Establishes a commission to study authorizing New York state-funded health services for eligible seniors and individuals with disabilities residing part-time in the Dominican Republic

Eligibility criteria were refined to specify seniors aged 65 years and older who are enrolled in the New York state Medicaid program and reside part-time or full-time in the Dominican Republic.

Added specific partnership details with the Dominican Republic's Seguro Nacional de Salud (SeNaSa), including its regulatory oversight and the Contributory Subsidized Regime tier.

Clarified that the initial pilot program would be funded entirely with state-only dollars, with the goal of demonstrating proof of concept for potential future federal waivers.

Expanded legislative findings to include specific data about dual-eligible Medicaid enrollees, health care cost savings, and the structure of the Dominican Republic's public health insurance system.

Updated the bill's committee status to reflect that it has been discharged, amended, and recommitted to the Committee on Health, and changed the bill number to S. 8751--A.