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NY S05263

Bill

Status

Introduced

2/20/2025

Primary Sponsor

Jacob Ashby

Click for details

Origin

Senate

2025-2026 General Assembly

AI Summary

  • Prohibits insurance companies from requiring preauthorization for outpatient diagnosis and treatment of substance use disorder, including detoxification and rehabilitation services

  • Applies to all policies providing medical, major medical, or similar comprehensive-type coverage

  • Amends three sections of the insurance law (sections 3216, 3221, and 4303) to ensure consistent application across different types of insurance policies and contracts

  • 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

  • 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

Committee Referrals

Insurance1/7/2026
Rules6/13/2025
Alcoholism and Substance Use Disorders5/5/2025
Insurance2/20/2025

Full Bill Text

No bill text available