Assembly Actions -
Senate Actions - UPPERCASE
|Mar 03, 2023||
referred to insurance
Senate Bill S5393
2023-2024 Legislative Session
Current Bill Status - In Senate Committee Insurance Committee
- In Committee Assembly
- On Floor Calendar Assembly
- Passed Assembly
- Delivered to Governor
- Signed By Governor
2023-S5393 (ACTIVE) - Details
2023-S5393 (ACTIVE) - Sponsor Memo
BILL NUMBER: S5393 SPONSOR: HARCKHAM TITLE OF BILL: An act to amend the insurance law, in relation to coverage for the screening, diagnosis and treatment of autism spectrum disorder PURPOSE: To expand insurance coverage for the screening, diagnosis and treatment of autism spectrum disorder to include DIR-Floortime, an evidence-based developmental and relationship-based treatment. SUMMARY OF PROVISIONS: Section 1 of the bill amends insurance law section 3216 subparagraphs (B) and (C) of paragraph 25 of subsection (i), as amended, and items (i) and (iii) of subparagraph (C) as amended, to include insurance coverage for applied behavior analysis and developmental, individual-differences, relationship-based treatment to a maximum benefit of six hundred eighty hours of treatment per policy during a calendar year per individual.
2023-S5393 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5393 2023-2024 Regular Sessions I N S E N A T E March 3, 2023 ___________ Introduced by Sens. HARCKHAM, CLEARE, KENNEDY, LIU -- 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 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 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09798-01-3
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