Assembly Bill A9111

2019-2020 Legislative Session

Provides reimbursement for transportation to and from inpatient and outpatient diagnosis and treatment of substance use disorder

download bill text pdf

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Archive: Last Bill Status - In Assembly 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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2019-A9111 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2021-2022: A3463
2023-2024: A875

2019-A9111 (ACTIVE) - Summary

Provides reimbursement for transportation to and from inpatient and outpatient diagnosis and treatment of substance use disorder.

2019-A9111 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   9111
 
                           I N  A S S E M B L Y
 
                             January 21, 2020
                                ___________
 
 Introduced  by  M.  of  A. L. ROSENTHAL -- read once and referred to the
   Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to  providing  reimburse-
   ment for transportation to and from inpatient and outpatient diagnosis
   and treatment of substance disorder
 
   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 5 of subpart A
 of part BB of chapter 57 of the laws of 2019,  is  amended  to  read  as
 follows:
   (A)  Every  policy  that  provides  hospital, major medical or similar
 comprehensive coverage shall provide inpatient coverage for the  diagno-
 sis  and  treatment  of substance use disorder, including detoxification
 and rehabilitation services, AND SHALL PROVIDE REIMBURSEMENT FOR  TRANS-
 PORTATION  TO  AND  FROM  SUCH  INPATIENT  DIAGNOSIS  AND  TREATMENT  OF
 SUBSTANCE USE DISORDER. Such inpatient coverage shall include  unlimited
 medically  necessary  treatment  for  substance  use  disorder treatment
 services provided  in  residential  settings.  Further,  such  inpatient
 coverage  shall  not  apply  financial requirements or treatment limita-
 tions, including utilization review requirements, to inpatient substance
 use disorder benefits that are more  restrictive  than  the  predominant
 financial requirements and treatment limitations applied to substantial-
 ly all medical and surgical benefits covered by the policy.
   §  2.  Subparagraph  (A)  of paragraph 31 of subsection (i) of section
 3216 of the insurance law, as amended by section 6 of subpart A of  part
 BB of chapter 57 of the laws of 2019, is amended to read as follows:
   (A)  Every  policy  that  provides  medical,  major medical or similar
 comprehensive-type coverage shall provide outpatient  coverage  for  the
 diagnosis and treatment of substance use disorder, including detoxifica-
 tion  and  rehabilitation  services, AND SHALL PROVIDE REIMBURSEMENT FOR
 TRANSPORTATION TO AND FROM SUCH OUTPATIENT DIAGNOSIS  AND  TREATMENT  OF
 SUBSTANCE USE DISORDER. Such coverage shall not apply financial require-
 ments  or  treatment  limitations  to  outpatient substance use disorder
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
              

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