senate Bill S7673A

2021-2022 Legislative Session

Relates to coverage for the screening, diagnosis and treatment of autism spectrum disorder

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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Actions

view actions (3)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Apr 12, 2022 print number 7673a
Apr 12, 2022 amend and recommit to insurance
Jan 06, 2022 referred to insurance

Co-Sponsors

S7673 - Details

See Assembly Version of this Bill:
A8548
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

S7673 - Summary

Relates to coverage for applied behavior analysis and for developmental, individual-differences, relationship-based treatment of autism spectrum disorder.

S7673 - Sponsor Memo

S7673 - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7673
 
                             I N  S E N A T E
 
                              January 6, 2022
                                ___________
 
 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  coverage  for  the
   screening, diagnosis and treatment of autism spectrum disorder
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1.  Subparagraphs (B) and (C) of paragraph  25  of  subsection
 (i) of section 3216 of the insurance law, subparagraph (B) as amended by
 section  2  of  subpart  A of part BB of chapter 57 of the laws of 2019,
 subparagraph (C) as amended by chapter 596 of the laws  of  2011,  items
 (i)  and  (iii) of subparagraph (C) as amended by section 3 of subpart A
 of part BB of chapter 57 of the laws of 2019, are  amended  to  read  as
 follows:
   (B)  Every  policy  that  provides  physician services, medical, major
 medical or similar comprehensive-type coverage  shall  provide  coverage
 for  the  screening, diagnosis and treatment of autism spectrum disorder
 in accordance with this paragraph and shall not exclude coverage for the
 screening,  diagnosis  or  treatment  of  medical  conditions  otherwise
 covered  by  the  policy because the individual is diagnosed with autism
 spectrum disorder. Such coverage may be subject to  annual  deductibles,
 copayments  and  coinsurance  as may be deemed appropriate by the super-
 intendent and shall be consistent with those imposed on  other  benefits
 under  the policy.   COVERAGE FOR APPLIED BEHAVIOR ANALYSIS AND DEVELOP-
 MENTAL, INDIVIDUAL-DIFFERENCES, RELATIONSHIP-BASED  TREATMENT  SHALL  BE
 SUBJECT  TO  A  MAXIMUM BENEFIT OF SIX HUNDRED EIGHTY HOURS OF TREATMENT
 PER POLICY OR CALENDAR YEAR PER COVERED INDIVIDUAL. This paragraph shall
 not be construed as limiting the benefits that are  otherwise  available
 to  an  individual  under  the policy, provided however that such policy
 shall not contain any limitations on visits that are solely  applied  to
 the  treatment  of  autism spectrum disorder. No insurer shall terminate
 coverage or refuse to deliver, execute, issue, amend, adjust,  or  renew
 coverage  to  an  individual  solely because the individual is diagnosed
 with autism spectrum disorder or has received treatment for autism spec-
 trum disorder. Coverage shall  be  subject  to  utilization  review  and
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

Co-Sponsors

S7673A (ACTIVE) - Details

See Assembly Version of this Bill:
A8548
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

S7673A (ACTIVE) - Summary

Relates to coverage for applied behavior analysis and for developmental, individual-differences, relationship-based treatment of autism spectrum disorder.

S7673A (ACTIVE) - Sponsor Memo

S7673A (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  7673--A
 
                             I N  S E N A T E
 
                              January 6, 2022
                                ___________
 
 Introduced  by  Sens.  HARCKHAM,  CLEARE, KENNEDY, LIU -- read twice and
   ordered printed, and when printed to be committed to the Committee  on
   Insurance  -- committee discharged, bill amended, ordered reprinted as
   amended and recommitted to said committee
 
 AN ACT to amend the insurance law,  in  relation  to  coverage  for  the
   screening, diagnosis and treatment of autism spectrum disorder

   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1.  Subparagraphs (B) and (C) of paragraph  25  of  subsection
 (i) of section 3216 of the insurance law, subparagraph (B) as amended by
 section  2  of  subpart  A of part BB of chapter 57 of the laws of 2019,
 subparagraph (C) as amended by chapter 596 of the laws  of  2011,  items
 (i)  and  (iii) of subparagraph (C) as amended by section 3 of subpart A
 of part BB of chapter 57 of the laws of 2019, are  amended  to  read  as
 follows:
   (B)  Every  policy  that  provides  physician services, medical, major
 medical or similar comprehensive-type coverage  shall  provide  coverage
 for  the  screening, diagnosis and treatment of autism spectrum disorder
 in accordance with this paragraph and shall not exclude coverage for the
 screening,  diagnosis  or  treatment  of  medical  conditions  otherwise
 covered  by  the  policy because the individual is diagnosed with autism
 spectrum disorder. Such coverage may be subject to  annual  deductibles,
 copayments  and  coinsurance  as may be deemed appropriate by the super-
 intendent and shall be consistent with those imposed on  other  benefits
 under  the policy.   COVERAGE FOR APPLIED BEHAVIOR ANALYSIS AND DEVELOP-
 MENTAL, INDIVIDUAL-DIFFERENCES, RELATIONSHIP-BASED  TREATMENT  SHALL  BE
 SUBJECT  TO  A  MAXIMUM BENEFIT OF SIX HUNDRED EIGHTY HOURS OF TREATMENT
 PER POLICY DURING A CALENDAR YEAR PER COVERED INDIVIDUAL. This paragraph
 shall not be construed as  limiting  the  benefits  that  are  otherwise
 available  to an individual under the policy, provided however that such
 policy shall not contain any  limitations  on  visits  that  are  solely
 applied to the treatment of autism spectrum disorder, EXCEPT AS PROVIDED
 IN  THIS  SUBPARAGRAPH  FOR  COVERAGE  FOR APPLIED BEHAVIOR ANALYSIS AND
 DEVELOPMENTAL, INDIVIDUAL DIFFERENCES, RELATIONSHIP-BASED TREATMENT.  No
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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