senate Bill S7352

2021-2022 Legislative Session

Includes clinically necessary treatment for certain inpatient coverage

download bill text pdf

Sponsored By

Current Bill Status - In Senate Committee Insurance Committee

  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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view actions (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 05, 2022 referred to insurance
Aug 27, 2021 referred to rules

S7352 (ACTIVE) - Details

Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §3216, Ins L

S7352 (ACTIVE) - Summary

Includes clinically necessary treatment for certain inpatient coverage, which shall mean an individual's medical needs and any social determinants of health that will promote such individual's stability following discharge from treatment.

S7352 (ACTIVE) - Sponsor Memo

S7352 (ACTIVE) - Bill Text download pdf

                     S T A T E   O F   N E W   Y O R K
                        2021-2022 Regular Sessions
                             I N  S E N A T E
                              August 27, 2021
 Introduced  by Sen. HARCKHAM -- read twice and ordered printed, and when
   printed to be committed to the Committee on Rules
 AN ACT to amend the insurance law, in relation to  including  clinically
   necessary treatment for certain inpatient coverage
   Section 1. Paragraph 30 of subsection  (i)  of  section  3216  of  the
 insurance  law, as amended by section 5 of subpart A of part BB of chap-
 ter 57 of the laws of 2019, is amended to read as follows:
   (30)(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. Such inpatient coverage [shall] MAY include
 [unlimited  medically]  CLINICALLY necessary treatment for substance use
 disorder treatment services provided  in  residential  settings  AT  THE
 DISCRETION  OF  THE  SERVICE  PROVIDER. Further, such inpatient coverage
 shall not apply financial requirements or treatment limitations, includ-
 ing 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.
   (B) Coverage provided under this paragraph may be limited  to  facili-
 ties in New York state that are licensed, certified or otherwise author-
 ized  by  the  office  of  [alcoholism  and  substance  abuse] ADDICTION
 services AND SUPPORTS and, in other states, to those which  are  accred-
 ited by the joint commission as alcoholism, substance abuse, or chemical
 dependence  treatment  programs and are similarly licensed, certified or
 otherwise authorized in the state in which the facility is located.
   (C) Coverage provided under this paragraph may be  subject  to  annual
 deductibles and co-insurance as deemed appropriate by the superintendent
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.


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