Bill Text: NY S08064 | 2017-2018 | General Assembly | Introduced

New York Senate Bill 8064 (Prior Session Legislation)

Introduced

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

Spectrum: Partisan Bill (Republican 5-0)

Status: (Introduced - Dead) 2018-03-23 - REFERRED TO INSURANCE [S08064 Detail]

Download: New_York-2017-S08064-Introduced.html

                STATE OF NEW YORK
        ________________________________________________________________________
                                          8064
                    IN SENATE
                                     March 23, 2018
                                       ___________
        Introduced  by  Sens.  AKSHAR, AMEDORE, HANNON, JACOBS -- 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 added by chapter 41 of the laws of
     3  2014, is amended to read as follows:
     4    (A)  Every  policy  that  provides  medical,  major medical or similar
     5  comprehensive-type coverage must provide  outpatient  coverage  for  the
     6  diagnosis and treatment of substance use disorder, including detoxifica-
     7  tion  and rehabilitation services. Such coverage shall not be subject to
     8  preauthorization and shall not apply financial requirements or treatment
     9  limitations to outpatient substance use disorder benefits that are  more
    10  restrictive  than  the  predominant financial requirements and treatment
    11  limitations applied to substantially all medical and  surgical  benefits
    12  covered  by  the  policy.    Further,  such  coverage  shall be provided
    13  consistent with the federal Paul  Wellstone  and  Pete  Domenici  Mental
    14  Health Parity and Addiction Equity Act of 2008 (29 U.S.C. § 1185a).
    15    § 2. Subparagraph (A) of paragraph 7 of subsection (1) of section 3221
    16  of  the  insurance law, as amended by chapter 41 of the laws of 2014, is
    17  amended to read as follows:
    18    (A) Every policy that  provides  medical,  major  medical  or  similar
    19  comprehensive-type  coverage  must  provide  outpatient coverage for the
    20  diagnosis and treatment of substance use disorder, including detoxifica-
    21  tion and rehabilitation services. Such coverage shall not be subject  to
    22  preauthorization and shall not apply financial requirements or treatment
    23  limitations  to outpatient substance use disorder benefits that are more
    24  restrictive than the predominant financial  requirements  and  treatment
    25  limitations  applied  to substantially all medical and surgical benefits
    26  covered by the  policy.    Further,  such  coverage  shall  be  provided
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14728-01-8

        S. 8064                             2
     1  consistent  with  the  federal  Paul  Wellstone and Pete Domenici Mental
     2  Health Parity and Addiction Equity Act of 2008 (29 U.S.C. § 1185a).
     3    §  3.  Paragraph  1 of subsection (l) of section 4303 of the insurance
     4  law, as amended by chapter 41 of the laws of 2014, is amended to read as
     5  follows:
     6    (1) Every contract that provides medical,  major  medical  or  similar
     7  comprehensive-type  coverage  must  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.   Further,  such  coverage  shall  be  provided
    15  consistent  with  the  federal  Paul  Wellstone and Pete Domenici Mental
    16  Health Parity and Addiction Equity Act of 2008 (29 U.S.C. § 1185a).
    17    § 4. This act shall  take  effect  immediately,  and  shall  apply  to
    18  polices  and  contracts issued, renewed, modified, altered or amended on
    19  or after such date.