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James Skoufis

Sponsor · State Senator, District 42 · Democratic

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Senate bill · S4786 (2025-26)

Eliminates a look-back period for home care for non-institutionalized Medicaid applicants; and repeals a certain provision of the social services law relating…

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Eliminates a look-back period for home care for non-institutionalized Medicaid applicants; and repeals a certain provision of the social services law relating thereto

The heading above is this same sentence with its legal opening removed. No words were added, changed or reordered.

Latest action Jan 7, 2026

Summary

Eliminates the "look-back period" for home care for non-institutionalized Medicaid applicants; repeals a certain provision of law relating thereto.

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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 A1907, 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.

Purpose, from the sponsor's memo

To eliminate a look-back period for home care for home health care Medi- caid applicants.

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

Recorded votes

  • Vote: Committee vote · Health

    Senate HealthApr 29, 2025Result: passed

    (13) (1) (0) (0)

The sponsor's argument

Why James Skoufis says this is needed

The SFY 2020-21 budget enacted a 30-month "lookback" period for home health care Medicaid applicants. During a lookback period, the govern- ment reviews an individual's financial transactions to determine whether they have transferred assets for less than fair market value to qualify for Medicaid coverage for long-term care. Lookback periods had never applied to home health care before the SFY 2020-21 budget provision, and the change makes it more difficult for seniors to be eligible for Medi- caid and home care. Prior to the look-back period requirement, health care Medicaid approval was much faster, which is vital for senior citizens and those with disa- bilities since home care agencies cannot provide free care while appli- cants wait extended periods for Medicaid approval. Around-the-clock home care can cost as much as a nursing home, which will push more people into nursing homes where at least care will start immediately. This bill will repeal the look-back period for home health care Medicaid applicants so that older adults and people with disabilities will not find themselves unnecessarily locked out of services that would protect them in their homes and keep them safe from unnecessary institutionali- zation.

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. Jan 7, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Senate

  2. Jan 7, 2026

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

  3. Jun 13, 2025

    In committee

    COMMITTED TO RULES

    NY Senate

  4. May 1, 2025

    Advanced to Third Reading

    ADVANCED TO THIRD READING

    NY Senate

  5. Apr 30, 2025

    2ND Report CAL.

    2ND REPORT CAL.

    NY Senate

Show full history (3 earlier events)
  1. Apr 29, 2025

    1ST Report CAL.891

    1ST REPORT CAL.891

    NY Senate

  2. Feb 12, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Senate

  3. Jan 14, 2025

    Referred to committee

    REFERRED TO HEALTH

    NY Assembly

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 1, 2026. About our data

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