What's happening
This bill creates a program to expand and fund community-based chemical dependency treatment services, with oversight and annual review, until 2022.
Why it matters
Prioritizes Efficient and Effective Use of Funds. The bill requires that funding for community-based chemical dependency services be allocated based on how efficiently and effectively local governments use existing resources, encouraging better management and outcomes at the local level.
Mandates Continuity of Care. Providers receiving expansion funds for detox services must ensure that clients are immediately linked to ongoing treatment after detoxification, aiming to reduce relapse rates and improve long-term recovery outcomes.
Targets Areas of Greatest Unmet Need. Funds are distributed in proportion to each locality’s unmet need for chemical dependency treatment, while also incentivizing local governments to maintain or increase their own spending on these services.
Adds Oversight and Accountability. The commissioner is given authority to inspect and examine all relevant records of local governments and service providers receiving these funds, increasing transparency and ensuring that public money is used appropriately.
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Expand Addiction Treatment Services
Plain English, a few words. Used as the page title.
Sponsors
No co-sponsors yet.
History
- Referred to alcoholism and drug abuse
- Referred to alcoholism and drug abuse
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Expand Addiction Treatment Services
In Assembly Committee · Alcoholism And Drug Abuse · Sponsor Steven Cymbrowitz
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
2764
2017-2018 Regular Sessions
IN SENATE
January 17, 2017
Introduced by Sen. GOLDEN -- read twice and ordered printed, and when printed to be committed to the Committee on Alcoholism and Drug Abuse
AN ACT to amend the mental hygiene law, in relation to establishing the community chemical dependence services expansion program and providing for the repeal of such provisions upon expiration thereof
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. The mental hygiene law is amended by adding a new section 22.13 to read as follows: § 22.13 Community chemical dependency services expansion program.
(a) Community chemical dependence services expansion funds shall be annually allocated by the commissioner based upon the following criteria:
1. the efficiency and effectiveness of the use of funding within the local governmental unit for the delivery of services to persons with serious chemical dependency in order to assure that resources are made available to persons in the community;
2. provisions that grantees of such funds for the provision of chemical dependence detoxification services shall have a mechanism to link all clients receiving detoxification services to ongoing treatment for chemical dependency immediately upon the conclusion of their detoxification; and
3. other relevant factors that require the maintenance of existing chemical dependency services and the development of new chemical dependency services.
(b) Amounts provided pursuant to this section shall only be used to fund chemical dependence treatment services, including detoxification services, and associated local governmental unit administrative expenses such as approved net operating cost, fee-for-service reimbursement, or other financial mechanisms designed to achieve increased quality and cost effectiveness.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD04242-01-7
S. 2764 2
(c) Funds shall be distributed pursuant to this section to local governmental units in proportion to each unit's unmet need for chemical dependence treatment services, as established by the office, except that in distributing such funds, the commissioner shall consider the extent to which each local governmental unit has maintained local contributions for expenditures of chemical dependency services made pursuant to this section in any fiscal year at a level equal to or greater than the amount expended for such services by such local governmental unit in the last completed fiscal year preceding that fiscal year.
(d) The commissioner is authorized and empowered to make inspections and examine records of a local governmental unit receiving state aid under this section or a provider of services funded pursuant to subdivision (b) of this section. Such examination shall include all medical, service and financial records, receipts, disbursements, contracts, loans and other moneys relating to the financial operation of the provider.
(e) The amount of community chemical dependence services expansion funds for the office shall be determined in the annual budget and shall include the amount of general fund appropriation reductions attributable to reductions in medical assistance expenditures for medically managed chemical dependence detoxification. Such reductions shall be calculated by comparing medical assistance expenditures for medically managed chemical dependency detoxification in the base year with the same expenditures in the state fiscal year immediately preceding the base year. For purposes of this section, the base year shall be the state fiscal year in which the executive budget is issued. In computing such general fund expenditures, and in computing the state share of medical assistance pursuant to this section, the state share of medical assistance in effect on January first, two thousand five shall be used.
(f) For purposes of this section, the definitions contained in section 41.03 of this chapter shall apply, except that chemical dependence treatment services shall not include medically managed detoxification provided in general hospitals licensed pursuant to article twenty-eight of the public health law.
(g) No provision in this section shall create or be deemed to create any right, interest or entitlement to services or funds that are the subject of this section, or to any other services or funds, whether to individuals, localities, providers or others, individually or collectively.
§ 2. This act shall take effect immediately and shall expire and be deemed repealed March 31, 2022.
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Sponsor's memo
Title of bill
An act to amend the mental hygiene law, in relation to establishing the community chemical dependence services expansion program and providing for the repeal of such provisions upon expiration thereof
Purpose
The purpose of this bill is to reduce the over-utilization of New York City's medically managed detoxification services by increasing the availability of chemical dependency services available at local, community-based agencies.
Summary of provisions
Section one of this bill amends the Mental Hygiene Law to add a new section 22.13 to direct the Office of Alcoholism and Substance Abuse Services ("OASAS") to use funds attributable to reductions in expenditures for medically managed chemical dependence detoxification to provide grants to fund the Community Chemical Dependence Services Expansion Program. Grants will be distributed directly from OASAS to non-profit entities, and to local governmental units in proportion to the unmet need for chemical dependency services.
Section two of this bill provides that this act shall take effect immediately and shall expire March 31, 2020.
Justification
The New York City Department of Health and Mental Hygiene and OASAS have undertaken efforts to reduce the over-utilization of New York City's medically managed detoxification services by increasing the availability of, and incentives for patients to utilize less restrictive and less expensive alternatives. This substitution will result in more appropriate care as well as very significant savings for the State.
The proposed legislation will ensure that savings achieved by the substitution of less restrictive alternatives for medically managed inpatient detoxification will be reinvested in New York State's chemical dependency services system, and that community-based agencies receive the resources necessary to provide treatment and link clients to ongoing care.
The funds saved and reinvested will be necessary to fill any identified gaps, support initiatives that bring evidence-based treatment into practice in the community-based service sector, and improve the outcomes for people living with chemical dependency. initiatives that should benefit from such reinvestment include: case management, shelter and ambulatory-based detoxification centers, buprenotphine and methadone treatment capacity expansion, and services for patients with co-occurring psychiatric and addictive disorders.
Legislative history
2016: S.3230-A - Referred to Alcoholism and Drug Abuse 2015: S.3230 - Referred to Alcoholism and Drug Abuse 2014: S.2558-A - Referred to Mental Health & Developmental Disabilities 2013: S.2558 - Referred to Mental Health & Developmental Disabilities 2012: S.2214-A - Amended and Recommitted to Alcoholism and Drug Abuse 2010: S.2192 -Referred to Mental Health & Developmental Disabilities 2008: S.7514- Referred to Mental Health & Developmental Disabilities
Fiscal implications
None
Effective date
This act shall take effect immediately and shall expire March 31, 2022.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.