Bill Text: NY A03463 | 2021-2022 | General Assembly | Introduced
Bill Title: Provides reimbursement for transportation to and from inpatient and outpatient diagnosis and treatment of substance use disorder.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2022-01-05 - referred to insurance [A03463 Detail]
Download: New_York-2021-A03463-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 3463 2021-2022 Regular Sessions IN ASSEMBLY January 26, 2021 ___________ Introduced by M. of A. L. ROSENTHAL -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to providing reimburse- ment for transportation to and from inpatient and outpatient diagnosis and treatment of substance disorder The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subparagraph (A) of paragraph 30 of subsection (i) of 2 section 3216 of the insurance law, as amended by section 5 of subpart A 3 of part BB of chapter 57 of the laws of 2019, is amended to read as 4 follows: 5 (A) Every policy that provides hospital, major medical or similar 6 comprehensive coverage shall provide inpatient coverage for the diagno- 7 sis and treatment of substance use disorder, including detoxification 8 and rehabilitation services, and shall provide reimbursement for trans- 9 portation to and from such inpatient diagnosis and treatment of 10 substance use disorder. Such inpatient coverage shall include unlimited 11 medically necessary treatment for substance use disorder treatment 12 services provided in residential settings. Further, such inpatient 13 coverage shall not apply financial requirements or treatment limita- 14 tions, including utilization review requirements, to inpatient substance 15 use disorder benefits that are more restrictive than the predominant 16 financial requirements and treatment limitations applied to substantial- 17 ly all medical and surgical benefits covered by the policy. 18 § 2. Subparagraph (A) of paragraph 31 of subsection (i) of section 19 3216 of the insurance law, as amended by section 6 of subpart A of part 20 BB of chapter 57 of the laws of 2019, is amended to read as follows: 21 (A) Every policy that provides medical, major medical or similar 22 comprehensive-type coverage shall provide outpatient coverage for the 23 diagnosis and treatment of substance use disorder, including detoxifica- 24 tion and rehabilitation services, and shall provide reimbursement for EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD00959-01-1A. 3463 2 1 transportation to and from such outpatient diagnosis and treatment of 2 substance use disorder. Such coverage shall not apply financial require- 3 ments or treatment limitations to outpatient substance use disorder 4 benefits that are more restrictive than the predominant financial 5 requirements and treatment limitations applied to substantially all 6 medical and surgical benefits covered by the policy. 7 § 3. Subparagraph (A) of paragraph 6 of subsection (l) of section 3221 8 of the insurance law, as amended by section 15 of subpart A of part BB 9 of chapter 57 of the laws of 2019, is amended to read as follows: 10 (A) Every policy that provides hospital, major medical or similar 11 comprehensive coverage shall provide inpatient coverage for the diagno- 12 sis and treatment of substance use disorder, including detoxification 13 and rehabilitation services, and shall provide reimbursement for trans- 14 portation to and from such inpatient diagnosis and treatment of 15 substance use disorder. Such inpatient coverage shall include unlimited 16 medically necessary treatment for substance use disorder treatment 17 services provided in residential settings. Further, such inpatient 18 coverage shall not apply financial requirements or treatment limita- 19 tions, including utilization review requirements, to inpatient substance 20 use disorder benefits that are more restrictive than the predominant 21 financial requirements and treatment limitations applied to substantial- 22 ly all medical and surgical benefits covered by the policy. 23 § 4. Subparagraph (A) of paragraph 7 of subsection (l) of section 3221 24 of the insurance law, as amended by section 16 of subpart A of part BB 25 of chapter 57 of the laws of 2019, is amended to read as follows: 26 (A) Every policy that provides medical, major medical or similar 27 comprehensive-type coverage shall provide outpatient coverage for the 28 diagnosis and treatment of substance use disorder, including detoxifica- 29 tion and rehabilitation services, and shall provide reimbursement for 30 transportation to and from such outpatient diagnosis and treatment of 31 substance use disorder. Such coverage shall not apply financial 32 requirements or treatment limitations to outpatient substance use disor- 33 der benefits that are more restrictive than the predominant financial 34 requirements and treatment limitations applied to substantially all 35 medical and surgical benefits covered by the policy. 36 § 5. Paragraph 1 of subsection (k) of section 4303 of the insurance 37 law, as amended by section 26 of subpart A of part BB of chapter 57 of 38 the laws of 2019, is amended to read as follows: 39 (1) Every contract that provides hospital, major medical or similar 40 comprehensive coverage shall provide inpatient coverage for the diagno- 41 sis and treatment of substance use disorder, including detoxification 42 and rehabilitation services, and shall provide reimbursement for trans- 43 portation to and from such inpatient diagnosis and treatment of 44 substance use disorder. Such inpatient coverage shall include unlimited 45 medically necessary treatment for substance use disorder treatment 46 services provided in residential settings. Further, such inpatient 47 coverage shall not apply financial requirements or treatment limita- 48 tions, including utilization review requirements, to inpatient substance 49 use disorder benefits that are more restrictive than the predominant 50 financial requirements and treatment limitations applied to substantial- 51 ly all medical and surgical benefits covered by the contract. 52 § 6. Paragraph 1 of subsection (l) of section 4303 of the insurance 53 law, as amended by section 27 of subpart A of part BB of chapter 57 of 54 the laws of 2019, is amended to read as follows: 55 (1) Every contract that provides medical, major medical or similar 56 comprehensive-type coverage shall provide outpatient coverage for theA. 3463 3 1 diagnosis and treatment of substance use disorder, including detoxifica- 2 tion and rehabilitation services, and shall provide reimbursement for 3 transportation to and from such outpatient diagnosis and treatment of 4 substance use disorder. Such coverage shall not apply financial 5 requirements or treatment limitations to outpatient substance use disor- 6 der benefits that are more restrictive than the predominant financial 7 requirements and treatment limitations applied to substantially all 8 medical and surgical benefits covered by the contract. 9 § 7. This act shall take effect on the ninetieth day after it shall 10 have become a law and shall apply to all policies and contracts issued, 11 renewed, modified, altered or amended on or after such date.
