Bill Text: NY A05436 | 2023-2024 | General Assembly | Amended

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Bill Title: Requires insurance companies to provide at least ninety days of rehabilitation services to an insured upon a doctor's prescription.

Spectrum: Slight Partisan Bill (Democrat 19-7)

Status: (Introduced) 2024-01-03 - referred to insurance [A05436 Detail]

Download: New_York-2023-A05436-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                         5436--A

                               2023-2024 Regular Sessions

                   IN ASSEMBLY

                                     March 10, 2023
                                       ___________

        Introduced  by  M. of A. STIRPE, JONES, DARLING, COOK, SAYEGH, JACOBSON,
          REYES, AUBRY, DICKENS, SIMON, BUTTENSCHON, CRUZ, L. ROSENTHAL, MAGNAR-
          ELLI, LUPARDO,  HUNTER,  DeSTEFANO,  REILLY,  RA,  GOODELL,  DiPIETRO,
          BLANKENBUSH,  STECK  --  Multi-Sponsored  by  --  M.  of  A.  EPSTEIN,
          J. M. GIGLIO, HEVESI -- read once and referred  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 insurance coverage for
          substance abuse disorder services

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  Paragraph  30  of  subsection  (i) of section 3216 of the
     2  insurance law, as amended by section 5 of subpart A of part BB of  chap-
     3  ter  57 of the laws of 2019, is amended by adding a new subparagraph (H)
     4  to read as follows:
     5    (H) A policy providing coverage under  this  paragraph  shall  include
     6  coverage  for  at  least  ninety  days  at  a  rehabilitation  facility;
     7  provided, however, that any stay in a rehabilitation  facility  required
     8  to be covered pursuant to this paragraph shall require the referral of a
     9  doctor.
    10    §  2.  Paragraph  6 of subsection (l) of section 3221 of the insurance
    11  law is amended by adding a new subparagraph (H) to read as follows:
    12    (H) A policy providing coverage under  this  paragraph  shall  include
    13  coverage  for  at  least  ninety  days  at  a  rehabilitation  facility;
    14  provided, however, that any stay in a rehabilitation  facility  required
    15  to be covered pursuant to this paragraph shall require the referral of a
    16  doctor.
    17    § 3. Subsection (k) of section 4303 of the insurance law is amended by
    18  adding a new paragraph 8 to read as follows:
    19    (8)  A  policy  providing coverage under this subsection shall include
    20  coverage  for  at  least  ninety  days  at  a  rehabilitation  facility;

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD00424-03-3
        A. 5436--A                          2

     1  provided,  however,  that any stay in a rehabilitation facility required
     2  to be covered pursuant to this subsection shall require the referral  of
     3  a doctor.
     4    §  4.  This  act shall take effect on the ninetieth day after it shall
     5  have become a law and shall apply to  any  policy  issued,  amended,  or
     6  renewed on and after such effective date.