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Assembly Bill A9002A

2025-2026 Legislative Session

Relates to exemptions from the recipient restriction program

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Current Bill Status - In Assembly Committee

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Bill Amendments

2025-A9002 - Details

See Senate Version of this Bill:
S7984
Current Committee:
Assembly Health
Law Section:
Social Services Law
Laws Affected:
Add §368-g, Soc Serv L

2025-A9002 - Summary

Exempts any covered substance use disorder and mental health treatment services and all FDA approved medications for the treatment of substance use disorder, HIV, hepatitis C and mental health conditions, from all recipient restriction program coverage and payment restrictions.

2025-A9002 - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   9002
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              August 13, 2025
                                ___________
 
 Introduced  by M. of A. SIMON -- read once and referred to the Committee
   on Health
 
 AN ACT to amend the social services law, in relation to exemptions  from
   the recipient restriction program
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. The social services law is amended by adding a new  section
 368-g to read as follows:
   §  368-G.  EXEMPTIONS  FROM  THE  RECIPIENT  RESTRICTION  PROGRAM.  1.
 NOTWITHSTANDING ANY LAW, RULE OR REGULATION TO THE CONTRARY,  ANY  INDI-
 VIDUAL WHO IS RECEIVING MEDICAL ASSISTANCE UNDER THIS TITLE FROM A MEDI-
 CAID  FEE-FOR-SERVICE OR MEDICAID MANAGED CARE PROVIDER AND WHO IS IDEN-
 TIFIED AS PART OF THE RECIPIENT RESTRICTION  PROGRAM  SET  FORTH  IN  18
 NYCRR  360-6.4  SHALL  BE  FULLY  EXEMPT  FROM ALL RECIPIENT RESTRICTION
 PROGRAM COVERAGE AND PAYMENT RESTRICTIONS WITH  RESPECT  TO  ANY  OPIOID
 TREATMENT  PROGRAM  SERVICES  RECEIVED,  INCLUDING METHADONE MAINTENANCE
 TREATMENT AND THE USE OF BUPRENORPHINE. ALL MEDICAID MANAGED CARE  PLANS
 SHALL  COVER  MEDICALLY NECESSARY OPIOID USE DISORDER SERVICES DELIVERED
 IN AN OPIOID TREATMENT PROGRAM FOR RECIPIENT RESTRICTION PROGRAM MEMBERS
 WITHOUT ANY ADDITIONAL RESTRICTIONS, EDITS, AUTHORIZATIONS, OR  REFERRAL
 REQUIREMENTS, AND CLAIMS FOR OPIOID TREATMENT PROGRAM SERVICES SHALL NOT
 BE DENIED DUE TO RECIPIENT RESTRICTION PROGRAM RESTRICTIONS.
   2.  THE DEPARTMENT SHALL PROMULGATE RULES AND REGULATIONS TO IMPLEMENT
 THE PROVISIONS OF THIS SECTION.
   § 2. This act shall take effect immediately.
 
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD13097-01-5

co-Sponsors

2025-A9002A (ACTIVE) - Details

See Senate Version of this Bill:
S7984
Current Committee:
Assembly Health
Law Section:
Social Services Law
Laws Affected:
Add §368-g, Soc Serv L

2025-A9002A (ACTIVE) - Summary

Exempts any covered substance use disorder and mental health treatment services and all FDA approved medications for the treatment of substance use disorder, HIV, hepatitis C and mental health conditions, from all recipient restriction program coverage and payment restrictions.

2025-A9002A (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  9002--A
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              August 13, 2025
                                ___________
 
 Introduced  by M. of A. SIMON -- read once and referred to the Committee
   on Health -- recommitted to the Committee on Health in accordance with
   Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered
   reprinted as amended and recommitted to said committee
 
 AN ACT to amend the social services law, in relation to exemptions  from
   the recipient restriction program
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. The social services law is amended by adding a new  section
 368-g to read as follows:
   §  368-G.  EXEMPTIONS  FROM  THE  RECIPIENT  RESTRICTION  PROGRAM.  1.
 NOTWITHSTANDING ANY LAW, RULE OR REGULATION TO THE CONTRARY,  ANY  INDI-
 VIDUAL WHO IS RECEIVING MEDICAL ASSISTANCE UNDER THIS TITLE FROM A MEDI-
 CAID  FEE-FOR-SERVICE OR MEDICAID MANAGED CARE PROVIDER AND WHO IS IDEN-
 TIFIED AS PART OF THE RECIPIENT RESTRICTION  PROGRAM  SET  FORTH  IN  18
 NYCRR  360-6.4  SHALL  BE  FULLY  EXEMPT  FROM ALL RECIPIENT RESTRICTION
 PROGRAM COVERAGE AND PAYMENT RESTRICTIONS WITH RESPECT  TO  ANY  COVERED
 SUBSTANCE  USE DISORDER AND MENTAL HEALTH TREATMENT SERVICES AND ALL FDA
 APPROVED MEDICATIONS FOR THE TREATMENT OF SUBSTANCE USE DISORDERS,  HIV,
 HEPATITIS  C  AND  MENTAL HEALTH CONDITIONS.   ALL MEDICAID MANAGED CARE
 PLANS SHALL NOT RESTRICT  MEDICALLY  NECESSARY  SUBSTANCE  USE  DISORDER
 SERVICES AND FDA APPROVED MEDICATIONS FOR THE TREATMENT OF SUBSTANCE USE
 DISORDERS,  HIV,  HEPATITIS C AND MENTAL HEALTH CONDITIONS FOR RECIPIENT
 RESTRICTION PROGRAM MEMBERS WITHOUT ANY ADDITIONAL RESTRICTIONS,  EDITS,
 AUTHORIZATIONS,  OR  REFERRAL REQUIREMENTS, AND CLAIMS FOR OPIOID TREAT-
 MENT PROGRAM SERVICES SHALL NOT BE DENIED DUE TO  RECIPIENT  RESTRICTION
 PROGRAM RESTRICTIONS.
   2.  THE DEPARTMENT SHALL PROMULGATE RULES AND REGULATIONS TO IMPLEMENT
 THE PROVISIONS OF THIS SECTION.
   § 2. This act shall take effect immediately.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD13097-03-5

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