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NY S01763
Bill
Status
5/29/2025
Primary Sponsor
Nathalia Fernandez
Click for details
AI Summary
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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
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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
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Eliminates copayments for outpatient substance use disorder services in large group insurance policies, allowing only coinsurance that cannot exceed primary care office visit rates
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Removes deductibles as a permitted cost-sharing mechanism for outpatient substance use disorder treatment, limiting patient responsibility to coinsurance only
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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