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Gustavo Rivera

Sponsor · State Senator, District 33 · Democratic/Working Families

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Senate bill · S1918 (2025-26)

Establishes a specialized health home program to serve certain individuals with physical disabilities

Latest action Feb 4, 2026

Summary

Establishes a specialized health home program to serve certain individuals with physical disabilities who are Medicaid eligible adults eighteen years of age or older with a diagnosis of a neurological, muscular, or neuromuscular condition, and a mobility impairment; provides that a specialized health home shall be reimbursed on a fee-for-service basis and shall receive enhanced rates of payment; makes related provisions.

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Where it stands

Out of committee and scheduled for a vote by the full chamber.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

New York State Senate

Same as A9205, the matching bill in the Assembly.

Amends the Social Services Law.

Committee

Health · New York State Assembly

Also referred to Health · New York State Senate, Ways and Means · New York State Assembly.

Purpose, from the sponsor's memo

Establishes a specialized health home program to serve certain individ- uals with physical disability.

Filed with the bill. Read it on nysenate.gov (opens in a new tab)

Recorded votes

  • Vote: Committee vote · Health

    Senate HealthFeb 4, 2026Result: passed

    (14) (0) (0) (1)
  • Vote: Committee vote · Health

    Senate HealthFeb 4, 2025Result: passed

    (15) (0) (0) (0)

The sponsor's argument

Why Gustavo Rivera says this is needed

The Health Home program has been primarily oriented towards populations with complex medical needs and mental health, substance use, or intellectual/developmental disabilities that necessitate personalized care management. In 2019, the Department of Health established a specialized health home for adults with physical disabilities, operated by the Independence Care System, in recognition of this underserved population that needed support. Unfortunately, the program is struggl- ing under a framework that does not fit the unique needs of these indi- viduals. People with physical disabilities need a different range of care than most others in the health home program. They need a health home that understands the needs and risk factors of adults with physical disabili- ties, such as the importance of repairing and maintaining customized wheelchairs, loaning backup chairs when needed, authorizing an appropri- ate amount of moisture barrier creams to prevent pressure injuries, taking measures to prevent urinary tract infections in people with cath- eters, and other specialized knowledge and equipment. This amendment to the Health Home law would provide specific legislative authority for a program for adults with physical disabilities within the Health Home framework that has distinct eligibility criteria; a model of care focused on maintaining members' health, maximizing their function with wheeled mobility, and supporting independent living; performance measures that focus on reducing the most common risk factors for poor health and hospitalizations; and payment to support the resources needed to successfully operate this specialized program. Establishing a more appropriate framework for this population within the Health Home program will better serve the needs of adults with physical disabilities.

This is the sponsor's own case for the bill, quoted from their memorandum. It is not Agora's description of what the bill does.

Full history

  1. Feb 4, 2026

    Reported out of committee

    REPORTED AND COMMITTED TO FINANCE

    NY Senate

  2. Jan 7, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Senate

  3. Jan 7, 2026

    Referred to committee

    REFERRED TO WAYS AND MEANS

    NY Assembly

  4. Nov 3, 2025

    Referred to committee

    REFERRED TO WAYS AND MEANS

    NY Assembly

  5. Feb 4, 2025

    Reported out of committee

    REPORTED AND COMMITTED TO FINANCE

    NY Senate

Show full history (1 earlier event)
  1. Jan 14, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Senate

About this record

Summary

The summary comes from NY Open Legislation, the New York State Senate's public record. For more, see How we handle summaries.

Cosponsors

The list shows the cosponsors who are on Agora, A to Z. The official record may list more.

Party colors

Parties are shown in the same neutral colors.

Source

From NY Open Legislation, the NY Senate and Assembly, and official rosters. This record was last updated Nov 3, 2026. About our data

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