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Senate Bill S3519

2023-2024 Legislative Session

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

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Archive: Last Bill Status - In Senate Committee Insurance Committee

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2023-S3519 (ACTIVE) - Details

Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2019-2020: S5426
2021-2022: S2974

2023-S3519 (ACTIVE) - Summary

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

2023-S3519 (ACTIVE) - Sponsor Memo

2023-S3519 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   3519
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                             January 31, 2023
                                ___________
 
 Introduced by Sen. FERNANDEZ -- 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 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 PEERS CERTIFIED BY
 THE OFFICE OF MENTAL HEALTH AND PEER  SUPPORT  SERVICES  PROVIDED  BY  A
 CERTIFIED  RECOVERY  PEER ADVOCATE AS DEFINED BY THE OFFICE OF ADDICTION
 SERVICES AND SUPPORTS. Such coverage shall not apply financial  require-
 ments  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.
   § 2. Subparagraph (A) of paragraph 7 of subsection (l) of section 3221
 of the insurance law, as amended by section 16 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 PEERS CERTIFIED BY
 THE OFFICE OF MENTAL HEALTH AND PEER  SUPPORT  SERVICES  PROVIDED  BY  A
 CERTIFIED  RECOVERY  PEER ADVOCATE AS DEFINED BY THE OFFICE OF ADDICTION
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD01263-02-3

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