Assembly Actions - Lowercase Senate Actions - UPPERCASE |
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Apr 25, 2014 | print number 4623a |
Apr 25, 2014 | amend and recommit to insurance |
Jan 08, 2014 | referred to insurance |
Apr 16, 2013 | referred to insurance |
senate Bill S4623A
Sponsored By
Kemp Hannon
(R, C, IP) 0 Senate District
Archive: Last Bill Status - In Senate Committee Insurance Committee
- Introduced
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
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Actions
Bill Amendments
Co-Sponsors
Greg Ball
(R, C, IP) 0 Senate District
Phil Boyle
(R) 4th Senate District
David Carlucci
(D) 0 Senate District
John J. Flanagan
(R, C, IP) 0 Senate District
S4623 - Details
- See Assembly Version of this Bill:
- A7003
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd ยงยง3216, 3221 & 4303, Ins L
S4623 - Sponsor Memo
BILL NUMBER:S4623 TITLE OF BILL: An act to amend the insurance law, in relation to requiring health insurance coverage for drug and alcohol abuse and dependency treatment services PURPOSE: To ensure that patients suffering from drug and alcohol dependency receive appropriate care, by directing insurers to provide authorization and payment to appropriately licensed healthcare providers for detoxification, rehabilitation and intensive residential rehabilitation based on the examining physician's recommendation. SUMMARY OF PROVISIONS: Section 1 adds a new paragraph (30) to subsection (i) of section 3216 of the Insurance Law to require every policy delivered or issued for delivery in New York State which provides medical, major medical, or similar comprehensive-type coverage to include specific coverage for drug and alcohol abuse and dependency treatment services that are certified as necessary by a qualified health professional. The only prerequisite for the coverage of hospital-based detoxification is the certification and referral by a qualified health professional which will control both the nature and the duration of covered treatment, excepting when the attending physician providing the drug and alcohol treatment certifies that admission of the covered person is not necessary, early discharge is appropriate, or additional days or
S4623 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4623 2013-2014 Regular Sessions I N S E N A T E April 16, 2013 ___________ Introduced by Sen. HANNON -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance AN ACT to amend the insurance law, in relation to requiring health insurance coverage for drug and alcohol abuse and dependency treatment services 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 SPECIFIC COVERAGE FOR DRUG AND ALCOHOL ABUSE AND DEPENDENCY TREATMENT SERVICES THAT ARE CERTIFIED AS NECESSARY BY A QUAL- IFIED HEALTH PROFESSIONAL, AS DEFINED IN THE REGULATIONS OF THE COMMIS- SIONER OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES. (B) THE ONLY PREREQUISITE FOR THE COVERAGE OF HOSPITAL OR NON-HOSPITAL BASED DETOXIFICATION, INCLUDING MEDICALLY MANAGED, MEDICALLY SUPERVISED AND MEDICALLY MONITORED WITHDRAWAL, OR INPATIENT OR INTENSIVE RESIDEN- TIAL REHABILITATION, OR INTENSIVE OR ROUTINE OUTPATIENT TREATMENT, SHALL BE THAT A COVERED PERSON BE CERTIFIED AND REFERRED BY A QUALIFIED HEALTH PROFESSIONAL. SUCH CERTIFICATION AND REFERRAL SHALL CONTROL BOTH THE NATURE AND DURATION OF COVERED TREATMENT; PROVIDED, HOWEVER, THAT SUCH COVERAGE SHALL BE TERMINATED WHEN THE ADMITTING OR ATTENDING PHYSICIAN, OR A PHYSICIAN ASSISTANT OR NURSE PRACTITIONER ACTING UNDER THE SUPER- VISION OF A PHYSICIAN, PROVIDING DETOXIFICATION, REHABILITATION OR OUTPATIENT TREATMENT CERTIFIES THAT ADMISSION OF THE COVERED PERSON IS NOT NECESSARY, EARLY DISCHARGE IS APPROPRIATE OR ADDITIONAL INPATIENT DAYS OR SESSIONS ARE NECESSARY. (C) THE LOCATION OF COVERED TREATMENT PURSUANT TO THIS PARAGRAPH SHALL BE SUBJECT TO THE INSURER'S REQUIREMENTS RELATING TO THE USE OF PARTIC- EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD05370-02-3
Co-Sponsors
Tony Avella
(D) 0 Senate District
Greg Ball
(R, C, IP) 0 Senate District
Phil Boyle
(R) 4th Senate District
David Carlucci
(D) 0 Senate District
S4623A (ACTIVE) - Details
- See Assembly Version of this Bill:
- A7003
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd ยงยง3216, 3221 & 4303, Ins L
S4623A (ACTIVE) - Sponsor Memo
BILL NUMBER:S4623A TITLE OF BILL: An act to amend the insurance law, in relation to requiring health insurance coverage for drug and alcohol abuse and dependency treatment services TITLE OF BILL: An act to amend the insurance law, in relation to requiring health insurance coverage for drug and alcohol abuse and dependency treatment services PURPOSE: To ensure that patients suffering from drug and alcohol dependency receive appropriate care, by directing insurers to provide authorization and payment to appropriately licensed healthcare providers for detoxifi- cation, rehabilitation and intensive residential rehabilitation based on the examining physician's recommendation. SUMMARY OF PROVISIONS: Section 1 adds a new paragraph (30) to subsection (i) of section 3216 of the Insurance Law to require every policy delivered or issued for deliv- ery in New York State which provides medical, major medical, or similar comprehensive-type coverage to include specific coverage for drug and alcohol abuse and dependency treatment services that are certified as necessary by a qualified health professional. The only prerequisite for
S4623A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4623--A 2013-2014 Regular Sessions I N S E N A T E April 16, 2013 ___________ Introduced by Sens. HANNON, BALL, BOYLE, CARLUCCI, FLANAGAN, GIPSON, GRISANTI, LATIMER, LAVALLE, MARCELLINO, MARTINS, PARKER, TKACZYK, YOUNG, ZELDIN -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance -- recommitted to the Committee on Insurance in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the insurance law, in relation to requiring health insurance coverage for drug and alcohol abuse and dependency treatment services 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 SPECIFIC COVERAGE FOR DRUG AND ALCOHOL ABUSE AND DEPENDENCY TREATMENT SERVICES THAT ARE CERTIFIED AS NECESSARY BY A QUAL- IFIED HEALTH PROFESSIONAL, AS DEFINED IN THE REGULATIONS OF THE COMMIS- SIONER OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES. (B) THE ONLY PREREQUISITE FOR THE COVERAGE OF HOSPITAL OR NON-HOSPITAL BASED DETOXIFICATION, INCLUDING MEDICALLY MANAGED, MEDICALLY SUPERVISED AND MEDICALLY MONITORED WITHDRAWAL, OR INPATIENT OR INTENSIVE RESIDEN- TIAL REHABILITATION, OR INTENSIVE OR ROUTINE OUTPATIENT TREATMENT, SHALL BE THAT A COVERED PERSON BE CERTIFIED AND REFERRED BY A QUALIFIED HEALTH PROFESSIONAL. SUCH CERTIFICATION AND REFERRAL SHALL CONTROL BOTH THE NATURE AND DURATION OF COVERED TREATMENT; PROVIDED, HOWEVER, THAT SUCH COVERAGE SHALL BE TERMINATED WHEN THE ADMITTING OR ATTENDING PHYSICIAN, OR A PHYSICIAN ASSISTANT OR NURSE PRACTITIONER PROVIDING DETOXIFICATION, REHABILITATION OR OUTPATIENT TREATMENT CERTIFIES THAT ADMISSION OF THE COVERED PERSON IS NOT NECESSARY, EARLY DISCHARGE IS APPROPRIATE OR ADDI- TIONAL INPATIENT DAYS OR SESSIONS ARE NECESSARY. (C) THE LOCATION OF COVERED TREATMENT PURSUANT TO THIS PARAGRAPH SHALL BE SUBJECT TO THE INSURER'S REQUIREMENTS RELATING TO THE USE OF PARTIC-
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