Assembly Bill A10037

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  10037

                          I N  A S S E M B L Y

                              June 10, 2014
                               ___________

Introduced  by  COMMITTEE  ON  RULES  -- (at request of M. of A. Paulin,
  Barrett, Dinowitz, Fahy, Gunther, Jacobs, Otis,  Scarborough,  Thiele,
  Titone, Weisenberg, Giglio, Graf, Lupinacci, Montesano, Palumbo, Raia,
  Buchwald,  Camara,  Ceretto,  Cook, McLaughlin, Mosley, Perry, Rivera,
  Sweeney) -- read once and referred to the Committee on Insurance

AN ACT to amend the insurance  law,  in  relation  to  requiring  health
  insurance coverage of inpatient treatment of opioid addiction

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
amended by adding a new paragraph 30 to read as follows:
  (30)(A)  EVERY  POLICY  DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE
WHICH PROVIDES MEDICAL,  MAJOR  MEDICAL  OR  SIMILAR  COMPREHENSIVE-TYPE
COVERAGE SHALL INCLUDE COVERAGE FOR BOTH INPATIENT AND OUTPATIENT OPIOID
ADDICTION SERVICES THAT ARE PROVIDED BY A QUALIFIED HEALTH PROFESSIONAL,
AS  DEFINED  IN  THE  REGULATIONS  OF THE COMMISSIONER OF ALCOHOLISM AND
SUBSTANCE ABUSE SERVICES.
  (B) EACH SUCH POLICY SHALL PROVIDE COVERAGE OF THE PROVISION OF HOSPI-
TAL AND  NON-HOSPITAL  BASED  TREATMENT,  INCLUDING  MEDICALLY  MANAGED,
MEDICALLY SUPERVISED AND MEDICALLY MONITORED WITHDRAWAL, OR INPATIENT OR
INTENSIVE RESIDENTIAL REHABILITATION, OR INTENSIVE OR ROUTINE OUTPATIENT
TREATMENT,  AS  DETERMINED  BY THE COVERED PERSON IN CONSULTATION WITH A
QUALIFIED HEALTH PROFESSIONAL.
  S 2. Subsection (l) of section 3221 of the insurance law is amended by
adding a new paragraph 19 to read as follows:
  (19) (A) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED FOR  DELIV-
ERY  IN  THIS  STATE  WHICH  PROVIDES  MEDICAL, MAJOR MEDICAL OR SIMILAR
COMPREHENSIVE-TYPE COVERAGE SHALL INCLUDE COVERAGE  FOR  BOTH  IMPATIENT
AND  OUTPATIENT  OPIOID ADDICTION SERVICES THAT ARE PROVIDED BY A QUALI-
FIED HEALTH PROFESSIONAL, AS DEFINED IN THE REGULATIONS OF  THE  COMMIS-
SIONER OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES.
  (B) EACH SUCH POLICY SHALL PROVIDE COVERAGE OF THE PROVISION OF HOSPI-
TAL  AND  NON-HOSPITAL  BASED  TREATMENT,  INCLUDING  MEDICALLY MANAGED,
MEDICALLY SUPERVISED AND MEDICALLY MONITORED WITHDRAWAL, OR INPATIENT OR

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
              

                                                           LBD14649-01-4

A. 10037                            2

INTENSIVE RESIDENTIAL REHABILITATION, OR INTENSIVE OR ROUTINE OUTPATIENT
TREATMENT, AS DETERMINED BY THE COVERED PERSON IN  CONSULTATION  WITH  A
QUALIFIED HEALTH PROFESSIONAL.
  S  3.  Section  4303  of  the insurance law is amended by adding a new
subsection (oo) to read as follows:
  (OO) (1) EVERY CONTRACT ISSUED BY A HOSPITAL SERVICE COMPANY OR HEALTH
SERVICE CORPORATION WHICH PROVIDES MEDICAL,  MAJOR  MEDICAL  OR  SIMILAR
COMPREHENSIVE-TYPE  COVERAGE  SHALL  INCLUDE COVERAGE FOR BOTH INPATIENT
AND OUTPATIENT OPIOID ADDICTION SERVICES THAT ARE PROVIDED BY  A  QUALI-
FIED  HEALTH  PROFESSIONAL, AS DEFINED IN THE REGULATIONS OF THE COMMIS-
SIONER OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES.
  (2) EACH SUCH CONTRACT SHALL PROVIDE  COVERAGE  OF  THE  PROVISION  OF
HOSPITAL  AND NON-HOSPITAL BASED TREATMENT, INCLUDING MEDICALLY MANAGED,
MEDICALLY SUPERVISED AND MEDICALLY MONITORED WITHDRAWAL, OR IMPATIENT OR
INTENSIVE RESIDENTIAL REHABILITATION, OR INTENSIVE OR ROUTINE OUTPATIENT
TREATMENT, AS DETERMINED BY THE COVERED PERSON IN  CONSULTATION  WITH  A
QUALIFIED HEALTH PROFESSIONAL.
  S  4.  This  act shall take effect on the thirtieth day after it shall
have become a law.