Bill Text: NY S01915 | 2021-2022 | General Assembly | Introduced

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Bill Title: Provides that coverage for outpatient diagnosis and treatment of substance use disorder shall not be subject to preauthorization.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2022-01-05 - REFERRED TO INSURANCE [S01915 Detail]

Download: New_York-2021-S01915-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          1915

                               2021-2022 Regular Sessions

                    IN SENATE

                                    January 16, 2021
                                       ___________

        Introduced  by  Sen.  AKSHAR -- read twice and ordered printed, and when
          printed to be committed to the Committee on Insurance

        AN ACT to amend the insurance law, in relation to providing that  cover-
          age  for  outpatient diagnosis and treatment of substance use disorder
          shall not be subject to preauthorization

          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  31 of subsection (i) of
     2  section 3216 of the insurance law, as amended by section 6 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  medical,  major  medical  or  similar
     6  comprehensive-type  coverage  shall  provide outpatient coverage for the
     7  diagnosis and treatment of substance use disorder, including detoxifica-
     8  tion and rehabilitation services. Such coverage shall not be subject  to
     9  preauthorization and shall not apply financial requirements or treatment
    10  limitations  to outpatient substance use disorder benefits that are more
    11  restrictive than the predominant financial  requirements  and  treatment
    12  limitations  applied  to substantially all medical and surgical benefits
    13  covered by the policy.
    14    § 2. Subparagraph (A) of paragraph 7 of subsection (1) of section 3221
    15  of the insurance law, as amended by section 16 of subpart A of  part  BB
    16  of chapter 57 of the laws of 2019, is amended to read as follows:
    17    (A)  Every  policy  that  provides  medical,  major medical or similar
    18  comprehensive-type coverage shall provide outpatient  coverage  for  the
    19  diagnosis and treatment of substance use disorder, including detoxifica-
    20  tion  and rehabilitation services. Such coverage shall not be subject to
    21  preauthorization and shall not apply financial requirements or treatment
    22  limitations to outpatient substance use disorder benefits that are  more
    23  restrictive  than  the  predominant financial requirements and treatment

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03917-01-1
        S. 1915                             2

     1  limitations applied to substantially all medical and  surgical  benefits
     2  covered by the policy.
     3    §  3.  Paragraph  1 of subsection (l) of section 4303 of the insurance
     4  law, as amended by section 27 of subpart A of part BB of chapter  57  of
     5  the laws of 2019, is amended to read as follows:
     6    (1)  Every  contract  that  provides medical, major medical or similar
     7  comprehensive-type coverage shall provide outpatient  coverage  for  the
     8  diagnosis and treatment of substance use disorder, including detoxifica-
     9  tion  and rehabilitation services. Such coverage shall not be subject to
    10  preauthorization and shall not apply financial requirements or treatment
    11  limitations to outpatient substance use disorder benefits that are  more
    12  restrictive  than  the  predominant financial requirements and treatment
    13  limitations applied to substantially all medical and  surgical  benefits
    14  covered by the contract.
    15    §  4.  This  act  shall  take  effect  immediately, and shall apply to
    16  polices and contracts issued, renewed, modified, altered or  amended  on
    17  or after such date.