New York S 5114: Requires insurance coverage for child and family treatment and support services and children's home and community based services

Bill Text

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S05114 Summary:

BILL NOS05114 

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SAME ASSAME AS A05389

&nbsp

SPONSORHINCHEY

&nbsp

COSPNSRBROUK

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MLTSPNSR

&nbsp

Amd §§3216, 3221 & 4303, Ins L

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Requires all policies that provide coverage for inpatient hospital care to include benefits for child and family treatment and support services and children's home and community based services.

Go to top S05114 Actions:

BILL NOS05114 

&nbsp

02/19/2025REFERRED TO INSURANCE

05/28/2025REPORTED AND COMMITTED TO FINANCE

01/07/2026REFERRED TO INSURANCE

Go to topS05114 Committee&nbspVotes:

Go to topS05114 Floor&nbspVotes:

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

Go to topS05114 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 5114

 2025-2026 Regular Sessions

 IN SENATE

 February 19, 2025
 ___________

 Introduced by Sen. HINCHEY -- 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 requiring insurance
 coverage for child and family treatment and support services and chil-
 dren's home and community based services

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

 1 Section 1. Item (i) of subparagraph (A) of paragraph 35 of subsection
 2 (i) of section 3216 of the insurance law, as amended by section 1 of
 3 subpart A of part II of chapter 57 of the laws of 2023, is amended to
 4 read as follows:
 5 (i) where the policy provides coverage for inpatient hospital care,
 6 such policy shall include benefits for: inpatient care in a hospital as
 7 defined by subdivision ten of section 1.03 of the mental hygiene law;
 8 sub-acute care in a residential facility licensed or operated by the
 9 office of mental health; outpatient care provided by a facility issued
 10 an operating certificate by the commissioner of mental health pursuant
 11 to the provisions of article thirty-one of the mental hygiene law or by
 12 a facility operated by the office of mental health; outpatient care
 13 provided by a crisis stabilization center licensed pursuant to section
 14 36.01 of the mental hygiene law; outpatient care provided by a mobile
 15 crisis intervention services provider licensed, certified, or designated
 16 by the office of mental health or the office of addiction services and
 17 supports; outpatient and inpatient care for critical time intervention
 18 services and outpatient care for assertive community treatment services
 19 provided by facilities issued an operating certificate by the commis-
 20 sioner of mental health pursuant to the provisions of article thirty-one
 21 of the mental hygiene law, beginning no later than thirty days following
 22 discharge from a hospital as defined by subdivision ten of section 1.03
 23 of the mental hygiene law or the emergency department of a hospital
 24 licensed pursuant to article twenty-eight of the public health law;

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD07845-01-5

 S. 5114 2

 1 child and family treatment and support services; children's home and
 2 community based services; or, for care provided in other states, to
 3 similarly licensed or certified hospitals, facilities, or licensed,
 4 certified or designated providers; and
 5 § 2. Item (i) of subparagraph (A) of paragraph 5 of subsection (l) of
 6 section 3221 of the insurance law, as amended by section 5 of subpart A
 7 of part II of chapter 57 of the laws of 2023, is amended to read as
 8 follows:
 9 (i) where the policy provides coverage for inpatient hospital care,
 10 benefits for: inpatient care in a hospital as defined by subdivision ten
 11 of section 1.03 of the mental hygiene law; sub-acute care in a residen-
 12 tial facility licensed or operated by the office of mental health;
 13 outpatient care provided by a facility issued an operating certificate
 14 by the commissioner of mental health pursuant to the provisions of arti-
 15 cle thirty-one of the mental hygiene law, or by a facility operated by
 16 the office of mental health; outpatient care provided by a crisis
 17 stabilization center licensed pursuant to section 36.01 of the mental
 18 hygiene law; outpatient care provided by a