senate Bill S7103

2013-2014 Legislative Session

Requires health insurance to cover drug and alcohol abuse and dependency treatment services

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Apr 28, 2014 referred to insurance

Co-Sponsors

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S7103 - Details

Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

S7103 - Summary

Requires health insurance to cover drug and alcohol abuse and dependency treatment services.

S7103 - Sponsor Memo

S7103 - Bill Text download pdf

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

                                  7103

                            I N  S E N A T E

                             April 28, 2014
                               ___________

Introduced  by  Sens.  GIPSON, BRESLIN, DILAN, HOYLMAN, KRUEGER, PARKER,
  PERKINS, STAVISKY -- 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 THE
DURATION OF SUCH COVERAGE SHALL NOT BE LESS THAN SIXTY DAYS AND  MAY  BE
TERMINATED  ONLY  WHEN AND IF THE ADMITTING OR ATTENDING PHYSICIAN, OR A
PHYSICIAN ASSISTANT OR NURSE PRACTITIONER ACTING UNDER  THE  SUPERVISION
OF THE ADMITTING OR ATTENDING PHYSICIAN, PROVIDING DETOXIFICATION, REHA-
BILITATION  OR  OUTPATIENT  TREATMENT  CERTIFIES  THAT  ADMISSION OF THE
COVERED PERSON IS NOT NECESSARY AND EARLY DISCHARGE IS APPROPRIATE.  THE
DURATION  OF  SUCH COVERAGE SHALL BE EXTENDED BY AS MANY AS THIRTY ADDI-
TIONAL INPATIENT DAYS OR SESSIONS IF THE ADMITTING OR  ATTENDING  PHYSI-
CIAN,  OR  A  PHYSICIAN ASSISTANT OR NURSE PRACTITIONER ACTING UNDER THE
SUPERVISION OF THE ADMITTING OR ATTENDING PHYSICIAN,  DEEMS  SUCH  ADDI-
TIONAL DAYS OR SESSIONS ARE NECESSARY.

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

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