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NY S02644
Bill
Status
6/11/2025
Primary Sponsor
Joseph Addabbo
Click for details
AI Summary
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Prohibits insurers from retrospectively denying payment for substance use disorder treatment services based on eligibility if the provider verified coverage 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 can only be based on employment termination, not employment suspension
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If an insurer fails to immediately notify the treatment provider of employment termination, the insurer is precluded from conducting any retrospective review based on eligibility
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Applies to the New York State Health Insurance Program and takes effect immediately
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
ADVANCED TO THIRD READING
2/5/2026