senate Bill S7912

Signed By Governor
2013-2014 Legislative Session

Relates to insurance coverage for substance abuse disorder

download bill text pdf

Sponsored By

Archive: Last Bill Status -


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

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Actions

view actions (13)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 23, 2014 signed chap.41
delivered to governor
Jun 19, 2014 returned to senate
passed assembly
message of necessity - 3 day message
ordered to third reading rules cal.591
substituted for a10164
referred to ways and means
delivered to assembly
passed senate
message of necessity - 3 day message
ordered to third reading cal.1643
Jun 17, 2014 referred to rules

Co-Sponsors

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S7912 - Details

See Assembly Version of this Bill:
A10164
Law Section:
Insurance Law
Laws Affected:
Amd §§309, 3216, 3221, 4303, 4900, 4902, 4903 & 4904 Ins L; amd §§4409, 4900, 4902, 4903 & 4904, Pub Health L

S7912 - Summary

Relates to insurance coverage for substance use disorder; requires health plans to use a health care provider who specializes in behavioral health or substance use disorder treatment to supervise and oversee the medical management decisions relating to substance abuse treatment.

S7912 - Sponsor Memo

S7912 - Bill Text download pdf

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

    S. 7912                                                 A. 10164

                      S E N A T E - A S S E M B L Y

                              June 17, 2014
                               ___________

IN SENATE -- Introduced by Sens. SEWARD, HANNON, MARTINS, RITCHIE -- (at
  request  of  the Governor) -- read twice and ordered printed, and when
  printed to be committed to the Committee on Rules

IN ASSEMBLY -- Introduced by COMMITTEE ON RULES -- (at request of M.  of
  A.  Cusick)  -- (at request of the Governor) -- read once and referred
  to the Committee on Insurance

AN ACT to amend the insurance law and the public health law, in relation
  to requiring health insurance  coverage  for  substance  use  disorder
  treatment  services  and creating a workgroup to study and make recom-
  mendations

  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 two new paragraphs 30 and 31 to read as follows:
  (30)(A) EVERY POLICY THAT PROVIDES HOSPITAL, MAJOR MEDICAL OR  SIMILAR
COMPREHENSIVE COVERAGE MUST PROVIDE INPATIENT COVERAGE FOR THE DIAGNOSIS
AND  TREATMENT  OF  SUBSTANCE USE DISORDER, INCLUDING DETOXIFICATION AND
REHABILITATION  SERVICES.  SUCH  COVERAGE  SHALL  NOT  APPLY   FINANCIAL
REQUIREMENTS  OR TREATMENT LIMITATIONS TO INPATIENT SUBSTANCE USE DISOR-
DER 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.    FURTHER,  SUCH
COVERAGE  SHALL  BE  PROVIDED CONSISTENT WITH THE FEDERAL PAUL WELLSTONE
AND PETE DOMENICI MENTAL HEALTH PARITY AND ADDICTION EQUITY ACT OF  2008
(29 U.S.C. S 1185A).
  (B)  COVERAGE  PROVIDED UNDER THIS PARAGRAPH MAY BE LIMITED TO FACILI-
TIES IN NEW YORK STATE WHICH ARE CERTIFIED BY THE OFFICE  OF  ALCOHOLISM
AND  SUBSTANCE  ABUSE  SERVICES AND, IN OTHER STATES, TO THOSE WHICH ARE
ACCREDITED BY THE JOINT COMMISSION AS ALCOHOLISM,  SUBSTANCE  ABUSE,  OR
CHEMICAL DEPENDENCE TREATMENT PROGRAMS.
  (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.
                                                           LBD12108-01-4

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