senate Bill S1156A

2017-2018 Legislative Session

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

download bill text pdf

Sponsored By

Current Bill Status Via A3694 - Passed Senate & 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 (15)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 20, 2018 returned to assembly
passed senate
3rd reading cal.2106
substituted for s1156c
Jun 20, 2018 substituted by a3694c
ordered to third reading cal.2106
committee discharged and committed to rules
Jun 01, 2018 print number 1156c
Jun 01, 2018 amend and recommit to insurance
Jan 29, 2018 print number 1156b
Jan 29, 2018 amend and recommit to insurance
Jan 03, 2018 referred to insurance
Jun 06, 2017 print number 1156a
Jun 06, 2017 amend (t) and recommit to insurance
Jan 06, 2017 referred to insurance

S1156 - Details

See Assembly Version of this Bill:
A3694A
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

S1156 - 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.

S1156 - Bill Text download pdf


          

Co-Sponsors

S1156A - Details

See Assembly Version of this Bill:
A3694A
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

S1156A - 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.

S1156A - Sponsor Memo

S1156A - Bill Text download pdf

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

                                 1156--A

                       2017-2018 Regular Sessions

                            I N  S E N A T E

                             January 6, 2017
                               ___________

Introduced  by  Sens. ORTT, BOYLE -- read twice and ordered printed, and
  when printed to be committed to the Committee on Insurance --  commit-
  tee  discharged, bill amended, ordered reprinted as amended and recom-
  mitted 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".
  S 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

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD02509-07-7

Co-Sponsors

view additional co-sponsors

S1156B - Details

See Assembly Version of this Bill:
A3694A
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

S1156B - 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.

S1156B - Sponsor Memo

S1156B - Bill Text download pdf

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

                                 1156--B

                       2017-2018 Regular Sessions

                            I N  S E N A T E

                             January 6, 2017
                               ___________

Introduced  by  Sens. ORTT, BOYLE -- read twice and ordered printed, and
  when printed to be committed to the Committee on Insurance --  commit-
  tee  discharged, bill amended, ordered reprinted as amended and recom-
  mitted 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 commit-
  tee

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".
  S 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.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD02509-09-8

Co-Sponsors

view additional co-sponsors

S1156C (ACTIVE) - Details

See Assembly Version of this Bill:
A3694A
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

S1156C (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.

S1156C (ACTIVE) - Sponsor Memo

S1156C (ACTIVE) - Bill Text download pdf

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

                                 1156--C

                       2017-2018 Regular Sessions

                            I N  S E N A T E

                             January 6, 2017
                               ___________

Introduced  by  Sens. ORTT, BOYLE, HAMILTON, HELMING, MARCHIONE, RITCHIE
  -- 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 --
  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  --  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".
  S 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.
                                                           LBD02509-12-8

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