S T A T E O F N E W Y O R K
________________________________________________________________________
4721
2017-2018 Regular Sessions
I N A S S E M B L Y
February 3, 2017
___________
Introduced by M. of A. GIGLIO -- read once and referred to the Committee
on Insurance
AN ACT to amend the insurance law, in relation to requiring health
insurance coverage for substance use disorder treatment services
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph 30 of subsection (i) of section 3216 of the
insurance law, as amended by section 1 of part B of chapter 71 of the
laws of 2016, is amended by adding a new subparagraph (E) to read as
follows:
(E) COVERAGE PROVIDED UNDER THIS PARAGRAPH FOR DETOXIFICATION, SHALL
BE AT A MINIMUM, SEVEN DAYS. REHABILITATION SERVICES SHALL BE, AT A
MINIMUM, THIRTY DAYS.
§ 2. Subparagraph (D) of paragraph 31 of subsection (i) of section
3216 of the insurance law is relettered subparagraph (E) and a new
subparagraph (D) is added to read as follows:
(D) COVERAGE PROVIDED UNDER THIS PARAGRAPH FOR DETOXIFICATION, SHALL
BE AT A MINIMUM, SEVEN DAYS. REHABILITATION SERVICES SHALL BE, AT A
MINIMUM, THIRTY DAYS.
§ 3. Paragraph 6 of subsection (l) of section 3221 of the insurance
law is amended by adding a new subparagraph (E) to read as follows:
(E) COVERAGE PROVIDED UNDER THIS PARAGRAPH FOR DETOXIFICATION, SHALL
BE AT A MINIMUM, SEVEN DAYS. REHABILITATION SERVICES SHALL BE, AT A
MINIMUM, THIRTY DAYS.
§ 4. Subparagraph (D) of paragraph 7 of subsection (l) of section 3221
of the insurance law is relettered subparagraph (E) and a new subpara-
graph (D) is added to read as follows:
(D) COVERAGE PROVIDED UNDER THIS PARAGRAPH FOR DETOXIFICATION, SHALL
BE AT A MINIMUM, SEVEN DAYS. REHABILITATION SERVICES SHALL BE, AT A
MINIMUM, THIRTY DAYS.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD08004-01-7
A. 4721 2
§ 5. Paragraph 3 of subsection (k) of section 4303 of the insurance
law is renumbered paragraph 5 and a new paragraph 3 is added to read as
follows:
(3) COVERAGE PROVIDED UNDER THIS PARAGRAPH FOR DETOXIFICATION, SHALL
BE AT A MINIMUM, SEVEN DAYS. REHABILITATION SERVICES SHALL BE, AT A
MINIMUM, THIRTY DAYS.
§ 6. Paragraphs 3 and 4 of subsection (l) of section 4303 of the
insurance law, as amended by chapter 41 of the laws of 2014, are amended
to read as follows:
(3) COVERAGE PROVIDED UNDER THIS PARAGRAPH FOR DETOXIFICATION, SHALL
BE AT A MINIMUM, SEVEN DAYS. REHABILITATION SERVICES SHALL BE, AT A
MINIMUM, THIRTY DAYS.
(4) Coverage provided under this subsection may be subject to annual
deductibles and co-insurance as deemed appropriate by the superintendent
and that are consistent with those imposed on other benefits within a
given contract.
[(4)] (5) A contract providing coverage for substance use disorder
services pursuant to this subsection shall provide up to twenty outpa-
tient visits per contract or calendar year to an individual who identi-
fies him or herself as a family member of a person suffering from
substance use disorder and who seeks treatment as a family member who is
otherwise covered by the applicable contract pursuant to this
subsection. The coverage required by this subsection shall include
treatment as a family member pursuant to such family member's own
contract provided such family member:
(A) does not exceed the allowable number of family visits provided by
the applicable contract pursuant to this subsection; and
(B) is otherwise entitled to coverage pursuant to this subsection and
such family member's applicable contract.
§ 7. This act shall take effect on the thirtieth day after it shall
have become a law.