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S08309 Summary:

BILL NOS08309A
 
SAME ASNo Same As
 
SPONSORBROUK
 
COSPNSRBAILEY, CLEARE, FERNANDEZ, HARCKHAM, JACKSON, RIVERA
 
MLTSPNSR
 
Amd §§364-j & 365-m, Soc Serv L
 
Returns outpatient mental health, substance use disorder, residential and rehabilitation services to Medicaid fee-for-service.
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S08309 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         8309--A
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                      May 30, 2025
                                       ___________
 
        Introduced by Sens. BROUK, BAILEY, CLEARE, FERNANDEZ, HARCKHAM, JACKSON,
          RIVERA  --  read  twice  and  ordered  printed, and when printed to be
          committed to the Committee on Health -- recommitted to  the  Committee
          on  Health  in  accordance  with  Senate  Rule  6, sec. 8 -- committee
          discharged, bill amended, ordered reprinted as amended and recommitted
          to said committee
 
        AN ACT to amend the social services law, in relation to returning outpa-
          tient mental health, substance use disorder, residential and rehabili-
          tation 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-5), (d-6) and (d-7) to read
     3  as follows:
     4    (d-5) 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-6) Subject to federal approval, outpatient substance use  services,
    14  residential  services  and  rehabilitation services as determined by the
    15  commissioner of the office of addiction services and supports,  provided
    16  to  individuals with substance use disorder at facilities or in programs
    17  licensed pursuant to article thirty-two of the  mental  hygiene  law  or
    18  clinics  servicing  individuals  with  substance  use disorders licensed
    19  pursuant to  article  thirty-two  of  the  mental  hygiene  law,  dually
    20  licensed  pursuant  to article twenty-eight of the public health law and
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11629-03-6

        S. 8309--A                          2
 
     1  article thirty-two of the mental hygiene law, or residential  and  reha-
     2  bilitation  services  regulated  by the office of addiction services and
     3  supports excluding services under part eight hundred  sixteen  and  part
     4  eight  hundred  eighteen  of  the regulations of the office of addiction
     5  services and supports shall be administered and managed  under  fee-for-
     6  service in the medical assistance program.
     7    (d-7) Subject to federal approval, comprehensive Medicaid case manage-
     8  ment  services  provided to individuals with mental illness or substance
     9  use disorder shall be administered and managed under fee-for-service  in
    10  the medical assistance program.
    11    §  2.  Section 365-m of the social services law is amended by adding a
    12  new subdivision 6 to read as follows:
    13    6. (a) Pursuant to appropriations within the office of  mental  health
    14  and  the  office  of  addiction services and supports, the department of
    15  health shall reinvest savings realized through the transition of  outpa-
    16  tient and other mental health and substance use disorder services pursu-
    17  ant  to  paragraph  (d)  of  subdivision  three of section three hundred
    18  sixty-four-j of this title from the managed care model to  the  Medicaid
    19  fee-for-service  system  for  the  purpose  of  increasing investment in
    20  community based behavioral health services and residential and rehabili-
    21  tation services certified  by  the  office  of  addiction  services  and
    22  supports.
    23    (b)  The  commissioner  shall  include information regarding the funds
    24  available for reinvestment from the transition of outpatient  and  other
    25  behavioral  health  services from managed care to fee-for-service on its
    26  website and the funds shall be included in  each  year's  annual  budget
    27  itemization, beginning April first, two thousand twenty-seven.
    28    §  3.  This  act shall take effect October 1, 2026; provided, however,
    29  that the amendments to section 364-j of the social services law made  by
    30  section  one of this act shall not affect the repeal of such section and
    31  shall be deemed repealed therewith.
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