Senate Bill S5426

2019-2020 Legislative Session

Mandates commercial insurance coverage of peer support services as part of treatment for substance use disorder

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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2019-S5426 (ACTIVE) - Details

See Assembly Version of this Bill:
A7566
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2021-2022: S2974, A3589
2023-2024: S1177, S3519, A943

2019-S5426 (ACTIVE) - Summary

Mandates commercial insurance coverage of peer support services as part of treatment for substance use disorder.

2019-S5426 (ACTIVE) - Sponsor Memo

2019-S5426 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5426
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                              April 30, 2019
                                ___________
 
 Introduced  by Sen. HARCKHAM -- read twice and ordered printed, and when
   printed to be committed to the Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to  mandating  commercial
   insurance  coverage  of peer support services as part of treatment for
   substance use 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  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:
   (A) Every policy that  provides  medical,  major  medical  or  similar
 comprehensive-type  coverage  must  provide  outpatient coverage for the
 diagnosis and treatment of substance use disorder, including detoxifica-
 tion  and  rehabilitation  services  AND  ALSO  INCLUDING  PEER  SUPPORT
 SERVICES  PROVIDED  BY  A CERTIFIED RECOVERY PEER ADVOCATE AS DEFINED BY
 THE OFFICE OF ALCOHOLISM AND SUBSTANCE  ABUSE  SERVICES.  Such  coverage
 shall  not  apply  financial  requirements  or  treatment limitations to
 outpatient 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 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  ALSO  INCLUDING  PEER  SUPPORT
 SERVICES PROVIDED BY A CERTIFIED RECOVERY PEER ADVOCATE  AS  DEFINED  BY
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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