Exempts opioid treatment program services received, including methadone maintenance treatment and the use of buprenorphine, from all recipient restriction program coverage and payment restrictions.
Impact
The enactment of S07984 would significantly enhance access to opioid treatment services for Medicaid recipients who are currently subject to restrictions that limit their treatment options. By mandating that all Medicaid managed care plans cover essential opioid use disorder services without the imposition of additional restrictions, the bill is positioned to improve healthcare outcomes for individuals struggling with opioid addiction and to facilitate more comprehensive treatment approaches. The bill also directs the Department of Health to implement the necessary rules to operationalize these changes.
Summary
Bill S07984 aims to amend the social services law by providing exemptions from the recipient restriction program for individuals receiving medical assistance under Medicaid. Notably, the bill seeks to ensure that those identified as part of the recipient restriction program are exempt from coverage and payment restrictions for opioid treatment program services. This includes important treatments such as methadone maintenance and the use of buprenorphine, both of which are critical for substance use disorder management.
Contention
While the bill's aim to improve access to opioid treatment services is largely viewed as a positive move by healthcare advocates, it may still face scrutiny from those concerned about the implications of expanding Medicaid coverage in general. Critics may raise issues about the fiscal impact on state budgets and the challenge of ensuring that sufficient resources are available to support the increased demand for opioid treatment services. However, supporters argue that the public health benefits of reducing barriers to treatment far outweigh potential financial concerns.
Includes individuals treated with opioid partial agonist treatment medication as being in an opioid treatment program for the purposes of certain insurance coverage and co-payments.
Establishes statewide pilot programs for the purpose of promoting the use of alternatives to opioid treatment for individuals suffering from chronic lower back pain by offering access to nonpharmacologic treatments such as acupuncture and chiropractic services.
Establishes statewide pilot programs for the purpose of promoting the use of alternatives to opioid treatment for individuals suffering from chronic lower back pain by offering access to nonpharmacologic treatments such as acupuncture and chiropractic services.
Expedites the distributions of funds for the supervision and treatment services for juveniles program; requires that eligible municipalities receive the sum equivalent to at least their last approved supervision and treatment services for juveniles program plan.