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NY A03767
Bill
Status
1/30/2025
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 based on eligibility if the provider verified coverage with the insurer at the time treatment began
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Requires insurers to immediately notify treatment providers when an insured individual loses coverage due to termination of employment
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Specifies that denial of coverage must be based on employment termination, not employment suspension
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Bars insurers from conducting retrospective eligibility reviews if they fail to immediately notify providers of an insured's employment termination
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Applies to the New York State Health Insurance Program
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
1/7/2026