New York S 5263: Relates to expanding the definition of agency

Bill Text

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S05263 Summary:

BILL NOS05263 

&nbsp

SAME ASSAME AS A08864

&nbsp

SPONSORASHBY

&nbsp

COSPNSRFAHY, GALLIVAN, HELMING, RHOADS

&nbsp

MLTSPNSR

&nbsp

Amd §§3216, 3221 & 4303, Ins L

&nbsp

Provides that coverage for outpatient diagnosis and treatment of substance use disorder shall not be subject to preauthorization.

Go to top S05263 Actions:

BILL NOS05263 

&nbsp

02/20/2025REFERRED TO INSURANCE

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

05/22/20251ST REPORT CAL.1280

05/27/20252ND REPORT CAL.

05/28/2025ADVANCED TO THIRD READING 

06/13/2025COMMITTED TO RULES

01/07/2026REFERRED TO INSURANCE

04/20/2026REPORTED AND COMMITTED TO ALCOHOLISM AND SUBSTANCE USE DISORDERS

04/29/2026RECOMMIT, ENACTING CLAUSE STRICKEN

Go to topS05263 Committee&nbspVotes:

Go to topS05263 Floor&nbspVotes:

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

Go to topS05263 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 5263

 2025-2026 Regular Sessions

 IN SENATE

 February 20, 2025
 ___________

 Introduced by Sen. ASHBY -- 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 providing that cover-
 age for outpatient diagnosis and treatment of substance use disorder
 shall not be subject to preauthorization

 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 31 of subsection (i) of
 2 section 3216 of the insurance law, as amended by section 6 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 medical, major medical or similar
 6 comprehensive-type coverage shall provide outpatient coverage for the
 7 diagnosis and treatment of substance use disorder, including detoxifica-
 8 tion and rehabilitation services. Such coverage shall not be subject to
 9 preauthorization and shall not apply financial requirements or treatment
 10 limitations to outpatient substance use disorder benefits that are more
 11 restrictive than the predominant financial requirements and treatment
 12 limitations applied to substantially all medical and surgical benefits
 13 covered by the policy.
 14 § 2. Subparagraph (A) of paragraph 7 of subsection (l) of section 3221
 15 of the insurance law, as amended by section 16 of subpart A of part BB
 16 of chapter 57 of the laws of 2019, is amended to read as follows:
 17 (A) Every policy that provides medical, major medical or similar
 18 comprehensive-type coverage shall provide outpatient coverage for the
 19 diagnosis and treatment of substance use disorder, including detoxifica-
 20 tion and rehabilitation services. Such coverage shall not be subject to
 21 preauthorization and shall not apply financial requirements or treatment
 22 limitations to outpatient substance use disorder benefits that are more
 23 restrictive than the predominant financial requirements and treatment

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD08834-02-5

 S. 5263 2

 1 limitations applied to substantially all medical and surgical benefits
 2 covered by the policy.
 3 § 3. Paragraph 1 of subsection (l) of section 4303 of the insurance
 4 law, as amended by section 27 of subpart A of part BB of chapter 57 of
 5 the laws of 2019, is amended to read as follows:
 6 (1) Every contract that provides medical, major medical or similar
 7 comprehensive-type coverage shall provide outpatient coverage for the
 8 diagnosis and treatment of substance use disorder, including detoxifica-
 9 tion and rehabilitation services. Such coverage shall not be subject to
 10 preauthorization and shall not apply financial requirements or treatment
 11 limitations to outpatient substance use disorder benefits that are more
 12 restrictive than the predominant financial requirements and treatment
 13 limitations applied to substantially all medical and surgical benefits
 14 covered by the contract.
 15 § 4. This act shall take effect immediately, and shall apply to poli-
 16 cies and contracts issued, renewed, modified, altered or amended on or
 17 after such date.

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