New York A 3120: Provides reimbursement for transportation to and from inpatient and outpatient diagnosis and treatment of substance use disorder

Bill Text

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A03120 Summary:

BILL NOA03120 

&nbsp

SAME ASNo Same As

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SPONSORRosenthal

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COSPNSR

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MLTSPNSR

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Amd §§3216, 3221 & 4303, Ins L

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Provides reimbursement for transportation to and from inpatient and outpatient diagnosis and treatment of substance use disorder.

Go to top A03120 Actions:

BILL NOA03120 

&nbsp

01/23/2025referred to insurance

01/07/2026referred to insurance

Go to topA03120 Committee&nbspVotes:

Go to topA03120 Floor&nbspVotes:

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

Go to topA03120 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 3120

 2025-2026 Regular Sessions

 IN ASSEMBLY

 January 23, 2025
 ___________

 Introduced by M. of A. ROSENTHAL -- read once and referred to the
 Committee on Insurance

 AN ACT to amend the insurance law, in relation to providing reimburse-
 ment for transportation to and from inpatient and outpatient diagnosis
 and treatment of substance disorder

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

 1 Section 1. Subparagraph (A) of paragraph 30 of subsection (i) of
 2 section 3216 of the insurance law, as amended by section 5 of subpart A
 3 of part BB of chapter 57 of the laws of 2019, is amended to read as
 4 follows:
 5 (A) Every policy that provides hospital, major medical or similar
 6 comprehensive coverage shall provide inpatient coverage for the diagno-
 7 sis and treatment of substance use disorder, including detoxification
 8 and rehabilitation services, and shall provide reimbursement for trans-
 9 portation to and from such inpatient diagnosis and treatment of
 10 substance use disorder. Such inpatient coverage shall include unlimited
 11 medically necessary treatment for substance use disorder treatment
 12 services provided in residential settings. Further, such inpatient
 13 coverage shall not apply financial requirements or treatment limita-
 14 tions, including utilization review requirements, to inpatient substance
 15 use disorder benefits that are more restrictive than the predominant
 16 financial requirements and treatment limitations applied to substantial-
 17 ly all medical and surgical benefits covered by the policy.
 18 § 2. Subparagraph (A) of paragraph 31 of subsection (i) of section
 19 3216 of the insurance law, as amended by section 6 of subpart A of part
 20 BB of chapter 57 of the laws of 2019, is amended to read as follows:
 21 (A) Every policy that provides medical, major medical or similar
 22 comprehensive-type coverage shall provide outpatient coverage for the
 23 diagnosis and treatment of substance use disorder, including detoxifica-
 24 tion and rehabilitation services, and shall provide reimbursement for

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD05544-01-5

 A. 3120 2

 1 transportation to and from such outpatient diagnosis and treatment of
 2 substance use disorder. Such coverage shall not apply financial require-
 3 ments or treatment limitations to outpatient substance use disorder
 4 benefits that are more restrictive than the predominant financial
 5 requirements and treatment limitations applied to substantially all
 6 medical and surgical benefits covered by the policy.
 7 § 3. Subparagraph (A) of paragraph 6 of subsection (l) of section 3221
 8 of the insurance law, as amended by section 15 of subpart A of part BB
 9 of chapter 57 of the laws of 2019, is amended to read as follows:
 10 (A) Every policy that provides hospital, major medical or similar
 11 comprehensive coverage shall provide inpatient coverage for the diagno-
 12 sis and treatment of substance use disorder, including detoxification
 13 and rehabilitation services, and shall provide reimbursement for trans-
 14 portation to and from such inpatient diagnosis and treatment of
 15 substance use disorder. Such inpatient coverage shall include unlimited
 16 medically necessary treatment for substance use disorder treatment
 17 services provided in residential settings. Further, such inpatient
 18 coverage shall not apply financial requirements or treatment limita-
 19 tions, including utilization review requirements, to inpatient substance
 20 use disorder benefits that are