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New YorkS 88002025-2026 Regular SessionSenateWALLET

Relates to the calculation of rates for certain treatment pursuant to the medical assistance program

Sponsored By: Jamaal Bailey (Republican)

Became Law

RULESINSURANCE

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 2 benefits, 0 costs, 2 mixed.

Rate info published for addiction and mental health

OASAS and OMH must publish enough information so plans and providers can calculate the Medicaid benchmark rates. Each commissioner decides how to share the data. These postings make it clear what minimum payment applies.

When the new payment rules start

The act is now law. But the new minimum payment and publishing rules in sections 1–6 begin on the same date as a related 2025 insurance law chapter. Those sections do not apply until that date.

Medicaid-rate floor for outpatient addiction and mental health

The law sets a payment floor for certain in-network care. Private plans must pay at least the Medicaid rate for outpatient addiction treatment, intensive outpatient, outpatient rehab, opioid treatment, outpatient mental health, and crisis stabilization. This applies only when you use facilities in your plan’s network that are authorized by the Office of Addiction Services and Supports (OASAS) or the Office of Mental Health (OMH). The minimum is the Medicaid rate effective April 1 of the prior year, set before October 1.

Premium filing guidance on new minimum rates

Before plans file premiums, the Superintendent gives guidance on how to account for these rate changes. If the April 1 Medicaid rates differ from a plan’s estimate, the plan can reflect the difference in later filings.

Sponsors & Cosponsors

Sponsor

  • Jamaal Bailey

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 76 • No: 0

Senate vote • 1/21/2026

FLOOR Vote

Yes: 56 • No: 0

committee vote • 1/12/2026

Rules Committee Vote

Yes: 20 • No: 0

Actions Timeline

  1. SIGNED CHAP.75

    2/13/2026Senate

  2. DELIVERED TO GOVERNOR

    2/13/2026Senate

  3. RETURNED TO SENATE

    1/21/2026House

  4. PASSED ASSEMBLY

    1/21/2026House

  5. ORDERED TO THIRD READING RULES CAL.56

    1/21/2026House

  6. SUBSTITUTED FOR A9509

    1/21/2026House

  7. REFERRED TO INSURANCE

    1/21/2026House

  8. DELIVERED TO ASSEMBLY

    1/21/2026Senate

  9. PASSED SENATE

    1/21/2026Senate

  10. ORDERED TO THIRD READING CAL.29

    1/12/2026Senate

  11. REFERRED TO RULES

    1/8/2026Senate

Bill Text

  • Original

    1/8/2026

    PDF

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