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Home/Bills/A 4118New York · 2025–2026 Legislative Session
Assembly BillIntroduced

A 4118: Provides for the certification of entities seeking to provide in-home based substance use disorder treatment services.

New York · Assembly · 2025–2026 Legislative Session · last verified January 8, 2026

What A 4118 does, verified January 8, 2026

The bill aims to establish a statewide process for certifying innovative substance use disorder treatment services, including in-home based services. The Office of Addiction Services and Supports will develop guidelines and a certification process, which must include a local governmental input and consultation process. Applicants must demonstrate compliance with regulatory standards and provide certain services, such as individual, family, and group counseling, patient-centered planning, and medication-assisted treatment. The bill also requires safety plans for suicide and overdose risk, monitoring of individuals at elevated risk, treatment recovery planning, and naloxone provision. The guidelines must be issued within six months of the bill's effective date, and the certification process will take effect immediately.

Bill journey
1IntroducedCurrent
2In CommitteePending
3First Chamber FloorPending
4Second ChamberPending
5GovernorPending
6ChapteredPending
Last action: referred to mental health (2026-01-07)Alert me
Recent actions2 total · showing 2
Jan. 07, 2026referred to mental health
Jan. 31, 2025referred to mental health
Latest bill textIntroduced version, January 31, 2025 · 526 words
  
  STATE OF NEW YORK ________________________________________________________________________ 4118 2025-2026 Regular Sessions  IN ASSEMBLY January 31, 2025 ___________ Introduced by M. of A. REYES -- read once and referred to the Committee on Mental Health AN ACT to amend the mental hygiene law, in relation to the certification of innovative statewide substance use disorder treatment services The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. The mental hygiene law is amended by adding a new section 2 32.05-b to read as follows: 3 § 32.05-b Certification of innovative statewide substance use disorder 4 treatment services. 5 1. The commissioner of the office of addiction services and supports 6 shall develop a statewide process for the certification of entities 7 seeking to provide in-home based substance use disorder treatment 8 services, pursuant to guidelines established by such commissioner. 9 Applicants shall demonstrate to the commissioner of the office of 10 addiction services and supports' satisfaction that they are able to meet 11 applicable regulatory service standards pursuant to 14 NYCRR part 822, 12 as amended from time to time. Out of state applicants shall be required 13 to be registered with the department of state, with a physical address 14 in the state of New York. 15 2. Notwithstanding article forty-one of this chapter, the commissioner 16 of the office of addiction services and supports shall develop a process 17 to ensure local governmental input and consultation for the review of 18 applications for certification under this section. Such process shall be 19 limited to one prior consultation meeting to be held with represen- 20 tatives of local governmental units, as determined by the commissioner 21 of the office of addiction services and supports. As part of such prior 22 consultation, applicants shall present an identified needs assessment to 23 support their application and a proposal for services. 24 3. Applicants under this section shall have the capacity to provide 25 individual, family and group counseling as clinically indicated by indi- EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD05315-01-5 

 A. 4118 2 1 vidual patient person-centered planning. In addition, applicants shall 2 be required to provide, at a minimum, the following: 3 (a) an admission assessment including a screening for problem gambl- 4 ing, overdose risk and co-occurring mental health conditions, including 5 suicide risk; 6 (b) safety plans for suicide and overdose risk based on the results of 7 such screenings; 8 (c) a plan for monitoring individuals at elevated risk for overdose or 9 suicide; 10 (d) treatment recovery planning and review; 11 (e) medication for addiction treatment, including a detailed policy 12 which describes referral to the first in-person visit; 13 (f) the provision of naloxone by prescription or dispensation; and 14 (g) toxicology testing. 15 4. The commissioner of the office of addiction services and supports 16 shall issue the guidelines required by this section not later than six 17 months from the effective date of this section. 18 § 2. This act shall take effect immediately. 

Text of A 4118 as introduced, from the official record. Connect Plus keeps every version and highlights what changed.Compare versions
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