S T A T E O F N E W Y O R K
________________________________________________________________________
8352
2025-2026 Regular Sessions
I N S E N A T E
June 4, 2025
___________
Introduced by Sen. ADDABBO -- 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 requiring insurance
coverage of outpatient problem gambling services
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, AND PROBLEM GAMBLING services. Such coverage
shall not apply financial requirements 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, AND PROBLEM GAMBLING services. Such coverage
shall not apply financial requirements 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.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11088-01-5
S. 8352 2
§ 3. Paragraph 1 of subdivision (l) of section 4303 of the insurance
law, as amended by section 27 of subpart A of part BB of chapter 57 of
the laws of 2019, is amended to read as follows:
(1) Every contract 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, AND PROBLEM GAMBLING services. Such coverage
shall not apply financial requirements 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 contract.
§ 4. This act shall take effect immediately and shall apply to any
policy issued, delivered, renewed, and/or modified on or after such
date.