Bill Text: NY A06173 | 2023-2024 | General Assembly | Introduced


Bill Title: Relates to including outpatient care provided by creative arts therapists in certain insurance policies covering care for other mental health services.

Spectrum: Strong Partisan Bill (Democrat 14-1)

Status: (Engrossed) 2024-06-06 - REFERRED TO RULES [A06173 Detail]

Download: New_York-2023-A06173-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          6173

                               2023-2024 Regular Sessions

                   IN ASSEMBLY

                                      April 3, 2023
                                       ___________

        Introduced  by M. of A. BRONSON -- read once and referred to the Commit-
          tee on Insurance

        AN ACT to amend the insurance law, in relation to  including  outpatient
          care  provided  by creative arts therapists in certain insurance poli-
          cies

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

     1    Section 1. Item (ii) of subparagraph (A) of paragraph 35 of subsection
     2  (i)  of  section  3216 of the insurance law, as amended by chapter 62 of
     3  the laws of 2023, is amended to read as follows:
     4    (ii) where the policy provides coverage for physician  services,  such
     5  policy shall include benefits for outpatient care provided by a psychia-
     6  trist  or  psychologist  licensed  to practice in this state, a licensed
     7  clinical social worker within the lawful scope of his or  her  practice,
     8  who is licensed pursuant to article one hundred fifty-four of the educa-
     9  tion  law,  a  mental  health  counselor, marriage and family therapist,
    10  creative arts therapist, or psychoanalyst licensed pursuant  to  article
    11  one  hundred  sixty-three  of  the  education  law, a nurse practitioner
    12  licensed to practice in this state, or  a  professional  corporation  or
    13  university  faculty  practice corporation thereof.  Nothing herein shall
    14  be construed to modify or expand the  scope  of  practice  of  a  mental
    15  health  counselor,  marriage  and family therapist, creative arts thera-
    16  pist, or psychoanalyst licensed pursuant to article one  hundred  sixty-
    17  three  of  the education law. Further, nothing herein shall be construed
    18  to create a new mandated health benefit.
    19    § 2. Subparagraph (A) of paragraph 4 of subsection (l) of section 3221
    20  of the insurance law, as amended by chapter 62 of the laws of  2023,  is
    21  amended to read as follows:
    22    (A)  Every insurer delivering a group policy or issuing a group policy
    23  for delivery, in this state, that provides reimbursement for psychiatric
    24  or psychological services or for the diagnosis and treatment  of  mental

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10142-01-3

        A. 6173                             2

     1  health  conditions,  however  defined  in  such  policy,  by physicians,
     2  psychiatrists or psychologists,  shall  provide  the  same  coverage  to
     3  insureds  for such services when performed by a licensed clinical social
     4  worker,  within the lawful scope of his or her practice, who is licensed
     5  pursuant to article one hundred fifty-four  of  the  education  law  and
     6  mental  health counselors, marriage and family therapists, creative arts
     7  therapists, and psychoanalysts licensed pursuant to article one  hundred
     8  sixty-three  of the education law, within the lawful scope of his or her
     9  practice. Nothing herein shall be construed  to  modify  or  expand  the
    10  scope  of  practice  of  a  mental health counselor, marriage and family
    11  therapist, creative arts therapist, or psychoanalyst  licensed  pursuant
    12  to  article one hundred sixty-three of the education law. Further, noth-
    13  ing herein shall be construed to create a new mandated health benefit.
    14    § 3. Item (ii) of subparagraph (A) of paragraph 5 of subsection (l) of
    15  section 3221 of the insurance law, as amended by chapter 62 of the  laws
    16  of 2023, is amended to read as follows:
    17    (ii)  where  the  policy  provides coverage for physician services, it
    18  shall include benefits for outpatient care provided by a psychiatrist or
    19  psychologist licensed to practice in this  state,  or  a  mental  health
    20  counselor,  marriage  and  family therapist, creative arts therapist, or
    21  psychoanalyst licensed pursuant to article one  hundred  sixty-three  of
    22  the  education  law,  or  a  licensed  clinical social worker within the
    23  lawful scope of his or her practice, who is licensed pursuant to article
    24  one hundred fifty-four  of  the  education  law,  a  nurse  practitioner
    25  licensed  to  practice  in  this state, or a professional corporation or
    26  university faculty practice corporation thereof. Nothing herein shall be
    27  construed to modify or expand the scope of practice of a  mental  health
    28  counselor,  marriage  and  family therapist, creative arts therapist, or
    29  psychoanalyst licensed pursuant to article one  hundred  sixty-three  of
    30  the  education law. Further, nothing herein shall be construed to create
    31  a new mandated health benefit.
    32    § 4. Paragraph 2 of subsection (g) of section 4303  of  the  insurance
    33  law, as amended by chapter 62 of the laws of 2023, is amended to read as
    34  follows:
    35    (2)  where  the contract provides coverage for physician services such
    36  contract shall provide  benefits  for  outpatient  care  provided  by  a
    37  psychiatrist  or  psychologist  licensed to practice in this state, or a
    38  mental health counselor, marriage and family  therapist,  creative  arts
    39  therapist,  or  psychoanalyst licensed   pursuant to article one hundred
    40  sixty-three of the education law, or a licensed clinical  social  worker
    41  within the lawful scope of his or her practice, who is licensed pursuant
    42  to  article one hundred fifty-four of the education law, a nurse practi-
    43  tioner licensed to practice in this state, or  professional  corporation
    44  or university faculty practice corporation thereof. Nothing herein shall
    45  be  construed  to  modify  or  expand  the scope of practice of a mental
    46  health counselor, marriage and family therapist,  creative  arts  thera-
    47  pist,  or  psychoanalyst licensed pursuant to article one hundred sixty-
    48  three of the education law. Further, nothing herein shall  be  construed
    49  to create a new mandated health benefit.
    50    §  5.  Subsection (n) of section 4303 of the insurance law, as amended
    51  by chapter 62 of the laws of 2023, is amended to read as follows:
    52    (n) Every health service  or  medical  expense  indemnity  corporation
    53  issuing  a group contract pursuant to this section or a group remittance
    54  contract for delivery in this state which contract  provides  reimburse-
    55  ment  to  subscribers  or physicians, psychiatrists or psychologists for
    56  psychiatric or psychological services or for the diagnosis and treatment

        A. 6173                             3

     1  of mental health conditions, however  defined  in  such  contract,  must
     2  provide  the  same  coverage to persons covered under the group contract
     3  for such services when performed by a licensed clinical  social  worker,
     4  within the lawful scope of his or her practice, who is licensed pursuant
     5  to  article  one  hundred  fifty-four  of the education law and a mental
     6  health counselor, marriage and family therapist,  creative  arts  thera-
     7  pist,  or  psychoanalyst licensed pursuant to article one hundred sixty-
     8  three of the education law. Nothing herein shall be construed to  modify
     9  or  expand  the scope of practice of a mental health counselor, marriage
    10  and family therapist, creative arts therapist, or psychoanalyst licensed
    11  pursuant to article  one  hundred  sixty-three  of  the  education  law.
    12  Further,  nothing  herein  shall  be  construed to create a new mandated
    13  health benefit. The state board for social work shall maintain a list of
    14  all licensed clinical social workers qualified for  reimbursement  under
    15  this  subsection.  The state board for mental health practitioners shall
    16  maintain a list of all licensed mental health counselors,  marriage  and
    17  family therapists, creative arts therapists, or psychoanalysts qualified
    18  for reimbursement under this subsection.
    19    §  6.  This  act  shall take effect immediately and shall apply to all
    20  policies and contracts issued, renewed, modified, altered or amended  on
    21  or after such effective date.
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