New York 2025-2026 Regular Session

New York Assembly Bill A09002

Introduced
8/13/25  

Caption

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

If passed, the bill would require all Medicaid managed care plans to cover opioid use disorder services provided in treatment programs without imposing extra restrictions or denial of claims based on recipient restriction program regulations. This change could significantly enhance access to crucial addiction treatment services for those who might otherwise be limited by prior restrictions, thereby addressing an essential aspect of health care for a vulnerable population within the state.

Summary

Bill A09002 proposes amendments to the social services law that aim to exempt certain opioid treatment program services from the restrictions typically imposed by the recipient restriction program. This bill is geared towards individuals receiving medical assistance through Medicaid fee-for-service or managed care and who are identified under the recipient restriction program. Essentially, the legislation seeks to ensure that individuals suffering from opioid use disorder have uninhibited access to necessary treatments, including methadone maintenance treatment and buprenorphine, without facing additional hurdles that could otherwise restrict their care.

Contention

While the bill is likely to face support on the grounds of improving access to necessary medical treatments for opioid addiction, there may be points of contention regarding the implications for cost management and the effective oversight of these services under Medicaid. Some legislators may express concerns about ensuring the efficacy of treatment services and argue that unrestricting access requires a balanced approach to prevent potential misuse of opioid treatments.

Companion Bills

NY S07984

Same As Exempts opioid treatment program services received, including methadone maintenance treatment and the use of buprenorphine, from all recipient restriction program coverage and payment restrictions.

Previously Filed As

NY S06818

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.

NY A09716

Provides outpatient insurance coverage for non-opioid treatment of chronic pain including complementary and integrative treatments.

NY S09192

Provides outpatient insurance coverage for non-opioid treatment of chronic pain including complementary and integrative treatments.

NY S06101

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.

NY A07446

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.

NY A05807

Requires quarterly reporting on the opioid settlement fund, including the names of the recipients and the amounts awarded and received.

NY A09100

Requires quarterly reporting on the opioid stewardship fund, including the names of the recipients and the amounts awarded and received.

NY S09836

Requires quarterly reporting on the opioid stewardship fund, including the names of the recipients and the amounts awarded and received.

NY S09859

Requires quarterly reporting on the opioid settlement fund, including the names of the recipients and the amounts awarded and received.

NY S00396

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.

Similar Bills

No similar bills found.