New York S 5361: Creates city university of New York center for excellence in urban education to enhance the quality of teaching in public schools in N.Y. city

Bill Text

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S05361 Summary:

BILL NOS05361 

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SAME ASNo Same As

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SPONSORCOMRIE

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COSPNSR

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MLTSPNSR

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Amd §§3216, 3221 & 4303, Ins L; amd §4403, Pub Health L

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Provides for a minimum reimbursement rate for ambulatory behavioral health services.

Go to top S05361 Actions:

BILL NOS05361 

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02/20/2025REFERRED TO INSURANCE

01/07/2026REFERRED TO INSURANCE

Go to topS05361 Committee&nbspVotes:

Go to topS05361 Floor&nbspVotes:

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

Go to topS05361 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 5361

 2025-2026 Regular Sessions

 IN SENATE

 February 20, 2025
 ___________

 Introduced by Sen. COMRIE -- read twice and ordered printed, and when
 printed to be committed to the Committee on Insurance

 AN ACT to amend the insurance law and the public health law, in relation
 to setting a minimum reimbursement rate for ambulatory behavioral
 health services

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

 1 Section 1. Paragraph 35 of subsection (i) of section 3216 of the
 2 insurance law is amended by adding a new subparagraph (L) to read as
 3 follows:
 4 (L) Every policy which provides medical, major medical, or similar
 5 comprehensive-type coverage shall reimburse in network, participating
 6 providers licensed pursuant to article twenty-eight of the public health
 7 law or article thirty-one or thirty-two of the mental hygiene law for
 8 ambulatory behavioral health services provided to its insureds, at a
 9 minimum, at a rate equivalent to the payments established for such
 10 services under the ambulatory patient group (APG) rate-setting methodol-
 11 ogy at the time of service, utilized by the department of health or by
 12 the office of mental health or offices of addiction services and
 13 supports for rate-setting purposes for ambulatory behavioral health
 14 services provided to enrollees in the medical assistance program under
 15 title eleven of article five of the social services law. Insurers and in
 16 network, participating providers may negotiate different rates and meth-
 17 ods of payments, however insurers shall pay no less than the equivalent
 18 of rates that would be paid for ambulatory behavioral health services
 19 pursuant to the medical assistance program under title eleven of article
 20 five of the social services law.
 21 § 2. Paragraph 5 of subsection (l) of section 3221 of the insurance
 22 law is amended by adding a new subparagraph (L) to read as follows:
 23 (L) Every insurer delivering a group or blanket policy or issuing a
 24 group or blanket policy for delivery in this state that provides cover-

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD09497-01-5

 S. 5361 2

 1 age for hospital, major medical, or similar comprehensive-type
 2 coverage shall reimburse in network, participating providers licensed
 3 pursuant to article twenty-eight of the public health law or article
 4 thirty-one or thirty-two of the mental hygiene law for ambulatory behav-
 5 ioral health services provided to its insureds, at a minimum, at a rate
 6 equivalent to the payments established for such services under the ambu-
 7 latory patient group (APG) rate-setting methodology at the time of
 8 service, utilized by the department of health or by the office of mental
 9 health or offices of addiction services and supports for rate-setting
 10 purposes for ambulatory behavioral health services provided to enrollees
 11 in the medical assistance program under title eleven of article five of
 12 the social services law. Insurers and in network, participating provid-
 13 ers may negotiate different rates and methods of payments, however
 14 insurers shall pay no less than the equivalent of rates that would be
 15 paid for ambulatory behavioral health services pursuant to the medical
 16 assistance program under title eleven of article five of the social
 17 services law.
 18 § 3. Subsection (g) of section 4303 of the insurance law is amended by
 19 adding a new paragraph 13 to read as follows:
 20 (13) A medical expense indemnity corporation, a hospital service
 21 corporation or a health servic