Assembly Bill A6396C

2017-2018 Legislative Session

Relates to coverage for eating disorders

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Sponsored By

Archive: Last Bill Status - In Senate Committee Insurance 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

multi-Sponsors

2017-A6396 - Details

See Senate Version of this Bill:
S6045
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in 2019-2020 Legislative Session:
A1619, S3101

2017-A6396 - Summary

Relates to coverage for eating disorders; requires comparable coverage for adults and children with eating disorders; defines eating disorder.

2017-A6396 - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6396
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               March 6, 2017
                                ___________
 
 Introduced  by M. of A. ROZIC, COLTON, ENGLEBRIGHT, ORTIZ, SIMON -- read
   once and referred to the Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to  coverage  for  eating
   disorders
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Subparagraph (B)  of  paragraph  5  of  subsection  (1)  of
 section 3221 of the insurance law, as amended by chapter 502 of the laws
 of 2007, is amended to read as follows:
   (B)  (i)  Every insurer delivering a group or school blanket policy or
 issuing a group or school blanket policy for delivery,  in  this  state,
 which  provides  coverage  for  inpatient  hospital care or coverage for
 physician services, shall provide comparable  coverage  for  adults  and
 children  with  biologically based mental illness OR AN EATING DISORDER.
 Such group policies issued or delivered in this state shall also provide
 such comparable coverage for children with  serious  emotional  disturb-
 ances.  Such  coverage  shall be provided under the terms and conditions
 otherwise applicable under the policy, including network limitations  or
 variations,  exclusions,  co-pays,  coinsurance,  deductibles  or  other
 specific cost sharing  mechanisms.  Provided  further,  where  a  policy
 provides both in-network and out-of-network benefits, the out-of-network
 benefits  may  have different coinsurance, co-pays, or deductibles, than
 the in-network benefits, regardless of whether  the  policy  is  written
 under one license or two licenses.
   (ii)  For  purposes  of  this  paragraph, the term "biologically based
 mental illness" means a mental, nervous, or emotional condition that  is
 caused by a biological disorder of the brain and results in a clinically
 significant, psychological syndrome or pattern that substantially limits
 the  functioning of the person with the illness. Such biologically based
 mental illnesses are defined as schizophrenia/psychotic disorders, major

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD06526-01-7
              

co-Sponsors

multi-Sponsors

2017-A6396A - Details

See Senate Version of this Bill:
S6045
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in 2019-2020 Legislative Session:
A1619, S3101

2017-A6396A - Summary

Relates to coverage for eating disorders; requires comparable coverage for adults and children with eating disorders; defines eating disorder.

2017-A6396A - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  6396--A
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               March 6, 2017
                                ___________
 
 Introduced  by  M.  of A. ROZIC, DE LA ROSA, COLTON, ENGLEBRIGHT, ORTIZ,
   SIMON, FAHY, HARRIS, BLAKE, JAFFEE, D'URSO,  MAYER,  GUNTHER,  CRESPO,
   RIVERA, ABINANTI, BARRETT, SEPULVEDA -- Multi-Sponsored by -- M. of A.
   COOK,  CROUCH,  GIGLIO,  HIKIND,  LUPINACCI,  NOLAN  --  read once and
   referred to the Committee on Insurance -- committee  discharged,  bill
   amended,  ordered reprinted as amended and recommitted to said commit-
   tee
 
 AN ACT to amend the insurance law, in relation to  coverage  for  eating
   disorders
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subparagraph (B)  of  paragraph  5  of  subsection  (1)  of
 section 3221 of the insurance law, as amended by chapter 502 of the laws
 of 2007, is amended to read as follows:
   (B)  (i)  Every insurer delivering a group or school blanket policy or
 issuing a group or school blanket policy for delivery,  in  this  state,
 which  provides  coverage  for  inpatient  hospital care or coverage for
 physician services, shall provide comparable  coverage  for  adults  and
 children  with  biologically based mental illness OR AN EATING DISORDER.
 Such group policies issued or delivered in this state shall also provide
 such comparable coverage for children with  serious  emotional  disturb-
 ances.  Such  coverage  shall be provided under the terms and conditions
 otherwise applicable under the policy, including network limitations  or
 variations,  exclusions,  co-pays,  coinsurance,  deductibles  or  other
 specific cost sharing  mechanisms.  Provided  further,  where  a  policy
 provides both in-network and out-of-network benefits, the out-of-network
 benefits  may  have different coinsurance, co-pays, or deductibles, than
 the in-network benefits, regardless of whether  the  policy  is  written
 under one license or two licenses.
   (ii)  For  purposes  of  this  paragraph, the term "biologically based
 mental illness" means a mental, nervous, or emotional condition that  is

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

co-Sponsors

multi-Sponsors

2017-A6396B - Details

See Senate Version of this Bill:
S6045
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in 2019-2020 Legislative Session:
A1619, S3101

2017-A6396B - Summary

Relates to coverage for eating disorders; requires comparable coverage for adults and children with eating disorders; defines eating disorder.

2017-A6396B - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  6396--B
                                                         Cal. No. 537
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               March 6, 2017
                                ___________
 
 Introduced  by  M.  of A. ROZIC, DE LA ROSA, COLTON, ENGLEBRIGHT, ORTIZ,
   SIMON, FAHY, HARRIS, BLAKE, JAFFEE, D'URSO,  MAYER,  GUNTHER,  CRESPO,
   RIVERA, ABINANTI, BARRETT, SEPULVEDA, BRONSON -- Multi-Sponsored by --
   M.  of  A. COOK, CROUCH, GIGLIO, HIKIND, LUPINACCI, NOLAN -- read once
   and referred to the Committee on Insurance  --  committee  discharged,
   bill  amended,  ordered  reprinted  as amended and recommitted to said
   committee -- reported and  referred  to  the  Committee  on  Codes  --
   reported  from  committee,  advanced  to  a third reading, amended and
   ordered reprinted, retaining its place on the order of third reading
 
 AN ACT to amend the insurance law, in relation to  coverage  for  eating
   disorders
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subparagraph (B)  of  paragraph  5  of  subsection  (1)  of
 section 3221 of the insurance law, as amended by chapter 502 of the laws
 of 2007, is amended to read as follows:
   (B)  (i)  Every insurer delivering a group or school blanket policy or
 issuing a group or school blanket policy for delivery,  in  this  state,
 which  provides  coverage  for  inpatient  hospital care or coverage for
 physician services, shall provide comparable  coverage  for  adults  and
 children  with  biologically based mental illness OR AN EATING DISORDER.
 Such group policies issued or delivered in this state shall also provide
 such comparable coverage for children with  serious  emotional  disturb-
 ances.  Such  coverage  shall be provided under the terms and conditions
 otherwise applicable under the policy, including network limitations  or
 variations,  exclusions,  co-pays,  coinsurance,  deductibles  or  other
 specific cost sharing  mechanisms.  Provided  further,  where  a  policy
 provides both in-network and out-of-network benefits, the out-of-network
 benefits  may  have different coinsurance, co-pays, or deductibles, than
 the in-network benefits, regardless of whether  the  policy  is  written
 under one license or two licenses.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
              

co-Sponsors

multi-Sponsors

2017-A6396C (ACTIVE) - Details

See Senate Version of this Bill:
S6045
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in 2019-2020 Legislative Session:
A1619, S3101

2017-A6396C (ACTIVE) - Summary

Relates to coverage for eating disorders; requires comparable coverage for adults and children with eating disorders; defines eating disorder.

2017-A6396C (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  6396--C
                                                         Cal. No. 458
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               March 6, 2017
                                ___________
 
 Introduced  by  M.  of A. ROZIC, DE LA ROSA, COLTON, ENGLEBRIGHT, ORTIZ,
   SIMON, FAHY, HARRIS, BLAKE, JAFFEE, D'URSO,  MAYER,  GUNTHER,  CRESPO,
   RIVERA,  ABINANTI,  BARRETT,  SEPULVEDA,  BRONSON, L. ROSENTHAL, RAIA,
   JOHNS -- Multi-Sponsored by -- M. of A. COOK, CROUCH,  GALEF,  GIGLIO,
   HIKIND,  M. L. MILLER,  NOLAN,  RA  --  read  once and referred to the
   Committee on Insurance -- committee discharged, bill amended,  ordered
   reprinted as amended and recommitted to said committee -- reported and
   referred  to  the  Committee  on  Codes  --  reported  from committee,
   advanced to a third reading, amended and ordered reprinted,  retaining
   its place on the order of third reading -- ordered to a third reading,
   amended  and  ordered  reprinted,  retaining its place on the order of
   third reading
 
 AN ACT to amend the insurance law, in relation to  coverage  for  eating
   disorders
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subparagraph (B)  of  paragraph  5  of  subsection  (1)  of
 section 3221 of the insurance law, as amended by chapter 502 of the laws
 of 2007, is amended to read as follows:
   (B)  (i)  Every insurer delivering a group or school blanket policy or
 issuing a group or school blanket policy for delivery,  in  this  state,
 which  provides  coverage  for  inpatient  hospital care or coverage for
 physician services, shall provide comparable  coverage  for  adults  and
 children  with  biologically  based  mental illness. Such group policies
 issued or delivered in this state shall  also  provide  such  comparable
 coverage for children with serious emotional disturbances. Such coverage
 shall  be  provided  under the terms and conditions otherwise applicable
 under the policy, including network limitations  or  variations,  exclu-
 sions,  co-pays, coinsurance, deductibles or other specific cost sharing
 mechanisms. Provided further, where a policy  provides  both  in-network
 and  out-of-network  benefits,  the  out-of-network  benefits  may  have
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
              

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