New York S 4178: Establishes a workgroup to conduct analysis on the ambulatory patient group rates and commercial insurance rates for behavioral health services

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S04178 Summary:

BILL NOS04178 

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SAME ASSAME AS A10784

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SPONSORPARKER

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COSPNSR

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MLTSPNSR

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Amd §7.07, Ment Hyg L

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Establishes a workgroup to conduct analysis on the ambulatory patient group rates and commercial insurance rates for behavioral health services.

Go to top S04178 Actions:

BILL NOS04178 

&nbsp

02/03/2025REFERRED TO MENTAL HEALTH

01/07/2026REFERRED TO MENTAL HEALTH

Go to topS04178 Committee&nbspVotes:

Go to topS04178 Floor&nbspVotes:

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

Go to topS04178 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 4178

 2025-2026 Regular Sessions

 IN SENATE

 February 3, 2025
 ___________

 Introduced by Sen. PARKER -- read twice and ordered printed, and when
 printed to be committed to the Committee on Mental Health

 AN ACT to amend the mental hygiene law, in relation to establishing a
 workgroup to conduct analysis on the ambulatory patient group rates
 and commercial insurance rates for behavioral health services

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

 1 Section 1. Section 7.07 of the mental hygiene law is amended by adding
 2 a new subdivision (i) to read as follows:
 3 (i) 1. The commissioner of the office of mental health, in collab-
 4 oration with the commissioner of the department of health and the
 5 commissioner of the office of addiction services and supports are
 6 directed to convene and jointly chair, either directly or through a
 7 designee or designees, a workgroup, which shall include membership that
 8 ensures adequate statewide geographic representation selected with equal
 9 contributions on such selection from the governor, the speaker of the
 10 assembly and temporary president of the senate and be comprised of the
 11 following members: (i) professional associations representing substance
 12 use, mental health, and/or behavioral health providers; (ii) represen-
 13 tatives from professional associations representing providers of peer
 14 and recovery-based programs and services; (iii) representatives from
 15 professional associations representing medicated assisted treatment
 16 providers; (iv) representatives from professional associations repres-
 17 enting children's behavioral health providers; (v) representatives from
 18 hospital associations; (vi) representatives from associations represent-
 19 ing behavioral health consumers and family members; and (vii) any addi-
 20 tional stakeholder or expert that the commissioners deem necessary.
 21 Members of the workgroup shall serve without compensation, but may be
 22 reimbursed for actual costs incurred for participation on such work-
 23 group.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD07782-01-5

 S. 4178 2

 1 2. The workgroup shall conduct an analysis on the ambulatory patient
 2 group rates and commercial insurance rates for behavioral health
 3 services for the purpose of developing a report that shall provide
 4 recommendations on the following: (i) rate adequacy related to the
 5 existing ambulatory patient group-based reimbursement provided under
 6 medicaid managed care, as well as for commercial insurance rates with
 7 regards to services rendered under child health plus, or for services
 8 provided by clinics licensed or certified pursuant to article thirty-one
 9 or thirty-two of this chapter or dually licensed or certified under
 10 article thirty-one or thirty-two of this chapter and article twenty-
 11 eight of the public health law; (ii) the actual costs of care associated
 12 with the delivery of behavioral health services; (iii) one or more
 13 alternative reimbursement models that would adequately compensate clin-
 14 ics licensed or holding an operating certificate under article thirty-
 15 one or thirty-two of this chapter or dually licensed under article thir-
 16 ty-one or thirty-two of this chapter and article twenty-eight of the
 17 public health law for their costs of care under medicaid managed care
 18 and child health plus; and (iv) any policy or fiscal resources necessary
 19 to carry out the recommendations of the report developed pursuant to
 20 this section. Th