senate Bill S3101

2019-2020 Legislative Session

Relates to coverage for eating disorders

download bill text pdf

Sponsored By

Current Bill Status Via A1619 - 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 (9)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
May 06, 2019 returned to assembly
passed senate
3rd reading cal.463
substituted for s3101
May 06, 2019 substituted by a1619
May 01, 2019 advanced to third reading
Apr 30, 2019 2nd report cal.
Apr 29, 2019 1st report cal.463
Feb 04, 2019 referred to insurance

Co-Sponsors

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S3101 (ACTIVE) - Details

See Assembly Version of this Bill:
A1619
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in 2017-2018 Legislative Session:
S6045, A6396

S3101 (ACTIVE) - Summary

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

S3101 (ACTIVE) - Sponsor Memo

S3101 (ACTIVE) - Bill Text download pdf


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

                                  3101

                       2019-2020 Regular Sessions

                            I N  S E N A T E

                            February 4, 2019
                               ___________

Introduced  by  Sen.  BIAGGI -- 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  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
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
depression,  bipolar  disorder,  delusional  disorders,  panic disorder,

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

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