What's happening
This bill establishes a program to expand community chemical dependency services and funding, with specific criteria and oversight, until March 31, 2023.
Why it matters
Targets funding to address unmet needs. The bill ensures that funds are distributed to local governments based on their specific unmet needs for chemical dependency treatment, aiming to direct resources where the gaps are greatest.
Requires linkage from detox to ongoing care. Grantees providing detox services must connect clients to follow-up treatment immediately after detoxification, which could improve recovery outcomes and reduce relapse rates.
Builds in oversight and accountability. The commissioner is given authority to inspect and examine financial and service records of recipients, promoting transparency and responsible use of state funds.
Excludes hospital-based detox and sets clear limits. The funding cannot be used for medically managed detoxification in general hospitals, focusing instead on expanding community-based services and clarifying that the program does not create new entitlements to care or funding.
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Who cares
Headline styles
Expand Addiction Treatment Services
Plain English, a few words. Used as the page title.
Sponsors
3 Co-sponsors
History
- Referred to alcoholism and substance abuse
- Referred to alcoholism and substance abuse
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
5043
2019-2020 Regular Sessions
IN SENATE
April 4, 2019
Introduced by Sens. PARKER, BAILEY, HOYLMAN, MONTGOMERY -- read twice and ordered printed, and when printed to be committed to the Committee on Alcoholism and Substance Abuse
AN ACT to amend the mental hygiene law, in relation to establishing the community chemical dependency 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 dependency 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 dependency 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 dependency treatment services, including detoxification services, and associated local governmental unit administrative expenses such as approved net operating cost, fee-for-service reimbursement, or
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD10644-01-9
S. 5043 2
other financial mechanisms designed to achieve increased quality and cost effectiveness.
(c) Funds shall be distributed pursuant to this section to local governmental units in proportion to each unit's unmet need for chemical dependency 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 dependency 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 dependency 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 dependency 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, 2023.
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 dependency services expansion program; and providing for the repeal of such provisions upon expiration thereof
Purpose or general idea of bill
This bill aims to create a chemical dependence detoxification reinvest- ment program with a mechanism to link patients to treatment upon the conclusion of their detoxification. This bill would take funds that were saved by providing more effective treatment and reinvest them into the system to treat others suffering from chemical dependence.
Summary of specific provisions
Section 1 of the bill amends the mental hygiene law by adding a new section 22.13 which would establish the community chemical dependency services expansion program.
Justification
In the area of addiction treatment, one of the most pressing needs for systemic reform relates to detoxification for individuals with addiction treatment needs. The current detoxification service delivery system relies almost exclusively on intensive, inpatient, hospital-based detox- ification. Many of those served in hospital-based programs do not require such a high level of care and could be served in less intensive, and less expensive, community-based detoxification programs. In order to meet increasing demands for community based detoxification services community based providers need additional financial resources to main- tain an appropriate level of care.
Prior legislative history
2017-18: S.3591 - REFERRED TO ALCOHOLISM AND DRUG ABUSE 2015-16: S.3980A - Amend and Recommit to Alcoholism and Drug Abuse 2013-14: S.5471A - Amend and Recommit to Alcoholism and Drug Abuse 2011-12: A.1887 - Referred to Alcoholism and Drug Abuse 2009-10: A.6952 - Referred to Alcoholism and Drug Abuse
Fiscal implications for state and local governments
This bill will be funded on projected savings resulting from recent detoxification hospital rate reforms that are to encourage more effi- cient discharge planning and utilization of less expensive community based detoxification services. These rate reforms will phased in over a 4 year period.
Effective date
This act shall take effect immediately and expire on March 31, 2023.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.