New York 2025-2026 Regular Session

New York Senate Bill S08138

Introduced
5/15/25  

Caption

Directs the commissioner of health to make publicly available on the department of health website a report concerning access to applied behavior analysis for enrolled children diagnosed with autism spectrum disorder.

Impact

The enactment of S08138 is expected to have significant implications for state laws governing healthcare services for children with autism. By mandating regular transparency and reporting, it aims to improve the oversight of care provided under Medicaid and to ensure that families have better access to essential therapeutic interventions. The report requirements would compel health officials to monitor service adequacy, which could lead to improvements in provider networks and a potential increase in the number of qualified practitioners offering ABA services.

Summary

Bill S08138 aims to amend the social services law concerning the adequacy of applied behavior analysis (ABA) provider networks for children diagnosed with autism spectrum disorder (ASD). Introduced by Senator Persaud, the primary goal of the bill is to enhance the accessibility of ABA services for affected children who are enrolled in Medicaid. This involves requiring the Commissioner of Health to issue annual reports that detail the access to and availability of ABA services, including statistics on service providers, denial rates, and treatment hours received versus recommended hours.

Contention

Despite the positive intent of the bill, there may be points of contention regarding the handling of data related to service inadequacies. Opponents may argue that the report's findings could highlight systemic issues within the Medicaid system that require more significant reform than merely improving ABA access. Additionally, there is the potential for concerns about data privacy and the accuracy of reported metrics, which could affect how effectively the state's health department can respond to identified shortcomings in service delivery.

Final_outlook

Overall, S08138 represents a proactive approach to addressing the challenges faced by children with ASD in accessing behavioral treatments through Medicaid. While it could promote positive change in the landscape of healthcare for autistic children, careful consideration will be required to ensure that the reporting and recommendation processes are adequately supported and align with the broader objectives of enhancing healthcare access and quality in the state.

Companion Bills

NY A06183

Same As Directs the commissioner of health to make publicly available on the department of health website a report concerning access to applied behavior analysis for enrolled children diagnosed with autism spectrum disorder.

Previously Filed As

NY A09073

Directs the commissioner of health to make publicly available on the department of health website a report concerning access to applied behavior analysis for enrolled children diagnosed with autism spectrum disorder.

NY S05393

Relates to coverage for applied behavior analysis and for developmental, individual-differences, relationship-based treatment of autism spectrum disorder.

NY A07913

Relates to coverage for applied behavior analysis and for developmental, individual-differences, relationship-based treatment of autism spectrum disorder.

NY S05762

Requires health insurers to provide full coverage for the prevention, early detection, diagnosis and treatment of autism spectrum disorder; establishes an advisory panel on health insurance coverage for autism spectrum disorder to annually compile a list of treatments and therapy options for which health insurers will be required to provide coverage; establishes a toll-free, 24 hour a day, autism and health insurance coverage hotline to receive and act upon complaints and questions from families with autistic children, relating to insurance coverage for autism spectrum disorder.

NY A07971

Allows individuals to request a notation on their driver's license indicating that they have autism spectrum disorder, or any other medical, mental, or behavioral condition that may alter or impair their behavior; requires medical documentation to be submitted as proof upon such a request; directs the commissioner of motor vehicles to consult with the commissioner of health and the commissioner of mental health to determine a list of such conditions and disorders that may be indicated on an individual's driver's license.

NY S09539

Allows individuals to request a notation on their driver's license indicating that they have autism spectrum disorder, or any other medical, mental, or behavioral condition that may alter or impair their behavior; requires medical documentation to be submitted as proof upon such a request; directs the commissioner of motor vehicles to consult with the commissioner of health and the commissioner of mental health to determine a list of such conditions and disorders that may be indicated on an individual's driver's license.

NY A02906

Requires the office of mental health, office of addiction services and supports and the department of education to create a behavioral health website which shall provide information on various behavioral health issues such as depression, eating disorders, anxiety, schizophrenia, post-traumatic stress disorder and bipolar disorder.

NY S09337

Establishes the transitional pathway program for students in higher education at SUNY and CUNY schools with autism spectrum disorder to encourage accessibility and inclusivity in higher education for students with autism spectrum disorder; makes related provisions.

NY A05511

Requires all social service's applications to be made publicly available online on the department's website.

NY S08907

Direct the department of health to complete a report of the impact of hospital closures on healthcare access in the state.

Similar Bills

NV SB497

Eliminates a requirement concerning rates of reimbursement under Medicaid for applied behavioral analysis services. (BDR 38-1238)

NV SB191

Makes certain changes relating to applied behavior analysis. (BDR 38-545)

NJ S2581

Establishes initiatives related to behavioral health care, including increasing reimbursement rates, providing cost-of-living adjustments, establishing grant programs for facility upkeep and provider training, and relaxing clinical supervision requirements.

NJ A5666

Establishes initiatives related to behavioral health care, including increasing reimbursement rates, providing cost-of-living adjustments, establishing grant programs for facility upkeep and provider training, and relaxing clinical supervision requirements.

NJ S3918

Establishes initiatives related to behavioral health care, including increasing reimbursement rates, providing cost-of-living adjustments, establishing grant programs for facility upkeep and provider training, and relaxing clinical supervision requirements.

NJ A4293

Establishes initiatives related to behavioral health care, including increasing reimbursement rates, providing cost-of-living adjustments, establishing grant programs for facility upkeep and provider training, and relaxing clinical supervision requirements.

DE HB5

An Act To Amend Title 31 Of The Delaware Code Relating To Reimbursement Of School-based Behavioral Health Services.

HI SCR119

Requesting The Department Of Health And Department Of Human Services To: Jointly Review Any Research Applied Behavior Analysis For Adults; Develop And Adopt Rules, Policies, And Plan Amendments Necessary To Ensure That The State Medicaid Program Covers Medically Necessary Services, Including Applied Behavior Analysis Services, For Individuals Aged Twenty-one And Older With Neurodevelopmental Disorders, Including Autism Spectrum Disorder; And Apply For Any Necessary Approvals From The Federal Centers For Medicare And Medicaid Services To Amend The State Medicaid Plan To Provide Reimbursements For Medically Necessary Services, Including Applied Behavior Analysis Services, To Medicaid-eligible Persons Over The Age Of Twenty-one Diagnosed With Autism Spectrum Disorder.