Governor Cuomo Releases SFY 2021-22 Executive Budget

After last week’s multiple State of the State presentations during which Governor Cuomo unveiled various proposals and priorities for the 2021 legislative session, Tuesday he delivered his State Fiscal Year (SFY) 2021-22 Executive Budget presentation, which totals $192.9 billion.

Early Wednesday morning Executive budget bills started to be released providing the statutory language and further details on the Governor’s proposals. More details about the budget are expected.


The proposed budget keeps year over year spending at less than 2%. In doing so, it proposes to close a two-year $15 billion deficit and lowers the multi-year budget gap over the next five years to $17.5 billion.
The proposal would add $500 million in new revenue by authorizing online sports betting and another $350 million from legalizing adult use marijuana, $100 million of which would go to a social equity fund.
The budget focuses on continued COVID-19 pandemic response, relying on anticipated federal funding. The Governor presented two possible options.
Option 1: Assuming only a minimum of $6 billion in federal funding (not guaranteed) which is what the budget language released Wednesday is based on, the proposal relies on revenue raisers like a new tax on very high earners, halting middle class tax cuts, reducing school aid by $2 billion, imposing $600 million in Medicaid cuts and getting $900 million from a 5% across the board cut in aid to localities funding.
Option 2: Assuming the state gets the $15 billion that it has requested from the federal government, the above cuts and high earners tax would not be needed, and instead funding would be provided for a number of additional purposes to support those struggling most with the ongoing pandemic.
Below is an outline of the budget proposals of particular interest to home care. In addition, we await the release of the Cuomo Administration’s budget score card, which will provide further details of legislative and administrative budget actions.

SFY 2021-22 Executive Budget Home Care


DOH Issues DAL on PCA and HHA Training Program End Date Extension

In a dear administration letter (DAL) dated January 20, the Department of Health (DOH/the Department) explained that approved Personal Care Aide Training Programs (PCATPs) and Home Health Aide Training Programs (HHATPs) with program end dates from 09/01/2020 through 12/31/2021 will be automatically granted a two-year extension. 

The DAL states that due to the COVID-19 emergency, the Department will provide an automatic two-year extension for DOH-approved PCATPs and HHATPs with an approval end date in the Home Care Worker Registry (HCWR) between 09/01/2020 and 12/31/2021.

In addition, on 8/24/2020 a 6-month extension was granted to training programs with end dates from 3/1/2020 - 9/30/2020. These training programs will automatically receive an additional 18 months on their current end date to total an extension of two years. 

Training entities will be expected to follow the normal re-approval processes when the extended end date approaches. Training programs failing to meet the re-approval criteria and deadlines will be required to submit full applications for their training programs.

Personal Care Aide Training Programs

In order to obtain a re-approval, a PCATP must conduct at least one 40-hour training course within the preceding 36-month approval period and issue one PCA certificate within the preceding 12-months of the approval period. 

If both requirements are met, the PCATP must send an email with the Agency Name and License Number to [email protected] at least thirty (30) days prior to the program end date to request re-approval. This ensures that the Home Care Worker Registry (HCWR) end date can be updated to reflect the next 3-year reapproval period. Failure to contact DOH prior to the program’s end date will result in the inability of the PCATP to train and issue certificates as required through the HCWR.

If both requirements are not met, then the PCATP must submit the PCATP Application to request re-approval at least sixty (60) days prior to the program’s end date. The DOH will review the submitted application and information and will then notify the applicant of approval, disapproval or the need for additional information. The PCATP will not be able to train and issue certificates after the program’s end date in cases where the PCATP Application has not been submitted timely.

Home Health Aide (HHA) Training Programs

Re-approval of HHA training programs will be based on evidence in the Home Care Worker Registry that a full 75-hour course has been conducted at least once during the 36-month period and submission of the HHATP Re-approval Application to the appropriate regional office. 

Applications for re-approval must be submitted ninety (90) days prior to expiration of the current three-year approval. Failure to conduct a full 75-hour program in the 36-month period will result in the program having to reapply with a full “initial” application. Notification of approval and/or request for additional information will be communicated in writing to the applicant.
For additional questions regarding this guidance, re-approval processes or general training program questions, please contact:

HHA Training Programs: [email protected] 
PCA Training Programs: [email protected] 

NYC DOHMH to Hold Update on COVID-19 for Providers

Join the New York City Department of Health and Mental Hygiene (NYC DOHMH) as it shares updates on the novel coronavirus (COVID-19) outbreak and address building vaccine confidence among providers, staff and patients. 

Date/Time: Friday, January 22, at 1 p.m.
Featured Topics: COVID-19 Vaccination: 

Building Vaccine Confidence among Providers, Staff and Patients 
COVID-19 Vaccine Information for Providers Webpage

Registration: Register for WebEx Here