New York A 6648: Relates to prohibiting homeless shelters from denying shelter to a person because the person is considered to have other housing available

Bill Text

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A06648 Summary:

BILL NOA06648 

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SAME ASSAME AS S05241

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SPONSORHunter

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COSPNSRLunsford, Magnarelli, Tapia, Woerner, Ramos, Bronson, Taylor, Meeks, Simon, Yeger, Steck, Jackson,
 Kay, Kelles, Shimsky, Cook, Wright, Chandler-Waterman, Reyes

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MLTSPNSR

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Amd §§3224-b, 4900, 4902 & 4903, Ins L; amd §4902, Pub Health L

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Provides that certain utilization review determinations shall be made consistent with medical and scientific evidence; includes services for mental health and substance use disorders as part of emergency services.

Go to top A06648 Actions:

BILL NOA06648 

&nbsp

03/06/2025referred to insurance

01/07/2026referred to insurance

Go to topA06648 Committee&nbspVotes:

Go to topA06648 Floor&nbspVotes:

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

Go to topA06648 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 6648

 2025-2026 Regular Sessions

 IN ASSEMBLY

 March 6, 2025
 ___________

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

 AN ACT to amend the insurance law and the public health law, in relation
 to utilization review determinations

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

 1 Section 1. Paragraphs 4 and 5 of subsection (b) of section 3224-b of
 2 the insurance law are renumbered paragraphs 6 and 7 and two new para-
 3 graphs 4 and 5 are added to read as follows:
 4 (4) In the absence of fraud, a retrospective review or audit of a
 5 claim by or on behalf of a health plan shall not reverse or otherwise
 6 alter a determination of medical necessity previously made by a utiliza-
 7 tion review agent or external appeal agent pursuant to article forty-
 8 nine of this chapter or article forty-nine of the public health law.
 9 (5) In the absence of fraud, a review or audit of a claim by or on
 10 behalf of a health plan shall not downgrade or bundle the coding of a
 11 claim if it has the effect of reversing or altering a determination of
 12 medical necessity, which includes a level of care determination made by
 13 or on behalf of the health plan.
 14 § 2. Section 4900 of the insurance law is amended by adding a new
 15 subsection (d-6) to read as follows:
 16 (d-6) "Mental health and substance use disorders" means a mental
 17 health condition or substance use disorder that falls under any of the
 18 diagnostic categories listed in the mental and behavioral disorders
 19 chapter of the most recent edition of the World Health Organization's
 20 International Statistical Classification of Diseases and Related Health
 21 Problems, or that is listed in the most recent version of the American
 22 Psychiatric Association's Diagnostic and Statistical Manual of Mental
 23 Disorders. Changes in terminology, organization, or classification of
 24 mental health and substance use disorders in future versions of the
 25 American Psychiatric Association's Diagnostic and Statistical Manual of

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD09369-01-5

 A. 6648 2

 1 Mental Disorders or the World Health Organization's International
 2 Statistical Classification of Diseases and Related Health Problems shall
 3 not affect the conditions covered by this section as long as a condition
 4 is commonly understood to be a mental health or substance use disorder
 5 by health care providers practicing in relevant clinical specialties.
 6 § 3. Paragraph 7 of subsection (g-5) of section 4900 of the insurance
 7 law, as amended by chapter 357 of the laws of 2010, is amended and a new
 8 paragraph 8 is added to read as follows:
 9 (7) findings, studies, or research conducted by or under the auspices
 10 of federal government agencies and nationally recognized federal
 11 research institutes including the federal Agency for Health Care Policy
 12 and Research, National Institutes of Health, National Cancer Institute,
 13 National Academy of Sciences, Health Care Financing Administration,
 14 Congressional Office of Technology Assessment, and any national board
 15 recognized by the National Institutes of Health for the purpose of eval-
 16 uating the medical value of health services[.]; and
 17