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Senate Bill S7984A

2025-2026 Legislative Session

Relates to exemptions from the recipient restriction program

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Current Bill Status - In Senate Committee Health Committee

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Bill Amendments

2025-S7984 - Details

See Assembly Version of this Bill:
A9002
Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Add §368-g, Soc Serv L

2025-S7984 - 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-S7984 - Sponsor Memo

2025-S7984 - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7984
 
                        2025-2026 Regular Sessions
 
                             I N  S E N A T E
 
                               May 15, 2025
                                ___________
 
 Introduced by Sen. FERNANDEZ -- read twice and ordered printed, and when
   printed to be committed 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

2025-S7984A (ACTIVE) - Details

See Assembly Version of this Bill:
A9002
Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Add §368-g, Soc Serv L

2025-S7984A (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-S7984A (ACTIVE) - Sponsor Memo

2025-S7984A (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  7984--A
 
                        2025-2026 Regular Sessions
 
                             I N  S E N A T E
 
                               May 15, 2025
                                ___________
 
 Introduced by Sen. FERNANDEZ -- read twice and ordered printed, and when
   printed  to  be committed to the Committee on Health -- recommitted to
   the Committee on Health in accordance with Senate Rule 6,  sec.  8  --
   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.
                                                            LBD13097-02-5

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