Section 131-O. Personal allowances accounts  


Latest version.
  • 1. Each individual receiving
      family care, residential care or care  in  a  school  for  the  mentally
      retarded,  or  enhanced  residential  care as those terms are defined in
      section two hundred nine of this chapter, and who is receiving  benefits
      under  the program of additional state payments pursuant to this chapter
      while receiving such care, shall  be  entitled  to  a  monthly  personal
      allowance out of such benefits in the following amount:
        (a)  in  the  case of each individual receiving family care, an amount
      equal to at least $130.00 for each month beginning on or  after  January
      first, two thousand nine.
        (b)  in  the  case  of  each individual receiving residential care, an
      amount equal to at least $150.00 for each month beginning  on  or  after
      January first, two thousand nine.
        (c)  in  the  case  of  each individual receiving enhanced residential
      care, an amount equal to at least $178.00 for each month beginning on or
      after January first, two thousand nine.
        (d) for the period commencing January first,  two  thousand  ten,  the
      monthly  personal needs allowance shall be an amount equal to the sum of
      the amounts set forth in subparagraphs one and two of this paragraph:
        (1) the amounts specified in paragraphs  (a),  (b)  and  (c)  of  this
      subdivision; and
        (2)  the  amount  in subparagraph one of this paragraph, multiplied by
      the percentage of any  federal  supplemental  security  income  cost  of
      living adjustment which becomes effective on or after January first, two
      thousand  ten, but prior to June thirtieth, two thousand ten, rounded to
      the nearest whole dollar.
        * (e) in the case of each individual  receiving  enhanced  residential
      care,  (i)  an  amount  equal  to $168.00 for each month beginning on or
      after January first, two thousand  eight.  (ii)  On  and  after  January
      first,  two  thousand  nine, the amount set forth in subparagraph (i) of
      this paragraph shall be annually increased by the same percentage of any
      federal supplemental security income cost  of  living  adjustment  which
      becomes  effective  on  or  after  January  first,  but  prior  to  June
      thirtieth, of each calendar  year,  provided  that  there  has  been  an
      increase  in  state  supplementation  pursuant  to  subparagraph (ii) of
      paragraph (g) of section two hundred nine of this chapter.
        * NB Effective until December 31, 2009
        * (e) in the case of each individual  receiving  enhanced  residential
      care, an amount equal to at least $144.00 for each month beginning on or
      after  January  first,  two thousand six, and an amount equal to $159.00
      for each month beginning on or after January first, two thousand seven.
        * NB Repealed December 31, 2009
        2. The personal allowance described in subdivision one of this section
      shall be made directly available to the individual for his  own  use  in
      obtaining  clothing,  personal  hygiene  items,  and  other supplies and
      services for his personal use not otherwise provided by the  residential
      facility.  Any  waiver  of  the  right  to  a  personal  allowance by an
      individual entitled to it shall be void. The facility  shall,  for  each
      such  individual, offer to establish a separate account for the personal
      allowance. Each individual electing to utilize such an account shall  be
      entitled to a statement upon request, and in any case quarterly, setting
      forth  the  deposits  and  withdrawals,  and  the current balance of the
      account. A facility shall not demand, require or contract for payment of
      all or any part  of  the  personal  allowance  in  satisfaction  of  the
      facility  rate  for  supplies  and  services  and  shall  not charge the
      individual or the account for any supplies or services that the facility
      is by law, regulation or  agreement  with  the  individual  required  to
      provide  or  for  any  medical supplies or services for which payment is
    
      available under medical assistance, pursuant  to  this  title,  medicare
      pursuant to title XVIII of the federal social security act, or any third
      party  coverage.  Any  service  or  supplies  provided  by the facility,
      charged to the individual or the account shall be provided only with the
      specific consent of the individual, who shall be furnished in advance of
      the  provision  of  the  services or supplies with an itemized statement
      setting forth the charges for  the  services  or  supplies.  Whenever  a
      resident  authorizes  an operator of a facility to exercise control over
      his or her personal allowance such authorization shall be in writing and
      subscribed by the parties to be charged. Any such  money  shall  not  be
      mingled  with the funds or become an asset of the facility or the person
      receiving the  same,  but  shall  be  segregated  and  recorded  on  the
      facility's financial records as independent accounts.
        3.  Any  individual  who  has  not  received  or  been able to control
      personal allowance funds to the extent and in  the  manner  required  by
      this  section  may  maintain an action in his own behalf for recovery of
      any such funds, and upon a showing that  the  funds  were  intentionally
      misappropriated or withheld to other than the intended use, for recovery
      of  additional  punitive  damages in an amount equal to twice the amount
      misappropriated  or  withheld.  The  department  may   investigate   any
      suspected  misappropriation  or  withholding of personal allowance funds
      and may maintain an action on behalf of any individual  to  recover  any
      funds  so  misappropriated,  including  any  punitive damages. Any funds
      obtained as  a  result  of  such  an  action  shall  be  disregarded  in
      determining  such  individual's  eligibility  for  or amount of benefits
      available pursuant to this chapter, to the extent permitted  by  federal
      law and regulation.
        4.  Each  facility  subject  to  the  provisions of this section shall
      maintain in accordance with department regulations complete records  and
      documentation  of all transactions involving resident personal allowance
      accounts, and shall make such records available to the department and to
      any other agency responsible for the inspection and supervision  of  the
      facility  upon  request, with respect to any individual who is receiving
      additional state payments.
        5. Any agency having supervisory responsibilities  over  any  facility
      subject  to  the  provisions  of  this section shall, at the time of any
      inspection of such a  facility,  inquire  into  the  furnishing  of  and
      accounting  for  resident  personal  allowances,  and  shall  report any
      violations or suspected violations of this section  to  the  department.
      The  department  shall  have  primary  responsibility for monitoring the
      personal allowance requirements of this section; provided, however, that
      the department may by cooperative agreement delegate such monitoring and
      enforcement functions,  in  whole  or  in  part,  with  respect  to  any
      facility,  to any other state agency having supervisory responsibilities
      over such facility.
        6. At the time an individual ceases to be a resident at  the  facility
      maintaining  a  resident  personal  allowance account on his behalf, the
      funds in such account shall be transferred to such individual or another
      appropriate individual or agency for use on his  behalf,  in  accordance
      with department regulations.
        7. Any facility subject to the provisions of this section shall assure
      that any income of an individual residing therein that not considered in
      determining  such  individual's  eligibility  for  or amount of benefits
      under the program of additional state payments pursuant to title six  of
      article  five  of  this  chapter,  other  than unearned income paid from
      non-public sources for the purpose of meeting the cost, in  part  or  in
      whole,  of  such  person's  care  and maintenance in such a facility, is
    
      treated in the same manner as the personal allowance required to be made
      available to the individual pursuant to this section.
        8.  In  any  case  in  which a person receives a payment of additional
      state payment benefits for a month other than the  month  in  which  the
      payment  is received, the full monthly personal allowance for the months
      to which the payment is attributable shall  be  made  available  to  the
      individual  at  such  time as the payment has been received; in no event
      shall the facility be found to have failed to comply with the provisions
      of this section solely by reason of having failed to make  such  monthly
      personal  allowance available prior to the time such payment is actually
      received.
        9. In addition to any damages or civil penalties to which a person may
      be subject;
        (a) any person  who  intentionally  withholds  a  resident's  personal
      allowance,  or  who  demands,  beneficially  receives,  or contracts for
      payment of all or any  part  of  a  resident's  personal  allowances  in
      satisfaction  of  the  facility  rate for supplies and services shall be
      guilty of a class A misdemeanor;
        (b) any person who commingles, borrows from or  pledges  any  personal
      allowance  funds  required  to  be  held  in a separate account shall be
      guilty of a class A misdemeanor.