S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   2037
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 14, 2025
                                ___________
 
 Introduced  by  M.  of  A. STIRPE, JONES, COOK, SAYEGH, JACOBSON, REYES,
   SIMON, BUTTENSCHON,  CRUZ,  ROSENTHAL,  MAGNARELLI,  LUPARDO,  HUNTER,
   DeSTEFANO, REILLY, RA, DiPIETRO, BLANKENBUSH, STECK -- Multi-Sponsored
   by  --  M.  of A. EPSTEIN, GIGLIO, HEVESI -- read once and referred to
   the Committee on Insurance

 AN ACT to amend the insurance law, in relation to insurance coverage for
   substance abuse disorder services
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Paragraph  30  of  subsection  (i) of section 3216 of the
 insurance law, as amended by section 5 of subpart A of part BB of  chap-
 ter  57 of the laws of 2019, is amended by adding a new subparagraph (H)
 to read as follows:
   (H) A POLICY PROVIDING COVERAGE UNDER  THIS  PARAGRAPH  SHALL  INCLUDE
 COVERAGE  FOR  AT  LEAST  NINETY  DAYS  AT  A  REHABILITATION  FACILITY;
 PROVIDED, HOWEVER, THAT ANY STAY IN A REHABILITATION  FACILITY  REQUIRED
 TO BE COVERED PURSUANT TO THIS PARAGRAPH SHALL REQUIRE THE REFERRAL OF A
 DOCTOR.
   §  2.  Paragraph  6 of subsection (l) of section 3221 of the insurance
 law is amended by adding a new subparagraph (H) to read as follows:
   (H) A POLICY PROVIDING COVERAGE UNDER  THIS  PARAGRAPH  SHALL  INCLUDE
 COVERAGE  FOR  AT  LEAST  NINETY  DAYS  AT  A  REHABILITATION  FACILITY;
 PROVIDED, HOWEVER, THAT ANY STAY IN A REHABILITATION  FACILITY  REQUIRED
 TO BE COVERED PURSUANT TO THIS PARAGRAPH SHALL REQUIRE THE REFERRAL OF A
 DOCTOR.
   § 3. Subsection (k) of section 4303 of the insurance law is amended by
 adding a new paragraph 8 to read as follows:
   (8)  A  POLICY  PROVIDING COVERAGE UNDER THIS SUBSECTION SHALL INCLUDE
 COVERAGE  FOR  AT  LEAST  NINETY  DAYS  AT  A  REHABILITATION  FACILITY;
 PROVIDED,  HOWEVER,  THAT ANY STAY IN A REHABILITATION FACILITY REQUIRED

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD03675-01-5
 A. 2037                             2
              

 
 TO BE COVERED PURSUANT TO THIS SUBSECTION SHALL REQUIRE THE REFERRAL  OF
 A DOCTOR.
   §  4.  This  act shall take effect on the ninetieth day after it shall
 have become a law and shall apply to  any  policy  issued,  amended,  or
 renewed on and after such effective date.