senate Bill S6045C

2017-2018 Legislative Session

Relates to coverage for eating disorders

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

view actions (8)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Apr 13, 2018 print number 6045c
Apr 13, 2018 amend and recommit to insurance
Jan 03, 2018 referred to insurance
Jun 05, 2017 print number 6045b
Jun 05, 2017 amend and recommit to insurance
May 15, 2017 print number 6045a
May 15, 2017 amend and recommit to insurance
May 10, 2017 referred to insurance

S6045 - Details

See Assembly Version of this Bill:
A6396
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in 2019-2020 Legislative Session:
S3101, A1619

S6045 - Summary

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

S6045 - Sponsor Memo

S6045 - Bill Text download pdf


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

                                  6045

                       2017-2018 Regular Sessions

                            I N  S E N A T E

                              May 10, 2017
                               ___________

Introduced by Sen. MARCHIONE -- 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 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

S6045A - Details

See Assembly Version of this Bill:
A6396
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in 2019-2020 Legislative Session:
S3101, A1619

S6045A - Summary

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

S6045A - Sponsor Memo

S6045A - Bill Text download pdf


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

                                 6045--A

                       2017-2018 Regular Sessions

                            I N  S E N A T E

                              May 10, 2017
                               ___________

Introduced by Sen. MARCHIONE -- read twice and ordered printed, and when
  printed  to  be  committed  to the Committee on Insurance -- committee
  discharged, bill amended, ordered reprinted as amended and recommitted
  to said committee

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

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

Co-Sponsors

view additional co-sponsors

S6045B - Details

See Assembly Version of this Bill:
A6396
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in 2019-2020 Legislative Session:
S3101, A1619

S6045B - Summary

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

S6045B - Sponsor Memo

S6045B - Bill Text download pdf


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

                                 6045--B

                       2017-2018 Regular Sessions

                            I N  S E N A T E

                              May 10, 2017
                               ___________

Introduced  by  Sens.  MARCHIONE,  RANZENHOFER -- read twice and ordered
  printed, and when printed to be committed to the Committee  on  Insur-
  ance  --  committee  discharged,  bill  amended,  ordered reprinted as
  amended and recommitted to said  committee  --  committee  discharged,
  bill  amended,  ordered  reprinted  as amended and recommitted to said
  committee

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

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

Co-Sponsors

view additional co-sponsors

S6045C (ACTIVE) - Details

See Assembly Version of this Bill:
A6396
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in 2019-2020 Legislative Session:
S3101, A1619

S6045C (ACTIVE) - Summary

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

S6045C (ACTIVE) - Sponsor Memo

S6045C (ACTIVE) - Bill Text download pdf


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

                                 6045--C

                       2017-2018 Regular Sessions

                            I N  S E N A T E

                              May 10, 2017
                               ___________

Introduced  by  Sens.  MARCHIONE,  ALCANTARA,  BRESLIN, CARLUCCI, FUNKE,
  HOYLMAN, KAMINSKY, LANZA, RANZENHOFER -- read twice and ordered print-
  ed, and when printed to be committed to the Committee on Insurance  --
  committee  discharged,  bill amended, ordered reprinted as amended and
  recommitted to said committee -- committee discharged,  bill  amended,
  ordered  reprinted  as  amended  and  recommitted to said committee --
  recommitted to the Committee on Insurance in  accordance  with  Senate
  Rule  6,  sec.  8  --  committee  discharged,  bill  amended,  ordered
  reprinted as amended and recommitted to said committee

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
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
                      [ ] is old law to be omitted.

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