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NY S01763

Bill

Status

Engrossed

5/29/2025

Primary Sponsor

Nathalia Fernandez

Click for details

Origin

Senate

2025-2026 General Assembly

AI Summary

  • Caps patient cost-sharing at $250 maximum for substance use disorder outpatient treatment episodes at facilities licensed by the Office of Addiction Services and Supports

  • Defines an episode of care as up to 60 visits with the same treatment provider, with insurers responsible for all costs beyond the $250 patient cap

  • Eliminates copayments for outpatient substance use disorder services in large group insurance policies, allowing only coinsurance that cannot exceed primary care office visit rates

  • Removes deductibles as a permitted cost-sharing mechanism for outpatient substance use disorder treatment, limiting patient responsibility to coinsurance only

  • Updates statutory references from "Office of Alcoholism and Substance Abuse Services" to "Office of Addiction Services and Supports" throughout the insurance law

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

REPORTED AND COMMITTED TO FINANCE

2/3/2026

Committee Referrals

Finance2/3/2026
Insurance1/7/2026
Insurance5/29/2025
Insurance1/13/2025

Full Bill Text

No bill text available