N.Y. Public Health Law § 2831: Medically fragile young adults

§ 2831. Medically fragile young adults. 1. For purposes of this

section, "medically fragile young adults" shall mean individuals who

meet the definition of children with medical fragility, but for the fact

such individuals are aged between twenty-one and thirty-five years old.

2. The department shall promulgate rules and regulations to allow

medically fragile young adults who reside in pediatric specialized

nursing facilities to remain at such facilities. Unless a higher

reimbursement rate is expressly authorized by the department, the

reimbursement rate and methodology for such medically fragile young

adults shall remain the same as it was prior to reaching age twenty-one

and shall include a daily per diem rate and coverage for bed holds.

Medicaid reimbursement for this population for reserved beds due to

hospitalization and for therapeutic and hospice leaves of absence must

remain at one hundred percent of the Medicaid rate of medically fragile

children, without any daily limit for this population.

3. This section shall be effective if, and as long as, federal

financial participation is available therefor.