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---
type: "Bill"
title: "Establishes an advanced residential health care for aging adults with medical fragility demonstration program"
description: "Establishes an advanced residential health care for aging adults medical fragility demonstration program to construct a new facility or repurpose part of an existing facility to operate as an adult residential health care facility for the purpose of improving the quality of care for aging adults with medical fragility."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2023-2024"
identifier: "A 10189"
citation: "New York A 10189 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 19
vote_count: 2
first_action: "2024-05-10"
last_action: "2024-12-21"
source: "openstates"
source_identifier: "ocd-bill/b8b56d41-eda3-4c53-815b-95b161052eaf"
source_url: "http://www.nysenate.gov/legislation/bills/2023/A10189"
source_hash: "dd35c82bb4638858c62502f07f2e54315f7b5faf14820d1c7c94d63935368017"
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 10189 (2023-2024) — Establishes an advanced residential health care for aging adults with medical fragility demonstration program
Establishes an advanced residential health care for aging adults medical fragility demonstration program to construct a new facility or repurpose part of an existing facility to operate as an adult residential health care facility for the purpose of improving the quality of care for aging adults with medical fragility.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **A10189** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=A10189&term=2023&Text=Y)
2. **A10189A** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2023/A10189A)
3. **A10189B** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2023/A10189B)
## Votes
- Floor Vote - Version: B — **61–0** (pass) · upper
- Assembly Vote — **146–1** (pass) · lower
## Sponsors
- Rules Committee — primary (organization)
- Dana Levenberg — cosponsor (person)
- Nader Sayegh — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-05-10** REFERRED TO HEALTH `referral-committee`
- **2024-05-16** AMEND AND RECOMMIT TO HEALTH `amendment-passage, referral-committee`
- **2024-05-16** PRINT NUMBER 10189A `amendment-passage`
- **2024-05-28** AMEND AND RECOMMIT TO HEALTH `amendment-passage, referral-committee`
- **2024-05-28** PRINT NUMBER 10189B `amendment-passage`
- **2024-05-30** REPORTED REFERRED TO WAYS AND MEANS `referral-committee`
- **2024-06-06** REPORTED REFERRED TO RULES `referral-committee`
- **2024-06-06** REPORTED
- **2024-06-06** RULES REPORT CAL.514
- **2024-06-06** ORDERED TO THIRD READING RULES CAL.514
- **2024-06-06** PASSED ASSEMBLY `passage`
- **2024-06-06** DELIVERED TO SENATE
- **2024-06-06** REFERRED TO RULES `referral-committee`
- **2024-06-06** SUBSTITUTED FOR S9519A
- **2024-06-06** 3RD READING CAL.1900
- **2024-06-06** PASSED SENATE `passage`
- **2024-06-06** RETURNED TO ASSEMBLY
- **2024-12-12** DELIVERED TO GOVERNOR `executive-receipt`
- **2024-12-21** SIGNED CHAP.637 `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b8b56d41-eda3-4c53-815b-95b161052eaf`. Confidence: reported (aggregated from official New York legislature records).