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

Latest action Dec 19, 2025

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

Not chosen yet

Where it stands

Signed into law.

Introduced
In committee
Up for a vote
Passed one chamber
Passed
Enacted

New York State Senate

Same as A7038, the matching bill in the Assembly.

Passed as A7038, the matching Assembly bill.

Amends the Insurance Law.

Committee

Insurance · New York State Assembly

Also referred to Insurance · New York State Senate.

Purpose, from the sponsor's memo

The legislation would require the Office of Addiction Services and Supports and the Office of Mental Health to publish a fee schedule for commercial health plans to pay claims related to coverage enacted in Part AA of Chapter 57 of the Laws of 2024. SUMMARY OF MAIN PROVISIONS: Section 1 amends subparagraph (J) of paragraph 31 of subsection (i) of section 3216 of the insurance law, as added by Chapter 57 of the laws of 2024, to require the Office of Addiction Services and Supports to publish a fee schedule for services covered by this subparagraph. Section 2 amends subparagraph (K) of paragraph 35 of subsection (i) of section 3216 of the insurance law, as added by Chapter 57 of the laws of 2024, to require the Office of Mental Health to publish a fee schedule for services covered by this subparagraph. Section 3 amends subparagraph (K) of paragraph (5) of subsection (1) of section 3221 of the insurance law, as added by Chapter 57 of the laws of 2024, to require the Office of Mental Health to publish a fee schedule for services covered by this subparagraph. Section 4 amends subparagraph (J) of paragraph 7 of subsection (1) of section 3221 of the insurance law, as added by Chapter 57 of the laws of 2024, to require the Office of Addiction Services and Supports to publish a fee schedule for services covered by this subparagraph. Section 5 amends paragraph 12 of subsection (a) of section 4303 of the insurance law, as added by Chapter 57 of the laws of 2024, to require the Office of Mental Health to publish a fee schedule for services covered by this subparagraph. Section 6 amends paragraph 10 of subsection (1) of section 4303 of the insurance law, as added by Chapter 57 of the laws of 2024, to require the Office of Addiction Services and Supports to publish a fee schedule for services covered by this subparagraph.

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

Recorded votes

Vote: Floor vote
NY SenateJun 12, 2025Result: passedSenate vote on A7038, the matching Assembly bill.
(59) (0) (0) (4)
Vote: Committee vote · Insurance
Senate InsuranceMay 5, 2025Result: passed
(11) (0) (0) (0)

Cosponsors

Angelo Santabarbara and Steve Rhoads

Democratic1
Republican1

See the full list on nysenate.gov

The sponsor's argument

Why Jamaal Bailey says this is needed

Part AA of Chapter 57 of the laws of 2024 required New York State-regu- lated insurers to reimburse providers licensed by the Office of Mental Health (OMH) and the Office of Addiction Services and Supports (OASAS) at or above the Medicaid rate for outpatient behavioral health services. Health plans have worked closely with the Department of Financial Services (DFS) and OMH to implement these requirements before the effec- tive date of 1/1/25. Requiring the agencies to publish fee schedules with specific rates tied to specific services would greatly reduce administrative burden and confusion for providers and health plans. It is not unreasonable for the state to provide a fee schedule for these services to ensure accuracy in payment related to the 2024 requirement. If OMH needs additional resources to develop the fee schedule, the $1 million included in the FY26 Executive budget for oversight of plan compliance of the rate mandate would be better allocated to this proc- ess.

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

Dec 19, 2025
Approval MEMO.41
APPROVAL MEMO.41
NY Assembly
Dec 19, 2025
Signed
SIGNED CHAP.660
NY Assembly
Dec 8, 2025
Sent to the executive
DELIVERED TO GOVERNOR
NY Assembly
Jun 12, 2025
3RD Reading CAL.926
3RD READING CAL.926
NY Senate
Jun 12, 2025
Passed a chamber
PASSED SENATE
NY Senate

Show full history (13 earlier events)

Jun 12, 2025
Substituted
SUBSTITUTED FOR S6897A
NY Senate
May 20, 2025
Sent to the executive
DELIVERED TO SENATE
NY Assembly
May 20, 2025
Passed a chamber
PASSED ASSEMBLY
NY Assembly
May 20, 2025
Referred to committee
REFERRED TO INSURANCE
NY Senate
May 7, 2025
Advanced to Third Reading
ADVANCED TO THIRD READING
NY Senate
May 6, 2025
2ND Report CAL.
2ND REPORT CAL.
NY Senate
May 5, 2025
1ST Report CAL.926
1ST REPORT CAL.926
NY Senate
May 1, 2025
Amend and Recommit to Insurance
AMEND AND RECOMMIT TO INSURANCE
NY Senate
Apr 29, 2025
Amended
AMENDED ON THIRD READING 7038A
NY Assembly
Apr 3, 2025
Advanced to Third Reading CAL.96
ADVANCED TO THIRD READING CAL.96
NY Assembly
Apr 2, 2025
Reported out of committee
REPORTED
NY Assembly
Mar 26, 2025
Referred to committee
REFERRED TO INSURANCE
NY Senate
Mar 18, 2025
Referred to committee
REFERRED TO INSURANCE
NY Assembly

About this record

Summary: The summary comes from NY Open Legislation, the New York State Senate's public record. For more, see How we handle summaries.
Cosponsors: The list shows the cosponsors who are on Agora, A to Z. The official record may list more.
Party colors: Parties are shown in the same neutral colors.
Source: From NY Open Legislation, the NY Senate and Assembly, and official rosters. This record was last updated Oct 22, 2026. About our data

Read the record

Read on NY Senate (opens in a new tab) The official record on nysenate.gov.

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