Assembly Bill A3694C

Signed By Governor
2017-2018 Legislative Session

Relates to establishing the mental health and substance use parity report act

download bill text pdf

Sponsored By

Archive: Last Bill Status - Signed by Governor


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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Bill Amendments

2017-A3694 - Details

See Senate Version of this Bill:
S1156
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

2017-A3694 - Summary

Relates to establishing the mental health and substance use disorder parity report act to ensure compliance of insurers and health plans with state and federal requirements for the provision of mental health and substance use disorder treatment and claims.

2017-A3694 - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   3694
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 30, 2017
                                ___________
 
 Introduced  by M. of A. GUNTHER -- read once and referred to the Commit-
   tee on Insurance
 
 AN ACT to amend the insurance  law,  in  relation  to  establishing  the
   mental health and substance abuse parity report act
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Short title. This act shall be known and may  be  cited  as
 the "mental health and substance abuse parity report act".
   § 2. Subsection (a) of section 210 of the insurance law, as amended by
 chapter 579 of the laws of 1998, is amended to read as follows:
   (a)  The  superintendent shall annually publish on or before September
 first, nineteen hundred ninety-nine, and annually thereafter, a consumer
 guide to insurers providing managed care products,  individual  accident
 and  health  insurance or group or blanket accident and health insurance
 and entities licensed pursuant  to  article  forty-four  of  the  public
 health  law providing comprehensive health service plans which includes,
 in detail, a ranking from best to worst based upon each company's  claim
 processing or medical payments record during the preceding calendar year
 using  criteria  available  to  the  department,  adjusted for volume of
 coverage provided. Such ranking shall also take into  consideration  the
 corresponding  total  number  or  percentage of claims denied which were
 reversed or compromised after intervention by  the  department  and  the
 department  of  health,  consumer  complaints  to the department and the
 department of health, violations of section three thousand  two  hundred
 twenty-four-a  of  this  chapter  and  other  pertinent data which would
 permit the department to objectively determine a company's  performance.
 The  department  in  publishing  such  consumer  guide shall publish one
 state-wide guide or no more than five regional guides so as  to  facili-
 tate comparisons among individual insurers and entities within a service
 market  area. Such rankings shall be printed in a format which ranks all
 health insurers and all entities certified pursuant  to  article  forty-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

2017-A3694A - Details

See Senate Version of this Bill:
S1156
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

2017-A3694A - Summary

Relates to establishing the mental health and substance use disorder parity report act to ensure compliance of insurers and health plans with state and federal requirements for the provision of mental health and substance use disorder treatment and claims.

2017-A3694A - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  3694--A
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 30, 2017
                                ___________
 
 Introduced  by M. of A. GUNTHER -- read once and referred to the Commit-
   tee 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 establishing the
   mental health and substance use disorder parity report act

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Short  title. This act shall be known and may be cited as
 the "mental health and substance use disorder parity report act".
   § 2. Subsection (a) of section 210 of the insurance law, as amended by
 chapter 579 of the laws of 1998, is amended to read as follows:
   (a) The superintendent shall annually publish on or  before  September
 first, nineteen hundred ninety-nine, and annually thereafter, a consumer
 guide  to  insurers providing managed care products, individual accident
 and health insurance or group or blanket accident and  health  insurance
 and  entities  licensed  pursuant  to  article  forty-four of the public
 health law providing comprehensive health service plans which  includes,
 in  detail, a ranking from best to worst based upon each company's claim
 processing or medical payments record during the preceding calendar year
 using criteria available to  the  department,  adjusted  for  volume  of
 coverage  provided.  Such ranking shall also take into consideration the
 corresponding total number or percentage of  claims  denied  which  were
 reversed  or  compromised  after  intervention by the department and the
 department of health, consumer complaints  to  the  department  and  the
 department  of  health, violations of section three thousand two hundred
 twenty-four-a of this chapter  and  other  pertinent  data  which  would
 permit  the department to objectively determine a company's performance.
 The department in publishing  such  consumer  guide  shall  publish  one
 state-wide  guide  or no more than five regional guides so as to facili-
 tate comparisons among individual insurers and entities within a service
 market area. Such rankings shall be printed in a format which ranks  all
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

co-Sponsors

multi-Sponsors

2017-A3694B - Details

See Senate Version of this Bill:
S1156
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

2017-A3694B - Summary

Relates to establishing the mental health and substance use disorder parity report act to ensure compliance of insurers and health plans with state and federal requirements for the provision of mental health and substance use disorder treatment and claims.

2017-A3694B - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  3694--B
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 30, 2017
                                ___________
 
 Introduced  by M. of A. GUNTHER -- read once and referred to the Commit-
   tee on  Insurance  --  committee  discharged,  bill  amended,  ordered
   reprinted  as amended and recommitted to said committee -- recommitted
   to the Committee on Insurance in accordance with Assembly Rule 3, sec.
   2 -- committee discharged, bill amended, ordered reprinted as  amended
   and recommitted to said committee
 
 AN  ACT  to  amend  the  insurance  law, in relation to establishing the
   mental health and substance use disorder parity report act
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Short  title. This act shall be known and may be cited as
 the "mental health and substance use disorder parity report act".
   § 2. Subsection (a) of section 210 of the insurance law, as amended by
 chapter 579 of the laws of 1998, is amended to read as follows:
   (a) The superintendent shall annually publish on or  before  September
 first, nineteen hundred ninety-nine, and annually thereafter, a consumer
 guide  to  insurers providing managed care products, individual accident
 and health insurance or group or blanket accident and  health  insurance
 and  entities  licensed  pursuant  to  article  forty-four of the public
 health law providing comprehensive health service plans which  includes,
 in  detail, a ranking from best to worst based upon each company's claim
 processing or medical payments record during the preceding calendar year
 using criteria available to  the  department,  adjusted  for  volume  of
 coverage  provided.  Such ranking shall also take into consideration the
 corresponding total number or percentage of  claims  denied  which  were
 reversed  or  compromised  after  intervention by the department and the
 department of health, consumer complaints  to  the  department  and  the
 department  of  health, violations of section three thousand two hundred
 twenty-four-a of this chapter  and  other  pertinent  data  which  would
 permit  the department to objectively determine a company's performance.
 The department in publishing  such  consumer  guide  shall  publish  one
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

co-Sponsors

multi-Sponsors

2017-A3694C (ACTIVE) - Details

See Senate Version of this Bill:
S1156
Law Section:
Insurance Law
Laws Affected:
Amd §210, Ins L
Versions Introduced in 2015-2016 Legislative Session:
S7988

2017-A3694C (ACTIVE) - Summary

Relates to establishing the mental health and substance use disorder parity report act to ensure compliance of insurers and health plans with state and federal requirements for the provision of mental health and substance use disorder treatment and claims.

2017-A3694C (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  3694--C
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 30, 2017
                                ___________
 
 Introduced  by  M.  of  A.  GUNTHER,  LIFTON,  SKOUFIS, BUCHWALD, GALEF,
   ABINANTI, STECK -- Multi-Sponsored by -- M. of A. THIELE -- read  once
   and  referred  to  the Committee on Insurance -- committee discharged,
   bill amended, ordered reprinted as amended  and  recommitted  to  said
   committee  --  recommitted to the Committee on Insurance in accordance
   with Assembly Rule 3, sec. 2 -- committee  discharged,  bill  amended,
   ordered  reprinted  as  amended  and  recommitted to said committee --
   again reported from said committee with amendments, ordered  reprinted
   as amended and recommitted to said committee
 
 AN  ACT  to  amend  the  insurance  law, in relation to establishing the
   mental health and substance use disorder parity report act
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Short  title. This act shall be known and may be cited as
 the "mental health and substance use disorder parity report act".
   § 2. Section 210 of the insurance law  is  amended  by  adding  a  new
 subsection (c-1) to read as follows:
   (C-1)  BEGINNING  SEPTEMBER  FIRST, TWO THOUSAND NINETEEN AND ANNUALLY
 THEREAFTER, THE SUPERINTENDENT SHALL INCLUDE  IN  SUCH  GUIDE  A  MENTAL
 HEALTH AND SUBSTANCE USE DISORDER PARITY REPORT DETAILING EACH COMPANY'S
 COMPLIANCE WITH FEDERAL AND STATE MENTAL HEALTH AND SUBSTANCE USE DISOR-
 DER  PARITY  LAWS  BASED  ON  EACH COMPANY'S RECORD DURING THE PRECEDING
 CALENDAR YEAR.  THE SUPERINTENDENT SHALL INCLUDE  IN  SUCH  REPORT,  AND
 EACH  COMPANY  SHALL  PROVIDE  TO  THE  SUPERINTENDENT  THE  INFORMATION
 REQUIRED FOR SUCH GUIDE IN A TIMELY FASHION, THE FOLLOWING INFORMATION:
   (1) RATES OF UTILIZATION REVIEW FOR MENTAL HEALTH  AND  SUBSTANCE  USE
 DISORDER  CLAIMS  AS  COMPARED TO MEDICAL AND SURGICAL CLAIMS, INCLUDING
 RATES OF APPROVAL AND DENIAL, CATEGORIZED BY BENEFITS PROVIDED UNDER THE
 FOLLOWING CLASSIFICATIONS:  INPATIENT IN-NETWORK, INPATIENT  OUT-OF-NET-
 WORK,  OUTPATIENT IN-NETWORK, OUTPATIENT OUT-OF-NETWORK, EMERGENCY CARE,
 AND PRESCRIPTION DRUGS;
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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