New York A 6183: Relates to studying the adequacy of applied behavioral analysis provider networks

Bill Text

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A06183 Summary:

BILL NOA06183 

&nbsp

SAME ASSAME AS S08138

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SPONSORSolages

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COSPNSR

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MLTSPNSR

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Amd §365-a, Soc Serv L

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Directs the commissioner of health to make publicly available on the department of health website a report concerning access to applied behavior analysis for enrolled children diagnosed with autism spectrum disorder.

Go to top A06183 Actions:

BILL NOA06183 

&nbsp

02/26/2025referred to health

01/07/2026referred to health

Go to topA06183 Committee&nbspVotes:

Go to topA06183 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topA06183 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 6183

 2025-2026 Regular Sessions

 IN ASSEMBLY

 February 26, 2025
 ___________

 Introduced by M. of A. SOLAGES -- read once and referred to the Commit-
 tee on Health

 AN ACT to amend the social services law, in relation to studying the
 adequacy of applied behavioral analysis provider networks

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. Paragraph (jj) of subdivision 2 of section 365-a of the
 2 social services law, as added by chapter 733 of the laws of 2022, is
 3 amended to read as follows:
 4 [(jj)] (nn) applied behavior analysis, under article one hundred
 5 sixty-seven of the education law, provided by a person licensed, certi-
 6 fied, or otherwise authorized to provide applied behavior analysis under
 7 that article. By December first of each year, the commissioner of health
 8 shall make publicly available on the department of health's website a
 9 report concerning access to applied behavior analysis for enrolled chil-
 10 dren diagnosed with autism spectrum disorder meeting the following
 11 requirements:
 12 (i) the data in the report shall be organized by current procedural
 13 terminology (CPT) code;
 14 (ii) the report shall include the following information from the imme-
 15 diately preceding fiscal year regarding the Medicaid program:
 16 (A) the number of licensed behavior analysts and certified behavior
 17 analyst assistants practicing in this state who are Medicaid providers;
 18 (B) the number of Medicaid enrollees who are children with an autism
 19 spectrum disorder diagnosis;
 20 (C) the number of Medicaid enrollees who are children with an autism
 21 spectrum disorder diagnosis who received applied behavior analysis;
 22 (D) the number of licensed behavior analysts and certified behavior
 23 analyst assistants with whom each Medicaid managed care plan in the
 24 state has contracted, by county;

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD10105-01-5

 A. 6183 2

 1 (E) the median number of days between diagnosis of a child with an
 2 autism spectrum disorder and the time at which such child begins to
 3 receive applied behavior analysis;
 4 (F) the number of Medicaid enrollees who are children with an autism
 5 spectrum disorder diagnosis who did not receive applied behavior analy-
 6 sis, despite it being recommended by the child's health care provider,
 7 if ascertainable;
 8 (G) the number of prior authorization requests for applied behavior
 9 analysis that were denied and the number of appeals resulting from those
 10 denials and partial denials;
 11 (H) the median of recommended hours and the median of received hours
 12 of applied behavior analysis for Medicaid enrollees who are children
 13 with an autism spectrum disorder diagnosis who were approved for and
 14 received applied behavior analysis but did not receive the number of
 15 hours of treatment recommended by the child's health care provider, if
 16 ascertainable;
 17 (I) the median of recommended hours and the median of covered hours of
 18 applied behavior analysis for Medicaid enrollees who are children with
 19 an autism spectrum disorder diagnosis for whom the Medicaid program
 20 covered fewer behavior analysis hours than were recommended by the
 21 child's health care provider, if ascertainable;
 22 (J) recommendations to improve the adequacy of the network of applied
 23 behavior analysis providers who are Medicaid providers; and
 24 (K) other recommendations to improve access to applied behavior