Senate Bill S5486A

2015-2016 Legislative Session

Prohibits providers of health care coverage from requiring behavioral health providers to provide all products offered by the health care plan

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Finance Committee


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

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Bill Amendments

co-Sponsors

2015-S5486 - Details

See Assembly Version of this Bill:
A7846
Current Committee:
Senate Finance
Law Section:
Social Services Law
Laws Affected:
Amd §365-m, Soc Serv L; amd §§2511 & 4406-c, Pub Health L; amd §§3217-b & 4325, Ins L
Versions Introduced in Other Legislative Sessions:
2017-2018: S877, A23
2019-2020: S3963, A252
2021-2022: S1573, A1316

2015-S5486 - Summary

Prohibits providers of health care coverage from requiring behavioral health providers to provide all products offered by the health care plan.

2015-S5486 - Sponsor Memo

2015-S5486 - Bill Text download pdf

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

                                  5486

                       2015-2016 Regular Sessions

                            I N  S E N A T E

                              May 14, 2015
                               ___________

Introduced  by Sens. ORTT, HANNON -- read twice and ordered printed, and
  when printed to be committed to the Committee on Health

AN ACT to amend the social services law, the public health law  and  the
  insurance  law,  in  relation to prohibiting a provider of health care
  coverage from requiring providers of  behavioral  health  services  to
  offer all products offered by the provider of health care coverage

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

  Section 1. Section 365-m of the social  services  law  is  amended  by
adding a new subdivision 6 to read as follows:
  6. NO MANAGED CARE PROVIDER SUBJECT TO THE PROVISIONS OF SECTION THREE
HUNDRED  SIXTY-FOUR-J  OF THIS TITLE SHALL BY CONTRACT OR WRITTEN POLICY
OR  PROCEDURE,  REQUIRE   PROVIDERS   LICENSED   PURSUANT   TO   ARTICLE
TWENTY-EIGHT OF THE PUBLIC HEALTH LAW, OR PURSUANT TO ARTICLE THIRTY-ONE
OR  THIRTY-TWO  OF  THE  MENTAL  HYGIENE LAW PROVIDING BEHAVIORAL HEALTH
SERVICES TO PARTICIPATE IN ALL PRODUCTS OFFERED  BY  SUCH  MANAGED  CARE
PROVIDER.  PROVIDERS  LICENSED  PURSUANT  TO ARTICLE TWENTY-EIGHT OF THE
PUBLIC HEALTH LAW, OR PURSUANT TO ARTICLE THIRTY-ONE  OR  THIRTY-TWO  OF
THE  MENTAL  HYGIENE LAW PROVIDING BEHAVIORAL HEALTH SERVICES SHALL HAVE
THE RIGHT TO SELECT BY EXECUTION OF A SEPARATE  AGREEMENT  THE  PRODUCTS
THAT  THE  PROVIDER  AGREES  TO PARTICIPATE IN THE IN-NETWORK PORTION OF
SUCH MANAGED CARE PROVIDER.
  S 2. Section 2511 of the public health law is amended by adding a  new
subdivision 22 to read as follows:
  22.  NO  APPROVED  ORGANIZATION SHALL BY CONTRACT OR WRITTEN POLICY OR
PROCEDURE, REQUIRE PROVIDERS LICENSED PURSUANT TO  ARTICLE  TWENTY-EIGHT
OF  THIS CHAPTER, OR PURSUANT TO ARTICLE THIRTY-ONE OR THIRTY-TWO OF THE
MENTAL HYGIENE LAW PROVIDING BEHAVIORAL HEALTH SERVICES  TO  PARTICIPATE
IN  ALL PRODUCTS OFFERED BY SUCH ORGANIZATION. PROVIDERS LICENSED PURSU-
ANT TO ARTICLE TWENTY-EIGHT OF THIS  CHAPTER,  OR  PURSUANT  TO  ARTICLE
THIRTY-ONE  OR THIRTY-TWO OF THE MENTAL HYGIENE LAW PROVIDING BEHAVIORAL

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD10990-01-5
              

co-Sponsors

2015-S5486A (ACTIVE) - Details

See Assembly Version of this Bill:
A7846
Current Committee:
Senate Finance
Law Section:
Social Services Law
Laws Affected:
Amd §365-m, Soc Serv L; amd §§2511 & 4406-c, Pub Health L; amd §§3217-b & 4325, Ins L
Versions Introduced in Other Legislative Sessions:
2017-2018: S877, A23
2019-2020: S3963, A252
2021-2022: S1573, A1316

2015-S5486A (ACTIVE) - Summary

Prohibits providers of health care coverage from requiring behavioral health providers to provide all products offered by the health care plan.

2015-S5486A (ACTIVE) - Sponsor Memo

2015-S5486A (ACTIVE) - Bill Text download pdf

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

                                 5486--A
    Cal. No. 1284

                       2015-2016 Regular Sessions

                            I N  S E N A T E

                              May 14, 2015
                               ___________

Introduced  by Sens. ORTT, AMEDORE, FELDER, HANNON, MURPHY -- read twice
  and ordered printed, and when printed to be committed to the Committee
  on Health -- reported favorably from said committee, ordered to  first
  and  second report, amended on second report, ordered to a third read-
  ing, and to be reprinted as amended, retaining its place in the  order
  of third reading

AN  ACT  to amend the social services law, the public health law and the
  insurance law, in relation to prohibiting a provider  of  health  care
  coverage  from  requiring  providers  of behavioral health services to
  offer all products offered by the provider of health care coverage

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

  Section  1.  Section  365-m  of  the social services law is amended by
adding a new subdivision 6 to read as follows:
  6.  (A)  NO  MANAGED  CARE  PROVIDER  UNDER  SECTION   THREE   HUNDRED
SIXTY-FOUR-J OF THIS TITLE SHALL BY CONTRACT OR WRITTEN POLICY OR PROCE-
DURE,  REQUIRE  A  BEHAVIORAL HEALTH SERVICES PROVIDER TO PARTICIPATE IN
THE IN-NETWORK PORTION OF ANY  PRODUCT  OFFERED  BY  SUCH  MANAGED  CARE
PROVIDER,  OTHER  THAN  PRODUCTS  UNDER  SUCH SECTION. BEHAVIORAL HEALTH
SERVICES PROVIDERS SHALL HAVE THE RIGHT TO  SELECT  BY  EXECUTION  OF  A
SEPARATE  AGREEMENT  THE PRODUCTS OF SUCH MANAGED CARE PROVIDER IN WHICH
THE PROVIDER AGREES TO PARTICIPATE IN THE IN-NETWORK PORTION.
  (B) AS USED IN THIS SUBDIVISION, "BEHAVIORAL  HEALTH  SERVICES"  MEANS
INPATIENT  AND  OUTPATIENT  BEHAVIORAL HEALTH SERVICES PROVIDED BY THOSE
LICENSED OR CERTIFIED PURSUANT TO ARTICLE THIRTY-ONE  OR  THIRTY-TWO  OF
THE  MENTAL  HYGIENE LAW, OR PROGRAMS THAT ARE LICENSED PURSUANT TO BOTH
ARTICLE THIRTY-ONE OF THE MENTAL HYGIENE LAW AND ARTICLE TWENTY-EIGHT OF
THE PUBLIC HEALTH LAW, OR CERTIFIED UNDER BOTH ARTICLE THIRTY-TWO OF THE
MENTAL HYGIENE LAW AND ARTICLE TWENTY-EIGHT OF THE PUBLIC HEALTH LAW.
  S 2. Section 2511 of the public health law is amended by adding a  new
subdivision 22 to read as follows:

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

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