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NY A09693
Bill
Status
4/3/2024
Primary Sponsor
David Weprin
Click for details
AI Summary
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Prohibits insurers from retroactively denying payment for substance use disorder treatment services if the insured had coverage at the time treatment began and the provider verified eligibility with the insurer.
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Requires insurers to immediately notify treatment providers when an insured loses coverage due to employment termination, but excludes suspensions from coverage denial.
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Prevents insurers from conducting retrospective eligibility reviews if they fail to immediately notify the treatment provider of an insured's employment termination.
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Applies the prohibition to the New York State Health Insurance Program.
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Takes effect immediately upon enactment.
Legislative Description
Prohibits the retrospective denial of payment for substance use disorder treatment services if an insured was covered for such services at the time treatment was initiated; requires insurers to notify a treatment provider when an insured has lost coverage based on termination of the insured's employment.
Last Action
referred to insurance
4/3/2024