assembly Bill A3694C

Signed By Governor
2017-2018 Legislative Session

Relates to establishing the mental health and substance use parity report act

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Archive: Last Bill Status - Signed by Governor


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

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Actions

view actions (23)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Dec 21, 2018 approval memo.13
signed chap.455
Dec 11, 2018 delivered to governor
Jun 20, 2018 returned to assembly
passed senate
3rd reading cal.2106
substituted for s1156c
Jun 18, 2018 referred to rules
delivered to senate
passed assembly
Jun 14, 2018 ordered to third reading rules cal.218
rules report cal.218
reported
Jun 13, 2018 reported referred to rules
Jun 06, 2018 reported referred to codes
May 31, 2018 print number 3694c
May 31, 2018 amend and recommit to insurance
Jan 31, 2018 print number 3694b
Jan 31, 2018 amend and recommit to insurance
Jan 03, 2018 referred to insurance
Jun 08, 2017 print number 3694a
Jun 08, 2017 amend (t) and recommit to insurance
Jan 30, 2017 referred to insurance

A3694 - Details

See Senate Version of this Bill:
S1156
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

A3694 - Summary

Relates to establishing the mental health and substance use disorder parity report act to ensure compliance of insurers and health plans with state and federal requirements for the provision of mental health and substance use disorder treatment and claims.

A3694 - Bill Text download pdf


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

                                  3694

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                            January 30, 2017
                               ___________

Introduced  by M. of A. GUNTHER -- read once and referred to the Commit-
  tee on Insurance

AN ACT to amend the insurance  law,  in  relation  to  establishing  the
  mental health and substance abuse parity report act

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

  Section 1. Short title. This act shall be known and may  be  cited  as
the "mental health and substance abuse parity report act".
  § 2. Subsection (a) of section 210 of the insurance law, as amended by
chapter 579 of the laws of 1998, is amended to read as follows:
  (a)  The  superintendent shall annually publish on or before September
first, nineteen hundred ninety-nine, and annually thereafter, a consumer
guide to insurers providing managed care products,  individual  accident
and  health  insurance or group or blanket accident and health insurance
and entities licensed pursuant  to  article  forty-four  of  the  public
health  law providing comprehensive health service plans which includes,
in detail, a ranking from best to worst based upon each company's  claim
processing or medical payments record during the preceding calendar year
using  criteria  available  to  the  department,  adjusted for volume of
coverage provided. Such ranking shall also take into  consideration  the
corresponding  total  number  or  percentage of claims denied which were
reversed or compromised after intervention by  the  department  and  the
department  of  health,  consumer  complaints  to the department and the
department of health, violations of section three thousand  two  hundred
twenty-four-a  of  this  chapter  and  other  pertinent data which would
permit the department to objectively determine a company's  performance.
The  department  in  publishing  such  consumer  guide shall publish one
state-wide guide or no more than five regional guides so as  to  facili-
tate comparisons among individual insurers and entities within a service
market  area. Such rankings shall be printed in a format which ranks all
health insurers and all entities certified pursuant  to  article  forty-

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

A3694A - Details

See Senate Version of this Bill:
S1156
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

A3694A - Summary

Relates to establishing the mental health and substance use disorder parity report act to ensure compliance of insurers and health plans with state and federal requirements for the provision of mental health and substance use disorder treatment and claims.

A3694A - Bill Text download pdf


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

                                 3694--A

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                            January 30, 2017
                               ___________

Introduced  by M. of A. GUNTHER -- read once and referred to the Commit-
  tee 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 establishing the
  mental health and substance use disorder parity report act

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

  Section  1.  Short  title. This act shall be known and may be cited as
the "mental health and substance use disorder parity report act".
  § 2. Subsection (a) of section 210 of the insurance law, as amended by
chapter 579 of the laws of 1998, is amended to read as follows:
  (a) The superintendent shall annually publish on or  before  September
first, nineteen hundred ninety-nine, and annually thereafter, a consumer
guide  to  insurers providing managed care products, individual accident
and health insurance or group or blanket accident and  health  insurance
and  entities  licensed  pursuant  to  article  forty-four of the public
health law providing comprehensive health service plans which  includes,
in  detail, a ranking from best to worst based upon each company's claim
processing or medical payments record during the preceding calendar year
using criteria available to  the  department,  adjusted  for  volume  of
coverage  provided.  Such ranking shall also take into consideration the
corresponding total number or percentage of  claims  denied  which  were
reversed  or  compromised  after  intervention by the department and the
department of health, consumer complaints  to  the  department  and  the
department  of  health, violations of section three thousand two hundred
twenty-four-a of this chapter  and  other  pertinent  data  which  would
permit  the department to objectively determine a company's performance.
The department in publishing  such  consumer  guide  shall  publish  one
state-wide  guide  or no more than five regional guides so as to facili-
tate comparisons among individual insurers and entities within a service
market area. Such rankings shall be printed in a format which ranks  all

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

Co-Sponsors

view additional co-sponsors

Multi-Sponsors

A3694B - Details

See Senate Version of this Bill:
S1156
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

A3694B - Summary

Relates to establishing the mental health and substance use disorder parity report act to ensure compliance of insurers and health plans with state and federal requirements for the provision of mental health and substance use disorder treatment and claims.

A3694B - Bill Text download pdf


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

                                 3694--B

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                            January 30, 2017
                               ___________

Introduced  by M. of A. GUNTHER -- read once and referred to the Commit-
  tee on  Insurance  --  committee  discharged,  bill  amended,  ordered
  reprinted  as amended and recommitted to said committee -- recommitted
  to the Committee on Insurance in accordance with Assembly Rule 3, sec.
  2 -- committee discharged, bill amended, ordered reprinted as  amended
  and recommitted to said committee

AN  ACT  to  amend  the  insurance  law, in relation to establishing the
  mental health and substance use disorder parity report act

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

  Section  1.  Short  title. This act shall be known and may be cited as
the "mental health and substance use disorder parity report act".
  § 2. Subsection (a) of section 210 of the insurance law, as amended by
chapter 579 of the laws of 1998, is amended to read as follows:
  (a) The superintendent shall annually publish on or  before  September
first, nineteen hundred ninety-nine, and annually thereafter, a consumer
guide  to  insurers providing managed care products, individual accident
and health insurance or group or blanket accident and  health  insurance
and  entities  licensed  pursuant  to  article  forty-four of the public
health law providing comprehensive health service plans which  includes,
in  detail, a ranking from best to worst based upon each company's claim
processing or medical payments record during the preceding calendar year
using criteria available to  the  department,  adjusted  for  volume  of
coverage  provided.  Such ranking shall also take into consideration the
corresponding total number or percentage of  claims  denied  which  were
reversed  or  compromised  after  intervention by the department and the
department of health, consumer complaints  to  the  department  and  the
department  of  health, violations of section three thousand two hundred
twenty-four-a of this chapter  and  other  pertinent  data  which  would
permit  the department to objectively determine a company's performance.
The department in publishing  such  consumer  guide  shall  publish  one

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

Co-Sponsors

view additional co-sponsors

Multi-Sponsors

A3694C (ACTIVE) - Details

See Senate Version of this Bill:
S1156
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

A3694C (ACTIVE) - Summary

Relates to establishing the mental health and substance use disorder parity report act to ensure compliance of insurers and health plans with state and federal requirements for the provision of mental health and substance use disorder treatment and claims.

A3694C (ACTIVE) - Bill Text download pdf


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

                                 3694--C

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                            January 30, 2017
                               ___________

Introduced  by  M.  of  A.  GUNTHER,  LIFTON,  SKOUFIS, BUCHWALD, GALEF,
  ABINANTI, STECK -- Multi-Sponsored by -- M. of A. THIELE -- read  once
  and  referred  to  the Committee on Insurance -- committee discharged,
  bill amended, ordered reprinted as amended  and  recommitted  to  said
  committee  --  recommitted to the Committee on Insurance in accordance
  with Assembly Rule 3, sec. 2 -- committee  discharged,  bill  amended,
  ordered  reprinted  as  amended  and  recommitted to said committee --
  again reported from said committee with amendments, ordered  reprinted
  as amended and recommitted to said committee

AN  ACT  to  amend  the  insurance  law, in relation to establishing the
  mental health and substance use disorder parity report act

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

  Section  1.  Short  title. This act shall be known and may be cited as
the "mental health and substance use disorder parity report act".
  § 2. Section 210 of the insurance law  is  amended  by  adding  a  new
subsection (c-1) to read as follows:
  (C-1)  BEGINNING  SEPTEMBER  FIRST, TWO THOUSAND NINETEEN AND ANNUALLY
THEREAFTER, THE SUPERINTENDENT SHALL INCLUDE  IN  SUCH  GUIDE  A  MENTAL
HEALTH AND SUBSTANCE USE DISORDER PARITY REPORT DETAILING EACH COMPANY'S
COMPLIANCE WITH FEDERAL AND STATE MENTAL HEALTH AND SUBSTANCE USE DISOR-
DER  PARITY  LAWS  BASED  ON  EACH COMPANY'S RECORD DURING THE PRECEDING
CALENDAR YEAR.  THE SUPERINTENDENT SHALL INCLUDE  IN  SUCH  REPORT,  AND
EACH  COMPANY  SHALL  PROVIDE  TO  THE  SUPERINTENDENT  THE  INFORMATION
REQUIRED FOR SUCH GUIDE IN A TIMELY FASHION, THE FOLLOWING INFORMATION:
  (1) RATES OF UTILIZATION REVIEW FOR MENTAL HEALTH  AND  SUBSTANCE  USE
DISORDER  CLAIMS  AS  COMPARED TO MEDICAL AND SURGICAL CLAIMS, INCLUDING
RATES OF APPROVAL AND DENIAL, CATEGORIZED BY BENEFITS PROVIDED UNDER THE
FOLLOWING CLASSIFICATIONS:  INPATIENT IN-NETWORK, INPATIENT  OUT-OF-NET-
WORK,  OUTPATIENT IN-NETWORK, OUTPATIENT OUT-OF-NETWORK, EMERGENCY CARE,
AND PRESCRIPTION DRUGS;

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

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