Requires rates paid for rehabilitation and opioid treatment be pursuant to certain fee schedules published by the office of addiction services and supports.
Impact
The implementation of A07038 is expected to standardize reimbursement rates across various facilities that provide addiction services, which may lead to greater stability in the treatment landscape. This change could help lower the financial burden on these facilities, allowing them to operate more efficiently and potentially expand their services. As state-mandated rates would apply to facilities authorized by the office of addiction services and supports, it would ensure that outpatient treatment remains affordable and accessible for many individuals dealing with addiction, particularly those relying on insurance coverage.
Summary
Bill A07038 proposes to amend the insurance law concerning the rates paid for rehabilitation and opioid treatment services. The bill mandates that reimbursement for covered outpatient treatment from certain facilities be determined through rates negotiated between insurers and the facilities. These rates must not fall below the rates established by the medical assistance program under state social services law. The overall aim of the bill is to ensure consistent funding for addiction treatment services in the state, ultimately impacting the accessibility and quality of care provided to individuals seeking rehabilitation.
Contention
While supporters of A07038 highlight the need for standardized rates to facilitate better treatment options, there may be concerns from insurers regarding the implications of mandated rates on their financial operations. Opponents could argue that such regulations may limit insurers' flexibility in negotiating fair rates based on market conditions. Additionally, potential challenges could arise in balancing the need for adequate reimbursement rates with the financial sustainability of insurance companies, which could affect policyholders in the long term.
Same As
Requires rates paid for rehabilitation and opioid treatment be pursuant to certain fee schedules published by the office of addiction services and supports.
Requires that services at addiction treatment centers operated by the office of addiction services and supports shall not be refused at such centers if a person is unable to pay.
Requires that services at addiction treatment centers operated by the office of addiction services and supports shall not be refused at such centers if a person is unable to pay.
Requires the office of addiction services and supports to encourage, aid, and facilitate clinical research into the use of ibogaine in drug treatment for heroin, methamphetamine and cocaine addiction.
Requires the office of addiction services and supports to encourage, aid, and facilitate clinical research into the use of ibogaine in drug treatment for heroin, methamphetamine and cocaine addiction.
Requires the office of addiction services and supports to assure that persons who suffer from a substance use disorder have the right to seek and receive addiction services, care, treatment and rehabilitation services based on the individual's gender identity, gender expression and/or sexual orientation.
Requires the office of addiction services and supports to assure that persons who suffer from a substance use disorder have the right to seek and receive addiction services, care, treatment and rehabilitation services based on the individual's gender identity, gender expression and/or sexual orientation.
Requires rates paid for rehabilitation and opioid treatment be pursuant to certain fee schedules published by the office of addiction services and supports.