this title. CHAMP shall be a network of expert child
abuse medical professionals, that provides a comprehensive source of
child abuse information that offers resources and educational tools
created to assist and educate mandated reporters in the identification
of child abuse and maltreatment.
2. The CHAMP program shall provide information, training and mentoring
on child abuse or neglect to certain persons mandated to report
suspected child abuse or maltreatment pursuant to section four hundred
thirteen of this title, and may include, but not be limited to:
(a) distant learning;
(b) a web based curriculum;
(c) video conferencing;
(d) workshops;
(e) mailings;
(f) self-study courses;
(g) continued learning through case conferences and peer review; and
(h) direct training of medical providers.
Child protective service responsibilities and organization;
purchase of service and reimbursement of cost; local plan. 1. (a) Every
local department of social services shall establish a "child protective
service" within such department. The child protective service shall
perform those functions assigned by this title to it and only such
others that would further the purposes of this title. Local social
services departments shall distribute the laws, regulations and policies
of the department pursuant to section four hundred twenty-one of this
article to any society for the prevention of cruelty to children which
has entered into a currently valid contract with a local department of
social services.
(b) Every local department of social services shall provide to the
child protective service information available to the local department
which is relevant to the investigation of a report of child abuse or
maltreatment or to the provision of protective services, where the
confidentiality of such information is not expressly protected by law.
(c) The child protective service shall have a sufficient staff of
sufficient qualifications to fulfill the purposes of this title and be
organized in such a way as to maximize the continuity of responsibility,
care and service of individual workers toward individual children and
families. A social services district shall have flexibility in assigning
staff to the child protective service provided that each staff assigned
to such service has the staff qualifications and has received the
training required by the department regulations promulgated pursuant to
subdivisions four and five of section four hundred twenty-one of this
title.
(d) Consistent with appropriate collective bargaining agreements and
applicable provisions of the civil service law, every child protective
service shall establish a procedure to review and evaluate the
backgrounds of and information supplied by all applicants for
employment. Such procedures shall include but not be limited to the
following requirements: that the applicant set forth his or her
employment history, provide personal and employment references and
relevant experiential and educational information, and sign a sworn
statement indicating whether the applicant, to the best of his or her
knowledge, has ever been convicted of a crime in this state or any other
jurisdiction.
(e) For purposes of this title, a child protective service shall
include an Indian tribe that has entered into an agreement with the
department pursuant to section thirty-nine of this chapter to provide
child protective services to Indians residing upon the tribe's
reservation in the state. Notwithstanding any other provision of law,
for the purposes of this title, a social services district or a local
department of social services shall include an Indian tribe that has
entered into an agreement with the department pursuant to section
thirty-nine of this chapter to provide child protective services. Such
Indian tribe shall only be considered a child protective service while
such an agreement is in effect.
2. Any other provision of law notwithstanding, but consistent with
subdivision (1) of this section, the child protective service, based
upon the local plan of services as provided in subdivision (3) of this
section, may purchase and utilize the services of any appropriate public
or voluntary agency including a society for the prevention of cruelty to
children. When services are purchased by the local department pursuant
to this section and title, they shall be reimbursed by the state to the
locality in the same manner and to the same extent as if the services
were provided directly by the local department.
3. (a) Each social services district shall prepare and submit to the
commissioner, after consultation with local law enforcement agencies,
the family court and appropriate public or voluntary agencies including
societies for the prevention of cruelty to children and after a public
hearing, a district-wide plan, as prescribed by the commissioner, for
the provision of child protective services which shall be a component of
the district's multi-year consolidated services plan. This plan shall
describe the district's implementation of this title including the
organization, staffing, mode of operations and financing of the child
protective service as well as the provisions made for purchase of
service and inter-agency relations. Commencing the year following
preparation of a multi-year consolidated services plan, each local
district shall prepare annual implementation reports including
information related to its child protective services plan. The social
services district shall submit the child protective services plan to the
department as a component of its multi-year consolidated services plan
and subsequent thereto as a component of its annual implementation
reports and the department shall review and approve or disapprove the
proposed plan and reports in accordance with the procedures set forth in
section thirty-four-a of this chapter.
4. As used in this section, "service" or "services" shall include the
coordinating and monitoring of the activities of appropriate public or
voluntary agencies utilized in the local plan.
5. In accordance with the provisions of subdivisions one and two of
this section, a local department of social services may submit to the
department a plan for a special program for the purpose of (a) ensuring
the delivery of services to children and their families by arranging for
the purchase and utilization of the service of any appropriate public or
voluntary agency to provide rehabilitative services to at least the
majority of children and families assisted by the child protective
service; and (b) strengthening the monitoring role of the child
protective service.
Such program shall also include provisions for the training of
employees of public and private agencies assigned functions of the child
protective service, in the duties and responsibilities of the child
protective service and in the provision of services to children and
families, pursuant to this title. The department shall approve such a
plan in not more than six social services districts upon satisfactory
demonstration that a local department of social services will
effectively discharge all responsibilities required by this title. Any
such plan must be submitted to the department as part of the multi-year
services plan required pursuant to section thirty-four-a of this chapter
and, if approved, shall be operative for a period not to exceed three
years. The department shall contract with an individual, partnership,
corporation, institution or other organization for the performance of a
comprehensive evaluation of the effectiveness of the implementation of
such plans. A report of such evaluations shall be submitted by the
department to the governor and the legislature by January first,
nineteen hundred ninety. Nothing in this subdivision shall be deemed to
relieve a child protective service from any responsibilities assigned to
it by this title.
6. A social services district may establish a multidisciplinary
investigative team or teams and may establish or work as part of a child
advocacy center established pursuant to section four hundred
twenty-three-a of this title, at a local or regional level, for the
purpose of investigating reports of suspected child abuse or
maltreatment. The social services district shall have discretion with
regard to the category or categories of suspected child abuse or
maltreatment such team or teams may investigate, provided, however, the
social services district shall place particular emphasis on cases
involving the abuse of a child as described in paragraph (i), (ii) or
(iii) of subdivision (e) of section one thousand twelve of the family
court act, sexual abuse of a child or the death of a child. Members of
multidisciplinary teams shall include but not be limited to
representatives from the following agencies: child protective services,
law enforcement, district attorney's office, physician or medical
provider trained in forensic pediatrics, mental health professionals,
victim advocacy personnel and, if one exists, a child advocacy center.
Members of the multidisciplinary team primarily responsible for the
investigation of child abuse reports, including child protective
services, law enforcement and district attorney's office, shall
participate in joint interviews and conduct investigative functions
consistent with the mission of the particular agency member involved. It
shall not be required that members of a multidisciplinary team not
responsible for the investigation of reports participate in every
investigation. Such other members shall provide victim advocacy,
emotional support, and access to medical and mental health care, where
applicable. All members, consistent with their respective agency
missions, shall facilitate efficient delivery of services to victims and
appropriate disposition of cases through the criminal justice system
and/or the family court system in a collaborative manner, however,
non-investigative team members shall note their specific role in the
team for reports covered under this title. Notwithstanding any other
provision of law to the contrary, members of a multidisciplinary
investigative team or a child advocacy center may share with other team
members client-identifiable information concerning the child or the
child's family to facilitate the investigation of suspected child abuse
or maltreatment. Nothing in this subdivision shall preclude the creation
of multidisciplinary teams or child advocacy centers which include more
than one social services district. Each team shall develop a written
protocol for investigation of child abuse and maltreatment cases and for
interviewing child abuse and maltreatment victims. The social services
district is encouraged to train each team member in risk assessment,
indicators of child abuse and maltreatment, and appropriate interview
techniques.
Child advocacy centers established. 1. The office of children
and family services shall to the greatest extent practicable facilitate
the establishment of child advocacy centers in every region of the state
so that child victims of sexual abuse or serious physical abuse have
reasonable access to such a center and so that their cases are handled
in an expert and timely manner, by a coordinated and cooperative effort
that minimizes trauma to the children and their non-offending family
members. Child advocacy centers shall be established by either a
governmental entity or a private, nonprofit incorporated agency and
shall meet the state office of children and family services program
standards for child advocacy centers approval and strive to co-locate
members of the local multi-disciplinary team at the child advocacy
center.
2. Child advocacy centers may assist in the investigation of child
abuse and maltreatment cases and shall provide at a minimum for the
following:
(a) a comfortable, private setting that is both physically and
psychologically safe for children;
(b) sound program, fiscal and administrative practices;
(c) policies, practices and procedures that are culturally competent;
for the purpose of this paragraph "culturally competent" is defined as
the capacity to function in more than one culture, requiring the ability
to appreciate, understand and interact with members of diverse
populations within the local community;
(d) a multidisciplinary investigative team established pursuant to
subdivision six of section four hundred twenty-three of this article;
(e) a written set of interagency protocols for an interdisciplinary
and coordinated approach to the investigation of child abuse;
(f) forensic interviews to be conducted in a manner which is neutral
and fact-finding and coordinated to avoid duplicative interviewing;
(g) specialized medical evaluation and treatment as part of the
multidisciplinary investigative team response, either at the center or
through coordination with and referral to other appropriate treatment
providers;
(h) specialized mental health services as part of the
multidisciplinary investigative team response, either at the center or
through coordination with and referral to other appropriate treatment
providers;
(i) victim support and advocacy as part of the multidisciplinary team
investigative team response, either at the center or through
coordination with and referral to other appropriate treatment providers;
(j) a routine interdisciplinary case review process for purposes of
decision making, problem solving, systems coordination and information
sharing concerning case status and services needed by the child and
family;
(k) a comprehensive tracking system for monitoring case process and
tracking case outcomes for team members; and
(l) a process for evaluating its effectiveness and its operation.
3. Child advocacy centers may also provide space for medical
evaluation, therapeutic intervention, support services for child abuse
victims and their families, community education about child abuse, and
any other services the center deems critical to the provision of service
to child victims and their families and the multidisciplinary
investigation of abuse allegations.
4. Any child advocacy center established prior to the effective date
of this section shall, within six months of the effective date of this
section, revise its policies and practices to comply with subdivision
two of this section. No organization shall refer to itself as a child
advocacy center unless it complies with this section.
5. (a) The files, reports, records, communications, working papers or
videotaped interviews used or developed in providing services under this
section are confidential. Provided, however, that disclosure may be made
to members of a multidisciplinary investigative team who are engaged in
the investigation of a particular case and who need access to the
information in order to perform their duties for purposes consistent
with this section and to other employees of a child advocacy center who
are involved in tracking cases for the child advocacy center. Disclosure
shall also be made for the purpose of investigation, prosecution and/or
adjudication in any relevant court proceeding or, upon written release
by any non-offending parent, for the purpose of counseling for the child
victim.
(b) Any public or private department, agency or organization may share
with a child advocacy center information that is made confidential by
law when it is needed to provide or secure services pursuant to this
section. Confidential information shared with or provided to a center
remains the property of the providing organization.
(c) The office of children and family services shall have access to
all records created or maintained by a child advocacy center in order to
carry out the responsibilities of that office pursuant to this title.
Duties of the child protective service concerning reports of
abuse or maltreatment. Each child protective service shall:
1. receive on a twenty-four hour, seven day a week basis all reports
of suspected child abuse or maltreatment in accordance with this title,
the local plan for the provision of child protective services and the
regulations of the commissioner;
2. maintain and keep up-to-date a local child abuse and maltreatment
register of all cases reported under this title together with any
additional information obtained and a record of the final disposition of
the report, including services offered and accepted;
3. upon the receipt of each written report made pursuant to this
title, transmit, forthwith, a copy thereof to the state central register
of child abuse and maltreatment. In addition, not later than seven days
after receipt of the initial report, the child protective service shall
send a preliminary written report of the initial investigation,
including evaluation and actions taken or contemplated, to the state
central register. Follow-up reports shall be made at regular intervals
thereafter in a manner and form prescribed by the commissioner by
regulation to the end that the state central register is kept fully
informed and up-to-date concerning the handling of reports;
4. give telephone notice and forward immediately a copy of reports
made pursuant to this title which involve the death of a child to the
appropriate district attorney. In addition, telephone notice shall be
given and a copy of any or all reports made pursuant to this title shall
be forwarded immediately by the child protective service to the
appropriate district attorney if a prior request in writing for such
notice and copies has been made to the service by the district attorney.
Such request shall specify the kinds of allegations concerning which the
district attorney requires such notice and copies and shall provide a
copy of the relevant provisions of law;
5. forward an additional copy of each report to the appropriate duly
incorporated society for the prevention of cruelty to children or other
duly authorized child protective agency if a prior request for such
copies has been made to the service in writing by the society or agency;
5-a. give telephone notice and forward immediately a copy of reports
made pursuant to this title which involve suspected physical injury as
described in paragraph (i) of subdivision (e) of section ten hundred
twelve of the family court act or sexual abuse of a child or the death
of a child to the appropriate local law enforcement. Investigations
shall be conducted by an approved multidisciplinary investigative team,
established pursuant to subdivision six of section four hundred
twenty-three of this title provided that in counties without a
multidisciplinary investigative team investigations shall be conducted
jointly by local child protective services and local law enforcement.
Provided however, that co-reporting in these instances shall not be
required when the local social services district has an approved
protocol on joint investigations of child abuse and maltreatment between
the local district and law enforcement. Such protocol shall be submitted
to the office of children and family services for approval and the
office shall approve or disapprove of such protocols within thirty days
of submission. Nothing in this subdivision shall prohibit local child
protective services from consulting with local law enforcement on any
child abuse or maltreatment report.
5-b. shall make an assessment in a timely manner of each report made
pursuant to this title which involves suspected maltreatment which
alleges any physical harm when the report is made by a person required
to report pursuant to section four hundred thirteen of this title within
six months of any other two reports that were indicated or may still be
pending involving the same child, sibling, or other children in the
household or the subject of the report to determine whether it is
necessary to give notice of the report to the appropriate local law
enforcement entity. If the local child protective services determines
that local law enforcement shall be given notice, they shall give
telephone notice and immediately forward a copy of the reports to local
law enforcement. If the report is shared with local law enforcement,
investigations shall be conducted by an approved multidisciplinary
investigative team, established pursuant to subdivision six of section
four hundred twenty-three of this title provided that in counties
without a multidisciplinary investigative team investigations shall be
conducted jointly by local child protective services and local law
enforcement. Provided however, that co-reporting in these instances
shall not be required when the local social services district has an
approved protocol on joint investigations of child abuse and
maltreatment between the local district and law enforcement. Such
protocol shall be submitted to the office of children and family
services for approval and the office shall approve or disapprove of such
protocols within thirty days of submission. Nothing in this subdivision
shall modify the requirements of this section. Nothing in this
subdivision shall prohibit local child protective services from
consulting with local law enforcement on any child abuse or maltreatment
report and nothing in this subdivision shall prohibit local child
protective services and local law enforcement or a multidisciplinary
team from agreeing to co-investigate any child abuse or maltreatment
report.
6. (a) upon receipt of such report, commence or cause the appropriate
society for the prevention of cruelty to children to commence, within
twenty-four hours, an appropriate investigation which shall include an
evaluation of the environment of the child named in the report and any
other children in the same home and a determination of the risk to such
children if they continue to remain in the existing home environment, as
well as a determination of the nature, extent and cause of any condition
enumerated in such report and the name, age and condition of other
children in the home, and, after seeing to the safety of the child or
children, forthwith notify the subjects of the report and other persons
named in the report in writing of the existence of the report and their
respective rights pursuant to this title in regard to amendment;
(b) ascertain whether the child named in the report or any other child
in the same home is in the care, custody or guardianship of an
authorized agency. Where such authorized agency is not the social
services district in which the home is located, the report shall be
forwarded as soon as possible to such authorized agency and any other
social services district charged with the care, custody or guardianship
of the child or other children in the home. Such authorized agency and
local social services district shall also be notified as to whether such
report is indicated or unfounded in accordance with subdivision seven of
this section. Nothing in this subdivision shall require such social
services district to investigate or participate in the investigation of
such report;
(c) subject to rules and regulations of the division of criminal
justice services, a manager of the child protective services unit, or a
person with law enforcement background who is specifically designated by
the commissioner of the local social services district for this purpose,
shall have access to conviction records maintained by state law
enforcement agencies pertaining to persons of or over the age of
eighteen years who (1) are currently residing in the residence of any
child who is alleged to be or suspected of being abused, maltreated, or
neglected or (2) are named in any report of suspected or alleged child
abuse, maltreatment, or neglect; provided that nothing in this
subdivision shall be construed to contradict or modify section one
thousand forty-six of the family court act. Any criminal history record
provided by the division of criminal justice services, and any summary
of the criminal history record provided by the office of children and
family services to the child protective services unit of a local social
services district pursuant to this subdivision, shall be kept
confidential and shall not be made available for public inspection.
Child protective services units shall not indicate a report solely based
upon the existence of a conviction record;
6-a. upon receipt of such report and commencement of the appropriate
investigation, where the child protective service is not able to locate
the child or has been denied access to the home or denied access to the
child named in the report or to any children in the household, and where
the child protective investigator has cause to believe a child or
children's life or health may be in danger immediately advise the parent
or person legally responsible for the child's care or with whom the
child is residing that, when denied sufficient access to the child or
other children in the home, the child protective investigator may
contact the family court to seek an immediate court order to gain access
to the home and/or the child named in the report or any children in the
household without further notice and that while such request is being
made to such court, law enforcement may be contacted and if contacted
shall respond and shall remain where the child or children are or are
believed to be present;
6-b. should the parent or persons legally responsible for the child's
care or with whom the child is residing continue to deny access to the
child, children and/or home sufficient to allow the child protective
investigator to determine their safety and if a child protective
investigator seeks an immediate family court order to gain access to the
child, children and/or home, law enforcement may be contacted and if
contacted shall respond and shall remain where the child or children are
or are believed to be present while the request is being made;
7. determine, within sixty days, whether the report is "indicated" or
"unfounded";
* 7-a. where a determination is not made within sixty days, document
in the record the reason or reasons the determination was not made
within sixty days, and determine within thirty days thereafter whether
the report is "indicated" or "unfounded";
* NB Expired July 1, 1992
8. refer suspected cases of falsely reporting child abuse and
maltreatment in violation of subdivision four of section 240.50 of the
penal law to the appropriate law enforcement agency or district
attorney;
9. take a child into protective custody to protect him from further
abuse or maltreatment when appropriate and in accordance with the
provisions of the family court act;
10. based on the investigation and evaluation conducted pursuant to
this title, offer to the family of any child believed to be suffering
from abuse or maltreatment such services for its acceptance or refusal,
as appear appropriate for either the child or the family or both;
provided, however, that prior to offering such services to a family,
explain that it has no legal authority to compel such family to receive
said services, but may inform the family of the obligations and
authority of the child protective service to petition the family court
for a determination that a child is in need of care and protection;
11. in those cases in which an appropriate offer of service is refused
and the child protective service determines or if the service for any
other appropriate reason determines that the best interests of the child
require family court or criminal court action, initiate the appropriate
family court proceeding or make a referral to the appropriate district
attorney, or both;
12. assist the family court or criminal court during all stages of the
court proceeding in accordance with the purposes of this title and the
family court act;
13. coordinate, provide or arrange for and monitor, as authorized by
the social services law, the family court act and by this title,
rehabilitative services for children and their families on a voluntary
basis or under a final or intermediate order of the family court.
14. comply with provisions of sections ten hundred thirty-nine-a and
ten hundred fifty-two-a of the family court act.
The provisions of this section shall not apply to a child protective
service with respect to reports involving children in homes operated or
supervised by the office of children and family services, the office of
mental health, or the office of people with developmental disabilities
subject to the provisions of section four hundred twenty-four-b of this
title.
Access to information contained in the statewide central
register of child abuse and maltreatment. 1. (a) (i) A licensing agency
shall inquire of the department and the department shall, subject to the
provisions of paragraph (e) of this subdivision, inform such agency and
the subject of the inquiry whether an applicant for a certificate,
license or permit, the director of a camp subject to the provisions of
article thirteen-B of the public health law, a prospective successor
guardian when a clearance is conducted pursuant to paragraph (d) of
subdivision two of section four hundred fifty-eight-b of this article,
and any person over the age of eighteen who resides in the home of a
person who has applied to become an adoptive parent or a foster parent
or any person over the age of eighteen residing in the home of a
prospective successor guardian when a clearance is conducted of a
prospective successor guardian pursuant to this paragraph, has been or
is currently the subject of an indicated child abuse and maltreatment
report on file with the statewide central register of child abuse and
maltreatment.
(ii) A licensing agency shall inquire of the office whether an
applicant for a certificate, license or permit to operate a child care
program including a family day care home, group family day care home,
child care center, school age child care program, or enrolled legally
exempt provider or an employee, volunteer or applicant to be an employee
or volunteer in such program who has potential for regular and
substantial contact with children in the program, is the confirmed
subject of an indicated child abuse report maintained by the statewide
central register of child abuse and maltreatment. The office shall
promulgate regulations related to the process by which providers and
applicants will be informed whether the applicant is authorized or
unauthorized to care for children based on the outcome of such inquiry.
(iii) A licensing agency shall inquire of the office whether any
person age eighteen or older who is not related in any way to all
children for whom care is provided that resides on the premises of where
child care is provided in a setting that is not the child's own home by
an enrolled legally-exempt provider as such term is defined in
subdivision one-a of section three hundred ninety-b of this chapter is
the confirmed subject of an indicated child abuse report maintained by
the statewide central register of child abuse and maltreatment. The
office shall promulgate regulations related to the process by which
providers and applicants will be informed whether the applicant is
authorized or unauthorized to care for children based on the outcome of
such inquiry.
(iv) A licensing agency conducting inquiries pursuant to subparagraphs
(ii) and (iii) of this paragraph may inquire of the office whether any
person who is to be hired as a consultant by such agency who has the
potential for regular and substantial contact with individuals who are
cared for by the agency is the subject of an indicated child abuse and
maltreatment report on file with the statewide central register of child
abuse and maltreatment. The office shall promulgate regulations related
to the process by which providers and applicants will be informed
whether the applicant is authorized or unauthorized to care for children
based on the outcome of such inquiry.
(v) A licensing agency conducting inquiries pursuant to subparagraphs
(ii) and (iii) or this paragraph may inquire of the office whether any
person who has volunteered his or her services to such agency and who
will have the potential for regular and substantial contact with
individuals who are cared for by the agency, is the subject of an
indicated child abuse and maltreatment report on file with the statewide
central register of child abuse and maltreatment. The office shall
promulgate regulations related to the process by which providers and
applicants will be informed whether the applicant is authorized or
unauthorized to care for children based on the outcome of such inquiry.
(b) (i) (A) Subject to the provisions of subdivision seven of this
section, a provider agency shall inquire of the office and the office
shall, subject to the provisions of paragraph (e) of this subdivision,
inform such agency and the subject of the inquiry whether any person who
is actively being considered for employment and who will have the
potential for regular and substantial contact with individuals who are
cared for by the agency, is the subject of an indicated child abuse and
maltreatment report on file with the statewide central register of child
abuse and maltreatment prior to permitting such person to have
unsupervised contact with such individuals. Such agency may inquire of
the office and the office shall inform such agency and the subject of
the inquiry whether any person who is currently employed and who has the
potential for regular and substantial contact with individuals who are
cared for by such agency is the subject of an indicated child abuse and
maltreatment report on file with the statewide central register of child
abuse and maltreatment. A provider agency shall also inquire of the
office and the office shall inform such agency and the subject of the
inquiry whether any person who is employed by an individual,
corporation, partnership or association which provides goods or services
to such agency who has the potential for regular and substantial contact
with individuals who are cared for by the agency, is the subject of an
indicated child abuse and maltreatment report on file with the statewide
central register of child abuse and maltreatment prior to permitting
such person to have unsupervised contact with such individuals.
Inquiries made to the office pursuant to this subparagraph by a provider
agency on current employees shall be made no more often than once in any
six month period.
(B) Notwithstanding clause (A) of this subparagraph, where the
provider agency is an authorized agency that operates a residential
program for foster children that is licensed or certified by the office
of children and family services such agency shall inquire of the office
and the office shall, subject to the provisions of paragraph (e) of this
subdivision, inform such agency and the subject of the inquiry whether:
(I) any person who is actively being considered for employment in such
program who is not already required to be cleared pursuant to clause (A)
of this subparagraph is the subject of an indicated child abuse and
maltreatment report on file with the statewide central register of child
abuse and maltreatment; and
(II) Notwithstanding any other provision of law to the contrary, prior
to April first, two thousand twenty and in accordance with a schedule
developed by the office of children and family services, whether any
person who is employed in a residential foster care program that has not
previously had a clearance conducted pursuant to this subparagraph in
connection to such employment is the subject of an indicated child abuse
and maltreatment report on file with the statewide central register of
child abuse and maltreatment.
(ii) A provider agency may inquire of the office and the office shall,
upon receipt of such inquiry and subject to the provisions of paragraph
(e) of this subdivision, inform such agency and the subject of the
inquiry whether any person who is to be hired as a consultant by such
agency who has the potential for regular and substantial contact with
individuals who are cared for by the agency is the subject of an
indicated child abuse and maltreatment report on file with the statewide
central register of child abuse and maltreatment.
(iii) A provider agency may inquire of the office and the office
shall, upon receipt of such inquiry and subject to the provisions of
paragraph (e) of this subdivision, inform such agency and the subject of
the inquiry whether any person who has volunteered his or her services
to such agency and who will have the potential for regular and
substantial contact with individuals who are cared for by the agency, is
the subject of an indicated child abuse and maltreatment report on file
with the statewide central register of child abuse and maltreatment.
(iv) The office shall promulgate regulations which effectuate the
provisions of this paragraph.
(c) An authorized agency shall inquire of the department and the
department shall inform such agency and the subject of the inquiry,
whether any person who has applied to adopt a child is the subject of an
indicated child abuse and maltreatment report on file with the statewide
central register of child abuse and maltreatment.
(d) Any person who has applied to a licensing agency for a
certificate, license or permit or who has applied to be an employee of a
provider agency or who has applied to an authorized agency to adopt a
child, or who may be hired as a consultant or used as a volunteer by a
provider agency and any other person about whom an inquiry is made to
the department pursuant to the provisions of this section shall be
notified by such agency at the time of application or prior to the time
that a person may be hired as a consultant or used as a volunteer that
the agency will or may inquire of the department whether such person is
the subject of an indicated child abuse and maltreatment report. All
employees of a provider agency shall be notified by their employers that
an inquiry may be made to the department pursuant to this section and no
such inquiry shall be made regarding any employee until such notice has
been made.
(d-1) A law enforcement agency pursuant to section eight hundred
thirty-seven-k of the executive law may inquire of the department and
the department may inform such agency and the subject of the inquiry,
whether any person who has applied for a symbol provided for in section
eight hundred thirty-seven-k of the executive law or persons residing or
regularly visiting said location are the subject of an indicated child
abuse and maltreatment report on file with the statewide central
register of child abuse and maltreatment.
(e) (i) Subject to the provisions of subparagraph (ii) of this
paragraph, the office of children and family services shall inform the
provider or licensing agency, or child care resource and referral
programs pursuant to subdivision six of this section whether or not the
person is the subject of an indicated child abuse and maltreatment
report only if:
(A) (I) the time for the subject of the report to request an amendment
of the record of the report pursuant to subdivision eight of section
four hundred twenty-two has expired without any such request having been
made; or
(II) such request was made within such time and a fair hearing
regarding the request has been finally determined by the commissioner
and the record of the report has not been amended to unfound the report
or delete the person as a subject of the report; and
(B) (I) the person is the subject of an indicated report of child
abuse; or
(II) the person is not the subject of an indicated report of child
abuse and is the subject of a report of child maltreatment where the
indication for child maltreatment occurred within less than eight years
from the date of the inquiry.
(ii) If the subject of an indicated report of child abuse or
maltreatment has not requested an amendment of the record of the report
and an inquiry is made to the office of children and family services
pursuant to this subdivision concerning the subject of the report, such
office shall, as expeditiously as possible but within no more than ten
working days of receipt of the inquiry, determine whether, in fact, the
person about whom an inquiry is made is the subject of an indicated
report. Upon making a determination that the person about whom the
inquiry is made is the subject of an indicated report of child abuse and
maltreatment, the office of children and family services shall
immediately send a written request to the child protective service or
state agency which was responsible for investigating the allegations of
abuse or maltreatment for all records, reports and other information
maintained by the service or state agency on the subject. The service or
state agency shall, as expeditiously as possible but within no more than
twenty working days of receiving such request, forward all records,
reports and other information it maintains on the indicated report to
the office of children and family services, including a copy of any
petition or court order based on the allegations that were indicated.
Where a proceeding pursuant to article ten of the family court act is
pending based on the same allegations that were indicated, the office of
children and family services shall stay determination of whether there
is a fair preponderance of the evidence to support the indication until
the disposition of such family court proceeding. Unless such
determination has been stayed, the office of children and family
services shall, within fifteen working days of receiving such records,
reports and other information from the child protective service or state
agency, review all records, reports and other information in its
possession concerning the subject and determine whether there is a fair
preponderance of the evidence to find that the subject had committed the
act or acts of child abuse or maltreatment giving rise to the indicated
report.
(iii) If it is determined, after affording such service or state
agency a reasonable opportunity to present its views, that there is not
a fair preponderance of the evidence in the record to find that the
subject committed such act or acts, the office of children and family
services shall amend the record to indicate that the report was
unfounded and notify the inquiring party that the person about whom the
inquiry is made is not the subject of an indicated report.
(iv) (A) If it is determined after a review by the office of all
records, reports and information in its possession concerning the
subject of the report that there is a preponderance of the evidence to
find that the subject committed the act or acts of child abuse or
maltreatment giving rise to the indicated report, the office shall also
determine whether such act or acts are relevant and reasonably related
to issues concerning the employment of the subject by a provider agency
or the subject being allowed to have regular and substantial contact
with individuals cared for by a provider agency or the approval or
disapproval of an application which has been submitted by the subject to
a licensing agency, based on guidelines developed pursuant to
subdivision five of this section. If it is determined that such act or
acts are not relevant and related to such issues, the office shall be
precluded from informing the provider or licensing agency which made the
inquiry to the office pursuant to this section that the person about
whom the inquiry is made is the subject of an indicated report of child
abuse or maltreatment.
(B) Where the subject of the report is not the subject of any
indicated report of child abuse and is the subject of a report of child
maltreatment where the indication for child maltreatment occurred more
than eight years prior to the date of the inquiry, any such indication
of child maltreatment shall be deemed to be not relevant and reasonably
related to employment.
(v) If it is determined after a review by the office of children and
family services of all records, reports and information in its
possession concerning the subject of the report that there is a fair
preponderance of the evidence to prove that the subject committed the
act or acts of abuse or maltreatment giving rise to the indicated report
the office of children and family services shall notify the subject of
the determination of such report and of the subject's right to request a
fair hearing. If the subject shall request a hearing, the office of
children and family services shall schedule a fair hearing and shall
provide notice of the scheduled hearing date to the subject, the
statewide central register and, as appropriate, to the child protective
service which investigated such report.
(vi) The burden of proof in such a hearing shall be on the child
protective service which investigated the report. In such a hearing,
where a family court proceeding pursuant to article ten of the family
court act has occurred and where the petition for such proceeding
alleges that a respondent in that proceeding committed abuse or
maltreatment against the subject child in regard to an allegation
contained in a report indicated pursuant to this section: (A) where the
court finds that such respondent did commit abuse or maltreatment there
shall be an irrebuttable presumption in a fair hearing held pursuant to
this subdivision that said allegation is substantiated by a fair
preponderance of the evidence as to that respondent on that allegation;
and (B) where such child protective service withdraws such petition with
prejudice, where the family court dismisses such petition, or where the
family court finds on the merits in favor of the respondent, there shall
be an irrebuttable presumption in a fair hearing held pursuant to this
subdivision that said allegation as to that respondent has not been
proven by a fair preponderance of the evidence.
(vii) If it shall be determined at the fair hearing that there is no
fair preponderance of the evidence in the record to find that the
subject committed an act or acts of child abuse or maltreatment, the
office of children and family services shall amend the record as to that
respondent on that allegation to reflect that such a finding was made at
the administrative hearing, order any child protective service which
investigated the report as to that respondent to similarly amend its
records of such report, notify the subject of the determination, and
notify the inquiring party that the person about whom such inquiry was
made is not the subject of an indicated report on that allegation.
(viii) Upon a determination at the fair hearing that the subject has
been shown, by a fair preponderance of the evidence to have committed
the act or acts of child abuse or maltreatment giving rise to the
indicated report, the hearing officer shall determine, based on
guidelines developed by the office of children and family services
pursuant to subdivision five of this section, whether such act or acts
are relevant and reasonably related to the subject being allowed to have
regular and substantial contact with children who are cared for by a
provider agency as defined in subdivision three of this section, or
relevant and reasonably related to the approval or disapproval of an
application submitted by the subject to a licensing agency as defined in
subdivision four of this section.
(ix) Upon a determination made at a fair hearing that the act or acts
of abuse or maltreatment are relevant and reasonably related to the
employment of the subject by a provider agency as defined in subdivision
three of this section, the subject being allowed to have regular and
substantial contact with children who are cared for by a provider agency
as defined in subdivision three of this section, or relevant and
reasonably related to the approval or disapproval of an application
submitted by the subject to a licensing agency as defined in subdivision
four of this section, the office of children and family services shall
notify the subject and shall inform the inquiring party that the person
about whom such inquiry was made is the subject of an indicated report
of child abuse or maltreatment.
(x) The failure to determine at the fair hearing that the act or acts
of abuse or maltreatment are relevant and reasonably related to the
employment of the subject by a provider agency as defined in subdivision
three of this section, the subject being allowed to have regular and
substantial contact with children who are cared for by a provider agency
as defined in subdivision three of this section, or relevant and
reasonably related to the approval or disapproval of an application
submitted by the subject to a licensing agency as defined in subdivision
four of this section, shall preclude the office of children and family
services from informing a provider agency as defined in subdivision
three of this section or licensing agency as defined in subdivision four
of this section that such person is the subject of an indicated report
of child abuse or maltreatment on that allegation.
(f) The office of children and family services shall charge a fee of
twenty-five dollars when it conducts a search of its records within the
statewide central register for child abuse or maltreatment in accordance
with this section or regulations of the office to determine whether an
applicant for employment is the subject of an indicated child abuse or
maltreatment report including an applicant to be a child day care
provider and a request made pursuant to subdivision six of this section.
Such fees shall be deposited in a special revenue - other account and
shall be made available to the office for costs incurred in the
implementation of this section.
(g) The office shall determine actions necessary to develop an
automated search, available for the use of the office, of records at the
statewide central registry of child abuse and maltreatment.
2. (a) Upon notification by the office or by a child care resource and
referral program in accordance with subdivision six of this section that
any person who has applied to a licensing agency for a license,
certificate or permit or who seeks to become an employee of a provider
agency, or to accept a child for adoptive placement or who will be hired
as a consultant or used as a volunteer by a provider agency, or that any
other person about whom an inquiry is made to the office pursuant to the
provisions of this section is the subject of an indicated report, the
licensing or provider agency shall determine on the basis of information
it has available whether to approve such application or retain the
employee or hire the consultant or use the volunteer or permit an
employee of another person, corporation, partnership or association to
have access to the individuals cared for by the provider agency,
provided, however, that if such application is approved, or such
employee is retained or consultant hired or volunteer used or person
permitted to have access to the children cared for by such agency the
licensing or provider agency shall maintain a written record, as part of
the application file or employment record, of the specific reasons why
such person was determined to be appropriate to receive a foster care or
adoption placement or to provide day care services, to be the director
of a camp subject to the provisions of article thirteen-B of the public
health law, to be approved as a successor guardian in accordance with
subparagraph (ii) of paragraph (b) of subdivision five of section four
hundred fifty-eight-b of this article, to be employed, to be retained as
an employee, to be hired as a consultant, used as a volunteer or to have
access to the individuals cared for by the agency.
(b) (i) Upon denial of such application by a licensing or a provider
agency or failure to hire the consultant or use the volunteer, or denial
of access by a person to the children cared for by the agency, or
failure to approve a successor guardian in accordance with subparagraph
(ii) of paragraph (b) of subdivision five of section four hundred
fifty-eight-b of this article, such agency shall furnish the applicant,
prospective consultant, volunteer or person who is denied access to the
children cared for by the agency with a written statement setting forth
whether its denial, failure to hire or failure to use was based, in
whole or in part, on such indicated report, and if so, its reasons for
the denial or failure to hire or failure to use.
(ii) Upon the termination of employment of an employee of a provider
agency, who is the subject of an indicated report of child abuse or
maltreatment on file with the statewide central register of child abuse
and maltreatment, the agency shall furnish the employee with a written
statement setting forth whether such termination was based, in whole or
in part, on such indicated report and, if so, the reasons for the
termination of employment.
(c) If the reasons for such denial or termination or failure to hire a
consultant or use a volunteer or failure to approve a successor guardian
in accordance with subparagraph (ii) of paragraph (b) of subdivision
five of section four hundred fifty-eight-b of this article include the
fact that the person is the subject of an indicated child abuse or
maltreatment report, such person may request from the department within
ninety days of receipt of notice of such denial, termination, failure to
hire a consultant or use a volunteer and shall be granted a hearing in
accordance with the procedures set forth in section twenty-two of this
chapter relating to fair hearings. All hearings held pursuant to the
provisions of this subdivision shall be held within thirty days of a
request for the hearing unless the hearing is adjourned for good cause
shown. Any subsequent adjournment for good cause shown shall be granted
only upon consent of the person who requested the hearing. The hearing
decision shall be rendered not later than sixty days after the
conclusion of the hearing.
(d) At any such hearing, the sole question before the department shall
be whether the applicant, employee, prospective consultant, volunteer,
prospective successor guardian or person who was denied access to the
children cared for by a provider agency has been shown by a fair
preponderance of the evidence to have committed the act or acts of child
abuse or maltreatment giving rise to the indicated report. In such
hearing, the burden of proof on the issue of whether an act of child
abuse or maltreatment was committed shall be upon the local child
protective service or the state agency which investigated the report, as
the case may be. The failure to sustain the burden of proof at a hearing
held pursuant to this section shall not result in the expungement or
unfounding of an indicated report but shall be noted on the report
maintained by the state central register and shall preclude the
department from notifying a party which subsequently makes an inquiry to
the department pursuant to this section that the person about whom the
inquiry is made is the subject of an indicated report.
(e) Upon the failure, at the fair hearing held pursuant to this
section, to prove by a fair preponderance of the evidence that the
applicant committed the act or acts of child abuse or maltreatment
giving rise to the indicated report, the department shall notify the
provider or licensing agency which made the inquiry pursuant to this
section that it should reconsider any decision to discharge an employee,
or to deny the subject's application for employment, or to become an
adoptive parent, or to become a successor guardian, or for a
certificate, license or permit; or not to hire a consultant, use a
volunteer, or allow access to children cared for by the agency.
3. For purposes of this section, the term "provider" or "provider
agency" shall mean: an authorized agency; the office of children and
family services; a private, nonprofit incorporated agency that meets the
state office of children and family services program standards for child
advocacy centers; juvenile detention facilities subject to the
certification of the office of children and family services; programs
established pursuant to article nineteen-H of the executive law;
non-residential or residential programs or facilities licensed or
operated by the office of mental health or the office for people with
developmental disabilities except family care homes; including head
start programs which are funded pursuant to title V of the federal
economic opportunity act of nineteen hundred sixty-four, as amended;
early intervention service established pursuant to section twenty-five
hundred forty of the public health law; preschool services established
pursuant to section forty-four hundred ten of the education law; special
act school districts as enumerated in chapter five hundred sixty-six of
the laws of nineteen hundred sixty-seven, as amended; programs and
facilities licensed by the office of alcoholism and substance abuse
services; residential schools which are operated, supervised or approved
by the education department; health homes, or any subcontractor of such
health homes, who contracts with or is approved or otherwise authorized
by the department of health to provide health home services to all those
enrolled pursuant to a diagnosis of a developmental disability as
defined in subdivision twenty-two of section 1.03 of the mental hygiene
law and enrollees who are under twenty-one years of age under section
three hundred sixty-five-l of this chapter, or any entity that provides
home and community based services to enrollees who are under twenty-one
years of age under a demonstration program pursuant to section eleven
hundred fifteen of the federal social security act; publicly-funded
emergency shelters for families with children, provided, however, for
purposes of this section, when the provider or provider agency is a
publicly-funded emergency shelter for families with children, then all
references in this section to the "potential for regular and substantial
contact with individuals who are cared for by the agency" shall mean the
potential for regular and substantial contact with children who are
served by such shelter; and any other facility or provider agency, as
defined in subdivision four of section four hundred eighty-eight of this
chapter, in regard to the employment of staff, or use of providers of
goods and services and staff of such providers, consultants, interns and
volunteers.
4. For purposes of this section, the term "licensing agency" shall
mean an authorized agency which has received an application to become an
adoptive parent or an authorized agency which has received an
application for a certificate or license to receive, board or keep any
child pursuant to the provisions of section three hundred seventy-six or
three hundred seventy-seven of this article or an authorized agency
which has received an application from a relative within the second
degree or third degree of consanguinity of the parent of a child or a
relative within the second degree or third degree of consanguinity of
the step-parent of a child or children, or the child's legal guardian
for approval to receive, board or keep such child, or an authorized
agency that conducts a clearance pursuant to paragraph (d) of
subdivision two of section four hundred fifty-eight-b of this article,
or a state or local governmental agency which receives an application to
provide child day care services in a child day care center, school-age
child care program, family day care home or group family day care home
or enrolled legally-exempt provider as such term is defined in
subdivision one-a of section three hundred ninety-b of this article
pursuant to the provisions of section three hundred ninety of this
article, or the department of health and mental hygiene of the city of
New York, when such department receives an application for a certificate
of approval to provide child day care services in a child day care
center pursuant to the provisions of the health code of the city of New
York, or the office of mental health or the office for people with
developmental disabilities when such office receives an application for
an operating certificate pursuant to the provisions of the mental
hygiene law to operate a family care home, or a state or local
governmental official who receives an application for a permit to
operate a camp which is subject to the provisions of article thirteen-B
of the public health law or the office of children and family services
which has received an application for a certificate to receive, board or
keep any child at a foster family home pursuant to articles nineteen-G
and nineteen-H of the executive law or any other facility or provider
agency, as defined in subdivision four of section four hundred
eighty-eight of this chapter, in regard to any licensing or
certification function carried out by such facility or agency.
5. (a) The office of children and family services, after consultation
with the justice center for the protection of people with special needs,
the office of mental health, the office for people with developmental
disabilities, the office of alcoholism and substance abuse services, the
department of health, and the state education department shall develop
guidelines to be utilized by a provider agency, as defined by
subdivision three of this section, and a licensing agency, as defined by
subdivision four of this section, in evaluating persons about whom
inquiries are made to the office pursuant to this section who are the
subjects of indicated reports of child abuse and maltreatment, as
defined by subdivision four of section four hundred twelve of this
chapter.
(b) The guidelines developed pursuant to subdivision one of this
section shall not supersede similar guidelines developed by local
governmental agencies prior to January first, nineteen hundred
eighty-six.
6. A child care resource and referral program as defined in
subdivision two of section four hundred ten-p of this article may
inquire of the office of children and family services and the office
shall, upon receipt of such inquiry and subject to the provisions of
paragraph (e) of subdivision one of this section, inform such program
and the subject of such inquiry whether any person who has requested and
agreed to be included in a list of substitute child day care caregivers
for employment by registered or licensed day care providers maintained
by such program in accordance with regulations promulgated by the
office, is the subject of an indicated child abuse and maltreatment
report on file with the statewide central register of child abuse and
maltreatment. Inquiries made to the office by such programs pursuant to
this subdivision shall be made no more often than once in any six month
period and no less often than once in any twelve month period.
Notwithstanding any provision of law to the contrary, a child care
resource and referral program may redisclose such information only if
the purpose of such redisclosure is to respond to a request for such
information by a registered or licensed provider and only if after an
individual included in the list of substitute child day care caregivers
for employment by registered or licensed day care providers has
consented to be referred for employment to such inquiring agency. Upon
such referral, the provisions related to notice and fair hearing rights
of this section shall otherwise apply. Inquiries made pursuant to this
subdivision shall be in lieu of the inquiry requirements set forth in
paragraph (b) of subdivision one of this section.
7. Any facility, provider agency, or program that is required to
conduct an inquiry pursuant to section four hundred ninety-five of this
chapter shall first conduct the inquiry required under such section. If
the result of the inquiry under section four hundred ninety-five of this
chapter is that the person about whom the inquiry is made is on the
register of substantiated category one cases of abuse or neglect and the
facility or provider agency is required to deny the application in
accordance with article eleven of this chapter, the facility or provider
agency shall not be required to make an inquiry of the office under this
section.
Children in the care of certain public and private agencies.
Notwithstanding any inconsistent provisions of law, when a report of
child abuse or maltreatment involves a child being cared for in a home
operated or supervised by an authorized agency or the office of children
and family services, such report shall be accepted and maintained by the
office of children and family services and shall be referred for the
purposes of conducting an investigation to the appropriate staff within
the office of children and family services where the child is in the
care of such agency; and where the child is in a home operated or
supervised by an authorized agency, to the social services district
wherein such home is located. The office or social services district
receiving such referral shall undertake an appropriate investigation of
the report, in accordance with the terms and conditions set forth in
this title. Any person who is alleged to have abused or maltreated a
child in a report accepted and referred pursuant to this section shall
be accorded the procedural rights set forth in section four hundred
twenty-two and in subdivision six of section four hundred twenty-four of
this title. Nothing in this section shall impose any duty or
responsibility on any child protective service pursuant to section four
hundred twenty-two, four hundred twenty-four or any other provision of
this article.
Cooperation of other agencies. 1. To effectuate the purposes of
this title, the commissioner may request and shall receive from
departments, boards, bureaus, or other agencies of the state, or any of
its political subdivisions, or any duly authorized agency, or any other
agency providing services under the local child protective services plan
such assistance and data as will enable the department and local child
protective services to fulfill their responsibilities properly. Nothing
contained in this subdivision shall limit the department's authority
under sections three hundred seventy-two, four hundred sixty-c and four
hundred sixty-e of this chapter to access the records of authorized
agencies.
2. The department, after consultation with the division for youth, the
division of criminal justice services, the department of mental hygiene,
the commission on quality of care for the mentally disabled and the
state education department shall develop guidelines to be utilized by
appropriate state and local governmental agencies and authorized
agencies as defined by subdivision ten of section three hundred
seventy-one of this article which have responsibility for the care and
protection of children, in evaluating persons who have a criminal
conviction record and who have applied to such agencies or provider
agencies, as defined in subdivision three of section four hundred
twenty-four-a of this title for employment or who have applied to such
state agencies or licensing agency as defined in subdivision four of
section four hundred twenty-four-a of this title, for a license,
certificate, permit or approval to be an adoptive parent, provider of
day care services in a day care center, family day care home or group
family day care home, an operator of a camp subject to the provisions of
article thirteen-B of the public health law, or an operator of a foster
family home subject to the provisions of subdivision seven of section
five hundred one, section five hundred two or subdivision three of
section five hundred thirty-two-a of the executive law or section three
hundred seventy-six and three hundred seventy-seven of this article.
3. The guidelines developed pursuant to subdivision two of this
section shall not supercede any similar guidelines developed by local
governmental agencies prior to January first, nineteen hundred
eighty-six.
Annual reports. The commissioner shall prepare for inclusion in
the annual report required by subdivision (d) of section seventeen of
this chapter to be filed with the governor and the legislature prior to
December fifteenth of each year, a report on the operations of the state
central register of child abuse and maltreatment and the various local
child protective services. The report shall include a full statistical
analysis of the reports made to the central register together with a
report on the implementation of this title, his or her evaluation of
services offered under this chapter and his or her recommendations for
additional legislation to fulfill the purposes of this title. Such
report shall indicate the number of child abuse and maltreatment reports
and cases received by the statewide central register of child abuse and
maltreatment by each district in the preceding year, the number of such
cases determined to have been indicated and the number of such cases
determined to be unfounded by each district in the preceding year, the
number of such cases which have not been indicated or unfounded within
the time period required by subdivision seven of section four hundred
twenty-four of this article by each district in the preceding year and
the number of workers assigned to the child protective service in each
district in the preceding year. Such report shall include, among other
information, available demographic information and available information
concerning the racial and ethnic characteristics of the family members
and persons served by the differential response program pursuant to
section four hundred twenty-seven-a of the social services law, as well
as available information concerning the racial and ethnic
characteristics of the family members and persons serviced under the
traditional child protective services program, in each local social
services district in the state.
Regulations of the commissioner. 1. The commissioner shall
adopt regulations necessary to implement this title.
2. The commissioner shall establish, by regulation, standards and
criteria under which the child protective service of the appropriate
local department of social services as petitioner in abuse and neglect
proceedings pursuant to article ten of the family court act shall not
consent to an order pursuant to section one thousand thirty-nine of the
family court act.
Differential response programs for child protection
assessments or investigations. 1. Any social services district may,
upon the authorization of the office of children and family services,
establish a program that implements differential responses to reports of
child abuse and maltreatment. Such programs shall create a family
assessment and services track as an alternative means of addressing
certain matters otherwise investigated as allegations of child abuse or
maltreatment pursuant to this title. Notwithstanding any other provision
of law to the contrary, the provisions of this section shall apply only
to those cases involving allegations of abuse or maltreatment in family
settings expressly included in the family assessment and services track
of the differential response program, and only in those social services
districts authorized by the office of children and family services to
implement a differential response program. Such cases shall not be
subject to the requirements otherwise applicable to cases reported to
the statewide central register of child abuse and maltreatment pursuant
to this title, except as set forth in this section.
2. Any social services district interested in implementing a
differential response program shall apply to the office of children and
family services for permission to participate. The criteria for a social
services district to participate will be determined by the office of
children and family services after consultation with the office for the
prevention of domestic violence, however the social services district's
application must include a plan setting forth the following:
(a) in conjunction with any additional requirements imposed by the
office of children and family services and the provisions of this
subdivision, the factors to be considered by the social services
district in determining which cases will be addressed through the family
assessment and services track and the size of the population to be the
subject of the differential response program;
(b) the types of services and interventions to be provided to families
included in the family assessment and services track and a description
of how the services will be offered;
(c) a description of the process to be followed for planning and
monitoring the services provided under the family assessment and
services track;
(d) a description of how the principles of family involvement and
support consistent with maintaining the safety of the child will be
implemented in the family assessment and services track;
(e) a description of how the differential response program will
enhance the ability of the district to protect children, maintain the
safety of children and preserve families;
(f) a description of how the district will reduce the involvement of
government agencies with families and maintain the safety of children
through the use of community resources;
(g) a description of the staff resources proposed to be used in the
family assessment and services track, including the proposed staff
workloads and qualifications;
(h) a description of the training that will be provided to district
and any non-district staff to be used in the differential response
program including, but not limited to, a description of the training
involving maintaining the safety and well-being of children and any
cross training planned for family assessment and investigative staff;
(i) a description of the community resources that are proposed to be
used in the family assessment and services track;
(j) a description of any additional funding that may be utilized to
enhance the differential response program; and
(k) a description of the protocol to be followed for handling cases
where domestic violence is present in order to maintain the safety of
the child through the family assessment and services track.
3. The criteria for determining which cases may be placed in the
assessment track shall be determined by the local department of social
services, in conjunction with the office of children and family services
and after consultation with the office for the prevention of domestic
violence. Provided, however, that reports including any of the following
allegations shall not be included in the assessment track of a
differential response program:
(a) reports alleging that the subject committed or allowed to be
committed an offense defined in article one hundred thirty of the penal
law;
(b) reports alleging that the subject allowed, permitted or encouraged
a child to engage in any act described in sections 230.25, 230.30 and
230.32 of the penal law;
(c) reports alleging that the subject committed any of the acts
described in section 255.25, 255.26 or 255.27 of the penal law;
(d) reports alleging that the subject allowed a child to engage in
acts or conduct described in article two hundred sixty-three of the
penal law;
(e) reports alleging that the subject committed assault in the first,
second or third degree against a child;
(f) reports alleging that the subject committed or attempted to commit
murder or manslaughter in the first or second degree;
(g) reports alleging that the subject abandoned a child pursuant to
subdivision five of section three hundred eighty-four-b of this article;
(h) reports alleging that the subject has subjected a child to severe
or repeated abuse as those terms are defined in paragraphs (a) and (b)
of subdivision eight of section three hundred eighty-four-b of this
article; and
(i) reports alleging that the subject has neglected a child so as to
substantially endanger the child's physical or mental health, including
a growth delay, which may be referred to as failure to thrive, that has
been diagnosed by a physician and is due to parental neglect.
4. The following procedures shall be followed for all cases included
in the family assessment and services track:
(a) Reports taken at the statewide central register of child abuse and
maltreatment shall be transmitted to the appropriate local child
protective service.
(b) A social services district permitted by the office of children and
family services to participate in the implementation of a differential
response program shall, consistent with the criteria developed pursuant
to subdivision three of this section, identify those reports which are
initially eligible to be included in the family assessment and services
track.
(c) For those reports which are included in the family assessment and
services track, the social services district shall not be subject to the
requirements of this title concerning initial investigation of reports
of suspected abuse and maltreatment of children, including notification
requirements. For reports assigned to the family assessment and services
track, the social services district shall be responsible for ensuring
that the children are safe in their homes. Such safety assessment shall
be commenced within twenty-four hours of receipt of the report and
completed within seven days. Based on the initial safety assessment, the
district shall determine if the report shall continue under the family
assessment and services track. This safety assessment must be documented
in the manner specified by the office of children and family services.
Should the children be found to be safe in the home, the social services
district shall then identify service needs and family issues, if any,
that should be addressed.
(i) Where the social services district determines, based on the
initial safety assessment, that the report is appropriate to be included
in the family assessment and services track, the social services
district shall document the reason for that determination in the initial
safety assessment and inform the statewide central register of child
abuse and maltreatment that the report is part of the family assessment
and services track and request that the records of the statewide central
register of child abuse and maltreatment of such report be classified as
an assessment track case and be legally sealed. Such sealed reports
shall be maintained at the statewide central register of child abuse and
maltreatment for ten years after the report was made. Access to reports
assigned to, and records created under the family assessment and
services track and information concerning such reports and records is
governed by paragraph (d) of subdivision five of this section.
(ii) Where the social services district determines, based on the
initial safety assessment, to investigate the report as a report of
suspected child abuse or maltreatment, the social services district
shall document the reason for that decision in the initial safety
assessment. Where the social services district makes the determination
to investigate the report, all of the requirements of this title
concerning investigations of reports of suspected child abuse and
maltreatment shall apply, including the notification requirements. The
report shall no longer be eligible to be included in the family
assessment and services track.
(d) Where the social services district has determined that a case is
appropriate to be included in the family assessment and services track,
the district's activities shall include, at a minimum, the following:
(i) the provision of written notice to each parent, guardian or other
person legally responsible for the child or children participating in
the family assessment and services track explaining that it is the
intent of the social services district to meet the needs of the family
without engaging in a traditional child protective services
investigation. The notice shall also explain that the workers assisting
the family in the family assessment and services track are mandated
reporters who are required to report suspected child abuse or
maltreatment and that those workers are required to report new
information that they receive in their work with the family if that
information gives them reasonable cause to suspect that a child in the
family is an abused or maltreated child;
(ii) an examination, with the family, of the family's strengths,
concerns and needs;
(iii) where appropriate, an offer of assistance which shall include
case management that is supportive of family stabilization;
(iv) the planning and provision of services responsive to the service
needs of the family; and
(v) an on-going joint evaluation and assessment of the family's
progress including ongoing, periodic assessments of risk to the child.
(e) After the social services district has received a report of
suspected maltreatment and determined that the report is initially
eligible to be included in the family assessment and services track,
pursuant to paragraph (b) of this subdivision, the activities described
in paragraphs (c) and (d) of this subdivision may be performed by the
social services district directly or through any other method currently
utilized by social services districts to obtain preventive services for
children and families. If a community-based agency determines, pursuant
to subparagraph (ii) of paragraph (c) of this subdivision, that a report
must be investigated as a case of suspected child abuse or maltreatment,
the community-based agency shall so inform the social services district,
which shall then become responsible for conducting the child protective
services investigation in accordance with the requirements of this
title.
(f) A report selected for inclusion in the demonstration project shall
cease to be eligible for inclusion in the demonstration project if at
any time in the course of providing services the district or
community-based agency finds that:
(i) there is evidence of child abuse, including sexual abuse; or
(ii) the parent or parents refuse to cooperate with the district or
community-based agency in developing or implementing a plan to address
the family problems or issues and there is evidence of maltreatment of a
child.
(g) Where the district finds or is advised by a community-based
agency, subsequent to the completion of the initial safety assessment
and after the report is legally sealed, that the report is no longer
eligible for inclusion in the demonstration project pursuant to
paragraph (f) of this subdivision, the district shall contact the
statewide central register of child abuse and maltreatment and make a
new report of suspected child abuse or maltreatment pursuant to section
four hundred thirteen of this title.
(h) Where a report has been included in the family assessment and
services track and a subsequent report involving the family is made to
the statewide central register of child abuse and maltreatment, and such
subsequent report is not eligible for inclusion in the family assessment
and services track, the local child protective services, in conducting
its investigation, shall work cooperatively with any district or
community-based agency staff that are already working with the family to
minimize to the extent practicable the chance that existing services
being provided to the family will be disrupted and to maximize to the
extent practicable the coordination of the existing services being
provided to the family with any new services to be provided to the
family.
5. (a) Cases included in the family assessment and services track
shall not be subject to the requirements of section four hundred nine-e
or four hundred nine-f of this article.
(b) All records created as part of the family assessment and services
track shall include, but not be limited to, documentation of the initial
safety assessment, the examination of the family's strengths, concerns
and needs, all services offered and accepted by the family, the plan for
supportive services for the family, all evaluations and assessments of
the family's progress, and all periodic risk assessments.
(c) Records created under the family assessment and services track
shall be maintained for ten years after the report initiating the case
at the statewide central register was made.
(d) All reports assigned to, and records created under, the family
assessment and services track, including but not limited to reports made
or written as well as any other information obtained or photographs
taken concerning such reports or records shall be confidential and shall
be made available only to:
(i) staff of the office of children and family services and persons
designated by the office of children and family services;
(ii) the social services district responsible for the family
assessment and services track case;
(iii) community-based agencies that have contracts with the social
services district to carry out activities for the district under the
family assessment and services track;
(iv) providers of services under the family assessment and services
track;
(v) any social services district investigating a subsequent report of
abuse or maltreatment involving the same subject or the same child or
children named in the report;
(vi) a court, but only while the family is receiving services provided
under the family assessment and services track and only pursuant to a
court order or judicial subpoena, issued after notice and an opportunity
for the subject of the report and all parties to the present proceeding
to be heard, based on a judicial finding that such reports, records, and
any information concerning such reports and records, are necessary for
the determination of an issue before the court. Such reports, records
and information to be disclosed pursuant to a judicial subpoena shall be
submitted to the court for inspection and for such directions as may be
necessary to protect confidentiality, including but not limited to
redaction of portions of the reports, records, and information and to
determine any further limits on redisclosure in addition to the
limitations provided for in this title. A court shall not have access to
the sealed family assessment and services reports, records, and any
information concerning such reports and records, after the conclusion of
services provided under the family assessment and services track; and
(vii) the subject of the report included in the records of the family
assessment and services track.
(e) Persons given access to sealed reports, records, and any
information concerning such reports and records, pursuant to paragraph
(d) of this subdivision shall not redisclose such reports, records and
information except as follows:
(i) the office of children and family services and social services
districts may disclose aggregate, non-client identifiable information;
(ii) social services districts, community-based agencies that have
contracts with a social services district to carry out activities for
the district under the family assessment and services track, and
providers of services under the family assessment and services track,
may exchange such reports, records and information concerning such
reports and records as necessary to carry out activities and services
related to the same person or persons addressed in the records of a
family assessment and services track case;
(iii) the child protective service of a social services district may
unseal a report, record and information concerning such report and
record of a case under the family assessment and services track in the
event such report, record or information is relevant to a subsequent
report of suspected child abuse or maltreatment. Information from such
an unsealed report or record that is relevant to the subsequent report
of suspected child abuse and maltreatment may be used by the child
protective service for purposes of investigation and family court action
concerning the subsequent report and may be included in the record of
the investigation of the subsequent report. If the social services
district initiates a proceeding under article ten of the family court
act in connection with such a subsequent report of suspected child abuse
and maltreatment and there is information in the report or record of a
previous case under the family assessment and services track that is
relevant to the proceeding, the social services district shall include
such information in the record of the investigation of the subsequent
report of suspected child abuse or maltreatment and shall make that
information available to the family court and the other parties for use
in such proceeding provided, however, that the information included from
the previous case under the family assessment and services track shall
then be subject to all laws and regulations regarding confidentiality
that apply to the record of the investigation of such subsequent report
of suspected child abuse or maltreatment. The family court may consider
the information from the previous case under the family assessment and
services track that is relevant to such proceeding in making any
determinations in the proceeding; and
(iv) a subject of the report may, at his or her discretion, present a
report, records and information concerning such report and records from
the family assessment and services track case, in whole or in part, in
any proceeding under article ten of the family court act in which the
subject is a respondent. A subject of the report also may, at his or her
discretion, present a report, records and information concerning such
report and records from the family assessment and services track, in
whole or in part, in any proceeding involving the custody of, or
visitation with the subject's children, or in any other relevant
proceeding. In making any determination in such a proceeding, the court
may consider any portion of the family assessment and service track
report, records and any information concerning such report and records
presented by the subject of the report that is relevant to the
proceeding. Nothing in this subparagraph, however, shall be interpreted
to authorize a court to order the subject to produce such report,
records or information concerning such report and records, in whole or
in part.
6. Expenditures by a social services district pursuant to this section
shall be reimbursable from the annual appropriations available for
social services district expenditures for child welfare services which
shall include, but not be limited to, preventive services provided
pursuant to section four hundred nine-a of this article, child
protective services, independent living services and any other
appropriation made specifically to support these differential response
programs. Nothing shall preclude a social services district from seeking
private funds for support of their differential response programs.
7. The office of children and family services shall post the plan
contained in any application approved for implementation of a
differential response program on the office of children and family
services website within sixty days of such approval.
8. The office of children and family services shall report on the
differential response programs established pursuant to this section as
part of the annual report required pursuant to section four hundred
twenty-six of this title.
Separability. If any provision of this title or the
application thereof to any person or circumstances is held to be
invalid, the remainder of the act and the application of such provision
to other persons or circumstances shall not be affected thereby.
TITLE 6-A Home Visiting
Home visiting. 1. In accordance with a plan developed by the
office of children and family services and approved by the director of
the budget and within the amounts which the director of the budget
determines should be made available therefor, such office, in
conjunction with the department of health, is authorized to issue grants
for home visiting programs to prevent child abuse and maltreatment,
enhance positive parent child interactions, increase healthy outcomes
for families and empower families to develop and achieve their
self-sufficiency goals. To the extent that federal funds are used to
support home visiting programs, such programs must be operated in
accordance with all applicable federal laws and regulations. To the
extent possible and appropriate, funding for the home visiting program
shall be coordinated with other available funding to maximize the
effective use of federal, state and local moneys and to promote the
program's purposes.
2. Each home visiting program funded under this section shall include,
but not be limited to, the following activities:
(a) providing screening of families in the targeted geographical area
upon the birth of a child and prenatally, if possible;
(b) engaging those expectant parents and families with an infant
determined to be at risk of child abuse or maltreatment and/or poor
health outcomes to participate in the home visiting program;
(c) providing home visits by nurses or by community workers under the
supervision of a health or social services professional to those at risk
expectant parents and families who choose to participate in the program;
(d) requiring the home visitors to:
(i) assist parents in learning about child development principles;
(ii) assist parents in accessing appropriate preventive health care
for their children and themselves; and
(iii) link the families to other supports and activities in the
community;
(e) determining the frequency of the home visiting services provided
to each participating family based on the family's needs;
(f) continuing home visits for a particular family until the child
enters school or a head start program, when necessary; and
(g) assisting families to develop and obtain the necessary supports to
achieve their self-sufficiency goals.
3. A request for proposals shall be issued to solicit applications for
home visiting programs. Priority for funding shall be given to
applicants from communities identified as high need by such factors as
poverty rates, rates of adolescent pregnancy, rates of child abuse and
maltreatment, immunization rates and infant mortality rates.
4. Not-for-profit organizations and local public agencies such as
community-based organizations, family resource centers, local health
departments, local social services departments, schools, hospitals and
other health agencies shall be eligible to apply for the grants
available pursuant to this section.
5. Each applicant shall demonstrate among other things:
(a) a working relationship with the applicable local departments of
health and social services and key services providers in the community;
(b) the commitment of local hospitals, prenatal clinics and early
intervention programs servicing families in the targeted geographical
area to promote the effective screening of families so that the program
can be offered to the maximum number of at-risk expectant parents and
families possible;
(c) its administrative and fiscal viability and the community's
support for the home visiting program; and
(d) how the home visiting program would be integrated with other
available services, programs and funding streams.
6. The commissioner of the office of children and family services
shall establish policies governing enrollees' rights and
confidentiality, and each home visiting program shall, in accordance
with such policies, inform enrollees of their rights, and of such
policies governing confidentiality.
7. The office of children and family services shall submit to the
governor and the legislature by December first, two thousand, and every
three years thereafter, a report which shall include a review of all the
home visiting programs funded under this section; and comments and
recommendations based on a comprehensive evaluation regarding the most
effective models for providing home visiting services and statutory
changes which could improve the state's ability to prevent child abuse
and maltreatment, improve healthy outcomes for families and empower
families to develop and obtain their self-sufficiency goals.
8. Any home visiting program that meets the criteria delineated in
this section as determined by factors set by the office of children and
family services and the department of health, regardless of whether such
program contracts with or receives funding from the state, may provide
the necessary information to such offices as is required by subdivision
(i) of section seventeen of this chapter or paragraph (w) of subdivision
one of section two hundred one of the public health law in order for
their program to be made available on the internet mapping resource
maintained by the council on children and families pursuant to section
four hundred eighty-three-h of this chapter.
TITLE 7 Day Services For Children and Families
Day services; when social services official may furnish. 1.
In order to preserve and stabilize family life, to prevent the need for
placement of children outside their homes, and to enable children in
foster care to return to their families as expeditiously as possible, a
social services official is authorized to provide day services at public
expense to children and their families residing in his territory,
pursuant to the provisions of this title.
2. Day services may be provided in cases where the social services
official has determined that such services would promote or accomplish
one or more of the following objectives:
(a) to avert a risk of serious impairment or disruption of a family
unit which would result in the placement of a child outside his own
home;
(b) to enable a child who has been placed in a child care institution
or other group care facility to be placed in a foster care setting more
closely oriented to community or family life;
(c) to enable a child who has been placed in foster care to return to
his family at an earlier time than would otherwise be possible.
3. If the child's family is able to pay part or all of the costs of
day services, such family shall be required to pay such fees therefor as
may be reasonable in the light of such ability pursuant to regulations
of the department.
4. Day services may be provided by a social services official either
directly or through purchase. Purchase of such services may be made
only from a private non-profit corporation or association, except when
the commissioner shall have approved the purchase of such services from
a private proprietary facility by a social services official who has
demonstrated a lack of conveniently accessible non-profit facilities
that are adequate to provide the required services.
5. As used in this title, "day services" shall mean care and
treatment for part of the day of one or more children under eighteen
years of age and their families in a program which provides to such
children and families in accordance with their needs various services
such as psychiatric, psychological, social casework, educational,
vocational, health, transportation and such other services as may be
appropriate. Such services shall be provided in accordance with program
standards promulgated by the department. Day services may be continued
after the eighteenth birthday of a child in the care of an authorized
agency and until he becomes twenty-one years of age. Day services shall
not be provided to any children and their families for periods in excess
of one year, without the approval of the department.
Licensure. 1. No place, person, association, corporation,
institution or agency shall operate a day services program without first
obtaining a permit issued therefor by the department, or otherwise than
in accordance with the terms of such permit and with the regulations of
the department.
2. The department shall promulgate regulations specifying the
procedures for obtaining a permit required pursuant to this section and
enumerating the documentation needed for such a permit. The regulations
shall also include program standards which the department shall develop
with the advice of the board of social welfare, the department of mental
hygiene and the department of education. An application for a permit
pursuant to this section shall include full information regarding the
applicant's efforts to secure funding for its day services program. The
department shall advise and otherwise assist the applicant in obtaining
funds where such funds may be available under the provisions of this and
any other law.
3. The department shall not issue a permit for the operation of a day
services program which includes the provision of care, treatment or
services requiring licensure or any other form of approval from or by
another state agency or official, unless such license or approval has
been obtained. There shall be such cooperative and coordinated
arrangements between and among the department and the state departments
of mental hygiene and education and other appropriate state departments
and agencies as shall be necessary to assure that applications for
required licenses or other forms of approval will be processed
expeditiously.
4. Before any permit issued pursuant to this section is suspended or
revoked, or when an application for such permit is denied, the applicant
or holder of the permit shall be entitled, pursuant to the regulations
of the department, to a hearing before the department. However, a
permit may be temporarily suspended or limited without a hearing for a
period not in excess of thirty days upon written notice to the holder of
the permit following a finding that the public health, or any
individual's health, safety or welfare, is in imminent danger.
State reimbursement; standards of payment. 1. (a)
Expenditures made by social services officials for day services programs
and their administration pursuant to the provisions of this title shall,
if approved by the department, be subject to reimbursement by the state,
in accordance with the regulations of the department as follows: there
shall be paid to each social services district (1) the amount of federal
funds, if any, properly received or to be received on account of such
expenditures; (2) fifty per centum of allowable expenditures for day
services and its administration, after first deducting therefrom any
federal funds properly received or to be received on account thereof and
the amount of any fees paid to the social services official for day
services. The local government share of the cost of day services may be
met in whole or in part by donated private funds, exclusive of in-kind
services.
(b) For purposes of this title, expenditures for administration of
day services shall include expenditures for compensation of employees in
connection with the furnishing of day services, including but not
limited to costs incurred for pensions, federal old age and survivors
insurance and health insurance for such employees; training programs for
personnel, operation, maintenance and service costs; and such other
expenditures as equipment costs, depreciation and charges and rental
values as may be approved by the department. It shall not include
expenditures for capital costs.
2. The department shall, after consultation with appropriate state
agencies and with the approval of the the director of the budget,
promulgate regulations establishing standards of payment for day
services provided children with public financial support. Such
standards of payment shall include the services required to be provided
to the child and his family and the cost of such services. When the
department has established such standards, reimbursement under this
section shall be limited in accordance with such standards.
3. (a) Claims for state reimbursement shall be made in such form and
manner and at such times and for such periods as the department shall
determine.
(b) When certified by the department, state reimbursement shall be
paid from the state treasury upon the audit and warrant of the
comptroller out of funds made available therefor.
4. Payment of state reimbursement shall be made to local fiscal
officers as in the case of state reimbursement for public assistance and
care under other provisions of this chapter.
Other state funding sources. 1. Prior to purchasing day
services pursuant to section four hundred thirty, a social services
official shall inquire of the department, and the department shall
inform him, as to the available funding sources, if any, of which the
day services facility was advised pursuant to subdivision two of section
four hundred thirty-one. The social services official shall not
purchase services from the day services facility until he has determined
that the facility has cooperated with the department in efforts to
obtain funding from all available sources.
2. No state agency or official with authority, pursuant to this or
any other law, to provide financial assistance for care, treatment or
services which may be included in a day services program shall deny or
reduce such assistance on the ground that such assistance is available
under this title.
Funding limitations. Notwithstanding any other provisions of
this chapter the total amount of reimbursement to social services
districts pursuant to this title shall be limited to the amount of the
annual appropriation made by the legislature for preventive services.
TITLE 8 State Child Care Review Service
Findings; purpose. 1. The legislature finds that children
who are in care away from their own homes on a full time basis, whether
temporarily or for a prolonged period, require effective supervision and
review of their status in care and of the plans for them. It is the
policy of the state of New York to assure that such children are
appropriately placed, that needed services are provided to them and
their families, and that unnecessary and prolonged placements are
avoided. The legislature further finds that this policy is often
frustrated, and fiscal and program accountability have not been promoted
because of divergent and overlapping jurisdictions of various government
and private agencies; the lack of coordination among programs of these
agencies; and the excessive workloads of judicial personnel, social
services workers, and others responsible for reviewing the status in
care of these children.
2. To assist in overcoming these difficulties, it is the intent of
the legislature to establish a statewide management assistance system to
be called the child care review service. The service shall be designed
and operated to effectuate the following purposes:
(a) identification and assessment of the needs and problems of
children in care and their families, to effectuate meaningful case
planning;
(b) case management and supervision by child care agencies of
children in full-time care away from their homes;
(c) supervision and evaluation by state agencies of local and
voluntary child care agency performance;
(d) planning and policy making by state agencies, the governor and
the legislature;
(e) meeting in a timely manner all judicial review requirements of
this chapter, the family court act and any other applicable provisions
of law;
(f) reduction of the need for manual form preparation; and
(g) meeting federal reporting requirements so as to qualify for
federal funds under the federal social security act.
Definitions. As used in this title, the following terms shall
have the following meanings:
1. "Service" shall mean the child care review service created by this
title.
2. "Advisory committee" shall mean the committee established by
section four hundred forty-three of this title.
Child care review service; establishment, operations and
procedure. 1. The department, in consultation with the advisory
committee, shall establish and operate a child care review service to
accomplish the purposes of this title, for all children who are in the
care of an authorized agency and shall make such regulations as are
appropriate to implement this title.
2. The service shall be implemented with respect to all children under
the age of twenty-one years for whom an authorized agency is providing
foster care as defined in subdivision (c) of section one thousand
eighty-seven of the family court act and for whom an application is
pending to an authorized agency for foster care.
3. The department is authorized to enter into agreements with any
person, firm, organization or association for the whole or any part of
the design or operation of the service as described in this title. Any
such agreements shall specify that such person, firm, corporation or
association shall safeguard the confidentiality of information received
or maintained by the service, in the same manner, and will remain
subject to the same confidentiality requirements, as the department. In
addition, any such agreement shall require such person, firm,
corporation or association to comply with other applicable federal and
state laws protecting the confidentiality of the information received or
maintained by the service.
4. The service shall collect, maintain, update, and distribute, as
provided in this title, information from each authorized agency to
further the purpose of this title.
5. The service may request from any authorized agency, and such agency
shall submit to the service all information, including updating of
information, in the form and manner and at such times as the department
may require that is appropriate to the purposes and operation of the
service.
6. Information to be submitted to or collected by the service,
pursuant to subdivisions four and five, shall, to the extent possible,
be in compatible form so as to facilitate the making of public policy
decisions relating to child care programs supported by public funds and
administered by various state, local and voluntary agencies.
7. In designing the service, the department, in consultation with the
advisory committee, shall review all information reporting forms and
financial claims forms, and shall make every effort to consolidate and,
where appropriate, eliminate duplicative claiming and information
reporting forms in order to develop uniform statewide claiming forms and
information reporting forms.
8. Subject to regulations of the department the service shall:
(a) prepare and make available on a regular basis to each authorized
agency such data as they may require to meet the purposes of this title;
(b) issue regular reports setting forth aggregate statewide and local
statistical data with appropriate analyses, but not including individual
identifying information; and
(c) issue reports as to the capabilities of the service and the types
of information maintained by the service.
9. The department in consultation with the advisory committee shall
prepare and submit an annual report to the governor and the legislature
as part of the annual report required to be filed prior to the fifteenth
day of December of each year by subdivision (d) of section seventeen of
this chapter on its progress in the development and operation of the
service, including any significant problems encountered or anticipated
in the design and operation of the service and any recommendations for
administrative or legislative changes that would further the purposes of
this title.
10. The state child care review service established pursuant to this
title shall design and implement a system to:
(a) monitor all financial claims made by social services districts for
each child in foster care and child and family in receipt of preventive
services pursuant to title four of this chapter;
(b) compile and maintain a cumulative record of information with
respect to actions taken on behalf of each individual child throughout
his or her length of stay in foster care;
(c) compile and maintain information on actions taken by local social
services districts to initiate judicial proceedings as provided by
section three hundred fifty-eight-a of this chapter and to comply with
judicial orders made pursuant to section one thousand eighty-nine of the
family court act, to refer legally free children to the state adoption
service pursuant to section three hundred seventy-two-c of this chapter,
and to comply with the provisions of section four hundred nine-e of this
article and the regulations of the office of children and family
services promulgated thereunder; and
(e) compile and maintain comparative data for authorized agencies
including, but not limited to, characteristics and numbers of children
entering care and their families, admissions practices, delineated
reasons for initial and continued placement or provision of preventive
or child protective services, length of stay in care, length of time in
receipt of preventive services or child protective services, foster care
reentry rates, number of children discharged to parents and relatives,
the characteristics, numbers and rates of children leaving foster care
through adoption, costs of care and preventive services and other
information indicative of authorized agency performance.
Advisory committee. 1. The department shall establish and
meet regularly with an advisory committee of not more than twenty
members to consider policy and planning issues relating to the service
and to assist in the design, development, establishment and on-going
operation of the service, including assisting in the resolution of
issues concerning the safeguarding of the confidentiality of
information. The advisory committee may in its discretion submit
reports to the governor and the legislature.
2. The advisory committee shall be appointed by the commissioner, who
shall appoint one of the committee's members to be its chairman. The
members of the committee shall be appointed from the following
categories, one or more from each category:
(a) designees of the commissioner;
(b) designees of the administrative judge of the state of New York;
(c) designees of the director of the division of the budget;
(d) commissioners of local social services districts or their
designees;
(e) representatives of voluntary child care agencies;
(f) persons active in organizations involved in the protection of
civil liberties;
(g) persons active in organizations involved in promoting the
interests of children.
Confidentiality of records; related matters. 1. The department
in consultation with the advisory committee shall make regulations;
(a) protecting the confidentiality of individual identifying
information submitted to or provided by the service, and preventing
access thereto, by, or the distribution thereof to, persons not
authorized by law;
(b) setting forth procedures for informing any child or his
representative of the nature of the system and its uses;
(c) allowing any child or his representative or any member of his
family, an opportunity to review any information pertaining to such
child or family and to request that any part of such information be
amended or expunged; and
(d) providing that the service shall remove from its records and
expunge the individual identifying information, excluding
non-identifying child or family data to be used for historical purposes,
concerning any child who has been discharged from care.
2. Prior to final promulgation of any regulations as described in
subdivision one of this section, the department shall, in addition to
complying with all other advance notice requirements make proposed
regulations available to all state agencies charged with the
administration or supervision of child care programs and to local
government agencies and persons that have expressed an interest in
safeguarding information maintained by the service, and shall provide
such agencies with an opportunity to comment on the proposed
regulations. In promulgating final regulations the department shall
consider any comments received.
3. Any persons wilfully violating or failing to comply with the
provisions of subdivision one of this section or wilfully violating or
failing to comply with any regulation which the department is authorized
under such subdivision to make, shall be guilty of a misdemeanor.
4. The regulations promulgated pursuant to subdivision one of this
section, shall provide that the information compiled and maintained by
the service pursuant to paragraph (d) of subdivision ten of section four
hundred forty-two of this title shall be subject to the confidentiality
provisions of title six of this article.
Funding. The department shall explore the possibility of, and
is authorized to take steps necessary to qualify for any available
funding from any private source or from the federal government, and is
authorized to use any funds for which the state qualifies for the
purposes of the design, establishment or operation of the service.
Statewide automated child welfare information system. (1) The
department shall promulgate regulations required to implement federal
requirements for the establishment and administration of a statewide
automated child welfare information system as required by applicable
federal statute and regulation. The regulations shall set forth
standards for the timely submission of data elements relating to child
welfare services, including foster care, adoption assistance, preventive
services, child protective services and other family preservation and
family support services.
(2) The statewide automated child welfare information system shall be
designed to improve convenience to consumers of services and reduce the
administrative burden of child welfare workers of social services
districts and their contracted agencies which provide direct services.
The statewide automated child welfare information system shall be
designed to provide computers to the majority of individual child
welfare workers of social services districts and their contracted
agencies which provide direct child welfare services, allow such workers
and agencies to communicate with and enter information directly into the
statewide automated child welfare information system while preparing
required documents and eliminate duplicate entry of information and
preparation of documents, and allow for direct determination of claims
and sanctions. The department shall immediately expand the existing
advisory group of consumers, social services districts and their
contracted agencies and other persons with expertise in child welfare.
The statewide automated child welfare information system shall be
designed to permit communication with the family courts and to protect
the confidentiality of individuals as prescribed by this chapter.
TITLE 8-A Safe Harbour For Exploited Children Act
Definitions. As used in this title:
1. The term "sexually exploited child" means any person under the age
of eighteen who has been subject to sexual exploitation because he or
she:
(a) is the victim of the crime of sex trafficking as defined in
section 230.34 of the penal law or the crime of sex trafficking of a
child as defined in section 230.34-a of the penal law;
(b) engages in any act as defined in section 230.00 of the penal law;
(c) is a victim of the crime of compelling prostitution as defined in
section 230.33 of the penal law;
(d) engages in acts or conduct described in article two hundred
sixty-three of the penal law.
2. The term "short-term safe house" means a residential facility
operated by an authorized agency as defined in subdivision ten of
section three hundred seventy-one of this article including a
residential facility operating as part of a runaway and homeless youth
crisis services program as defined in subdivision four of section five
hundred thirty-two-a of the executive law or a not-for-profit agency
with experience in providing services to sexually exploited youth and
approved in accordance with the regulations of the office of children
and family services that provides emergency shelter, services and care
to sexually exploited children including food, shelter, clothing,
medical care, counseling and appropriate crisis intervention services at
the time they are taken into custody by law enforcement and for the
duration of any legal proceeding or proceedings in which they are either
the complaining witness or the subject child. The short-term safe house
shall also be available at the point in time that a child under the age
of eighteen has first come into the custody of juvenile detention
officials, law enforcement, local jails or the local commissioner of
social services or is residing with the local runaway and homeless youth
authority.
3. The term "advocate" means an employee of the short-term safe house
defined in subdivision two of this section that has been trained to work
with and advocate for the needs of sexually exploited children. The
advocate shall accompany the child to all court appearances and will
serve as a liaison between the short-term safe house and the court.
4. The term "safe house" means a residential facility operated by an
authorized agency as defined in subdivision ten of section three hundred
seventy-one of this article including a residential facility operating
as part of an approved runaway program as defined in subdivision four of
section five hundred thirty-two-a of the executive law or a
not-for-profit agency with experience in providing services to sexually
exploited youth and approved in accordance with the regulations of the
office of children and family services that provides shelter for
sexually exploited children. In addition, a long-term safe house may be
operated by a transitional independent living support program as defined
in subdivision six of section five hundred thirty-two-a of the executive
law. A safe house serving sexually exploited children as defined in this
title shall provide or assist in securing necessary services for such
sexually exploited children either through direct provision of services,
or through written agreements with other community and public agencies
for the provision of services including but not limited to housing,
assessment, case management, medical care, legal, mental health and
substance and alcohol abuse services. Where appropriate such safe house
in accordance with a service plan for such sexually exploited child may
also provide counseling and therapeutic services, educational services
including life skills services and planning services to successfully
transition residents back to the community. Nothing in the provisions of
this title or article nineteen-H of the executive law shall prevent a
child who is the subject of a proceeding which has not reached final
disposition from residing at the safe house for the duration of that
proceeding nor shall it prevent any sexually exploited child who is not
the subject of a proceeding from residing at the safe house. An advocate
employed by a short-term safe house or other appropriate staff of a
short-term safe house shall, to the maximum extent possible, preferably
within twenty-four hours but within no more than seventy-two hours
following a sexually exploited child's admission into the program other
than pursuant to a court order, notify such child's parent, guardian or
custodian of his or her physical and emotional condition and the
circumstances surrounding the child's presence at the program, unless
there are compelling circumstances why the parent, guardian or custodian
should not be so notified. Where such circumstances exist, the advocate
or other appropriate staff member shall either file an appropriate
petition in the family court, refer the youth to the local social
services district, or in instances where abuse or neglect is suspected,
report such case pursuant to title six of this article.
5. The term "community-based program" means a program operated by a
not-for-profit organization that provides services such as street
outreach, voluntary drop-in services, peer counseling, individual
counseling, family-therapy and referrals for services such as
educational and vocational training and health care. Any such
community-based program may also work with the safe house serving
sexually exploited children as defined in this title to provide
transitional services to such children returning to the community.
Services for exploited children. 1. Notwithstanding any
inconsistent provision of law, pursuant to regulations of the office of
children and family services, every local social services district shall
as a component of the district's multi-year consolidated services child
welfare services plan address the child welfare services needs of
sexually exploited children and to the extent that funds are available
specifically therefor ensure that a short-term safe house or another
short-term safe placement such as an approved runaway and homeless youth
program, approved respite or crisis program providing crisis
intervention or respite services or community-based program to serve
sexually exploited children is available to children residing in such
district. Nothing in this section shall prohibit a local social services
district from utilizing existing respite or crisis intervention services
already operated by such social services district or homeless youth
programs or services for victims of human trafficking pursuant to
article ten-D of this chapter so long as the staff members have received
appropriate training approved by the office of children and family
services regarding sexually exploited children and the existing programs
and facilities provide a safe, secure and appropriate environment for
sexually exploited children. Crisis intervention services, short-term
safe house care and community-based programming may, where appropriate,
be provided by the same not-for-profit agency. Local social services
districts may work cooperatively to provide such short-term safe house
or other short-term safe placement, services and programming and access
to such placement, services and programming may be provided on a
regional basis, provided, however, that every local social services
district shall to the extent that funds are available ensure that such
placement, services and programs shall be readily accessible to sexually
exploited children residing within the district.
2. All of the services created under this title may, to the extent
possible provided by law, be available to all sexually exploited
children whether they are accessed voluntarily, as a condition of an
adjournment in contemplation of dismissal issued in criminal court,
through the diversion services created under section seven hundred
thirty-five of the family court act, through a proceeding under article
three of the family court act, a proceeding under article ten of the
family court act or through a referral from a local social services
agency.
3. The capacity of the crisis intervention services and
community-based programs in subdivision one of this section shall be
based on the number of sexually exploited children in each district who
are in need of such services. A determination of such need shall be made
in two thousand ten and every five years thereafter in every social
services district by the local commissioner of social services and be
included in the integrated county plan. Such determination shall be made
in consultation with local law enforcement, runaway and homeless youth
program providers, local probation departments, local social services
commissioners, the runaway and homeless youth coordinator for the local
social services district, local law guardians, presentment agencies,
public defenders and district attorney's offices and child advocates and
services providers who work directly with sexually exploited youth.
4. In determining the need for and capacity of the services created
under this section, each local social services district shall recognize
that sexually exploited youth have separate and distinct service needs
according to gender and, where a local social services district
determines that the need exists, to the extent that funds are available,
appropriate programming shall be made available.
5. To the extent funds are specifically appropriated therefor, the
office of children and family services shall contract with an
appropriate not-for-profit agency with experience working with sexually
exploited children to operate at least one long-term safe house in a
geographically appropriate area of the state which shall provide safe
and secure long term housing and specialized services for sexually
exploited children throughout the state. The appropriateness of the
geographic location shall be determined taking into account the areas of
the state with high numbers of sexually exploited children and the need
for sexually exploited children to find shelter and long term placement
in a region that cannot be readily accessed by the perpetrators of
sexual exploitation. The need for more than one long-term safe house
shall be determined by the office of children and family services based
on the numbers and geographical location of sexually exploited children
within the state. Nothing herein shall be construed to preclude an
agency from applying for and accepting grants, gifts and bequests of
funds from private individuals, foundations and the federal government
for the purpose of creating or carrying out the duties of a long-term
safe house.
6. The local social services commissioner may, to the extent that
funds are available, in conjunction with the division of criminal
justice services and local law enforcement officials, contract with an
appropriate not-for-profit agency with experience working with sexually
exploited children to train law enforcement officials who are likely to
encounter sexually exploited children in the course of their law
enforcement duties on the provisions of this section and how to identify
and obtain appropriate services for sexually exploited children. Local
social services districts may work cooperatively to provide such
training and such training may be provided on a regional basis. The
division of criminal justice services shall assist local social services
districts in obtaining any available funds for the purposes of
conducting law enforcement training from the federal justice department
and the office of juvenile justice and delinquency prevention.
TITLE 9 Subsidies For the Adoption of Children
Statement of legislative intent. The legislature intends, by
the enactment of this title, to promote permanency of family status
through adoption for children who might not otherwise derive the
benefits of that status. By providing for an adoption subsidy program
which will be applied uniformly on a statewide basis, the legislature
also intends to eliminate, or at the very least substantially reduce,
unnecessary and inappropriate long-term foster care situations which
have proven financially burdensome to the state and, more importantly,
inimical to the best interests of many children who have not been placed
for adoption because of emotional or physical handicaps, age or other
factors, in accordance with regulations of the department.
Definitions. As used in this title:
1. "Child" shall mean a person under the age of twenty-one years whose
guardianship and custody have been committed to a social services
official or a voluntary authorized agency, or whose guardianship and
custody have been committed to a certified or approved foster parent
pursuant to a court order prior to such person's eighteenth birthday,
except as provided in paragraph (g) of subdivision three of section
three hundred eighty-four-b of this article and section six hundred
thirty-one of the family court act. A "child" shall also mean a person
under the age of twenty-one years whose care and custody have been
transferred prior to such person's eighteenth birthday to a social
services official or a voluntary authorized agency pursuant to section
one thousand fifty-five of the family court act or section three hundred
eighty-four-a of this article, whose parents are deceased or where one
parent is deceased and the other parent is not a person entitled to
notice pursuant to section one hundred eleven-a of the domestic
relations law, and where such official or agency consents to the
adoption of such person in accordance with section one hundred thirteen
of the domestic relations law.
2. "Handicapped child" shall mean a child who possesses a specific
physical, mental or emotional condition or disability of such severity
or kind which, in accordance with regulations of the department, would
constitute a significant obstacle to the child's adoption.
3. "Hard to place child" shall mean a child, other than a handicapped
child, (a) who has not been placed for adoption within six months from
the date his guardianship and custody were committed to the social
services official or a voluntary authorized agency, or (b) who has not
been placed for adoption within six months from the date a previous
adoption placement terminated and the child was returned to the care of
the social services official or a voluntary authorized agency, or (c)
who possesses or presents any personal or familial attribute, condition,
problem or characteristic which, in accordance with regulations of the
department, would be an obstacle to the child's adoption,
notwithstanding the child has been in the guardianship and custody of
the social services official or a voluntary authorized agency for less
than six months.
4. (a) "Board rate" shall mean an amount equal to the monthly payment
which has been or would have been made by a social services official, in
accordance with section three hundred ninety-eight-a and other
provisions of this chapter, for the care and maintenance of the child,
if such child had been boarded out in a foster family boarding home.
Such rate shall reflect annual increases in room and board rates and
clothing replacement allowances.
(b) When a child is placed for adoption by a social services official
or a voluntary authorized agency with adoptive parents residing in
another social services district, the "board rate" shall mean the board
rate of the social services district placing the child for adoption or
the social services district in which the adoptive parents reside.
5. "Persons" shall include a single person eligible to adopt a child
as well as a couple eligible therefor.
6. "Voluntary authorized agency" shall mean an authorized agency as
defined in paragraphs (a) and (c) of subdivision ten of section three
hundred seventy-one of this article.
7. "Social services official" shall mean a county commissioner of
social services, a city commissioner of social services, or an Indian
tribe with which the department has entered into an agreement to provide
adoption services in accordance with subdivision two of section
thirty-nine of this chapter.
Maintenance subsidy; handicapped or hard to place child. 1. (a)
A social services official shall make monthly payments for the care and
maintenance of a handicapped or hard to place child whom a social
services official has placed for adoption or who has been adopted and
for the care and maintenance of a handicapped or hard to place child
placed for adoption by a voluntary authorized agency who is residing in
such social services district. Where a handicapped or hard to place
child is placed in an adoptive placement outside the state, monthly
payments for the care and maintenance of the child shall be made by the
social services official placing the child or in whose district the
voluntary authorized agency maintains its principal office. Such
payments shall be made until the child's twenty-first birthday to
persons with whom the child has been placed, or to persons who have
adopted the child and who applied for such payments prior to the
adoption, pursuant to a written agreement therefor between such official
or agency and such persons; provided, however, that an application may
be made subsequent to the adoption if the adoptive parents first become
aware of the child's physical or emotional condition or disability
subsequent to the adoption and a physician certifies that the condition
or disability existed prior to the child's adoption. The social services
official shall consider the financial status of such persons only for
the purpose of determining the amount of the payments to be made,
pursuant to subdivision three of this section. Upon the death of persons
who have adopted the child prior to the twenty-first birthday of the
child, such payments shall continue to the legal guardian or custodian
of the child under the age of eighteen upon issuance of letters of
guardianship or order of custody and shall continue until the child
shall attain the age of twenty-one. If the guardian or custodian was the
caretaker of the child under the age of eighteen prior to the issuance
of letters of guardianship or order of custody, such payments shall be
made retroactively from the death of the adoptive parent or parents.
(a-1) Payments pursuant to this section may be made by direct deposit
or debit card, as elected by the recipient, and administered
electronically, and in accordance with such guidelines as may be set
forth by regulation of the office of children and family services. The
office of children and family services may enter into contracts on
behalf of local social services districts for such direct deposit or
debit card services in accordance with section twenty-one-a of this
chapter.
(b) Any child with respect to whom federally reimbursable maintenance
subsidy payments are made under this subdivision shall be deemed to be a
recipient of aid to families with dependent children for purposes of
determining eligibility for medical assistance.
(c) No payments may be made pursuant to this subdivision if the social
services official determines that the adoptive parents are no longer
legally responsible for the support of the child or the child is no
longer receiving any support from such parents. For purposes of this
section:
(i) "any support" shall be limited to support that is directly for the
benefit of the adopted child that meets the food, clothing, education,
medical and shelter needs of the adopted child and that has an
identifiable value;
(ii) "no longer legally responsible for the support of the child"
means (A) the child has become legally emancipated, married or joined
the military; (B) a court has ruled that the adoptive parent is no
longer legally responsible for the support of the child; or (C) the
adoption is no longer legally valid by operation of law.
(c-1) The social services official on an annual basis shall:
(i) require adoptive parents to certify that they are fulfilling their
obligations pursuant to any adoption subsidy agreement entered into in
accordance with this section, including their obligation to provide
support for the child;
(ii) remind the adoptive parents of the following obligations, which
shall also be included in any agreement entered into with an adoptive
parent concerning payments made for the care and maintenance of the
child pursuant to this section:
(A) to support the child;
(B) to notify the social services official if the adoptive parents are
no longer providing any support of the child or are no longer legally
responsible for the support of the child; and
(C) to notify the social services official if: (I) another person has
been granted physical custody of the child; (II) another person has been
appointed guardian for the child; or (III) the child no longer resides
with the adoptive parents.
(c-2) (i) If the adoptive parents fail to respond to an annual
certification notice within thirty days of the receipt of the
certification notice from the social services official or the social
services official receives from any person information that provides
reasonable cause to suspect that the adoptive parents are no longer
providing any support to the child, the social services official shall
review whether the adoptive parents are legally responsible for the
support of the child and whether the child is receiving any support from
the adoptive parents. Circumstances in which the social services
official shall conduct this review include the following:
(A) the child has been placed in foster care;
(B) a person alleges to the social services official that:
(I) a person other than the adoptive parent has been granted legal
custody of the child;
(II) another person has been appointed guardian for the child; or
(III) the child is reported to no longer reside with the adoptive
parent.
(ii) The adoptive parents shall be given an opportunity to respond to
the notice. Upon receiving confirmation that the parents continue to
meet their legal obligations to provide support to the child, the
department will take no further action to terminate the subsidy. If the
parents fail to confirm that they continue to meet their legal
obligations to provide support to the child, the social services
official shall review all available information in order to confirm the
parents' continued eligibility to receive the subsidy.
(iii) If the child is not in foster care and, based on a review of the
available information, the social services official determines that the
adoptive parents are no longer legally responsible for the support of
the child or that the child is no longer receiving any support from the
adoptive parents, the social services official shall terminate the
subsidy provided to the adoptive parents pursuant to this section. The
adoptive parents may appeal the termination of subsidy to the department
in accordance with section twenty-two of this chapter.
(iv) If the child is in foster care and the social services official
determines that the child is no longer receiving any support from the
adoptive parents, the social services official may reduce, suspend, or
terminate the assistance provided to the adoptive parents pursuant to
this section. The adoptive parents may appeal the termination of
assistance to the department in accordance with section twenty-two of
this chapter. If assistance is reduced, suspended or terminated pursuant
to this paragraph and the child is returned from foster care to the care
of the adoptive parents, the social services official shall resume
assistance effective from the date when the child was returned to the
adoptive parent's care.
(d) Applications for such subsidies shall be accepted prior to the
commitment of the guardianship and custody of the child to an authorized
agency pursuant to the provisions of this chapter, and approval thereof
may be granted contingent upon such commitment.
(e) Upon the death of the sole or surviving adoptive parent or both
adoptive parents after the eighteenth birthday and before the
twenty-first birthday of the adopted child, where such adoptive parent
or parents were receiving adoption subsidy payments at the time of
death, such subsidy payments shall continue but shall be made to the
guardian of the child on behalf of such child, where the child consents
to the appointment of a guardian. Such subsidy payments shall be made
retroactively from the death of the adoptive parent or parents to the
appointment of a guardian, and shall continue until the twenty-first
birthday of the child. If, however, there is no willing or suitable
person to be appointed as guardian, or the child does not consent to the
appointment of a guardian, such subsidy payments shall be made
retroactively from the death of the adoptive parent or parents and shall
continue to be made until the twenty-first birthday of the child: (i)
through direct payments to the child, if the social services official
determines that the child demonstrates the ability to manage such direct
payments; or (ii) to a representative payee certified by the social
services official.
(f) Upon receipt of notification of the death of the sole or surviving
adoptive parent or both adoptive parents after the eighteenth birthday
and before the twenty-first birthday of the adopted child, where such
adoptive parent or parents were receiving adoption subsidy payments at
the time of death, the social services official shall notify the child
of: (i) the processes available to continue subsidy payments until the
twenty-first birthday of the child including appointment of a guardian
under the surrogate's court procedure act, application to be approved
for direct subsidy payments, or the appointment of a representative
payee; and (ii) the right of the child to be involved in all such
processes.
(g) Where the social services official has determined that the child
does not demonstrate the ability to manage direct subsidy payments, the
social services official shall certify payment to a representative payee
on behalf of the child. Subsidy payments received by the representative
payee shall be held and used strictly for the use and benefit of the
child. Designation of the appropriate entity or individual and
investigation of an individual for certification as a representative
payee shall be conducted by the social services official responsible for
payment of the adoption subsidy pursuant to this section.
(i) The social services official may designate an employee of the
social services district to be the representative payee responsible for
receipt of the adoption subsidy on behalf of the child only where the
official determines that such employee has no conflict of interest in
performing the duties and obligations as representative payee. If the
child resides in a social services district other than the district
responsible for payment of the adoption subsidy, the social services
district in which the child resides may be designated the representative
payee and a social services official of such district shall select an
employee of such social services district to be responsible for receipt
of the adoption subsidy as the representative payee, only where the
official determines that such employee has no conflict of interest in
performing the duties and obligations as a payee. Where a voluntary
authorized agency has a prior relationship with a child, or where the
social services district does not have sufficient or appropriate staff
available to perform the functions of the representative payee, the
social services district may contract with a voluntary authorized agency
as the representative payee on behalf of the child where the social
services district determines it would be in the best interests of the
child to do so.
(ii) The social services official may designate an individual for
certification as a representative payee who shall perform the functions
and duties of a representative payee in accordance with the best
interests of the child. In determining whether an individual is
appropriate to be certified as the representative payee, the social
services official shall first consult with the child and shall give the
child's preferences significant weight. The child's preference shall be
determinative of the representative payee only where such preference
does not conflict with the best interests of the child. Prior to
designation of an individual by the social services official for
certification as a representative payee, the social services official
shall:
(A) collect proof of identity and a verifiable social security number
of the nominated representative payee;
(B) conduct an in-person interview of the individual;
(C) investigate any potential conflicts of interest that may ensue if
such individual is certified; and
(D) determine the capabilities and qualifications of the individual to
manage the subsidy payment for the child.
(iii) (A) If, after completion of the investigation, the social
services official is satisfied that the individual is qualified,
appropriate and will serve the best interests of the child, the social
services official shall certify the selected individual as the
representative payee for the child.
(B) If the twenty-first birthday of the child occurs while awaiting
the certification of a representative payee, the child shall be entitled
to retroactive direct payment of subsidy payments since the death of the
adoptive parent or parents after the eighteenth birthday of the child.
(iv) The representative payee shall submit reports to the social
services official no less than once a year describing the use of the
payments in the preceding year. Such reports shall be submitted by
December thirty-first of each year. The social services official may
also request reports from time to time from the representative payee. If
a representative payee fails to submit a report, the social services
official may require that the representative payee appear in person to
collect payments. The social services official shall keep a centralized
file and update it periodically with information including the addresses
and social security or tax-payer identification numbers of the
representative payee and the child.
(v) The social services official shall revoke the certification of a
representative payee upon:
(A) determining that the representative payee has misused the payments
intended for the benefit of the child;
(B) the failure of the representative payee to submit timely reports
or appear in person as required by the social services official after
such failure; or
(C) the request of the child upon good cause shown.
(vi) The social services official shall notify the child of the
contact information of the representative payee within five days of
making a designation.
(vii) A child may appeal the refusal of the social services official
to certify the individual preferred by the child for certification as
the representative payee or revoke the certification of a representative
payee upon request of the child pursuant to section four hundred
fifty-five of this title.
2. Any agreement provided for in subdivision one of this section shall
be subject to the approval of the department upon the application of the
social services official; provided, however, that in accordance with the
regulations of the department, the department may authorize the social
services official to approve or disapprove the agreement on behalf of
the department. In either situation, if the agreement is not approved or
disapproved by the social services official within thirty days of
submission, the voluntary authorized agency may submit the agreement
directly to the department for approval or disapproval. If the agreement
is not disapproved in writing by the department within thirty days after
its submission to the department, it shall be deemed approved. Any such
disapproval shall be accompanied by a written statement of the reasons
therefor.
3. The amount of the monthly payment made pursuant to this section
shall be determined pursuant to regulations of the department and based
upon the financial need of such persons. The department shall review
such regulations annually. The amount of the monthly payment shall not
be less than seventy-five per centum of the board rate nor more than one
hundred per centum of such rate.
4. Except as may be required by federal law as a condition for federal
reimbursement of public assistance expenditures, payments under this
section shall not be considered for the purpose of determining
eligibility for public assistance or medical assistance for needy
persons.
Payments for non-recurring adoption expenses. 1. A social
services official shall make payments for non-recurring adoption
expenses incurred by or on behalf of the adoptive parents of a child
with special needs, when such expenses are incurred in connection with
the adoption of a child with special needs through an authorized agency.
In accordance with subdivision two of this section, the payments shall
be made by the social services official either to the adoptive parents
directly, to the authorized agency on behalf of the adoptive parents or
to an attorney on behalf of the adoptive parents for the allowable
amount of attorney's fees or court costs incurred in connection with
such completed adoption.
2. The amount of the payment made pursuant to this section shall be
determined pursuant to the regulations of the department. Nothing herein
shall obligate a social services official to make payments for the full
amount of non-recurring adoption expenses incurred by or on behalf of
the adoptive parents of a child with special needs.
3. Payments for non-recurring adoption expenses made by a social
services official pursuant to this section shall be treated as
administrative expenditures under title IV-E of the social security act
and shall be reimbursed by the state accordingly.
4. Payments under this section shall be made pursuant to a written
agreement between the social services official, other relevant
authorized agencies and the adoptive parents of a child with special
needs. The written agreement shall specify the nature and amount of any
payments, services and assistance to be provided, shall stipulate that
the agreement remain in effect regardless of the state of residence of
the adoptive parents at any time and shall contain provisions for the
protection of the interests of the child where the adoptive parents and
the child move to another state while the agreement is effective.
Applications for such subsidies shall be accepted prior to the
commitment of the guardianship and custody of the child to an authorized
agency pursuant to the provisions of this chapter, and approval thereof
may be granted contingent upon such commitment.
5. When the parental rights of a child with special needs have been
terminated in this state and the child's guardianship has been committed
to an authorized agency, the child is adopted in another state and the
adoptive parents are not eligible for payments of non-recurring
adoption expenses in the other state, a social services official shall
make payments of the non-recurring adoption expenses incurred by or on
behalf of the adoptive parents, if such parents are otherwise eligible
for payments under subdivision one of this section.
6. As used in this section, non-recurring adoption expenses shall mean
reasonable and necessary adoption fees, court costs, attorney fees and
other expenses which are directly related to the legal adoption of a
child with special needs and which are not incurred in violation of
federal law or the laws of this state or any other state.
7. As used in this section, a child with special needs shall mean a
child who:
(a) the state has determined cannot or shall not be returned to the
home of his or her parents; and
(b) the state has first determined:
(i) is a handicapped child as defined in subdivision two of section
four hundred fifty-one of this title, or is a hard-to-place child as
defined in paragraph (c) of subdivision three of section four hundred
fifty-one of this title; and
(ii) a reasonable, but unsuccessful effort has been made to place the
child with appropriate adoptive parents without adoption assistance.
Such an effort need not be made where such efforts would not be in the
best interests of the child because of such factors as the existence of
significant emotional ties with prospective adoptive parents while in
the care of such parents as a foster child.
Medical subsidy. 1. A social services official shall make
payments for the cost of care, services and supplies payable under the
state's program of medical assistance for needy persons, provided to a
handicapped child whom he or a voluntary authorized agency has placed
out for adoption or who has been adopted. Such payments shall not be
restricted to care, services and supplies required for the treatment of
the specific condition or disability for which a child was determined to
be a handicapped child. For the purposes of this section, a handicapped
child shall include, but not be limited to, a child with special needs
where a social services official has determined the child cannot be
placed with an adoptive parent or parents without medical subsidy
because such child has special needs for medical, mental health or
rehabilitative care. Such payments also shall be made with respect to a
hard to place child who has been placed out for adoption with a person
or persons who is or are sixty-two years old or over or who will be
subject to mandatory retirement from his or their present employment
within five years from the date of the adoption placement.
2. Payments pursuant to subdivision one of this section shall be made
to or on behalf of the person or persons with whom the child has been
placed or who have adopted the child and shall be made without regard to
the financial need of such person or persons.
3. Payments pursuant to subdivision one of this section shall be made
only with respect to the cost of care, services and supplies which are
not otherwise covered or subject to payment or reimbursement by
insurance, medical assistance or other sources.
4. An application for payment under this section shall be made prior
to the child's adoption; provided, however, that an application may be
made subsequent to a handicapped child's adoption if the adoptive
parents first become aware of the child's physical or emotional
condition or disability subsequent to the adoption and a physician
certifies that the condition or disability existed prior to the child's
adoption. An approval of an application for payments under this section
shall not be subject to annual review by the social services official,
and such approval shall remain in effect until the child's twenty-first
birthday. Applications for such subsidies shall be accepted prior to the
commitment of the guardianship and custody of the child to an authorized
agency pursuant to the provisions of this chapter, and approval thereof
may be granted contingent upon such commitment.
5. Upon the death of persons who have adopted the child prior to the
twenty-first birthday of the child, payments pursuant to subdivision one
of this section shall continue to the legal guardian of the child until
the child shall attain the age of twenty-one.
Fair hearings. 1. Any person aggrieved by the decision of a
social services official or an official of the office of children and
family services not to make a payment or payments pursuant to this title
or to make such payment or payments in an inadequate or inappropriate
amount or the failure of a social services official or an official of
the office of children and family services to determine an application
under this title within thirty days after filing, may appeal to the
office of children and family services which shall review the case, give
such person an opportunity for a fair hearing thereon, and render its
decision within thirty days. The office of children and family services
may also, on its own motion, review any such decision made by a social
services official or any case in which a decision has not been made
within the time specified. All decisions of the office of children and
family services shall be binding upon the social services district
involved and shall be complied with by the social services official
thereof.
2. The only issues which may be raised in a fair hearing under this
section are (a) whether the social services official or an official of
the office of children and family services has improperly denied an
application for payments under this title, or (b) whether the social
services official or an official of the office of children and family
services has improperly discontinued payments under this title, or (c)
whether the social services official or an official of the office of
children and family services has determined the amount of the payments
made or to be made in violation of the provisions of this title or the
regulations of the office of children and family services promulgated
hereunder, or (d) whether the social services official improperly
refused to certify the individual preferred by a child for certification
as the representative payee or improperly denied a request by a child to
revoke the certification of a representative payee pursuant to section
four hundred fifty-three of this title.
3. When an issue is raised as to whether a social services official or
an official of the department has improperly denied an application for
payments under this title, the department shall affirm such denial if:
(a) the child is not a hard to place child or a handicapped child or (b)
there is another approved adoptive parent or parents who is or are
willing to accept the placement of the child in his or their home
without payment under this title within sixty days of such denial and
placement of the child with such other parent or parents would not be
contrary to the best interests of the child.
4. The provisions of subdivisions two and four of section twenty-two
of this chapter shall apply to fair hearings held and appeals taken
pursuant to this section.
State reimbursement and payments. 1. Payments made by social
services officials pursuant to the provisions of this title shall, if
approved by the department, be subject to reimbursement by the state, in
accordance with the regulations of the department as follows: there
shall be paid to each social services district (a) the amount of federal
funds, if any, properly received or to be received on account of such
payments; and (b) except as set forth below, seventy-five per centum of
such payments after first deducting therefrom any federal funds properly
received or to be received on account thereof; provided, however, that
when payments under section four hundred fifty-three of this title are
made to a person or persons residing in a social services district whose
board rate exceeds that of the district making such payments, that
portion of the payments which exceeds the board rate of the district
making the payments shall be subject to reimbursement by the state in
the amount of one hundred per centum thereof, or (c) one hundred per
centum of such payments after first deducting therefrom any federal
funds properly to be received on account of such payments, for children
placed out for adoption or being adopted after being placed out for
adoption by an Indian tribe as referenced in subdivision seven of
section four hundred fifty-one of this title.
2. (a) Claims for state reimbursement shall be made in such form and
manner and at such times and for such periods as the department shall
determine.
(b) When certified by the department, state reimbursement shall be
paid from the state treasury upon the audit and warrant of the
comptroller out of funds made available therefor.
3. Notwithstanding any other provision of law to the contrary, for a
child who has been placed for adoption by a voluntary authorized agency
with guardianship and custody or care and custody of such child, as
referenced in subdivision one of section four hundred fifty-one of this
title, payments available under section four hundred fifty-three, four
hundred fifty-three-a or four hundred fifty-four of this title shall be
made by the state pursuant to a written agreement between an official of
the office of children and family services and the persons who applied
for such payments prior to adoption. Notwithstanding any other provision
of law to the contrary, the office of children and family services shall
not enter into written agreements for, or issue, any such payments in
instances where the person or persons applying for such payments reside
outside of the state of New York at the time the application for such
payments is made.
Out-of-state adoptive parents. With respect to a child who
has been adopted within this state but who has been removed from this
state by his adoptive parents, or a child who has been adopted by
residents of another state or of the commonwealth of Puerto Rico and who
is, or who is likely to become, a public charge within this state,
payments under section four hundred fifty-three or four hundred
fifty-four of this title may be made pursuant to an agreement between
the district and the adoptive parents, provided that such agreement is
in accordance with the regulations of the department promulgated to
achieve the objective of increasing the number of adoptions of potential
public charges, with particular emphasis upon handicapped and hard to
place children. Any such agreement shall become void at such time as it
is determined by the social services official that a child on whose
behalf payments are being received pursuant to such agreement was
brought into this state for the sole purpose of qualifying prospective
out-of-state adoptive parents for such payments. Such determination may
be appealed to the department which, upon receipt of the appeal, shall
conduct a fair hearing in accordance with the provisions of section four
hundred fifty-five of this title.
Availability of subsidy; publicity. The department shall
promulgate regulations providing for the publicizing of the availability
of payments under this title. Such regulations shall provide for the
dissemination of literature and other means in each social services
district of informing persons, at the time of any inquiry, application
or other expression of interest in adoption, of the provisions of the
adoption subsidy program. Additionally, each social services district
and authorized agency shall provide information on the adoption subsidy
program to all foster care parents who are caring for a child who is
eligible for adoption.
TITLE 10 Kinship Guardianship Assistance Program
Definitions. As used in this title:
1. "Child" shall mean a person under the age of twenty-one years whose
custody, care and custody, or custody and guardianship have been
committed to a social services official prior to such person's
eighteenth birthday pursuant to section three hundred fifty-eight-a,
three hundred eighty-three-c, three hundred eighty-four, three hundred
eighty-four-a or three hundred eighty-four-b of this chapter or article
three, seven, ten or 10-C of the family court act.
2. "Applicable board rate" shall mean an amount equal to the monthly
payment that has been made by a social services official, in accordance
with section three hundred ninety-eight-a of this article and other
provisions of this chapter, for the care and maintenance of the child,
while such child was boarded out in the approved or certified foster
family boarding home with the prospective relative guardian. Such rate
shall reflect annual changes in room and board rates and clothing
replacement allowances.
3. "Prospective relative guardian" shall mean a person who has been
caring for the child as a fully certified or approved foster parent for
at least six consecutive months prior to applying for kinship
guardianship assistance payments and who:
(a) is related to the child through blood, marriage, or adoption; or
(b) is related to a half-sibling of the child through blood, marriage
or adoption and where such person or persons is or are also the
prospective or appointed relative guardian or guardians of such
half-sibling; or
(c) is an adult with a positive relationship with the child,
including, but not limited to, a step-parent, godparent, neighbor or
family friend.
4. "Relative guardian" shall mean a person or persons who was
appointed, as a guardian or permanent guardian for a child after
entering into an agreement with a social services official for the
receipt of payments and services in accordance with this title.
5. "Social services official" shall mean a county commissioner of
social services, a city commissioner of social services, or an Indian
tribe with which the office of children and family services has entered
into an agreement to provide foster care services in accordance with
subdivision two of section thirty-nine of this chapter.
6. "Successor guardian" shall mean a person or persons that is
approved by a local social services district to receive payments
pursuant to this title in accordance with subparagraph (ii) of paragraph
(b) of subdivision five of section four hundred fifty-eight-b of this
title and that has been named in the agreement in effect between the
relative guardian and social services official for kinship guardianship
assistance payments pursuant to this title who shall provide care and
guardianship for a child in the event of death or incapacity of the
relative guardian, as set forth in section four hundred fifty-eight-b of
this title, who has assumed care for and is the guardian or permanent
guardian of such child, provided that such person was appointed guardian
or permanent guardian of such child by the court following, or due to,
the death or incapacity of the relative guardian. Once approved in
accordance with subparagraph (ii) of paragraph (b) of section four
hundred fifty-eight-b of this title, a successor guardian shall be
deemed to have the same rights and responsibilities as a relative
guardian in relation to any provisions of this title and any agreement
entered into under this title.
7. "Prospective successor guardian" shall mean a person or persons
whom a prospective relative guardian or a relative guardian seeks to
name or names in the original kinship guardianship assistance agreement,
or any amendment thereto, as set forth in section four hundred
fifty-eight-b of this title, as the person or persons to provide care
and guardianship for a child in the event of the death or incapacity of
a relative guardian, who has not been approved in accordance with
subparagraph (ii) of paragraph (b) of subdivision five of section four
hundred fifty-eight-b of this title.
8. "Incapacity" shall mean a substantial inability to care for a child
as a result of: (a) a physically debilitating illness, disease or
injury; or (b) a mental impairment that results in a substantial
inability to understand the nature and consequences of decisions
concerning the care of a child.
Kinship guardianship assistance payments. 1. A child is
eligible for kinship guardianship assistance payments under this title
if the social services official determines the following:
(a) The child has been in foster care for at least six consecutive
months in the home of the prospective relative guardian; and
(b) The child being returned home or adopted are not appropriate
permanency options for the child; and
(c) The child demonstrates a strong attachment to the prospective
relative guardian and the prospective relative guardian has a strong
commitment to caring permanently for the child; and
(d) That age appropriate consultation has been held with the child,
provided however with respect to a child who has attained fourteen years
of age, that the child has been consulted regarding the kinship
guardianship arrangement, and with respect to a child who has attained
eighteen years of age, that the child has consented to the kinship
guardianship arrangement.
(e) (i) If the child has been placed into foster care pursuant to
article ten or ten-C of the family court act, that both the fact finding
hearing pursuant to section one thousand fifty-one of the family court
act or section one thousand ninety-five of the family court act,
respectively, and the first permanency hearing pursuant to paragraph two
of subdivision (a) of section one thousand eighty-nine of the family
court act have been completed; or
(ii) for all the other children, that the first permanency hearing has
been completed.
(f) The financial status of the prospective relative guardian shall
not be considered in determining eligibility for kinship guardianship
assistance payments.
1-a. A child shall remain eligible for kinship guardianship assistance
payments under this title when a successor guardian as defined in
subdivision six of section four hundred fifty-eight-a of this title
assumes care and guardianship of the child.
2. (a) A prospective relative guardian who has been caring for an
eligible foster child for at least six consecutive months and who
intends to seek guardianship or permanent guardianship of the child may
apply to the social services official who has custody, care and custody,
or guardianship and custody of the child to receive kinship guardianship
assistance payments, non-recurring guardianship payments, and other
applicable services and payments available under this title on behalf of
the child.
(b) Applications shall only be accepted prior to issuance of letters
of guardianship of the child to the relative guardian pursuant to the
provisions of the family court act or the surrogate's court procedure
act.
(c) Notwithstanding any other provision of law to the contrary, a
prospective relative guardian and any person over the age of eighteen
living in the home of the prospective relative guardian who has not
already been subject to a national and state criminal history record
check pursuant to section three hundred seventy-eight-a of this article
as part of the process of the prospective relative guardian becoming a
certified or approved foster parent must complete such a record check in
accordance with the procedures and standards set forth in such section
prior to the social services official acting upon the application. The
social services official must inquire of the office of children and
family services whether each prospective relative guardian and each
person over the age of eighteen living in the home of the prospective
relative guardian has been or is currently the subject of an indicated
report of child abuse or maltreatment on file with the statewide central
register of child abuse and maltreatment and, if the prospective
relative guardian or any other person over the age of eighteen residing
in the home of the prospective relative guardian resided in another
state in the five years preceding the application, request child abuse
and maltreatment information maintained by the child abuse and
maltreatment registry from the applicable child welfare agency in each
such state of previous residence, if such a request has not been made as
part of the process of the prospective relative guardian becoming a
certified or approved foster parent.
(d) (i) Notwithstanding any other provision of law to the contrary,
prior to the social services official approving a prospective successor
guardian to receive payments pursuant to this title in accordance with
subparagraph (ii) of paragraph (b) of subdivision five of this section:
(1) the social services official must complete a national and state
criminal history record check pursuant to subdivision two of section
three hundred seventy-eight-a of this article for the prospective
successor guardian and any person over the age of eighteen living in the
home of the prospective successor guardian, in accordance with the
procedures and standards set forth in such subdivision; and (2) the
social services official must inquire of the office of children and
family services, in accordance with section four hundred twenty-four-a
of this article, whether each prospective successor guardian and each
person over the age of eighteen living in the home of the prospective
successor guardian has been or is currently the subject of an indicated
report of child abuse or maltreatment on file with the statewide central
register of child abuse and maltreatment and, if the prospective
successor guardian or any other person over the age of eighteen residing
in the home of the prospective successor guardian resided in another
state in the five years preceding the inquiry, request child abuse and
maltreatment information maintained by the child abuse and maltreatment
registry from the applicable child welfare agency in each such state of
previous residence.
(ii) It shall be the duty of the prospective successor guardian to
inform the social services official that has entered into an agreement
with the relative guardian for payments under this title in writing of
the death or incapacity of the relative guardian and of the prospective
successor guardian's desire to enforce the provisions in the agreement
that authorize payment to him or her in the event of the death or
incapacity of the relative guardian.
(iii) The clearances requires by subparagraph (i) of this paragraph
shall be conducted following receipt by the social services official of
the written communication required by subparagraph (ii) of this
paragraph.
3. If the social services official determines that the child is
eligible for kinship guardianship assistance payments and it is in the
best interests of the child for the relative to become the legal
guardian of the child, the social services official shall enter into an
agreement with the prospective relative guardian authorizing the
provision of kinship guardianship assistance payments, non-recurring
guardianship payments, and other services and payments available under
this title subject to the issuance by the court of letters of
guardianship of the child to the prospective relative guardian and the
child being finally discharged from foster care to such relative. In
determining whether it is in the best interests of the child for the
relative to become the relative guardian of the child, the social
services official must determine and document that compelling reasons
exist for determining that the return home of the child and the adoption
of the child are not in the best interests of the child and are,
therefore, not appropriate permanency options. A copy of the fully
executed agreement must be provided by the social services official to
the prospective relative guardian.
4. (a) Payments and eligibility for services under this title shall be
made pursuant to a written agreement between the social services
official and the prospective relative guardian.
(b) The written agreement shall specify, at a minimum: the amount of,
and manner in which, each kinship guardianship assistance payment will
be provided under the agreement; the manner in which the payments may be
adjusted periodically, in consultation with the relative guardian, based
on the circumstances of the relative guardian and the needs of the
child; the additional services and assistance that the child and the
relative guardian will be eligible for under the agreement, which shall
be limited to the additional services and assistance set forth in this
title; the procedures by which the relative guardian may apply for
additional services, as needed; that the social services official will
pay the total cost of nonrecurring expenses associated with obtaining
legal guardianship of the child, to the extent the total cost does not
exceed two thousand dollars in accordance with section four hundred
fifty-eight-c of this title; and, that the agreement will remain in
effect regardless of the state of residence of the relative guardian at
any time.
(c) The agreement must be fully executed prior to the issuance of
letters of guardianship of the child to the relative guardian in order
for the child to be eligible for payments and services under this title.
(d) Payments pursuant to this section may be made by direct deposit or
debit card, as elected by the recipient, and administered
electronically, and in accordance with section twenty-one-a of this
chapter and with such guidelines as may be set forth by regulation of
the office of children and family services. The office of children and
family services may enter into contracts on behalf of local social
services districts for such direct deposit or debit card services in
accordance with section twenty-one-a of this chapter.
(e) The original kinship guardianship assistance agreement executed in
accordance with this section and any amendments thereto may name an
appropriate person to act as a successor guardian for the purpose of
providing care and guardianship for a child in the event of death or
incapacity of the relative guardian. Nothing herein shall be deemed to
require the relative guardian to name a prospective successor guardian
as a condition for the approval of a kinship guardianship assistance
agreement.
(f) A fully executed agreement between a relative guardian and a
social services official may be amended to add or modify terms and
conditions mutually agreeable to the relative guardian and the social
services official, including the naming of an appropriate person to
provide care and guardianship for a child in the event of death or
incapacity of the relative guardian.
(g) The social services official shall inform the relative guardian of
the right to name an appropriate person to act as a successor guardian
in the original kinship guardianship assistance agreement or through an
amendment to such agreement.
(h) A fully executed agreement between a relative guardian or a
successor guardian and a social services official may be terminated if:
(i) in accordance with paragraph (b) of subdivision seven of this
section, a social services official has determined that a relative
guardian or a successor guardian is no longer legally responsible for
the support of the child; or
(ii) following the death or permanent incapacity of a relative
guardian, all prospective successor guardians named in such agreement
were not approved by the social services district pursuant to
subparagraph (ii) of paragraph (b) of subdivision five of this section.
5. (a) Once the prospective relative guardian with whom a social
services official has entered into an agreement under subdivision four
of this section has been issued letters of guardianship for the child
and the child has been finally discharged from foster care to such
relative, a social services official shall make monthly kinship
guardianship assistance payments for the care and maintenance of the
child.
(b) (i) In the event of death or incapacity of a relative guardian, a
social services district shall make monthly kinship guardianship
assistance payments for the care and maintenance of a child to a
successor guardian that has been approved pursuant to subparagraph (ii)
of this paragraph.
(ii) Following the death or incapacity of the relative guardian, a
social services official shall approve a prospective successor guardian
that is named in the agreement between the relative guardian and a
social services official for payments under this title and that has been
awarded guardianship or permanent guardianship of the child by the court
unless, based on the results of the clearances required by paragraph (d)
of subdivision two of this section, the social services official has
determined that approval of the prospective successor guardian is not
authorized or appropriate. Provided however, that no approval can be
issued pursuant to this paragraph unless the prospective successor
guardian has been awarded guardianship or permanent guardianship of the
child by the court and the clearances required by paragraph (d) of
subdivision two of this section have been conducted.
(iii) Notwithstanding any other provision of law to the contrary, if a
prospective successor guardian assumes care of the child prior to being
approved pursuant to subparagraph (ii) of this paragraph, payments under
this title shall be made once a prospective guardian is approved
pursuant to such subparagraph retroactively from: (1) in the event of
death of the relative guardian, the date the successor guardian assumed
care of the child or the date of death of the relative guardian,
whichever is later; or (2) in the event of incapacity of the relative
guardian, the date the successor guardian assumed care of the child or
the date of incapacity of the relative guardian, whichever is later.
(c) In the event that a successor guardian assumed care and was
awarded guardianship or permanent guardianship of a child due to the
incapacity of a relative guardian and the relative guardian is
subsequently awarded or resumes guardianship or permanent guardianship
of such child and assumes care of such child after the incapacity ends,
a social services official shall make monthly kinship guardianship
assistance payments for the care and maintenance of the child to the
relative guardian, in accordance with the terms of the fully executed
written agreement.
6. The amount of the monthly kinship guardianship assistance payment
made pursuant to this section shall be determined pursuant to
regulations of the office. The amount of the monthly payment shall not
be less than seventy-five per centum of the applicable board rate nor
more than one hundred per centum of such rate as determined by the
social services district in accordance with the regulations of the
office; provided, however, that the rate chosen by the social services
district shall be equal to the rate used by the district for adoption
subsidy payments under section four hundred fifty-three of this article.
The social services official shall consider the financial status of the
prospective relative guardian or relative guardian only for the purpose
of determining the amount of the payments to be made.
7. (a) Kinship guardianship assistance payments shall be made to the
relative guardian or guardians until the child's eighteenth birthday or
until the child attains twenty-one years of age provided the child
consented upon attaining the age of eighteen and is: (i) completing
secondary education or a program leading to an equivalent credential;
(ii) enrolled in an institution which provides post-secondary or
vocational education; (iii) employed for at least eighty hours per
month; (iv) participating in a program or activity designed to promote,
or remove barriers to, employment; or (v) incapable of any of such
activities due to a medical condition, which incapability is supported
by regularly updated information in the case plan of the child.
(b) (i) Notwithstanding paragraph (a) of this subdivision, and except
as provided for in paragraph (b) of subdivision five of this section, no
kinship guardianship assistance payments may be made pursuant to this
title if the social services official determines that the relative
guardian is no longer legally responsible for the support of the child,
including if the status of the legal guardian is terminated or the child
is no longer receiving any support from such guardian. In accordance
with the regulations of the office, a relative guardian who has been
receiving kinship guardianship assistance payments on behalf of a child
under this title must keep the social services official informed, on an
annual basis, of any circumstances that would make the relative guardian
ineligible for such payments or eligible for payments in a different
amount.
(ii) Notwithstanding paragraph (a) of this subdivision, and except as
provided for in paragraph (c) of subdivision five of this section, no
kinship guardianship assistance payments may be made pursuant to this
title to a successor guardian if the social services official determines
that the successor guardian is no longer legally responsible for the
support of the child, including if the status of the successor guardian
is terminated or the child is no longer receiving any support from such
guardian. A successor guardian who has been receiving kinship
guardianship assistance payments on behalf of a child under this title
must keep the social services official informed, on an annual basis, of
any circumstances that would make the successor guardian ineligible for
such payments or eligible for payments in a different amount.
8. The placement of the child with the relative guardian or successor
guardian and any kinship guardianship assistance payments made on behalf
of the child under this section shall be considered never to have been
made when determining the eligibility for adoption subsidy payments
under title nine of this article of a child in such legal guardianship
arrangement.
Payments for non-recurring guardianship expenses. 1. A social
services official shall make payments for non-recurring guardianship
expenses incurred by or on behalf of the relatives or successor
guardians who have been approved by the social services official to
receive kinship guardianship assistance payments, when such expenses are
incurred in connection with assuming the guardianship of a foster child
or a former foster child in regard to successor guardians. The agreement
for the payment of non-recurring guardianship expenses must be reflected
in the written agreement set forth in subdivision four of section four
hundred fifty-eight-b of this title. In accordance with subdivision two
of this section, the payments shall be made by the social services
official either to the relative or successor guardian or guardians
directly or to an attorney on behalf of the relative or successor
guardian or guardians, as applicable, for the allowable amount of
non-recurring guardianship expenses incurred in connection with
obtaining such guardianship.
2. The amount of the payment made pursuant to this section shall not
exceed two thousand dollars for each foster child for whom the
relatives, or each former foster child for whom the successor guardians,
seek guardianship or permanent guardianship and shall be available only
for those expenses that are determined to be eligible for reimbursement
by the social services official in accordance with the regulations of
the office of children and family services.
3. Payments for non-recurring guardianship expenses made by a social
services official pursuant to this section shall be treated as
administrative expenditures under title IV-E of the federal social
security act and shall be reimbursed by the state accordingly.
4. As used in this section, non-recurring guardianship expenses shall
mean reasonable and necessary fees, court costs, attorney fees, and
other expenses which are directly related to obtaining legal
guardianship of an eligible child and which are not incurred in
violation of federal law or the laws of this state or any other state.
Medical subsidy. 1. Any child with respect to whom federally
reimbursable kinship guardianship assistance payments are made under
this title is eligible for medical assistance under title XIX of the
federal social security act.
2. In addition, a social services official shall make payments for the
cost of care, services and supplies payable under the state's program of
medical assistance for needy persons provided to any child for whom
kinship guardianship assistance payments are being made under this title
who is not eligible for medical assistance under subdivision one of this
section and for whom the relative or successor guardian is unable to
obtain appropriate and affordable medical coverage through any other
available means, regardless of whether the child otherwise qualifies for
medical assistance for needy persons. Payments pursuant to this
subdivision shall be made only with respect to the cost of care,
services, and supplies which are not otherwise covered or subject to
payment or reimbursement by insurance, medical assistance or other
sources. Payments made pursuant to this subdivision shall only be made
if the relative or successor guardian applies to obtain such medical
coverage for the child from all available sources, unless the social
services official determines that the relative guardian has good cause
for not applying for such coverage; which shall include that appropriate
coverage is not available or affordable.
3. An application for payments under this section shall be made prior
to the issuance of letters of guardianship for the child. An approval of
an application for payments under this section shall not be subject to
annual review by the social services official, and such approval shall
remain in effect for as long as kinship guardianship assistance payments
are being made under this title for the child. Applications for such
payments shall be accepted prior to the issuance of letters of
guardianship of the child, and approval thereof may be granted
contingent upon such issuance.
Independent living services. In accordance with regulations
of the office of children and family services, any child who leaves
foster care for guardianship with a relative after attaining sixteen
years of age for whom kinship guardianship assistance payments are being
made under this title shall be eligible:
1. to receive those independent living services that are made
available by the social services district to foster children pursuant to
section 477 of the federal social security act; and
2. to apply for educational and training vouchers made available
pursuant to such section, which will be awarded based on the priorities
established by the office of children and family services and the amount
of funds made available therefor.
Fair hearings. 1. Any person aggrieved by the decision of a
social services official not to make a payment or payments pursuant to
this title or to make such payment or payments in an inadequate or
inappropriate amount or the failure of a social services official to
determine an application under this title within thirty days after
filing, or the failure of a social services district to agree to a
prospective successor guardian being named in an agreement or to approve
a prospective successor guardian pursuant to subparagraph (ii) of
paragraph (b) of subdivision five of section four hundred fifty-eight-b
of this title, or the decision of a social services district to
terminate an agreement pursuant to paragraph (h) of subdivision four of
section four hundred fifty-eight-b of this title, may appeal to the
office of children and family services, which shall review the case and
give such person an opportunity for a fair hearing thereon and render
its decision within thirty days. All decisions of the office of children
and family services shall be binding upon the social services district
involved and shall be complied with by the social services official
thereof.
2. The only issues which may be raised in a fair hearing under this
section are: (a) whether the social services official has improperly
denied an application for payments under this title; (b) whether the
social services official has improperly discontinued payments under this
title; (c) whether the social services official has determined the
amount of the payments made or to be made in violation of the provisions
of this title or the regulations of the office of children and family
services promulgated hereunder; (d) whether the social services official
has failed to determine an application under this title within thirty
days; (e) whether the social services official has improperly denied an
application to name a prospective successor guardian in the original
kinship guardianship assistance agreement for payments pursuant to this
title or any amendments thereto; (f) whether a social services official
has inappropriately failed to approve a prospective successor guardian;
or (g) whether a social services official has inappropriately terminated
an agreement for payments under this title.
3. The provisions of subdivisions two and four of section twenty-two
of this chapter shall apply to fair hearings held and appeals taken
pursuant to this section.
TITLE 11 Education Reform Program
Education reform program. 1. As used in this section:
(a) "eligible person" means an individual who (i) is, or is at risk of
being, the subject of a person in need of supervision petition in family
court where elements of an eligible offense have been indicated; or (ii)
has been arrested for or charged with an eligible offense, or it is
otherwise alleged that such person has committed an eligible offense, as
that term is defined in paragraph (b) of this subdivision. In
determining whether to order an eligible person who has been arrested
for or charged with an eligible offense as an adult to participate in
the education reform program under this section, a judge must consider,
among other factors, prior participation in the program as an adult.
(b) "eligible offense" means a crime or offense committed, or, in the
case of a person who is, or is at risk of being the subject of a person
in need of supervision petition, conduct engaged in, by an eligible
person that involved cyberbullying or the sending or receipt through
electronic means of obscenity, as defined in subdivision one of section
235.00 of the penal law, or nudity, as defined in subdivision two of
section 235.20 of the penal law, when the sender and the receiver
thereof were both under the age of twenty at the time of such
communication, but not more than five years apart in age.
(c) "program" means the education reform program developed pursuant to
subdivision two of this section.
2. The office of children and family services, hereinafter the
"office," shall develop and implement, in consultation with the division
of criminal justice services and the state education department, an
education reform program to be provided to eligible persons as a
diversion program in accordance with section seven hundred thirty-five
of the family court act or, as a condition of adjustment pursuant to
section 308.1 of the family court act, or as a condition of an order of
adjournment in contemplation of dismissal, suspended judgment, discharge
with warning, conditional discharge or probation pursuant to article
three or seven of the family court act, as a condition of probation or a
conditional discharge pursuant to section 60.37 of the penal law or as a
condition of an adjournment in contemplation of dismissal pursuant to
section 170.55 of the criminal procedure law, as applicable.
3. The program shall be available in every judicial department in the
state; provided that if the office determines that there is not a
sufficient number of eligible offenses in a judicial department to
mandate the implementation of a program, provisions shall be made for
the residents of such judicial department to participate in a program in
another judicial department where a program exists if practicable with
regard to travel and cost, or to complete the education course online.
4. Such program shall be provided in an age-appropriate manner which
focuses on the crime, offense or conduct, shall involve up to eight
hours of instruction and shall provide, at a minimum, information
concerning:
(a) the legal consequences of and potential penalties for sharing
sexually suggestive materials, explicit materials or abusive materials,
including sanctions imposed under applicable federal and state statutes;
(b) the non-legal consequences of sharing sexually suggestive
materials, explicit materials or abusive materials, including, but not
limited to, the possible effect on relationships, loss of educational
and employment opportunities, and the potential for being barred or
removed from school programs and extracurricular activities;
(c) how the unique characteristics of cyberspace and the internet,
including the potential ability of an infinite audience to utilize the
internet to search for and replicate materials, can produce long-term
and unforeseen consequences for sharing sexually suggestive materials,
explicit materials or abusive materials; and
(d) the potential connection between bullying and cyber-bullying and
juveniles sharing sexually suggestive materials, explicit materials or
abusive materials.
5. The office, in conjunction with the office of court administration,
the office of probation and correctional alternatives and the division
of criminal justice services, shall provide annual notice regarding the
program to local probation departments, applicable court personnel,
county defender offices, organizations or groups assigned to act as
attorneys for children, district attorneys, presentment agencies and
county attorneys, for the purpose of such information being provided to
each eligible person, his or her attorney and his or her parent or
guardian where necessary, upon an order that they complete such program.
The notice shall include, at a minimum, a short description of the
program, when use of the program is authorized by statute, and the means
of accessing and completing the program. The office shall maintain
information on its website regarding the program, including directions
for accessing the program.
6. Within twenty days of the date upon which the eligible person
completes the program, the office shall provide such person with a
certification that he or she has successfully completed the program and
the date the program was completed. The eligible person shall be
responsible for completing the program, and providing any necessary
proof of completion.
TITLE 12 Family Support Services Programs
Family support services programs. 1. As used in this title,
the term "family support services programs" shall mean a program
established pursuant to this title to provide community-based supportive
services to children and families with the goal of (i) preventing a
child from being adjudicated a person in need of supervision and help
prevent the out of home placements of such youth or (ii) preventing a
petition from being filed under article seven of the family court act,
or (iii) reducing future interaction with the juvenile justice or child
welfare systems for children under twelve years of age who do not fall
under the definition of juvenile delinquent pursuant to subparagraph
(iii) of paragraph (a) of subdivision one of section 301.2 of the family
court act and whose behavior, but for their age would bring them within
the jurisdiction of the family court pursuant to article three of the
family court act.
2. Family support services programs shall provide comprehensive
services to such children and their families, either directly or through
referrals with partner agencies, including, but not limited to:
(a) rapid family assessments and screenings;
(b) crisis intervention;
(c) family mediation and skills building;
(d) mental and behavioral health services including cognitive
interventions;
(e) case management;
(f) respite services;
(g) education advocacy; and
(h) other family support services.
3. The services that are provided shall be trauma responsive, family
focused, gender-responsive, and evidence based or informed and strengths
based and shall be tailored to the individualized needs of the child and
family based on the assessments and screenings conducted by such family
support services program.
4. Family support services programs shall have the capacity to serve
families outside of regular business hours including evenings and
weekends.
Funding for family support services programs. 1.
Notwithstanding any other provision of law to the contrary, to the
extent that funds are available for such purpose and specifically
appropriated therefor, the office of children and family services shall
distribute funding to the highest need municipality which shall mean a
county or a city with a population of one million or more to contract
with not-for-profit corporations to operate family support services
programs in accordance with the provisions of this title and the
specific program model requirements issued by the office.
2. Notwithstanding any other provision of law to the contrary, when
determining the highest need municipality pursuant to this subdivision,
the office may consider factors that may include, but are not
necessarily limited to:
(a) the total amount of available funding and the amount of funding
required for family support services programs to meet the objectives
outlined in section four hundred fifty-eight-m of this title;
(b) relevant, available statistics regarding each municipality, a
group of two or more municipalities that jointly seek to fund and
administer a family support services program in accordance with
subdivision four of this section which may include, but not necessarily
be limited to:
(i) the availability of services within such municipality to prevent
or reduce detention or residential placement of youth pursuant to
article seven of the family court act; and
(ii) relative to the youth population of such municipality:
(1) the number of petitions filed pursuant to article seven of the
family court act; or
(2) the number of placements of youth into residential care or
detention pursuant to article seven of the family court act as
applicable, over the last five years;
(c) any reported performance outcomes reported to the office pursuant
to subdivision three of this section for programs that previously
received funding pursuant to this title; or
(d) other appropriate factors as determined by the office.
3. Municipalities receiving funding under this title shall report to
the office of children and family services, in the form and manner and
at such times as determined by the office, on the performance outcomes
of any family support service program located within such municipalities
that receives funding under this title.
4. Two or more eligible municipalities within a close geographic
within a close geographic proximity to each other may enter into an
agreement to jointly seek funding for and jointly administer family
support services programs to service eligible youth and families within
such municipalities in accordance with this section. Such agreements
shall include provisions for the proportionate cost to be borne by each
municipality and for the manner of employment of personnel and may
provide that a fiscal officer of one such municipality shall be the
custodian of the moneys made available for expenditure for such purposes
by all such municipalities and that such fiscal officer may make
payments therefrom upon audit of the appropriate auditing body or
officer of his or her municipality. In making claims for state aid
pursuant to section, each such municipality shall claim for its
proportionate share of the total joint expenditures so made. However,
where it is provided that there shall be a disbursing municipality, such
disbursing municipality shall claim for the total joint program
expenditures so made and shall disburse such state aid to each
participating municipality based upon the proportionate share of
expenditures so made.
5. Notwithstanding the provisions of subdivisions two, three and four
of this section, a municipality, consistent with its approved plan for
supervision and treatment services for juveniles program, may utilize
any funding available to such municipality pursuant to section five
hundred twenty-nine-b of the executive law to fund family support
services programs pursuant to this title.
TITLE 12-A Differential Response Programs For Children Under Twelve
Differential response programs for children under twelve. 1.
Each local social services district, upon the approval of the office of
children and family services, shall establish a program that implements
differential responses to provide services to children under twelve
years of age, who do not fall under the definition of juvenile
delinquent pursuant to subparagraph (iii) of paragraph (a) of
subdivision one of section 301.2 of the family court act and whose
behavior, but for their age, would bring them within the jurisdiction of
the family court pursuant to article three of the family court act. Such
programs shall establish and utilize appropriate assessments and
services for youth, in order to help reduce future interaction with the
juvenile justice and/or child welfare systems. Such assessments shall be
used to determine what, if any, services are needed, and such services
shall utilize the least restrictive intervention protocols available.
Notwithstanding any other provision of law to the contrary, the
provisions of this section shall apply only to those cases involving
children under twelve years of age, who do not fall under the definition
of juvenile delinquent pursuant to subparagraph (iii) of paragraph (a)
of subdivision one of section 301.2 of the family court act and whose
behavior, but for their age, would bring them within the jurisdiction of
the family court pursuant to article three of the family court act.
2. To establish a differential response program, each local social
services district, as part of their district-wide child welfare services
plan, as defined in section four hundred nine-d of this article, shall
include a plan to serve the youth described in subdivision one of this
section while utilizing certain criteria to be promulgated in regulation
by the office of children and family services including but not limited
to the following:
(a) the types of assessment to determine whether services are
necessary, services and interventions to be provided to children and
families included in the differential response program for such children
and a description of how the services will be offered. Such services
shall include, but not be limited to, those services set forth in
section four hundred nine-a of this article and section four hundred
fifty-eight-m of this article;
(b) a description of the process to be followed for planning and
monitoring the services provided under the differential responses;
(c) a description of how the differential response program will
enhance the ability of the district to reduce future interactions with
the juvenile justice and child welfare systems, ensure the safety and
well-being of such children, and ways to ensure such program addresses
adverse impacts on minority communities;
(d) a description of the training that will be provided to district
and any non-district staff to be used in the differential response
program including, but not limited to, a description of the training set
forth in section eight hundred forty of the executive law for police
officers whose main responsibilities are juveniles and the laws
pertaining thereto; and
(e) a description of any additional funding that may be utilized to
enhance the differential response program.
3. (a) All records created as part of the differential response
program for children described in subdivision one of this section shall
include, but not be limited to, the initial and any subsequent reasons
why a differential response is recommended for a child, documentation of
all services offered and accepted by such child and their family, the
plan for supportive services for the child and their family, and all
evaluations and assessments of the child's progress.
(b) Records created under the differential response program for the
children described in subdivision one of this section shall be
maintained for five years after a child is referred to a local social
services district for intervention as described in this section or until
the child reaches the age of twelve, whichever is sooner.
(c) All reports assigned to, and records created under, the
differential response program, including but not limited to reports made
or written as well as any other information obtained or photographs
taken concerning such reports or records shall be confidential, shall be
made available only to an entity listed below which has been involved in
the particular youth's service delivery, and shall not be redisclosed,
except as authorized pursuant to subparagraph (vi) of this paragraph,
utilizing non-identifying aggregated information. Such entities shall
include:
(i) staff of the office of children and family services and persons
designated by the office of children and family services;
(ii) the social services district responsible for the differential
response program for children described in subdivision one of this
section;
(iii) a community-based agency that has a contract with the social
services district to carry out activities for the district under the
differential response program;
(iv) a provider of services under the differential response program;
(v) the child, or to their parent or legal guardian, and the attorney
for the child; and
(vi) the office of children and family services and social services
districts for the sole purpose of preparing the report required pursuant
to subdivision five of this section.
4. Expenditures by a social services district pursuant to this section
shall be reimbursable from the annual appropriations available for
social services district expenditures for child welfare services which
shall include, but not be limited to, preventive services provided
pursuant to section four hundred nine-a of this article, funding for
family support services programs as set forth in section four hundred
fifty-eight-n of this article and supervision and treatment services for
juveniles program as set forth in section five hundred twenty-nine-b of
the executive law. Nothing shall preclude a social services district
from seeking private funds for support of their differential response
programs.
5. The office of children and family services shall report on the
differential response programs established pursuant to this section,
including the local social services district's efforts to reduce future
interactions with the juvenile justice and child welfare systems, how
the local social services districts are ensuring the safety and
well-being of such children, and how the program is addressing adverse
impacts on minority communities, on an annual basis beginning one year
from the start of every local social services district's differential
response program.
ARTICLE 6-A Domestic Violence Prevention Act
Definitions. As used in this article: 1. "Victim of domestic
violence" means any person over the age of sixteen, any married person
or any parent accompanied by his or her minor child or children in
situations in which such person or such person's child is a victim of an
act which would constitute a violation of the penal law, including, but
not limited to acts constituting disorderly conduct, harassment,
aggravated harassment, sexual misconduct, forcible touching, sexual
abuse, stalking, criminal mischief, menacing, reckless endangerment,
kidnapping, assault, attempted assault, attempted murder, criminal
obstruction of breathing or blood circulation, strangulation, identity
theft, grand larceny or coercion; and
(i) such act or acts have resulted in actual physical or emotional
injury or have created a substantial risk of physical or emotional harm
to such person or such person's child; and
(ii) such act or acts are or are alleged to have been committed by a
family or household member.
2. "Family or household members" mean the following individuals:
(a) persons related by consanguinity or affinity;
(b) persons legally married to one another;
(c) persons formerly married to one another regardless of whether they
still reside in the same household;
(d) persons who have a child in common regardless of whether such
persons are married or have lived together at any time;
(e) unrelated persons who are continually or at regular intervals
living in the same household or who have in the past continually or at
regular intervals lived in the same household;
(f) persons who are not related by consanguinity or affinity and who
are or have been in an intimate relationship regardless of whether such
persons have lived together at any time. Factors that may be considered
in determining whether a relationship is an "intimate relationship"
include, but are not limited to: the nature or type of relationship,
regardless of whether the relationship is sexual in nature; the
frequency of interaction between the persons; and the duration of the
relationship. Neither a casual acquaintance nor ordinary fraternization
between two individuals in business or social contexts shall be deemed
to constitute an "intimate relationship"; or
(g) any other category of individuals deemed to be a victim of
domestic violence as defined by the office of children and family
services in regulation.
3. "Parent" means a natural or adoptive parent or any individual
lawfully charged with a minor child's care or custody.
4. "Residential program for victims of domestic violence" means any
residential care program certified by the department and operated by a
not-for-profit organization in accordance with the regulations of the
department for the purpose of providing emergency shelter, services and
care to victims of domestic violence. Residential programs for victims
of domestic violence shall include, but shall not be limited to:
(a) "Domestic violence shelters", which shall include any residential
care facility organized for the exclusive purpose of providing emergency
shelter, services and care to victims of domestic violence and their
minor children, if any;
(b) "Domestic violence programs" which shall include any facility
which otherwise meets or would meet the requirements of paragraph (a) of
this subdivision, except that victims of domestic violence and their
minor children, if any, constitute at least seventy percent of the
clientele of such program; and
(c) "Safe home networks" which shall include any organized network of
private homes offering emergency shelter and services to victims of
domestic violence and their minor children, if any. Such network shall
be coordinated by a not-for-profit organization.
5. "Non-residential program for victims of domestic violence" means
any program operated by a not-for-profit organization, for the purpose
of providing non-residential services to victims of domestic violence,
including, but not limited to, information and referral services,
advocacy, counseling, and community education and outreach activities
and providing or arranging for hotline services. Victims of domestic
violence and their children, if any, shall constitute at least seventy
percent of the clientele of such programs.
Residential services for victims of domestic violence. In
accordance with section one hundred thirty-one-u of this chapter and the
regulations of the office of children and family services, a social
services district shall offer and provide necessary and available
emergency shelter and services for up to ninety days at a residential
program for victims of domestic violence to a victim of domestic
violence who was residing in the social services district at the time of
the alleged domestic violence whether or not such victim is eligible for
public assistance. Two forty-five day extensions of necessary and
available emergency shelter may be granted beyond the maximum length of
stay at a residential program for victims of domestic violence for
residents who continue to be in need of emergency services and temporary
shelter. If the victim of domestic violence has a service animal as such
term is defined in section one hundred twenty-three-b of the agriculture
and markets law, or therapy dog as such term is defined in section one
hundred eight of the agriculture and markets law, respectively, such
service animal or therapy dog shall be allowed to accompany the victim
at the residential program authorized pursuant to this section, so long
as such accompaniment would not create an undue burden as defined by
section two hundred ninety-six of the executive law.
Where such accompaniment would constitute an undue burden, the
residential program shall make reasonable efforts to facilitate
placement of such animal at an off-site animal care facility or if
reasonable efforts fail, provide referral to one or more off-site animal
care facilities. Such off-site animal care may include, but not be
limited to, boarding at a veterinary hospital or under the auspices of a
duly incorporated humane society, or duly incorporated animal protection
association approved for such purpose by the department of agriculture
and markets.
Nothing in this section shall be construed to limit any rights or
obligations provided pursuant to federal or state law, including but not
limited to providing reasonable accommodations for individuals with
disabilities.
Non-residential services for victims of domestic violence. 1.
In accordance with the provisions of this section and the regulations of
the department, a social services district shall offer and provide
non-residential services including but not limited to, information and
referral services, advocacy, counseling, community education and
outreach activities, and hotline services, to a victim of domestic
violence whether or not the victim is eligible for public assistance. A
social services district may provide such non-residential services
directly or may purchase such services from a not-for-profit
organization operating a residential program and/or a non-residential
program for victims of domestic violence.
2. To the extent that funds are appropriated expressly therefore and a
social services district has exhausted its allocation under title XX of
the federal social security act, state reimbursement shall be available
for fifty percent of the expenditures made by a social services district
for those non-residential services provided to victims of domestic
violence which are included in the social services district's multi-year
consolidated services plans and annual implementation reports approved
by the department pursuant to section thirty-four-a of this chapter.
Reporting requirements. The commissioner shall submit a
report prior to December fifteenth, nineteen hundred eighty-eight and
annually thereafter to the governor and the legislature regarding the
implementation of this article. Such report shall include:
1. the number of persons estimated to have been assisted in programs
covered by this article;
2. the number of persons estimated to have been denied shelter and/or
services;
3. the amount of public and private funds for approved programs by
service type;
4. the amount of funds used for the administration and staffing of
such programs;
5. the occupancy rate and length of stay by residential program;
6. the name and description of new programs developed by service type;
7. the name and description of programs in danger of closing that
received funds and the status of such programs;
8. the name and description of programs that closed during the
reporting year and the reason for such closure;
9. the number of individuals who requested and received transitional
services and the effect of providing such services to victims of
domestic violence and their families;
10. the name and description of programs which received technical
assistance and the effect of such assistance;
11. a schedule showing the approved daily rates of reimbursement
payable to residential programs for victims of domestic violence
pursuant to section one hundred thirty-one-u of this chapter; and
12. all such other matters as may be necessary to inform the governor
and the legislature regarding the implementation and effectiveness of
programs covered by this article.
Technical assistance. To the extent that funds are available,
the department shall arrange for or provide technical assistance to
residential and non-residential programs for victims of domestic
violence. Technical assistance shall include, but shall not be limited
to, budgeting techniques, fund raising and program management.
Payment for services. Payments by a social services district
to a residential program for victims of domestic violence for the costs
of emergency shelter and services provided to a victim of domestic
violence at the daily reimbursement rate determined by the department in
accordance with section one hundred thirty-one-u of this chapter shall
be reduced by the sum of any other reimbursement available for such
costs.
Cooperation of an abuser not required as a condition of
eligibility for benefits or services. 1. Neither the state, a political
subdivision of the state, a public authority, nor any employee or agent
thereof shall, in any way, condition eligibility or receipt of services
or benefits by a victim of domestic violence, as defined in this
article, by requiring the victim to contact the person who perpetrated
such domestic violence or by requiring the person who perpetrated such
domestic violence to complete any forms, provide any information, appear
in person, or cooperate in any other manner as a part of such victim's
application for or process of certification for continued receipt of any
services or benefits in this state.
2. Although such information or cooperation shall not be required as a
condition of eligibility for or receipt of such services or benefits, in
the event the governmental entity, employee or agent seeks any such
information or cooperation, such entity, employee or agent shall, if
informed consent is given in writing by such victim of domestic
violence, provide an intermediary to make such contact in a manner that
protects the privacy, confidentiality and current location of the
victim. In the event the governmental entity, employee or agent seeks
any such information or cooperation to comply with any federal law,
regulation or mandate, such entity, employee or agent shall so advise
the victim of domestic violence and provide an intermediary to make such
contact on behalf of the victim in a manner that will protect the
privacy, confidentiality and current location of the victim.
Confidentiality. 1. The street address of any residential
program for victims of domestic violence applying for funding pursuant
to this article shall be confidential and may be disclosed only to
persons designated by rules and regulations of the department.
2. All information related to the general location or specific street
address of a structure anticipated to house a residential program for
victims of domestic violence that is contained in any application
submitted to a state or local agency or any instrumentality thereof
prior to the filing of an application for funding pursuant to this
article shall be kept confidential by those entities and their employees
and may be disclosed only to persons designated by the rules and
regulations of the department.
ARTICLE 7 Residential Care Programs For Adults and Children
TITLE 1 General Provisions
Declaration of policy and statement of purpose. Residential
care programs for adults and children of the highest quality,
efficiently produced and properly utilized at a reasonable cost, are a
matter of vital concern to the people of this state. In order to more
effectively protect and assure the life, health, safety and comfort of
adults and children who must be cared for away from their own homes, the
department of social services acting directly or through social services
districts, and with the cooperation of other state agencies, shall have
the comprehensive responsibility for the development and administration
of programs, standards and methods of operation, and all other matters
of state policy, with respect to residential care programs for children
and adults and all facilities and agencies, whether public or private,
which are subject to the provisions of this article. For the purposes of
this article, with respect to residential care programs for children,
the term "department" shall mean the office of children and family
services and with respect to residential care programs for adults, the
term shall mean the office of children and family services in relation
to family type homes for adults and residential programs for victims of
domestic violence, the office of temporary and disability assistance in
relation to shelters for adults and shelters for families; and the
department of health in relation to all other residential care programs
for adults.
Certificates of incorporation. 1. Unless the written approval
of the department shall have been endorsed on or annexed to a
certificate of incorporation, no such certificate shall hereafter be
filed which includes among its corporate purposes the care of destitute,
delinquent, abandoned, neglected or dependent children; the
establishment or operation of any aged care accommodation, as defined in
the private housing finance law, or adult care facility; the placing-out
or boarding-out of children, as defined in this chapter; the
establishment or operation of a home or shelter for unmarried mothers or
a residential program for victims of domestic violence, as defined in
subdivision four of section four hundred fifty-nine-a of this chapter;
or the solicitation of contributions for any such purpose or purposes,
provided, however, that the approval of the department shall not be
required for filing of a certificate of incorporation which is
restricted in its statement of corporate purposes to the establishment
or operation of a facility for which an operating certificate is
required by article twenty-three, nineteen, thirty-one or thirty-two of
the mental hygiene law, or to the establishment or operation of a
hospital, residential health care facility, or a home health agency, as
those terms are defined in article twenty-eight of the public health
law.
2. The department shall promulgate regulations establishing the
procedure for submitting certificates of incorporation for approval and
specifying the documentation to be submitted in connection with such
approval. The department shall approve or disapprove a certificate of
incorporation solely on the basis of information submitted pursuant to
regulations. The department shall approve or disapprove a certificate of
incorporation by indicating its approval by endorsement of the
certificate of incorporation or its disapproval by giving written notice
thereof, which notice shall state the reasons for disapproval. A
certificate of incorporation not acted upon within sixty days of the
receipt of all information and documentation required by department
regulations shall be deemed to be disapproved.
3. Where a corporation engages in, or holds itself out as being
authorized to engage in, activities described in this section without
having obtained requisite approvals, the department may institute and
maintain an action in the supreme court through the attorney general to
procure a judgement dissolving and vacating or annulling the certificate
of incorporation of any such corporation.
Operating certificate. 1. No facility subject to
inspection and supervision by the department, except a facility operated
by a state department or agency, or a facility which pursuant to law is
licensed or certified to operate by a state department or agency or by
an authorized agency as such term is defined in section three hundred
seventy-one of this chapter, shall be operated unless it shall possess a
valid operating certificate issued pursuant to this article by the
department, which certificate shall specify who the operator of the
facility shall be, the kind or kinds of care and services such facility
is authorized to provide, the capacity of the facility, the location of
the facility and, except in the case of a facility operated by an
authorized agency as such term is defined in paragraph (a) of
subdivision ten of section three hundred seventy-one of this chapter,
the duration of the period of its validity. The department shall by
regulation specify the manner in which the public shall be given notice
of the existence of such operating certificate.
2. Application for an operating certificate pursuant to this article
shall be made upon forms prescribed by the department and in accordance
with procedures established by regulations of the department. The
application shall contain the name of the facility, the kind or kinds of
care and services to be provided, the location and physical description
of the facility, and such other information as the department may
require. The application shall be approved and an operating certificate
shall be issued when it is established to the satisfaction of the
department that the facility meets, and will be operated in accordance
with, the requirements of this article, the regulations of the
department and all other applicable provisions of law including
requirements as to the premises, equipment, personnel, care and
services, rules, by-laws and administrative practices.
3. Each facility required to obtain an operating certificate pursuant
to this section shall be required, as a condition of qualifying for or
remaining qualified for such certificate, to demonstrate to the
satisfaction of the department that it has taken all reasonable steps to
assure that residents entitled to a personal allowance pursuant to
section one hundred thirty-one-o of this chapter have in fact received
the full personal benefit of such allowance, and that proper accounting
procedures have been complied with.
Inspection and supervision. 1. Excepting state institutions
for the education and support of the blind, the deaf and the dumb,
facilities subject to the approval, visitation and inspection of the
state department of mental hygiene or the state commission of
correction, facilities operated by or under the supervision of the
division for youth and facilities subject to the supervision of the
department of health pursuant to article twenty-eight of the public
health law, the department shall inspect and maintain supervision over
all public and private facilities or agencies whether state, county,
municipal, incorporated or not incorporated which are in receipt of
public funds, which are of a charitable, eleemosynary, correctional or
reformatory character, including facilities or agencies exercising
custody of dependent, neglected, abused, maltreated, abandoned or
delinquent children, agencies engaged in the placing-out or boarding-out
of children as defined in section three hundred seventy-one of this
chapter, homes or shelters for unmarried mothers, residential programs
for victims of domestic violence as defined in subdivision five of
section four hundred fifty-nine-a of this chapter and adult care
facilities.
2. Upon inspection of any facility subject to the inspection and
supervision of the department pursuant to subdivision one of this
section, inquiry may be made to ascertain:
(a) whether the objectives of the facility or agency are being
accomplished;
(b) whether all applicable provisions of law and regulations of the
department are being fully complied with;
(c) the general management and financial condition of the facility,
including any sources of public funds received;
(d) its methods of and equipment for scholastic and career education,
and whether the same are best adapted to the needs of the residents and
beneficiaries;
(e) its methods of administration;
(f) its methods of and equipment for providing care, medical
attention, treatment and discipline of its residents and beneficiaries,
and whether the same are best adapted to the needs of the residents and
beneficiaries;
(g) the qualifications and general conduct of its officers and
employees;
(h) the condition of its grounds, buildings and other property; and
(i) any other matter connected with or pertaining to its usefulness
and good management or to the interests of its residents or
beneficiaries.
2-a. Special procedures relating to abuse and neglect of vulnerable
persons. (a) If the report of an investigation of abuse or neglect is
substantiated in accordance with article eleven of this chapter, the
director or operator of a residential facility or program shall submit
to the department, within ten business days of receipt of notice of the
substantiated report, a written plan of prevention and remediation to be
taken with respect to the subject of such report to protect the
continued health, safety and welfare of the service recipients and
provide for the prevention of future acts of abuse or neglect. The
department shall approve or disapprove such plan and specify necessary
revisions within ten days of its receipt and shall monitor its
implementation pursuant to the provisions of this chapter.
(b) In the event an investigation of a report of alleged abuse or
neglect determines that a preponderance of evidence of abuse or neglect
exists and such abuse or neglect may be attributed in whole or in part
to noncompliance by the facility or program with provisions of this
chapter or regulations of the department applicable to the operation of
such residential facility or program, the director or operator of such
facility or program shall, in consultation with officials of the
department responsible for the approval of operating certificates and
for monitoring the provision of protective services to service
recipients, develop a plan of prevention and remediation which shall be
submitted to and approved by the department in accordance with time
limits established by regulations of the department. Implementation of
such plan shall be jointly monitored by officials of the department
responsible for the approval of operating certificates and for
monitoring the provision of protective services to service recipients.
In reviewing the continuing qualification of a residential facility or
program for an operating certificate, the department shall evaluate such
facility's or program's compliance with plans of prevention and
remediation developed and implemented pursuant to this section.
(c) Development and implementation of plans pursuant to this section
shall, to the extent possible, be coordinated with remediation plans
required by local social services districts.
3. With respect to any corporation heretofore or hereafter formed by a
special act or under a general law, or any unincorporated organization,
institution, facility or agency, which actually engages in any of the
aforementioned works but which is not in receipt of public funds, the
department is authorized to inspect and supervise with respect to the
health, safety, treatment and training of its residents, or of the
children under its custody.
4. The commissioner or any official so authorized by him may conduct
any inquiry pursuant to the authority of section thirty-four of this
chapter, in relation to any matter arising out of an inspection
performed pursuant to this title. Any officer or duly authorized
employee shall have full access to the grounds, buildings, books and
papers relating to any such facility or agency and may require from the
officers and persons in charge thereof any information he may deem
necessary in the discharge of his duties. The department may establish
rules according to which, and provide blanks and forms upon which, such
information shall be furnished, in a clear, uniform and prompt manner.
5. Any officer, superintendent or employee of any such facility or
agency who shall intentionally refuse to admit any officer or inspector
of the department for the purpose of inspection, or shall intentionally
refuse or fail to furnish the information required by the department or
any officer or inspector, shall be guilty of a misdemeanor.
6. The rights and powers conferred by this section may be enforced by
an order of the supreme court after notice and hearing, or by indictment
by the grand jury of the county, or both.
7. The inspection and supervision powers and duties of the
commissioner as established by this section may, in the case of any
family type home for adults with a capacity of four or less, be
delegated in whole or in part, to the local commissioner of the social
services district in which such facility is located, and such local
commissioner shall make reports regarding such facility in such form and
manner and at such time as the department regulations may require.
Enforcement powers. 1. The commissioner or any person
designated by the commissioner may undertake an investigation of the
affairs and management of any facility subject to the inspection and
supervision provision of this article, or of any person, corporation,
society, association or organization which operates or holds itself out
as being authorized to operate any such facility, or of the conduct of
any officers or employers of any such facility. Persons empowered by the
commissioner to conduct any such investigation are hereby empowered to
issue compulsory process for the attendance of witnesses and the
production of papers, to administer oaths and to examine persons under
oath, and to exercise the same powers in respect to the conduct of such
an investigation as belong to referees appointed by the supreme court.
2. If it shall appear after such investigation that the residents of
the facility are cruelly, negligently or improperly treated, or that
inadequate provision is made for their sustenance, clothing, care,
supervision or other condition necessary for their comfort and
well-being, the department may issue an order in the name of the people,
and under the official seal of the state, directing the appropriate
officers or managers of such facility to modify such treatment or
provide such other remedy as may be specified therein. Before any such
order is issued, it must be approved by a justice of the supreme court,
after such notice as he may prescribe and after an opportunity to be
heard, and any person to whom such an order is directed who shall
intentionally fail or refuse to obey its terms shall be guilty of a
misdemeanor.
3. The attorney general and every district attorney shall upon request
of the department furnish such legal assistance, counsel or advice as
the department may require in the discharge of its duties.
4. (a) The operating certificate of any facility may be revoked,
suspended or limited upon a determination by the department that the
facility has failed to comply with the requirements of state or local
laws or regulations applicable to the operation of such facility.
(b) No operating certificate shall be revoked, suspended or limited
without a hearing held in accordance with procedures established by
department regulations, which procedures shall require that notice of
the time and place of the hearing, and notice of the charges, shall be
served in person or by certified mail addressed to the facility at least
thirty days prior to the date of the hearing. A written answer to the
charges may be filed with the department not less than ten business days
prior to the date of the hearing. An operating certificate may,
nevertheless, be suspended or limited without a hearing for a period not
in excess of sixty days, upon written notice to the facility following a
finding by the department that the public health, or an individual's
health, safety or welfare, are in imminent danger.
(c) Any order or determination to suspend any operating certificate
will specify the conditions of the suspension. These conditions may
include but need not be limited to the following:
(i) if required for the protection of the health, safety or welfare of
the residents, the immediate transfer of some or all residents to other
appropriate facilities or to the custody of their legal guardians, if
any;
(ii) the appointment of a temporary operator to operate the facility
during the term of the suspension;
(iii) the immediate transfer of all records concerning the operation
of the facility, including resident records, facility business records
and any other records related to the operation of the facility to the
department immediately. The department shall control the records for the
term of the suspension;
(iv) the operator or operators of the facility shall be barred from
access to the facility during the term of the suspension; or
(v) the requirement that the operator, if replaced by a temporary
operator, provide the temporary operator with any funds received by the
operator for the operation of the facility.
(d) Any order or determination to limit an operating certificate shall
specify the manner in which the operating certificate is to be limited.
An operating certificate may be found subject to one or more of the
following limitations:
(i) a limitation on the period of time for which such certificate
remains effective, contingent on a determination that specified
violations have been corrected or specified conditions have been met;
(ii) a limitation on the number of persons for which such facility is
authorized to provide care; or
(iii) a prohibition against the admission of new residents after a
specified date.
(e) Any order or determination of revocation, suspension or limitation
of the operating certificate shall be subject to judicial review in
accordance with article seventy-eight of the civil practice law and
rules.
5. In addition to or as an alternative to any power which the
department may exercise under this article, the supreme court may grant
equitable relief against violations or threatened violations of this
article or of the regulations of the department by any facility subject
to the inspection and supervision of the department. The attorney
general may seek such equitable relief, in the name of the people, upon
the request of the department. Service in such an action shall state the
nature of the violation and shall be accomplished in the manner
prescribed by the civil practice law and rules; provided, however, that
an ex parte order for equitable relief may issue, notwithstanding the
civil practice law and rules, if the court finds, on motion and
affidavit, that such violation may reasonably be expected to result in
imminent danger to the public health or to the health, safety or welfare
of any individual in a facility subject to the department's inspection
and supervision. The court, after a hearing, may make an order granting
such equitable relief as it may deem necessary, including, but not
limited to a preliminary injunction or a permanent injunction, enjoining
a facility from admitting new residents, directing the department and
such facility to arrange for the transfer of residents to other
facilities, appointment of a temporary or permanent receiver for the
protection of the public health or the health, safety and welfare of any
individual in such facility, or directing a facility operator to
transfer all records concerning the operation of the facility, including
resident records, facility business records and any other records
related to the operation of the facility to the department immediately.
The people shall not be required to post security or bond.
6. Orders prohibiting placing-out or boarding-out of children or
orders of removal of any child may be issued and enforced in accordance
with section three hundred eighty-five of this chapter.
7. (a) The department shall adopt regulations establishing civil
penalties of up to one thousand dollars per day to be assessed against
all adult care facilities except facilities operated by a social
services district for violations of (i) regulations of the department
pertaining to the care of residents in such facilities, (ii) paragraph
(a) of subdivision three of section four hundred sixty-one-a of this
chapter, or (iii) an order issued pursuant to subdivision eight of this
section. The regulations shall specify the violations subject to penalty
and the amount of the penalty to be assessed in connection with each
such violation and shall specify that only civil penalties of up to one
thousand dollars per day per violation shall be assessed pursuant to
this paragraph against an adult care facility found responsible for an
act of retaliation or reprisal against any resident, employee, or other
person for having filed a complaint with or having provided information
to any long term care patient ombudsman functioning in accordance with
section five hundred forty-four or five hundred forty-five of the
executive law.
(b) (1) In addition to any other civil or criminal penalty provided by
law, the department shall have the power to assess civil penalties in
accordance with its regulations adopted pursuant to paragraph (a) of
this subdivision, after a hearing conducted in accordance with the
procedures established by regulations of the department. Such procedures
shall require that notice of the time and place of the hearing, together
with a statement of charges of violations, shall be served in person or
by certified mail addressed to the facility at least thirty days prior
to the date of the hearing. The statement of charges of violations shall
set forth the existence of the violations, the amount of penalty for
which it may become liable and the steps which must be taken to rectify
the violation and, where applicable, a statement that the department
contends that a penalty may be imposed under this paragraph regardless
of rectification. An answer to the charges of violations, in writing,
shall be filed with the department, not less than ten days prior to the
date of hearing. The answer shall notify the department of the
facility's position with respect to each of the charges and shall
include all matters which if not disclosed in the answer would be likely
to take the department by surprise. The commissioner, or a member of his
staff who is designated and authorized by him to hold such hearing, may
in his discretion allow the facility to prove any matter not included in
the answer. Where the facility satisfactorily demonstrates that it
either had rectified the violations within thirty days of receiving
written notification of the results of the inspection pursuant to
section four hundred sixty-one-a of this chapter, or had submitted
within thirty days an acceptable plan for rectification and was
rectifying the violations in accordance with the steps and within the
additional periods of time as accepted by the department in such plan,
no penalty shall be imposed, except as provided in subparagraph two of
this paragraph.
(2) Rectification shall not preclude the assessment of a penalty if
the department establishes at a hearing that a particular violation,
although corrected, endangered or resulted in harm to any resident as
the result of:
(i) the total or substantial failure of the facility's fire detection
or prevention systems, or emergency evacuation procedures prescribed by
department safety standard regulations;
(ii) the retention of any resident who has been evaluated by the
resident's physician as being medically or mentally unsuited for care in
the facility or as requiring placement in a hospital or residential
health care facility and for whom the operator is not making persistent
efforts to secure appropriate placement;
(iii) the failure in systemic practices and procedures;
(iv) the failure of the operator to take actions as required by
department regulations in the event of a resident's illness or accident;
(v) the failure of the operator to provide at all times supervision of
residents by numbers of staff at least equivalent to the night staffing
requirement set forth in department regulations; or
(vi) unreasonable threats of retaliation or taking reprisals,
including but not limited to unreasonable threats of eviction or
hospitalization against any resident, employee or other person who makes
a complaint concerning the operation of an adult care facility,
participates in the investigation of a complaint or is the subject of an
action identified in a complaint.
The department shall specify in its regulations those regulations to
which this subparagraph two shall apply.
(3) In assessing penalties pursuant to this paragraph, the department
shall consider promptness of rectification, delay occasioned by the
department, and the specific circumstances of the violations as
mitigating factors.
(c) Upon the request of the department, the attorney general may
commence an action in any court of competent jurisdiction against any
facility subject to the provisions of this section, and against any
person or corporation operating such facility, for the recovery of any
penalty assessed by the department in accordance with the provisions of
this subdivision.
(d) Any such penalty assessed by the department may be released or
compromised by the department before the matter has been referred to the
attorney general, and where such matter has been referred to the
attorney general, any such penalty may be released or compromised and
any action commenced to recover the same may be settled and discontinued
by the attorney general with the consent of the department.
8. Whenever the commissioner, after investigation, finds that any
person, agency or facility subject to this article is causing, engaging
in or maintaining a condition or activity which constitutes a danger to
the physical or mental health of the residents of a facility subject to
the inspection and supervision of the department, and that it therefore
appears to be prejudicial to the interests of such residents to delay
action for thirty days until an opportunity for a hearing can be
provided in accordance with the provisions of this section, the
commissioner shall order the person, agency or facility by written
notice, setting forth the basis for such finding, to discontinue such
dangerous condition or activity or take certain action immediately or
within a specified period of less than thirty days. The commissioner
shall within thirty days of issuance of the order provide the person,
agency or facility an opportunity to be heard and to present any proof
that such condition or activity does not constitute a danger to the
health of such residents.
9. (a) The department shall have authority to impose a civil penalty
not exceeding one thousand dollars per day against, and to issue an
order requiring the closing of, after notice and opportunity to be
heard, any facility which does not possess a valid operating certificate
issued by the department and is an adult care facility subject to the
provisions of this article and the regulations of the department. A
hearing shall be conducted in accordance with procedures established by
department regulations which procedures shall require that notice of the
determination that the facility is an adult care facility and the
reasons for such determination and notice of the time and place of the
hearing be served in person on the operator, owner or prime lessor, if
any, or by certified mail, return receipt requested, addressed to such
person and received at least twenty days prior to the date of the
hearing. If such operator, owner or prime lessor, if any, is not known
to the department, then service may be made by posting a copy thereof in
a conspicuous place within the facility or by sending a copy thereof by
certified mail, return receipt requested, addressed to the facility. A
written answer to the notice of violation may be filed with the
department not less than five days prior to the date of the hearing.
Demonstration by the facility that it possessed an operating certificate
issued pursuant to this article, article twenty-eight of the public
health law or article sixteen, twenty-three, thirty-one or thirty-two of
the mental hygiene law at the time the hearing was commenced shall
constitute a complete defense to any charges made pursuant to this
subdivision.
(b) The penalty authorized by this section shall begin to run thirty
days after the department provides the operator, in writing, with a
summary of the inspection of the facility by which the department
determined that he or she is operating an uncertified adult care
facility. The submission of an application by the operator for an
operating certificate for the facility shall not act as a bar to the
imposition of a penalty against the operator.
(c) (i) For the purposes of assessing the applicability of this
article and the regulations of the department, the department shall be
authorized to inspect any facility which reasonably appears to the
department to be subject to the provisions of this article and to assess
the needs of the residents of such facility pursuant to the provisions
of section four hundred sixty-c of this title.
(ii) At the time that a representative of the department appears at
the facility for purposes of conducting such inspection, the
representative shall inform the operator, administrator or other person
in charge that the inspection will be conducted unless such person
objects to the inspection and that if such person does object the
department, pursuant to the provisions of subparagraph (iii) of this
paragraph, shall be authorized to request the attorney general to apply
to the court for an order granting the department access to the
facility.
(iii) If the department is not permitted access to such facility by
the operator, administrator or other person in charge thereof, the
attorney general, upon the request of the department, shall be
authorized to apply, without notice to the operator, administrator or
chairman of the board of directors of a not-for-profit facility, to the
supreme court in the county in which the facility is located for an
order granting the department access to such facility. The court may
grant such an order if it determines, based on evidence presented by the
attorney general, that there is reasonable cause to believe that such
facility is an adult care facility which does not possess a valid
operating certificate issued by the department.
(d) Upon the request of the department, the attorney general may
commence an action in any court of competent jurisdiction against any
facility subject to the provisions of this subdivision, and against any
person or corporation operating such facility, for the recovery of any
penalty assessed by the department in accordance with the provisions of
this subdivision.
(e) Any penalty assessed by the department pursuant to this
subdivision may be released or compromised by the department before the
matter has been referred to the attorney general and where such matter
has been referred to the attorney general, any such penalty may be
released or compromised and any action commenced to recover the same may
be settled and discontinued by the attorney general with the consent of
the department.
10. By March first, nineteen hundred ninety-five and annually
thereafter, the department shall submit a report to the governor and the
legislature on the regulation of adult homes and residences for adults.
Such report shall include both a narrative and statistical summary
detailing the results of inspections and enforcement actions of adult
homes and residences for adults. The report shall also include results
of audits of financial conditions and practices of a selected sample of
adult homes and residences of adults and recommendations for legislative
action relating to the need for changes in statute.
11. On or before issuance by the department to an adult care facility
operator of official written notice of: the proposed revocation,
suspension or denial of the operator's operating certificate; the
limitation of the operating certificate with respect to new admissions;
the issuance of a department order or commissioner's order; the seeking
of equitable relief pursuant to this section; the proposed assessment of
civil penalties for violations of the provisions of subparagraph two of
paragraph (b) of subdivision seven of this section or placement on the
"do not refer list" pursuant to subdivision fifteen of this section,
written notice also shall be given to the appropriate office of the
department of mental hygiene, department of corrections and community
supervision and local social services districts, and provided further
that the department of health shall notify hospitals in the locality in
which such facility is located that such notice has been issued. Upon
resolution of such enforcement action the department shall notify the
appropriate office of the department of mental hygiene, department of
corrections and community supervision, local social services districts
and hospitals.
12. Social services districts and other local government entities
established pursuant to this chapter shall be prohibited from making
referrals for admissions to adult care facilities that have received
official written notice regarding: the proposed revocation, suspension
or denial of the operator's operating certificate; the limitation of the
operating certificate with respect to new admissions; the issuance of
department order or commissioner's orders; the seeking of equitable
relief pursuant to this section; the proposed assessment of civil
penalties for violations of the provisions of subparagraph two of
paragraph (b) of subdivision seven of this section; or the facility's
placement on the "do not refer list" pursuant to subdivision fifteen of
this section.
* 13. The department shall notify the department of health of any
enforcement action pursuant to this section taken against an operator of
an adult home or enriched housing program which has been licensed by the
department of health as a limited home care services agency pursuant to
section thirty-six hundred five of the public health law.
* NB Expires June 30, 2027
* 14. If the department receives notice from the department of health
that an action has been taken against an operator of a limited home care
services agency, pursuant to section thirty-six hundred five-a of the
public health law, the department shall review the delivery of services
provided by the certified operator of an adult home or enriched housing
program to determine whether such operator is meeting all applicable
regulations and standards.
* NB Expires June 30, 2027
15. The department of health shall maintain, on its website, a list of
all adult homes, enriched housing programs, residences for adults and
assisted living programs that have received written notice of:
enforcement action based on a violation of an applicable law or
regulation that creates an endangerment of resident health or safety
pursuant to subparagraph two of paragraph (b) of subdivision seven of
this section or a pending enforcement action against a facility's
operating certificate or a determination that the facility is required
to be certified as an adult home, enriched housing program or residence
for adults. Provided however, if a facility contends, in writing, that
the violation resulting in the facility being included on the "do not
refer list" has been corrected, the department shall, within thirty
days, reinspect the facility, and if the department determines that the
violation has been corrected, the facility shall be immediately removed
from the list. This list shall be known as the "do not refer" list and
shall be promptly updated to reflect any of the above violations and the
reopening of admissions in any adult care facility in which the
enforcement action for which they were added to the list has been
resolved.
16. Any operator or controlling person of an adult care facility, as
defined in clause two of subparagraph (x) of paragraph (a) of
subdivision four of section four hundred sixty-one-e of this article
shall be prohibited from applying to the department of health or to any
other agency of this state for an operating certificate or approval to
operate an alternate type of facility during the period in which such
certificate has been revoked, suspended or limited.
17. The department of health shall direct the temporary operator to,
and the temporary operator shall, provide written notification to
residents of all adult homes, enriched housing programs, residences for
adults and assisted living programs where a temporary operator has been
appointed pursuant to subdivision four of this section.
Records and reports; confidentiality; information. 1. The
department shall require, collect and maintain such information, records
or reports as it may determine to be necessary to further the purpose of
this article. Organizations and institutions subject to the inspection
and supervision of the department shall provide such information and
records in such form and at such times as the department shall
determine.
2. The department may request from any other state department or state
or local agency, including the department of mental hygiene, the
division for youth and the board of social welfare, and such other
department or agency shall furnish, such information as the department
may require for the proper performance of its duties under this article.
The department shall safeguard the confidentiality of information
received from such departments and agencies. Such other state
departments or state agencies may request from the department, and the
department shall furnish, such information as such other department or
agency may require for the proper discharge of its duties. Such
departments and agencies shall safeguard the confidentiality of such
information, records, and reports in the same manner as the department
in accordance with the provisions of sections one hundred thirty-six,
four hundred forty-four and four hundred sixty-one-e of this chapter or
as otherwise authorized by law.
3. Officers or employees of the department shall maintain the
confidentiality of facts and information obtained as the result of any
inspection or investigation of a facility subject to inspection and
supervision under this article, in the same manner as information
received under subdivision two of this section.
4. All officers of facilities or agencies subject to the inspection of
the department shall furnish to the department, on forms provided by the
department, such information and statistics as it may require, within
sixty days from the expiration of the state fiscal year or such other
fiscal period as may be designated by the department.
Penalties. Any person who intentionally violates any
provision of this article or regulations of the department relating to
certificates of incorporation, operating certificates or confidentiality
of information shall be guilty of a class A misdemeanor.
Construction. The provisions of this article shall not be
deemed or construed to alter, amend, repeal or otherwise modify the
provisions of article nineteen-G of the executive law, relating to
secure and non-secure detention facilities, article nineteen-H of the
executive law relating to residential facilities operating as approved
runaway programs and transitional independent living support programs,
or articles thirteen and eighty-one of the mental hygiene law, relating
to facilities for the mentally disabled or drug dependent persons.
Review of criminal history information concerning prospective
employees, consultants, assistants and volunteers of publicly-funded
emergency shelters for families with children. 1. Every provider of
services to publicly-funded emergency shelters for families with
children, as such phrase is defined in subdivision nine of section four
hundred twelve of this chapter, shall request from the division of
criminal justice services criminal history information, as such phrase
is defined in paragraph (c) of subdivision one of section eight hundred
forty-five-b of the executive law, concerning each prospective employee,
consultant, assistant or volunteer of such provider who will have the
potential for regular and substantial contact with children who are
served by the publicly-funded emergency shelter for families with
children.
(a) Prior to requesting criminal history information concerning any
prospective employee, consultant, assistant or volunteer, a provider
shall:
(1) inform the prospective employee, consultant, assistant or
volunteer in writing that the provider is required to request his or her
criminal history information from the division of criminal justice
services and review such information pursuant to this section; and
(2) obtain the signed informed consent of the prospective employee,
consultant, assistant or volunteer on a form supplied by the division of
criminal justice services which indicates that such person has:
(i) been informed of the right and procedures necessary to obtain,
review and seek correction of his or her criminal history information;
(ii) been informed of the reason for the request for his or her
criminal history information;
(iii) consented to such request; and
(iv) supplied on the form a current mailing or home address.
(b) Upon receiving such written consent, the provider shall obtain a
set of fingerprints of such prospective employee, consultant, assistant,
or volunteer and provide such fingerprints to the division of criminal
justice services pursuant to regulations established by the division of
criminal justice services.
2. A provider shall designate one or two persons in its employ who
shall be authorized to request, receive and review the criminal history
information, and only such persons and the prospective employee,
consultant, assistant or volunteer to which the criminal history
information relates shall have access to such information; provided,
however, the criminal history information may be disclosed to other
personnel authorized by the provider who are empowered to make decisions
concerning prospective employees, consultants, assistants or volunteers
and provided further that such other personnel shall also be subject to
the confidentiality requirements and all other provisions of this
section. A provider shall notify each person authorized to have access
to criminal history information pursuant to this section.
3. A provider requesting criminal history information pursuant to this
section shall also complete a form developed for such purpose by the
division of criminal justice services. Such form shall include a sworn
statement of the person designated by such provider to request, receive
and review criminal history information pursuant to subdivision two of
this section certifying that:
(a) such criminal history information will be used by the provider
solely for purposes authorized by this section;
(b) the provider and its staff are aware of and will abide by the
confidentiality requirements and all other provisions of this section;
and
(c) the persons designated by the provider to receive criminal history
information pursuant to subdivision two of this section shall upon
receipt immediately mark such criminal history information
"confidential," and shall at all times maintain such criminal history
information in a secure place.
4. Upon receipt of the fingerprints and sworn statement required by
this section, the provider shall promptly submit the fingerprints to the
division of criminal justice services.
5. The division of criminal justice services shall promptly provide
the requested criminal history information, if any, to the provider that
transmitted the fingerprints to it. Criminal history information
provided by the division of criminal justice services pursuant to this
section shall be furnished only by mail or other method of secure and
confidential delivery, addressed to the requesting provider. Such
information and the envelope in which it is enclosed shall be
prominently marked "confidential," and shall at all times be maintained
by the provider in a secure place.
6. Upon receipt of criminal history information from the division of
criminal justice services, the provider may request, and is entitled to
receive, information pertaining to any crime identified on such criminal
history information from any state or local law enforcement agency,
district attorney, parole officer, probation officer or court for the
purposes of determining whether any grounds relating to such crime exist
for denying an application, renewal, or employment.
7. After receiving criminal history information pursuant to
subdivisions five and six of this section and before making a
determination, the provider shall provide the prospective employee,
consultant, assistant or volunteer with a copy of such criminal history
information and a copy of article twenty-three-A of the correction law
and inform such prospective employee, consultant, assistant and
volunteer of his or her right to seek correction of any incorrect
information contained in such criminal history information provided by
the division of criminal justice services pursuant to the regulations
and procedures established by the division of criminal justice services
and the right of the prospective employee, consultant, assistant or
volunteer to provide information relevant to such analysis.
8. Criminal history information obtained pursuant to subdivisions five
and six of this section shall be considered by the provider in
accordance with the provisions of article twenty-three-A of the
correction law and subdivisions fifteen and sixteen of section two
hundred ninety-six of the executive law.
9. A prospective employee, consultant, assistant or volunteer may
withdraw from the application process, without prejudice, at any time
regardless of whether he or she, or the provider, has reviewed his or
her criminal history information. Where a prospective employee,
consultant, assistant or volunteer withdraws from the application
process, any fingerprints and criminal history information concerning
such prospective employee, consultant, assistant or volunteer received
by the provider shall, within ninety days, be returned to such
prospective employee, consultant, assistant or volunteer by the person
designated for receipt of criminal history information pursuant to
subdivision two of this section.
10. Any person who willfully permits the release of any confidential
criminal history information contained in the report to persons not
permitted by this section to receive such information shall be guilty of
a misdemeanor.
11. The commissioner of the division of criminal justice services, in
consultation with the office of temporary and disability assistance,
shall promulgate all rules and regulations necessary to implement the
provisions of this section, which shall include convenient procedures
for the provider to promptly verify the accuracy of the reviewed
criminal history information and, to the extent authorized by law, to
have access to relevant documents related thereto.
TITLE 2 Residential Programs For Adults
Responsibility for standards. 1. The department shall
promulgate and may alter or amend regulations effectuating the
provisions of this title, including but not limited to establishing
fiscal, administrative, architectural, safety, nutritional and program
standards which apply to all adult care facilities subject to its
inspection and supervision. Such regulations may be promulgated,
altered or amended only after consultation with the board of social
welfare, department of mental hygiene, health department and office for
the aging.
2. In addition to those standards established pursuant to regulations
under subdivision one hereof, the department of mental hygiene may
propose any supplementary standards relating to the necessity for and
content of programs designed to protect the health and well-being of
mentally disabled persons, as defined in the mental hygiene law, which
shall apply to any facility which cares for a significant number of such
persons. The promulgation by the department of any regulations adopting
such supplementary standards shall be subject to the approval of the
department of mental hygiene.
3. Nothing contained within this title shall prohibit an operator of
any adult care facility from exceeding the requirements of this title or
the regulations of the department which effectuate the provisions of
this title.
Responsibility for inspection and supervision. 1. The
department shall be responsible for the inspection and supervision of
all adult care facilities subject to the provisions of section four
hundred sixty-c of this chapter; provided, however, that the department
shall by a written cooperative agreement entered into by October first,
nineteen hundred seventy-seven, develop a system of joint inspection
with the department of mental hygiene, with respect to any such facility
providing residential care to a significant number of mentally disabled
persons.
2. (a) With respect to adult care facilities the department shall
conduct a minimum of one unannounced inspection of each such facility to
determine the adequacy of care being rendered, pursuant to the
following:
(1) Such facilities receiving the department's highest rating shall be
inspected at least once every eighteen months on an unannounced basis.
(2) All other such facilities shall be inspected on an unannounced
basis no less than annually. The commissioner may provide for more
frequent inspections of any such facilities. Such inspection shall not
be required with respect to any facility for which the commissioner has
delegated responsibility for inspection and supervision to a social
services official pursuant to section four hundred sixty-c of this
chapter. Any employee of the department or a social services district
who gives or causes to be given advance notice of such unannounced
inspections to any unauthorized persons shall, in addition to any other
penalty provided by law, be suspended by the department or the social
services district from all duties without pay for at least five days or
for such greater period of time as the department or social services
district shall determine. Any such suspension shall be made by the
department or social services district in accordance with all other
applicable provisions of law.
(b) The department or a social services district, where appropriate,
shall each year conduct a minimum of one full inspection of each adult
care facility. Such inspection shall include, but shall not be limited
to, examination of the medical, dietary and social services records of
the facility as well as the minimum standards of construction, life
safety standards, quality and adequacy of care, rights of residents,
payments and all other areas of operation. The purpose of any inspection
shall be to determine compliance with requirements of applicable
provisions of law and regulations of the department.
(c) An inspection report shall be made of each inspection which shall
clearly identify and indicate in detail each area of operation,
including, but not limited to, the premises, equipment, personnel,
resident care and services, and whether each such area of operation or
any of its component parts is or is not in compliance with the
regulations of the department and all other applicable requirements. It
also shall identify those areas of operation or any of its component
parts found not in compliance as a result of failure in systemic
practices and procedures. The operator shall be notified of the results
of the inspection in a manner to be determined by regulations of the
department. Such notification shall contain directions as may be
appropriate as to the manner and time in which compliance with
applicable requirements of law or regulations of the department shall be
effected. The department shall also require the operator of an adult
home or residence for adults to develop, biannually update and implement
plans for quality assurance activities for each area of operation.
Quality assurance activities include but are not limited to, development
and maintenance of performance standards including infection control,
measurement of adherence to such standards and to applicable state and
local laws and regulations, identification of performance failures,
design, and implementation of corrective action. Each plan must also
include the creation of a quality improvement committee that is charged
with meeting periodically, at least once every six months, to review
summary findings from monitoring implementation of the facility's plan,
evaluating the effectiveness of corrective action policies, and
identifying trends and improvement activities. While reviewing facility
performance, the committee shall not examine personally identifiable
resident incidents. Such committee shall include the administrator or
operator of the facility, the resident council president or other
resident representative, and representatives from frontline employees
from each area of operation.
(d) Systemic practices or procedures are those activities related to
each area of operation which indicate a pattern or an inability to bring
the operation of the facility into compliance with applicable provisions
of laws and regulations.
(e) Nothing contained in this subdivision shall limit or restrict the
ability of the department or social services district, where
appropriate, to conduct more than one inspection of an adult care
facility, for whatever purpose, as is deemed necessary for ensuring
compliance with applicable provisions of law and regulations of the
department.
3. (a) Pursuant to regulations promulgated by the commissioner, in
consultation with the director of the state office for the aging, no
facility or individual shall restrict or prohibit the access to the
facility nor interfere with the performance of the official duties,
including confidential visits with residents, of duly designated persons
participating in the long term care ombudsman program as provided for in
section five hundred forty-five of the executive law. No facility or
individual shall retaliate or take reprisals against any resident,
employee, or other person for having filed a complaint with, or having
provided information to, any long term care patient ombudsman
functioning in accordance with section five hundred forty-four or
section five hundred forty-five of the executive law.
(b) In addition, no facility which provides residential care and
services for adults shall restrict or prohibit the access to the
facility nor interfere with confidential visits with residents by:
(i) Family members, guardians, friends of an individual resident and
legal representatives, legal counsels and case managers;
(ii) Individuals representing community organizations or service
agencies who will provide, free of charge, a service or educational
program to residents;
(iii) An employee or representative of any public or private
not-for-profit corporation, community organization or association whose
primary purposes for visiting include assisting residents in resolving
problems and complaints concerning their care and treatment, and in
securing adequate services to meet their needs. The operator shall make
available a common area of the facility for such visits.
(c) The department shall establish and maintain a registry of public
or private not-for-profit corporations, community organizations or
associations assured access to facilities which provide residential care
and services for adults pursuant to subparagraph (iii) of paragraph (b)
of this subdivision. Any such corporation, community organization or
association shall file a copy of its certificate of incorporation with
the registry established and maintained by the department.
(d) Persons assured access to a residential care facility for adults
pursuant to this subdivision shall not enter the living area of any
resident without identifying themselves to the resident, stating the
purpose of the visit, and receiving the permission of the resident and
the resident's roommate to enter the living area.
(e) Individual residents shall have the right to terminate or deny any
visit to them by persons assured access to the facility pursuant to this
subdivision.
(f) Visits by individuals assured access to facilities which provide
residential care and services for adults pursuant to subparagraphs (i),
(ii) and (iii) of paragraph (b) of this subdivision shall be permitted
during a period of at least ten hours between 9:00 o'clock a.m. and 8:00
o'clock p.m. unless extended by arrangement with the facility.
(g) Notwithstanding any provision of paragraph (b) of this
subdivision, the operator of a facility which provides residential care
and services for adults may restrict or prohibit access to the facility
or interfere with confidential visits with residents by individuals who
the operator has reasonable cause to believe would directly endanger the
safety of such residents.
(h) Whenever an individual is denied access pursuant to paragraph (g)
of this subdivision the operator must record a detailed written
statement describing the reasons for denial of access to any such
individual. This statement shall be maintained by the facility and be
accessible to residents, persons denied access, and the department.
(i) If the operator of a facility denies access pursuant to paragraph
(g) of this subdivision, the person denied access may bring an action in
supreme court in the county in which the facility is located for an
order granting such person access to such facility. If the court finds
that such denial was made in bad faith, the operator of the facility
shall be liable for all costs, including reasonable attorney's fees, and
the court may, in its discretion, assess a civil penalty not to exceed
fifty dollars per day for each day such access was denied.
4. Pursuant to regulations promulgated by the commissioner in
consultation with the director of the office for the aging, no facility
shall restrict or prohibit access by records access ombudsmen specially
designated under section five hundred forty-four of the executive law to
the medical or personal records of any patient or resident if such
patient or resident, or, where appropriate, committee for an
incompetent, has given express written consent to such disclosure;
provided, however, that (i) in the case of medical records, disclosure
may be exclusive of the personal notes of the physician as defined in
such regulations and (ii) access may be limited to such times as may be
specified in such regulations. Such records shall be made available by a
member or members of the facility's staff who shall be designated by the
facility to provide access to and, where necessary, interpretation of
such records to such access ombudsman, who shall have the right to
photocopy such records. The facility may charge a reasonable fee for
photocopying pursuant to such regulations. Disclosure to a records
access ombudsman of records of any patient or resident pursuant to the
written consent of such patient or resident shall not give rise to any
claim against the facility, its staff, or the patient's or resident's
physician based solely on the fact of such disclosure pursuant to such
written consent. Nothing in this subdivision shall be construed to limit
or abridge any right of access to records, including financial records,
otherwise available to ombudsmen, patients or residents, or any other
person.
Provisions related to establishment of adult care facilities.
1. (a) Only a natural person or partnership composed only of natural
persons, a not-for-profit corporation, a public corporation, a business
corporation other than a corporation whose shares are traded on a
national securities exchange or are regularly quoted on a national
over-the-counter market or a subsidiary of such corporation or a
corporation any of the stock of which is owned by another corporation, a
limited liability company provided that if a limited liability company
has a member that is a corporation, a limited liability company or a
partnership, the shareholders of the member corporation, the members of
the member limited liability company, or the partners of the member
partnership must be natural persons, a social services district or other
governmental agency may be issued an operating certificate by the
department for the purpose of operating an adult care facility, except
family type homes for adults, which may be issued operating certificates
by the department or social services district only if such facilities
are operated by a natural person or persons. The holder of an operating
certificate for the purposes of operating an adult home shall not be
issued an operating certificate for the purposes of operating an
enriched housing program if such adult home operator has not met
compliance standards during the most recent inspection cycle. Provided
however, the department may deem an operator eligible to receive an
operating certificate for the purposes of operating an enriched housing
program upon the consideration of the results of previous inspections
and whether the operator is meeting the needs of the residents and is
providing quality care.
(b) A natural person may seek certification as an operator of a
family-type home for adults to provide long-term residential care and
personal care and/or supervision to persons related to the operator,
provided that the relationship between the operator and resident is not
that of spouse, in-law, child or step-child.
(c) An appropriation made available for the purposes of funding the
operating assistance sub-program for enriched housing up to the amount
appropriated for such purpose in the nineteen hundred
ninety-six--ninety-seven state fiscal year shall be limited to any
enriched housing program operated by a public agency, public corporation
or a not-for-profit corporation, which may be issued an operating
certificate by the department to operate an enriched housing program.
2. (a) No adult care facility shall be operated unless and until the
operator obtains the written approval of the department. Such approval
may be granted only to an operator who satisfactorily demonstrates: that
the operator is of good moral character; that the operator is
financially responsible; that there is a public need for the facility;
that the buildings, equipment, staff, standards of care and records to
be employed in the operation comply with applicable law and regulations
of the department and that any license or permit required by law for the
operation of such facility has been issued to such operation. In
determining whether there is a public need for the facility, the
department shall give consideration to the relative concentration of
such facilities in the area proposed to be serviced. Such approval for
family type home for adults shall not be granted unless the appropriate
social services official has made the required visitation and inspection
and has submitted a report thereof to the department in accordance with
this article.
(b) For existing licensed operators in good standing and their
affiliates, the department shall develop a streamlined application
review and approval process, in collaboration with representatives of
associations of operators, to be available for use in relation to
approval of an additional facility of the same type. Notwithstanding any
provision of law or regulation to the contrary, the streamlined
application review and approval process shall include, but not be
limited to, the following:
(i) a certification process and form for the operator or its affiliate
to attest that it will have sufficient financial resources, revenue and
financing to meet facility expenses and resident needs, which shall
satisfy the statutory and regulatory financial component of the
application review and approval process;
(ii) a certification process and form for the operator or its
affiliate to attest that its legal, corporate and organizational
documents comply in substance with department requirements, which shall
satisfy the statutory and regulatory legal component of the application
review and approval process;
(iii) a certification process and form for the operator or its
affiliate to attest that it is in substantial compliance with all
applicable codes, rules and regulations in any other state in which it
operates, and to disclose any enforcement or administrative action taken
against it in any other state;
(iv) issuance by the department of a conditional approval to operate
the facility for a specified period of time upon substantial completion
of the character and competence, legal, financial and architectural
components of the application, so long as the operator or its affiliate
agrees in writing to satisfy all pending conditions prior to the
expiration of the conditional approval period or a time frame
established by the department;
(v) issuance by the department of a conditional approval to construct
a facility, at the operator's or its affiliate's own risk, upon
substantial completion of the architectural component of the
application;
(vi) elimination of duplicative submission and review of any
application information which has been previously reviewed and approved
by the department or any of its regional offices within the past two
years through a certification process and form whereby the operator or
its affiliate will attest that such application information is
duplicative;
(vii) with respect to any programmatic application information to be
reviewed by the regional office, such review shall be conducted on-site
by the regional office during the pre-opening inspection or first full
annual inspection, if the department has previously approved the
operator or its affiliate to operate the same type of program at another
facility within the past two years;
(viii) electronic submission of applications; and
(ix) a combined application for licensure as an adult care facility,
assisted living residence and/or assisted living program, to the extent
the department determines such a combined application is feasible.
(b-1) For purposes of paragraph (b) of this subdivision, "affiliate"
shall mean an entity, for which a majority of the ownership or
controlling interest is the same as the ownership or controlling
interest in an existing licensed operator under this section (provided
that an affiliate may have different percentages of ownership or control
or fewer natural persons with ownership or control than an existing
operator) and, further:
(i) for any entity owned, directly or indirectly, by natural persons:
(A) at all times, more than half of the ownership interest of the
entity shall be owned, directly or indirectly, by natural persons who
have previously been determined to have undergone a satisfactory
determination of character, competence and standing in the community;
(B) at all times, any owner with a direct or indirect ownership
interest who has not undergone a satisfactory determination of
character, competence and standing in the community review must possess
a less than ten percent direct or indirect interest in the entity, until
a satisfactory determination has been made; and
(C) for any natural person proposed to be an owner, directly or
indirectly, of the entity who is a controlling person, member, director,
or officer of an existing licensed operator under this section, such
existing licensed operator must be in good standing with the department;
and
(ii) for any not-for-profit corporation or other entity not under
subparagraph (i) of this paragraph:
(A) more than half of the entity's total board members, directors,
officers and controlling persons shall have previously undergone a
satisfactory determination of character, competence and standing in the
community; and
(B) if any natural person proposed to be a board member, director, or
officer of the entity has an ownership interest, directly or indirectly,
or is a board member, director, officer, or controlling person, in an
existing licensed operator under this section, such existing licensed
operator must also be in good standing with the department.
(b-2) For purposes of paragraph (b) of this subdivision, "good
standing" shall mean the operator and its affiliates have not (A)
received any official written notice from the department of a proposed
revocation, suspension, denial or limitation on the operating
certificate of the facility or residence; (B) within the previous three
years, been assessed a civil penalty after a hearing conducted pursuant
to subparagraph one of paragraph (b) of subdivision seven of section
four hundred sixty-d of this article for a violation that has not been
rectified; (C) within the previous year, received any official written
notice from the department of a proposed assessment of a civil penalty
for a violation described in subparagraph two of paragraph (b) of
subdivision seven of section four hundred sixty-d of this article; (D)
within the previous three years, been issued an order pursuant to
subdivision two, five, six or eight of section four hundred sixty-d of
this article; (E) within the previous three years, been placed on, and
if placed on, removed from the department's "do not refer list" pursuant
to subdivision fifteen of section four hundred sixty-d of this article.
Provided, however, that in the case of an operator or affiliate that is
not in good standing as provided in this paragraph, the department may
permit the operator or affiliate to use the streamlined application
process, in its discretion, if it determines that the disqualifying
violation was an isolated occurrence that was promptly corrected by the
operator or affiliate.
(c) After an operator obtains approval of the department for the
operation of an adult care facility he may operate such facility only so
long as he continues to do so in compliance with the requirements of
such approval, applicable law, and the regulations of the department.
(d) The knowing operation of an adult care facility without the prior
written approval of the department shall be a class A misdemeanor.
3. (a) The department shall not approve an application for
establishment of an adult care facility unless it is satisfied insofar
as applicable, as to (i) the character, competence and standing in the
community, of the applicant; provided, however, with respect to any such
applicant who is already or within the past ten years has been an
incorporator, director, sponsor, stockholder, operator, administrator,
member or owner of any adult care facility which has been issued an
operating certificate by the board or the department, or of a halfway
house, hostel or other residential facility or of a program or facility
licensed or operated by a health, mental hygiene, social services or
education agency or department of this or any state, or a program
serving persons with mental disabilities, or other persons with
disabilities as defined in subdivision twenty-one of section two hundred
ninety-two of the executive law, the aged, children or other persons
receiving health, mental hygiene, residential, social or educational
services, no approval of such application shall be granted unless the
department shall affirmatively find by substantial evidence as to each
such applicant that a substantially consistent high level of care is
being or was being rendered in each such facility or institution with
which such person is or was affiliated; for the purposes of this
paragraph, there may be a finding that a substantially consistent high
level of care has been rendered where there have been violations of
applicable rules and regulations, that (1) did not threaten to directly
affect the health, safety or welfare of any patient or resident, and (2)
were promptly corrected and not recurrent; (ii) the financial resources
of the proposed facility and its sources of future revenue; and (iii)
such other matters as it shall deem pertinent.
(b) Any natural person or partnership composed only of natural
persons, not-for-profit corporation, public corporation, business
corporation other than a corporation whose shares are traded on a
national securities exchange or are regularly quoted on a national
over-the-counter market or a subsidiary of such corporation or a
corporation any of the stock of which is owned by another corporation, a
limited liability company provided that if a limited liability company
has a member that is a corporation, a limited liability company or a
partnership, the shareholders of the member corporation, the members of
the member limited liability company, or the partners of the member
partnership must be natural persons, social services district or other
governmental agency filing an application for approval to operate a
residence for adults, adult home or enriched housing program, shall file
with the department such information on the ownership of the property
interest in such facility as shall be prescribed by regulation,
including the following:
(i) The name and address and a description of the interest held by
each of the following persons:
(1) any person, who directly or indirectly, beneficially owns any
interest in the land on which the facility is located;
(2) any person who, directly or indirectly, beneficially owns any
interest in the building in which the facility is located;
(3) any person who, directly or indirectly, beneficially owns any
interest in any mortgage, note, deed of trust or other obligation
secured in whole or in part by the land on which or building in which
the facility is located; and
(4) any person who, directly or indirectly, has any interest as lessor
or lessee in any lease or sub-lease of the land on which or the building
in which the facility is located.
(ii) If any person named in response to subparagraph (i) of this
paragraph is a partnership or limited liability company, then the name
and address of each partner or member.
(iii) If any person named in response to subparagraph (i) of this
subdivision is a corporation, other than a corporation whose shares are
traded on a national securities exchange or are regularly quoted in an
over-the-counter market or which is a commercial bank, savings bank or
savings and loan association, then the name and address of each officer,
director, stockholder and, if known, each principal stockholder and
controlling person of such corporation.
(iv) If any corporation named in response to subparagraph (i) of this
subdivision is a corporation whose shares are traded on a national
securities exchange or are regularly quoted in an over-the-counter
market or which is a commercial bank, savings bank or savings and loan
association, then the name and address of the principal executive
officers and each director and, if known, each principal stockholder of
such corporation.
(v) For the purpose of this section the term "controlling person"
shall mean any person who by reason of a direct or indirect ownership
interest (whether of record or beneficial) has the ability, acting
either alone or in concert with others with ownership interests, to
direct or cause the direction of the management or policies of said
corporation, partnership or other entity. Neither the department nor any
employee of the department shall, by reason of his or her official
position, be deemed a controlling person of any corporation, partnership
or other entity, nor shall any person who serves as an officer,
administrator or other employee of any corporation, partnership or other
entity or as a member of a board of directors or trustees of any
corporation be deemed to be a controlling person of such corporation,
partnership or other entity as a result of such position or his or her
official actions in such position. The term "principal stockholder"
shall mean any person who beneficially owns, holds or has the power to
vote, ten percent or more of any class of securities issued by said
corporation.
(c) No articles of organization of a limited liability company
established pursuant to the New York limited liability law which
includes among its powers or purposes the establishment or operation of
any adult home, residence for adults or enriched housing program as
defined in section two of this chapter, shall be filed with the
department of state unless the written approval of the department is
annexed to the articles of organization.
3-a. (a) Every person who is a controlling person of any adult care
facility liable under any provision of this article to any person or
class of persons for damages or to the state for any civil fine,
penalty, assessment of damages, shall also be liable, jointly and
severally, with and to the same extent as such adult care facility, to
such person or class of persons for damages or to the state for any such
civil fine, penalty, assessment or damages.
(b) For the purposes of this section the term "controlling person"
shall mean any person who by reason of a direct or indirect ownership
interest (whether of record or beneficial) has the ability, acting
either alone or in concert with others with ownership interests, to
direct or cause the direction of the management or policies of said
corporation, partnership or other entity. Neither the department nor any
employee of the department shall, by reason of his or her official
position, be deemed a controlling person of any corporation, partnership
or other entity, nor shall any person who serves as an officer,
administrator or other employee of any corporation, partnership or other
entity or as a member of a board of directors or trustees of any
corporation be deemed to be a controlling person of such corporation,
partnership or other entity as a result of such position or his or her
official actions in such position. The term "principal stockholder"
shall mean any person who beneficially owns, holds or has the power to
vote, ten percent or more of any class of securities issued by said
corporation.
4. No person, corporation, home, institution, hotel or other
residential facility or accommodation other than a facility or agency
which possesses a valid operating certificate, as required under the
provisions of this chapter, the mental hygiene law or public health law
shall hold itself out, advertise or otherwise in any form or manner
represent that it is a facility offering accommodations and services for
dependent, aged or disabled adults.
5. Any adult care facility subject to the provisions of this section
that possesses a valid operating certificate as of October first,
nineteen hundred seventy-seven shall be deemed to have department
approval to continue operation of such facility for the duration or the
period for which such certificate was issued, provided such facility
continues to be operated in accordance with applicable provisions of law
and department regulations.
6. (a) The department, prior to making a final determination with
respect to approving the establishment of, or the certificate of
incorporation of, or the articles of organization of, or an operating
certificate for a residence for adults, adult home, or enriched housing
program, shall in addition to any other requirements of law take into
consideration and be empowered to request information and advice as to
the availability of facilities or services such as ambulatory, home care
or other services which may serve as alternatives or substitutes for the
whole or any part of a proposed facility and the possible economies and
improvements in services to be anticipated from the operation of
centralized facilities and services reasonably available in the regional
services area.
(b) In determining whether there is a public need for a residence for
adults or an adult home, the department shall consider the advice of the
state health planning and development agency designated pursuant to the
provisions of the national health planning and resources development act
of nineteen hundred seventy-four and any amendments thereto.
(c) Notwithstanding any other provision of this article, the
department shall not consider public need in determining whether to
approve any proprietary adult home that was in existence and operating
on September first, nineteen hundred seventy-five as a family care home
under the mental hygiene law or an adult care facility operated by a
social services district.
7. (a) The department shall suspend, limit, modify or revoke an
operating certificate of a shelter for adults, residence for adults or
adult home upon determining that such action would be in the public
interest in order to conserve resources by restricting the number of
beds, or the level of services, or both, to those which are actually
needed, after taking into consideration the total number of beds
necessary to meet the public need, and the availability of facilities or
services such as ambulatory, home care or other services which may serve
as alternatives or substitutes for the whole or any part of a facility,
and in the case of modification, the level of care and the nature and
type of services provided by a facility or required by all or some of
the residents in or seeking admission to such facility, and whether such
level of care is consistent with the operating certificate of the
facility.
(b) Wherever any finding as described in this subdivision is under
consideration with respect to any particular facility, the department
shall cause to be published in a newspaper of general circulation in the
geographic area of the facility at least thirty days prior to making
such a finding an announcement that such a finding is under
consideration and an address to which interested persons can write to
make their views known. The department shall take all public comments
into consideration in making such a finding.
(c) The department shall, upon such finding described in this
subdivision with respect to any facility or project, cause such facility
to be notified of the finding at least thirty days in advance of taking
the proposed action to revoke, suspend, limit, or modify the facility's
operating certificate. Upon receipt of any such notification and before
the expiration of the thirty days or such longer period as may be
specified in the notice, the facility may request a public hearing to be
held in the county in which the facility is located. In no event shall
the revocation, suspension, limitation, or modification take effect
prior to the thirtieth day after the date of the notice or prior to the
effective date specified in the notice or prior to the date of the
hearing decision, whichever is later.
(d) Except as otherwise provided by law, all appeals from a finding of
the department made pursuant to this subdivision shall be directly to
the appellate division of the supreme court in the third department.
Except as otherwise expressly provided by law, such appeals shall have
preference over all issues in all courts.
8. No adult care facility certified by the department which is
operating in compliance with this chapter and regulations shall be
required to be certified by the office of mental health as a residential
care center for adults.
9. (a) The prior written approval of the department is required for:
(i) any transfer, assignment or other disposition of ten percent or more
of an interest or voting rights in a partnership, business corporation
or limited liability company which is the operator of an adult care
facility to a new partner, shareholder or member; or (ii) any transfer,
assignment or other disposition of interest or voting rights in a
partnership, business corporation or limited liability company which is
the operator of an adult care facility which results in the ownership or
control of more than ten percent of the interest or voting rights
thereunder by any person who has not been previously approved by the
department for that operator.
(b) With respect to a transfer, assignment or disposition involving
less than ten percent of an interest or voting rights in such
partnership, business corporation or limited liability company to a new
partner, shareholder or member, no prior approval of the department
shall be required except where required by paragraph (a) of this
subdivision. However, no such transaction shall be effective unless at
least ninety days prior to the intended effective date thereof, the
partnership, business corporation or limited liability company fully
completes and files with the department notice on a form, to be
developed by the department, which shall disclose such information as
may reasonably be necessary for the department to determine whether it
should prohibit the transaction. Within ninety days from the date of
receipt of such notice, the department may prohibit any such transaction
under this subparagraph if it finds: (i) there are reasonable grounds to
believe the proposed transaction does not satisfy the character and
competence review, as may be appropriate; or (ii) if the transaction,
together with all other such transactions during any five year period,
would in the aggregate, involve twenty-five percent or more of the
interest in the entity that constitutes the operator. The department
shall state the specific reasons for prohibiting any transaction under
this subparagraph and shall so notify each party to the proposed
transaction.
(c) With respect to a transfer, assignment or disposition of an
interest or voting rights in a partnership, business corporation or
limited liability company to any existing partner, shareholder or
member, no prior approval of the department shall be required. However,
if the transaction involves the withdrawal of the transferor from the
partnership, business corporation or limited liability company, no such
transaction shall be effective unless at least ninety days prior to the
intended effective date thereof, the partnership, business corporation
or limited liability company fully completes and files with the
department notice of such transaction. Within ninety days from the date
of receipt of such notice, the department may prohibit any such
transaction under this paragraph if the equity position of the
partnership, business corporation or limited liability company,
determined in accordance with generally accepted accounting principles,
would be reduced as a result of the transfer, assignment or disposition.
The department shall state the specific reason for prohibiting any
transaction under this paragraph and shall so notify each party to the
proposed transaction.
10. Notwithstanding any provision of law to the contrary, the
department is authorized to approve a certificate of incorporation or
articles of organization for establishment of an adult care facility on
an expedited basis where: (a) the certificate of incorporation or
articles of organization reflects solely a change in the form of the
business organization of an existing entity which had been approved by
the department to operate an adult care facility; (b) every
incorporator, stockholder, member and director of the new entity shall
have been an owner, partner, incorporator, stockholder, member or
director of the existing entity; (c) the distribution of ownership
interests and voting rights in the new entity shall be the same as in
the existing entity; and (d) there shall be no change in the operator of
the adult care facility other than the form of its business
organization, as a result of the approval of such certificate of
incorporation or articles of organization. Upon submission, if the
department does not object to the proposal within ninety days of the
receipt of a complete application, the proposal will be deemed
acceptable to the department and an amended operating certificate shall
be issued.
Resident care, services and charges. 1. Every operator of an
adult care facility, except a shelter for adults, shall execute with
each applicant for admission a written admission agreement, dated and
signed by the operator and the parties to be charged, which shall
contain the entire agreement of the parties and such other information
as department regulations shall require.
2. Such agreement executed pursuant to subdivision one of this section
shall enumerate in such detail as may be required by department
regulation all charges, expenses and other assessments, if any, for
services, materials, equipment and food, required by law or regulations
and other services, materials, equipment and food which such operator
agrees to furnish and supply to such resident during the period of
residency. No additional charges or expenses may be assessed against any
resident of a residence for adults, adult home or enriched housing
program, in excess of that contained in such agreement, except (a) upon
express written approval and authority of the resident, or his or her
sponsor, if any, or (b) in order to provide additional care, services or
supplies, upon the express order of the attending physician of the
resident, or (c) upon thirty days notice to the resident and to his or
her sponsor, if any, of additional charges and expenses due to increased
cost of maintenance and operation. However, in the event of any
emergency arising which affects such resident, additional charges may be
assessed for the benefit of such resident as are reasonable and
necessary for services, materials, equipment and food furnished and
supplied during such emergency.
2-a. (a) There shall be an implied warranty of habitability in each
written admission agreement executed pursuant to this section that shall
ensure the premises be fit for human habitation and for the uses
reasonably intended by the operator and the resident and that the
occupants of the facility shall not be subjected to any conditions which
would be dangerous, hazardous or detrimental to their life, health,
safety or welfare. Such statement shall not be read to be in any way
limiting a resident's rights to relief in an administrative or judicial
proceeding.
(b) An action for breach of the warranty of habitability and any
violation of a written admission agreement may be maintained in a court
of competent jurisdiction by the resident or representative of the
resident. The court shall apply New York Rules of Court Part 130 to any
action brought pursuant to this section.
3. The written agreement executed pursuant to subdivision one of this
section shall include a statement indicating that the resident and any
person designated by the resident shall be notified by the operator at
the request of the resident pursuant to regulations promulgated by the
department and, shall be provided written notification by the facility
not less than thirty days prior to a termination of the resident's
admission and services agreement; a statement that upon discharge or
transfer, the resident and any person designated by the resident shall
be notified by the operator at the request of the resident pursuant to
regulations promulgated by the department and, is entitled to a final
written statement of his or her account and that the resident is
entitled to the prompt return, within three business days, of any of his
or her money, property or thing of value held in trust or in custody by
the facility; a statement which details any and all money, property or
thing of value which is given, or promised to be given to the facility
on admission or at any other time, including any agreements made by
third parties for the benefit of a resident; and such other provisions
as the department determines necessary to fully inform the resident of
those items of care, services, materials, equipment and food that must
be provided by the facility pursuant to other applicable laws and
regulations, and the frequency thereof, and any additional items of
care, services, materials, equipment and food that the facility may in
its discretion agree to provide, and the frequency thereof. Waiver of
any provision contained herein by a resident shall be void. Such
statement as herein provided shall be annexed to the admission
agreement.
4. No resident of an adult care facility who is entitled to receive a
personal allowance pursuant to the provisions of section one hundred
thirty-one-o of this chapter shall be required to use any of the
proceeds from such allowance to pay the operator of an adult care
facility for any services or supplies, unless the resident elects to
purchase such services or supplies and the department has determined
that such services or supplies are not otherwise required to be provided
by the operator pursuant to law, regulation or agreement and the charges
for such services or supplies are reasonable.
5. Whenever a resident authorizes an operator of an adult care
facility or any person affiliated therewith, to exercise control over
his or her money, property or thing of value, such authorization shall
be in writing and subscribed by the parties to be charged. Any such
money, property or thing of value belonging to the resident shall not be
mingled with the funds or become an asset of the person receiving the
same, but shall be segregated and recorded on the facility's financial
records as independent accounts.
6. No adult care facility shall receive or retain any person who is in
need of continual medical or nursing care as provided by facilities
licensed pursuant to article twenty-eight of the public health law or
articles nineteen, twenty-three, thirty-one and thirty-two of the mental
hygiene law.
7. (a) At the time of the admission to an adult care facility, other
than a shelter for adults, a resident shall submit to the facility a
written report from a physician, a physician assistant or a nurse
practitioner, which report shall state:
(i) that the physician, physician assistant or nurse practitioner has
physically examined the resident within one month and the date of such
examination;
(ii) that the resident is not in need of acute or long term medical or
nursing care which would require placement in a hospital or residential
health care facility; and
(iii) that the resident is not otherwise medically or mentally
unsuited for care in the facility.
(b) For the purpose of creating an accessible and available record and
assuring that a resident is properly placed in such a facility, the
report shall also contain the resident's significant medical history and
current conditions, the prescribed medication regimen, and
recommendations for diet, the assistance needed in the activities of
daily living and where appropriate, recommendations for exercise,
recreation and frequency of medical examinations.
(c) Such resident shall thereafter be examined by a physician, a
physician assistant or a nurse practitioner, at least annually and shall
submit an annual written report in conformity with the provisions of
this subdivision.
(d) Following a resident's stay in a hospital or residential health
care facility, upon return to the adult care facility, the adult care
facility shall not be required to obtain the report in paragraph (a) of
this subdivision, and instead shall obtain a statement from the
discharging facility which shall:
(i) state that the resident is appropriate to return to the facility;
and
(ii) include the reason for the resident's stay, the treatment plan to
be followed, and any new or changed orders, including medications.
The statement shall be completed by a physician, a physician assistant
or a nurse practitioner.
(e) Nothing required in this section shall require the use of an
identical form in adult care facilities and assisted living residences,
either upon admission or return.
8. The department shall promulgate regulations with respect to the
safekeeping and administration of medications in any adult care facility
subject to the provisions of section four hundred sixty-c of this
article, in accordance with applicable provisions of law, and after
consultation with the state department of health and appropriate offices
of the state department of mental hygiene.
9. The department shall, with the consent of a resident living in a
facility which has received the lowest rating for eighteen months from
the effective date of this subdivision, pursuant to section four hundred
sixty-one-n of this title, present the resident and any person
designated by the resident with options on relocating such resident to a
facility which has obtained a higher rating, or other housing
alternatives.
Rights of residents in adult care facilities. 1. The
principles enunciated in subdivision three hereof are declared to be the
public policy of the state and a copy of such statement of rights and
responsibilities shall be posted conspicuously in a public place in each
facility covered hereunder.
2. The department shall require that every adult care facility shall
adopt and make public a statement of the rights and responsibilities of
the residents who are receiving care in such facilities, and shall treat
such residents in accordance with the provisions of such statement.
3. Resident rights and responsibilities shall include, but not be
limited to the following:
(a) Every resident's civil and religious liberties, including the
right to independent personal decisions and knowledge or available
choices, shall not be infringed and the facility shall encourage and
assist in the fullest possible exercise of these rights.
(b) Every resident shall have the right to have private communications
and consultations with his or her physician, attorney, and any other
person.
(c) Every resident shall have the right to present grievances on
behalf of himself or herself or others, to the facility's staff or
administrator, to governmental officials, or to any person without fear
of reprisal, and to join with other residents or individuals within or
outside of the facility to work for improvements in resident care.
(d) Every resident shall have the right to manage his or her own
financial affairs.
(e) Every resident shall have the right to have privacy in treatment
and in caring for personal needs.
(f) Every resident shall have the right to confidentiality in the
treatment of personal, social, financial and medical records, and
security in storing personal possessions.
(g) Every resident shall have the right to receive courteous, fair,
and respectful care and treatment and a written statement of the
services provided by the facility, including those required to be
offered on an as-needed basis.
(h) Every resident shall have the right to receive or to send personal
mail or any other correspondence without interception or interference by
the operator of an adult care facility or any person affiliated
therewith.
(i) Every resident shall have the responsibility to obey all
reasonable regulations of the facility and to respect the personal
rights and private property of the other residents.
(j) The facility is required to include on its accident or incident
report the resident's version of the events leading to an accident or
incident involving such resident, unless the resident objects.
(k) Every resident shall have the right to authorize those family
members and other adults who will be given priority to visit consistent
with the resident's ability to receive visitors.
(l) Every resident or, in the case of a person who lacks capacity to
consent to his or her health care, a person legally authorized to
consent on behalf of the resident, shall have the right to be fully
informed by his or her physician, or other health or mental health
provider of his or her medical condition and proposed medication,
treatment and services, unless medically contraindicated, and to refuse
medication, treatment or services after being fully informed of the
consequences of such actions; provided that an operator acting
reasonably and in good faith, shall not be held liable or penalized for
complying with the refusal of such medication, treatment or services by
a resident or, in the case of a person who lacks capacity to consent to
his or her health care, a person legally authorized to consent on behalf
of the resident, who has been fully informed of the consequences of such
refusal.
(m) Every resident or, in the case of a person who lacks capacity to
consent to his or her health care, a person legally authorized to
consent on behalf of the resident, shall have the right to choose the
resident's own health care providers for services not covered by his or
her admission agreement.
Waiver of any provision contained within this subdivision by a
resident of an adult care facility shall be void.
4. Every resident of a residence for adults, adult home or enriched
housing program, shall be entitled to receive compensation for services
performed on behalf of such facility or persons affiliated therewith,
and the operator of such facility shall maintain written records stating
the duties to be performed, the rate and type of compensation, and the
hours and days during which these services will be performed.
5. Each operator shall give a copy of the statement of rights and
responsibilities to each resident at or prior to the time of admission
to the facility, or to the appointed personal representative and to each
member of the facility's staff.
6. An operator or employee of a residence for adults, adult home or
enriched housing program or any other entity which is a representative
payee of a resident of such facility pursuant to designation by the
social security administration or which otherwise assumes management
responsibility over the funds of a resident shall maintain such funds in
a fiduciary capacity to the resident. Any interest on money received and
held for the resident shall be the property of the individual resident.
7. Every operator of a residence for adults, adult home, enriched
housing program or family type home for adults shall post a long term
care ombudsman poster in such facility in the main entrance or public
posting area where notices to residents are commonly displayed, or, if
there is no such main entrance or posting area, in the several public
areas within the facility where notices to residents are commonly
displayed, and shall make the long term care ombudsman brochure
available to residents upon request.
Records and reports. 1. Every adult care facility shall
maintain, as public information available for public inspection under
such conditions as the department shall prescribe, records containing
copies of the most recent inspection report pertaining to the facility
that has been issued by the department or social services district or to
the facility.
2. Pursuant to the provisions of article six of the public officers
law, the department shall make available for public inspection copies of
all inspection reports of adult care facilities issued by the
department.
3. Every adult care facility shall:
(a) Post in a prominent position in the facility so as to be
accessible to all residents and to the general public, a summary of the
most recent inspection of such facility performed by the department or a
social services district.
(b) Provide to any resident and each applicant for admission an
opportunity to review the most recent inspection report pertaining to
and issued by the department or social services district to such
facility.
4. (a) Each adult home and residence for adults except those operated
by a social services district shall file an annual financial statement
with the department on or before the fifteenth day of the sixth calendar
month after the close of the facility's fiscal year for which such
report is due, upon forms prescribed by the department and in compliance
with the regulations of the department. Such statement shall clearly set
forth all financial information pertaining to the operation of such
facility in accordance with generally accepted accounting principles,
including but not limited to the following:
(i) revenues and expenses by categories during such fiscal year.
(ii) a balance sheet of the facility as of the end of such fiscal
year, setting forth assets and liabilities at such date, including all
capital, surplus, reserve, depreciation and similar accounts.
(iii) a statement of operations of the facility for such fiscal year,
setting forth all revenues, expenses, taxes, extraordinary items and
other credits or charges.
(iv) the name and address of each of the following persons:
(1) the operator of the facility;
(2) any person who, directly or indirectly, beneficially owns any
interest in the land on which the facility is located;
(3) any person who, directly or indirectly, beneficially owns any
interest in the building in which the facility is located;
(4) any person who, directly or indirectly, beneficially owns any
interest in any mortgage, note, deed of trust or other obligation
secured in whole or in part by the land on which or building in which
the facility is located; and
(5) any person who, directly or indirectly, has any interest as lessor
or lessee in any lease or sub-lease of the land on which or the building
in which the facility is located.
(v) if the facility or any person named in response to subparagraph
(iv) of this paragraph is a partnership, then the name and home address
of each partner.
(vi) if the facility or any person named in response to subparagraph
(iv) of this paragraph is a corporation, other than a corporation whose
shares are traded on a national securities exchange or are regularly
quoted in an over-the-counter market or which is a commercial bank,
savings bank or savings and loan association, then the name and address
of each officer, director, and each principal stockholder and
controlling person of such corporation.
(vii) if any corporation named in response to subparagraph (iv) of
this paragraph is a corporation whose shares are traded on a national
securities exchange or are regularly quoted in an over-the-counter
market or which is a commercial bank, savings bank or savings and loan
association, then the name and address of the principal executive
officers and each director and, if known, each principal stockholder of
such corporation.
(viii) if the facility paid or received an aggregate of five hundred
dollars or more during the fiscal year in connection with transactions
with any person named in response to subparagraph (iv), (v), (vi) or
(vii) of this paragraph or any affiliate of said person, a description
of the transactions, naming the parties thereto and describing the
relationships which require the transactions to be described and the
goods, services, payments or other consideration received by each party
to the transactions. Such facility must make available to the
department, when requested, adequate documentation to support the costs
involved including access to books and records related to such
transactions.
(ix) if known, the nature and amount of any interest in, or
relationship with, any other adult care facility, held by any person
named in response to subparagraph (iv) of this paragraph, or by any
affiliate of such person.
(x) the following definitions shall be applicable to this paragraph
and to any reports filed pursuant to this paragraph:
(1) "affiliate" means:
(A) with respect to a partnership, each partner thereof;
(B) with respect to a corporation, each officer, director, principal
stockholder and controlling person thereof;
(C) with respect to a natural person (a) each member of said person's
immediate family, (b) each partnership and each partner thereof of which
said person or any affiliate of said person is a partner, and (c) each
corporation in which said person or any affiliate of said person is an
officer, director, principal stockholder or controlling person;
(2) "controlling person" of any corporation, partnership or other
entity means any person who has the power, directly or indirectly, to
significantly influence or direct the actions or policies of such
facility. Neither the department nor any employee of the department
shall, by reason of his or her official position, be deemed a
controlling person of any corporation, partnership or other entity;
(3) "immediate family" of any person includes each parent, child,
spouse, brother, sister, first cousin, aunt and uncle of such person
whether such relationship arises by reason of birth, marriage or
adoption;
(4) "principal stockholder" of a corporation means any person who
beneficially owns, holds or has the power to vote, ten percent or more
of any class of securities issued by said corporation.
(xi) together with such other information as may be required by the
department.
Such statement shall be accompanied by an opinion signed by an
independent licensed accountant that such financial statement represents
the financial operations and position of the facility, except such
opinion shall not be required for facilities with a capacity of nine or
less.
(b) The department shall accept in full satisfaction of the provisions
of this subdivision from operators of adult homes and residences for
adults who are required to submit an annual report as a charitable
organization to the secretary of state of the state of New York or are
required to submit to the commissioner of the New York state department
of health an annual report of residential health care facilities, a
certified copy of such report and upon request from the department an
uncertified copy of the financial statement required to be filed with
the department pursuant to the provisions of this subdivision.
(c) The department may examine the books and records of any adult home
or residence for adults to determine the accuracy of the annual
financial statement or for any other reason deemed appropriate by the
department to effectuate the purposes of this section.
(d) The department shall perform on a selected sample of adult homes
and residences for adults, a financial audit as part of the inspection
procedure.
(e) Each enriched housing program shall file financial statements with
the department on at least an annual basis, in accordance with
regulations.
5. The department may promulgate regulations which require each adult
care facility to maintain the following written records and any other
such records, under such conditions and for such time, as may be
prescribed pursuant to such regulations: (i) a chronological admission
and discharge register consisting of a listing of residents registered
in and discharged from such facility by name, age, race or ethnicity,
sex of resident, and place from or to which the resident is registered
or discharged, (ii) a daily census record, (iii) a personal non-medical
record for each resident, including but not limited to, identification
of his or her next-of-kin, family and sponsor, the name and address of
the person or persons to be contacted in the event of an emergency, and
all details of the referral and registration and non-medical
correspondence and papers concerning the resident, (iv) a financial
record for each resident, including but not limited to, copies of all
agreements, resident account records and a current inventory of personal
property being held by the operator.
6. No facts and information retained as part of individual resident
records by an operator of an adult care facility may be released to
anyone other than the resident, the resident's next-of-kin or authorized
representative of the resident, the operator, his employees or agents,
or an employee or designee of the department without the written
permission of the resident.
7. Nothing contained in this section shall be construed or deemed to
require the public disclosure of confidential medical, social, personal
or financial records of any resident. The department shall adopt such
regulations as may be necessary to give effect to the provisions of this
section and to preserve the confidentiality of medical, social, personal
or financial records of residents.
8. Nothing contained in this section shall be construed or deemed to
require the disclosure of the names and addresses or other information
that would identify or tend to identify persons who file complaints with
the department concerning the operation of adult care facilities. This
shall apply to all complaints, regardless of whether the department is
able to substantiate the complaint. Such information shall be deemed to
be confidential and shall only be made available to a district attorney
or police officer conducting a criminal investigation or prosecution
relating to an adult care facility and only upon the written request of
the investigating officer or district attorney; or to a court or to the
presiding officer of an administrative proceeding and the parties to
such proceeding if, with the consent of the persons providing such
information, it is to be utilized by the department or any other state
or local agency or subdivision in such proceeding. If a party is not
provided with the identity of a person providing information in
accordance with the provisions of this section, the fact that such
confidential report was made shall in no way be relied upon by any court
or presiding officer of an administrative proceeding in the course of
reaching a determination in such proceeding. The department shall,
consistent with the provisions of this section, adopt such regulations
as may be necessary to preserve the confidentiality of persons making
such complaints.
Operation of facility in receivership. 1. As a means of
protecting the health, safety and welfare of the residents of an adult
care facility subject to inspection and supervision by the department,
it may become necessary under certain circumstances to authorize the
continuing operation of such facility for a temporary period by a court
appointed receiver, at the discretion of the commissioner, as provided
in this section or with respect to an adult home, enriched housing
program or residence for adults, a receiver approved by the department
of health pursuant to written agreement between the department and the
operator or operators of such facility, provided that such agreement
shall not exceed a period of sixty days but may be extended for an
additional sixty day period upon agreement by the parties.
2. The operator or operators of any adult home, enriched housing
program or residence for adults may at any time request the department
of health to appoint a receiver to take over the operation of such
facility. Upon receiving such a request, the department of health may,
if it deems such action desirable, enter into an agreement with any such
operator or operators for the appointment of a receiver to take charge
of the facility under whatever conditions as shall be found acceptable
by the parties, provided that such agreement shall not exceed a period
of sixty days but may be extended for an additional sixty day period
upon agreement by the parties.
3. (a) In the event of a transfer of possession of the premises of
such facility from an approved operator to a court appointed receiver in
a bankruptcy or mortgage foreclosure proceeding, the department may
authorize such court appointed receiver to continue to operate such
facility for a temporary period pending the filing and review of an
application to the department by such receiver or by another person for
an operating certificate, provided, however, that such court appointed
receiver agrees to operate the facility during such temporary period in
accordance with such terms and conditions as may be set by the
department, which terms and conditions shall include compliance with all
applicable provisions of law and regulations of the department, and
which shall include a waiver by the receiver of any assessment of fees
against the department, the commissioner and the state. Such application
for an operating certificate shall be filed within ninety days after the
transfer of possession to the receiver, unless the time for such filing
is extended by the department.
(b) The commissioner may make application to appear and advise the
court of any objections he may have to the transfer of possession from
the approved operator to any other person including a receiver or of any
objections he may have to continuing a receiver or any other person in
possession.
(c) After a receiver obtains such temporary authorization, he may
operate such facility only so long as he continues to do so in
compliance with the applicable law, regulations of the department, and
the terms and conditions for such authorization as set by the
department.
4. (a) When the department revokes or temporarily suspends the
operating certificate of such facility and the commissioner determines
that appointment of a receiver is necessary to protect the health,
safety and welfare of the residents of a facility the commissioner may
apply to the supreme court in the county where the facility is situated
for an order directing the operators, owners and prime lessors, if any,
of the premises to show cause why the commissioner, or at the discretion
of the commissioner, his designee, should not be appointed receiver to
take charge of the facility. Such order to show cause shall be
returnable not less than five days after service is completed and shall
provide for personal service of a copy thereof and the papers on which
it is based on the operators, owners and prime lessors, if any, of the
premises. If any such operator, owner or prime lessor cannot with due
diligence be served personally within the county where the property is
located and within the time fixed in such order, then service may be
made on such person by posting a copy thereof in a conspicuous place
within the facility in question, and by sending a copy thereof by
registered mail, return receipt requested, to such operator, owner or
prime lessor at the last address reported to the department, or
otherwise known to the department.
(b) On the return of said order to show cause, determination shall
have precedence over every other business of the court unless the court
shall find that some other pending proceeding, having similar statutory
precedence, shall have priority. The court may conduct a hearing at
which all interested parties shall have the opportunity to present
evidence pertaining to the application. If the court shall find that the
facts warrant the granting thereof, then the commissioner, or at the
discretion of the commissioner, any person designated by the
commissioner, shall be appointed receiver to take charge of the
facility. Except in the case where the receiver is assuming an existing
bona fide arms length lease, the commissioner shall determine a
reasonable monthly rental for the facility, based on consideration of
all appropriate factors, including the condition of such facility. The
rent as determined by the commissioner shall be paid by the receiver to
the owners or prime lessors as may be directed by the court for each
month that the receivership remains in effect, provided, however that
nothing contained herein shall be construed to alter or diminish any
obligation the operator may have under any currently valid lease.
(c) Any receiver appointed pursuant to this subdivision shall have all
of the powers and duties of a receiver appointed in an action to
foreclose a mortgage on real property, together with such additional
powers and duties as are herein granted and imposed. The receiver shall
with all reasonable speed but, in any case, within six months after the
date on which the receivership was ordered, unless otherwise extended by
the court, provide for the orderly transfer of all residents in the
facility to other facilities or make other provisions for their
continued safety and care. He shall, during this period, operate the
facility in compliance with the applicable law and regulations of the
department, and shall have such additional powers, approved by the
commissioner, to incur expenses as may be necessary to so operate the
facility. The receiver shall not be required to file any bond. He shall
collect incoming payments from all sources and apply them to the costs
incurred in the performance of his functions as receiver. The receiver
shall honor all existing leases, mortgages and chattel mortgages that
had previously been undertaken as obligations of the owners or operators
of the facility. No security interest in any real or personal property
comprising the facility or contained within the facility, or in any
fixture of the facility, shall be impaired or diminished in priority by
the receiver. The receiver shall compensate the owners of any goods held
in inventory for those goods which he uses or causes to be used by
reimbursing the costs of such goods, except that no such compensation
shall be made for any such goods for which such owners have already been
reimbursed.
(d) (i) The receiver shall be entitled to a fee and reimbursement for
expenses as determined by the commissioner, based upon consideration of
all appropriate factors relating to the operation of the facility, to be
paid as a charge against the operator, not to exceed the fees,
commissions and necessary expenses authorized to be paid to receivers in
an action to foreclose a mortgage.
(ii) The receiver shall be liable only in his official capacity for
injury to person and property by reason of conditions of the facility in
a case where an owner would have been liable; he shall not have any
liability in his personal capacity, except for gross negligence and
intentional acts.
(iii) The receiver appointed pursuant to this subdivision may, subject
to approval by the commissioner, ratify any collective bargaining
agreement in effect between the operator and the employees of a
facility, or suspend such collective bargaining agreement, provided
however, that he remain liable for payment of wages and salaries at the
rates and levels in effect at the time of his appointment.
(iv) (A) The receiver shall notify the commissioner of any lien or
conveyance made in contemplation of receivership with an intent to
remove an asset of the facility from the jurisdiction and use of the
receiver, or to hinder or delay the receiver in the execution of his
duties and responsibilities as receiver; such notice shall be forwarded
to the commissioner in a manner to be determined by regulations of the
department.
(B) With respect to any such lien or conveyance, the commissioner
shall have available any remedy available to a trustee in a bankruptcy
proceeding pursuant to the federal bankruptcy act or any remedy
available to a creditor in a proceeding pursuant to article ten of the
debtor and creditor law and may apply to the court to have such lien or
conveyance set aside, or to have the court make any order which the
circumstances of the case may require.
(e) (i) The court shall terminate the receivership only under any of
the following circumstances:
a. six months after the date on which it was ordered, except that the
court may extend such period for good cause shown;
b. when the department grants the facility a new operating
certificate; or
c. at such time as all of the residents in the facility have been
provided alternative modes of care, either in another facility or
otherwise; provided, that the residents shall not be removed from the
facility unless it is required for the protection of the health, safety
or welfare of the residents.
(ii) At the time of termination of the receivership, the receiver
shall render a full and complete accounting to the court and shall
dispose of any profit or surplus money at the direction of the court.
(f) (i) Any person who is served a copy of an order of the court
appointing the receiver shall, upon being notified of the name and
address of the receiver, make all payments for goods supplied by the
facility, or services rendered by the facility, to the receiver. A
receipt shall be given for each such payment, and copies of all such
receipts shall be kept on file by the receiver. The amount so received
shall be deposited by the receiver in a special account which shall also
be used for all disbursements made by the receiver.
(ii) Any person refusing or omitting to make such a payment after such
service and notice may be sued therefor by the receiver. Such person
shall not in such suit dispute the authority of the receiver to incur or
order such expenses, or the right of the receiver to have such payments
made to him. The receipt of the receiver for any sum paid to him shall,
in all suits and proceedings and for every purpose, be as effectual in
favor of any person holding the same as actual payment of the amount
thereof to the owner or other person or persons who would, but for the
provisions of this subdivision, have been entitled to receive the sum so
paid. No resident shall be discharged, nor shall any contract or rights
be forfeited or impaired, nor any forfeiture or liability be incurred,
by reason of any omission to pay any owner, contractor or other person
any sum so paid to the receiver.
(g) Any other provision of this chapter notwithstanding, the
department may, if it deems appropriate, grant to any facility operating
or scheduled to operate under a receivership authorized by this
subdivision an operating certificate the duration of which shall be
limited to the duration of the receivership.
(h) (i) No provision contained herein shall be deemed to relieve the
operators, owners or prime lessors, if any, of any civil or criminal
liability or obligation incurred, or any duty imposed by law, by reason
of acts or omissions of such persons prior to the appointment of any
receiver hereunder. During the period a facility is operated by a
receiver, the operator, owner or prime lessor, if any, shall continue to
be liable for all obligations for the payment of taxes or other
operating and maintenance expenses of the facility and the owner or
other appropriate person shall continue to be liable for the payment of
mortgages or liens.
(ii) Expenses incurred by a receiver to meet the operating and
maintenance expenses of the facility and the basic needs of the
residents of the facility shall be deemed the obligations of the
operator, and not the obligation of the receiver or the state.
(iii) The receiver shall not be responsible for any obligations
incurred by the owner, operator or prime lessor, if any, prior to the
appointment of the receiver.
(iv) The receiver shall be entitled to use for operating and
maintenance expenses and the basic needs of the residents of the
facility a portion of the revenues due the operator during the month in
which the receiver is appointed which portion shall be established on
the basis of the amounts of the operating and maintenance expenses for
such month.
(v) Any sums determined to be due and owing by the receiver to the
owner, operator or prime lessor shall be off-set by any charges
determined to be the obligations of the owner, operator or prime lessor.
5. (a) Subject to paragraph (c) of this subdivision, the commissioner
is authorized to make payments to receivers appointed pursuant to the
provisions of subdivision three of this section, only if the receiver
demonstrates to the satisfaction of the commissioner that the facility's
funds which are available are insufficient to meet operating and
maintenance expenses of the facility and the basic needs of the
residents of the facility.
(b) The operator of a facility operated by a receiver pursuant to the
provisions of subdivision three of this section shall be liable for all
monies made available to the receiver pursuant to the provisions of
paragraph (a) of this subdivision.
(c) To the extent funds are appropriated, payments made pursuant to
this section shall be made from the local assistance fund and such
payments shall be made only if a certificate of allocation and a
schedule of amounts to be available therefor shall have been issued by
the director of the budget, upon the recommendation of the commissioner
of social services, and a copy of such certificate filed with the
comptroller, the chairman of the senate finance committee and the
chairman of the assembly ways and means committee. Such certificate may
be amended from time to time by the director of the budget, upon the
recommendation of the commissioner of social services, and a copy of
each such amendment shall be filed with the comptroller, the chairman of
the senate finance committee and the chairman of the assembly ways and
means committee.
(d) Any payments made by the department to a receiver pursuant to the
provisions of this section shall be made without any obligation on the
part of the social services district in which the receiver-operated
facility is located to reimburse the department for any such payments.
6. Nothing contained in this section shall be construed to require the
commissioner to seek the appointment of a receiver or to assume the
responsibilities of a receiver directly or indirectly through his
designee; nor shall this section authorize any court to compel the
commissioner to assume the responsibilities of a receiver or to appoint
a designee to assume such responsibilities.
Termination of admission agreements. 1. No adult home,
residence for adults or enriched housing program which is subject to
certification and supervision of the department shall terminate the
admission agreement of any resident of such facility and involuntarily
discharge him therefrom except for the following reasons:
(a) the need of the resident for continual medical or nursing care
which the adult home, residence for adults or enriched housing program
cannot provide;
(b) behavior of the resident which poses imminent risk of death or
imminent risk of serious physical harm to such resident or any other
person;
(c) failure of the resident to make timely payment for all authorized
charges, expenses and other assessments, if any, for services including
use and occupancy of the premises, materials, equipment and food which
the resident has agreed to pay pursuant to the resident's admission and
services agreement;
(d) repeated behavior of the resident which directly impairs the
well-being, care or safety of the resident or any other resident or
which substantially interferes with the orderly operation of the
facility;
(e) the facility has had its operating certificate limited, revoked or
temporarily suspended pursuant to subdivision four of section four
hundred sixty-d of this article, or the operator has voluntarily
surrendered the operating certificate for the facility to the
department; or
(f) a receiver has been appointed pursuant to the provisions of
section four hundred sixty-one-f of this article and, as required by
such section, is providing for the orderly transfer of all residents in
the facility to other facilities or is making other provisions for the
residents' continued safety and care.
2. (a) No admission agreement shall be terminated and no resident of
an adult home, residence for adults or enriched housing program
involuntarily discharged for the reasons stated in paragraphs (a), (b),
(c), (d) or (e) of subdivision one of this section unless: (i) the
operator gives at least thirty days written notice, on a form prescribed
by the department, to the resident, the resident's next of kin and the
person designated in the admission agreement as the responsible party,
if any, that the resident's admission agreement will be terminated and
the resident discharged; (ii) such notice contains the reason for the
termination of the admission agreement, the date that the discharge will
occur, a statement that the resident has a right to object to the
termination of the resident's admission agreement and subsequent
discharge, and a statement that if the resident does not leave the
facility voluntarily, the operator, in order to terminate the admission
agreement and discharge the resident, will be required to originate a
proceeding pursuant to the provisions of section four hundred
sixty-one-h of this article; (iii) the operator furnishes to the
resident a list of free legal services agencies within the facility's
geographical area and a list of other available community resources
which provide resident advocacy services, including the social services
district, which lists shall be provided to the operator by the
department; and (iv) the operator institutes a special proceeding in
accordance with the provisions of section four hundred sixty-one-h of
this article.
(b) No admission agreement shall be terminated and the resident of an
adult home, residence for adults or enriched housing program
involuntarily discharged for the reason stated in paragraph (c) of
subdivision one of this section, if the reason that the resident failed
to pay the authorized charges was an interruption in the receipt by such
resident of any public benefits to which such resident is entitled,
unless the operator of the facility, during the thirty day notice period
provided for in subparagraph (i) of paragraph (a) of this subdivision,
as part of the provision of case management services, assists the
resident, who shall cooperate with the operator, in attempting to obtain
such public benefits or any supplemental public benefits which are
available to persons who have not received their regular public
benefits.
(c) The admission agreement of a resident in an enriched housing
program may be terminated and the resident discharged pursuant to the
provisions of this section and section four hundred sixty-one-h of this
article; provided, however, where such resident has an existing lease
with the landlord of the premises in which the program is housed, the
resident may not be involuntarily removed from the premises pursuant to
this section and section four hundred sixty-one-h of this article,
except in accordance with the provisions of such lease and applicable
law and regulation.
3. (a) Nothing in this section shall prohibit: (i) the removal of a
resident from a facility, for medical treatment or care, to a hospital,
nursing home or residential health care facility, as defined in section
twenty-eight hundred one of the public health law, or to a hospital as
defined in section 1.03 of the mental hygiene law; or (ii) the removal
from the facility of a resident whose behavior poses an imminent risk of
death or imminent risk of serious physical harm to such resident or any
other person, by a peace officer, acting pursuant to his special duties,
or a police officer, who is a member of an authorized police department
or force or a sheriff's department; or (iii) the removal from the
facility of a resident, whose behavior poses an imminent risk of death
or imminent risk of serious physical harm, to a location which ensures
the resident's safety, pursuant to regulations of the department.
(b) Such removal shall not be deemed to be a termination of the
admission agreement. Such removal shall not relieve the operator of the
facility from the requirement of proceeding, subsequent to the removal
of the resident, in accordance with this section and section four
hundred sixty-one-h of this article in order to terminate the admission
agreement to prevent the resident from returning to the facility. When
an operator proceeds subsequent to the removal of the resident from the
facility, to terminate the admission agreement, the written notice
required to be given to the resident by subparagraph (i) of paragraph
(a) of subdivision two of this section shall be personally delivered to
the resident at the location to which he has been removed. If personal
delivery is not possible, then such notice shall be served upon the
resident by any of the methods permitted by section three hundred eight
of the civil practice law and rules.
Special proceeding for termination of adult home, residence
for adults and enriched housing program admission agreements. 1. (a) A
special proceeding to terminate the admission agreement of a resident of
an adult home, residence for adults or enriched housing program and
discharge the resident therefrom may be maintained in the county court,
the justice court of the village, the town justice court, the court of
civil jurisdiction in a city, or the district court which has
jurisdiction over proceedings brought pursuant to article seven of the
real property actions and proceedings law.
(b) The place of trial of the special proceeding shall be within the
jurisdictional area of the court in which the adult home or residence
for adults is situated; except that where the facility is located in an
incorporated village which includes parts of two or more towns, the
proceeding may be tried by a town justice of any such town who keeps an
office in the village.
2. The proceeding may be brought by the operator of an adult home,
residence for adults or enriched housing program.
3. (a) The special proceeding prescribed by this section shall be
commenced by petition and a notice of petition. A notice of petition may
be issued only by an attorney, judge or the clerk of the court; it may
not be issued by a party prosecuting the proceeding in person.
(b) The notice of petition shall specify the time and place of the
hearing on the petition.
4. The notice of petition and petition shall be served at least five
and not more than twelve days before the time at which the petition is
noticed to be heard.
5. (a) Service of the notice of petition and petition shall be made by
personally delivering them to the resident; and at the time of such
service, a copy of such notice of petition and petition shall be mailed
to the resident's next of kin and to the person designated in the
admission agreement as the responsible party, if any, and the
department. If service by personal delivery of the notice of petition
and petition upon a resident, who has been removed from the facility as
permitted by subdivision three of section four hundred sixty-one-g of
this article, is not possible, then service upon such resident shall be
made by any of the methods permitted by section three hundred eight of
the civil practice law and rules.
(b) The notice of petition and petition together with proof of service
thereof on the resident and proof that copies thereof have been mailed
to the resident's next of kin and to the person designated in the
admission agreement as the responsible party, if any, shall be filed
with the court or clerk thereof within three days after delivery to the
resident.
(c) Service shall be complete upon filing proof of service.
6. The petition shall be verified by the person authorized by
subdivision two of this section to maintain the proceeding; or by a
legal representative, attorney or agent of such person pursuant to
subdivision (d) of section thirty hundred twenty of the civil practice
law and rules.
Every petition shall:
(a) state the interest of the petitioner in the premises from which
removal is sought;
(b) state the resident's interest in the premises and his relationship
to petitioner with regard thereto;
(c) describe the premises from which removal is sought;
(d) state the facts upon which the special proceeding is based; and
(e) state the relief sought. The relief may include a judgment for
payment of all charges, expenses and other assessments due.
7. The resident may answer in writing prior to the date the petition
is to be heard or orally at the time the petition is heard. The resident
may interpose any defense that he may have in his answer.
8. If the relief sought by the operator includes a judgment for
payment of all charges, expenses and other assessments due, then any
counterclaims which the resident may have against the operator may be
heard in a special proceeding maintained pursuant to the provisions of
this section, provided, however, that the court in its discretion may
sever such claims and counterclaims from the special proceeding.
9. Where triable issues of fact are raised, they shall be tried by the
court. The court, in its discretion, at the request of one or both of
the parties may grant an adjournment for not more than ten days.
10. (a) The court shall direct that a final judgment be entered
determining the rights of the parties with regard to the admission
agreement.
(b) The judgment, including such money as it may award for use and
occupancy of the facility or otherwise, may be docketed in such books as
the court maintains for recording the steps in a summary proceeding;
unless a rule of the court, or the court by order in a given case
otherwise provides, such judgment need not be recorded or docketed in
the books, if separately maintained in which are docketed money
judgments in an action.
11. (a) Upon rendering a final judgment for petitioner, the court
shall issue an order of removal directed to the sheriff of the county or
to any constable or marshal of the city in which the facility is
situated, or, if it is not situated in a city to any constable of any
town in the county, describing the property, and commanding the officer
to remove the resident.
(b) The officer to whom the order of removal is directed and delivered
shall give at least seventy-two hours notice, in writing and in the
manner prescribed in this section for the service of a notice of
petition, to the person to be removed and shall execute the order
between the hours of sunrise and sunset.
12. (a) If a proceeding is brought by an operator of an adult home,
residence for adults or enriched housing program pursuant to the
provisions of this section and the reason for the proceeding is that a
resident of such a facility has not paid the authorized charges, the
court shall stay the issuance of the order of removal for ten days from
the date a judgment is rendered. The court, in its discretion, may stay
the issuance of an order of removal for up to ninety days if the reason
for the termination of the admission agreement and discharge of the
resident is that the resident failed to pay the authorized charges and
such nonpayment was due to an interruption by a government agency in the
delivery to such resident of any public benefits to which such resident
is entitled. During the pendency of such stay, the operator of the
facility, as part of the provision of case management services shall be
required to assist the resident who shall cooperate with the operator,
in obtaining any such public benefits or any supplemental public
benefits which are available to persons who have not received their
regular public benefits.
(b) If a proceeding is brought by an operator of an adult home,
residence for adults or enriched housing program pursuant to the
provisions of this section, and the reason for the proceeding is
repeated behavior by the resident which directly impairs the well-being,
care or safety of the resident or any other resident or which
substantially interferes with the orderly operation of the facility, the
court, in its discretion, upon application of the resident, may stay the
issuance of the order of removal for up to thirty days from the date a
judgment is rendered.
(c) If a proceeding is brought by an operator, administrator or
receiver of an adult home, residence for adults or enriched housing
program pursuant to the provisions of this section, and the reason for
the proceeding is that the facility has had its operating certificate
revoked or temporarily suspended pursuant to subdivision four of section
four hundred sixty-d of this article, or the operator has voluntarily
surrendered the operating certificate for the facility to the
department, the court, in its final judgment entered pursuant to
subdivision ten of this section, shall not direct the facility to remain
open and in operation.
13. During the pendency of a special proceeding brought pursuant to
this section, the operator of an adult home, residence for adults or
enriched housing program shall be required to honor all terms of the
admission agreement until the resident is removed.
14. Nothing contained herein shall be deemed to alter or abridge any
right of a resident or operator of an adult home, residence for adults
or enriched housing program to obtain any relief to which such persons
are entitled in any other court of competent jurisdiction.
15. Notwithstanding the provisions of this article, nothing contained
herein shall be construed to create a relationship of landlord and
tenant between an operator of an adult home, residence for adults or
enriched housing program and a resident thereof.
16. Notwithstanding any other provision in this section to the
contrary, the admission agreement of a resident in an enriched housing
program may be terminated and the resident discharged pursuant to the
provisions of section four hundred sixty-one-g of this article and
pursuant to a special proceeding as set forth in this section; provided,
however, where such resident has an existing lease with the landlord of
the premises in which the program is housed, the resident may not be
involuntarily removed from the premises except in accordance with the
provisions of such lease and applicable law and regulation.
Planning and development grants for enriched housing
programs. 1. The department shall, to the extent funds are available for
such purpose, award planning and development grants to, and contract
with, lawfully approved enriched housing programs that qualify for such
grants under criteria to be established by the department. Such grants
shall be made for the purposes of defraying start-up expenses and
reducing initial operating deficits incurred in the first twelve months
of a program's operations resulting from initial low occupancy rates.
Use of such funds may include, but shall not be limited to, paying for
rent prior to occupancy and security deposits, administrative expenses,
minor renovations of existing structures, furnishings and household
equipment, moving expenses of residents and reasonable anticipated
operating deficits resulting from low initial occupancy rates.
2. Any public agency, public corporation or not-for-profit corporation
who has filed an application for approval to operate an enriched housing
program, or any lawfully approved enriched housing operator, may make
application for a planning and development grant in a manner and form
prescribed by the department. The department shall make determinations
of award for each application for such grants at such time that a final
determination is made with respect to approving the establishment of, or
granting an operating certificate for, an enriched housing program. The
department shall award planning and development grants on the basis of
the quality of the proposed program, the applicant's financial needs,
the geographic distribution of enriched housing programs, and the
availability of, and demand for, long-term care services in the
geographic area to be served by the proposed program.
3. The department may award planning and development grants to, and
contract with, lawfully approved enriched housing programs under
criteria to be established by the department for the purpose of moderate
renovations or modifications of existing structures when determined to
be necessary by the commissioner. Use of such grants for moderate
structural renovations or modifications shall be deemed necessary in
those instances where the commissioner determines that, without such
renovations or modifications, a geographic area may be underserved
because of the lack of available or suitable existing structures.
Family type homes for adults; special needs funds. 1. The
commissioner shall establish a procedure whereby payments shall be made
to duly certified operators of family type homes for adults for the
purpose of meeting one or more of certain special needs of persons
residing in such facilities and properly receiving or eligible to
receive supplemental security income, additional state payments or
safety net assistance benefits, as follows:
(a) Payments to be used for necessary clothing, recreation,
transportation and cultural activities of specified individual residents
shall not exceed two hundred ninety dollars per resident per year.
(b) Payments to be used for provision of substitute care to residents
during periods of emergency and scheduled absence of operators,
including periods of operator absence for the purposes of education and
training, shall not exceed five hundred dollars per facility per year.
(c) Payments to be used for health and safety equipment shall not
exceed seventy-five dollars per facility per year.
2. Social services districts shall establish a separate account for
special needs funds and shall administer payments to operators out of
said account, in accordance with regulations which shall be promulgated
by the department. The department shall pay district costs out of
available appropriations for such purposes, to the extent of one hundred
percent of the amount expended pursuant to subdivision one of this
section, in accordance with the provisions of section one hundred
fifty-three of this chapter. In addition, the department shall, in
accordance with the provisions of section one hundred fifty-three of
this chapter, reimburse one hundred percent of amounts expended by each
district for administration under this section only to the extent of ten
percent of the amount paid by such district pursuant to subdivision one
of this section, and shall thereafter reimburse fifty percent of any
additional amounts paid by such district for such administrative costs.
The department may make advances to districts which shall then advance
such funds to duly certified operators, to the extent provided for by
department regulations, in anticipation of costs incurred in meeting the
special needs as set forth in subdivision one of this section and
related administrative costs in accordance with the procedure
established by the commissioner. Nothing contained in this section shall
be construed to require expenditures by any district pursuant to
subdivision one of this section, in excess of the amounts made available
to the district by the department pursuant to this section.
3. Notwithstanding any other provision of law, state reimbursement to
districts may be made only from and to the extent of moneys appropriated
to the department for such purposes.
4. The department shall audit payments and maintenance of accounts in
accordance with department regulations. The commissioner shall
promulgate regulations to carry out the purposes of this section.
* § 461-k. Services for non-residents in certain adult care
facilities. 1. (a) "Services for non-residents in adult homes,
residences for adults and enriched housing programs" shall mean an
organized program of services which the facility is authorized to
provide to residents of such facility but which are provided to
non-residents for the purpose of restoring, maintaining or developing
the capacity of aged or disabled persons to remain in or return to the
community. Such services may include but shall not be limited to day
programs and temporary residential care as defined herein. A person
participating in a program of services for non-residents in an adult
care facility shall be considered a resident of the facility and shall
be afforded all the rights and protections afforded residents of the
facility under this chapter except that the provisions of sections four
hundred sixty-one-g and four hundred sixty-one-h of this title relating
to termination of admission agreements shall not apply and that persons
receiving services pursuant to this section shall not be considered to
be receiving residential care as defined in section two hundred nine of
this chapter for purposes of determining eligibility for and the amount
of supplemental security income benefits and additional state payments.
(b) "Day programs" shall mean an organized program for non-residents
which shall include personal care, supervision and other adult services
which the facility is authorized to provide to residents of such
facility which may include but are not limited to, activities, meals,
information and referral, and transportation services, provided in an
adult home, residence for adults or enriched housing program.
(c) "Temporary residential care" shall mean the provision of temporary
residential care of frail or disabled adults on behalf of or in the
absence of the caregiver for up to one hundred twenty days in any twelve
month period, provided in an adult home, residence for adults or
enriched housing program.
2. A program to provide services for non-residents in an adult care
facility may be established and operated in an adult home, residence for
adults or enriched housing program provided that such facility has a
current operating certificate issued in accordance with section four
hundred sixty-one-b of this title. No operator may establish and operate
a day program to provide services for non-residents, as defined in
subparagraph (b) of subdivision one of this section, unless the operator
has received the prior written approval of the department. The
department shall grant such approval to operate a day program only to
those operators that are operating in compliance with applicable law and
regulations. No operator may provide temporary residential care as
defined in subparagraph (c) of subdivision one of this section, unless
the operator has notified the department of its intent to do so.
3. Every program of services for non-residents must be established and
operated in a manner designed to ensure that such program neither
impairs the effective operation of the facility nor lessens the quality
of care provided to the facility residents.
4. The department shall promulgate regulations to carry out the
purposes of this section, including, but not limited to, provisions
regarding certification, inspection, supervision, enforcement,
penalties, records and reports, public need, fiscal, administrative,
architectural, safety, nutrition, duration of service, program
standards, information and referral, admission and discharge standards,
written service agreements for day services programs and modified
admission agreements for temporary residential care programs and
operator responsibility for services and supervision. The department
shall have authority to enforce such regulations in the same manner and
to the extent it has authority to enforce regulations promulgated
pursuant to sections four hundred sixty-a through four hundred sixty-f
and sections four hundred sixty-one through four hundred sixty-one-e of
this article.
5. The department may waive the determination of public need when an
adult care facility is requesting approval to utilize no more than five
beds or five percent of its certified capacity, whichever is less, for
temporary residential care.
* NB Expires July 1, 2029
Assisted living program. 1. Definitions. As used in this
section, the following words shall have the following meanings:
(a) "Assisted living program" means an entity or entities with
identical ownership, which are approved to operate pursuant to
subdivision three of this section and possesses a valid operating
certificate as an adult care facility, other than a shelter for adults,
a residence for adults or a family type home for adults, issued pursuant
to this article and which possesses either: (i) a valid license as a
home care services agency issued pursuant to section thirty-six hundred
five of the public health law; or (ii) a valid certificate of approval
as a certified home health agency issued pursuant to section thirty-six
hundred six of the public health law; or (iii) valid authorization as a
long term home health care program issued pursuant to section thirty-six
hundred ten of the public health law.
(b) "Capitated rate of payment" means the rate established pursuant to
subdivision six of section thirty-six hundred fourteen of the public
health law.
(c) "Eligible applicant" means:
(i) A single entity that is:
(A) only a natural person or partnership composed only of natural
persons, a not-for-profit corporation, a public corporation, a business
corporation other than a corporation whose shares are traded on a
national securities exchange or are regularly quoted on a national
over-the-counter market or a subsidiary of such a corporation or a
corporation any of the stock of which is owned by another corporation, a
limited liability company provided that if a limited liability company
has a member that is a corporation, a limited liability company or a
partnership, the shareholders of the member corporation, the members of
the member limited liability company, or the partners of the member
partnership must be natural persons, a social services district or other
governmental agency which possesses or is eligible pursuant to this
article to apply for an adult care facility operating certificate; and
(B) either: (1) an entity which possesses or is eligible pursuant to
article thirty-six of the public health law to apply for licensure as a
home care services agency; (2) an entity which possesses valid
authorization as a long term home health care program; or (3) an entity
which possesses a valid certificate of approval as a certified home
health agency pursuant to article thirty-six of the public health law;
or
(ii) One or more entities listed in subparagraph (i) of this paragraph
with identical owners that, in combination, meet each of the criteria
set forth by subparagraph (i) of this paragraph.
(d) "Eligible person" means a person who:
(i) requires more care and services to meet his or her daily health or
functional needs than can be directly provided by an adult care facility
and although medically eligible for placement in a residential health
care facility, can be appropriately cared for in an assisted living
program and who would otherwise require placement in a residential
health care facility due to factors which may include but need not be
limited to the lack of a home or a home environment in which to live and
receive services safely; and
(ii) is categorized by the long-term care patient classification
system as defined in regulations of the department of health as a person
who has a stable medical condition and who is able, with direction, to
take action sufficient to assure self-preservation in an emergency. In
no event shall an eligible person include anyone in need of continual
nursing or medical care, a person who is chronically bedfast, or anyone
who is cognitively, physically or medically impaired to such a degree
that his or her safety would be endangered.
(e) "Services" shall mean all services for which full payment to an
assisted living program is included in the capitated rate of payment,
which shall include personal care services, home care services and such
other services as the commissioner in conjunction with the commissioner
of health determine by regulation must be included in the capitated rate
of payment, and which the assisted living program shall provide, or
arrange for the provision of, through contracts with a social services
district, long term home health care programs, certified home health
agencies, and other qualified providers.
2. General requirements. (a) Applicability. Unless expressly provided
otherwise in this article or article thirty-six of the public health
law, an assisted living program shall be subject to any other law, rule
or regulation governing adult care facilities, long term home health
care programs, certified home health agencies, licensed home care
agencies or personal care services.
(b) If an assisted living program itself is not a certified home
health agency or long term home health care program, the assisted living
program shall contract with one or more certified home health agencies
and/or long term home health care programs for the provision of services
pursuant to article thirty-six of the public health law.
(c) Participation by eligible persons. Participation in an assisted
living program by an eligible person shall be voluntary and eligible
persons shall be provided with sufficient information regarding the
program to make an informed choice concerning participation.
(d) Patient services and care. (i) An assisted living program shall,
either directly or through contract with a long term home health care
program or certified home health agency, conduct an initial assessment
to determine whether a person would otherwise require placement in a
residential health care facility if not for the availability of the
assisted living program and is appropriate for admission to an assisted
living program.
(ii) No person shall be determined eligible for and admitted to an
assisted living program unless the assisted living program finds that
the person meets the criteria provided in paragraph (d) of subdivision
one of this section.
(iii) Appropriate services shall be provided to an eligible person
only in accordance with a plan of care which is based upon an initial
assessment and periodic reassessments conducted by an assisted living
program, either directly or through contract with a long term home
health care program or certified home health agency. A reassessment
shall be conducted as frequently as is required to respond to changes in
the resident's condition and ensure immediate access to necessary and
appropriate services by the resident, but in no event less frequently
than once every six months. No person shall be admitted to or retained
in an assisted living program unless the person can be safely and
adequately cared for with the provision of services determined by such
assessment or reassessment.
(iv) Eligible individuals shall be permitted to receive hospice
services from a provider under article forty of the public health law
while continuing to reside in an adult care facility under this title
and enrolled in the assisted living program, subject to the availability
of federal financial participation. The commissioner shall make
regulations and take other actions reasonably necessary and appropriate
to implement this subparagraph.
(e) Medical evaluations. Medical evaluations used to determine that
the assisted living program can support the physical, supervisory and
psycho-social needs of a resident must be conducted within thirty days
prior to the date of admission and signed by either a physician,
physician assistant or nurse practitioner.
3. Assisted living program approval. (a) An eligible applicant
proposing to operate an assisted living program shall submit an
application to the department. Upon receipt, the department shall
transmit a copy of the application and accompanying documents to the
department of health. Such application shall be in a format and a
quantity determined by the department and shall include, but not be
limited to:
(i) a copy of or an application for an adult care facility operating
certificate;
(ii) a copy of or an application for a home care services agency
license or a copy of a certificate for a certified home health agency or
authorization as a long term home health care program;
(iii) a copy of a proposed contract with a social services district or
in a social services district with a population of one million or more,
a copy of a proposed contract with the social services district or the
department;
(iv) if the applicant is not a long term home health care program or
certified home health agency, a copy of a proposed contract with a long
term home health care program or certified home health agency for the
provisions of services in accordance with article thirty-six of the
public health law; and
(v) a detailed description of the proposed program including budget,
staffing and services.
(b) If the application for the proposed program includes an
application for licensure as a home care service agency, the department
of health shall forward the application for the proposed program and
accompanying documents to the public health and health planning council
for its written approval in accordance with the provisions of section
thirty-six hundred five of the public health law.
(c) An application for an assisted living program shall not be
approved unless the commissioner is satisfied as to:
(i) the character, competence and standing in the community of the
operator of the adult care facility;
(ii) the financial responsibility of the operator of the adult care
facility;
(iii) that the buildings, equipment, staff, standards of care and
records of the adult care facility to be employed in the operation
comply with applicable law, rule and regulation;
(iv) the commissioner of health is satisfied that the licensed home
care agency has received the written approval of the public health and
health planning council as required by paragraph (b) of this subdivision
and the equipment, personnel, rules, standards of care, and home care
services provided by the licensed home care agency and certified home
health agency or long term home health care program are fit and adequate
and will be provided in the manner required by article thirty-six of the
public health law and the rules and regulations thereunder; and
(v) the commissioner and the commissioner of health are satisfied as
to the public need for the assisted living program.
(d) The department shall not approve an application for an assisted
living program for any eligible applicant who does not meet the
requirements of this article, including but not limited to, an eligible
applicant who is already or within the past ten years has been an
incorporator, director, sponsor, principal stockholder, member or owner
of any adult care facility which has been issued an operating
certificate by the board or the department, or of a halfway house,
hostel or other residential facility or institution for the care,
custody or treatment of the mentally disabled which is subject to
approval by an office of the department of mental hygiene, or of any
residential health care facility or home care agency as defined in the
public health law, unless the department, in conjunction with the
department of health, finds by substantial evidence as to each such
applicant that a substantially consistent high level of care has been
rendered in each such facility or institution under which such person is
or was affiliated. For the purposes of this paragraph, there may be a
finding that a substantially consistent high level of care has been
rendered despite a record of violations of applicable rules and
regulations, if such violations (i) did not threaten to directly affect
the health, safety or welfare of any patient or resident, and (ii) were
promptly corrected and not recurrent.
(e) The commissioner of health shall provide written notice of
approval or disapproval of portions of the proposed application
concerning a licensed home care agency, certified home health agency or
long term home health care program, and, where applicable, of the
approval or disapproval of the public health and health planning council
to the commissioner. If an application receives all the necessary
approvals, the commissioner shall notify the applicant in writing. The
commissioner's written approval shall constitute authorization to
operate an assisted living program.
(f) No assisted living program may be operated without the written
approval of the department, the department of health and, where
applicable, the public health and health planning council.
(g) Notwithstanding any other provision of law to the contrary, any
assisted living program having less than seventy-five authorized bed
slots, located in a county with a population of more than one hundred
ten thousand and less than one hundred fifty thousand persons based upon
the decennial federal census for the year two thousand, and which at any
point in time is unable to accommodate individuals awaiting placement
into the assisted living program, shall be authorized to increase the
number of assisted living beds available for a specified period of time
as part of a demonstration program by up to thirty percent of its
approved bed level; provided, however, that such program shall otherwise
satisfy all other assisted living program requirements as set forth in
this section. In addition, any program which receives such authorization
and which at any point on or after July first, two thousand five is
unable to accommodate individuals awaiting placement into the assisted
program, shall be authorized to further increase the number of assisted
living beds available as part of this demonstration program by up to
twenty-five percent of its bed level as of July first, two thousand
five; provided, however, that such program shall otherwise satisfy all
other assisted living program requirements as set forth in this section.
(h) The commissioner is authorized to add one thousand five hundred
assisted living program beds to the gross number of assisted living
program beds having been determined to be available as of April first,
two thousand seven.
(i) (a) The commissioner of health is authorized to add up to six
thousand assisted living program beds to the gross number of assisted
living program beds having been determined to be available as of April
first, two thousand nine. Nothing herein shall be interpreted as
prohibiting any eligible applicant from submitting an application for
any assisted living program bed so added. The commissioner of health
shall not be required to review on a comparative basis applications
submitted for assisted living program beds made available under this
paragraph. The commissioner of health shall only authorize the addition
of six thousand beds pursuant to a seven year plan ending prior to
January first, two thousand seventeen.
(b) The commissioner of health shall provide an annual written report
to the chair of the senate standing committee on health and the chair of
the assembly health committee no later than January first of each year.
Such report shall include, but not be limited to, the number of assisted
living program beds made available pursuant to this section by county,
the total number of assisted living program beds by county, the number
of vacant assisted living program beds by county, and any other
information deemed necessary and appropriate.
(j) The commissioner of health is authorized to add up to four
thousand five hundred assisted living program beds to the gross number
of assisted living program beds having been determined to be available
as of April first, two thousand twelve. Applicants eligible to submit an
application under this paragraph shall be limited to adult homes
established pursuant to section four hundred sixty-one-b of this article
with, as of September first, two thousand twelve, a certified capacity
of eighty beds or more in which twenty-five percent or more of the
resident population are persons with serious mental illness as defined
in regulations promulgated by the commissioner of health. The
commissioner of health shall not be required to review on a comparative
basis applications submitted for assisted living program beds made
available under this paragraph.
(k) (i) Existing assisted living program providers may apply to the
department of health for approval to add up to nine additional assisted
living program beds that do not require major renovation or
construction. Eligible applicants are those that agree to dedicate such
beds to serve only individuals receiving medical assistance, are in good
standing with the department of health, and are in compliance with
appropriate state and local requirements as determined by the department
of health.
(ii) Existing assisted living program providers licensed on or before
April first, two thousand eighteen may submit applications under this
paragraph beginning no later than June thirtieth, two thousand eighteen
and until a deadline to be determined by the department of health.
Existing assisted living program providers licensed on or before April
first, two thousand twenty may submit such applications beginning no
later than June thirtieth, two thousand twenty and until a deadline to
be determined by the department of health.
(iii) The number of additional assisted living program beds approved
under this paragraph shall be based on the total number of previously
awarded beds either withdrawn by applicants or denied by the department
of health. The commissioner of health shall utilize an expedited review
process allowing certification of the additional beds within ninety days
of such department's receipt of a satisfactory application.
(l) (i) The commissioner of health is authorized to solicit and award
applications for up to a total of five hundred new assisted living
program beds in those counties where there is one or no assisted living
program providers, pursuant to criteria to be determined by the
commissioner.
(ii) The commissioner of health is authorized to solicit and award
applications for up to five hundred new assisted living program beds in
counties where utilization of existing assisted living program beds
exceeds eighty-five percent. All applicants shall comply with federal
home and community-based settings requirements, as set forth in 42 CFR
Part 441 Subpart G. To be eligible for an award, an applicant must agree
to:
(A) Dedicate such beds to serve only individuals receiving medical
assistance;
(B) Develop and execute collaborative agreements within twenty-four
months of an application being made to the department of health, in
accordance with guidance to be published by such department, between at
least one of each of the following entities: an adult care facility; a
residential health care facility; and a general hospital; and
(C) Enter into an agreement with an existing managed care entity.
(iii) The commissioner of health is authorized to award any assisted
living program beds for which a solicitation is made under subparagraph
(i) of this paragraph, but which are not awarded, to applicants that
meet all applicable criteria pursuant to a solicitation made under
subparagraph (ii) of this paragraph.
(m) Beginning April first, two thousand twenty-five, additional
assisted living program beds shall be approved on a case by case basis
whenever the commissioner of health is satisfied that public need exists
at the time and place and under circumstances proposed by the applicant.
(i) The consideration of public need may take into account factors
such as, but not limited to, regional occupancy rates for adult care
facilities and assisted living program occupancy rates and the extent to
which the project will serve individuals receiving medical assistance.
(ii) Existing assisted living program providers may apply for approval
to add up to nine additional assisted living program beds that do not
require major renovation or construction under an expedited review
process. The expedited review process is available to applicants that
are in good standing with the department of health, and are in
compliance with appropriate state and local requirements as determined
by the department of health. The expedited review process shall allow
certification of the additional beds for which the commissioner of
health is satisfied that public need exists within ninety days of such
department's receipt of a satisfactory application.
(n) The commissioner of health is authorized to create a program to
subsidize the cost of assisted living for those individuals living with
Alzheimer's disease and dementia who are not eligible for medical
assistance pursuant to title eleven of article five of this chapter and
reside in a special needs assisted living residence certified under
section forty-six hundred fifty-five of the public health law. Subject
to appropriations, the program shall authorize vouchers to individuals
through an application process and pay for up to seventy-five percent of
the average private pay rate in the respective region. The commissioner
of health may propose rules and regulations to effectuate this
provision.
4. Revocation, suspension, limitation or annulment. Authorization to
operate an assisted living program may be revoked, suspended, limited or
annulled by the commissioner in accordance with the provisions of this
article if the adult care facility fails to comply with applicable
provisions of this chapter or rules or regulations promulgated hereunder
or by the commissioner of health in accordance with the provisions of
article thirty-six of the public health law if the licensed home care
service agency, certified home health agency or long term home health
care program fails to comply with the provisions of article thirty-six
of the public health law or rules or regulations promulgated thereunder.
5. Rules and regulations. The commissioner and the commissioner of
health shall jointly promulgate any rules and regulations necessary to
effectuate the provisions and purposes of this section and section
thirty-six hundred fourteen of the public health law. Such regulations
shall provide that the department and the department of health shall
coordinate their surveillance and enforcement efforts, including but not
limited to, on-site surveys of assisted living programs.
6. Report. The commissioner and the commissioner of health shall
submit a joint report to the governor, the temporary president of the
senate, the speaker of the assembly, the state hospital review and
planning council and health systems agencies on or before March first,
nineteen hundred ninety-three which shall include a description of the
programs, including the number of programs established and authorized by
geographic area, the cost of the program, including the savings to state
and local governments, the number of persons served by the program by
geographic area, a description of the demographic and clinical
characteristics of patients served by the program and an evaluation of
the quality of care provided to persons served by the program. Such
report shall be utilized by the department of health in estimating
statewide need for long term care beds for the planning target year next
succeeding nineteen hundred ninety-three. In addition, the state
hospital review and planning council shall consider the results of such
report in approving the methodology for determining statewide need for
long term care beds for the planning target year next succeeding
nineteen hundred ninety-three.
Death and felony crime reporting. The operator of an adult
home, enriched housing program or residence for adults shall have an
affirmative duty to report any death, or attempted suicide of a resident
to the department of health within twenty-four hours of its occurrence,
and shall also have an affirmative duty to report to an appropriate law
enforcement authority if the operator discovers an incident that the
operator believes or reasonably should believe would constitute a felony
crime against a resident of such facility as soon as possible, or in any
event within twenty-four hours. In addition, the operator shall send any
reports involving a resident who had at any time received services from
a mental hygiene service provider to the justice center for the
protection of people with special needs.
Complaint investigation procedures. The department shall
establish procedures governing the receipt and investigation of
complaints regarding the care afforded to residents of adult care
facilities consistent with article eleven of this chapter, as
applicable. Such procedures shall assure the confidentiality of the
complainant. Such procedures shall include but not be limited to the
procedures for reporting complaints, either in writing or orally to the
department, and the time frames governing the investigation of any such
complaints submitted to the department. Provided however, if any
complaint alleges the abuse or neglect of a resident or involves an
incident that exposes a resident to cruel or unsafe care or otherwise
represents a serious resident care issue, the department shall ensure
that an investigation of any such complaint is initiated immediately and
in no event commenced less than seventy-two hours from the time such
complaint is received by the department. Upon the conclusion of the
investigation by the department the operator and the complainant shall
be notified in writing of the results of such investigation or, as
applicable, pursuant to article eleven of this chapter.
Adult care facilities training program. The department may,
within the amounts as appropriated for such purpose, establish an adult
care facility training program that shall assist in the development of
training materials and/or the provision of staff training activities. In
developing such training program, the department shall determine the
feasibility of providing such training on a statewide basis. The
department may contract with organizations representing adult care
facilities to provide such training. Such contracts shall require that
funding made available through this program shall be used to enhance the
skills of staff of adult care facilities and may include, but not be
limited to training activities regarding medication management, safety
and security procedures, rights of residents, behavioral management
techniques, and any other training initiatives identified by the
department.
Temperature standards in adult homes, enriched housing
programs and residences for adults. The commissioner of health shall
promulgate rules and regulations with respect to an allowable
temperature in all areas occupied by residents of an adult home,
enriched housing program and residence for adults, including any areas
intended for use by its residents in common including auditoriums,
meeting rooms and cafeterias. One common room in such adult home,
enriched housing program and residence for adults shall be required to
be air conditioned.
Food services. 1. Food services in adult care facilities
shall be provided in a manner that respects the dietary needs of the
residents in relation to health conditions, food allergies and dietary
intolerances, religious and ethnic mandates, and that allows for a
reasonable variation in taste preferences.
2. Resident food committees in each facility, assembled from among the
residents, shall have the freedom to meet and evaluate the food service
available to them without interference, and shall advise the operators
of the adult care facility as to issues of dietary needs, preferences,
food quality and safety.
3. The commissioner of health shall review existing adult care
facility regulations and amend existing regulations or promulgate new
regulations if appropriate, to determine those food service personnel in
adult care facilities that should undergo training appropriate for the
level of food service which they may perform, including but not limited
to sanitation in the food preparation and service areas; refrigeration
and preservation; principles of a balanced meal; and ordering with an
emphasis on fresh foods.
Enhancing the quality of adult living program for adult care
facilities. 1. (a) The commissioner of health shall establish the
enhanced quality of adult living program (referred to in this section as
the "EQUAL program" or the "program") for adult care facilities. The
program shall be targeted at improving the quality of life for adult
care facility residents by means of grants to facilities for the
purposes set forth in subparagraphs (i) and (ii) of the paragraph. The
department of health, subject to the approval of the director of the
budget, shall develop an allocation methodology taking into account the
financial status and size of the facility, resident needs and the
population of residents who receive supplemental security income, state
supplemental payments, Medicaid (with respect to residents in an
assisted living program), or safety net assistance. On or before June
first of each year, the department shall make available the application
for EQUAL program funds. Grants may be used to support the following
purposes:
(i) to improve the quality of life for adult care facility residents
by funding projects including, but not limited to, clothing allowances,
resident training to support independent living skills, improvements in
food quality, outdoor leisure projects, and culturally recreational and
other leisure events; and resident quality of life, pursuant to this
subparagraph, and
(ii) to improve the quality of life for adult care facility residents
by financing capital improvement projects that will enhance the physical
environment of the facility and promote a higher quality of life for
residents. Any capital related expense generated by such capital
expenditure must receive approval by the department of health, provided
however, that such expenditures shall not be used to supplant the
obligations of the facility operator to provide a safe, comfortable
environment for residents in a good state of repair and sanitation.
(b) On or before June first of each year, the department shall make
available the application for EQUAL program funds to eligible adult care
facilities, as set forth in this section.
2. No payment shall be made under the program to a facility that has
received official written notice from the department of a proposed
revocation, suspension, limitation or denial of the operator's operating
certificate.
3. Prior to applying for EQUAL program funds, a facility shall receive
approval of its expenditure plan from the residents' council for the
facility. The residents' council shall adopt a process to identify the
priorities of the residents for the use of the program funds and
document residents' top preferences by means that may include a vote or
survey. The plan shall detail how program funds will be used to improve
resident quality of life, pursuant to subparagraph (i) of paragraph (a)
of subdivision one of this section, and support sustainable enhancements
to the physical environment of the facility pursuant to subparagraph
(ii) of paragraph (a) of this subdivision. The facility's application
for EQUAL program funds shall include a signed attestation from the
president or chair-person of the residents' council or, in the absence
of a residents' council, at least three residents of the facility,
stating that the application reflects the priorities of the residents of
the facility. The department shall investigate reports of resident abuse
and retaliation related to program applications and expenditures.
4. EQUAL program funds shall not be expended for a facility's daily
operating expenses, including employee salaries or benefits, or for
expenses incurred retrospectively, except that expenditures may be
incurred prior to the approval of the facility's application for such
fiscal year, provided that: (a) consistent with subdivision three of
this section, the residents' council approves such expenditure prior to
the expenditure being incurred, and the facility provides with its
application documentation of such approval and the date thereof; and (b)
the expenditure meets all applicable requirements pursuant to this
section and is subsequently approved by the department. EQUAL program
funds may be used for expenditures related to corrective action as
required by an inspection report, provided such expenditure is
consistent with subdivision three of this section.
Review of criminal history information concerning prospective
direct care employees. Every adult home, enriched housing program and
residence for adults shall conduct a criminal history record check of
prospective direct care employees utilizing the procedures and standards
set forth in article twenty-eight-E of the public health law.
Personal caregiving visitors for residents of adult care
facilities during public health emergencies. 1. As used in this section,
the following terms have the following meanings:
(a) "personal caregiving visitor" means a family member, close friend,
or legal guardian of a resident designated by the resident or the
resident's lawful representative to assist with personal caregiving or
compassionate caregiving for the resident;
(b) "personal caregiving" means care and support of a resident by a
personal caregiving visitor that is provided to benefit such resident's
mental, physical, or social well-being.
(c) "compassionate caregiving" means personal caregiving that is
provided in anticipation of the end of a resident's life or in the
instance of significant mental, physical, or social decline or crisis of
a resident;
(d) "resident" means a resident of an adult care facility; in relation
to a personal caregiving visitor, "resident" means the resident to whom
a personal caregiving visitor has been designated to assist with
personal caregiving or compassionate caregiving; and
(e) "visit" includes assisting with personal caregiving or
compassionate caregiving for a resident.
2. During a public health emergency declared under section twenty-four
or section twenty-eight of the executive law personal caregiving
visitors may visit residents of adult care facilities, in compliance
with federal law and regulations and state regulations made under this
section. Adult care facilities shall admit any personal caregiving
visitor who is in compliance with applicable requirements under this
section.
3. The commissioner of the department responsible for the licensure or
certification for each type of adult care facility shall make
regulations for such type under this section which shall:
(a) require adult care facilities to allow personal caregiving
visitors to visit residents subject to this section;
(b) set forth procedures for the designation of personal caregiving
visitors by residents or resident's lawful representatives, which: (i)
shall include documentation of each designated personal caregiving
visitor in the facility records; (ii) shall include procedures to ensure
that the preferences of the resident regarding the designation of a
personal caregiving visitor are respected; and (iii) may include, in
appropriate circumstances, requiring a health or mental health
professional licensed or certified under the education law to state that
the personal caregiving will substantially benefit the resident's
mental, physical, or social well-being. An adult care facility shall not
require that a health or mental health professional be affiliated with
such adult care facility;
(c) set forth procedures for changing a personal caregiving visitor
designation;
(d) provide that a resident shall be entitled to designate at least
two personal caregiving visitors;
(e) provide that personal caregiving visitors shall be exempt from
prohibitions on visiting residents at adult care facilities, subject to
the limitations and requirements of this section;
(f) set forth the circumstances under which visiting by personal
caregiving visitors may be temporarily limited or suspended at an adult
care facility to protect the health, safety and welfare of residents,
including, but not limited to, local infection rates, temporary
inadequate staff capacity, or an acute emergency situation;
(g) require, at a minimum, that all personal caregiving visitors
follow safety protocols which may include, but need not be limited to:
(i) testing for communicable diseases;
(ii) checking body temperature upon entry into the adult care
facility;
(iii) health screenings upon entry into the adult care facility;
(iv) appropriate use of personal protective equipment;
(v) social distancing (except as necessary for personal caregiving by
the personal caregiving visitor for a resident); and
(vi) any other requirement the respective commissioner deems
appropriate;
(h) set forth standards for frequency and duration of visits by
personal caregiving visitors at adult care facilities;
(i) set forth standards for limiting the total number of personal
caregiving visitors for a resident and/or limiting the total number of
personal caregiving visitors allowed to visit an adult care facility at
any one time based on the circumstances of the residents and the adult
care facility;
(j) require personal caregiving and compassionate caregiving to be
documented in the resident's case management notes; and
(k) make appropriate provisions for compassionate caregiving.
4. The respective commissioners shall post the requirements consistent
with regulations, on their website, including any requirements as to
time periods and region.
5. This section does not require the medical assistance program to
cover personal caregiving or compassionate caregiving and such
caregiving shall not be reimbursed under the medical assistance program.
6. This section does not relieve any facility licensed under this
article, or any facility operator, of any obligation or responsibility
imposed by any other applicable law or regulation.
7. Nothing in this section shall be construed to limit access by any
visitor to a facility that would otherwise be permitted under federal or
state law or regulation.
TITLE 3 Residential Programs For Children
Responsibility for standards. 1. (a) The office of children and
family services shall promulgate regulations concerning standards of
care and treatment and fiscal, administrative, nutritional,
architectural and safety standards, consistent with the provisions of
section three hundred ninety-eight-a of this chapter, which shall apply
to all facilities exercising care or custody of children or providing
care or shelter to unmarried mothers.
(b) With respect to facilities exercising care or custody of children,
no license or operating certificate shall be provided or renewed unless
it can be demonstrated that such facilities comply with regulations for
the prevention and remediation of reportable incidents involving
children in such facilities, including procedures for:
(i) consistent with appropriate collective bargaining agreements and
applicable provisions of the civil service law, assisting the justice
center for the protection of people with special needs with its review
and evaluation of criminal background checks of prospective employees,
as set forth in subdivision five of section five hundred fifty-three of
the executive law;
(ii) establishing, for employees, relevant minimal experiential and
educational qualifications consistent with appropriate collective
bargaining agreements and applicable provisions of the civil service
law;
(iii) assuring adequate and appropriate supervision of employees,
volunteers and consultants;
(iv) demonstrating by a residential facility or program that
appropriate action is taken to assure the safety of the child who is
reported pursuant to article eleven of this chapter to the vulnerable
persons' central register as well as other children in care, immediately
upon notification that a report of a reportable incident has been made
with respect to a child in such facility or program;
(v) consistent with applicable collective bargaining agreements,
assuring that an individual who has committed a category one offense, as
defined in paragraph (a) of subdivision five of section four hundred
ninety-three of this chapter, that is included on the vulnerable
persons' central register is not hired or otherwise used in any position
in which such individual would have regular and substantial contact with
a service recipient in any program operated, licensed or certified by
the office;
(vi) removing a child, consistent as applicable with any court order
placing the child, when it is determined that there is risk to such
child if he or she continues to remain within a facility or program;
(vii) appropriate preventive and remedial action to be taken including
legal actions, consistent with appropriate collective bargaining
agreements and applicable provisions of the civil service law.
(c) With respect to facilities exercising care or custody of children
such standards shall establish as a priority that:
(i) subject to the amounts appropriated therefor, administrators,
employees, volunteers and consultants receive training in at least the
following: child abuse prevention and identification, safety and
security procedures, the principles of child development, the
characteristics of children in care and techniques of group and child
management including crisis intervention, the laws, regulations and
procedures governing the protection of children from abuse and neglect,
and other appropriate topics, provided however, that the office may
exempt administrators and consultants of such facilities or programs
from such requirements upon demonstration of substantially equivalent
knowledge or experience; and
(ii) subject to the amounts appropriated therefor, children receive
instruction, consistent with their age, needs and circumstances as well
as the needs and circumstances within the facility or program, in
techniques and procedures which will enable such children to advocate
for and protect themselves from reportable incidents; and
(iii) the office, in consultation with the executive director of the
justice center for persons with special needs, shall take all reasonable
and necessary actions to assure that employees, volunteers and
consultants in residential care facilities and programs are kept
apprised on a current basis of all office policies and procedures
relating to the protection of children from reportable incidents, and
shall monitor and supervise the provision of training to such
administrators, employees, volunteers, children and consultants.
(d) Such regulations shall be developed in consultation with other
state departments and agencies responsible for human services programs
including, but not limited to, the department of education, the
department of health, the office of mental health, the office for people
with developmental disabilities, the office of alcoholism and substance
abuse services and the justice center for the protection of people with
special needs and shall, to the extent possible, be consistent with
those promulgated by other state agencies for such purposes.
(e) This subdivision shall not apply to facilities operated by or
certified or licensed to operate by another state agency.
(f) No residential institution for children as defined in subdivision
forty-four of section sixteen hundred seventy-six of the public
authorities law shall enter into a lease, sub-lease or other agreement
with the dormitory authority pursuant to subdivision forty of section
sixteen hundred eighty of the public authorities law unless and until:
(i) the office of children and family services, the director of the
division of the budget and any other state agency which licenses such
residential institutions for children first determines that the project
is necessary to address health and safety needs of children at the
institution, approve the project cost upon determination that such costs
are reasonable, necessary and cost effective based upon the application
of cost per square foot guidelines and any other standards applicable to
the type of program or to the clinically-required needs of a specialized
group of children to be served by the project; and
(ii) the office of children and family services or such other state
agency which licenses such residential institution for children approves
the plans and specifications of the residential facilities to be
replaced, reconstructed, rehabilitated, improved, renovated, or
otherwise provided for, furnished or equipped.
2. (a) The office shall establish regulations governing secure and
non-secure detention facilities subject to article nineteen-G of the
executive law and residential facilities operated as approved runaway
programs or transitional independent living support programs pursuant to
article nineteen-H of the executive law.
(b) The appropriate offices of the state department of mental hygiene
shall establish regulations governing all child care facilities subject
to articles thirty-one and thirty-two of the mental hygiene law.
(c) The department of mental hygiene and the office shall propose any
additional standards as are deemed necessary to adequately ensure the
care of children in facilities subject to the inspection and supervision
of the department, which care for a significant number of mentally
disabled children, juvenile delinquents or persons in need of
supervision. The final form of any such additional standards shall be
subject to the approval of the department of mental hygiene for such
standards related to the care of mentally disabled children, or the
office for such standards related to the care of juvenile delinquents
and persons in need of supervision.
Responsibility for inspection and supervision. 1. The office
of children and family services shall inspect and supervise secure and
non-secure detention facilities and those office of children and family
services residential facilities authorized by article nineteen-G of the
executive law and those residential facilities operated as approved
runaway programs or transitional independent living support programs
pursuant to article nineteen-H of the executive law.
2. The appropriate offices of the state department of mental hygiene
shall inspect and supervise those facilities subject to articles
thirty-one and thirty-two of the mental hygiene law.
3. For those facilities which care for a significant number of
mentally disabled children, the department shall enter into written
cooperative agreements no later than October first, nineteen hundred
seventy-seven with the department of mental hygiene for joint inspection
and supervision of such facilities, as appropriate.
4. The office of children and family services shall inspect and
supervise all other child care facilities subject to its regulation.
Responsibility for enforcement. 1. The office of children and
family services shall exercise the enforcement powers enumerated in
section four hundred sixty-d of this article which may apply to secure
and non-secure detention facilities and to those office of children and
family services residential facilities authorized by article nineteen-G
of the executive law and those residential facilities operated as
approved runaway programs or transitional independent living support
programs pursuant to article nineteen-H of the executive law.
2. The appropriate offices of the state department of mental hygiene
shall exercise the enforcement powers enumerated in section four hundred
sixty-d of this article which may apply to those facilities subject to
articles thirty-one and thirty-two of the mental hygiene law.
3. With respect to facilities which care for a significant number of
mentally disabled children, the department shall enter into written
cooperative agreements no later than October first, nineteen hundred
seventy-seven with the department of mental hygiene establishing
circumstances under which the department will at the request of the
department of mental hygiene act to limit or modify the operating
certificate of any facility so as to preclude such facility from
accepting, caring for or continuing to care for mentally disabled
children.
4. The office of children and family services shall exercise the
enforcement powers enumerated in section four hundred sixty-d of this
article with respect to all other child caring facilities subject to its
regulation either independently or at the request of the department of
mental hygiene.
TITLE 4 Registry of Community Residential Facilities
Definitions. For the purposes of this title, the following
definitions shall apply:
1. "Community residential facility" means any facility operated or
subject to licensure by the state which provides a supervised residence
for mentally, emotionally, physically, or socially disabled persons or
for persons in need of supervision or juvenile delinquents. This term
includes, but is not limited to, community residences for the mentally
disabled operated or licensed by the office of mental health or office
for people with developmental disabilities or by the divisions of the
office of alcoholism and substance abuse, agency operated boarding
homes, group homes or private proprietary homes for adults operated or
licensed by the department of social services, group homes operated by,
contracted for or licensed by the division for youth and half-way houses
operated or licensed by the division of substance abuse services.
2. "Sponsoring agency" means an agency or unit of government, a
voluntary agency as defined in the mental hygiene law or other
organization which intends to establish or operate a community
residential facility.
3. "Licensing authority" means the head of the state agency
responsible for issuance of a license or operating certificate to a
proposed community residential facility.
Statewide registry. 1. There shall be established in the
department a statewide registry on community residential facilities.
The department shall develop, in cooperation with the state agencies
responsible for the planning, administration, licensing, regulation and
operation of community residential facilities, a uniform data base for a
statewide registry to include, but not be limited to, the following
information:
(a) the nature or type of such community residence for the disabled
including the class of disabled persons it is intended to serve;
(b) the title of the sponsoring agency responsible for the operation
of such community residence;
(c) the geographical area in which such community residence is
located, including but not limited to street address, municipality,
local school district and health systems agency;
(d) the number of clients or residents authorized to live within such
community residences; and
(e) the licensing authority of such community residence.
2. (a) The department shall, no later than December fifteenth,
nineteen hundred eighty-three and annually thereafter, prepare a report
to the governor and the legislature including the following information:
(i) a registry of all community residences presently operating in
this state including the types of services provided, the number of
persons served, the number of persons authorized to reside therein, the
licensing authority by which it is governed and the municipality in
which it is located; and
(ii) the number of persons in the state presently receiving placement
in a community residence including the general type of services being
provided and the municipality in which they are provided.
(b) The department shall prepare for inclusion in the annual report
required by subdivision (d) of section seventeen of this chapter to be
filed with the governor and the legislature prior to December fifteenth
of each year an analysis of the information as previously described in
paragraph (a) of this subdivision so as to improve the ability of such
state agencies responsible for the planning, administration, licensing,
regulation and operation of such community residences to effectively
identify existing and future needs for persons and services in different
areas and coordinate their planning efforts to meet such needs.
3. The department shall provide or cause to be provided technical
assistance, within available resources, to municipalities which intend
to establish similar coordinated planning functions as described in this
act.
Powers and duties. The department shall have the following
powers and duties:
(a) to request and receive appropriate information as required by the
provisions of this title from state agencies responsible for the
planning, administration, licensing, regulation or operation of
community residential facilities, including a list of all community
residences heretofore or hereafter established by such agency or
pursuant to a license or operating certificate issued by such agency;
(b) to compile and index such information received from state
agencies responsible for the planning, administration, licensing,
regulation or operation of community residential facilities in order to
establish a comprehensive registry of such residences within the state
of New York;
(c) to provide access to such registry to such state agencies and
sponsoring agencies responsible for the planning, administration,
licensing, regulation or operation of community residential facilities
so as to coordinate and integrate planning among such state agencies;
(d) to make available to municipalities a listing of such community
residential facilities located within their jurisdiction or within an
adjoining municipality in order to facilitate proper local planning
efforts for the development of such community residential facilities;
and
(e) to promulgate such regulations as may be necessary to protect
information required to be kept confidential pursuant to law and to
prevent the dissemination of any personally identifiable information of
residents or clients of such community residential facilities.
ARTICLE 8 New York State Rural Human Services Networking Program
Short title. This article may be cited as the "rural human
services networking program".
Legislative findings. The legislature hereby finds,
determines, and declares that:
1. In rural areas there is a necessity to promote different approaches
to human services delivery if programs are to properly address diverse
community and individual needs and such unique rural conditions as low
population density; a large proportion of elderly persons; the absence
of economies of scale; geographic isolation; inadequate transportation;
fluctuating service demands; and general lack of suitable alternatives
for service delivery.
2. The human services delivery system in rural areas is often
fragmented, consisting of isolated providers with limited financial
resources and limited information-sharing networks. Many such providers
are currently providing identical or similar services to the same
clientele in the same area, often without being aware of a possible
duplication of effort.
3. A full range of coordinated and integrated human services is vital
to the health and well-being of residents of rural areas of the state
who are or may in the future be confronted with such intense social
problems as domestic violence, teenage pregnancy, migrant health
problems, nutritional deficiencies, suicide, hunger, unemployment, lack
of suitable shelter, crime, drug and alcohol abuse and poverty.
4. A proper response to intense social problems in some rural areas
would be to encourage greater sharing of information and resources among
human services providers in such rural areas, thereby enhancing the
cost-effectiveness and delivery of services required to address such
social problems. Such cooperative undertakings could be accomplished if
a program of financial incentives and state-level technical assistance
were made available to encourage providers in rural areas to embark upon
such cooperative arrangements and networking of the services they
provide.
Definitions. For the purposes of this article:
1. "Rural area" shall mean a rural area as defined in section two
thousand nine hundred fifty-one of the public health law.
2. "Advisory committee" shall mean the committee created in accordance
with section four hundred sixty-four-c of this article, for the purposes
of assisting the commissioner in administering the New York state rural
human services networking program created pursuant to the provisions of
this article.
3. "Human service" shall mean any service provided to individuals or
groups of individuals, for the purpose of improving or enhancing such
individuals' health and/or welfare, by addressing social problems
including but not limited to: domestic violence, teenage pregnancy,
migrant health problems, child abuse, nutritional deficiencies, suicide,
hunger, unemployment, lack of suitable shelter, crime, drug and alcohol
abuse and poverty.
4. "Human services provider" shall mean any public or not-for-profit
private entity utilizing public and/or private funds to provide or
contract for the provision of human services for the benefit of the
general public or specific client groups.
Advisory committee created. 1. An advisory committee shall be
created to assist the commissioner in carrying out the provisions of
this article. Such advisory committee shall consist of seven members,
with the commissioner or his or her designee serving as chairperson.
Membership of the committee shall include the following persons or their
designees: the chairperson of the legislative commission on the
development of rural resources which was created by chapter four hundred
twenty-eight of the laws of nineteen hundred eighty-two; the director of
the state office of rural affairs; the director of the office for the
aging; the commissioner of the department of health; the commissioner of
the division for youth; and the commissioner of the office of mental
health. The chairperson of the advisory committee may invite the
commissioner or director, or his or her designee, of any other state
agency or department, or any other rural human services provider or
consumer, to serve as an ex-officio member of the committee. The
commissioner shall take actions to promote the efficient and effective
operation of the advisory committee.
2. The advisory committee shall:
a. Review and recommend to the commissioner guidelines for the
operation of the rural human services networking program;
b. Recommend any changes in statutes or regulations necessary to
accomplish the purposes of this article;
c. Assist the department in the evaluation of individual pilot
projects and of the rural human services networking program; and
d. Assist in the development of interim and final reports, in
accordance with section four hundred sixty-four-e of this article.
e. Assist the commissioner in determining those rural areas to receive
priority consideration in selecting pilot project sites, pursuant to
subdivision four of section four hundred sixty-four-d of this article.
Program established. 1. The commissioner is authorized to
establish within the department a rural human services networking
program, for the purpose of assisting human services providers in rural
areas who seek to participate in the program as hereinafter provided, to
develop pilot projects to address intense social problems through the
creation of contracts or joint or cooperative agreements. Such pilot
projects shall capitalize on the strength of existing providers by
promoting the sharing of resources and service delivery in rural areas,
with the goal of reducing total cost to both consumers and providers
while increasing the availability and accessibility of human services in
such areas. Pilot projects shall also serve to identify methods of
overcoming impediments to the joint provision of integrated and
cost-effective human services in rural areas.
2. Within one hundred twenty days after the effective date of this
article, the commissioner, with the advice and guidance of the advisory
committee, shall establish and give public notice of the existence of
the rural human services networking program, and the availability of
competitive grants to human services providers interested in undertaking
pilot projects pursuant to the provisions of this article. At that time
the commissioner shall also distribute information on such program, and
application forms and procedures to eligible human services providers.
3. In order to implement the rural human services networking program
the commissioner shall, within the amounts appropriated therefor,
provide grants to eligible applicants on a competitive basis. No grant
for a pilot project shall be awarded by the commissioner unless the
application for such grant has been reviewed by state agencies which
license or certify the applicant agencies and any comments on such
proposals are considered by the commissioner. To be eligible for a grant
under this article, each application shall be submitted pursuant to a
contract or joint or cooperative agreement on behalf of two or more
local or regional human services providers intending to implement a
pilot project in a rural area. Applications shall be submitted to the
commissioner on such forms and at such times as the commissioner shall
prescribe, and completed applications shall be approved or disapproved
within ninety days of submission. In the event the commissioner
determines that a grant application is incomplete, or where waivers of
any regulations are requested by an applicant, the commissioner shall
have an additional ninety days to act upon such application.
4. In determining whether an application shall be approved and funds
awarded pursuant to this article, the commissioner shall give priority
consideration to applications received from human services providers
intending to implement a pilot project in the most sparsely populated
rural areas, as shall be previously determined by the commissioner, in
conjunction with the advisory committee. In addition, the commissioner
shall consider, but such consideration shall not be limited to, the
following:
a. The specific objectives and description of the proposed pilot
project, including demonstrated awareness of the level of human services
currently being provided within the service area;
b. The degree to which the proposed pilot project would meet local or
regional human services needs;
c. The demonstrated ability of the applicants to undertake the pilot
project;
d. The contribution the project would make toward the identification
and development of innovative delivery systems;
e. The degree to which the proposal would enhance the delivery or
improve the availability and accessibility of services with respect to
the full continuum of human services needs;
f. The degree to which continuity of care would be fostered and
improved;
g. The degree to which the proposal would enhance cost efficiency and
access to human services by populations in need of such services;
h. The degree to which information sharing, communication, and
cooperation between providers and consumers would be fostered;
i. The degree to which economies of scale in both the supply and
demand of services would be addressed;
j. The demonstrated level of commitment and support for the project
expressed by the community, local government body or bodies, and other
local or regional human services providers;
k. The impact the proposed pilot project will have on state agencies
providing services or funds for human services programs in the area, as
determined by the commissioner after consulting with such agencies;
l. The consistency of the proposed pilot project with the provisions
of article forty-one of the mental hygiene law; and
m. Any potential loss of funds or state or federal aid to which
providers may now be entitled, including but not limited to medicaid
funds, and the actions to be taken by the applicant and by the
commissioner to ensure the continuation of the same amount of funds or
aid.
5. The commissioner or his or her duly authorized representative may
meet with representatives of the applicants for the informal discussion
of preliminary and informal plans for a proposed project and may provide
such technical assistance as may be requested to implement an approved
project.
6. Pilot projects shall be approved for a time period not to exceed
three years. Within the amounts appropriated therefor, the commissioner
shall approve pilot project grant awards of not less than ten thousand
dollars nor more than fifty thousand dollars per pilot project in any
one calendar year. Such grants may be renewed annually for up to three
consecutive years, subject to the availability of funds. Funds awarded
to each recipient in the second and third years may be the same amount
as the grant received in the first year, or may be a lesser amount, with
the amounts of such awards determined in accordance with the nature of
the approved pilot project, the number of delivery and consumer
agencies, and the number of clients to be served. If the commissioner
determines that a grant is being used for purposes other than those
which are in conformity with this article, the commissioner may withdraw
approval of the project and require repayment of all or part of such
grant to the state. The commissioner shall cause reports to be prepared
and submitted for each project by the grantees at such times and in such
manner as are consistent with the purposes of this article.
7. For the purpose of promoting innovative approaches and maximum
effectiveness in the utilization of state and local monies, and
notwithstanding any other provisions of law, the commissioner may waive
any departmental regulations that may impede the successful
implementation and testing of a pilot project, provided that there is a
finding by the commissioner that the general welfare of the people
receiving human services will not be impaired. In addition, the
commissioner shall consult with federal, state, and local officials with
respect to securing their cooperation in coordinating related programs
and in seeking necessary regulatory waivers, in order to assure the
effective operation of any pilot project. Notwithstanding any other
provisions of law, at the request of the commissioner, on behalf of an
applicant, the commissioner or director of any other state agency or
department shall be authorized to waive any applicable regulations of
such agency or department that may impede the successful implementation
of a pilot project, provided there is a finding that the general welfare
of the people receiving human services will not be impaired.
8. Upon the request of an applicant, the commissioner or his or her
duly authorized representative may render to such applicant such
technical services and assistance as the department may possess or as
may be available to it in order to enable the applicant to carry out the
project and terms of such contract.
Distribution of reports. The commissioner, in conjunction
with the advisory committee, shall prepare an interim report within
thirty months after the effective date of this article, which shall
include a preliminary review of each pilot project. The commissioner, in
conjunction with such committee, shall also prepare a final report
within sixty months after the effective date of this article. Such
final report shall contain a description of the various human services
pilot projects demonstrated and their perceived effect on cost,
delivery and accessibility of human services in rural areas. The final
report shall describe the effect of each pilot project on existing
providers and consumers of such services, as well as the effect on each
community served. The same report shall identify laws, rules and
regulations, if any, that should be repealed or amended in order to make
it possible to properly and efficiently implement such plans or programs
in other rural areas of the state. Said interim and final reports shall
be distributed to all participants in the program, as well as to the
governor and the legislature.
Funds not to be diminished. For the duration of the grant
period, no local or regional human services provider shall lose any
grants or funds to which it may be entitled if it were to operate
separately, solely because it elects to participate in a pilot project
program and, notwithstanding any other provision of law to the contrary,
such grants or funds shall continue to be allocated in the same manner
and in the same amount as if such human services provider was not a
participant in such pilot project program.
ARTICLE 8-A Nutrition Outreach and Public Education Program
Nutrition outreach and public education program; establishment.
The nutrition outreach and public education program is established
within the office of temporary and disability assistance. Such program
is established to ensure maximum participation by eligible persons in
federal and state food assistance programs. The program shall be
structured so as to increase participation statewide but with particular
attention to high risk areas with a focus on certain at risk
populations.
Definitions. As used in this article:
1. "High risk areas" means any county or urban area where a
significant percentage or number of those potentially eligible for food
assistance programs are not participating in such programs.
2. "Food assistance programs" means programs including but not limited
to food stamp programs, school breakfast and lunch programs, child care
food programs, summer food service programs, special supplemental
programs for women, infants and children, congregate meal programs and
home delivered meal programs.
3. "At risk populations" means populations including but not limited
to families with children receiving family assistance, households
receiving federal supplemental security income payments, households with
incomes at or below one hundred eighty-five percent of the poverty
level, recipients of emergency food, elderly or disabled persons,
homeless persons, unemployed persons, and families and persons residing
in rural households who are at risk of nutritional deficiencies.
Responsibilities of the commissioner. The commissioner shall
directly or through contract administer a program of nutrition outreach
that shall include but not be limited to:
1. statewide coordination;
2. provision of information as to the availability of, eligibility
criteria for, and application procedure for food assistance programs;
3. coordination of efforts among state agencies including, but not
limited to, the department of health, the office for the aging, and the
education department and community agencies involved in food assistance
programs;
4. compilation of statistical data from state and local agencies and
dissemination to community organizations; and
5. nutrition education.
Grants to community organizations. The commissioner shall
make grants within the amount appropriated therefor to community-based
organizations or consortia of community-based organizations in high risk
areas for outreach activities. Such outreach activities shall include
but not be limited to:
1. identification of barriers to participation in food assistance
programs including the unavailability of such programs;
2. information as to program availability, individual or household
eligibility, and application procedure;
3. identification of at risk populations and individuals within the at
risk populations who are not participating;
4. assistance with eligibility requirements including verification and
enrollment;
5. dissemination of information to and conducting training sessions
for local groups; and
6. nutrition education to at risk populations.
Criteria for high risk areas. In selecting those areas which
would be determined to be high risk and therefore eligible for a grant,
the commissioner may consider factors including, but not limited to:
1. fifty percent or more of those potentially eligible are not
participating in the food stamp program or where a significant number of
the population potentially eligible, particularly the working poor and
the elderly, are not participating;
2. twenty-five percent or more of children are eligible for free or
reduced price meals within the school lunch program;
3. infant mortality or morbidity rates;
4. economic indicators including, but not limited to, the unemployment
rate, prevailing wages, and recent loss of job base;
5. high concentration of at risk populations; and
6. unavailability of food assistance programs in the area because of
lack of provider participation or knowledge about the existence of such
programs.
ARTICLE 8-B Transitional Care
Agreements. The department shall enter into memorandums of
understanding with the office of mental health and the office for people
with developmental disabilities. The memorandums with the office for
people with developmental disabilities and the office of mental health
shall facilitate access by those offices to child care facilities
providing transitional care to young adults as may be necessary for
those offices to meet their responsibilities for monitoring the care of
the young adults.
Care provided by authorized agencies. An authorized agency as
defined in section three hundred seventy-one of this chapter shall also
be authorized to provide temporary care for persons over age twenty-one
who meet the requirements of section 7.37-a or 13.37-a of the mental
hygiene law or on whose behalf temporary payments are being made
pursuant to section 7.38 or 13.38 of the mental hygiene law, who were in
the care of the authorized agency at the time of their twenty-first
birthday, and who have remained continuously in the care of the
authorized agency since their twenty-first birthday. Notwithstanding
any inconsistent provision of law, in any case where an individual
receiving transitional funding is about to be transferred from a child
care facility to an adult placement, a transfer plan shall be prepared
by the sending facility and forwarded to the receiving facility and the
individual, and, unless the individual objects, the parents, guardian or
other family members prior to the transfer. The transfer plan shall
include any information necessary to facilitate a safe transfer, such as
specific problems, schedule for administering medications and behavior
unique to the individual.
ARTICLE 9-A Berkshire Industrial Farm Title
TITLE 2 Berkshire Industrial Farm
Institution continued; powers. The body corporate known
prior to August twenty-fifth, eighteen hundred and ninety-six, by the
name of the "Burnham Industrial Farm," the name of which was, on that
day, changed to "Berkshire Industrial Farm," which corporation was
continued by the former provisions of this section, taking effect
February seventeenth, nineteen hundred and nine, under the name and
style of "Burnham Industrial Farm," and thereafter continued as the
"Berkshire Industrial Farm" by section three of chapter six hundred
nineteen of the laws of nineteen hundred forty until March first,
nineteen hundred fifty-nine, when its name was changed to "Berkshire
Farm for Boys" by chapter thirty-five of the laws of nineteen hundred
fifty-nine and thereafter continued as the "Berkshire Farm for Boys," is
hereby changed and shall be known as "Berkshire Farm Center and Services
for Youth", and by the latter name shall have power to take by gift,
lease, purchase, devise or bequest real and personal property and hold
the same for the proper uses and purposes of said corporation.
Objects of corporation. The objects of this corporation
shall be to receive and take charge of such children as may legally come
into its custody and care, and to provide for their support, education
and training.
Board of directors. The property and concerns of the
corporation shall be managed by a board of not over twenty-five and not
less than ten directors, who shall receive no compensation. The number
of directors to be chosen within the maximum and minimum limit shall be
determined in the manner prescribed by the by-laws. At least four in
number of the directors shall be elected annually on the first day of
May of each year, but they shall hold office until their successors are
elected. The board of directors in office on April first, nineteen
hundred forty-nine, is continued in office until their successors are
chosen.
Election of directors. On the first day of May in each year
at least four in number of the board of directors shall be elected by
the corporation in such manner and place as the by-laws shall direct,
but if no election is held on any such day the election may be held on
any subsequent day, and any vacancies occurring otherwise than by the
expiration of a regular term may be filled for the balance of such term
in accordance with the by-laws of this corporation and by the votes of a
majority of the directors then in office.
Quorum to do business. Five members of the board shall be a
quorum provided however in the case where the then current board of
directors is more than fifteen members then six members of the board
shall be a quorum, and the board may delegate its powers, during the
interval between its meetings, to an executive committee of its own
members, whose minutes shall be kept as provided by the by-laws, and
shall be reported for approval to all stated meetings of the board; but
no purchase or conveyance of real estate shall be made unless by the
concurrence of a majority of the whole board.
Custody of children, how acquired; notice to corporation.
The corporation shall be deemed to have acquired lawful care and custody
of any child between the ages of six and eighteen years who shall have
been surrendered to it by its parent or guardian; provided that such
surrender is evidenced by a writing executed by such parent or guardian
setting forth the name and age of the child, the date of surrender, and
the term for which such surrender is made, and expressly vesting in the
corporation all the powers and control over the child of which such
parent or guardian was possessed; provided that no such surrender shall
be made except upon five days' previous notice of the intention to make
such surrender in writing, by the parent or guardian of the child to the
said corporation or its agents.
Placement of children in care of corporation; effect of
placement. The family court may commit or place in said corporation,
with its consent, any child adjudicated to be a juvenile delinquent or a
person in need of supervision. Such commitment or placement in said
corporation shall be to the custody and control thereof for the period
provided in the order of commitment or placement.
Transfer of certain children by agencies. The corporate
authorities of any agency now or hereafter having the lawful custody and
care of any child not less than six years of age, and not awaiting trial
nor under sentence for a term of years for crime, may, with the consent
of said corporation, transfer and assign such custody and care to this
corporation upon such terms as the directors of such institution and
said corporation may agree.
Power of corporation as to children in its care; corporation
to act as guardian. Said corporation shall have the custody and control
of all children surrendered, committed, placed or transferred to it
under sections four hundred seventy-two-j to four hundred seventy-two-l,
and shall have authority by its officers or agents to restrain and
direct them, to assign them to suitable employments, to determine their
hours of labor, study and rest, to care for their sustenance and health,
and to instruct them in useful knowledge; and shall have power to place
such children in suitable homes where they may be adopted into families
or taken on trial or for a limited time, or to place such children in
group homes or group residences operated by the corporation or by other
agencies; or, in its discretion, to return them to their former home or
their parents or guardians under the supervision and guidance of the
corporation. And said corporation may, with the consent of any other
agency authorized by law to take the custody and control of children,
transfer to such other agency the custody and control of any child
whenever such transfer is deemed by said corporation to be necessary and
proper for the welfare of such child or for the discipline or protection
of other children in its charge, provided that there be first obtained
from a judge of a court of record an order of approval of such
transfer.
Statements as to age. In all cases under this article where
children shall come under the care, custody or control of said
corporation, the age of such children shall, so far as said corporation
is concerned, be prima facie deemed and taken to be correct as stated in
the written surrender of the parent or guardian, or the order of
placement or commitment by a family court, or in the transfer or
placement by any agency at the time of placement, admission or
commitment.
Reports. The said corporation shall annually, on or before
the fifteenth day of January, report to the legislature the number and
names of the children in its custody or under its guardianship, their
age, residence, occupation, state of education, together with the
changes in these particulars during the preceding year; the receipts and
expenditures and the financial condition of the corporation, and an
account of its general operations.
Property exempt from taxation. So long as the property of
said corporation shall be used for charitable purposes only, such
property, both real and personal, shall be exempt from taxation.
Powers and liabilities. Said corporation shall possess the
general powers and be subject to the general restrictions and
liabilities of incorporated charitable institutions.
ARTICLE 9-B Adult Protective Services
TITLE 1 Protective Services
Protective services. 1. In addition to services provided by
social services officials pursuant to other provisions of this chapter,
such officials shall provide protective services in accordance with
federal and state regulations to or for individuals without regard to
income who, because of mental or physical impairments, are unable to
manage their own resources, carry out the activities of daily living, or
protect themselves from physical abuse, sexual abuse, emotional abuse,
active, passive or self neglect, financial exploitation or other
hazardous situations without assistance from others and have no one
available who is willing and able to assist them responsibly. Such
services shall include:
(a) receiving and investigating reports of seriously impaired
individuals who may be in need of protection;
(b) arranging for medical and psychiatric services to evaluate and
whenever possible to safeguard and improve the circumstances of those
with serious impairments;
(c) arranging, when necessary, for commitment, guardianship, or other
protective placement of such individuals either directly or through
referral to another appropriate agency, provided, however, that where
possible, the least restrictive of these measures shall be employed
before more restrictive controls are imposed;
(d) providing services to assist such individuals to move from
situations which are, or are likely to become, hazardous to their health
and well-being;
(e) cooperating and planning with the courts as necessary on behalf of
individuals with serious mental impairments; and
(f) other protective services for adults included in the regulations
of the department.
2. (a) In that the effective delivery of protective services for
adults requires a network of professional consultants and services
providers, local social services districts shall plan with other public,
private and voluntary agencies including but not limited to health,
mental health, aging, legal and law enforcement agencies, for the
purpose of assuring maximum local understanding, coordination and
cooperative action in the provision of appropriate services.
(b) Each social services district shall prepare, with the approval of
the chief executive officer, or the legislative body in those counties
without a chief executive officer, after consultation with appropriate
public, private and voluntary agencies, a district-wide plan for the
provision of adult protective services which shall be a component of the
district's multi-year consolidated services plan as required in section
thirty-four-a of this chapter. This plan shall describe the local
implementation of this section including the organization, staffing,
mode of operations and financing of the adult protective services as
well as the provisions made for purchase of services, inter-agency
relations, inter-agency agreements, service referral mechanisms, and
locus of responsibility for cases with multi-agency services needs.
Commencing the year following preparation of a multi-year consolidated
services plan, each local district shall prepare annual implementation
reports including information related to its adult protective services
plan as required in section thirty-four-a of the social services law.
(c) Each social services district shall submit the adult protective
services plan to the department as a component of its multi-year
consolidated services plan and subsequent thereto as a component of its
annual implementation reports and the department shall review and
approve the proposed plan and reports in accordance with the procedures
set forth in section thirty-four-a of this chapter.
3. Any social services official or his designee authorized or required
to determine the need for and/or provide or arrange for the provision of
protective services to adults in accordance with the provision of this
section, shall have immunity from any civil liability that might
otherwise result by reason of providing such services, provided such
official or his designee was acting in the discharge of his duties and
within the scope of his employment, and that such liability did not
result from the willfull act or gross negligence of such official or his
designee.
4. For the purpose of developing improved methods for the delivery of
protective services for adults, the department with the approval of the
director of the budget, shall authorize a maximum of five demonstration
projects in selected social services districts. Such projects may serve
a social services district, part of a district or more than one
district. These demonstration projects shall seek to determine the most
effective methods of providing the financial management component of
protective services for adults. These methods shall include but not be
limited to: having a social services district directly provide financial
management services; having a social services district contract with
another public and/or private agency for the provision of such services;
utilizing relatives and/or friends to provide such services under the
direction of a social services district or another public and/or private
agency and establishing a separate public office to provide financial
management services for indigent persons. The duration of these projects
shall not exceed eighteen months. Furthermore, local social services
districts shall not be responsible for any part of the cost of these
demonstration projects which would not have otherwise accrued in the
provision of protective services for adults. The total amount of state
funds available for such financial management services demonstration
projects, exclusive of any federal funds shall not exceed three hundred
thousand dollars. The commissioner shall require that a final
independent evaluation by a not-for-profit corporation be made of the
demonstration projects approved and conducted hereunder, and shall
provide copies of such report to the governor and the legislature.
5. Whenever a social services official, or his or her designee
authorized or required to determine the need for, or to provide or
arrange for the provision of protective services to adults in accordance
with the provisions of this title has a reason to believe that a
criminal offense has been committed, as defined in the penal law,
against a person for whom the need for such services is being determined
or to whom such services are being provided or arranged, the social
services official or his or her designee must report this information to
the appropriate police or sheriff's department and the district
attorney's office when such office has requested such information be
reported by a social services official or his or her designee.
6. Definitions. When used in this title unless otherwise expressly
stated or unless the context or subject matter requires a different
interpretation:
(a) "Physical abuse" means the non-accidental use of force that
results in bodily injury, pain or impairment, including but not limited
to, being slapped, burned, cut, bruised or improperly physically
restrained.
(b) "Sexual abuse" means non-consensual sexual contact of any kind,
including but not limited to, forcing sexual contact or forcing sex with
a third party.
(c) "Emotional abuse" means willful infliction of mental or emotional
anguish by threat, humiliation, intimidation or other abusive conduct,
including but not limited to, frightening or isolating an adult.
(d) "Active neglect" means willful failure by the caregiver to fulfill
the care-taking functions and responsibilities assumed by the caregiver,
including but not limited to, abandonment, willful deprivation of food,
water, heat, clean clothing and bedding, eyeglasses or dentures, or
health related services.
(e) "Passive neglect" means non-willful failure of a caregiver to
fulfill care-taking functions and responsibilities assumed by the
caregiver, including but not limited to, abandonment or denial of food
or health related services because of inadequate caregiver knowledge,
infirmity, or disputing the value of prescribed services.
(f) "Self neglect" means an adult's inability, due to physical and/or
mental impairments to perform tasks essential to caring for oneself,
including but not limited to, providing essential food, clothing,
shelter and medical care; obtaining goods and services necessary to
maintain physical health, mental health, emotional well-being and
general safety; or managing financial affairs.
(g) "Financial exploitation" means improper use of an adult's funds,
property or resources by another individual, including but not limited
to, fraud, false pretenses, embezzlement, conspiracy, forgery,
falsifying records, coerced property transfers or denial of access to
assets.
7. Notwithstanding any other provision of law, for the purposes of
this article an Indian tribe that has entered into an agreement with the
office of children and family services pursuant to section thirty-nine
of this chapter, which includes the provision of adult services by such
Indian tribe, shall have the duties, responsibilities and powers of a
social services district or a social services official for the purpose
of providing adult protective services.
8. The office of children and family services shall create and keep
current best practice guidelines for the provision of adult protective
services pursuant to this article. Such guidelines shall be distributed
for use to local social services districts, and posted on such office's
website, and shall include, but not be limited to, the procedures for:
(a) reviewing any previous child or adult protective involvement;
(b) assessing and identifying abuse and neglect of persons believed to
be in need of protective services;
(c) interviewing persons believed to be in need of protective services
and their caretakers;
(d) reviewing when it is appropriate to seek a warrant to gain access
to persons believed to be in need of protective services;
(e) identifying and making referrals for appropriate services; and
(f) communicating the rights of persons believed to be eligible for
protective services.
TITLE 2 Short-term Involuntary Protective Services Orders
Short-term involuntary protective services orders. 1.
Definitions. When used in this section unless otherwise expressly stated
or unless the context or subject matter requires a different
interpretation:
(a) "endangered adult" means a person, age eighteen or over who is:
(i) in a situation or condition which poses an imminent risk of death
or imminent risk of serious physical harm to him or her, and
(ii) lacking capacity to comprehend the nature and consequences of
remaining in that situation or condition, provided that:
a. refusal by the adult to accept protective services shall not in
itself be sufficient evidence of such lack of capacity; and
b. mental illness shall not in itself be sufficient evidence of such
lack of capacity.
(b) "short-term involuntary protective services" means those services
set forth in section four hundred seventy-three of this article which
are provided involuntarily pursuant to the procedures established by
this title.
(c) "petitioner" means a social services official initiating a
proceeding pursuant to this title.
(d) "respondent" means an allegedly endangered adult.
2. Jurisdiction. The supreme court and the county court shall each
have jurisdiction over the special proceeding commenced pursuant to the
provisions of this title.
3. Venue. A petition for the provision of short-term involuntary
protective services shall be made to:
(a) a term of the supreme court:
(i) held in the county in which the allegedly endangered adult resides
or is found; or
(ii) held in a county, within the same judicial district, adjacent to
the county in which the allegedly endangered adult resides or is found;
or
(b) the county court:
(i) in the county in which the allegedly endangered adult resides or
is found; or
(ii) in a county adjacent to the county in which the allegedly
endangered adult resides or is found.
4. Petition. (a) A special proceeding to obtain an order authorizing
the provision of short-term involuntary protective services may only be
initiated by a social services official.
(b) The petition shall state, insofar as the facts can be ascertained
with reasonable diligence:
(i) the name, age and physical description of the allegedly endangered
adult; and
(ii) the address or other location where the allegedly endangered
adult can be found.
(c) The petition shall state facts showing:
(i) that the adult who is the subject of this petition is an
endangered adult as defined in paragraph (a) of subdivision one of this
section;
(ii) the specific short-term involuntary protective services
petitioned for, how such services would remedy the situation or
condition which poses an imminent risk of death or imminent risk of
serious physical harm to the allegedly endangered adult, and why such
services are not overbroad as to extent or duration;
(iii) that the short-term involuntary protective services being
applied for are necessitated by the situation or condition described in
paragraph (a) of subdivision one of this section;
(iv) that other voluntary protective services have been tried and have
failed to remedy the situation, and that a future, voluntary, less
restrictive alternative would not be appropriate or would not be
available;
(v) if a change in the allegedly endangered adult's physical location
is being applied for, that remedy of the dangerous situation or
condition described in paragraph (a) of subdivision one of this section
is not appropriate in existing physical surroundings of the allegedly
endangered adult;
(vi) any inconsistency known to petitioner between the proposed
short-term involuntary protective services and the allegedly endangered
adult's religious belief;
(vii) that if it reasonably appears that the allegedly endangered
adult does not understand the English language, that reasonable efforts
have been made to communicate with the allegedly endangered adult in a
language he or she understands;
(viii) that no prior application has been made for the relief
requested or for any similar relief, or if prior application has been
made, the determination thereof, and the new facts, if any, that were
not previously shown which warrant a renewal of the application.
(d) The petition shall be verified. Any allegations which are not
based upon personal knowledge shall be supported by affidavits provided
by a person or persons having such knowledge. Such affidavits shall be
attached to the petition.
5. Commencement of proceedings. (a) A special proceeding to obtain an
order authorizing the provision of short-term involuntary protective
services shall be commenced by an order to show cause, the petition and
supporting affidavits, if any.
(b) The order to show cause shall set forth:
(i) in bold type, on its face, the following:
WARNING IF YOU DO NOT APPEAR IN COURT YOUR LIFE AND LIBERTY MAY BE
SERIOUSLY AFFECTED. FOR FREE INFORMATION CONCERNING YOUR LEGAL RIGHTS
CALL OR VISIT
(ii) the protective services to be provided if the petition is
granted;
(iii) the date, place and time of the hearing to determine whether the
petition is to be granted;
(iv) that the respondent is entitled to counsel at all stages of the
proceeding, that upon granting the order to show cause, the court shall
assign counsel to assist the respondent, and that respondent is free at
any time to discharge the counsel assigned by the court. The name,
address and telephone number of the assigned counsel shall be inserted
at the end of the warning referred to in subparagraph (i) of this
paragraph;
(v) that if the respondent or retained counsel does not appear at the
hearing to determine whether the petition is to be granted, the court
will appoint a guardian ad litem;
(vi) that if the respondent discharges the assigned counsel prior to
the hearing to determine if the petition is to be granted, such counsel
shall report this fact to the court no later than the commencement of
the hearing, and shall appear at the hearing, unless otherwise relieved
by the court. In the event that neither the respondent nor his retained
counsel appears at the hearing, the court may appoint the person
previously assigned as counsel to act as the guardian ad litem; and
(vii) that a copy of the order to show cause, the petition, and
supporting affidavits, if any, shall be served upon the respondent.
(c) Petitioner shall cause the order to show cause, the petition, and
supporting affidavits, if any, to be delivered to the counsel assigned
by the court.
(d) The order to show cause shall be made returnable within
forty-eight hours following its issuance, unless such forty-eight hour
period ends on a day in which the court is not in session, in which case
the return date shall be the first business day following issuance of
the order to show cause.
6. Service. (a) Service of the order to show cause, the petition, and
supporting affidavits, if any, shall be made upon the respondent by any
of the methods permitted by section three hundred eight of the civil
practice law and rules. Notwithstanding any other provision of law to
the contrary, Saturday and Sunday service is valid.
(b) The respondent shall be authorized to answer either orally or in
writing.
7. Hearing. (a) Upon the return date designated in the order to show
cause issued pursuant to subdivision five of this section a hearing
shall be held forthwith.
(b) The allegedly endangered adult shall be entitled to be present at
the hearing.
(c) Adjournments shall be permitted only for good cause shown. In
granting adjournments the court shall consider the need to provide
short-term involuntary services expeditiously.
(d) At the conclusion of the hearing the court shall issue for the
record a statement of its findings of fact and conclusions of law.
8. Preference. The special proceeding authorized by this title shall
have preference over all other causes in all courts of appropriate
jurisdiction.
9. Findings. After a hearing, the court must find, in order to
authorize the provision of short-term involuntary protective services,
that all of the material allegations as specified in paragraph (c) of
subdivision four of this section have been admitted or proven by clear
and convincing proof.
10. Judgment. (a) The court, upon making the findings required by
subdivision nine herein, shall direct the entry of a judgment
authorizing the provision of short-term involuntary protective services
to an endangered adult.
(b) A judgment authorizing short-term involuntary protective services
to be provided to an endangered adult:
(i) shall prescribe those specific protective services, authorized by
section four hundred seventy-three of this article, which are to be
provided and what person or persons are authorized or ordered to provide
them; and
(ii) shall not provide for any forcible entry unless the persons so
entering are accompanied by a peace officer, acting pursuant to his
special duties, or a police officer, who is a member of an authorized
police department or force or of a sheriff's department;
(iii) shall require persons acting under subparagraphs (i) and (ii) of
this paragraph to submit a written report to the court within one week
following the commencement of the ordered protective services.
(c) The judgment may order any other public or law enforcement
official to render such assistance and cooperation as shall be within
his legal authority, as may be required to further the objects of this
title.
(d) The judgment shall not order removal to a hospital, as that term
is defined in section 1.03 of the mental hygiene law.
(e) Issuance of the judgment shall not be evidence of the competency
or incompetency of the endangered adult.
(f) No order issued pursuant to this title shall extend for more than
seventy-two hours. An original order may be renewed once for up to
another seventy-two hour period upon showing by the petitioner to the
court that continuation is necessary to remedy the original situation or
condition. No further renewals shall be permitted.
(g) In no event shall the short-term involuntary services authorized
to be provided to an endangered adult by the judgment be broader than
those which are necessary to remedy the situation or condition which
poses an imminent risk of death or imminent risk of serious physical
harm to the endangered adult.
(h) Notice of the judgment rendered by the court shall be given to the
respondent personally, or if personal service is not possible in
whatever other fashion the court shall prescribe.
11. Appeals. Appeals arising from the issuance of judgments pursuant
to the provisions of this title shall be expedited.
12. The assigned counsel and the guardian ad litem appointed by the
court pursuant to this title shall be reimbursed for their services
pursuant to section thirty-five of the judiciary law.
13. Nothing in this title precludes the simultaneous commencement of a
proceeding under this title and a proceeding under section 9.43 of the
mental hygiene law, or a proceeding under article seventy-seven or
article seventy-eight of such law. A pending proceeding under section
9.43 of the mental hygiene law or under article seventy-seven or article
seventy-eight of the mental hygiene law does not preclude commencement
of a proceeding under this title.
14. No existing right or remedy of any character shall be lost,
impaired or affected by reason of this title.
Reporting of endangered adults; persons in need of protective
services. Any person who in good faith believes that a person eighteen
years of age or older may be an endangered adult or in need of
protective or other services, pursuant to this article, and who, based
on such belief either:
(a) reports or refers such person to the department, office for the
aging, or any local social services district office or designated area
agency on aging, law enforcement agency, or any other person, agency or
organization that such person, in good faith, believes will take
appropriate action; or
(b) testifies in any judicial or administrative proceeding arising
from such report or referral shall have immunity from any civil
liability that might otherwise result by reason of the act of making
such report or referral or of giving of such testimony.
An order to gain access to persons believed to be in need of
protective services for adults. 1. A social services official may apply
to the supreme court or county court for an order to gain access to a
person to assess whether such person is in need of protective services
for adults in accordance with the provisions of section four hundred
seventy-three of this article when such official, having reasonable
cause to believe that such person may be in need of protective services,
is refused access by such person or another individual. A social
services official who is refused access shall assess, in consultation
with a person in a supervisory role, whether or not it is appropriate to
apply for an order to gain access to such person. Such assessment must
be made as soon as necessary under the circumstances, but no later than
twenty-four hours after the investigating official is refused access.
The determination of whether or not to apply for an order to gain access
and the reasons therefor shall be documented in the investigation file.
Such application for an order to gain access shall state, insofar as the
facts can be ascertained with reasonable diligence:
(a) the name and address of the person who may be in need of
protective services for adults and the premises on which this person may
be found;
(b) the reason the social services official believes the person may be
in need of protective services for adults, which may include information
provided by other agencies or individuals who are familiar with the
person who may be in need of protective services for adults;
(c) the person or persons who are responsible for preventing the
social services official from gaining access to the person who may be in
need of protective services for adults;
(d) the efforts made by the social services official to gain access to
the person who may be in need of protective services for adults;
(e) the names of any individuals, such as physicians or nurses, or
other health or mental health professionals qualified to participate in
the assessment, who shall accompany and assist the social services
official conducting an assessment of the need of a person for protective
services for adults;
(f) the manner in which the proposed assessment is to be conducted;
(g) that the social services official seeks an order solely for the
purpose of assessing the need of a person for protective services for
adults in accordance with the provisions of section four hundred
seventy-three of this article and applicable regulations of the
department;
(h) that no prior application has been made for the relief requested
or for any similar relief, or if prior application has been made, the
determination thereof, and the new facts, if any, that were not
previously shown which warrant a renewal of the application.
2. Any allegations which are not based upon personal knowledge shall
be supported by affidavits provided by a person or persons having such
knowledge. Such affidavits shall be attached to the application.
3. The applications authorized in this section shall have preference
over all other causes in all courts of appropriate jurisdiction, except
those with a similar statutory preference.
4. If the court is satisfied that there is reasonable cause to believe
that a person in need of protective services for adults may be found at
the premises described in the application, that such person may be in
need of protective services for adults, and that access to such person
has been refused, it shall grant the application and issue an order
authorizing the social services official and such other individuals as
may be designated by the said official, accompanied by a police officer,
to enter the premises to conduct an assessment to determine whether the
person named in the application is in need of protective services for
adults. The standard for proof and procedure for such an authorization
shall be the same as for a search warrant under the criminal procedure
law.
5. The provisions of this section shall not be construed to authorize
a social services official to remove any person from the premises
described in the application, or to provide any involuntary protective
services to any person other than to assess a person's need for
protective services for adults. Nothing in this section shall be
construed to impair any existing right or remedy.
TITLE 3 Community Guardianship
Community guardianship. 1. Definitions. When used in this
section unless otherwise expressly stated or unless the context or
subject matter requires a different interpretation:
(a) "Community guardian program" means a not-for-profit corporation
incorporated under the laws of the state of New York or a local
governmental agency which has contracted with or has an agreement with a
local social services official to provide conservatorship or
committeeship services to eligible persons as provided in this title.
(b) "Hospital" means a hospital as defined in subdivision one of
section two thousand eight hundred one of the public health law, or a
hospital as defined in subdivision ten of section 1.03 of the mental
hygiene law.
(c) "Residential facility" means a facility licensed pursuant to
article twenty-eight of the public health law, article nineteen,
twenty-three, thirty-one or thirty-two of the mental hygiene law, or
article seven of this chapter.
2. A social services official may contract with a community guardian
program for the provision of conservatorship or committeeship services.
A social services official may bring a petition to appoint a community
guardian program as conservator or committee for a person only if the
person is:
(a) eligible for and in receipt of adult protective services, as
defined in section four hundred seventy-three of this chapter, at the
time of the petition; and
(b) without a capable friend or relative or responsible agency willing
and able to serve as conservator or committee; and
(c) living outside of a hospital or residential facility, or living in
a hospital or residential facility and appointment of the community
guardian program is part of a plan to return such person to the
community.
3. A contract or agreement between a local social services official
and a community guardian program shall require that:
(a) the community guardian program shall make its best efforts to
maintain each person for whom the community guardian program is
appointed as conservator or committee in a place other than a hospital
or residential facility;
(b) the community guardian program shall petition the court to
relinquish its duties as conservator or committee if a person for whom
the community guardian program is appointed as conservator or committee
regains capacity or competence, or a capable friend or relative becomes
available to serve as conservator or committee, or the person must enter
a hospital or residential facility on a long-term basis;
(c) the community guardian program shall act on behalf of each person
for whom the community guardian program is appointed as conservator or
committee to obtain such medical, social, mental health, legal and other
services as are available and to which the person is entitled and as are
required for the person's safety and well-being and shall advocate for
all entitlements, public benefits, and services for which the person
qualifies and which the person requires;
(d) all remuneration awarded to the community guardian program by the
court from the estate of a person for whom the community guardian
program is appointed as conservator or committee shall be based upon the
cost of the community guardian program incurred in serving such person
or the fee that would otherwise be awarded by the court, whichever is
the lesser, and paid over to the social services district;
(e) the files and records of the community guardian program shall be
open to inspection to the local social services officials and the
department;
(f) no director, officer or employee of the community guardian program
shall have a substantial interest in any corporation, organization or
entity that provides services to any person for whom the community
guardian program is conservator or committee;
(g) the community guardian program shall obtain annually a statement
prepared by a physician, psychologist, nurse clinician, or social
worker, or other person evaluating the condition and functional level of
a person for whom the community guardian program serves as guardian
pursuant to paragraph five of subdivision (b) of section 81.31 of the
mental hygiene law and the appointing court shall be informed of the
results of such evaluation or examination and may discharge or modify
the powers of the guardian pursuant to section 81.36 of the mental
hygiene law. The person conducting the evaluation pursuant to this
paragraph shall not be affiliated with a community guardian program and
shall be acting within their lawful scope of practice as established
under the education law;
(h) persons hired by the community guardian program to provide
services to a person for whom the community guardian program has been
named conservator or committee shall have expertise in one or more of
the areas of mental health services, protective services, social
services or home care services or appropriate experience.
4. A local social services official shall not be relieved of any duty
to provide services to a person by reason of the operation of a
community guardian program in the locality or by cessation of such
program in the locality.
5. The department may promulgate rules and regulations necessary to
implement this title.
6. Expenditures made by a social services district, directly or
through purchase of services, in petitioning for or acting as a
conservator or committee, or made pursuant to contract for community
guardianship services in accordance with the provisions of this title,
shall be subject to reimbursement by the state, in accordance with
regulations of the department, in the amount of fifty per centum of such
expenditures, after first deducting therefrom any federal funds properly
received or to be received on account thereof and any amounts received
pursuant to paragraph (d) of subdivision three of this section.
7. Nothing in this title shall lessen or eliminate the
responsibilities and powers required by law of any agency, department,
or any subdivision thereof.
8. On or before December thirty-first, nineteen hundred eighty-seven,
the commissioner shall submit an interim report to the governor, the
temporary president of the senate and the speaker of the assembly
detailing progress and evaluating results of this program. On or before
December thirty-first, nineteen hundred eighty-eight, the commissioner
shall submit a final report to the governor, the temporary president of
the senate and the speaker of the assembly on the effectiveness of this
act.
Confidentiality of protective services for adults' records.
1. Definitions. When used in this section unless otherwise expressly
stated or unless the context or subject matter requires a different
interpretation:
(a) "Subject of a report" means a person who is the subject of a
referral or an application for protective services for adults, or who is
receiving or has received protective services for adults from a social
services district.
(b) "Authorized representative of a subject of a report" means (i) a
person named in writing by a subject to be a subject's representative
for purposes of requesting and receiving records under this article;
provided, however, that the subject has contract capacity at the time of
the writing or had executed a durable power of attorney at a time when
the subject had such capacity, naming the authorized representative as
attorney-in-fact, and such document has not been revoked in accordance
with applicable law; (ii) a person appointed by a court, or otherwise
authorized in accordance with law to represent or act in the interests
of the subject; or (iii) legal counsel for the subject.
2. Reports made pursuant to this article, as well as any other
information obtained, including but not limited to, the names of
referral sources, written reports or photographs taken concerning such
reports in the possession of the department or a social services
district, shall be confidential and, except to persons, officers and
agencies enumerated in paragraphs (a) through (g) of this subdivision,
shall only be released with the written permission of the person who is
the subject of the report, or the subject's authorized representative,
except to the extent that there is a basis for non-disclosure of such
information pursuant to subdivision three of this section. Such reports
and information may be made available to:
(a) any person who is the subject of the report or such person's
authorized representative;
(b) a provider of services to a current or former protective services
for adults client, where a social services official, or his or her
designee determined that such information is necessary to determine the
need for or to provide or to arrange for the provision of such services;
(c) a court, upon a finding that the information in the record is
necessary for the use by a party in a criminal or civil action or the
determination of an issue before the court;
(d) a grand jury, upon a finding that the information in the record is
necessary for the determination of charges before the grand jury;
(e) a district attorney, an assistant district attorney or
investigator employed in the office of a district attorney, a member of
the division of state police, or a police officer employed by a city,
county, town or village police department or by a county sheriff when
such official requests such information stating that such information is
necessary to conduct a criminal investigation or criminal prosecution of
a person, that there is reasonable cause to believe that the criminal
investigation or criminal prosecution involves or otherwise affects a
person who is the subject of a report, and that it is reasonable to
believe that due to the nature of the crime under investigation or
prosecution, such records may be related to the criminal investigation
or prosecution;
(f) a person named as a court-appointed evaluator or guardian in
accordance with article eighty-one of the mental hygiene law, or a
person named as a guardian for individuals with developmental
disabilities in accordance with article seventeen-A of the surrogate's
court procedure act; or
(g) any person considered entitled to such record in accordance with
applicable law.
3. The commissioner or a social services official may withhold, in
whole or in part, the release of any information in their possession
which he or she is otherwise authorized to release pursuant to
subdivision two of this section, if such official finds that release of
such information would identify a person who made a referral or
submitted an application on behalf of a person for protective services
for adults, or who cooperated in a subsequent investigation and
assessment conducted by a social services district to determine a
person's need for such services and the official reasonably finds that
the release of such information will be detrimental to the safety or
interests of such person.
4. Before releasing a record made pursuant to this article in the
possession of the department or a social services district, the
appropriate official must be satisfied that the confidential character
of the information will be maintained in accordance with applicable law,
and that the record will be used only for the purposes for which it was
made available.
5. In addition to the requirements of this section, any release of
confidential HIV related information, as defined in section twenty-seven
hundred eighty of the public health law, shall comply with the
requirements of article twenty-seven-F of the public health law.
6. When a record made under this article is subpoenaed or sought
pursuant to notice to permit discovery, a social services official may
move to withdraw, quash, fix conditions or modify the subpoena, or to
move for a protective order, as may be appropriate, in accordance with
the applicable provisions of the criminal procedure law or the civil
practice law and rules, to (a) delete the identity of any persons who
made a referral or submitted an application for protective services for
adults on behalf of an individual or who cooperated in a subsequent
investigation and assessment of the individual's needs for such
services, or the agency, institution, organization, program or other
entity when such persons are employed, or with which such persons are
associated, (b) withhold records the disclosure of which is likely to be
detrimental to the safety or interests of such persons, or (c) otherwise
to object to release of all or a portion of the record on the basis that
requested release of records is for a purpose not authorized under the
law.
ARTICLE 10 General Provisions Applicable to Charitable Institutions
Reports to supervisors of appointments and committals to
charitable institutions. 1. Every judge, justice, superintendent or
public welfare official or other person who is authorized by law to make
appointments or commitments to any state charitable institution, in
which the board, instruction, care or clothing is a charge against any
county, town or city, shall make a written report to the clerk of the
board of supervisors of the county, or of the county in which any town
is situated, or to the city clerk of any city, which is liable for any
such board, instruction, care or clothing, within ten days after such
appointment or commitment, and shall therein state, when known, the
nationality, age, sex and residence of each person so appointed or
committed and the length of time of such appointment or commitment.
2. This and the two following sections shall apply to each of the
asylums, reformatories, homes, retreats, penitentiaries, jails or other
institutions, except public homes, in each of the counties of this state
except the county of Kings, in which the board, instruction, care or
clothing of persons committed thereto is, or shall be, a charge against
any county or town therein.
Reports by officers of certain institutions to clerks of
supervisors and cities. 1. The keeper, superintendent, secretary,
director or other proper officer of a state charitable institution to
which any person is committed or appointed, whose board, care,
instruction, tuition or clothing shall be chargeable to any city, town
or county, shall make a written report to the clerk of such city or to
the clerk of the board of supervisors of the county, or of the county in
which such town is situated, within ten days after receiving such person
therein.
2. Such report shall state when such person was received into the
institution, and, when known, the name, age, sex, nationality,
residence, length of time of commitment or appointment, the name of the
officer making the same, and the sum chargeable per week, month or year
for such person.
3. If any person so appointed or committed to any such institution
shall die, be removed or discharged, such officers shall immediately
report to the clerk of the board of supervisors of the county, or of the
county in which such town is situated, or to the city clerk of the city
from which such person was committed or appointed, the date of such
death, removal or discharge.
Verified accounts against counties, cities and towns. 1. The
officers mentioned in the last section shall annually, on or before the
fifteenth day of October, present to the clerk of the board of
supervisors of the county, or of the county in which such town is
situated, or to the city clerk of a city from which any such person is
committed or appointed, a verified report and statement of the account
of such institution with such county, town or city, up to the first day
of October, and in case of a claim for clothing, an itemized statement
of the same; and if a part of the board, care, tuition or clothing has
been paid by any person or persons, the account shall show what sum has
been so paid; and the report shall show the name, age, sex, nationality
and residence of each person mentioned in the account, the name of the
officer who made the appointment or commitment, and the date and length
of the same, and the time to which the account has been paid, and the
amount claimed to such first day of October, the sum per week or per
annum charged, and if no part of such account has been paid, the report
shall show such fact.
2. Any officer who shall refuse or neglect to make such report shall
not be entitled to receive any compensation or pay for any services,
salary or otherwise, from any town, city or county affected thereby.
3. The clerk of the board of supervisors who shall receive any such
report or account shall file and present the same to the board of
supervisors of his county on the second day of the annual meeting of the
board next after the receipt of the same.
Dutchess county. 1. All mentally ill, developmentally disabled,
blind and deaf and mute persons, the expense of whose support and
maintenance now is, or, under the laws of the state of New York, may
become a charge upon the city of Poughkeepsie, or the county of
Dutchess, exclusive of said city, or both, and who are maintained, or
shall be maintained, in any of the institutions of the state of New
York, shall be supported by said county of Dutchess as one district.
2. All institutions in the state of New York maintaining any such
person whose support is properly chargeable, or shall be properly
chargeable, to said city or county, are hereby required to render to the
county treasurer of said county all bills for the support of such
persons without any distinction between those persons from the different
parts of said county.
3. This section shall not be held to affect chapter two hundred and
eighty-six of the laws of eighteen hundred and sixty-three, an act for
the better support of the poor in the city of Poughkeepsie, except as to
the class of persons herein named.
Investigation of complaints by boards of managers. Whenever
the managers, directors or trustees of any asylum, hospital or other
charitable institution, the managers, directors or trustees of which are
appointed by the governor and senate, or by the legislature, shall deem
it necessary or proper to investigate and ascertain the truth of any
charge or complaint made or circulated respecting the conduct of the
superintendent, assistants, subordinate officers or servants, in
whatever capacity or duty employed by or under the official control of
any such managers, directors or trustees, it shall be lawful for the
presiding officer for the time being of any such managers, directors or
trustees, to administer oaths to all witnesses coming before them
respectively for examination, and to issue compulsory process for the
attendance of any witness within the state whom they may respectively
desire to examine, and for the production of all papers that any such
witness may possess, or have in his power, touching the matter of such
complaint or investigation; and wilful false swearing by any witness who
may be so examined is hereby declared to be perjury. A subpoena issued
under this section shall be regulated by the civil practice law and
rules.
Designation of depository of funds. 1. It shall be the duty
of the board of trustees or managers of each charitable or benevolent
institution in this state, supported in whole or in part by moneys
received from the state, or by any county, city or town thereof, to
designate by resolution, to be entered upon their minutes, some duly
incorporated national or state bank or trust company as the depository
of the funds of such institution.
2. After such designation, it shall be the duty of the treasurer of
each such charitable or benevolent institution immediately to deposit in
the bank or trust company so designated, in his name as treasurer of the
institution, naming it, all funds of the institution which may come into
his possession.
Labor of children not to be hired out. It shall be unlawful for
the trustees or managers of any house of refuge, reformatory or other
correctional institution, to contract, hire, or let by the day, week or
month, or any longer period, the services or labor of any child or
children, now or hereafter committed to or incarcerated individual of
such institutions.
ARTICLE 10-A William B Hoyt Memorial Children and Family Trust Fund Act
Legislative findings and purpose. For the past decade,
society has witnessed broad changes in family structure. These changes
have created unique stresses on our children as well as on those who
care for them. Among the most dire results of family stresses is the
increasing frequency of child abuse and maltreatment, represented by a
steady increase in reports of abuse and maltreatment to the statewide
central register of child abuse and maltreatment. Additionally nearly
one-fifth of homicides, and an even larger proportion of assaults occur
within the home between members of families. Among the contributing
causes of family violence are economic stress, social isolation, drug
and alcohol abuse, parental attitude regarding discipline and child
rearing, as well as acceptance of violence as a way of life. The
reported incidents of both adult domestic violence and child abuse and
maltreatment ( including intergenerational family violence) represent
only a portion of the total number of incidents in the pervasive and
persistent problem of family violence. The development and support of
prevention programs for child abuse and maltreatment and domestic
violence (including intergenerational family violence) and services to
victims of family violence is, therefore, of major importance to the
state.
It is the intent of the legislature that the funds for the William B.
Hoyt Memorial children and family trust fund shall be a new source of
funding which shall increase the funds available for prevention and
treatment services to victims of family violence. The legislature does
not intend that these funds be used as a substitute for any funds
currently available from federal, state or local sources for the
provision of prevention or treatment services to these victims.
Short title. This article shall be known and may be cited as
the "William B. Hoyt Memorial children and family trust fund act".
Definitions. As used in this article:
1. "Domestic violence" shall mean any crime or violation, as defined
in the penal law, which has been alleged to have been committed by any
family or household member against any member of the same family or
household.
2. "Family or household members" shall mean persons related by
consanguinity or affinity or unrelated persons who are continually or at
regular intervals living or in the past continually or at regular
intervals lived in the same household, including victims and persons
accused of having committed acts of domestic violence.
3. "Child abuse and maltreatment" shall have the same meaning as
provided for in section four hundred twelve of this chapter.
4. "Public agency" shall mean a local office, board, department,
bureau, commission, division, agency, other instrumentality of local
government, or public or private educational institution.
5. "Family violence" shall mean any act which would constitute
domestic violence as defined in subdivision one of this section or any
act which would constitute child abuse and maltreatment as defined in
subdivision three of this section.
6. "Primary prevention" shall mean strengthening family functioning to
insure that family violence never takes place or is less likely to
occur. Primary prevention shall include: educating family or household
members or prospective parents in order to avoid patterns which can lead
to family violence; increasing in-home services to new and prospective
parents; strengthening the relationships among community resources,
child protective service units and citizen groups to promote and
encourage the development of family violence prevention programs;
increasing the awareness of professionals and the public to the effects
of stress, social isolation and the lack of social and parenting skills
for the purpose of making available programs deemed helpful for children
and adults; and any other program deemed helpful in the primary
prevention of family violence.
7. "Secondary prevention" shall mean addressing the early signs of
family violence or risk of family violence through treatment of
presenting problems to prevent further problems from developing.
Secondary prevention shall include: providing supportive services and
temporary shelter to family or household members who are considered at
risk of family violence; strengthening self-help groups composed of
individuals with a history of or at risk of family violence; increasing
in-home services to families at risk of violence; promoting and
encouraging the development of community resources for the treatment of,
and improving the response to family violence; providing information and
referral services to resources and/or establishing linkages among
services which are in the community; and any other program deemed
helpful in the treatment of persons at risk of family violence.
8. "Family resource and support program" shall mean a community-based,
prevention focused entity that:
(a) provides, through direct service, core services, including:
(1) parent education, support and leadership services, together with
services characterized by relationships between parents and
professionals that are based on equality and respect, and designed to
assist parents in acquiring parenting skills, learning about child
development, and responding appropriately to the behavior of their
children;
(2) services to facilitate the ability of parents to serve as
resources to one another (such as through mutual support and parent
self-help groups);
(3) outreach services provided through voluntary home visits and other
methods to assist parents in becoming aware of and able to participate
in family resources and support program activities;
(4) community and social services to assist families in obtaining
community resources; and
(5) follow-up services;
(b) provides, or arranges for the provision of, other core services
through contracts or agreements with other local agencies, including all
forms of respite care services; and
(c) provides access to optional services, directly or by contract,
purchase of service, or interagency agreement, including:
(1) child care, early childhood development and early intervention
services;
(2) referral to self-sufficiency and life management skills training;
(3) referral to education services, such as scholastic tutoring,
literacy training, and general educational degree services;
(4) referral to services providing job readiness skills;
(5) child abuse and neglect prevention activities;
(6) referral to services that families with children with disabilities
or special needs may require;
(7) community and social service referral, including early
developmental screening of children;
(8) peer counseling;
(9) referral for substance abuse counseling and treatment; and
(10) help line services.
William B. Hoyt Memorial children and family trust fund
advisory board. 1. There is hereby established in the department, a
William B. Hoyt Memorial children and family trust fund advisory board.
The board shall meet regularly for the purpose of advising and making
recommendations to the department in developing program standards
relating to the establishment of family violence, including
intergenerational family violence, prevention and service programs,
developing requests for proposals and evaluating the effectiveness of
funded programs. The members of the board shall receive no compensation
for their services, but shall be reimbursed for their actual and
necessary expenses incurred during the performance of their duties.
2. The board shall consist of thirteen members to be appointed by the
governor, two of whom shall be appointed upon the recommendation of the
speaker of the assembly, one of whom shall be appointed upon the
recommendation of the minority leader of the assembly, two of whom shall
be appointed upon the recommendation of the temporary president of the
senate, and one of whom shall be appointed upon the recommendation of
the minority leader of the senate. Members of the board shall be
appointed for a term of three years. The governor shall designate one
member to serve as chairman of the board. To the maximum extent possible
members shall be chosen to represent equally those knowledgeable in,
concerned with or committed to the field of domestic violence and/or
child abuse. Members of the board may be chosen from groups including
but not limited to: local social services districts; local youth boards
or youth bureaus; child abuse and neglect task forces; statewide
coalitions against domestic violence; alcoholism services; public
agencies, not-for-profit corporations and educational institutions
concerned with or providing professional training in family violence and
child welfare services; family violence self-help and advocacy groups;
the legal, social work, mental health, medical, clergy, judicial and law
enforcement professions; groups dealing with services to the abused
elderly; other professionals that provide family violence services and
other concerned individuals or organizations, including parents or
guardians of children who were or are in receipt of services funded
pursuant to this article.
William B. Hoyt Memorial children and family trust fund;
awarding of grants. 1. The commissioner is hereby authorized to issue
grants from funds credited to the William B. Hoyt Memorial children and
family trust fund as provided in section four hundred eighty-one-f of
this article to public agencies or not-for-profit corporations for the
purpose of establishing or extending any or all of the following:
(a) primary prevention programs;
(b) secondary prevention programs;
(c) programs which provide services to victims of family violence,
such as establishing temporary shelters and other emergency services;
programs which provide or facilitate counseling, or other appropriate
follow-up services to victims and their family or household members; and
any other program deemed helpful in the treatment of victims of family
violence.
2. (a) Funds shall be awarded in the following manner: forty percent
for local child abuse prevention or family resource and support
programs, forty percent for local domestic violence prevention or
service programs and twenty percent for regional or statewide family
violence prevention programs; provided, however, that any unexpended
portion of such twenty percent as allocated shall be made available for
local family violence prevention programs and provided further, however,
that in determining the eligibility of any regional or statewide family
violence prevention program or of any local family violence prevention
program for any part of such unexpended portion, the commissioner shall
give first consideration to those programs which combine both child
abuse prevention and domestic violence prevention.
(b) For a program which combines child abuse prevention and domestic
violence prevention, the commissioner shall predetermine, to the extent
feasible, the percentage of concentration for each within such program
and shall apportion the total amount awarded between such forty percent
allocation in the same proportion.
3. No moneys from the fund established pursuant to section four
hundred eighty-one-f of this article shall be granted for services
mandated under this chapter. Funds awarded to not-for-profit
corporations or public agencies pursuant to the provisions of
subdivision one of this section shall not be used to supplant other
federal, state or local funds.
4. The commissioner, with the advice and recommendations of the
William B. Hoyt Memorial children and family trust fund advisory board,
shall issue requests for proposals and specify methods to evaluate the
effectiveness of proposed programs. Such evaluation shall include but
not be limited to the following:
(a) appropriate accounting and fiscal control procedures which shall
include the filing of an annual financial statement by each provider so
as to ensure the proper disbursement and accounting for funds received
by public agencies and not-for-profit corporations for services; and
(b) appropriate written records regarding the population served and
type and extent of services rendered by the provider; and
(c) confidentiality standards in conformance with appropriate federal
and state standards so as to ensure the confidentiality of records of
persons receiving services; and
(d) nature and quality of services provided and impacts upon the
populations and communities served.
5. The commissioner shall solicit and shall select proposals for the
provision of services funded pursuant to this act. Public agencies and
not-for-profit corporations shall be eligible for purposes of
application for grants provided for herein and subject to any rules and
regulations promulgated pursuant to subdivision four of this section.
6. The commissioner, with the advice of the William B. Hoyt Memorial
children and family trust fund advisory board, shall publicize the
availability of funds to be used for purposes of this section. The
commissioner shall request, on prescribed forms, information determined
to be necessary and relevant for the evaluation of each application. The
commissioner may solicit comments on the applications from concerned
individuals and agencies. Applications for local grants shall be
submitted to the local commissioner of social services and to the local
youth bureau in the locality in which the program will operate and
applicants for local grants shall solicit comments on the application
from such local commissioner of social services and such local youth
bureau prior to submitting such application to the commissioner.
Applicants shall inform the local commissioner of social services and
the local youth bureau that their comments upon the application may be
submitted either to the applicant or to the commissioner or to both. The
commissioner shall give full consideration to any such comments received
within twenty-one days after the application deadline and shall review
the applications in relation to relevant local plans before approving or
disapproving such applications. The commissioner shall inform the local
commissioner of social services and the local youth bureau of the final
disposition of the applications. No grant award shall be for a period in
excess of twelve months unless renewed by the commissioner, with the
advice of the advisory board. The initial grant and the first year
renewal, if any, shall not exceed one hundred percent of the cost of
providing the service. The third year grant, if any, shall not exceed
seventy-five percent of the initial grant. The fourth year grant and any
grant thereafter, if any, shall not exceed fifty percent of the initial
grant. No program shall receive funding after the fourth year unless the
commissioner, annually, finds that the program effectively prevents
family violence or provides a necessary service to victims of family
violence.
7. Pursuant to subdivision one of this section, the commissioner shall
ensure that grants are awarded evenly across the state with
consideration given to geographic areas with the greatest need and that
priority is given to programs:
(a) which are innovative; or
(b) of demonstrated effectiveness; and/or
(c) illustrates the capacity to coordinate with established community
programs; and/or
(d) which can demonstrate a potential for future financial
self-sufficiency.
8. The commissioner with the advice and recommendations of the William
B. Hoyt Memorial children and family trust fund advisory board shall
submit a report prior to the fifteenth day of December beginning in
nineteen hundred eighty-five and annually thereafter to the governor and
the legislature regarding the implementation and evaluation of the
effectiveness of prevention and treatment services related to family
violence. Prior to submitting such reports to the governor and the
legislature, the commissioner shall permit the William B. Hoyt Memorial
children and family trust fund advisory board to review and comment upon
such reports. Such report shall include:
(a) the number of persons estimated to have been assisted in programs
covered by this section;
(b) the number, recipients and amounts of grants to public agencies
and not-for-profit corporations;
(c) the amount of public and private funds used for approved programs
by service type;
(d) the amount of funds used for the administration of such services;
(e) a description of the nature and quality of services provided and
the impact upon the populations and communities served and their
potential for being replicated elsewhere;
(f) a description of how the moneys of the fund collected pursuant to
section six hundred thirty-g of the tax law were utilized during the
preceding calendar year, including information concerning:
(i) the amount of money disbursed from the fund and the distribution
process used for such disbursements;
(ii) recipients of the expenses from the fund;
(iii) the amount allotted to each;
(iv) the purposes for which such distributions were granted; and
(v) a summary financial plan for such monies which shall include
estimates of all receipts and all disbursements for the current and
succeeding fiscal years; and
(g) all such other matters as may be necessary to inform the governor
and the legislature regarding the implementation and evaluation of the
effectiveness of programs covered by this section and the success of
such programs in accomplishing the intent of the legislature.
William B. Hoyt Memorial children and family trust fund. 1.
There is hereby established in the joint custody of the comptroller and
the commissioner of taxation and finance a separate and distinct
account, to be known as the William B. Hoyt Memorial children and family
trust fund. Such account shall be classified by the comptroller as an
expendable trust. Such account shall consist of any moneys appropriated
to the department for the purposes of the programs authorized pursuant
to this article and funds from any other source, including but not
limited to, federal funds, donations from private individuals,
corporations or foundations, for the implementation of programs provided
for in this article. All funds received by the comptroller on behalf of
the William B. Hoyt Memorial children and family trust fund shall be
deposited by the comptroller to the credit of the William B. Hoyt
Memorial children and family trust fund. Notwithstanding the provisions
of this subdivision, funds granted to the department pursuant to the
federal child abuse prevention and treatment act shall not be deposited
to the credit of the William B. Hoyt Memorial children and family trust
fund.
2. Donations from private individuals, corporations, or foundations
deposited in the William B. Hoyt Memorial children and family trust
fund may be invested by the comptroller pursuant to the provisions of
section ninety-eight-a of the state finance law. Any income from such
investments shall be deposited to the credit of the William B. Hoyt
Memorial children and family trust fund.
ARTICLE 10-B Statewide Settlement House Program
Legislative findings and purpose. The legislature finds that
public policy experts and state and local agencies have been searching
for a model of service delivery that will insure programmatically
effective and cost-efficient delivery of services to inner-city families
and neighborhoods, and that the emerging consensus is that the best
models provide comprehensive, coordinated, neighborhood-based and
family-focused services. The legislature further finds that New York
state's existing network of fifty-eight settlement houses can contribute
to providing these comprehensive, coordinated, neighborhood-based and
family-focused services in a cost-effective manner, and that the
capacity of these settlement houses to provide and enhance these
services can be increased if the settlement houses are provided with
additional resources to implement greater neighborhood outreach, to
direct individuals and family members to appropriate settlement and
community-based resources, to monitor the progress of these individuals,
and to plan and coordinate intra-agency and community services so that
community residents have easy access to a range of services that respond
to the varied and often multiple needs of individuals and families.
It is the intent of the legislature to increase the funds available to
settlement houses for the purpose of providing a comprehensive range of
services to the residents of the neighborhoods they serve, and that
funds provided pursuant to this article will be complemented by
privately-raised contributions to the settlement-houses for the program
services funded pursuant to this article. The legislature does not
intend that these funds be used as a substitute for any funds currently
available from federal, state or local sources for the provision of
neighborhood-based service delivery programs provided by settlement
houses.
Definitions. As used in this article:
1. "Settlement house" means an independent, voluntary, not-for-profit
organization demonstrating affiliation with the New York state
association for settlement houses and neighborhood centers engaged in
community work and social services delivery in a defined neighborhood in
a municipality of the state of New York which provides comprehensive,
coordinated, family-focused multi-generational human services such as
child care, employment training, housing assistance counseling, youth
development, educational services, senior services and arts and cultural
activities, based on the needs of the neighborhood or neighborhoods
served and which:
(a) has been incorporated for at least three years;
(b) is qualified as a tax-exempt organization pursuant to section
501(c)(3) of the internal revenue code;
(c) provides services to all those who live in the neighborhood or
neighborhoods served without regard to race, creed, religious practice,
color, sex, age, national origin, economic status, disability, or
affectional preference;
(d) has an independent, autonomous board of directors which meets at
regular intervals, has full authority over the policies and operations
of the organization, and the membership of which includes community
residents;
(e) employs appropriate staff including a position of chief executive
officer;
(f) has a budget which is adopted on an annual basis by the board of
directors, utilizes an accepted accounting system, and has prepared an
annual fiscal audit by a certified public accountant not connected with
the organization; and
(g) can demonstrate that one of its primary purposes is the
improvement of the relationships among groups of different cultural,
economic, religious, and social groups in the community through a
variety of individual, group, and inter-group activities.
2. "Program services" may include, but are not limited to, several of
the following services:
(a) early childhood services, including child care, child development
services, early child education and health information and referral for
pre-school children;
(b) youth services, including teen centers and school-age programs
which provide recreation, homework assistance, preparation for
employment, counseling and meals;
(c) education programs, including remedial education, tutoring,
homework assistance and English language training;
(d) family programs, including home management, homemaker services,
parenting skills training, teen parent services and programs for
seniors;
(e) child welfare services including foster care and preventive
services;
(f) employment programs, including summer youth employment apprentice
programs, job training programs, and displaced homemaker programs;
(g) mental health services, including psychological and, where
appropriate, psychiatric group and individual evaluation and counseling;
(h) housing assistance.
Statewide settlement house program; awarding of grants. 1.
The commissioner is hereby authorized to issue grants for the purpose of
enhancing and coordinating activities and programs, expanding programs
to serve more individuals and families, and/or promoting inter-agency
coordination with other neighborhood organizations offering
complementary services.
2. Funds awarded to settlement houses pursuant to the provisions of
subdivision one of this section shall be used to supplement and not to
supplant other federal, state or local funds.
3. The commissioner shall issue requests for applications to all
settlement houses and shall specify that applications include a
description of the nature of the services to be provided, a discussion
of the relatedness of the services to the purposes of a settlement house
as defined in section four hundred eighty-two-b of this article and an
estimate of the number and composition of clients to be served. Such
applications may include a discussion of plans to develop or enhance
outreach services to individuals and families, institute or augment
assessments of individual and family needs, coordinate services, develop
links with neighborhood organizations, develop employment inititatives,
mentoring programs and other cooperative programs with unions,
neighborhood businesses and community corporations, and identify sources
of private funding. Such applications shall also include at least the
following:
(a) appropriate accounting and fiscal control procedures that assure
that funds are expended in accordance with this article, including the
filing of an annual financial statement by each provider; and
(b) appropriate written records regarding the number of individuals
and families served and the type and extent of services rendered by the
settlement house.
4. The commissioner shall solicit and select applications for the
provision of programs and services funded pursuant to this article. It
is necessary that settlement houses receiving funding pursuant to this
article demonstrate a plan to raise one dollar for each two dollars of
state grants received. Subsequent year funding may be adjusted to
reflect prior years' experience.
5. The commissioner may issue a request for applications to the extent
funds are available on a multi-year basis.
6. The commissioner shall make grants of up to fifty thousand dollars
to settlement houses following approval of an acceptable plan submitted
pursuant to the request for applications so long as there are funds
available. The commissioner shall notify the local social services
district of a grant award to a settlement house in that district.
ARTICLE 10-C State Council On Children and Families
Council on children and families. 1. Purpose. There shall be a
council on children and families, hereinafter referred to in this
article as the "council". The council shall act as a neutral,
coordinating agency to promote the well-being of children and families
by convening the state's human services, health, and education agencies
to develop aligned and comprehensive approaches to serve children and
families most efficiently and effectively.
2. Council establishment. There shall be a council on children and
families established within the executive department. The council shall
convene the following state agency leaders: the commissioner of children
and family services, the commissioner of temporary and disability
assistance, the commissioner of mental health, the commissioner for
people with developmental disabilities, the commissioner of addiction
services and supports, the commissioner of education, the commissioner
of health, the commissioner of the division of criminal justice
services, the executive director of the justice center for the
protection of people with special needs, the director of aging, the
commissioner of labor, and the executive director of the council on
developmental disabilities.
3. Definitions. As used in this article:
(a) "Council" shall refer to the council on children and families.
(b) "Executive director" shall refer to the executive director of the
council.
(c) "Member agency" shall refer to the state agencies convened by the
council identified in subdivision two of this section.
4. Executive director; staffing. (a) The governor shall designate the
executive director of the council.
(b) The executive director shall employ personnel to carry out the
functions of the council.
5. Meetings. The council shall meet as often as deemed necessary, by
the executive director or the leader of a member agency, but in no event
less than annually to perform its powers and duties notwithstanding the
absence of a quorum.
Utilization of other agency assistance. To effectuate the
purposes of this article, any department, division, board, bureau,
commission or agency of the state or of any political subdivision
thereof shall, at the request of the executive director, provide to the
council such facilities, assistance and data as will enable the council
to properly carry out its powers and duties.
Powers and duties of council. 1. Definitions. As used in this
section, the terms "care", "services", "programs", and "services
programs" shall mean and include care, maintenance, services and
programs provided to children of the state and their families by or
under the jurisdiction of a member agency.
2. General powers. The council shall have the following powers:
(a) to identify problems and deficiencies in residential care and
community-based services programs and, on a selective basis, to plan and
make recommendations to the governor for the remedy of such problems and
deficiencies and for the development of programs of care and services
for children and their families;
(b) to make recommendations to improve coordination of program and
fiscal resources of state-local, public-voluntary care and services to
children and their families;
(c) to coordinate program and management research of member agencies
for the purpose of monitoring, evaluating or redirecting existing care
and services programs or developing new programs, and to conduct,
sponsor, or direct member agencies to undertake such research or other
activities;
(d) to review and resolve differences, if any, concerning rules and
regulations of each member agency insofar as such rules and regulations
impact on services programs provided by other member agencies;
(e) to promulgate, amend and rescind rules and regulations relating to
the administration and performance of the powers and duties of the
council pursuant to this article;
(f) to review significant state and locally operated and supported
care and services, plans and proposals for new services for children and
families to determine whether such services are planned, created and
delivered in a coordinated, effective and comprehensive manner;
(g) to perform all other things necessary and convenient to carry out
the functions, powers and duties of the council and to effectuate the
purposes of this article; and
(h) to accept and expend any grants, awards, or other funds or
appropriations as may be available to the council to effectuate the
purposes of this article, subject to the approval of the director of the
budget.
3. Interagency resolution powers. (a) The council shall convene member
agencies to meet on a regular basis to discuss and resolve disputes,
including but not limited to disputes between member agencies, relating
to their functions, powers and duties over the provision of services to
particular children and their families or to categories of children or
child and family problems when all the internal statutory and
administrative grievance or appeal procedures applicable to a member
agency have failed to finally resolve such dispute.
(b) The council shall direct member agencies to provide an evaluation,
including a diagnostic study, of a particular child and his or her
family when there is a dispute as to the appropriate agency or program
in which the child should be placed or from which the child and his or
her family should receive services, and, following such study, the
council shall order placement of a child with a member agency, or with a
social services official, or order a member agency to provide or require
the provision of services to the child and his or her family in a manner
consistent with the legal authority of the member agency or social
services official, as applicable.
(c) The council shall direct member agencies to take appropriate
direct action or to exercise their supervisory powers over local
officials and agencies, in the resolution of such disputes.
(d) The duty of the council to resolve disputes involving particular
children may be performed on a selective basis within the discretion of
the council. Exercise of jurisdiction over such disputes by the council
or appeals to the council therefor shall not be required as a condition
precedent to the initiation of a proceeding pursuant to article
seventy-eight of the civil practice law and rules.
(e) A dispute relative to which member agency shall have the
responsibility for determining and recommending adult services pursuant
to sections 7.37 and 13.37 of the mental hygiene law, section three
hundred ninety-eight-c of the social services law, or subdivision ten of
section forty-four hundred three of the education law shall be resolved
in accordance with this subdivision.
4. Submission of information to the council. (a) Notwithstanding any
other provision of state law to the contrary, the council may request
any member agency to submit to the council and such member agency shall
submit, to the extent permitted by federal law, all information in the
form and manner and at such times as the council may require that it is
appropriate to the purposes and operation of the council.
(b) The council shall protect the confidentiality of individual
identifying information submitted to or provided by the council, and
prevent access thereto, by, or the distribution thereof to, persons not
authorized by law.
Coordinated children's services for children with emotional
and/or behavioral disorders. 1. Purpose. The purpose of this section
shall be to establish a coordinated system of care for children with
emotional and behavioral disorders, and their families, who require
assistance from multiple agency systems to appropriately maintain such
children with their families, in their communities and in their local
school systems. Such system of care shall provide for the effective
collaboration among state and local health, mental hygiene, education,
juvenile justice, probation of care and other human services agencies
directed at improving outcomes for children with emotional and/or
behavioral disorders and their families leading to full participation in
their communities and schools. This shall include children with
co-occurring disorders. The absence of coordinated care often results in
inappropriate and costly institutional placements and limited
community-based services that support maintaining the child in the
community. Establishing the coordinated children's services initiative
statewide is intended to improve the manner in which services of
multiple systems are delivered and to eliminate barriers to a
coordinated system of care.
2. Definitions. As used in this section:
(a) "Child with an emotional and/or behavioral disorder" shall mean a
person under eighteen years of age, or a person under twenty-one years
of age who has not completed secondary school, who has a mental illness,
as defined in subdivision twenty of section 1.03 of the mental hygiene
law, or is classified as a student with a disability pursuant to article
eighty-nine of the education law or section 504 of the federal
rehabilitation act, or is considered to have a serious emotional or
behavioral problem, as considered by a tier I and/or tier II team
representative pursuant to this section. Such term shall include
children with co-occurring disorders.
(b) "Individualized family support plan" shall mean a plan developed
in conjunction with the family through a strength-based child and family
assessment containing a summary of the strengths, needs and goals of a
child with an emotional and/or behavioral disorder, and the services and
supports agreed to by the child, family and the tier I team
representatives.
(c) "Family" shall mean, when appropriate, a child with an emotional
and/or behavioral disorder, his or her parents or those in parental
relationship to the child, blood relatives and extended family,
including non-relatives identified by the child and/or parents. Nothing
in this section shall be construed to deny the child, his or her parents
or those persons in parental relationship to the child of any rights
they are otherwise entitled to by law.
(d) "County" shall mean a county, except in the case of a county that
is wholly included within a city, such term shall mean such city.
(e) "Family support representative" shall mean a volunteer who is also
a parent or primary caregiver of a child with an emotional and/or
behavioral disorder. The family support representative shall assist
families throughout the process of developing and implementing an
individualized family support plan as defined in this section.
3. Interagency structure. (a) There shall be established a three
tiered interagency structure, as follows:
(i) State tier III team. There is hereby established a state team
designated as the "tier III team", which shall consist of the chair of
the council, the commissioners of children and family services, mental
health, health, education, alcoholism and substance abuse services, and
the office for people with developmental disabilities, and the director
of the office of probation and correctional alternatives, or their
designated representatives, and representatives of families of children
with emotional and/or behavioral disorders. Other representatives may be
added at the discretion of such team.
(ii) County tier II team. A county, or consortium of counties,
choosing to participate in the coordinated children's services
initiative shall establish an interagency team consisting of, but not
limited to, the local commissioners or leadership assigned by the chief
elected official responsible for the local health, mental hygiene,
juvenile justice, probation and other human services systems. The
education system shall be represented by the district superintendent of
the board of cooperative educational services, or his or her designee,
and in the case of the city of New York, by the chancellor of the city
school district of the city of New York, or his or her designee, and
appropriate local school district representatives as determined by the
district superintendent of the board of cooperative educational services
or such chancellor. Such team shall be sensitive to issues of cultural
competence, and shall include representatives of families of children
with an emotional and/or behavioral disorder. Regional state agency
representatives may participate when requested by such team.
(iii) Family-based tier I team. Tier II teams, in cooperation with a
child with an emotional and/or behavioral disorder and his or her
family, shall establish interagency teams to work with such child and
family to develop an individualized, strength-based family support plan
and coordinate interagency services agreed to in such plan. Such teams
shall include such child and family and, based on the needs of the child
and family, should also include a family support representative,
representatives from the mental hygiene, education, juvenile justice,
probation, health, and other county child and family services systems.
(b) Roles and responsibilities of teams. (i) The state tier III team
shall coordinate statewide implementation of the coordinated children's
services initiative. Such team shall:
(A) coordinate planning across the health, mental hygiene, education,
juvenile justice, probation and human services systems;
(B) address barriers to the effective delivery of local interagency
services;
(C) coordinate the provision of technical assistance and training for
the effective implementation of the coordinated children's services
initiative;
(D) develop an appropriate reporting mechanism to track the outcomes
being achieved. Such mechanism shall be developed in concert with
participating counties; and
(E) report results and recommendations for change to the governor,
legislature and state board of regents, as appropriate.
(ii) The tier II teams shall coordinate the coordinated children's
services initiative at the local level. Such team shall:
(A) coordinate cross-systems training and provide linkages to other
county and school district planning for children;
(B) address local/regional barriers to the coordination of services;
(C) report on state level barriers to the effective delivery of
coordinated services and recommended changes to the state tier III team;
(D) report on outcomes using the mechanism developed by the state tier
III team;
(E) implement the goals and principles of the coordinated children's
services initiative; and
(F) make monies available consistent with subdivision five of this
section.
(iii) Each tier I team shall work collaboratively with the family to
develop an individualized family support plan that is:
(A) family-focused and family driven;
(B) built on child and family strengths; and
(C) comprehensive, including appropriate services and supports from
appropriate systems and natural supports from the community.
4. Goals and principles of operation. (a) Goals. The coordinated
children's services initiative shall enable children with emotional
and/or behavioral disorders, whenever appropriate for the child and
family to:
(i) reside with their families;
(ii) live and participate successfully in their communities;
(iii) attend and be successful in their local school systems; and
(iv) grow towards becoming independent, contributing members of the
community.
(b) Principles of operation. The tier III and II teams shall provide a
system for serving children with emotional and/or behavioral disorders
that is:
(i) community-based, allowing children and families to receive
services close to their home;
(ii) culturally competent;
(iii) individualized and strengths-based in approach;
(iv) family friendly, involving the family as full and active partners
at every level of decision making, including policy development,
planning, treatment and service delivery;
(v) comprehensive, involving all appropriate parties, including but
not limited to the family, child, natural supports, provider agencies
and other necessary community services;
(vi) funded through multiple systems with flexible funding mechanisms
that support creative approaches;
(vii) unconditionally committed to the success of each child; and
(viii) accountable with respect to use of agreed on and measured
outcomes.
5. Funding. Counties and school districts, including boards of
cooperative educational services as requested by component school
districts, choosing to participate in the coordinated children's
services initiative, unless expressly prohibited by law, shall have the
authority to:
(a) combine state and federal resources of the participating county
and educational agencies to provide services to groups or individual
children and their families necessary to maintain children with
emotional and/or behavioral disorders in their homes, communities and
schools, and support families in achieving this goal, as long as the use
of the funds is consistent with the purposes for which they were
appropriated; and
(b) apply flexibility in use of funds, pursuant to an individualized
family-support plan, or for collaborative programs, an agreement among
the county, city and school districts or the board of cooperative
educational services, monies combined pursuant to paragraph (a) of this
subdivision may be used to allow flexibility in determining and applying
interventions that will address the unique needs of the family. The tier
III team shall develop guidelines for the flexible use of funds in
implementing an individualized family support plan.
6. Administration and reports. The council shall be responsible for
the administration of the provisions of this section.
(a) The tier III team shall submit a report to the council detailing
the effectiveness in reaching the goals and objectives of the program
established by this section. Such report shall include recommendations,
based on the experience gained pursuant to the provisions of this
article, for modifying statewide policies, regulations or statutes. The
council shall forward such report to the governor, the legislature and
the state board of regents on or before the first day of July of each
year, including the recommendations of the tier III members regarding
the feasibility and implications of implementing the recommendations.
(b) The tier III team shall have authority to receive funds and work
within agency structures, as agreed to by member agencies, to administer
funds for the purposes of carrying out its responsibilities.
(c) Parents and representatives of families, who are not compensated
for attendance as part of their employment, shall be compensated for
their tier III team participation and reimbursed for actual expenses,
including, but not limited to, child care.
7. Confidentiality. (a) Notwithstanding any other provision of state
law to the contrary, tier I, II and III team participants in the
coordinated children's services system shall have access to case record
and related treatment information as necessary to support the purposes
of this section, to the extent permitted by federal law.
(b) Tier I, II and III team participants shall protect the
confidentiality of all individual identifying case record and related
treatment information, and prevent access thereto, by, or the
distribution thereof to, other persons not authorized by State or
federal law.
Out-of-state placement committee. 1. Committee established.
There is hereby established within the council an out-of-state placement
committee comprised of the commissioner of children and family services,
the commissioner of mental health, the commissioner of the office for
people with developmental disabilities, the commissioner of education,
the commissioner of alcoholism and substance abuse services, the
commissioner of health, and the director of the office of probation and
correctional alternatives.
2. Establishment of out-of-state placement registries. (a) Each member
of the out-of-state placement committee which places or which has
oversight responsibilities over agencies that place children in
out-of-state congregate residential programs or residential schools
shall establish a registry of congregate residential programs and/or
residential schools. To the extent feasible, such registries shall be
publicly accessible via the committee member agency's website.
Additionally, the council shall establish a single comprehensive
registry for the listing of out-of-state congregate residential programs
and residential schools that have been approved by one or more members
of the out-of-state placement committee. To the extent feasible, the
registry shall be internet-accessible, and shall be placed on the
website of the council.
(b) The out-of-state placement committee shall develop core
requirements for the inclusion of an out-of-state congregate residential
program or residential school on such a registry, which shall include
but may not be limited to requirements that:
(i) if the out-of-state congregate residential program or residential
school provides residential care to children from New York state, at
least one member of the out-of-state placement committee or his or her
designee has conducted a site visit of such out-of-state congregate
residential program or residential school, as appropriate, within time
frames as the committee shall determine;
(ii) the out-of-state congregate residential program or residential
school holds a current license or charter from the appropriate state
agency or agencies of the state in which the program or facility is
located;
(iii) appropriate laws and regulations exist in the state where the
congregate residential program or residential school is located for the
investigation and resolution of allegations of abuse or neglect;
(iv) the appropriate member or members of the out-of-state placement
committee shall have evaluated the out-of-state congregate residential
program or residential school to determine whether the types of care
being provided are consistent with New York state law and the applicable
committee member agency's regulations.
(c) Prior to placing an out-of-state congregate residential program or
residential school on its registry, a member of the out-of-state
placement committee shall solicit and consider any relevant information
regarding the congregate residential program or residential school from
other members of the out-of-state placement committee.
(d) The out-of-state placement committee in conjunction with the
division of the budget shall determine the feasibility of charging fees
for out-of-state congregate residential programs and residential schools
to be listed on an out-of-state placement registry.
3. Establishment of recommended contract parameters. The out-of-state
placement committee shall establish recommended contract parameters for
use by committee member agencies and any local agency subject to the
jurisdiction of one of the committee member agencies when contracting
with an out-of-state congregate residential program or residential
school for the placement of a New York state child. Such contract
parameters shall include but may not be limited to provisions that the
out-of-state congregate residential program or residential school shall:
(a) hold and maintain a current license, certificate or charter from
the appropriate state agency or agencies of the state in which the
program or facility is located;
(b) promptly notify the placing state or local agency of any
enforcement action taken with respect to such license, certificate or
charter and any action the congregate program or facility is taking with
respect thereto and that the placing agency, if it is a local agency,
will notify its supervising state agency of such information;
(c) take all necessary steps to become and remain listed on the
out-of-state placement registry of the applicable member or members of
the out-of-state placement committee, including providing any requested
information to the applicable committee member or members consistent
with applicable state and federal laws and authorizing such committee
member or members to conduct announced and unannounced visits to the
program or facility;
(d) promptly notify the placing state or local agency of any report of
abuse or neglect occurring in the program or school regarding any child
placed by the state or local agency, the progress and outcome of the
investigation of the report, and of any action being taken with respect
thereto, and agree that the placing state or local agency will notify
the parents or persons in parental relationship to the child of such
report of abuse or neglect;
(e) promptly notify the placing state or local agency of any
investigation of a report of abuse or neglect found to result from a
systemic problem with the program or school or any portion thereof and
any action that the program or school is taking with respect thereto and
that the placing agency, if it is a local agency, will notify its
supervising state agency of such information; and
(f) establish, in conjunction with the placing state or local agency,
appropriate services and goals for each child placed by such agency in
the out-of-state program or school consistent with applicable state and
federal law.
4. Model processes for placement. The out-of-state placement committee
shall establish model processes for the placement of any child in an
out-of-state congregate residential program or residential school which
may include, but not be limited to, identifying the necessary activities
that should be engaged in on a local, regional and/or state level prior
to making an out-of-state placement including reviewing alternative
service options to avoid an out-of-home placement and reviewing all
viable and least restrictive options for placing the child in-state.
5. Technical assistance resources. The committee shall make reasonable
efforts to:
(a) coordinate the development and updating by member agencies of
statewide child and family services technical assistance resources which
may include service directories, assessment tools, inventories of
availability and capacity of in-state services, referral guides, funding
maps, and information about research and evidence based practices,
which, to the extent feasible, shall be made widely available through
such means as web-based platforms; and
(b) establish public awareness, training and technical assistance
initiatives to strengthen local and regional service coordination and
streamline placement processes and access to community-based services,
which include or complement existing infrastructure, by engaging local
and regional service providers, educators, policy makers, family
members, advocates and others.
6. Integrated funding. The committee, in conjunction with the division
of the budget, shall analyze aggregate data on children who are placed
in out-of-state congregate residential programs and residential schools
and make recommendations concerning the development of integrated
funding for the purchase of services for children with complex and/or
multiply-diagnosed needs including:
(a) reducing or eliminating identified barriers to providing
flexibility in the funding of programs and services for children at risk
of placement in out-of-state programs and facilities and of such other
children as may be appropriate;
(b) increasing the number of alternatives to placing children in
out-of-state congregate residential programs or residential schools by
allowing funds for services to follow the child into the most
appropriate and least restrictive placement; and
(c) allowing funds for services to be applied to the purchase of
appropriate services within the child's community, including
modification of the child's residence, in the most flexible manner so as
to serve the child in the least restrictive setting as appropriate.
7. Additional review and recommendations; report. The out-of-state
placement committee may develop additional recommendations regarding a
common system concerning placement of children in out-of-state programs
and facilities, with the purpose of averting insofar as practicable
future placement of children in such out-of-state programs and
facilities, of returning children from such out-of-state programs and
facilities, of building or rebuilding the infrastructure of in-state
programs and facilities so that it shall be capable of serving the needs
of such children, of redesigning the system to eliminate barriers and
institute flexibility in funding services so that children may be
provided for in the most appropriate and least restrictive environments,
including the child's home, of enabling public funding for such services
to follow the child, and of requiring appropriate levels of
accountability concerning the placement of children at all levels of
public decision-making.
The committee shall provide an annual progress report concerning the
development of the items and policies described in this section and
progress on their implementation, along with such recommendations as the
committee shall deem appropriate and in keeping with the spirit and
intent of this section. Such report shall be submitted to the governor
and the legislature no later than thirty days following the submission
of the executive budget.
8. Immunity from liability. Any person, official or institution
complying with the requirements of this section reasonably and in good
faith, including establishing or implementing out-of-state registries,
contract parameters, and model processes for placement, with respect to
placing a child in an out-of-state or an in-state facility or program
shall have immunity from any liability, civil or criminal, that might
otherwise result by reason of such actions.
9. Construction with other laws; severability. If any portion of this
section or the application thereof to any person or circumstances shall
be adjudged invalid by a court of competent jurisdiction, such order or
judgment shall be confined in its operation to the controversy in which
it was rendered, and shall not affect or invalidate the remainder of any
provision of this section or the application of any part thereof to any
other person or circumstances and to this end each of the provisions of
this section are hereby declared to be separable.
Restraint and crisis intervention technique committee. 1.
Committee established. There is hereby established within the council a
restraint and crisis intervention technique committee comprised of the
commissioner of children and family services, the commissioner of mental
health, the commissioner of the office for people with developmental
disabilities, the commissioner of education and the commissioner of
health. The committee shall include at least two representatives of
statewide and regional provider organizations that represent providers
of educational and residential services to children, at least two mental
health professionals who provide direct care on a regular basis to
children served by the program types provided in subdivision two of this
section and at least one representative of parents of children requiring
special services.
2. Establishment of coordinated standards. The committee shall
identify the most effective, least restrictive and safest techniques for
the modification of a child's behavior in response to an actual or
perceived threat by such child of harm or bodily injury to such child,
or to another person, where such child is a resident of, or otherwise
served by a residential treatment facility, a children's day treatment
program, a family based treatment home, a community residence, an
individualized residential alternative, a family care home, day
habilitation, day treatment, an intermediary care facility, residential
habilitation, an agency operated boarding home, an approved private
residential school or an approved private non-residential school. Such
techniques shall include, but not be limited to, the use of physical
restraint, therapeutic crisis intervention, crisis management or such
other de-escalation techniques designed to help staff assist children to
manage crisis situations. The committee shall review models of crisis
prevention and intervention, including the use of physical restraints.
The committee shall establish uniform and coordinated standards giving
preference to the least restrictive alternative for the use of such
techniques in such children service settings.
3. Recommendations and report. The committee shall develop additional
recommendations regarding crisis intervention as it deems appropriate
including, but not limited to, appropriate staffing patterns to safely
implement such techniques, specific training curriculum and regulatory
amendments governing the oversight of staff training efforts implemented
by the commissioners. Such recommendations, together with proposed
regulations relating thereto, shall be included in a report submitted to
the governor and the legislature no later than September first, two
thousand seven.
4. Future responsibilities. In addition to the duties provided in
subdivisions one through three of this section, the committee shall have
the following responsibilities:
(a) the committee shall report to the governor and legislature, on or
before October thirty-first, two thousand nine, on the progress made to
implement the recommendations outlined in the September, two thousand
seven report; on aggregate agency-specific data and improvements in
agency-specific tracking systems in order to provide evidence of system
changes; and shall revise the report to specifically include children's
day treatment programs and any other setting serving children that
authorizes the use of restraints in each of the findings and
recommendations presented in such report; and
(b) the committee shall report to the governor and legislature, no
later than October thirty-first, two thousand ten, and each year
thereafter, on the progress made to implement the recommendations
outlined in the September, two thousand seven report, and any new
recommendations made in the two thousand nine report, along with any
other outstanding issues and recommendations for implementing uniform
and coordinated standards that the committee deems appropriate. The
committee shall include in its report the implementation of the
coordinated standards by each agency, including but not limited to the
revision and coordination of regulations, modifications to training
curricula and staffing models, and may include a recommendation as to
whether the committee should be continued as its exists, expanded, or
discontinued.
The children's plan. 1. The council, in accordance with
section 7.43 of the mental hygiene law, shall assist the commissioner of
mental health with the implementation of the children's plan, developed
pursuant to chapter six hundred sixty-seven of the laws of two thousand
six. State child-serving agencies involved in the development of such
plan shall assist, as needed, with such plan's implementation and such
agencies shall sign off on all future reports and plans. Such agencies
shall include, but not be limited to, the office of mental health, the
office for people with developmental disabilities, the office of
alcoholism and substance abuse services, the commission on quality of
care and advocacy for persons with disabilities, the office of children
and family services, the state education department, the department of
health, and the department of probation and correctional alternatives.
2. The council shall, with the approval of the child-serving agencies,
submit a report to the governor and to the legislature, on or before
October first, two thousand ten, and every two years after such date, on
the progress of the children's plan, including the outcomes,
achievements and recommendations for revision of such plan. Such report
shall also be made a discrete part of the office of mental health's
statewide comprehensive five year plan consistent with the requirements
of subdivision (b) of section 5.07 of the mental hygiene law.
Early childhood advisory council. 1. There is hereby
established within the council an early childhood advisory council to
promote a comprehensive and high quality early childhood system. Members
of the early childhood advisory council shall be appointed by the
governor and shall include, but not be limited to, to the maximum extent
possible:
(a) a representative of the office of children and family services;
(b) a representative of the state education department;
(c) a representative of local educational agencies;
(d) a representative of institutions of higher education in the state;
(e) a representative of local providers of early childhood education
and development services;
(f) a representative of head start agencies, including migrant and
seasonal head start programs and Indian head start programs;
(g) the director of the head start collaboration office;
(h) a representative from the department of health;
(i) a representative of the office of temporary and disability
assistance;
(j) a representative of the office of mental health;
(k) a representative of the office for people with developmental
disabilities;
(l) a representative of the empire state development corporation;
(m) a representative of the division of the budget;
(n) at least five representatives of the business community; and
(o) representatives of other entities determined to be relevant by the
governor.
2. The governor shall also designate the two chairpersons to the early
childhood advisory council.
3. The early childhood advisory council shall, in addition to any
responsibilities assigned by the governor:
(a) conduct a periodic statewide needs assessment concerning the
quality and availability of early childhood education and development
programs and services for children from birth to school entry, including
an assessment of the availability of high-quality pre-kindergarten
services for low-income children in the state;
(b) identify opportunities for, and barriers to, collaboration and
coordination among federally funded and state funded child development,
child care, and early childhood education programs and services,
including collaboration and coordination among state agencies
responsible for administering such programs;
(c) develop recommendations for increasing the overall participation
of children in existing federal, state, and local child care and early
childhood education programs, including outreach to underrepresented and
special populations;
(d) develop recommendations regarding the establishment of a unified
data collection system for public early childhood education and
development programs and services throughout the state;
(e) develop recommendations regarding statewide professional
development and career advancement plans for early childhood educators
in the state;
(f) assess the capacity and effectiveness of two-year and four-year
public and private institutions of higher education in the state toward
supporting the development of early childhood educators, including the
extent to which such institutions have in place articulation agreements,
professional development and career advancement plans, and practice or
internships for students to spend time in a head start or
pre-kindergarten program;
(g) develop and implement strategies to engage business and civic
leaders and organizations in early learning planning and advocacy at the
state and local level;
(h) increase business, civic and public awareness of the importance of
early childhood education, including, but not limited to, the
distribution of literature through mail or online, organizing of
meetings and events to promote the cost benefit of investments in
learning and the hosting of an annual economic summit on early childhood
investment;
(i) develop recommendations for increasing public-private investments
in early childhood and strategies for maximizing resources; and
(j) make recommendations for improvements in state early learning
standards and undertake efforts to develop high-quality comprehensive
early learning standards, as appropriate.
4. Members of the early childhood advisory council shall serve on
workgroups tasked with implementing the duties required pursuant to
subdivision three of this section. Such workgroups may be established as
needed, provided however that there shall be a permanent early learning
investment workgroup focused on implementation of, at a minimum, the
duties described in paragraphs (g), (h) and (i) of subdivision three of
this section. Membership of the early learning investment workgroup
shall include, but not be limited to, representatives of the business
community appointed to the council in accordance with paragraph (n) of
subdivision one of this section.
5. The early childhood advisory council shall hold public hearings and
provide an opportunity for public comment on the activities described in
subdivision three of this section.
6. The early childhood advisory council shall submit a statewide
strategic report addressing the activities described in subdivision
three of this section to the director of the head start collaboration
office, the governor, the speaker of the assembly and the temporary
president of the senate. After submission of a statewide strategic
report, the early childhood advisory council shall meet periodically to
review any implementation of the recommendations in such report and any
changes in state and local needs.
Internet mapping resource of school age child care providers
and afterschool and home visiting programs. 1. The council, in
accordance with information made available to it by the office of
children and family services pursuant to section seventeen of this
chapter; information provided to the council by the state education
department pursuant to section three hundred five of the education law;
and information provided by the department of health pursuant to section
two hundred one of the public health law, shall develop and make
available through a link on its website an internet mapping resource of:
(a) all recipients of competitive grants awarded or administered by
the state office of children and family services or the state education
department for the purpose of providing: afterschool programs or
extended learning time, including but not limited to grants for such
purposes awarded under section thirty-six hundred forty-one of the
education law;
(b) all registered school age child care providers registered by the
office of children and family services except for those who in
accordance with subdivision eight-a of section three hundred ninety of
this chapter have opted out of providing information online; and
(c) all home visiting programs that meet the criteria as required by
section four hundred twenty-nine of this chapter regardless of whether
they have a contract with or receive funding from the state, which
provide the necessary information to the office of children and family
services required pursuant to subdivision (i) of section seventeen of
this chapter, or the department of health as required by paragraph (w)
of subdivision one of section two hundred one of the public health law.
2. The internet mapping resource shall include the following
information for each grant recipient, provider or program: (a) the
recipient's, or provider's or program's name; (b), the address at which
the recipient, provider or program is offered except for those who in
accordance with subdivision eight-a of section three hundred ninety of
this chapter have opted out of providing information online,; (c) the
phone number for the recipient, provider or program; and (d) a general
description of eligible individuals and families served by the
particular recipient, provider or program.
3. The internet mapping resource described in subdivision one of this
section shall be updated no less than once a year.
4. The council may include locations and information for additional
relevant programs as it sees fit.
ARTICLE 10-D Services For Victims of Human Trafficking
Definitions. The following definitions shall apply to this
article:
(a) "Human trafficking victim" means a person who is a victim of sex
trafficking as defined in section 230.34 of the penal law or a victim of
labor trafficking as defined in section 135.35 of the penal law.
(b) "Pre-certified victim of human trafficking" is a person who has a
pending application for federal certification as a victim of a severe
form of trafficking in persons as defined in section 7105 of title 22 of
the United States Code (Trafficking Victims Protection) but has not yet
obtained such certification, or a person who has reported a crime to law
enforcement and it reasonably appears to law enforcement that the person
is such a victim.
(c) "Short-term safe house" means a residential facility operated by a
not-for-profit agency with experience in providing services to human
trafficking victims, that provides emergency shelter, services and care
to human trafficking victims including food, shelter, clothing, medical
care, counseling and appropriate crisis intervention services and
promotes a safe living environment.
(d) "Long-term safe house" means a residential facility operated by a
not-for-profit agency with experience in providing services to human
trafficking victims, that provides shelter for human trafficking victims
and promotes a safe living environment. In addition, a long-term safe
house shall provide or assist with securing necessary services for such
human trafficking victims either through direct provision of services,
or through written agreements with other community and public agencies
for the provision of services including but not limited to housing,
assessment, case management, medical care, legal, mental health and
substance use disorder services. Such safe house, in accordance with a
service plan for such human trafficking victim, shall also provide
counseling and therapeutic services, educational services including life
skills services, job training and placement and planning services to
successfully transition such person back into the community.
Services for victims of human trafficking. (a) The office of
temporary and disability assistance may coordinate with and assist law
enforcement agencies and district attorney's offices to access
appropriate services for human trafficking victims.
(b) The office of temporary and disability assistance shall enter into
contracts with non-government organizations for providing services to
victims of human trafficking as defined in subdivision (a) of section
four hundred eighty-three-aa of this article. Such services shall be
culturally competent, to the extent practicable, and shall include, but
are not limited to, case management, emergency temporary housing, health
care, mental health counseling, drug addiction screening and treatment,
language interpretation and translation services, English language
instruction, job training and placement assistance, post-employment
services for job retention, and services to assist the individual and
any of his or her family members to establish a permanent residence in
New York state or the United States. Such services shall also include
appropriate voluntary placement in a short-term and/or long-term safe
house, as such terms are defined under subdivision (c) or (d) of section
four hundred eighty-three-aa of this article. Placement in a safe house
shall be available from the initial point of contact between the human
trafficking victim and any of the following: law enforcement; a local
social services district; or a social or legal services provider.
Nothing in this article shall prevent placement in a safe house of a
human trafficking victim who is: (1) involved in a proceeding which has
not reached final disposition, for the duration of such proceeding; (2)
not involved in a pending proceeding; or (3) participating in a program
for victims of domestic violence and has been identified as a victim of
human trafficking. Nothing in this article shall preclude the office of
temporary and disability assistance, or any local social services
district, from providing human trafficking victims who are United States
citizens or human trafficking victims who meet the criteria pursuant to
section one hundred twenty-two of this chapter with any benefits or
services for which they otherwise may be eligible.
(c) (i) An individual who is a victim of the conduct prohibited by
section 230.33, 230.34, 230.34-a, 135.35 or 135.37 of the penal law may
bring a civil action against the perpetrator or whoever knowingly
advances or profits from, or whoever should have known he or she was
advancing or profiting from, an act in violation of section 230.33,
230.34, 230.34-a, 135.35 or 135.37 of the penal law to recover actual,
compensatory and punitive damages, injunctive relief, any combination of
those or any other appropriate relief, as well as reasonable attorney's
fees.
(ii) An action brought pursuant to this subdivision shall be commenced
within fifteen years of the date on which the trafficking victim was
freed from the trafficking situation or, if the victim was a minor when
the act of human trafficking against the victim occurred, within fifteen
years after the date the victim attains the age of majority.
(iii) If a person entitled to sue is under a disability at the time
the cause of action accrues so that it is impossible or impracticable
for him or her to bring an action under this subdivision, the time of
the disability is not part of the time limited for the commencement of
the action. Disability will toll the running of the statute of
limitations for this action.
(A) Disability includes being a minor, lacking legal capacity to make
decisions, imprisonment, or other incapacity or incompetence.
(B) The statute of limitations shall not run against a victim who is a
minor or who lacks the legal competence to make decisions simply because
a guardian ad litem has been appointed. A guardian ad litem's failure to
bring a victim's action within the applicable limitation period will not
prejudice the victim's right to do so after his or her disability
ceases.
(C) The perpetrator is estopped from asserting a defense of the
statute of limitations when the expiration of the statute is due to
conduct by such perpetrator inducing the victim to delay the filing of
the action, or due to threats made by the perpetrator causing duress
upon the victim.
(D) The suspension of the statute of limitations due to disability,
lack of knowledge, or estoppel applies to all other related claims
arising out of the trafficking situation.
(E) The running of the statute of limitations is postponed during the
pendency of criminal proceedings against the victim.
(iv) The running of the statute of limitations may be suspended if a
person entitled to sue could not have reasonably discovered the cause of
action due to circumstances resulting from the trafficking situation,
such as psychological trauma, cultural and linguistic isolation, and the
inability to access services.
(v) A prevailing victim may also be awarded reasonable attorney's fees
and litigation costs including, but not limited to, expert witness fees
and expenses as part of the costs.
(vi) Restitution paid by the perpetrator to the victim shall be
credited against a judgment, award, or settlement obtained pursuant to
an action under this subdivision.
(vii) A civil action filed under this subdivision shall be stayed
during the pendency of any criminal action arising out of the same
occurrence in which the claimant is the victim. As used in this
subdivision, a "criminal action" includes investigation and prosecution,
and is pending until a final adjudication in the trial court or
dismissal.
Confirmation as a victim of human trafficking. (a) As soon
as practicable after a first encounter with a person who reasonably
appears to a law enforcement agency, district attorney's office, or an
established provider of social or legal services designated by the
office of temporary and disability assistance, the office for the
prevention of domestic violence or the office of victim services to be a
human trafficking victim, that law enforcement agency or district
attorney's office shall notify the office of temporary and disability
assistance and the division of criminal justice services that such
person may be eligible for services under this article or, in the case
of an established provider of social or legal services, shall notify the
office of temporary and disability assistance and the division of
criminal justice services if such victim consents to seeking services
pursuant to this article.
(b) Upon receipt of such a notification, the division of criminal
justice services, in consultation with the office of temporary and
disability assistance and the referring agency or office, shall make a
preliminary assessment of whether such victim or possible victim appears
to meet the criteria for certification as a victim of a severe form of
trafficking in persons as defined in section 7105 of title 22 of the
United States Code (Trafficking Victims Protection) or appears to be
otherwise eligible for any federal, state or local benefits and
services. If it is determined that the victim appears to meet such
criteria, the office of temporary and disability assistance shall report
the finding to the victim, and to the referring law enforcement agency
or district attorney's office, and may assist that agency or office in
having such victim receive services from a case management provider who
may be under contract with the office of temporary and disability
assistance, or from any other available source. If the victim or
possible victim is under the age of eighteen, the office of temporary
and disability assistance also shall notify the local department of
social services in the county where the child was found.
(c) Promptly upon an encounter with a person who reasonably appears to
a law enforcement agency or district attorney's office to be a human
trafficking victim, or a person who identifies himself or herself as a
human trafficking victim, such law enforcement agency or district
attorney's office shall advise such person of the availability of the
services of specific, established providers of social and legal services
to human trafficking victims. Each local department of social services
shall maintain and shall update, at least once annually, a list of
established providers of social and legal services to human trafficking
victims within the social services district, which shall be provided, at
least once annually, to law enforcement agencies and district attorney's
offices within the district. In order to communicate effectively with
such person, the law enforcement agency or district attorney's office
may provide such individual with a brochure or other written material,
including by informing the individual where such written materials are
available online, translated into the six most common non-English
languages spoken by individuals with limited English proficiency in the
state or in the applicable county, city, or town; provided, however,
where such person is not proficient in one of such languages, the law
enforcement agency or district attorney's office shall make reasonable
efforts to communicate effectively with such person, using an
interpreter or interpretation services, where practicable. Unless, after
receiving such advice, the apparent victim expresses that he or she does
not wish the presence of a representative of such an established
provider of social or legal services, the law enforcement agency or
district attorney's office shall offer to contact the appropriate
provider or providers and connect such provider or providers with the
apparent victim. Nothing in this subdivision shall affect any obligation
such law enforcement agency or district attorney's office may have to
provide any information or assistance to such person.
Law enforcement assistance with respect to immigration. Upon
the request of a human trafficking victim or a representative of a human
trafficking victim, the state or local law enforcement agency or
district attorney's office shall provide the victim with the United
States Citizenship and Immigration Service (USCIS) Form I-914 Supplement
B Declaration of Law Enforcement Officer for Victim of Trafficking in
Persons. In order to provide persuasive evidence, the state or local law
enforcement agency endorsement must contain a description of the
victimization upon which the application is based, including the dates
the trafficking in persons occurred. The endorsement must address
whether the victim had been recruited, harbored, transported, provided,
or obtained specifically for either labor servitude or services or for
the purposes of a commercial sex act as defined in subdivision three of
section 7102 of title 22 of the United States Code.
* § 483-ee. Establishment of interagency task force on human
trafficking. (a) There is established an interagency task force on
trafficking in persons, which shall consist of the following members or
their designees: (1) the commissioner of the division of criminal
justice services; (2) the commissioner of the office of temporary and
disability assistance; (3) the commissioner of health; (4) the
commissioner of the office of mental health; (5) the commissioner of
labor; (6) the commissioner of the office of children and family
services; (7) the commissioner of the office of addiction services and
supports; (8) the director of the office of victim services; (9) the
executive director of the office for the prevention of domestic
violence; (10) the superintendent of the division of state police; (11)
the secretary of state; (12) the commissioner of the department of
transportation; (13) the commissioner of the department of motor
vehicles; (14) the executive director of the New York state thruway
authority; and the following additional members, who shall be promptly
appointed by the governor, each for a term of two years, provided that
such person's membership shall continue after such two year term until a
successor is appointed and provided, further, that a member may be
reappointed if again recommended in the manner specified in this
subdivision: (15) two members, who shall be appointed on the
recommendation of the temporary president of the senate; (16) two
members, who shall be appointed on the recommendation of the speaker of
the assembly; (17) two members, who shall be appointed on the
recommendation of the not-for-profit organization in New York state that
receives the largest share of funds, appropriated by and through the
state budget, for providing services to victims of human trafficking, as
shall be identified annually in writing by the director of the budget;
and (18) one member, who shall be appointed on the recommendation of the
president of the New York state bar association; and others as may be
necessary to carry out the duties and responsibilities under this
section. The task force will be co-chaired by the commissioners of the
division of criminal justice services and the office of temporary and
disability assistance, or their designees. It shall meet as often as is
necessary, but no less than three times per year, and under
circumstances as are appropriate to fulfilling its duties under this
section. All members shall be provided with written notice reasonably in
advance of each meeting with date, time and location of such meeting.
(b) The task force shall: (1) collect and organize data on the nature
and extent of trafficking in persons in the state; (2) identify
available federal, state and local programs that provide services to
victims of trafficking, including but not limited to case management,
housing, health care, mental health counseling, drug addiction screening
and treatment, language interpretation and translation services, English
language instruction, job training and placement assistance,
post-employment services for job retention, and services to assist the
individual and any of his or her family members to establish a permanent
residence in New York state or the United States; (3) consult with
governmental and non-governmental organizations in developing
recommendations to strengthen state and local efforts to prevent
trafficking, protect and assist victims of trafficking and prosecute
traffickers; (4) establish interagency protocols and collaboration
between federal, state, and local law enforcement, state and
governmental agencies, child welfare agencies, and non-governmental
organizations; (5) evaluate approaches to increase public awareness
about trafficking and make recommendations on such approaches; (6)
evaluate the effectiveness of training programs on human trafficking
that have been designed for law enforcement personnel, criminal defense
attorneys, social service providers and non-governmental organizations,
and make recommendations for improving the quality and effectiveness of
such programs; (7) measure and evaluate the progress of the state in
preventing trafficking, protecting and providing assistance to victims
of trafficking, and prosecuting persons engaged in trafficking; (8)
evaluate the use of social media in and its contribution to human
trafficking; and (9) convene any subcommittee necessary, provided such
subcommittee has at least one of the members appointed by the speaker of
the assembly, temporary president of the senate or governor, to consider
specific issues, including, but not limited to: federal, state and/or
local cooperation; juveniles and human trafficking; the importance of
training and who should receive such training; how data is compiled and
shared; and services for and treatment of domestic versus foreign born
victims.
(c) The task force shall report to the governor, the speaker of the
assembly, the minority leader of the assembly, the temporary president
of the senate and the minority leader of the senate no less than
annually, and it shall additionally issue such reports and
recommendations as it deems necessary to carry out its duties and
responsibilities.
* NB Repealed September 1, 2027
National human trafficking resource center hotline poster.
(a) The commissioner of temporary and disability assistance shall make
publicly available on its website an electronic version of the National
Human Trafficking Resources Center (NHTRC) hotline poster, or create and
make available a variation thereof.
(b) The poster shall:
(1) be available for printing, at a minimum, in English and all other
languages that the NHTRC poster is available in;
(2) be at least eight and one-half inches by eleven inches in size;
and
(3) if created by the commissioner, include the following statement:
"If you or someone you know is being forced to engage in any activity
and cannot leave - whether it is commercial sex, housework, farm work,
or any other similar activity - call the National Human Trafficking
Resource Center Hotline at 1-888-373-7888 to access help and services.
Victims of human trafficking are eligible for protections and services
under United States and New York state law.
The hotline is:
(1) Available twenty-four hours a day, seven days a week;
(2) Toll free;
(3) Operated by a non-profit, non-governmental organization;
(4) Anonymous and confidential;
(5) Accessible in one hundred seventy languages; and
(6) Able to provide help, referral to services, training, and general
information."
(c) The commissioner shall consult with other state agencies and
organizations that he or she deems appropriate to encourage that such
posters are located in public places where trafficking victims may be
present, including but not limited to: highway rest stops, bus stations,
truck stops, airports, adult or sexually oriented businesses, hospitals
and urgent care centers. In consulting with such agencies and
organizations, the commissioner shall advise that posters should be
placed in conspicuous locations near primary public entrances or other
areas where posters and notices are customarily posted on the premises.
ARTICLE 11 Protection of People With Special Needs
Definitions. As used in this article, the following terms shall
have the following meanings:
1. "Reportable incident" shall mean the following conduct that a
mandated reporter is required to report to the vulnerable persons'
central register:
(a) "Physical abuse," which shall mean conduct by a custodian
intentionally or recklessly causing, by physical contact, physical
injury or serious or protracted impairment of the physical, mental or
emotional condition of a service recipient or causing the likelihood of
such injury or impairment. Such conduct may include but shall not be
limited to: slapping, hitting, kicking, biting, choking, smothering,
shoving, dragging, throwing, punching, shaking, burning, cutting or the
use of corporal punishment. Physical abuse shall not include reasonable
emergency interventions necessary to protect the safety of any person.
(b) "Sexual abuse," which shall mean any conduct by a custodian that
subjects a person receiving services to any offense defined in article
one hundred thirty or section 255.25, 255.26 or 255.27 of the penal law;
or any conduct or communication by such custodian that allows, permits,
uses or encourages a service recipient to engage in any act described in
articles two hundred thirty or two hundred sixty-three of the penal law.
For purposes of this paragraph only, a person with a developmental
disability who is or was receiving services and is also an employee or
volunteer of a service provider shall not be considered a custodian if
he or she has sexual contact with another service recipient who is a
consenting adult who has consented to such contact.
(c) "Psychological abuse," which shall mean conduct by a custodian
intentionally or recklessly causing, by verbal or non-verbal conduct, a
substantial diminution of a service recipient's emotional, social or
behavioral development or condition, supported by a clinical assessment
performed by a physician, psychologist, psychiatric nurse practitioner,
licensed clinical or master social worker or licensed mental health
counselor, or causing the likelihood of such diminution. Such conduct
may include but shall not be limited to intimidation, threats, the
display of a weapon or other object that could reasonably be perceived
by a service recipient as a means for infliction of pain or injury, in a
manner that constitutes a threat of physical pain or injury, taunts,
derogatory comments or ridicule.
(d) "Deliberate inappropriate use of restraints," which shall mean the
use of a restraint when the technique that is used, the amount of force
that is used or the situation in which the restraint is used is
deliberately inconsistent with a service recipient's individual
treatment plan or behavioral intervention plan, generally accepted
treatment practices and/or applicable federal or state laws, regulations
or policies, except when the restraint is used as a reasonable emergency
intervention to prevent imminent risk of harm to a person receiving
services or to any other person. For purposes of this subdivision, a
"restraint" shall include the use of any manual, pharmacological or
mechanical measure or device to immobilize or limit the ability of a
person receiving services to freely move his or her arms, legs or body.
(e) "Use of aversive conditioning," which shall mean the application
of a physical stimulus that is intended to induce pain or discomfort in
order to modify or change the behavior of a person receiving services in
the absence of a person-specific authorization by the operating,
licensing or certifying state agency pursuant to governing state agency
regulations. Aversive conditioning may include but is not limited to,
the use of physical stimuli such as noxious odors, noxious tastes,
blindfolds, the withholding of meals and the provision of substitute
foods in an unpalatable form and movement limitations used as
punishment, including but not limited to helmets and mechanical
restraint devices.
(f) "Obstruction of reports of reportable incidents," which shall mean
conduct by a custodian that impedes the discovery, reporting or
investigation of the treatment of a service recipient by falsifying
records related to the safety, treatment or supervision of a service
recipient, actively persuading a mandated reporter from making a report
of a reportable incident to the statewide vulnerable persons' central
register with the intent to suppress the reporting of the investigation
of such incident, intentionally making a false statement or
intentionally withholding material information during an investigation
into such a report; intentional failure of a supervisor or manager to
act upon such a report in accordance with governing state agency
regulations, policies or procedures; or, for a mandated reporter who is
a custodian as defined in subdivision two of this section, failing to
report a reportable incident upon discovery.
(g) "Unlawful use or administration of a controlled substance," which
shall mean any administration by a custodian to a service recipient of:
a controlled substance as defined by article thirty-three of the public
health law, without a prescription; or other medication not approved for
any use by the federal food and drug administration, except for the
administration of medical cannabis when such administration is in
accordance with article three of the cannabis law, and any regulations
promulgated thereunder, as well as the policies or procedures of the
facility or provider agency governing such custodians. It also shall
include a custodian unlawfully using or distributing a controlled
substance as defined by article thirty-three of the public health law,
at the workplace or while on duty.
(h) "Neglect," which shall mean any action, inaction or lack of
attention that breaches a custodian's duty and that results in or is
likely to result in physical injury or serious or protracted impairment
of the physical, mental or emotional condition of a service recipient.
Neglect shall include, but is not limited to: (i) failure to provide
proper supervision, including a lack of proper supervision that results
in conduct between persons receiving services that would constitute
abuse as described in paragraphs (a) through (g) of this subdivision if
committed by a custodian; (ii) failure to provide adequate food,
clothing, shelter, medical, dental, optometric or surgical care,
consistent with the rules or regulations promulgated by the state agency
operating, certifying or supervising the facility or provider agency,
provided that the facility or provider agency has reasonable access to
the provision of such services and that necessary consents to any such
medical, dental, optometric or surgical treatment have been sought and
obtained from the appropriate individuals; or (iii) failure to provide
access to educational instruction, by a custodian with a duty to ensure
that an individual receives access to such instruction in accordance
with the provisions of part one of article sixty-five of the education
law and/or the individual's individualized education program.
(i) "Significant incident" shall mean an incident, other than an
incident of abuse or neglect, that because of its severity or the
sensitivity of the situation may result in, or has the reasonably
foreseeable potential to result in, harm to the health, safety or
welfare of a person receiving services and shall include but shall not
be limited to:
(1) conduct between persons receiving services that would constitute
abuse as described in paragraphs (a) through (g) of this subdivision if
committed by a custodian; or
(2) conduct on the part of a custodian, which is inconsistent with a
service recipient's individual treatment plan or individualized
educational program, generally accepted treatment practices and/or
applicable federal or state laws, regulations or policies and which
impairs or creates a reasonably foreseeable potential to impair the
health, safety or welfare of a person receiving services, including but
not limited to:
(A) unauthorized seclusion, which shall mean the placement of a person
receiving services in a room or area from which he or she cannot, or
perceives that he or she cannot, leave at will;
(B) unauthorized use of time-out, which shall mean the use of a
procedure in which a person receiving services is removed from regular
programming and isolated in a room or area for the convenience of a
custodian, or as a substitute for programming but shall not include the
use of a time-out as an emergency intervention to protect the health or
safety of the individual or other persons;
(C) except as provided for in paragraph (g) of subdivision one of this
section, the administration of a prescribed or over-the-counter
medication, which is inconsistent with a prescription or order issued
for a service recipient by a licensed, qualified health care
practitioner, and which has an adverse effect on a service recipient.
For purposes of this paragraph, "adverse effect" shall mean the
unanticipated and undesirable side effect from the administration of a
particular medication which unfavorably affects the well-being of a
service recipient;
(D) inappropriate use of restraints, which shall mean the use of a
restraint when the technique that is used, the amount of force that is
used or the situation in which the restraint is used is inconsistent
with a service recipient's individual plan, generally accepted treatment
practices and/or applicable federal or state laws, regulations or
policies. For the purposes of this subdivision, a "restraint" shall
include the use of any manual, pharmacological or mechanical measure or
device to immobilize or limit the ability of a person receiving services
to freely move his or her arms, legs or body; or
(3) any other conduct identified in regulations of the state oversight
agency, pursuant to guidelines or standards established by the executive
director.
2. "Custodian" means a director, operator, employee or volunteer of a
facility or provider agency; or a consultant or an employee or volunteer
of a corporation, partnership, organization or governmental entity which
provides goods or services to a facility or provider agency pursuant to
contract or other arrangement that permits such person to have regular
and substantial contact with individuals who are cared for by the
facility or provider agency.
3. "Executive director" shall mean the executive director of the
justice center for the protection of people with special needs as
established by article twenty of the executive law.
4. "Facility" or "provider agency" shall mean:
(a) a facility or program in which services are provided and which is
operated, licensed or certified by the office of mental health, the
office for people with developmental disabilities or the office of
addiction services and supports, including but not limited to
psychiatric centers, inpatient psychiatric units of a general hospital,
developmental centers, intermediate care facilities, community
residences, group homes and family care homes, provided, however, that
such term shall not include a secure treatment facility as defined in
section 10.03 of the mental hygiene law, services defined in paragraphs
four and five of subdivision (a) of section 16.03 of the mental hygiene
law, or services provided in programs or facilities that are operated by
the office of mental health and located in state correctional facilities
under the jurisdiction of the department of corrections and community
supervision;
* (a-1) an integrated behavioral health services program licensed
under section 36.08 of the mental hygiene law;
* NB Effective on the date that the rates of reimbursement for
integrated behavioral health services are approved and certified by
parties set forth in chapter 60 of 2026 § 8
(b) any program or facility that is operated by the office of children
and family services for juvenile delinquents or juvenile offenders
placed in the custody of the commissioner of such office and any
residential programs or facilities licensed or certified by the office
of children and family services, excluding foster family homes and
residential programs for victims of domestic violence;
(c) adult care facilities, which shall mean adult homes or enriched
housing programs licensed pursuant to article seven of this chapter: (i)
(A) that have a licensed capacity of eighty or more beds; and (B) in
which at least twenty-five percent of the residents are persons with
serious mental illness as defined by subdivision fifty-two of section
1.03 of the mental hygiene law; (ii) but not including an adult home or
enriched housing program which is authorized to operate fifty-five
percent or more of its total licensed capacity of beds as assisted
living program beds pursuant to section four hundred sixty-one-l of this
chapter;
(d) any overnight, summer day and traveling summer day camps for
children with developmental disabilities as defined in regulations
promulgated by the commissioner of health; or
(e) the New York state school for the blind and the New York state
school for the deaf, which operate pursuant to articles eighty-seven and
eighty-eight of the education law; an institution for the instruction of
the deaf and the blind which has a residential component and is subject
to the visitation of the commissioner of education pursuant to article
eighty-five of the education law with respect to its day and residential
components; special act school districts serving students with
disabilities; or in-state private schools which have been approved by
the commissioner of education for special education services or
programs, and which have a residential program.
4-a. "State oversight agency" shall mean the state agency that
operates, licenses or certifies an applicable facility or provider
agency; provided however that such term shall only include the following
entities: the office of mental health, the office for people with
developmental disabilities, the office of alcoholism and substance abuse
services, the office of children and family services, the department of
health and the state education department. "State oversight agency" does
not include agencies that are certification agencies pursuant to federal
law or regulation.
5. "Mandated reporter" shall mean a custodian or a human services
professional, but shall not include a service recipient.
5-a. "Human services professional" shall mean any: physician;
registered physician assistant; surgeon; medical examiner; coroner;
dentist; dental hygienist; osteopath; optometrist; chiropractor;
podiatrist; resident; intern; psychologist; registered nurse; licensed
practical nurse; nurse practitioner; social worker; emergency medical
technician; licensed creative arts therapist; licensed marriage and
family therapist; licensed mental health counselor; licensed
psychoanalyst; licensed behavior analyst; certified behavior analyst
assistant; licensed speech/language pathologist or audiologist; licensed
physical therapist; licensed occupational therapist; hospital personnel
engaged in the admission, examination, care or treatment of persons;
Christian Science practitioner; school official, which includes but is
not limited to school teacher, school guidance counselor, school
psychologist, school social worker, school nurse, school administrator
or other school personnel required to hold a teaching or administrative
license or certificate; full or part-time compensated school employee
required to hold a temporary coaching license or professional coaching
certificate; social services worker; any other child care or foster care
worker; mental health professional; person credentialed by the office of
alcoholism and substance abuse services; peace officer; police officer;
district attorney or assistant district attorney; investigator employed
in the office of a district attorney; or other law enforcement official.
6. "Physical injury" and "impairment of physical condition" shall mean
any confirmed harm, hurt or damage resulting in a significant worsening
or diminution of an individual's physical condition.
7. "Delegate investigatory entity" shall mean a facility or provider
agency, or any other entity authorized by the regulations of a state
oversight agency or the justice center for the protection of people with
special needs to conduct an investigation of a reportable incident.
8. "Justice center" shall mean the justice center for the protection
of people with special needs.
9. "Person receiving services," or "service recipient" shall mean an
individual who resides or is an inpatient in a residential facility or
who receives services from a facility or provider agency.
10. "Personal representative" shall mean a person authorized under
state, tribal, military or other applicable law to act on behalf of a
vulnerable person in making health care decisions or, for programs that
serve children under the jurisdiction of the state education department
or the office of children and family services, the service recipient's
parent, guardian or other person legally responsible for such person.
11. "Abuse or neglect" shall mean the conduct described in paragraphs
(a) through (h) of subdivision one of this section.
12. "Subject of the report" shall mean a custodian, as defined in
subdivision two of this section, who is reported to the vulnerable
persons' central register for the alleged abuse or neglect of a
vulnerable person as defined in subdivision eleven of this section.
13. "Other persons named in the report" shall mean and be limited to
the following persons who are named in a report to the vulnerable
persons' central register other than the subject of the report: the
service recipient whose care and treatment is the concern of a report to
the vulnerable persons' central register, and the personal
representative, if any, as defined in subdivision ten of this section.
14. "Vulnerable persons' central register" shall mean the statewide
central register of reportable incidents involving vulnerable persons,
which shall operate in accordance with section four hundred ninety-two
of this article.
15. "Vulnerable person" shall mean a person who, due to physical or
cognitive disabilities, or the need for services or placement, is
receiving services from a facility or provider agency.
16. "Intentionally" and "recklessly" shall have the same meanings as
provided in subdivisions one and three of section 15.05 of the penal
law.
Applicability. The provisions of this article shall apply to
facilities and provider agencies provided, however, nothing in this
article shall be deemed to relieve any facility or provider agency or
custodian thereof covered by this article of its or their obligations to
comply with the requirements of federal laws or regulations to which
that facility, provider agency or custodian thereof is subject,
including any requirements that are a condition of federal financial
participation in medical assistance payments. To the extent that federal
requirements conflict with any of the provisions in this article, the
federal requirements shall supersede the conflicting provisions in this
article with respect to any such facility or provider agency.
Incident management programs. 1. Each state oversight agency,
as defined in this article, shall promulgate regulations approved by the
justice center, that contain procedures and requirements consistent with
guidelines and standards developed by the justice center, addressing the
following issues relating to an incident management program; provided,
however, that regulations of the state education department need not be
approved by the justice center, but shall be developed in consultation
with the justice center:
(a) all reportable incidents are identified and reported in a timely
manner in accordance with this article;
(b) all reportable incidents are promptly investigated;
(c) individual reportable incidents, and incident patterns and trends,
are reviewed to identify and implement preventive and corrective
actions, which may include, but shall not be limited to, staff
retraining or any appropriate disciplinary action allowed by law or
contract, as well as opportunities for improvement;
(d) patterns and trends in the reporting and response to allegations
of reportable incidents are reviewed and plans of improvement are timely
developed based on such reviews;
(e) information regarding individual reportable incidents, incident
patterns and trends, and patterns and trends in the reporting and
response to reportable incidents is shared, consistent with applicable
law, with the justice center, in the form and manner required by the
justice center and, for facilities or provider agencies that are not
state operated, with the applicable state oversight agency which shall
provide such information to the justice center;
(f) incident review committees are established; provided, however,
that the regulations may authorize an exemption from this requirement,
when appropriate, based on the size of the facility or provider agency
or other relevant factors. Such committees shall be composed of members
of the governing body of the facility or provider agency and other
persons identified by the director of the facility or provider agency,
including some members of the following: direct support staff, licensed
health care practitioners, service recipients and representatives of
family, consumer and other advocacy organizations, but not the director
of the facility or provider agency. Such committee shall meet regularly
to: (i) review the timeliness, thoroughness and appropriateness of the
facility or provider agency's responses to reportable incidents; (ii)
recommend additional opportunities for improvement to the director of
the facility or provider agency, if appropriate; (iii) review incident
trends and patterns concerning reportable incidents; and (iv) make
recommendations to the director of the facility or provider agency to
assist in reducing reportable incidents. Members of the committee shall
be trained in confidentiality laws and regulations, and shall comply
with section seventy-four of the public officers law; and
(g) safe storage, administration, and diversion prevention policies
regarding controlled substances and medical cannabis.
2. Notwithstanding any other provision of law, except as may be
provided by section 33.25 of the mental hygiene law, records, reports or
other information maintained by the justice center, state oversight
agencies, delegate investigatory entities, and facilities and provider
agencies regarding the deliberations of an incident review committee
shall be confidential, provided that nothing in this article shall be
deemed to diminish or otherwise derogate the legal privilege afforded to
proceedings, records, reports or other information relating to a quality
assurance function, including the investigation of an incident reported
pursuant to section 29.29 of the mental hygiene law, as provided in
section sixty-five hundred twenty-seven of the education law. For
purposes of this section, a quality assurance function is a process for
systematically monitoring and evaluating various aspects of a program,
service or facility to ensure that standards of care are being met.
3. No member of an incident review committee performing a quality
assurance function shall be permitted or required to testify in a
judicial or administrative proceeding with respect to quality assurance
findings, recommendations, evaluations, opinions or actions taken,
except that this provision is not intended to relieve any state
oversight agency, delegate investigatory entity, facility or provider
agency, or an agent thereof, from liability arising from treatment of a
service recipient.
4. There shall be no monetary liability on the part of, and no cause
of action for damages shall arise against, any person on account of
participating in good faith and with reasonable care in the
communication of information in the possession of such person to an
incident review committee, or on account of any recommendation or
evaluation regarding the conduct or practices of any custodian that is
made in good faith and with reasonable care.
5. With respect to the implementation of incident management plans in
residential schools or facilities located outside of New York state,
each state oversight agency shall require that: (a) the justice center,
the applicable state oversight agency and any local social services
district and/or local educational agency placing an individual with such
facility or school or state agency funding the placement of an
individual or student be notified immediately of any allegation of abuse
or neglect involving that individual or student; (b) an investigation be
conducted by the justice center, or where that is not practicable, by a
state agency or other entity authorized or required to investigate
complaints of abuse or neglect under the laws of the state in which the
facility or school is located; and (c) the findings of such
investigation be forwarded to the justice center and each placing entity
or funding agency in New York state within ninety days. Failure to
comply with the requirements of this section shall be grounds for
revocation or suspension of the license or approval of the out of state
facility or school.
6. Records of facilities or provider agencies not otherwise subject to
article six of the public officers law shall be made available for
public inspection and copying, when such records relate to abuse and
neglect of vulnerable persons, to the same extent that those records
would be available from a state agency, as defined in such article.
Requests for such records shall be made in writing to the justice
center. The justice center may deny access to records of such facilities
or provider agencies, or portions thereof, that the justice center
determines would be exempt from disclosure by a state agency pursuant to
such article. The requesting party may appeal a denial of access to such
records to the executive director of the justice center. A requesting
party denied access to a record in such appeal determination may bring a
proceeding for review of such denial pursuant to article seventy-eight
of the civil practice law and rules. The executive director of the
justice center shall promulgate regulations, consistent with the
provisions of article six of the public officers law providing for the
prompt response to such requests. Facilities or provider agencies
covered by this subdivision shall cooperate with the justice center and
provide any records that the justice center deems subject to disclosure.
Duty to report incidents. 1. (a) Mandated reporters shall
report allegations of reportable incidents to the vulnerable persons'
central register as established by section four hundred ninety-two of
this article and in accordance with the requirements set forth therein.
(b) Allegations of reportable incidents shall be reported immediately
to the vulnerable persons' central register upon discovery. For purposes
of this article, "discovery" occurs when the mandated reporter witnesses
a suspected reportable incident or when another person, including the
vulnerable person, comes before the mandated reporter in the mandated
reporter's professional or official capacity and provides the mandated
reporter with reasonable cause to suspect that the vulnerable person has
been subjected to a reportable incident. A report to the register shall
include the name, title and contact information of every person known to
the mandated reporter to have the same information as the mandated
reporter concerning the reportable incident. Nothing in this subdivision
shall be construed to prohibit a mandated reporter from contacting or
reporting to law enforcement or emergency services before or after
reporting to the vulnerable persons' central register.
(c) The substance or content of any psychological, psychiatric,
therapeutic, clinical or medical reports, evaluations or like materials
or information pertaining to the treatment of a patient or client of a
mandatory reporter who reports a reportable incident of such patient or
client pursuant to this article, must be provided by such mandatory
reporter upon request of the justice center for the protection of people
with special needs if such records are essential for a full
investigation of such allegation, notwithstanding any applicable
privilege which would otherwise bar the disclosure of such materials and
records pursuant to article forty-five of the civil practice law and
rules or other provision of law except applicable federal law governing
the disclosure of patient and related medical records.
(d) Every mandated reporter is required to make a report to the
register as outlined in paragraph (b) of this subdivision unless (i) the
reporter has actual knowledge that the reportable incident has been
reported to the register; and (ii) that the reporter has been named as a
person with knowledge of the incident in such prior report.
2. Any person or official required to report allegations of reportable
incidents pursuant to this section may take or cause to be taken color
photographs of visible trauma and the face of the vulnerable person
named in the report and upon the consent of a person authorized to
consent to medical care for the vulnerable person, shall, if medically
indicated, cause to be performed a radiological examination of the
vulnerable person. Any photographs or radiological examinations taken
shall be provided to the justice center for use only for the purposes of
an investigation of a reportable incident.
3. (a) Any human services professional required by this article to
report a case of suspected abuse or neglect to the vulnerable persons'
central register who knowingly and willfully fails to do so shall be
guilty of a class A misdemeanor.
(b) A mandated reporter who knowingly and willfully fails to report a
case of suspected abuse or neglect to the vulnerable persons' central
register may be subject to termination, subject to any applicable
collective bargaining agreement. Any person or official required by this
article to report a case of suspected abuse or neglect to the vulnerable
persons' central register who knowingly and willfully fails to do so
shall be civilly liable for the damages proximately caused by such
failure.
4. A medical or other public or private institution, state agency,
school, facility or provider agency or its vendors or contractors shall
not take any retaliatory personnel action, as such term is defined in
paragraph (e) of subdivision one of section seven hundred forty of the
labor law, against an employee or agent or vendor or contractor because
such employee or agent or vendor or contractor believes that he or she
has reasonable cause to suspect that a vulnerable person has been
subjected to a reportable incident and that employee or agent or vendor
or contractor therefore makes a report in accordance with this section
and/or cooperated with the investigation of a reportable incident. A
court of competent jurisdiction may grant injunctive relief to any
person determined to have been subjected to such retaliation.
5. State oversight agencies shall ensure that all facilities or
provider agencies operated, licensed, or certified by such state
oversight agencies have policies and procedures in place to identify and
report possible crimes against a service recipient by a custodian. State
oversight agencies shall provide guidance to facilities or provider
agencies operated, licensed, or certified by such state oversight
agencies that do not already have policies and procedures for the
identification and reporting of possible crimes.
Vulnerable persons' central register. 1. There shall be
established in the justice center a statewide vulnerable persons'
central register. The register shall: (a) receive reports of allegations
of reportable incidents involving persons receiving services in
facilities or provider agencies subject to the requirements of this
article; (b) as warranted, refer reports alleging crimes to appropriate
law enforcement authorities; (c) notify appropriate persons and
officials of received and accepted reports; and (d) maintain an
electronic database of each report and the finding associated with each
report. In accordance with this section, the executive director shall
establish standards and procedures for the operation of the vulnerable
persons' central register.
2. (a) The vulnerable persons' central register shall be staffed by
persons with at least a baccalaureate or equivalent college degree in a
relevant field of study or at least two years of experience in the
direct provision of services, adult or child protective services, and
any other qualifications identified by the executive director. Direct
service provision shall include the care, investigation, assessment,
treatment, or case planning for persons in facilities or programs
covered by this article or equivalent facilities or programs. Vulnerable
persons' central register staff also shall have access to appropriate
law enforcement officers or others with law enforcement experience who
shall assist in screening reports that appear to allege criminal
offenses and help refer reports, as warranted, to appropriate law
enforcement authorities.
(b) The vulnerable persons' central register shall receive reports of
allegations of reportable incidents twenty-four hours per day, seven
days a week. Mandated reporters shall make such reports in accordance
with section four hundred ninety-one of this article; provided, however,
any person who has reasonable cause to suspect that a person receiving
services has been subjected to a reportable incident may make such a
report. In no event shall a report by a mandated reporter to the
vulnerable persons' central register eliminate the obligation of a
mandated reporter to report incidents in accordance with the applicable
laws, regulations and policy of the applicable state oversight agency.
(c) Reports of allegations of reportable incidents shall be submitted,
by a statewide, toll-free telephone number (a "hotline") or by
electronic transmission, in a manner and on forms prescribed by the
executive director. The information required on the reporting form shall
include but is not limited to: the name and contact information of the
person or persons making the report, if available, and, if the report is
made by a custodian, any other staff who have the same information; the
name and address of the facility or provider agency; the date, time,
specific location and description of the incident; the name and contact
information of the subject of the reportable incident, if known; the
name of the vulnerable person alleged to have been subjected to a
reportable incident; the names of personal representatives for the
vulnerable person who is alleged to have been subjected to a reportable
incident, if known; and any other information or documentation that the
executive director believes may be helpful. The inability of a person
making a report to identify a subject shall, in no circumstance,
constitute cause to reject such allegation for investigation or to fail
to refer such allegation for corrective action. The hotline shall accept
anonymous calls.
3. (a) When any allegation that could reasonably constitute a
reportable incident is received by the register, the register shall
accept and immediately transmit notice of the report orally or
electronically to the appropriate state oversight agency and, as
appropriate, to the director or operator of that facility or provider
agency.
(b) Whenever a telephone call or electronic transmission to the
vulnerable persons' central register alleges an act or circumstances
that may constitute a criminal offense or an immediate threat to a
vulnerable person's health, safety or welfare, the register shall
convey, by the most expedient means available, the information contained
in such call or transmission to the appropriate law enforcement agency
or district attorney and, to the extent necessary, the appropriate
emergency responder, and the state oversight agency.
(c) The justice center is responsible for commencing an investigation
of all allegations of reportable incidents that are accepted by the
vulnerable persons' central register. With respect to such an
investigation, the justice center shall:
(i) upon acceptance of a report of a reportable incident by the
vulnerable persons' central register, promptly commence an appropriate
investigation;
(ii) take all appropriate measures to protect the life and health of
the person who is the alleged victim of a reportable incident, which may
include working with the state oversight agency to take immediate steps
to remove the vulnerable person from his or her current facility or
program or to remove or suspend a subject from a facility or program,
subject to any applicable collective bargaining agreement, if the
justice center has reasonable cause to believe that the circumstances or
condition of the vulnerable person are such that continuing the
vulnerable person in his or her place of residence or program, or that
continuing such subject in his or her current facility or program,
presents an imminent danger to the vulnerable person's life or health;
(iii) determine whether the subject of the report is currently the
subject of an open or substantiated report in the vulnerable persons'
central register;
(iv) contact the statewide central register of child abuse and
maltreatment to determine whether the subject of the report has been or
is currently the subject of an indicated child abuse and maltreatment
report on file with the statewide central register of child abuse and
maltreatment;
(v) if it is discovered that the subject of a report has one or more
substantiated reports of abuse or neglect or indicated reports of child
abuse or maltreatment in the statewide central register of child abuse
and maltreatment and an investigation was or investigations were
conducted by a different state agency, or a local child protective
service, contact all known agencies or services who investigated such
previous report or reports to obtain information on such reports in
accordance with section four hundred ninety-six of this article;
(vi) notify the personal representative of the person alleged to have
been abused or neglected and, except in the case of a criminal
investigation, or if the executive director or his or her designee
determines that doing so would interfere with any ongoing investigation,
notify the subject or subjects of the report and any other persons named
in the report in writing of the existence of the report; provided,
however, that such notification may be limited in accordance with
subdivision (c) of section 33.16 of the mental hygiene law;
(vii) if a report of a reportable incident to the vulnerable persons'
central register involves the death of a person, the justice center
shall give telephone notice and immediately send a copy of the report to
the appropriate district attorney and to the medical examiner or
coroner. The medical examiner or coroner shall conduct a prompt
investigation and shall forward a preliminary written report of his or
her findings within sixty days of the date of death, absent
extraordinary circumstances, and his or her final written report
promptly, absent extraordinary circumstances, to the appropriate
district attorney, the appropriate law enforcement official, the state
agency responsible for overseeing the investigation, the justice center
medical review board and, if the death occurred in a hospital, the
hospital;
(viii) submit reportable incident findings to the vulnerable persons'
central register in accordance with section four hundred ninety-three of
this article;
(ix) notify the applicable state oversight agency and the director or
operator, where appropriate, to develop a plan of prevention or
remediation that the facility or program must implement in response to
the report's findings which must be approved and its implementation
monitored by the justice center or the state oversight agency, as
appropriate; and
(x) refer suspected cases of falsely reporting abuse or neglect in
violation of subdivision four of section 240.50 of the penal law to the
appropriate law enforcement agency or district attorney for
investigation and prosecution.
(d) Whenever a telephone call or electronic transmission to the
vulnerable persons' central register cannot be accepted as a report, but
the information provided alleges other potential wrongdoing at a
facility or provider agency, the register shall forward the report to
the applicable state oversight agency for investigation and protective
actions, as needed, pursuant to section four hundred ninety-one of this
article.
4. The justice center shall maintain and keep up-to-date records of
all incidents reported, together with any additional information
obtained during an investigation of such a report and a record of the
final disposition of the report.
5. The vulnerable persons' central register shall maintain an
electronic database of all accepted reports of reportable incidents.
State oversight agencies shall have access to information in the
database, limited to cases involving facilities or provider agencies
under their jurisdiction.
(a) A unique identifier shall be assigned to each report by the
vulnerable persons' central register.
(b) The register shall include the following information for each
report: a record of the final disposition of the report; the names and
identifying data; dates and circumstances of any person requesting or
receiving information from the register; whether the person making the
report authorized the disclosure of his or her name and personally
identifiable information; and any other information that the executive
director, in consultation with the commissioners of the state oversight
agencies covered by this article, identifies as furthering the purposes
of this article and complying with state and federal regulations
regarding the security and confidentiality of individually identifying
health information.
6. The justice center shall review such electronic database to
identify incident patterns and trends, and implement preventive and
corrective actions, and to identify patterns and trends in the reporting
and response to allegations of reportable incidents and develop plans of
improvement based on such reviews.
7. (a) General information about the existence and purposes of the
vulnerable persons' central register and how to make a report to the
register shall be made available on the website of the justice center,
with links to such information provided on the websites of each of the
state oversight agencies covered by this article.
(b) The justice center, in collaboration with the state oversight
agencies covered by this article, shall develop and widely distribute
written information explaining the reporting requirements and processes
consistent with this article. In addition, upon a vulnerable person's
commencement of the receipt of services by a facility or a provider
agency, personal representatives shall be provided with such
information, and such information shall be made available upon request
to any person.
(c) The justice center, in collaboration with the state agencies
operating, licensing or certifying facilities or the provider agencies
covered by this article, shall provide mandated reporters with written
information explaining the reporting requirements in accordance with
this article.
(d) The justice center shall develop and implement programs to
publicly recognize and value the contributions of reporters of
allegations of reportable incidents whose actions prompt corrections and
improvements in the service system; provided, however, that the name and
other personally identifiable information of such reporter shall not be
shared unless such person authorizes disclosure.
8. In a case where a subject of a report of alleged abuse or neglect
resigns from his or her position or is terminated while under
investigation, the state operating agency or the applicable facility or
provider agency shall promptly report such resignation or termination to
the justice center. The investigation of the report shall continue
despite the resignation or termination of such subject.
Abuse and neglect findings; consequences. 1. Within sixty days
of the vulnerable persons' central register accepting a report of an
allegation of abuse or neglect, the justice center shall cause the
findings of the investigation to be entered into the vulnerable persons'
central register. The justice center may take additional time to enter
such findings into the vulnerable persons' central register; provided,
however, that the reasons for any delay must be documented and such
findings submitted as soon thereafter as practicably possible.
2. For substantiated reports of abuse or neglect in facilities or
provider agencies in receipt of medical assistance, such information
shall also be forwarded by the justice center to the office of the
Medicaid inspector general when such abuse or neglect may be relevant to
an investigation of unacceptable practices as such practices are defined
in regulations of the office of the Medicaid inspector general.
3. (a) A finding shall be based on a preponderance of the evidence and
shall indicate whether: (i) the alleged abuse or neglect is
substantiated because it is determined that the incident occurred and
the subject of the report was responsible or, if no subject can be
identified and an incident occurred, that, the facility or provider
agency was responsible; or (ii) the alleged abuse or neglect is
unsubstantiated because it is determined not to have occurred or the
subject of the report was not responsible, or because it cannot be
determined that the incident occurred or that the subject of the report
was responsible. A report shall not be determined to be substantiated or
unsubstantiated solely because the subject of a report resigns during an
investigation.
(b) In conjunction with the possible findings identified in paragraph
(a) of this subdivision, a concurrent finding may be made that a
systemic problem caused or contributed to the occurrence of the
incident.
(c) The justice center shall notify the subject of the report, the
facility or provider agency where the abuse or neglect was alleged to
have occurred, the applicable state oversight agency and other persons
named in the report, which includes the service recipient's parent,
guardian or other person legally responsible for such person, of the
findings of the investigation and, as applicable, the local social
services commissioner or school district that placed the individual in
the facility or provider agency, the office of children and family
services and any attorney for the individual whose appointment has been
continued by a family court judge during the term of an individual's
placement, in accordance with applicable state and federal laws and
regulations governing the use and disclosure of records. If the report
is substantiated, the justice center shall also notify the subject of
the report of his or her rights to request that the report be amended
and the procedure by which he or she may seek to amend the report in
accordance with section four hundred ninety-four of this article.
(d) A report that is found to be unsubstantiated shall be sealed
immediately.
4. Substantiated reports of abuse or neglect shall be categorized into
one or more of the following four categories, as applicable:
(a) Category one conduct is serious physical abuse, sexual abuse or
other serious conduct by custodians, which includes and shall be limited
to:
(i) intentionally or recklessly causing physical injury as defined in
subdivision nine of section 10.00 of the penal law, or death, serious
disfigurement, serious impairment of health or loss or impairment of the
function of any bodily organ or part, or consciously disregarding a
substantial and unjustifiable risk that such physical injury, death,
impairment or loss will occur;
(ii) a knowing, reckless or criminally negligent failure to perform a
duty that: results in physical injury that creates a substantial risk of
death; causes death or serious disfigurement, serious impairment of
health or loss or impairment of the function of any bodily organ or
part, a substantial and protracted diminution of a service recipient's
psychological or intellectual functioning, supported by a clinical
assessment performed by a physician, psychologist, psychiatric nurse
practitioner, licensed clinical or master social worker or licensed
mental health counselor; or is likely to result in either;
(iii) threats, taunts or ridicule that is likely to result in a
substantial and protracted diminution of a service recipient's
psychological or intellectual functioning, supported by a clinical
assessment performed by a physician, psychologist, psychiatric nurse
practitioner, licensed clinical or master social worker or licensed
mental health counselor;
(iv) engaging in or encouraging others to engage in cruel or degrading
treatment, which may include a pattern of cruel and degrading physical
contact, of a service recipient, that results in a substantial and
protracted diminution of a service recipient's psychological or
intellectual functioning, supported by a clinical assessment performed
by a physician, psychologist, psychiatric nurse practitioner, licensed
clinical or master social worker or licensed mental health counselor;
(v) engaging in or encouraging others to engage in any conduct in
violation of article one hundred thirty of the penal law with a service
recipient;
(vi) any conduct that is inconsistent with a service recipient's
individual treatment plan or applicable federal or state laws,
regulations or policies, that encourages, facilitates or permits another
to engage in any conduct in violation of article one hundred thirty of
the penal law, with a service recipient;
(vii) any conduct encouraging or permitting another to promote a
sexual performance, as defined in subdivision one of section 263.00 of
the penal law, by a service recipient, or permitting or using a service
recipient in any prostitution-related offense;
(viii) using or distributing a schedule I controlled substance, as
defined by article thirty-three of the public health law, at the work
place or while on duty;
(ix) unlawfully administering a controlled substance, as defined by
article thirty-three of the public health law to a service recipient;
(x) intentionally falsifying records related to the safety, treatment
or supervision of a service recipient, including but not limited to
medical records, fire safety inspections and drills and supervision
checks when the false statement contained therein is made with the
intent to mislead a person investigating a reportable incident and it is
reasonably foreseeable that such false statement may endanger the
health, safety or welfare of a service recipient;
(xi) knowingly and willfully failing to report, as required by
paragraph (a) of subdivision one of section four hundred ninety-one of
this article, any of the conduct in subparagraphs (i) through (ix) of
this paragraph upon discovery;
(xii) for supervisors, failing to act upon a report of conduct in
subparagraphs (i) through (x) of this paragraph as directed by
regulation, procedure or policy;
(xiii) intentionally making a materially false statement during an
investigation into a report of conduct described in subparagraphs (i)
through (x) of this paragraph with the intent to obstruct such
investigation; and
(xiv) intimidating a mandated reporter with the intention of
preventing him or her from reporting conduct described in subparagraphs
(i) through (x) of this paragraph or retaliating against any custodian
making such a report in good faith.
(b) Category two is substantiated conduct by custodians that is not
otherwise described in category one, but conduct in which the custodian
seriously endangers the health, safety or welfare of a service recipient
by committing an act of abuse or neglect. Category two conduct under
this paragraph shall be elevated to category one conduct when such
conduct occurs within three years of a previous finding that such
custodian engaged in category two conduct. Reports that result in a
category two finding not elevated to a category one finding shall be
sealed after five years.
(c) Category three is abuse or neglect by custodians that is not
otherwise described in categories one and two. Reports that result in a
category three finding shall be sealed after five years.
(d) Category four shall be conditions at a facility or provider agency
that expose service recipients to harm or risk of harm where staff
culpability is mitigated by systemic problems such as inadequate
management, staffing, training or supervision. Category four also shall
include instances in which it has been substantiated that a service
recipient has been abused or neglected, but the perpetrator of such
abuse or neglect cannot be identified.
5. (a) Category one findings shall result in permanent placement of
the subject of the report on the vulnerable persons' central register in
accordance with section four hundred ninety-five of this article.
(b) Except when a custodian has a category two finding elevated to a
category one finding pursuant to this section, a custodian with a
category two finding shall be subject to progressive discipline. (For
state entities bound by collective bargaining, such discipline
established by collective bargaining shall govern.) In conjunction with
such disciplinary action, the facility or provider agency shall develop
a plan for training and any other actions to reduce the risk of
recurrence of such conduct. Such plan must be approved by and its
implementation monitored by the justice center or the state oversight
agency, as appropriate.
(c) With respect to a category three or four finding, the justice
center shall require the facility or provider agency to develop and
implement a plan of prevention and remediation of the deficient
conditions. Such plan shall identify any systemic problem that led to
the determination of a category three or four finding and include
suggested corrective measures. Such plan must be approved by and its
implementation monitored by the justice center or the state oversight
agency, as appropriate. In reviewing the continued qualifications of a
facility or provider agency for an operating certificate, the state
oversight agency shall evaluate such facility or provider agency's
compliance with any plans of prevention and remediation resulting from
category three or four reports and take appropriate enforcement action,
which may include, but not be limited to, closing intake to the facility
or provider agency or terminating operating certificates for prolonged
or repeated failure to correct identified problems in accordance with
applicable state law or regulation.
Amendments to and appeals of substantiated reports of abuse or
neglect. 1. (a) At any time subsequent to the completion of an
investigation of an allegation of abuse or neglect, but in no event
later than thirty days after the subject of the report is notified that
the report is substantiated, the subject may request that the vulnerable
persons' central register amend the findings of the report. If the
register does not amend the findings of the report in accordance with
such request, the subject shall have the right to be heard before an
administrative law judge, to determine whether the findings of the
report should be amended on the grounds that they are inaccurate or
inconsistent with the provisions in this article. The office shall
establish an appeals process by which the subject of the report is
notified of the right to appeal and the procedure by which he or she may
challenge the determination that a report is substantiated, with a de
novo standard of review.
(b) If the administrative law judge determines that the justice center
failed to prove by a preponderance of the evidence the finding that the
subject committed the act or acts of abuse or neglect, the justice
center shall amend the record to reflect that such a finding was made,
and shall promptly notify the subject of the report and any other
persons or entities previously notified of the existence of the report
of the amended finding. Such report shall be sealed in accordance with
the standards set forth in section four hundred ninety-six of this
article.
2. The justice center is authorized to make any appropriate order
respecting the amendment of such findings of a report to make it
accurate or consistent with the requirements of this article.
Register of substantiated category one cases of abuse or
neglect. 1. The justice center shall develop and maintain a register of
subjects of reports who have been found to have a substantiated category
one case of abuse or neglect, in accordance with paragraph (a) of
subdivision four of section four hundred ninety-three of this article,
and who have: (a) not requested an amendment of the findings of the
report in the time specified in subdivision one of section four hundred
ninety-four of this article; or (b) been heard pursuant to such
subdivision and all the findings of the report were not amended to be
unsubstantiated.
2. All facility and provider agencies, other providers of services to
vulnerable persons in programs licensed, certified or funded by any
state oversight agency and other provider and licensing agencies as
defined in subdivision three or four of section four hundred
twenty-four-a of this chapter shall check the register of substantiated
category one cases of abuse or neglect before determining whether to
hire or otherwise allow any person as an employee, administrator,
consultant, intern, volunteer or contractor who will have the potential
for regular and substantial contact with a service recipient or before
approving an applicant for a license, certificate, permit or other
approval to provide care to a service recipient. (For state entities
bound by collective bargaining, such action established by collective
bargaining shall govern.)
3. If a person is listed on the register of substantiated category one
cases of abuse or neglect, a facility or provider agency and all other
providers of services to vulnerable persons in programs licensed or
certified by any state oversight agency shall not hire such a person to
have regular and substantial contact with a service recipient in any
such facility or program. Other providers or licensing agencies as
defined in subdivision three or four of section four hundred
twenty-four-a of this chapter shall determine whether to hire or allow
such a person to have regular or substantial contact with a service
recipient in accordance with the provisions of subdivision five of
section four hundred twenty-four-a of this chapter.
4. A custodian shall be subject to immediate termination if he or she
is convicted of any crime as defined in subdivision six of section 10.00
of the penal law that relates directly to the abuse or neglect of a
vulnerable person, or is placed on the register of substantiated
category one cases of abuse or neglect. (For state entities bound by
collective bargaining, such action established by collective bargaining
shall govern.)
5. Placement on the register shall be permanent, unless the office is
officially notified of the individual's death.
6. Nothing in this article shall diminish the rights or remedies
otherwise available under law, regulation or appropriate collective
bargaining agreements of any facility or provider agency with respect to
the termination or discipline of employees.
Confidentiality. 1. Unless an investigation of a report
conducted pursuant to this article has been substantiated, all
information, including information identifying the subject of the report
and other persons named in the report, shall be sealed forthwith by the
vulnerable persons' central register, the state oversight agency and the
facility or provider agency. Such reports may only be unsealed and made
available, consistent with any other applicable state or federal law,
to:
(a) the state agency operating, licensing or certifying a facility or
program for the purpose of monitoring or licensing such facility or
program;
(b) any state agency operating, licensing, or certifying a facility or
provider agency when investigating a report of suspected abuse or
neglect involving the subject of a previously sealed report accepted by
the vulnerable persons' central register;
(c) the subject of the report;
(d) a court of relevant jurisdiction or a law enforcement official
when such court or official verifies that the report is necessary to
conduct an active investigation or prosecution of a violation of
subdivision four of section 240.50 of the penal law;
(e) the justice center medical review board, for the purposes of
preparing a fatality report pursuant to section five hundred fifty-six
of the executive law;
(f) the independent agency designated pursuant to subdivision (b) of
section five hundred fifty-eight of the executive law, provided that
such information is relevant to a matter within the legal authority of
such agency; or
(g) other persons named in the report, as defined in subdivision
thirteen of section four hundred eighty-eight of this article which
includes, but is not limited to, the service recipient's parent,
guardian or other person legally responsible for such person; provided,
however, that the names and other personally identifying information of
custodians and other service recipients shall not be included unless
such custodians and service recipients authorize disclosure.
Notwithstanding the prohibitions on non-redisclosure set forth in the
closing sentence of this subdivision, the service recipient, and such
service recipient's parent, guardian or other person legally responsible
for such service recipient may disclose information and reports made
available pursuant to this paragraph to an attorney, who shall not
further disclose except as is necessary for use by such attorney in
rendering advice, assistance and representation.
When a report is unsealed, persons given access to it shall not
redisclose such reports except as necessary to conduct such appropriate
investigation or prosecution and shall request that the court redact any
copies of such reports produced in any court proceeding to remove the
names of those persons irrelevant to the proceeding such as the source
of the report, the name of the subject, and other persons named in the
reports; or that the court issue an order protecting the names of the
subjects and other persons named in the reports from public disclosure.
2. Reports made pursuant to this article and found to be substantiated
as well as any other information obtained, reports written or
photographs taken concerning such reports in the possession of the
justice center, a state oversight agency, a delegate investigatory
entity, facility or provider agency covered by this article shall be
confidential and shall not be disclosed to any other party unless
authorized pursuant to this section or any other applicable state or
federal law. In the event that other applicable state or federal law
provisions are more restrictive than the provisions of this section, the
provisions of such other state or federal law shall apply. In accordance
with this section, such information shall be made available only to:
(a) a person who is the subject of the report;
(b) other persons named in the report, which includes, but is not
limited to, the service recipient's parent, guardian or other person
legally responsible for such person. Notwithstanding the prohibitions on
non-redisclosure set forth in subdivision four of this section, the
service recipient, and such service recipient's parent, guardian or
other person legally responsible for such service recipient may disclose
information and reports made available pursuant to this paragraph to an
attorney, who shall not further disclose except as is necessary for use
by such attorney in rendering advice, assistance and representation;
(c) the justice center;
(d) the applicable state oversight agency, the director or operator of
the applicable facility or provider agency and, as appropriate, the
local social services commissioner, the commissioner of the office of
children and family services, or the school district placing the service
recipient, or an agency providing adult protective services to the
service recipient;
(e) a physician who has before him or her a service recipient whom he
or she reasonably suspects may be or may have been abused or neglected;
(f) a court, upon a finding that the information in the record is
relevant to the determination of an issue before the court;
(g) a grand jury, upon a finding that the information in the record is
necessary for the determination of charges before the grand jury;
(h) any appropriate state legislative committee responsible for
legislation affecting vulnerable persons, provided, however, that no
information identifying or tending to identify the subjects of the
report or other persons named in the report shall be made available;
(i) any person engaged in a bona fide research purpose; provided,
however, that no information identifying or tending to identify the
subjects of the report or other persons named in the report shall be
made available to the researcher unless it is absolutely essential to
the research purpose and the justice center, after consultation with the
commissioner of the applicable state oversight agency, gives prior
approval;
(j) a facility or provider agency, other providers of services to
vulnerable persons in programs licensed or certified by any state
oversight agency, or any other provider agency as defined in subdivision
three of section four hundred twenty-four-a of this chapter or a
licensing agency as defined in subdivision four of section four hundred
twenty-four-a of this chapter, in accordance with the provisions of
subdivision two of section four hundred ninety-five of this article;
(k) a probation service regarding a person about whom it is conducting
an investigation pursuant to article three hundred ninety of the
criminal procedure law, or a probation service or the department of
corrections and community supervision regarding a person to whom the
service or department is providing supervision pursuant to article sixty
of the penal law or article eight of the correction law, where the
service or department requests the information upon a certification that
such information is necessary to conduct its investigation, that there
is reasonable cause to believe that the subject of an investigation is
the subject of a substantiated report and that there is reasonable cause
to believe that such records are necessary to the investigation by the
probation service or the department, provided, however, that only
substantiated reports shall be furnished pursuant to this subdivision;
(l) a district attorney, an assistant district attorney or
investigator employed by the office of a district attorney, a sworn
officer of the division of state police, of the regional state park
police, of a city police department, or of a county, town or village
police department or county sheriff's office or department upon written
verification that such information is necessary to conduct a criminal
investigation or criminal prosecution of a person, and that there is
reasonable cause to believe that such person is the subject of a report;
provided, however, that only substantiated reports shall be furnished
pursuant to this subdivision;
(m) the New York city department of investigation; provided, however,
that no information identifying the subjects of the report or other
persons named in the report shall be made available to the department of
investigation unless such information is essential to an investigation
within the legal authority of the department of investigation and the
justice center or the applicable state oversight agency gives prior
approval;
(n) a provider or coordinator of services to which a facility or
provider agency or social services district has referred a service
recipient or a service recipient's family or to whom the service
recipient or the recipient's family have referred themselves at the
request of such agency or social services district, when said service
recipient is reported to the vulnerable persons' central register as the
vulnerable person and when the records, reports or other information are
necessary to enable the provider or coordinator to establish and
implement a plan of service for the service recipient or the service
recipient's family, or to monitor the provision and coordination of
services and the circumstances of the service recipient and the service
recipient's family, or to directly provide services in accordance with
requirements established by the applicable state oversight agency to the
extent that the sharing of such information is not otherwise prohibited
by federal law; provided, however, a provider or coordinator of services
given access to information concerning a service recipient pursuant to
this paragraph shall be authorized to redisclose such information to
other persons or agencies which also provide services to the service
recipient or the service recipient's family only if an agreement has
been or will be reached between the provider or coordinator of service
and such facility or provider agency, operating state agency or local
district. An agreement entered into pursuant to this paragraph shall
include the specific agencies and categories of individuals to whom
redisclosure by the provider or coordinator of services is authorized.
Persons or agencies given access to information pursuant to this
paragraph may exchange such information in order to facilitate the
provision or coordination of services to the service recipient or the
service recipient's family;
(o) a disinterested person making an investigation pursuant to section
one hundred sixteen of the domestic relations law, provided that such
disinterested person shall only make this information available to the
judge before whom the adoption proceeding is pending;
(p) a criminal justice agency conducting an investigation of a missing
child or vulnerable adult where there is reason to suspect information
in a substantiated report under this article is needed to further such
investigation;
(q) the director or operator of the facility or provider agency and,
as appropriate, the local social services commissioner, commissioner of
the office of children and family services, or school district placing a
child in that program, the applicable executive agency, and, for any
report involving abuse or neglect of a child, any attorney appointed to
represent the child whose appointment has been continued by a family
court judge during the term of the placement and subject to the
limitations contained in section four hundred ninety-five of this
article;
(r) for any report alleging abuse or neglect of a child, a child
protective service of another state when such service certifies that the
records and reports are necessary in order to conduct a child abuse or
maltreatment investigation within its jurisdiction of the subject of the
report and shall only be used for purposes of conducting such
investigation and will not be redisclosed to any other person or agency;
(s) an attorney for a child, appointed pursuant to section one
thousand sixteen of the family court act, at any time such appointment
is in effect, in relation to any report in which the respondent in the
proceeding in which the attorney for the child is appointed is the
subject or another person named in the report, pursuant to sections one
thousand thirty-nine-a and one thousand fifty-two-a of the family court
act;
(t) officers and employees of the state comptroller, for purposes of a
duly authorized performance audit, provided that such comptroller shall
have certified to the keeper of such records that he or she has
instituted procedures developed in consultation with the justice center
to limit access to service recipient-identifiable information to persons
requiring such information for purposes of the audit and that
appropriate controls and prohibitions are imposed on the dissemination
of service recipient-identifiable information contained in the conduct
of the audit.
(i) Information pertaining to the substance or content of any
psychological, psychiatric, therapeutic, clinical or medical reports,
evaluations or like materials or information pertaining to such
vulnerable person or such person's family shall not be made available to
such officers and employees unless disclosure of such information is
absolutely essential to the specific audit activity and the justice
center gives prior written approval.
(ii) Any failure to maintain the confidentiality of service
recipient-identifiable information shall subject such comptroller or
officer to denial of any further access to records until such time as
the audit agency has reviewed its procedures concerning controls and
prohibitions imposed on the dissemination of such information and has
taken all reasonable and appropriate steps to eliminate such lapses in
maintaining confidentiality to the satisfaction of the justice center.
Such justice center shall establish the grounds for denial of access to
records contained under this section and shall recommend as necessary a
plan of remediation to the audit agency. Except as provided in this
section, nothing in this subparagraph shall be construed as limiting the
powers of such comptroller or officer to access records which he or she
is otherwise authorized to audit or obtain under any other applicable
provision of law;
(u) an entity with appropriate legal authority in another state to
license, certify or otherwise approve prospective foster and adoptive
parents where disclosure of information regarding the prospective foster
or adoptive parents and other persons over the age of eighteen residing
in the home of such prospective parents is required by paragraph twenty
of subdivision (a) of section six hundred seventy-one of title forty-two
of the United States Code;
(v) a social services official who is investigating whether an adult
is in need of protective services in accordance with the provisions of
section four hundred seventy-three of this chapter or a child is in need
of child protective services pursuant to the provisions of title six of
article six of this chapter, when such official has reasonable cause to
believe that such reports and information are needed to further the
present investigation;
(w) for reports alleging abuse or neglect of children, members of a
citizen review panel as established pursuant to section three hundred
seventy-one-b of this chapter; provided, however, such members shall not
disclose to any person or governmental official any identifying
information which the panel has been provided and shall not make public
other information unless otherwise authorized by statute;
(x) officers and employees of the education department and, where
applicable, the department of health, for the purpose of investigating
charges and maintaining professional discipline proceedings against the
professional license of the subject of the report pursuant to Title VIII
of the education law, and to employees of the education department for
the purpose of investigating charges and maintaining good moral
character proceedings against the teaching, school administrator or
school leader certificate or license of the subject of the report; and
(y) the independent agency designated pursuant to subdivision (b) of
section five hundred fifty-eight of the executive law, provided that
such information is relevant to a matter within the legal authority of
such agency.
3. (a) The executive director, in consultation with the applicable
state oversight agency may disclose information regarding the abuse or
neglect of a vulnerable person as set forth in this subdivision, and the
investigation thereof and any services related thereto, to persons other
than those authorized to receive records under subdivision two of this
section if otherwise permitted by applicable federal law and if he or
she determines that such disclosure shall not be contrary to the best
interests of the vulnerable person and any one of the following factors
are present:
(i) the subject of the report has been charged in an accusatory
instrument with committing a crime related to a report maintained in the
vulnerable persons' central register; or
(ii) the investigation of the abuse or neglect of the vulnerable
person or the provision of services by the facility or provider agency
has been publicly disclosed in a report required to be disclosed in the
course of their official duties, by a law enforcement agency or
official, a district attorney, any other state or local investigative
agency or official, or by judge of the unified court system; or
(iii) there has been a prior knowing, voluntary, public disclosure by
an individual concerning a report of abuse or neglect in which such
individual is named as the subject of the report; or
(iv) the vulnerable person named in the report has died or the report
involves the near fatality of a vulnerable person. For the purposes of
this section, "near fatality" means an act that results in the
vulnerable person being placed, as certified by a physician, in serious
or critical condition.
(b) For the purposes of this subdivision, only the following
information may be disclosed:
(i) the name of the abused or neglected vulnerable person;
(ii) the determination by the justice center and the findings upon
which such determination was based;
(iii) identification of services provided or actions, if any, taken
regarding the vulnerable person named in the report and his or her
family as a result of any such report or reports;
(iv) whether any report of abuse or neglect regarding such vulnerable
person has been "substantiated" as maintained by the vulnerable persons'
central register;
(v) any actions taken by the state oversight agency or the facility or
provider agency in response to reports of abuse or neglect of the
vulnerable person to the vulnerable persons' central register, including
but not limited to actions taken after each and every report of abuse or
neglect of such person and the dates of such reports; and
(vi) any extraordinary or pertinent information concerning the
circumstances of the abuse or neglect of the vulnerable person and the
investigation thereof, where the executive director, in consultation
with the commissioner of the applicable state oversight agency
determines such disclosure is consistent with the public interest.
(c) Information may be disclosed pursuant to this subdivision as
follows:
(i) information released prior to the completion of the investigation
of a report shall be limited to a statement that a report is "under
investigation";
(ii) when there has been a prior disclosure pursuant to paragraph (a)
of this subdivision, information released in a case in which the
investigation of the report has been completed but not substantiated,
information shall be limited to the statement that "the investigation
has been completed and the report has been unsubstantiated";
(iii) if the report has been "substantiated" then information may be
released pursuant to paragraph (a) of this subdivision.
(d) Any disclosure of information pursuant to this subdivision shall
be consistent with the provisions of paragraph (b) of this subdivision.
Such disclosure shall not identify or provide an identifying description
of the source of the report, and shall not identify the name of the
abused or neglected vulnerable person's siblings or children, the parent
or other person legally responsible for such person or any other members
of such person's household.
(e) In determining, pursuant to paragraph (a) of this subdivision,
whether disclosure will be contrary to the best interests of the
vulnerable person, the executive director shall consider the interest in
privacy of the vulnerable person and such person's siblings or children,
the parent or other person legally responsible for such person or any
other members of such person's household.
(f) Except as it applies directly to the cause of the abuse or neglect
of the vulnerable person, nothing in this subdivision shall be deemed to
authorize the release or disclosure of the substance or content of any
psychological, psychiatric, therapeutic, clinical or medical reports,
evaluations or like materials or information pertaining to such person
or such person's family. Any such information that applies directly to
the cause of the abuse or neglect of the vulnerable person may be
disclosed only if disclosure is not otherwise restricted by applicable
federal or state laws.
4. A person given access to the names or other information identifying
the subject of the report or other persons named in the report shall not
divulge or make public such identifying information unless he or she is
a district attorney or other law enforcement official and the purpose is
to initiate court action or the disclosure is necessary in connection
with the investigation or prosecution of the subject of the report for a
crime alleged to have been committed by the subject against another
person named in the report. Nothing in this section shall be construed
to permit any release, disclosure or identification of the names or
identifying descriptions of persons who have reported suspected abuse or
neglect to the vulnerable persons' central register or the state
oversight agency, facility or provider agency or other entity where such
persons are employed or with which they are associated without such
persons' written permission except to persons, officials, and agencies
enumerated in paragraphs (f), (g), (l), (m) and (v) of subdivision two
of this section. To the extent that persons or agencies are given access
to information pursuant to paragraphs (c), (d), (e), (k), (l), (m), (n)
and (p) of subdivision two of this section, such persons or agencies may
give and receive such information to each other in order to facilitate
an investigation conducted, or the provision of services, by such
persons or agencies.
5. Notwithstanding any contrary provision of this section, mental
hygiene legal service shall have access to all information, books,
records and data as provided for in subdivision (d) of section 47.03 of
the mental hygiene law.
Immunity from liability. Any person participating reasonably
and in good faith in making a report, taking photographs, conducting or
overseeing an investigation, operating the vulnerable persons' central
register or disclosing information in compliance with this article shall
have immunity from any liability, civil or criminal, that might
otherwise result by reason of such actions. For the purpose of any
proceeding, civil or criminal, the good faith of any such person
required to perform any of such functions in accordance with this
article shall be presumed, provided such person, was acting in discharge
of his or her duties and within the scope of his or her employment or
responsibilities, and that such liability did not result from the
willful misconduct or gross negligence of such person.
ARTICLE 12 Construction; Laws Repealed; When to Take Effect
Constitutionality. If any provisions of this chapter shall be
held to be unconstitutional, such decision shall not affect the validity
of the remaining provisions of this chapter.
Construction. 1. The provisions of this chapter so far as they
are substantially the same as those existing at the time they shall take
effect, shall be construed as a continuation of such laws, modified or
amended, according to the language employed in this chapter, and not as
new enactments. References in laws not repealed to provisions of law
repealed, or transferred and enacted into and made a part of this
chapter, shall be construed as applying to the provisions so
incorporated.
2. All references in this chapter to articles, titles or sections
shall, unless otherwise indicated in connection therewith, be deemed to
refer to the articles, titles or sections of this chapter; and, if so
stated in connection therewith, to a subdivision of a section of this
chapter. All references in any section of this chapter to a numbered
subdivision, or clause shall, unless otherwise indicated in connection
therewith, be deemed to refer to the subdivision, or clause so numbered
or lettered in such section. All references in any article to a title
shall, unless otherwise indicated in connection therewith, be deemed to
refer to the title so numbered in such article.
Laws repealed. Of the laws enumerated in the schedule hereto
annexed, that portion specified in the last column is hereby repealed.