Senate Bill S6052

2017-2018 Legislative Session

Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days

download bill text pdf

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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2017-S6052 (ACTIVE) - Details

See Assembly Version of this Bill:
A7585
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L; amd §365-a, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2019-2020: S2529, A3041
2021-2022: S5347, A902
2023-2024: S498, A2412

2017-S6052 (ACTIVE) - Summary

Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

2017-S6052 (ACTIVE) - Sponsor Memo

2017-S6052 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6052
 
                        2017-2018 Regular Sessions
 
                             I N  S E N A T E
 
                               May 10, 2017
                                ___________
 
 Introduced  by  Sen.  LITTLE -- read twice and ordered printed, and when
   printed to be committed to the Committee on Insurance
 
 AN ACT to amend the insurance  law  and  the  social  services  law,  in
   relation  to  requiring  insurance and Medicaid coverage for inpatient
   and outpatient substance abuse treatment for a period of not less than
   forty-five days
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Subparagraph  (A)  of  paragraph  30 of subsection (i) of
 section 3216 of the insurance law, as amended by section 1 of part B  of
 chapter 71 of the laws of 2016, is amended to read as follows:
   (A)  Every  policy  that  provides  hospital, major medical or similar
 comprehensive coverage must provide inpatient coverage for the diagnosis
 and treatment of substance use disorder,  including  detoxification  and
 rehabilitation  services, FOR A PERIOD OF NOT LESS THAN FORTY-FIVE DAYS.
 Such inpatient coverage  shall  include  unlimited  medically  necessary
 treatment  for  substance  use  disorder  treatment services provided in
 residential settings  as  required  by  the  Mental  Health  Parity  and
 Addiction  Equity  Act of 2008 (29 U.S.C. § 1185a).  Further, such inpa-
 tient coverage shall not apply financial requirements or treatment limi-
 tations,  including  utilization  review  requirements,   to   inpatient
 substance  use  disorder  benefits  that  are  more restrictive than the
 predominant financial requirements and treatment limitations applied  to
 substantially  all  medical and surgical benefits covered by the policy.
 Further, such coverage shall be provided  consistent  with  the  federal
 Paul  Wellstone  and  Pete  Domenici  Mental Health Parity and Addiction
 Equity Act of 2008 (29 U.S.C. § 1185a).
   § 2. Subparagraph (A) of paragraph 31 of  subsection  (i)  of  section
 3216  of  the insurance law, as added by chapter 41 of the laws of 2014,
 is amended to read as follows:

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD10981-01-7
              

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