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Senate bill · S10315 (2025-26)

Relates to supplemental therapeutic services reimbursement

New York State Senate

Same as A11658, the matching bill in the Assembly.

Latest action Jul 29, 2026

Sponsor: William Weber (State Senator, District 38, Republican/Conservative)

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From NY Open Legislation, the NY Senate and Assembly, and official rosters. This record was last updated Oct 21, 2026. About our data

Summary

Establishes mandatory supplemental therapeutic services reimbursement for certain individuals receiving services through the office for people with developmental disabilities.

Summary from NY Open Legislation. How we handle summaries

Amends the Mental Hygiene Law.

Purpose, from the sponsor's memo

Section one adds a new section to the mental hygiene law requiring the commissioner to authorize supplemental reimbursement when threshold criteria are met. It establishes minimum reimbursement floors of $120.00 per hour for individual therapy, $90.00 per hour for group therapy, and $150.00 per hour for ABA services, with maximum caps of $250.00, $175.00, and $325.00 per hour respectively, all subject to mandatory annual CPI-U adjustment. It requires the commissioner to act within fifteen business days or the application is deemed approved. It provides an administrative complaint pathway with a tenbusiness-day response requirement and requires rulemaking within ninety days. Section two authorizes program integrity review by the Medicaid inspector general. Section three requires annual public reporting including the number of approvals by operation of law. Section four clarifies that the bill does not create a private right of action. Section five sets the effec- tive date.

Filed with the bill. Read it on nysenate.gov (opens in a new tab)

Where it stands

Assigned to a committee for review.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

Committee

Disabilities · New York State Senate

Also referred to People with Disabilities · New York State Assembly.

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The sponsor's argument

Why William Weber says this is needed

Families and individuals who rely on therapeutic services routinely encounter a gap between what is authorized on paper and what can be secured in practice. State OMH reimbursement rates of approximately $45-46 per hour are insufficient to attract qualified therapists in most New York markets. Families who find and retain private therapists at market rates receive little or no reimbursement support, despite the fact that the service is medically necessary and plan-authorized. This bill addresses that failure directly. By establishing mandatory minimum dollar floors tied to the CPI-U medical care index, it ensures that reimbursement rates remain meaningful over time. By setting a fifteenbusiness-day decision deadline with deemed approval as the remedy for inaction, it protects families from administrative delay. By short- ening the provider-search period to twenty-one days recognizing that many families already know from experience that no provider at the OMH rate is available in their geographic area it reduces the burden of a process that is in many cases purely formal. The deemed approval provision and administrative complaint pathway together provide meaning- ful accountability within the executive branch without resort to judi- cial enforcement.

This is the sponsor's own case for the bill, quoted from their memorandum. It is not Agora's description of what the bill does.

Full history

  1. Jul 29, 2026

    Referred to committee

    REFERRED TO PEOPLE WITH DISABILITIES

    NY Assembly

  2. May 12, 2026

    Referred to committee

    REFERRED TO DISABILITIES

    NY Senate

Read the record