assembly Bill A6396B

2017-2018 Legislative Session

Relates to coverage for eating disorders

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Archive: Last Bill Status - Passed Assembly


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

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Actions

view actions (17)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Mar 20, 2018 referred to insurance
delivered to senate
passed assembly
Jan 29, 2018 amended on third reading 6396c
Jan 03, 2018 ordered to third reading cal.458
returned to assembly
died in senate
Jun 13, 2017 referred to rules
delivered to senate
passed assembly
Jun 05, 2017 amended on third reading 6396b
May 25, 2017 advanced to third reading cal.537
May 23, 2017 reported
May 16, 2017 reported referred to codes
Apr 19, 2017 print number 6396a
Apr 19, 2017 amend and recommit to insurance
Mar 06, 2017 referred to insurance

Co-Sponsors

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Multi-Sponsors

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A6396 (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

A6396 (ACTIVE) - Summary

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

A6396 (ACTIVE) - 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

view additional co-sponsors

Multi-Sponsors

view additional multi-sponsors

A6396A (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

A6396A (ACTIVE) - Summary

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

A6396A (ACTIVE) - 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

view additional co-sponsors

Multi-Sponsors

view additional multi-sponsors

A6396B (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

A6396B (ACTIVE) - Summary

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

A6396B (ACTIVE) - 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

view additional co-sponsors

Multi-Sponsors

view additional multi-sponsors

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

A6396C (ACTIVE) - Summary

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

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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