Assembly Bill A3104

2023-2024 Legislative Session

Includes clinically necessary treatment for certain inpatient coverage

download bill text pdf

Sponsored By

Current Bill Status - In Assembly Committee


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

Do you support this bill?

Please enter your contact information

Home address is used to determine the senate district in which you reside. Your support or opposition to this bill is then shared immediately with the senator who represents you.

Optional services from the NY State Senate:

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Include a custom message for your Senator? (Optional)

Enter a message to your senator. Many New Yorkers use this to share the reasoning behind their support or opposition to the bill. Others might share a personal anecdote about how the bill would affect them or people they care about.
Actions

co-Sponsors

2023-A3104 (ACTIVE) - Details

See Senate Version of this Bill:
S4529
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §3216, Ins L
Versions Introduced in 2021-2022 Legislative Session:
S7352

2023-A3104 (ACTIVE) - Summary

Includes clinically necessary treatment for certain inpatient coverage, which shall mean an individual's medical needs and any social determinants of health that will promote such individual's stability following discharge from treatment.

2023-A3104 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   3104
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 2, 2023
                                ___________
 
 Introduced by M. of A. McDONALD -- read once and referred to the Commit-
   tee on Insurance
 
 AN  ACT  to amend the insurance law, in relation to including clinically
   necessary treatment for certain inpatient coverage
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1.  Paragraph  30  of  subsection  (i) of section 3216 of the
 insurance law, as amended by section 5 of subpart A of part BB of  chap-
 ter 57 of the laws of 2019, is amended to read as follows:
   (30)(A)  Every policy that provides hospital, major medical or similar
 comprehensive coverage shall provide inpatient coverage for the  diagno-
 sis  and  treatment  of substance use disorder, including detoxification
 and rehabilitation services. Such inpatient coverage [shall] MAY include
 [unlimited medically] CLINICALLY necessary treatment for  substance  use
 disorder  treatment  services  provided  in  residential settings AT THE
 DISCRETION OF THE SERVICE PROVIDER.  Further,  such  inpatient  coverage
 shall not apply financial requirements or treatment limitations, includ-
 ing utilization review requirements, to inpatient substance use disorder
 benefits  that  are  more  restrictive  than  the  predominant financial
 requirements and treatment  limitations  applied  to  substantially  all
 medical and surgical benefits covered by the policy.
   (B)  Coverage  provided under this paragraph may be limited to facili-
 ties in New York state that are licensed, certified or otherwise author-
 ized by  the  office  of  [alcoholism  and  substance  abuse]  ADDICTION
 services  AND  SUPPORTS and, in other states, to those which are accred-
 ited by the joint commission as alcoholism, substance abuse, or chemical
 dependence treatment programs and are similarly licensed,  certified  or
 otherwise authorized in the state in which the facility is located.
   (C)  Coverage  provided  under this paragraph may be subject to annual
 deductibles and co-insurance as deemed appropriate by the superintendent
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD04901-01-3
 A. 3104                             2
              

Comments

Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.

Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.

Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.