senate Bill S7319

2015-2016 Legislative Session

Relates to requiring health insurance coverage for drug and alcohol abuse and dependency treatment services

download bill text pdf

Sponsored By

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

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Apr 15, 2016 referred to insurance

Co-Sponsors

S7319 (ACTIVE) - Details

See Assembly Version of this Bill:
A9797
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3216, 3221 & 4303, Ins L

S7319 (ACTIVE) - Summary

Relates to requiring health insurance coverage for drug and alcohol abuse and dependency treatment services; specifies minimum coverage requirements.

S7319 (ACTIVE) - Sponsor Memo

S7319 (ACTIVE) - Bill Text download pdf

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

                                  7319

                            I N  S E N A T E

                             April 15, 2016
                               ___________

Introduced  by Sens. VENDITTO, MURPHY -- 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 33 to read as follows:
  (33)  (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.  AT A MINIMUM SUCH
COVERAGE SHALL INCLUDE:
  (I) UP TO SEVEN DAYS OF DETOXIFICATION PER ADMISSION, SUCH DETOXIFICA-
TION MAY OCCUR IN A HOSPITAL OR NON-HOSPITAL RESIDENTIAL FACILITY;
  (II) THIRTY DAYS OF  REHABILITATION  PER  EPISODE  IN  A  HOSPITAL  OR
NON-HOSPITAL RESIDENTIAL FACILITY;
  (III)  THIRTY  SESSIONS  OF  OUTPATIENT OR PARTIAL HOSPITALIZATION PER
EPISODE OF CARE; AND
  (IV) FAMILY COUNSELING AND INTERVENTION 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

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD11985-03-6

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