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NY A07038

Bill

Status

Passed

12/19/2025

Primary Sponsor

David Weprin

Click for details

Origin

Assembly

2025-2026 General Assembly

AI Summary

  • Requires the Office of Addiction Services and Supports to publish fee schedules by November 1st of each preceding calendar year specifying exact reimbursement rates for outpatient, intensive outpatient, and opioid treatment services

  • Requires the Office of Mental Health to publish similar fee schedules by November 1st for outpatient mental health treatment provided at licensed facilities and crisis stabilization centers

  • Establishes that insurers must reimburse in-network addiction and mental health facilities at rates no less than Medicaid rates, with the specific fees now required to be itemized in published schedules

  • Applies to individual health insurance policies, group health insurance policies, and health maintenance organization contracts

  • Takes effect immediately and applies to all policies issued, renewed, modified, or amended after the effective date

Legislative Description

Requires rates paid for rehabilitation and opioid treatment be pursuant to certain fee schedules published by the office of addiction services and supports.

Last Action

approval memo.41

12/19/2025

Committee Referrals

Insurance5/20/2025
Insurance3/18/2025

Full Bill Text

No bill text available