Skip to main content

AgoraSign in

Nathalia Fernandez

Sponsor · State Senator, District 34 · Democratic

Follow

Senate bill · S8635 (2025-26)

Relates to establishing a special needs assisted living demonstration program

Latest action May 5, 2026

Summary

Establishes a special needs assisted living demonstration program to authorize up to three assisted living programs throughout the state to serve individuals with special needs, including, but not limited to, individuals with dementia or cognitive impairments.

Your position on this bill

Not chosen yet

Sign in to choose

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 A9418, 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

This legislation will create a demonstration project to explore the benefit of introducing a model that would expand Assisted Living Program (ALP) eligibility to include persons with special needs, including dementia and/or cognitive impairment.

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

Recorded votes

  • Vote: Committee vote · Health

    Senate HealthMay 5, 2026Result: passed

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

The sponsor's argument

Why Nathalia Fernandez says this is needed

The Medicaid funded Assisted Living Program (also known as the "ALP") serves individuals who are medically eligible for nursing home care in a more independent, lower cost setting. This program provides room, board, personal care and therapy to thousands of low-income New Yorkers, allow- ing them to maintain their independence. The scope and reimbursement structure of the ALP does not currently contemplate the provision of specialized services to individuals with Alzheimer's and dementia. As such, many seniors who rely on Medicaid, and who develop these types of conditions, end up being forced to trans- fer to a nursing home whether they need that level of care or not at a much higher cost to the state. Alzheimer's dementia prevalence continues to increase in the United States, with cost of care exceeding $350 billion dollars 1. In New York State alone, over 426,000 individuals aged 65 and older currently have Alzheimer's. The need for specialized settings to care for this popu- lation, including for Medicaid beneficiaries, will continue to grow over time as our population ages as will the cost of caring for them. This legislation would authorize the Department of Health to allow up to three ALP providers to serve individuals with special needs as part of a demonstration, to test the feasibility of the model and the potential for cost savings to the state resulting from caring for individuals in a lower cost setting. (1) Alzheimer's Association. 2025 Alzheimer's Disease Facts and Figures. https://vvww.alz.org/getmedia/ ef8f48f9-ad36-48ea-87f9-b74034635cle/ alzheimers-facts-andfigures.pdf

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. May 5, 2026

    Reported out of committee

    REPORTED AND COMMITTED TO FINANCE

    NY Senate

  2. Mar 4, 2026

    Amend and Recommit to Health

    AMEND AND RECOMMIT TO HEALTH

    NY Senate

  3. Mar 4, 2026

    Amend and Recommit to Ways and Means

    AMEND AND RECOMMIT TO WAYS AND MEANS

    NY Assembly

  4. Feb 20, 2026

    Amend and Recommit to Health

    AMEND AND RECOMMIT TO HEALTH

    NY Senate

  5. Feb 11, 2026

    Reported out of committee

    REPORTED REFERRED TO WAYS AND MEANS

    NY Assembly

Show full history (3 earlier events)
  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. Dec 19, 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 3, 2026. About our data

Read the record

Follow