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NY S05263
Bill
Status
2/20/2025
Primary Sponsor
Jacob Ashby
Click for details
AI Summary
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Prohibits insurance companies from requiring preauthorization for outpatient diagnosis and treatment of substance use disorder, including detoxification and rehabilitation services
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Applies to all policies providing medical, major medical, or similar comprehensive-type coverage
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Amends three sections of the insurance law (sections 3216, 3221, and 4303) to ensure consistent application across different types of insurance policies and contracts
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Maintains existing requirement that financial requirements and treatment limitations for substance use disorder benefits cannot be more restrictive than those applied to medical and surgical benefits
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Takes effect immediately and applies to policies and contracts issued, renewed, modified, altered, or amended on or after the effective date
Legislative Description
Provides that coverage for outpatient diagnosis and treatment of substance use disorder shall not be subject to preauthorization.
Last Action
REFERRED TO INSURANCE
1/7/2026