NY-SOS Social Services Law NY

Contents

ARTICLE 1 Short Title; Definitions

§ 1 — Short title

Short title. This chapter shall be known as the social services

law.

§ 2 — Definitions

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

§ 5 — Department of social welfare

Department of social welfare. The state department of social

welfare, provided for in the constitution, is hereby continued.

§ 11 — Commissioner of social services

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.

§ 12 — Deputy commissioners

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.

§ 13 — Organization of the department

Organization of the department. The commissioner shall

determine the structure of departmental organization.

§ 14 — Employees; compensation

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.

§ 16 — Offices of the Department

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.

§ 17 — Powers and duties of the commissioner

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

§ 20 — Powers and duties of the department

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.

§ 20-a — Local personnel; limitations on department's power

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.

§ 20-b — Plan for in-home care of senior citizens

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.

§ 20-c — Privatization

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.

§ 20-d — Training of direct care workers in adverse childhood experiences

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.

§ 21 — Welfare management system

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.

§ 21-a — Electronic benefit transfer 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.

§ 22 — Appeals and fair hearings; judicial review

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.

§ 23 — Wage reporting system

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.

§ 28 — Gifts and bequests

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.

§ 29 — Federal agency

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.

§ 30 — Continuation of salaries of local and state welfare employees receiving training for the better performance of their duties

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.

§ 31 — Fellowships and scholarships for local and state public welfare employees

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.

§ 32 — Reciprocal agreements

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.

§ 33 — Contracts for supplies and commodities needed in the administration of assistance

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.

§ 34 — General powers and duties of the commissioner

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.

§ 34-a — Services planning requirements

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.

§ 35 — Legal representation of individuals whose federal disability benefits have been denied or may be discontinued

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.

§ 36 — Studies

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.

§ 36-a — Department research and demonstration projects

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

§ 36-b — Local flexibility incentive pilot program

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

* § 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

§ 37 — Reports of and to department

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.

§ 38 — Commission for the blind

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.

§ 39 — Indian affairs

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.

§ 40 — Real property; purchase or acquisition

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

§ 41 — Legislative findings and purpose

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.

§ 42 — Definitions

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.

§ 43 — Homeless housing and assistance contracts

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.

§ 44 — General and administrative provisions

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

§ 45 — Definitions

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.

§ 45-a — Single room occupancy support services program

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.

§ 45-b — Notice of funding availability; contracts

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.

§ 45-c — Direct application by eligible applicants

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.

§ 45-d — Operating plans

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.

§ 45-e — Reimbursement

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.

§ 45-f — Administration

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.

§ 45-g — Annual report

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

§ 48 — Legislative intent

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.

§ 49 — Definitions

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.

§ 50 — Homeless intervention contracts

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.

§ 51 — Regulations

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.

§ 52 — Reports

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

§ 56 — City social services districts

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.

§ 57 — Cities in county social services districts

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.

§ 58 — Application

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

§ 61 — Social services districts

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.

§ 62 — Responsibility for public assistance and care

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.

§ 64 — Separation of social services from eligibility and assistance payments functions

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

§ 65 — County commissioners of public welfare

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.

§ 66 — County appointments and bonds

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.

§ 67 — Town public welfare officers; appointment of staff

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.

§ 69 — Responsibility for public assistance and care in a county social services district

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.

§ 71 — Commitments

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.

§ 72 — Power of the board of supervisors to assume responsibility for assistance and care

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.

§ 73 — Power of the board of supervisors to change the administrative system of the county social services district

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

§ 74 — Administration of assistance by or on behalf of certain cities

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.

§ 74-a — Administration of assistance by county for city; reimbursements and advances; cost to county to be raised by tax on taxable property of c...

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.

§ 74-h — Appeals and reviews

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.

§ 74-i — Transfer of personnel; county, city and town

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

§ 77 — City commissioners of public welfare; appointment of staff

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.

§ 78 — Citizens advisory committees

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.

§ 79 — Plan for the homeless

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

§ 80 — Records

Records. All social services officials shall keep the records

required by this chapter and the department.

§ 81 — Reports

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.

§ 82 — Accounts

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.

§ 83 — County social services funds

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.

§ 84 — County commissioner's revolving fund

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.

§ 85 — Monthly reports of county commissioner to county treasurer

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.

§ 86 — Town public welfare funds

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.

§ 86-a — City public welfare funds

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.

§ 87 — Special funds

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.

§ 88 — Responsibility for adequate appropriations

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.

§ 89 — Estimates in county public welfare districts

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.

§ 90 — Appropriations in county public welfare districts

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.

§ 90-a — Taxes for county public welfare districts

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.

§ 91 — Estimates and appropriations in city public welfare districts

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.

§ 92 — Deficiency appropriations

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.

§ 93 — Provisions for financing home relief

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.

§ 94 — Federal donated commodities

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.

§ 95 — Supplemental nutrition assistance program (SNAP)

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.

§ 95-a — State food stamp outreach program

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.

§ 96 — Use of subprofessional staff

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.

§ 97 — Low-income home energy assistance program

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

§ 101 — Liability of relatives to 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.

§ 101-a — Proceedings to compel support by persons in need thereof

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.

§ 102 — Powers of public welfare officials to bring and defend suits

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.

§ 103 — Seizure of property of persons liable for support

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.

§ 104 — Recovery from a person discovered to have property

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.

§ 104-a — Transfer of property for the purpose of qualifying for assistance; presumption

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.

§ 104-b — Liens for public assistance and care on claims and suits for personal injuries

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.

§ 105 — Claim on insurance

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.

§ 106-a — Exemption from payment of fees for instruments affecting real or personal property; exemption of mortgages from mortgage recording tax

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.

§ 106-b — Adjustment for incorrect payments

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.

§ 106-c — Crediting of overpayment of tax to obligation of public assistance recipients

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.

§ 107 — Disposal of seized property and penalties collected

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.

§ 108 — Appointment of guardians for minors; notice of accounting

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.

§ 109 — Trust funds to be established

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.

§ 110-a — Special provisions for legal services to enforce support to recover costs of public assistance and care and to establish paternity

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.

§ 110-b — Recovery from a person discovered to have property; notice

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.

§ 111 — Functions of the department

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

§ 111-a — Federal aid; state plan

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.

§ 111-b — Functions, powers and duties of the department

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.

§ 111-c — Functions, powers and duties of social services officials

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.

§ 111-d — State reimbursement

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.

§ 111-e — Reimbursement to the state

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.

§ 111-f — Federal incentives

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.

§ 111-g — Availability of paternity and support services

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.

§ 111-h — Support collection unit

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.

§ 111-i — Child support standards

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.

§ 111-j — Interception of unemployment insurance benefits

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.

§ 111-k — Procedures relating to acknowledgments of parentage, agreements to support, and genetic tests

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.

§ 111-m — Agreement relating to information obtained by the state directory of new hires

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.

§ 111-n — Review and cost of living adjustment of support orders

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.

§ 111-o — Data matches with financial institutions

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.

§ 111-p — Authority to issue subpoenas

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.

§ 111-q — Voiding of fraudulent transfers of income or property

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.

§ 111-r — Requirement to respond to requests for information

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.

§ 111-s — Access to information contained in government and private records

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.

§ 111-t — Authority to secure assets

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.

§ 111-u — Liens

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.

§ 111-v — Confidentiality, integrity, and security of information

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

§ 111-y — Spousal support; crediting of overpayments of tax to past-due support

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.

§ 111-z — Spousal and child support; crediting of overpayments of tax to past-due support

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

§ 112 — Local personnel training

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.

§ 113 — Participation in research and demonstration projects

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.

§ 114 — Special state reimbursement

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.

§ 115 — Training and utilization of volunteers

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

§ 116 — Chief executive officers of local welfare departments; qualifications; appointment and removal; term

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

§ 117 — State residence

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.

§ 118 — Qualification on residence

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.

§ 118-c — Family court cases; state charges

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.

§ 121 — Removal of persons to another state or country

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.

§ 122 — Noncitizens

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

§ 131 — Assistance, care and services to be given

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.

§ 131-a — Monthly grants and allowances of public assistance

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.

§ 131-aa — Monthly statistical reports

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.

§ 131-aaa — Availability of adverse childhood experiences services

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.

§ 131-b — Fees for services

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.

§ 131-bb — Family homelessness and eviction prevention supplement program

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.

§ 131-c — Inclusion of parents and siblings of a minor in the public assistance household

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.

§ 131-d — Substance abuse rehabilitative and preventive services

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.

§ 131-e — Family planning services

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.

§ 131-f — Retroactive social security benefit increases

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.

§ 131-g — Authority to accept public and private gifts

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.

§ 131-h — Authority to operate family homes for adults

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

* § 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.

§ 131-j — Certain utility deposits

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.

§ 131-k — Undocumented noncitizens

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.

§ 131-l — Exclusion of agent orange benefits

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.

§ 131-m — Information on resource referral services

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

* § 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

§ 131-o — Personal allowances accounts

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.

§ 131-p — Group health insurance benefits; condition of eligibility

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.

§ 131-q — Electronic payment file transfer system pilot project

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.

§ 131-r — Liability for reimbursement of public assistance benefits

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.

§ 131-s — Payments made for utility service for recipients of public assistance benefits, supplemental security income benefits or additional state...

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.

§ 131-ss — Automated identification of OTDA assistance program participants

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.

§ 131-t — Periodic reporting

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.

§ 131-u — Domestic violence services

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.

§ 131-v — Temporary emergency shelter

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.

§ 131-w — Limitations in the payment of rent arrears

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.

§ 131-x — Reverse mortgage loans

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.

§ 131-z — Child assistance program

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

* § 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

§ 132 — Investigation of applications

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.

§ 132-a — Children born out of wedlock; special provisions

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.

§ 133 — Temporary preinvestigation emergency needs assistance or care

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.

§ 133-a — Contracts for distribution of public assistance grants

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.

§ 134 — Supervision

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.

§ 134-a — Conduct of investigation

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.

§ 134-b — Front end detection system

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.

§ 134-c — Requirement to publicly post information

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.

§ 135 — Cooperation of public welfare officials

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.

§ 136 — Protection of public welfare records

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.

§ 136-a — Information from state tax commission and the comptroller

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.

§ 137 — Exemption from levy and execution

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.

§ 137-a — Exemption of earnings of recipients from assignment, income execution and installment payment order

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.

§ 138-a — Responsibility of the department for recipients in family care

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.

§ 139-a — Special provisions to avoid abuse of assistance and care

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.

§ 141 — Burial of the dead

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.

§ 142 — Exclusiveness of eligibility requirements

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.

§ 142-a — Federal economic opportunity act grants or payments; effect on eligibility for certain public assistance or care

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.

§ 142-b — Federal manpower development training act and elementary and secondary education act grants or payments; effect on eligibility for certai...

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.

§ 143 — Information to be given by employers of labor to social services officials, the department, family court and the state department of ment...

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.

§ 143-a — Information to be given to public welfare officials by retail instalment sellers, small loan companies and sales finance companies

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.

§ 143-b — Avoidance of abuses in connection with rent checks

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.

§ 143-c — Avoidance of abuses in connection with rent security deposits

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.

§ 144 — Power of public welfare officials and service officers to administer oaths; power of public welfare officials to subpoena persons liable ...

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.

§ 144-a — Information to be given to officials of the department and of social services districts

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.

§ 145 — Penalties

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.

§ 145-a — Judgment liens

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.

§ 145-b — False statements; actions for treble damages

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.

§ 145-c — Sanctions

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.

§ 146 — Penalty for the sale or exchange of assistance supplies

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.

§ 147 — Misuse of food stamps, food stamp program coupons, authorization cards and electronic access devices

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.

§ 148 — Penalty for unlawfully bringing a needy person into a public welfare district

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.

§ 149 — Penalty for bringing a needy person into the state

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.

§ 150 — Penalty for neglect to report or for making false report

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.

§ 151 — Penalties for cashing public assistance checks or accepting electronic benefit transfers from public assistance recipients

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.

§ 152 — Payments to the New York public welfare association; attendance at conventions of public welfare officials

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.

§ 152-a — Burial reserves for certain recipients of public assistance or care from assigned assets

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.

§ 152-b — Surplus after recovery of cost of public assistance and care; unclaimed funds

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.

§ 152-c — Menstrual products

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.

§ 152-d — Replacement of stolen public assistance

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

§ 153 — Reimbursement and advances by the state

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.

§ 153-a — Reimbursement for services to social services districts

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.

§ 153-b — Reimbursement for services

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.

§ 153-f — State reimbursement of home energy grant expenses

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

* § 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

§ 157 — Definitions

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.

§ 158 — Eligibility

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.

§ 159 — Safety net assistance

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.

§ 160-a — Unexpended welfare balances

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.

§ 163 — Application

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.

§ 165 — Recipients authorized to work

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

§ 168 — Definitions

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.

§ 169 — Eligibility

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.

§ 170 — Character

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.

§ 171 — Responsibility; county social services districts; city social services districts; cities; towns

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.

§ 172 — Moneys to be provided

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.

§ 173 — Election to administer veteran assistance by county public welfare district; organization

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.

§ 174-b — Authorization of veteran assistance in towns

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.

§ 175 — Administration of veteran assistance in New York city

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.

§ 176 — Veteran advisory committees; duties

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.

§ 177 — Care in public homes; consent of veteran or other eligible persons

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.

§ 178 — Veteran assistance financing; state reimbursement

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

§ 193 — Public homes

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.

§ 194 — Powers and duties of commissioners of public welfare in relation to public homes

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.

§ 194-a — Additional power of work assignment granted to commissioner of public welfare of Monroe county

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.

§ 195 — Medical care

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.

§ 196 — Report on needs of incarcerated individuals of public homes

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.

§ 197 — Incarcerated individuals' right of appeal

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.

§ 198 — Control of incarcerated individuals

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.

§ 199 — Power of commissioner of public welfare to detain certain incarcerated individuals

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.

§ 200 — Powers and duties of the commissioner of public welfare in relation to the public farm

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.

§ 202 — Construction and administration of public homes

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

§ 207 — Declaration of purpose

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.

§ 208 — Definitions

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.

§ 209 — Eligibility

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.

§ 210 — Mandatory minimum state supplementation

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.

§ 211 — Agreements for federal administration

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.

§ 212 — Responsibility; financing

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

§ 250 — Declaration of object; definitions

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.

§ 251 — Federal aid; state plan

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.

§ 252 — Responsibility

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.

§ 253 — Application for services

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.

§ 254 — Eligibility

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.

§ 255 — Character and adequacy of services

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.

§ 256 — Investigation of applications

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.

§ 257 — Supervision; regulations

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.

§ 258 — Quarterly estimates; state reimbursement

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.

§ 259 — Application of other provisions

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

§ 300 — Declaration of purpose; definitions

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.

§ 301 — Responsibility

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.

§ 302 — Eligibility

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.

§ 303 — Character and adequacy

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.

§ 303-a — Grants of assistance for guide dogs, hearing dogs and service dogs; certain cases

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.

§ 304 — Application; verification

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.

§ 305 — Appeals and hearings

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.

§ 306 — Records and reports

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.

§ 307 — Regulations

Regulations. The department shall promulgate such regulations

as are deemed necessary to implement the provisions of this title.

§ 308 — Services

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.

§ 309 — Social services official as conservator

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

§ 326-a — Title

Title. This article shall be known and cited as the

"Equipment Loan Fund for the Disabled".

§ 326-b — Fund established; participation; other provisions

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

§ 330 — Definitions

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.

§ 331 — Policies and purposes

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.

§ 332 — Participation and exemptions

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.

§ 332-a — Supportive services

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.

§ 332-b — Disability program

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.

§ 333 — Local plans and requirements

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.

§ 334 — Orientation

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.

§ 335 — Assessments and employability plans for certain recipients in households with dependent children

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.

§ 335-a — Assessments and employability plans for certain recipients in households without dependent children

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.

§ 335-b — Mandatory work requirements

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.

§ 335-c — Pilot programs

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.

§ 336 — Work activities

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.

§ 336-a — Educational activities

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.

§ 336-c — Work experience

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.

§ 336-d — Job search activities

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.

§ 336-e — Subsidized public sector employment programs

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.

§ 336-f — Subsidized private sector and not-for-profit employment programs

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.

§ 337 — Responsibilities of state departments and agencies

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.

§ 338 — Cooperation of state departments

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.

§ 339 — Reports

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.

§ 340 — Technical assistance

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.

§ 341 — Conciliation; refusal to participate

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.

§ 341-a — Re-engagement; conciliation; refusal to participate

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".

§ 342 — Noncompliance with the requirements of this title

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.

§ 342-a — Noncompliance with the requirements of this title

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

§ 343 — Declaration of object

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.

§ 344 — Responsibility

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.

§ 345 — Definition

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.

§ 348 — Application for family assistance

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.

§ 349 — Eligibility

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.

§ 349-a — Procedures to insure the protection of victims of domestic violence

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.

§ 349-b — Deserted, abandoned and out-of-wedlock children; special provisions

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.

§ 350 — Character and adequacy

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.

§ 350-a — Protective payments

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.

§ 350-j — Emergency assistance to needy families with children

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.

§ 352 — Deserted or abandoned children; special provisions

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.

§ 352-a — Children born out of wedlock; special provisions

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.

§ 353 — Grant of aid

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.

§ 355 — Rules, regulations and forms

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.

§ 356 — Moneys to be provided by counties and cities; how expended

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.

§ 357 — Quarterly estimates

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.

§ 358 — Federal temporary assistance for needy families block grant

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.

§ 358-a — Dependent children in foster care

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

* § 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

§ 358-c — Rules of court

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.

§ 360 — Real property of legally responsible relatives

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

§ 363 — Declaration of objects

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.

§ 363-a — Federal aid; state plan

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.

§ 363-b — Agreements for federal determination of eligibility of aged, blind and disabled persons for medical assistance

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.

§ 363-c — Medicaid management

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.

§ 363-d — Provider compliance program

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.

§ 363-e — Medicaid plan, applications for waivers and plan amendments; public disclosure

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.

§ 363-f — Electronic visit verification for personal care and home health providers

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.

§ 364 — Responsibility for standards

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.

§ 364-a — Cooperation of state departments

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

* § 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

* § 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

* § 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

* § 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

* § 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

* § 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

* § 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

§ 364-i — Medical assistance presumptive eligibility program

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

* § 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)

§ 364-j-2 — Transitional supplemental payments

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

* § 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

§ 364-kk — Condition of Participation

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

* § 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

§ 364-n — Diabetes and chronic disease self-management pilot program

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.

§ 365 — Responsibility for assistance

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.

§ 365-a — Character and adequacy of assistance

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.

§ 365-b — Local medical plans: professional directors

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.

§ 365-c — Medical advisory committee

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.

§ 365-d — Medicaid evidence based benefit review advisory committee

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.

§ 365-e — Optional or continued membership in entities offering comprehensive health services plans

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.

§ 365-f — Consumer directed personal assistance program

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.

§ 365-g — Utilization review for certain care, services and supplies

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

* § 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

§ 365-j — Advisory opinions

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.

§ 365-k — Provision of prenatal care services

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.

§ 365-l — Health homes

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.

§ 365-m — Administration and management of behavioral health services

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.

§ 365-n — Department of health assumption of program administration

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.

§ 365-o — Provision and coverage of services for living organ donors

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.

§ 365-p — Doulas for Medicaid

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.

§ 366 — Eligibility

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.

§ 366-a — Applications for assistance; investigations; reconsideration

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.

§ 366-b — Penalties for fraudulent practices

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.

§ 366-c — Treatment of income and resources of institutionalized persons

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.

§ 366-d — Medical assistance provider; prohibited practices

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.

§ 366-e — Certified home health agency medicare billing

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.

§ 366-f — Persons acting in concert with a medical assistance provider; prohibited practices

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.

§ 366-g — Newborn enrollment for medical assistance

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.

§ 366-h — Automated system; established

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.

§ 366-i — Long-term care financing demonstration program

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.

§ 367 — Authorization for hospital care

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.

§ 367-a — Payments; insurance

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.

§ 367-b — Medical assistance information and payment system

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.

§ 367-c — Payment for long term home health care programs

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

* § 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

§ 367-e — Payment for AIDS home care programs

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.

§ 367-f — Partnership for long term care program

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.

§ 367-g — Authorization and provision of personal emergency response services

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.

§ 367-h — Payment for assisted living programs

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.

§ 367-i — Personal care services provider assessments

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.

§ 367-o — Health insurance demonstration programs

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

* § 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

§ 367-q — Personal care services worker recruitment and retention program

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.

§ 367-r — Private duty nursing services worker recruitment and retention program

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

* § 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

§ 367-t — Payment for emergency physician services

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.

§ 367-u — Payment for home telehealth services

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.

§ 367-v — County long-term care financing demonstration program

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.

§ 367-w — Health care and mental hygiene worker bonuses

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.

§ 367-x — Payment for violence prevention programs

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.

§ 367-y — Reimbursement for treatment in place and transportation to alternative health care settings

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.

§ 368 — Quarterly estimates

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.

§ 368-a — State reimbursement

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.

§ 368-b — State reimbursement to local health districts; chargebacks

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.

§ 368-c — Audit of state rates of payment to providers of health care services

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.

§ 368-d — Reimbursement to public school districts and state operated/state supported schools which operate pursuant to article eighty-five, eighty...

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.

§ 368-e — Reimbursement to counties for pre-school children with handicapping conditions

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.

§ 368-f — Reimbursement of costs under the early intervention program

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.

§ 369 — Application of other provisions

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

§ 369-k — Definitions

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.

§ 369-l — Establishment of program

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.

§ 369-m — Program eligibility and operations

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.

§ 369-n — Relationship of program to medical assistance program

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

§ 369-aa — Definitions

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.

§ 369-bb — Drug utilization review board

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.

§ 369-cc — Retrospective and prospective drug utilization review

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

§ 369-gg — Basic health program

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.

§ 369-ii

TITLE 12 Community Centers and Services For Senior Citizens

§ 370 — Community centers and services for senior citizens; when social services official to furnish

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.

§ 370-a — Federal grants

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.

§ 370-b — State reimbursement

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

§ 370-c — 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

* § 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

§ 371 — Definitions Unless the context or the subject matter manifestly requires a different interpretation, when used in this article or in any ...

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

§ 371-a — Procedure

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.

§ 371-b — Citizen review panels

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.

§ 372 — Records and reports

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.

§ 372-b — Adoption services

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.

§ 372-c — Putative father registry

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.

§ 372-d — Adoption services; purchase by department

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.

§ 372-e — Adoption applications; appeals

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.

§ 372-f — Statewide adoption service

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.

§ 372-g — Abandoned infant protection program

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.

§ 372-h — Reporting on post adoption services

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.

§ 373 — Religious faith

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.

§ 373-a — Medical histories

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.

§ 374 — Authority to place out or board out children

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.

§ 374-a — Interstate compact on the placement of children

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.

§ 374-b — Authority to operate agency boarding home

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.

§ 374-c — Authority to operate group homes

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.

§ 374-d — Authority to operate public institutions for children

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.

§ 374-e — Authority to place out or board out children with therapeutic foster parents

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.

§ 374-f — Authority to enter into leases for dwelling units

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.

§ 375 — Requirement of certificate or license to board children

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.

§ 376 — Certificate to board children and/or minors under age of eighteen years

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.

§ 377 — License to board children

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.

§ 378 — Form, duration and limitation of certificates and licenses

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.

§ 378-a — Access to conviction records by authorized agencies

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.

§ 379 — Revocation of certificates and licenses

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.

§ 380 — Boarding and free homes; records

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.

§ 381 — Maternity homes; records and reports

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.

§ 382 — Responsibility for children without state residence; license and board

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.

§ 383 — Care and custody of children

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.

§ 383-a — Immunity from liability for application of the reasonable and prudent parent standard

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.

§ 383-b — Medical treatment for abused, neglected and destitute children; consent of commissioners

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.

§ 383-c — Guardianship and custody of children in foster care

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.

§ 384 — Guardianship and custody of children not in foster care

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.

§ 384-a — Transfer of care and custody of children

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.

§ 384-b — Guardianship and custody of destitute or dependent children; commitment by court order; modification of commitment and restoration of par...

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.

§ 384-c — Notice in certain proceedings to fathers of children born out-of-wedlock

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.

§ 385 — Orders; prohibiting placing out or boarding out; removal

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.

§ 386 — Visitation; inspection and supervision

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.

§ 387 — Ineligibility for public foster care funds; fiscal penalties

* 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

§ 388 — Special charters

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.

§ 389 — Penalty for violations

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.

§ 390 — Child day care; license or registration required

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.

§ 390-a — Standards and training for child day care

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.

§ 390-b — Criminal history review and background clearances of child care providers, generally

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

* § 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

§ 390-d — Requiring barriers to be placed around swimming pools and bodies of water on the grounds of family day care homes or group family day car...

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.

§ 390-e — Criminal history review; mentoring programs

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.

§ 390-f — Report on child care insurance

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.

§ 390-g — Pesticide alternatives

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.

§ 390-h — Notice requirement before closing certain day care centers

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.

§ 390-i — Notice of inspection report

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.

§ 390-j — Performance summary card in a city having a population of one million or more

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.

§ 390-l — Securing of furniture

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.

§ 390-m — Window coverings

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.

§ 390-n — Child care support center; operating certificate required

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.

§ 390-o — Prohibit the use of infant walkers in child care facilities

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.

§ 391 — Violation; injunction

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.

§ 392 — Services for relative and non-relative kinship caregivers

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

* § 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

§ 394 — Short title

Short title. This title shall be known and may be cited as the

"child care creation and expansion tax credit program act".

§ 394-a — Definitions

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.

§ 394-b — Eligibility criteria

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.

§ 394-c — Application and approval process

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.

§ 394-d — Child care creation and expansion tax credit

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.

§ 394-e — Allocation of credit

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.

§ 394-f — Powers and duties of the commissioner

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.

§ 394-g — Maintenance of records

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

§ 395 — Responsibility of public welfare districts for the welfare of children

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.

§ 396 — Health and welfare services to all children

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.

§ 397 — Powers and duties of social services officials in relation to children

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

sixty-nine.

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.

§ 398 — Additional powers and duties of commissioners of public welfare and certain city public welfare officers in relation to children

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.

§ 398-a — Standards of payment for foster care

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

§ 398-b — Transition to managed care

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.

§ 398-c — Powers and duties of the commissioner in relation to children

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.

§ 398-d — Child welfare services community demonstration projects

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.

§ 398-e — Eligibility for protective services, foster care services, and residential services for victims of domestic violence

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.

§ 398-f — Duty to provide luggage to children in foster care

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.

§ 399 — Children discharged from state institutions

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.

§ 400 — Removal of children

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.

§ 401 — Births to inmates of public homes

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.

§ 402 — Children forbidden in public homes

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.

§ 403 — The religious faith of children and minors

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

* § 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

§ 406 — Department of social welfare designated as state agency

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.

§ 407 — Powers of department of social welfare

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.

§ 408 — Custodian of funds

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

§ 409 — Preventive services; definition

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.

§ 409-a — Preventive services; provision by social services officials

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

§ 409-d — District-wide child welfare services plan

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.

§ 409-e — Family service plan

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.

§ 409-f — Uniform case recording

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.

§ 409-g — Training of child welfare personnel

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.

§ 409-h — Assessment of appropriateness of placement in a qualified residential treatment program

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

§ 409-i — Short title; legislative findings; purpose

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.

§ 409-j — Case management

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.

§ 409-k — Case plan and service record

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.

§ 409-l — Advisory board

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.

§ 409-m — Reports

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.

§ 409-n — Implementation

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

§ 410 — Day care; when public welfare official to furnish

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.

§ 410-a — Day care; when department to furnish

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

* § 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

§ 410-b — Federal grants

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.

§ 410-bb — Grants to not-for-profit facilities providing day care for children for employee salary and benefit enhancements

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.

§ 410-c — State reimbursement

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.

§ 410-cc — Start up grants for child day care

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.

§ 410-ccc — Child day care facility development

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

§ 410-d — Short title: policy and purposes of title

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.

§ 410-e — Definitions

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.

§ 410-f — Regulation of eligible borrowers

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.

§ 410-g — Mortgage loans

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.

§ 410-h — Conditions and security for loans

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.

§ 410-i — Rates and admission of children

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.

§ 410-j — Transfer of real property

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.

§ 410-k — Supervision

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.

§ 410-l — Foreclosures and judgments

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.

§ 410-m — Fees and charges

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.

§ 410-o — Separability

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

§ 410-p — Definitions

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.

§ 410-q — Child care resource and referral program services

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.

§ 410-r — Child care resource and referral programs

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.

§ 410-s — State reimbursement

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.

§ 410-t — Responsibilities of the commissioner

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

§ 410-u — Establishment of 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.

§ 410-v — Allocation of block grant funds

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.

§ 410-w — Eligible families

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.

§ 410-x — Use of funds

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.

§ 410-y — Maintenance of effort

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.

§ 410-z — Reporting requirements

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

§ 411 — Findings and purpose

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.

§ 412 — General definitions

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.

§ 413 — Persons and officials required to report cases of suspected child abuse or maltreatment

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.

§ 414 — Any person permitted to report

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.

§ 415 — Reporting procedure

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.

§ 416 — Obligations of persons required to report

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.

§ 417 — Taking a child into protective custody

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.

§ 418 — Mandatory reporting to and post-mortem investigation of deaths by medical examiner or coroner

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.

§ 419 — Immunity from liability

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.

§ 420 — Penalties for failure to report

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.

§ 421 — Responsibility of the office

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.

§ 422 — Statewide central register of child abuse and maltreatment

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.

§ 422-a — Child abuse and neglect investigations; disclosure

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.

§ 422-b — Local and regional fatality review teams

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.

§ 422-c — Establishment of the child abuse medical provider program (CHAMP)

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.

§ 423 — Child protective service responsibilities and organization; purchase of service and reimbursement of cost; local plan

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.

§ 423-a — Child advocacy centers established

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.

§ 424 — Duties of the child protective service concerning reports of abuse or maltreatment

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.

§ 424-a — Access to information contained in the statewide central register of child abuse and maltreatment

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.

§ 424-b — Children in the care of certain public and private agencies

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.

§ 425 — Cooperation of other agencies

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.

§ 426 — Annual reports

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.

§ 427 — Regulations of the commissioner

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.

§ 427-a — Differential response programs for child protection assessments or investigations

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.

§ 428 — Separability

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

§ 429 — 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

§ 430 — Day services; when social services official may furnish

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.

§ 431 — Licensure

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.

§ 432 — State reimbursement; standards of payment

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.

§ 433 — Other state funding sources

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.

§ 434 — Funding limitations

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

§ 440 — Findings; purpose

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.

§ 441 — Definitions

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.

§ 442 — Child care review service; establishment, operations and procedure

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.

§ 443 — Advisory committee

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.

§ 444 — Confidentiality of records; related matters

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.

§ 445 — Funding

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.

§ 446 — Statewide automated child welfare information system

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

§ 447-a — Definitions

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.

§ 447-b — Services for exploited children

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

§ 450 — Statement of legislative intent

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.

§ 451 — Definitions

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.

§ 453 — Maintenance subsidy; handicapped or hard to place child

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.

§ 453-a — Payments for non-recurring adoption expenses

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.

§ 454 — Medical subsidy

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.

§ 455 — Fair hearings

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.

§ 456 — State reimbursement and payments

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.

§ 457 — Out-of-state adoptive parents

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.

§ 458 — Availability of subsidy; publicity

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

§ 458-a — Definitions

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.

§ 458-b — Kinship guardianship assistance payments

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.

§ 458-c — Payments for non-recurring guardianship expenses

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.

§ 458-d — Medical subsidy

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.

§ 458-e — Independent living services

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.

§ 458-f — Fair hearings

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

§ 458-l — 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

§ 458-m — 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.

§ 458-n — Funding for family support services programs

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

§ 458-o — 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

§ 459-a — Definitions

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.

§ 459-b — Residential services for victims of domestic violence

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.

§ 459-c — Non-residential services for victims of domestic violence

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.

§ 459-d — Reporting requirements

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.

§ 459-e — Technical assistance

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.

§ 459-f — Payment for services

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.

§ 459-g — Cooperation of an abuser not required as a condition of eligibility for benefits or services

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.

§ 459-h — Confidentiality

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

§ 460 — Declaration of policy and statement of purpose

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.

§ 460-a — Certificates of incorporation

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.

§ 460-b — Operating certificate

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.

§ 460-c — Inspection and supervision

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.

§ 460-d — Enforcement powers

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.

§ 460-e — Records and reports; confidentiality; information

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.

§ 460-f — Penalties

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.

§ 460-g — Construction

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.

§ 460-h — Review of criminal history information concerning prospective employees, consultants, assistants and volunteers of publicly-funded emerge...

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

§ 461 — Responsibility for standards

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.

§ 461-a — Responsibility for inspection and supervision

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.

§ 461-b — Provisions related to establishment of adult care facilities

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.

§ 461-c — Resident care, services and charges

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.

§ 461-d — Rights of residents in adult care facilities

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.

§ 461-e — Records and reports

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.

§ 461-f — Operation of facility in receivership

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.

§ 461-g — Termination of admission agreements

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.

§ 461-h — Special proceeding for termination of adult home, residence for adults and enriched housing program admission agreements

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.

§ 461-i — Planning and development grants for enriched housing programs

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.

§ 461-j — Family type homes for adults; special needs funds

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

* § 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

§ 461-l — Assisted living program

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.

§ 461-m — Death and felony crime reporting

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.

§ 461-o — Complaint investigation procedures

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.

§ 461-p — Adult care facilities training program

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.

§ 461-q — Temperature standards in adult homes, enriched housing programs and residences for adults

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.

§ 461-r — Food services

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.

§ 461-s — Enhancing the quality of adult living program for adult care facilities

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.

§ 461-t — Review of criminal history information concerning prospective direct care employees

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.

§ 461-u — Personal caregiving visitors for residents of adult care facilities during public health emergencies

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

§ 462 — Responsibility for standards

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.

§ 462-a — Responsibility for inspection and 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.

§ 462-b — Responsibility for enforcement

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

§ 463 — Definitions

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.

§ 463-a — Statewide registry

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.

§ 463-b — Powers and duties

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

§ 464 — Short title

Short title. This article may be cited as the "rural human

services networking program".

§ 464-a — Legislative findings

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.

§ 464-b — Definitions

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.

§ 464-c — Advisory committee created

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.

§ 464-d — Program established

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.

§ 464-e — Distribution of reports

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.

§ 464-f — Funds not to be diminished

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

§ 465 — Nutrition outreach and public education program; establishment

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.

§ 465-a — Definitions

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.

§ 465-b — Responsibilities of the commissioner

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.

§ 465-c — Grants to community organizations

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.

§ 465-d — Criteria for high risk areas

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

§ 466-a — Agreements

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.

§ 466-b — Care provided by authorized agencies

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

§ 472-e — Institution continued; powers

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.

§ 472-f — Objects of 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.

§ 472-g — Board of directors

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.

§ 472-h — Election of directors

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.

§ 472-i — Quorum to do business

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.

§ 472-j — Custody of children, how acquired; notice to corporation

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.

§ 472-k — Placement of children in care of corporation; effect of placement

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.

§ 472-l — Transfer of certain children by agencies

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.

§ 472-m — Power of corporation as to children in its care; corporation to act as guardian

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.

§ 472-n — Statements as to age

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.

§ 472-o — Reports

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.

§ 472-p — Property exempt from taxation

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.

§ 472-q — Powers and liabilities

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

§ 473 — 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

§ 473-a — 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.

§ 473-b — Reporting of endangered adults; persons in need of protective services

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.

§ 473-c — An order to gain access to persons believed to be in need of protective services for adults

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

§ 473-d — 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.

§ 473-e — Confidentiality of protective services for adults' records

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

§ 474 — Reports to supervisors of appointments and committals 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.

§ 475 — Reports by officers of certain institutions to clerks of supervisors and cities

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.

§ 476 — Verified accounts against counties, cities and towns

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.

§ 477 — Dutchess county

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.

§ 478 — Investigation of complaints by boards of managers

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.

§ 479 — Designation of depository of funds

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.

§ 480 — Labor of children not to be hired out

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

§ 481-a — Legislative findings and purpose

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.

§ 481-b — Short title

Short title. This article shall be known and may be cited as

the "William B. Hoyt Memorial children and family trust fund act".

§ 481-c — Definitions

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.

§ 481-d — William B

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.

§ 481-e — William B

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.

§ 481-f — William B

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

§ 482-a — Legislative findings and purpose

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.

§ 482-b — Definitions

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.

§ 482-c — Statewide settlement house program; awarding of grants

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

§ 483 — 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.

§ 483-a — Utilization of other agency assistance

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.

§ 483-b — Powers and duties of council

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.

§ 483-c — Coordinated children's services for children with emotional and/or behavioral disorders

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.

§ 483-d — Out-of-state placement committee

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.

§ 483-e — Restraint and crisis intervention technique committee

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.

§ 483-f — The children's plan

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.

§ 483-g — Early childhood advisory council

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.

§ 483-h — Internet mapping resource of school age child care providers and afterschool and home visiting programs

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

§ 483-aa — Definitions

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.

§ 483-bb — Services for victims of human trafficking

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.

§ 483-cc — Confirmation as a victim of human trafficking

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.

§ 483-dd — Law enforcement assistance with respect to immigration

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

* § 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

§ 483-ff — National human trafficking resource center hotline poster

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

§ 488 — Definitions

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.

§ 489 — Applicability

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.

§ 490 — Incident management programs

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.

§ 491 — Duty to report incidents

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.

§ 492 — Vulnerable persons' central register

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.

§ 493 — Abuse and neglect findings; consequences

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.

§ 494 — Amendments to and appeals of substantiated reports of abuse or neglect

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.

§ 495 — Register of substantiated category one cases of abuse or neglect

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.

§ 496 — Confidentiality

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.

§ 497 — Immunity from liability

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

§ 550 — Constitutionality

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.

§ 551 — Construction

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.

§ 552 — Laws repealed

Laws repealed. Of the laws enumerated in the schedule hereto

annexed, that portion specified in the last column is hereby repealed.