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Bill > A01792


NY A01792

NY A01792
Enacts the "ensuring access to behavioral health act"; includes mental health services, substance use disorder treatment services and recovery support services to network adequacy requirements for insurance coverage.


summary

Introduced
01/14/2025
In Committee
01/07/2026
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the public health law, in relation to including mental health services, substance use disorder treatment services and recovery support services to network adequacy requirements; and directs the superintendent of financial services and the commissioner of health to review data and update regulations regarding health maintenance organizations and network adequacy requirements

AI Summary

This bill, known as the "Ensuring Access to Behavioral Health Act," amends existing public health law to expand the definition of comprehensive health services to explicitly include mental health services, substance use disorder treatment services, and recovery support services. The bill requires health maintenance organizations (HMOs) to maintain provider networks that adequately address these behavioral health needs, with specific attention to ensuring sufficient geographic accessibility, including opioid treatment programs and buprenorphine prescribers across New York state. The legislation mandates that the superintendent of financial services and the commissioner of health separately review and update network adequacy regulations for mental health and substance use disorder services, using national best practices. These updated regulations will include quantitative measures like geographic distance, travel time, appointment wait times, and provider-to-enrollee ratios, and will consider the needs of diverse populations such as low-income individuals, people with limited English proficiency, LGBTQ+ individuals, people with disabilities, and those with complex health conditions. The bill also directs consideration of telephonic and telehealth services to supplement in-person care, with the ultimate goal of improving access to comprehensive behavioral health services across New York.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

referred to health (on 01/07/2026)

bill text


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