S T A T E O F N E W Y O R K
________________________________________________________________________
3671
2013-2014 Regular Sessions
I N A S S E M B L Y
January 28, 2013
___________
Introduced by M. of A. LUPARDO -- read once and referred to the Commit-
tee on Insurance
AN ACT to amend the insurance law, in relation to health insurance
coverage of outpatient care provided by licensed marriage and family
therapists
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Item (ii) of subparagraph (A) of paragraph 5 of subsection
(1) of section 3221 of the insurance law, as amended by chapter 502 of
the laws of 2007, is amended to read as follows:
(ii) where the policy provides coverage for physician services, it
shall include benefits for outpatient care provided by a psychiatrist or
psychologist licensed to practice in this state, MARRIAGE AND FAMILY
THERAPIST LICENSED PURSUANT TO ARTICLE ONE HUNDRED SIXTY-THREE OF THE
EDUCATION LAW, OR a licensed clinical social worker who meets the
requirements of subparagraph (D) of paragraph four of this subsection,
or a professional corporation or university faculty practice corporation
thereof. Such benefits may be limited to not less than twenty visits in
any contract year, plan year, or calendar year.
S 2. Paragraph 1 of subsection (h) of section 4303 of the insurance
law, as amended by chapter 502 of the laws of 2007, is amended to read
as follows:
(1) A medical expense indemnity corporation or a health service corpo-
ration, which provides group, group remittance or school blanket cover-
age for physician services, shall provide as part of its contract broad-
based coverage for the diagnosis and treatment of mental, nervous or
emotional disorders or ailments, however defined in such contract, at
least equal to the coverage provided for other health conditions and
shall include: benefits for outpatient care provided by a psychiatrist
or psychologist licensed to practice in this state, MARRIAGE AND FAMILY
THERAPIST LICENSED PURSUANT TO ARTICLE ONE HUNDRED SIXTY-THREE OF THE
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD07059-01-3
A. 3671 2
EDUCATION LAW, OR a licensed clinical social worker who meets the
requirements of subsection (n) of this section, or a professional corpo-
ration or university faculty practice corporation thereof, which bene-
fits may be limited to not less than twenty visits in any contract year,
plan year or calendar year. Such coverage may be provided on a contract
year, plan year or calendar year basis and shall be consistent with the
provision of other benefits under the contract. Such coverage may be
subject to annual deductibles, co-pays and coinsurance as may be deemed
appropriate by the superintendent and shall be consistent with those
imposed on other benefits under the contract. In the event the group
remittance group or contract holder is provided coverage provided under
this paragraph and under subparagraph (B) of paragraph one of subsection
(g) of this section from the same health service corporation, or under a
contract which is jointly underwritten by two health service corpo-
rations or by a health service corporation and a medical expense indem-
nity corporation, the aggregate of the benefits for out-patient care
obtained under subparagraph (B) of paragraph one of subsection (g) of
this section and this paragraph may be limited to not less than twenty
visits in any contract year, plan year or calendar year.
S 3. This act shall take effect on the first of January next succeed-
ing the date on which it shall have become a law and shall apply to
policies and contracts issued, renewed, modified, altered or amended on
or after such effective date.