N.Y. Public Health Law Section 4605-A
Certificate of authority

  • authority to offer continuing care at home contracts
A continuing care retirement community may offer continuing care at home contracts upon approval by the commissioner to amend the continuing care retirement community’s certificate of authority. In order to qualify for an amendment to its certificate of authority, the continuing care retirement community shall submit to the commissioner the following:

1.

a business plan to the commissioner that includes the following:

(a)

a description of the continuing care at home services that will be provided, the market that will be served by the continuing care at home contracts, and the fees to be charged to prospective continuing care at home contract holders;

(b)

a copy of the proposed continuing care at home contract; and

(c)

an actuarial study prepared by an independent actuary in accordance with standards adopted by the American Academy of Actuaries demonstrating the impact that the continuing care at home contracts will have on the overall operations of the continuing care retirement community and further demonstrating that the addition of continuing care at home contracts will not jeopardize the financial solvency of the continuing care retirement community.

2.

a market feasibility study demonstrating to the commissioner sufficient consumer interest in continuing care at home contracts and further demonstrating that the addition of continuing care at home contracts will not have an adverse impact on the provision of services to continuing care retirement contract holders.

3.

materials that meet all requirements established by the department.

4.

a copy of the notification sent to continuing care retirement contract holders describing the anticipated impact of the addition of continuing care at home contracts on continuing care retirement community resources and proof that such notification has been distributed to all continuing care retirement contract holders.

Source: Section 4605-A — Certificate of authority; authority to offer continuing care at home contracts, https://www.­nysenate.­gov/legislation/laws/PBH/4605-A (updated Dec. 26, 2025; accessed Jan. 24, 2026).

Green check means up to date. Up to date

Verified:
Jan. 24, 2026

Last modified:
Dec. 26, 2025

§ 4605-A. Certificate of authority's source at nysenate​.gov

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