New York S 2644: Prohibits the retrospective denial of payment for substance use disorder treatment services

Bill Text

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S02644 Summary:

BILL NOS02644 

&nbsp

SAME ASSAME AS A03767

&nbsp

SPONSORADDABBO

&nbsp

COSPNSRCLEARE, FERNANDEZ, JACKSON

&nbsp

MLTSPNSR

&nbsp

Add §3246, Ins L

&nbsp

Prohibits the retrospective denial of payment for substance use disorder treatment services if an insured was covered for such services at the time treatment was initiated; requires insurers to notify a treatment provider when an insured has lost coverage based on termination of the insured's employment.

Go to top S02644 Actions:

BILL NOS02644 

&nbsp

01/22/2025REFERRED TO INSURANCE

05/05/2025REPORTED AND COMMITTED TO ALCOHOLISM AND SUBSTANCE USE DISORDERS

05/22/20251ST REPORT CAL.1278

05/27/20252ND REPORT CAL.

05/28/2025ADVANCED TO THIRD READING 

06/11/2025PASSED SENATE

06/11/2025DELIVERED TO ASSEMBLY

06/11/2025referred to insurance

01/07/2026died in assembly

01/07/2026returned to senate

01/07/2026REFERRED TO INSURANCE

02/03/20261ST REPORT CAL.217

02/04/20262ND REPORT CAL.

02/05/2026ADVANCED TO THIRD READING 

06/05/2026COMMITTED TO RULES

Go to topS02644 Committee&nbspVotes:

Go to topS02644 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topS02644 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 2644

 2025-2026 Regular Sessions

 IN SENATE

 January 22, 2025
 ___________

 Introduced by Sen. ADDABBO -- 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 prohibiting the retro-
 spective denial of payment for substance use disorder treatment
 services

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. The insurance law is amended by adding a new section 3246
 2 to read as follows:
 3 § 3246. Retrospective denial of payment of substance use disorder
 4 treatment services. Notwithstanding any other provision of law, any
 5 retrospective denial of payment of substance use disorder treatment
 6 services provided that are based on the insured individual's eligibility
 7 shall be prohibited after the provider has verified with the insurer
 8 that the insured has coverage for such treatment at the time such treat-
 9 ment was initiated. The insurer shall immediately notify the treatment
 10 provider when an insured has lost coverage based on termination of the
 11 insured's employment and provided, further, that denial of coverage
 12 shall be based on termination of employment and shall not be based on
 13 suspension of employment. Failure of the insurer to immediately notify
 14 the treatment provider of such termination of employment shall preclude
 15 any retrospective review based on the insured's eligibility. This
 16 section shall be applicable to the New York state health insurance
 17 program.
 18 § 2. This act shall take effect immediately.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD07028-01-5

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