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NY A03148
Bill
Status
1/23/2025
Primary Sponsor
Jessica Gonzalez-Rojas
Click for details
AI Summary
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Caps patient cost-sharing at $250 maximum for outpatient substance use disorder treatment episodes at facilities licensed by the Office of Addiction Services and Supports
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Defines an "episode of care" as up to 60 visits with the same treatment provider
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Eliminates copayments for outpatient substance use disorder services; patients may only be charged coinsurance (not copayments or deductibles)
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Requires insurers to cover all financial obligations to treatment facilities beyond the $250 patient cost-sharing cap
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Applies to individual policies, group policies, and health maintenance organization contracts issued, renewed, or modified on or after January 1 following enactment
Legislative Description
Provides that for a substance use disorder outpatient treatment episode of care by a provider licensed, certified or otherwise authorized by the office of addiction services and supports, an insured shall only be responsible for a cost sharing fee not to exceed two hundred fifty dollars.
Last Action
referred to insurance
1/7/2026