Environment
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
StateNew YorkReferred
A 11665: Relates to telehealth in-home mental health service delivery
Rules Committee
A 11665 status: Referred — REFERRED TO MENTAL HEALTH (updated Sep 2, 2026).
Source
LegiScan
Confidence
High
Analysis basis
LegiScan full bill text
01
What this bill does
Official summary alongside an AI-generated read on where it stands and why.
Overall Score
81OUT OF 100
Score:81/100 civic fit
Risk:Low Risk
Impact:Moderate Impact 65/100
Constitutionality95%
Bipartisan80%
Public opinion90%
Bill summary
What changes
The bill codifies the right of Article 31 mental health providers to deliver telehealth services to patients anywhere in New York, regardless of the patient's county of residence. It also prohibits regional offices from imposing non-regulatory geographic restrictions and establishes parity in Medicaid reimbursement for in-home services when telehealth is not a viable option.
Who is affected
Licensed Article 31 mental health providers and patients seeking mental health outpatient treatment and rehabilitative services across New York State.
Requirements and enforcement
Providers must follow state-approved telehealth plans; the Office of Mental Health must issue standardized guidance to regional offices within 180 days.
Costs and funding
The bill stipulates that the Medicaid reimbursement rate for in-home services will be equivalent to the standard office visit rate to ensure no additional fiscal impact.
When it takes effect
Takes effect on the 90th day after becoming law.
Potential benefits
Improved patient access to mental health professionals, standardized regulatory interpretation, elimination of arbitrary county-based service barriers, and ensuring continuity of care.
Risks and tradeoffs
Potential operational transition challenges for OMH, risk of uneven service distribution, and administrative demands on regional offices to align policies.
What is still unknown
The long-term impact on Medicaid budget utilization if in-home service volume increases significantly beyond current projections.
02
Impact analysis
✦ AI analysisModeled effects across six domains, estimated from bill text and comparable legislation.
Economy
Positive outlook
75%
Benefits
- Increases reachable patient pool for providers
- Reduces regulatory compliance costs and administrative uncertainty
- Establishes Medicaid reimbursement parity for in-home services
Risks
- Potential for unexpected administrative burdens during OMH transition
- Risk of market consolidation favoring larger, multi-county providers
- Requires operational adjustments for smaller community clinics
Society
Positive outlook
85%
Benefits
- Removes geographic barriers to essential mental health care
- Empowers patient choice in selecting providers
- Ensures continuity of care regardless of residence
Risks
- Potential loss of local in-person therapeutic community engagement
- Risk of excluding patients with low digital literacy
- Potential for increased wait times if provider demand spikes
Technology Industry
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
Civic Accountability
Positive outlook
80%
Benefits
- Prohibits informal non-regulatory service restrictions
- Mandates uniform application of policy by regional offices
- Increases transparency in operating certificate renewals
Risks
- Requires intensive oversight of regional field office compliance
- Reduces regional flexibility to tailor service area needs
- Places potential strain on agency management resources
Public Health & Safety
Positive outlook
85%
Benefits
- Improves overall mental health outcomes through consistent access
- Reduces service gaps during transition periods
- Ensures viable care options for high-need, immobile populations
Risks
- Potential diagnostic limitations in non-clinical settings
- Risk of service fragmentation without local coordination
- Clinical safety concerns in unsupervised in-home environments
03
How trustworthy & consequential it is
Sourcing already shown above, this is what the analysis found worth flagging.
Source
LegiScan
Official bill text or data from LegiScan.
Confidence
High
Information is complete and verified.
Analysis basis
LegiScan full bill text
Source used for this bill's analysis.
Source note
The transition to state-wide service delivery may temporarily stress regional administrative capacity.
Analysis scope
Does not specify the mechanism for how Medicaid billing will verify in-home visits versus telehealth.
04
Where it stands
Official record- IntroducedComplete
- CommitteeCurrent
- Chamber votesUpcoming
- Final agreementUpcoming
- GovernorUpcoming
- EnactedUpcoming
05
How it affects your district
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06
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