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Bill

A 7038

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

2025 Regular Session Introduced by Angelo Santabarbara and 1 co-sponsor

Bill A 7038 standardizes payment rates for rehabilitation and opioid treatment, ensuring fair compensation for providers and consistent pricing for patients across the state.

RETURNED TO ASSEMBLY
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WeVote Research Nonpartisan
Bill Summary · A 7038

Summary of Bill A 7038

Bill Overview

  • Bill Number: A 7038
  • Title: Requires rates paid for rehabilitation and opioid treatment be pursuant to certain fee schedules published by the Office of Addiction Services and Supports
  • Status: Returned to Assembly
  • Introduced: March 18, 2025
  • Classification: Bill

Purpose and Intent

Bill A 7038 aims to standardize the rates paid for rehabilitation and opioid treatment services by aligning them with specific fee schedules established by the Office of Addiction Services and Supports (OASAS). The intent is to ensure that treatment providers receive fair compensation for their services while also promoting transparency and consistency in billing practices across the state.

Key Provisions

  • Fee Schedule Requirement: The bill mandates that all rates for rehabilitation and opioid treatment services must adhere to the fee schedules published by OASAS. This is intended to create a uniform payment structure for these critical services.
  • Impact on Providers: By establishing a standardized fee schedule, the bill seeks to alleviate discrepancies in payment rates that can affect the financial stability of treatment providers. This could potentially enhance the quality and availability of addiction treatment services.
  • Regulatory Oversight: The bill places the responsibility on OASAS to publish and maintain the fee schedules, ensuring that they are regularly updated to reflect current costs and treatment standards.

Affected Parties

  • Treatment Providers: Rehabilitation centers and opioid treatment facilities will be directly impacted as they will need to adjust their billing practices to comply with the new fee schedules.
  • Patients: Individuals seeking rehabilitation and opioid treatment may benefit from more consistent pricing structures, potentially leading to improved access to necessary services.
  • Insurance Companies: Insurers will need to align their reimbursement policies with the new fee schedules, which may affect their operational procedures and financial planning.

Legislative Timeline

  • March 18, 2025: Bill introduced and referred to the Insurance Committee.
  • April 2, 2025: Bill reported out of committee.
  • April 3, 2025: Advanced to third reading.
  • April 29, 2025: Amended on third reading to become A 7038A.
  • May 20, 2025: Passed by the Assembly and delivered to the Senate.
  • June 12, 2025: Passed by the Senate and subsequently returned to the Assembly.

Related Bills

  • S 6897: This is the companion bill in the Senate, which shares similar objectives and provisions regarding the standardization of rates for rehabilitation and opioid treatment services.

Conclusion

Bill A 7038 represents a significant step towards improving the financial framework for addiction treatment services in the state. By establishing a clear fee schedule, the bill aims to enhance the sustainability of treatment providers and ensure that patients have access to necessary care without facing unpredictable costs. The bill's return to the Assembly indicates ongoing discussions and potential revisions before final approval.

Compiled from official sources — confirm details with the bill’s official record.

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