Governor Cuomo Includes Advanced Home Health Aide in Budget Proposal

2015 Winter Newsletter, Policy Updates

By Carol Rodat, New York Policy Director, Paraprofessional Healthcare Institute

Governor Andrew M. Cuomo’s budget proposal for 2015-2016 includes language that would authorize the creation of the new occupational title of Advanced Home Health Aide for home health aides working in New York State for at least one year.  This proposal would change the scope of practice for home health aides, allowing for the administration of medications as well as ‘advanced tasks’ to be assigned by a Registered Nurse (RN).  Aides would receive training and be required to pass a competency test before specific tasks could be assigned.  Those who are allowed to perform as an Advanced Aide would be listed in the state’s Home Care Registry.

Advanced tasks would be assigned to an Advanced Aide on an individual case basis and assignment would not be transferrable to other cases.  Nursing assignment, supervision and periodic assessment would be done by an RN employed by a home care or hospice organization that is licensed or certified to operate in New York State.

Before taking effect, the proposal would need to be passed by the New York State Legislature and regulations would need to be developed by the Commissioner of Education in consultation with the Commissioner of Health, and must include consideration of the recommendations from the workgroup which was convened by the New York State Department of Health.  NYACH participants PHI, 1199 SEIU Training and Education Funds and the City University of New York (CUNY) are members of the workgroup.

Carol Rodat is the New York Policy Director for the Paraprofessional Healthcare Institute.  She can be reached at