New York 2025-2026 Regular Session

New York Senate Bill S08138

Introduced
5/15/25  
Refer
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 A06183

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 S08362

Extends provisions of law relating to applied behavioral analysis.

NY A08479

Extends provisions of law relating to applied behavioral analysis.

NY SB1566

Medicaid; modifying requirements and procedures related to applied behavior analysis treatment for autism spectrum disorder. Effective date.

NY HSB122

A bill for an act relating to Hawki coverage for the treatment of autism spectrum disorder applied behavior analysis services, the autism support program, and making an appropriation.(See HF 509.)

NY HF509

A bill for an act relating to Hawki coverage for the treatment of autism spectrum disorder applied behavior analysis services, and the autism support program.(Formerly HSB 122.)

NY A09540

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 S02633

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

NY S08427

Increases Medicaid reimbursement rates for certain behavioral health services provided to individuals under the age of twenty-one; directs that funds in the healthcare stability fund can be used for the funding of children's behavioral health outpatient rate increases.

NY A08600

Increases Medicaid reimbursement rates for certain behavioral health services provided to individuals under the age of twenty-one; directs that funds in the healthcare stability fund can be used for the funding of children's behavioral health outpatient rate increases.

Similar Bills

NV SB497

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

NM HB70

Behavioral Health Medicaid Waiver Act

NJ A3826

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 S3556

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.

TX HB2677

Relating to Medicaid coverage and reimbursement for the treatment of obesity and certain diabetes prevention program services.

LA SB222

Provides for Medicaid behavioral health services. (gov sig) (EN NO IMPACT See Note)

NJ S560

Establishes pilot program to refer certain emergency department patients for development of coordinated behavioral health care treatment and support services plan.

NJ A3570

Establishes pilot program to refer certain emergency department patients for development of coordinated behavioral health care treatment and support services plan.