Requires rates paid for rehabilitation and opioid treatment be pursuant to certain fee schedules published by the office of addiction services and supports

Payment floors for addiction and mental healthcare

New York insurers must negotiate payments for covered outpatient addiction and mental health care at in-network facilities. Payments cannot fall below the published Medicaid fee for each service. Eligible addiction facilities are state-licensed, certified, or otherwise authorized, including intensive outpatient, rehabilitation, and opioid treatment providers. Eligible mental health facilities include state-certified and state-run facilities, plus licensed crisis stabilization centers. The Office of Addiction Services and Supports and Office of Mental Health must publish their schedules by November 1 of the prior calendar year. The schedules use rates effective April 1 of that prior year, established before October 1 of that year. Insurers can account for differences between estimated and published rates in later premium filings, with state insurance superintendent guidance. The law took effect immediately and covers policies and contracts issued, renewed, modified, altered, or amended from that date. It sets insurer payment rules, not patient costs, and does not guarantee lower household bills.