New York A 8864: Provides that coverage for outpatient diagnosis and treatment of substance use disorder shall not be subject to preauthorization

Bill Text

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A08864 Summary:

BILL NOA08864 

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SAME ASSAME AS S10149

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SPONSORBores

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

Go to top A08864 Actions:

BILL NOA08864 

&nbsp

06/09/2025referred to insurance

01/07/2026referred to insurance

Go to topA08864 Committee&nbspVotes:

Go to topA08864 Floor&nbspVotes:

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

Go to topA08864 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 8864

 2025-2026 Regular Sessions

 IN ASSEMBLY

 June 9, 2025
 ___________

 Introduced by M. of A. BORES -- read once and referred 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

 A. 8864 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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