NY State Assembly Bill 2023-A943A

Assembly Bill A943A

2023-2024 Legislative Session

Mandates commercial insurance coverage of peer support services as part of treatment for substance use disorder

download bill text pdf

Current Bill Status - In Assembly Committee

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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Actions

View Actions

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Jan 03, 2024	referred to insurance
Apr 25, 2023	print number 943a
Apr 25, 2023	amend and recommit to insurance
Jan 11, 2023	referred to insurance

Bill Amendments

Original

A (Active)

2023-A943 - Details

Current Committee:: Assembly Insurance
Law Section:: Insurance Law
Laws Affected:: Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:: 2019-2020: A7566
2021-2022: A3589

2023-A943 - Summary

Mandates commercial insurance coverage of peer support services as part of treatment for substance use disorder.

2023-A943 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                    943
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 11, 2023
                                ___________
 
 Introduced  by  M.  of  A. L. ROSENTHAL -- read once and referred to the
   Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to  mandating  commercial
   insurance  coverage  of peer support services as part of treatment for
   substance use disorder
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.    Subparagraph  (A)  of paragraph 31 of subsection (i) of
 section 3216 of the insurance law, as amended by section 6 of subpart  A
 of  part  BB  of  chapter  57 of the laws of 2019, is amended to read as
 follows:
   (A) Every policy that  provides  medical,  major  medical  or  similar
 comprehensive-type  coverage  shall  provide outpatient coverage for the
 diagnosis and treatment of substance use disorder, including detoxifica-
 tion  and  rehabilitation  services  AND  ALSO  INCLUDING  PEER  SUPPORT
 SERVICES  PROVIDED  BY  A CERTIFIED RECOVERY PEER ADVOCATE AS DEFINED BY
 THE OFFICE OF ADDICTION SERVICES AND SUPPORTS. Such coverage  shall  not
 apply  financial  requirements  or  treatment  limitations to outpatient
 substance use disorder benefits  that  are  more  restrictive  than  the
 predominant  financial requirements and treatment limitations applied to
 substantially all medical and surgical benefits covered by the policy.
   § 2. Subparagraph (A) of paragraph 7 of subsection (l) of section 3221
 of the insurance law, as amended by section 16 of subpart A of  part  BB
 of chapter 57 of the laws of 2019, is amended to read as follows:
   (A)  Every  policy  that  provides  medical,  major medical or similar
 comprehensive-type coverage shall provide outpatient  coverage  for  the
 diagnosis and treatment of substance use disorder, including detoxifica-
 tion  and  rehabilitation  services  AND  ALSO  INCLUDING  PEER  SUPPORT
 SERVICES PROVIDED BY A CERTIFIED RECOVERY PEER ADVOCATE  AS  DEFINED  BY
 THE  OFFICE  OF ADDICTION SERVICES AND SUPPORTS. Such coverage shall not
 apply financial requirements  or  treatment  limitations  to  outpatient
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD01263-01-3

 A. 943                              2
 
 substance  use  disorder  benefits  that  are  more restrictive than the
 predominant financial requirements and treatment limitations applied  to
 substantially all medical and surgical benefits covered by the policy.
   §  3.  Paragraph  1 of subsection (l) of section 4303 of the insurance
 law, as amended by section 27 of subpart A of part BB of chapter  57  of
 the laws of 2019, is amended to read as follows:
   (1)  Every  contract  that  provides medical, major medical or similar
 comprehensive-type coverage shall provide outpatient  coverage  for  the
 diagnosis and treatment of substance use disorder, including detoxifica-
 tion  and  rehabilitation  services  AND  ALSO  INCLUDING  PEER  SUPPORT
 SERVICES PROVIDED BY A CERTIFIED RECOVERY PEER ADVOCATE  AS  DEFINED  BY
 THE  OFFICE  OF ADDICTION SERVICES AND SUPPORTS. Such coverage shall not
 apply financial requirements  or  treatment  limitations  to  outpatient
 substance  use  disorder  benefits  that  are  more restrictive than the
 predominant financial requirements and treatment limitations applied  to
 substantially all medical and surgical benefits covered by the contract.
   § 4. This act shall take effect immediately.

2023-A943A (ACTIVE) - Details

Current Committee:: Assembly Insurance
Law Section:: Insurance Law
Laws Affected:: Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:: 2019-2020: A7566
2021-2022: A3589

2023-A943A (ACTIVE) - Summary

Mandates commercial insurance coverage of peer support services as part of treatment for substance use disorder.

2023-A943A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  943--A
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 11, 2023
                                ___________
 
 Introduced  by  M.  of  A. L. ROSENTHAL -- 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 mandating commercial
   insurance coverage of peer support services as part of  treatment  for
   substance use disorder
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1.   Subparagraph (A) of paragraph 31  of  subsection  (i)  of
 section  3216 of the insurance law, as amended by section 6 of subpart A
 of part BB of chapter 57 of the laws of 2019,  is  amended  to  read  as
 follows:
   (A)  Every  policy  that  provides  medical,  major medical or similar
 comprehensive-type coverage shall provide outpatient  coverage  for  the
 diagnosis and treatment of substance use disorder, including detoxifica-
 tion  and  rehabilitation services AND ALSO INCLUDING PEERS CERTIFIED BY
 THE OFFICE OF MENTAL HEALTH AND PEER  SUPPORT  SERVICES  PROVIDED  BY  A
 CERTIFIED  RECOVERY  PEER ADVOCATE AS DEFINED BY THE OFFICE OF ADDICTION
 SERVICES AND SUPPORTS. Such coverage shall not apply financial  require-
 ments  or  treatment  limitations  to  outpatient substance use disorder
 benefits that  are  more  restrictive  than  the  predominant  financial
 requirements  and  treatment  limitations  applied  to substantially all
 medical and surgical benefits covered by the policy.
   § 2. Subparagraph (A) of paragraph 7 of subsection (l) of section 3221
 of the insurance law, as amended by section 16 of subpart A of  part  BB
 of chapter 57 of the laws of 2019, is amended to read as follows:
   (A)  Every  policy  that  provides  medical,  major medical or similar
 comprehensive-type coverage shall provide outpatient  coverage  for  the
 diagnosis and treatment of substance use disorder, including detoxifica-
 tion  and  rehabilitation services AND ALSO INCLUDING PEERS CERTIFIED BY
 THE OFFICE OF MENTAL HEALTH AND PEER  SUPPORT  SERVICES  PROVIDED  BY  A
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD01263-03-3

 A. 943--A                           2
 
 CERTIFIED  RECOVERY  PEER ADVOCATE AS DEFINED BY THE OFFICE OF ADDICTION
 SERVICES AND SUPPORTS. Such coverage shall not apply financial  require-
 ments  or  treatment  limitations  to  outpatient substance use disorder
 benefits  that  are  more  restrictive  than  the  predominant financial
 requirements and treatment  limitations  applied  to  substantially  all
 medical and surgical benefits covered by the policy.
   §  3.  Paragraph  1 of subsection (l) of section 4303 of the insurance
 law, as amended by section 27 of subpart A of part BB of chapter  57  of
 the laws of 2019, is amended to read as follows:
   (1)  Every  contract  that  provides medical, major medical or similar
 comprehensive-type coverage shall provide outpatient  coverage  for  the
 diagnosis and treatment of substance use disorder, including detoxifica-
 tion  and  rehabilitation services AND ALSO INCLUDING PEERS CERTIFIED BY
 THE OFFICE OF MENTAL HEALTH AND PEER  SUPPORT  SERVICES  PROVIDED  BY  A
 CERTIFIED  RECOVERY  PEER ADVOCATE AS DEFINED BY THE OFFICE OF ADDICTION
 SERVICES AND SUPPORTS. Such coverage shall not apply financial  require-
 ments  or  treatment  limitations  to  outpatient substance use disorder
 benefits that  are  more  restrictive  than  the  predominant  financial
 requirements  and  treatment  limitations  applied  to substantially all
 medical and surgical benefits covered by the contract.
   § 4. This act shall take effect on the thirtieth day  after  it  shall
 have become a law.

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