---
type: "Bill"
title: "Defines medically fragile young adults for certain purposes"
description: "Defines medically fragile young adults as 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."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2025-2026"
identifier: "A 1476"
citation: "New York A 1476 (2025-2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["J. Gary Pretlow"]
version_count: 1
action_count: 14
vote_count: 2
first_action: "2025-01-09"
last_action: "2025-02-14"
source: "openstates"
source_identifier: "ocd-bill/16a1e133-0f02-4fd5-b652-56def5f96abc"
source_url: "http://www.nysenate.gov/legislation/bills/2025/A1476"
source_hash: "3811ee66817d3b78e95d5d6317ff6e03bf089fec5809f6affdd3438667a60e8b"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ny"]
---

# New York A 1476 (2025-2026) — Defines medically fragile young adults for certain purposes

Defines medically fragile young adults as 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.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **A1476** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=A1476&term=2025&Text=Y)

## Votes

- Floor Vote — **61–1** (pass) · upper
- Assembly Vote — **145–0** (pass) · lower

## Sponsors

- J. Gary Pretlow — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2025-01-09** REFERRED TO HEALTH `referral-committee`
- **2025-01-14** REPORTED REFERRED TO RULES `referral-committee`
- **2025-01-14** REPORTED
- **2025-01-14** RULES REPORT CAL.34
- **2025-01-14** ORDERED TO THIRD READING RULES CAL.34
- **2025-01-27** PASSED ASSEMBLY `passage`
- **2025-01-27** DELIVERED TO SENATE
- **2025-01-27** REFERRED TO RULES `referral-committee`
- **2025-02-05** SUBSTITUTED FOR S776
- **2025-02-05** 3RD READING CAL.50
- **2025-02-05** PASSED SENATE `passage`
- **2025-02-05** RETURNED TO ASSEMBLY
- **2025-02-12** DELIVERED TO GOVERNOR `executive-receipt`
- **2025-02-14** SIGNED CHAP.49 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/16a1e133-0f02-4fd5-b652-56def5f96abc`. Confidence: reported (aggregated from official New York legislature records).