Bill Text: NY A06465 | 2017-2018 | General Assembly | Amended

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Bill Title: Requires insurance policies to provide coverage for services related to the diagnosis and treatment of mental, nervous or emotional disorders or ailments; makes related provisions.

Spectrum: Partisan Bill (Democrat 16-0)

Status: (Introduced - Dead) 2018-01-03 - referred to insurance [A06465 Detail]

Download: New_York-2017-A06465-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                         6465--A
                               2017-2018 Regular Sessions
                   IN ASSEMBLY
                                      March 7, 2017
                                       ___________
        Introduced  by  M. of A. MAGNARELLI, JONES, COOK, COLTON, SIMON, JAFFEE,
          BLAKE, DE LA ROSA, GJONAJ, ORTIZ, GOTTFRIED, BARRETT,  HARRIS,  JENNE,
          D'URSO  -- Multi-Sponsored by -- M. of A. HIKIND, MAGEE, NOLAN -- 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 coverage for children
          for services related to the diagnosis and treatment of mental, nervous
          or emotional disorders or ailments
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1.  Subsection  (i)  of  section 3216 of the insurance law is
     2  amended by adding a new paragraph 34 to read as follows:
     3    (34) (A) Every policy that provides medical, major medical or  similar
     4  comprehensive-type  coverage,  shall  provide  coverage for children for
     5  services related to the diagnosis and treatment of  mental,  nervous  or
     6  emotional  disorders  or ailments, including but not limited to biologi-
     7  cally based mental illnesses as defined by subparagraph (B) of paragraph
     8  five of subsection (l) of section three thousand two hundred  twenty-one
     9  of  this  article  and  children  with serious emotional disturbances as
    10  defined by subparagraph (C) of  paragraph  five  of  subsection  (l)  of
    11  section  three  thousand  two  hundred  twenty-one of this article, in a
    12  psychiatric center under the jurisdiction of the office of mental health
    13  or other psychiatric  in-patient  facility  in  the  department,  and  a
    14  psychiatric in-patient facility maintained by a political subdivision of
    15  the  state  for  the  care  or  treatment  of the mentally ill. Coverage
    16  required under this  paragraph  must  be  at  least  equal  to  coverage
    17  provided in such policy for the diagnosis and treatment of mental, nerv-
    18  ous or emotional disorders or ailments with no additional cost sharing.
    19    (B) For the purposes of this paragraph, the term "children" shall mean
    20  any person under the age of eighteen years.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10243-02-7
        A. 6465--A                          2
     1    § 2. Subsection (l) of section 3221 of the insurance law is amended by
     2  adding a new paragraph 5-a to read as follows:
     3    (5-a) (A) Every policy that provides medical, major medical or similar
     4  comprehensive-type  coverage,  shall  provide  coverage for children for
     5  services related to the diagnosis and treatment of  mental,  nervous  or
     6  emotional  disorders  or ailments, including but not limited to biologi-
     7  cally based mental illnesses as defined by subparagraph (B) of paragraph
     8  five of this subsection and children with serious emotional disturbances
     9  as defined by subparagraph (C) of paragraph five of this subsection,  in
    10  a  psychiatric  center  under  the  jurisdiction of the office of mental
    11  health or other psychiatric in-patient facility in the department, and a
    12  psychiatric in-patient facility maintained by a political subdivision of
    13  the state for the care  or  treatment  of  the  mentally  ill.  Coverage
    14  required  under  this  paragraph  must  be  at  least  equal to coverage
    15  provided in such policy for the diagnosis and treatment of mental, nerv-
    16  ous or emotional disorders or ailments with no additional cost sharing.
    17    (B) For the purposes of this paragraph, the term "children" shall mean
    18  any person under the age of eighteen years.
    19    § 3. Section 4303 of the insurance law is  amended  by  adding  a  new
    20  subsection (g-1) to read as follows:
    21    (g-1) (1) Every contract that provides medical, major medical or simi-
    22  lar comprehensive-type coverage, shall provide coverage for children for
    23  services  related  to  the diagnosis and treatment of mental, nervous or
    24  emotional disorders or ailments, including but not limited  to  biologi-
    25  cally based mental illnesses as defined by subparagraph (B) of paragraph
    26  two  of  subsection  (g)  of  this  section  and  children  with serious
    27  emotional disturbances as defined by paragraph three of  subsection  (g)
    28  of  this  section, in a psychiatric center under the jurisdiction of the
    29  office of mental health or other psychiatric in-patient facility in  the
    30  department,  and a psychiatric in-patient facility maintained by a poli-
    31  tical subdivision of the state for the care or treatment of the mentally
    32  ill. Coverage required under this paragraph must be at  least  equal  to
    33  coverage  provided  in  such  policy  for the diagnosis and treatment of
    34  mental, nervous or emotional disorders or ailments  with  no  additional
    35  cost sharing.
    36    (2)  For  the  purposes  of this subsection, the term "children" shall
    37  mean any person under the age of eighteen years.
    38    § 4. This act shall take effect immediately and  shall  apply  to  any
    39  policy  issued,  delivered,  renewed,  and/or  modified  on or after the
    40  effective date of this act.