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S08309 Summary:

BILL NOS08309
 
SAME ASSAME AS A08055
 
SPONSORBROUK
 
COSPNSR
 
MLTSPNSR
 
Amd §§364-j & 365-m, Soc Serv L
 
Returns outpatient mental health and substance use disorder services to Medicaid fee-for-service.
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S08309 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          8309
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                      May 30, 2025
                                       ___________
 
        Introduced  by  Sen.  BROUK  -- read twice and ordered printed, and when
          printed to be committed to the Committee on Health
 
        AN ACT to amend the social services law, in relation to returning outpa-
          tient mental health and substance use disorder  services  to  Medicaid
          fee-for-service

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Subdivision 3 of section 364-j of the social services  law,
     2  is amended by adding three new paragraphs (d-4), (d-5) and (d-6) to read
     3  as follows:
     4    (d-4)  Subject  to federal approval, outpatient mental health services
     5  as determined by the  commissioner  of  the  office  of  mental  health,
     6  provided to individuals with mental illness at facilities or in programs
     7  licensed  pursuant  to  article  thirty-one of the mental hygiene law or
     8  clinics serving individuals with mental  illness  licensed  pursuant  to
     9  article  thirty-one of the mental hygiene law, or dually licensed pursu-
    10  ant to article twenty-eight of the public health law and  article  thir-
    11  ty-one of the mental hygiene law shall be administered and managed under
    12  fee-for-service in the medical assistance program.
    13    (d-5)  Subject  to federal approval, outpatient substance use services
    14  as determined by the commissioner of the office  of  addiction  services
    15  and  supports,  provided  to  individuals with substance use disorder at
    16  facilities or in programs licensed pursuant to article thirty-two of the
    17  mental hygiene law or clinics servicing individuals with  substance  use
    18  disorders  licensed pursuant to article thirty-two of the mental hygiene
    19  law, or dually licensed pursuant to article twenty-eight of  the  public
    20  health  law  and  article  thirty-two of the mental hygiene law shall be
    21  administered and managed under fee-for-service in the medical assistance
    22  program.
    23    (d-6) Subject to federal approval, comprehensive Medicaid case manage-
    24  ment services provided to individuals with mental illness  or  substance
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11629-01-5

        S. 8309                             2
 
     1  use  disorder shall be administered and managed under fee-for-service in
     2  the medical assistance program.
     3    §  2.  Section 365-m of the social services law is amended by adding a
     4  new subdivision 6 to read as follows:
     5    6. (a) Pursuant to appropriations within the office of  mental  health
     6  and  the  office  of  addiction services and supports, the department of
     7  health shall reinvest savings realized through the transition of  outpa-
     8  tient  mental  health  and  substance  use disorder services pursuant to
     9  paragraph (d) of subdivision three of section three hundred sixty-four-j
    10  of this title from the managed care model to the  Medicaid  fee-for-ser-
    11  vice  system for the purpose of increasing investment in community based
    12  behavioral health services, including residential services certified  by
    13  the office of addiction services and supports.
    14    (b)  The  commissioner  shall  include information regarding the funds
    15  available for reinvestment from the transition of outpatient  behavioral
    16  health  services from managed care to fee-for-service on its website and
    17  the funds shall be included in each year's  annual  budget  itemization,
    18  beginning April first, two thousand twenty-six.
    19    §  3.  This  act shall take effect October 1, 2025; provided, however,
    20  that the amendments to section 364-j of the social services law made  by
    21  section  one of this act shall not affect the repeal of such section and
    22  shall be deemed repealed therewith.
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