S 10149 NY

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Bill No.: Summary Actions Committee&nbspVotes Floor&nbspVotes Memo Text LFIN Chamber&nbspVideo/Transcript S10149 Summary: BILL NO S10149 &nbsp SAME AS SAME AS A08864

&nbsp SPONSOR FERNANDEZ &nbsp COSPNSR ASHBY, FAHY, GALLIVAN, HELMING, RHOADS &nbsp MLTSPNSR &nbsp Amd §§3216, 3221 & 4303, Ins L &nbsp Provides that coverage for outpatient diagnosis and treatment of substance use disorder shall not be subject to preauthorization.

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STATE OF NEW YORK ________________________________________________________________________

10149

IN SENATE

April 30, 2026 ___________

Introduced by Sens. FERNANDEZ, ASHBY, FAHY, GALLIVAN, HELMING, RHOADS -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance

AN ACT to amend the insurance law, in relation to providing that cover- age for outpatient diagnosis and treatment of substance use disorder shall not be subject to preauthorization

The People of the State of New York, represented in Senate and Assem- bly, do enact as follows:

1 Section 1. Subparagraph (A) of paragraph 31 of subsection (i) of 2 section 3216 of the insurance law, as amended by section 6 of subpart A 3 of part BB of chapter 57 of the laws of 2019, is amended to read as 4 follows: 5 (A) Every policy that provides medical, major medical or similar 6 comprehensive-type coverage shall provide outpatient coverage for the 7 diagnosis and treatment of substance use disorder, including detoxifica- 8 tion and rehabilitation services. Such coverage shall not be subject to 9 preauthorization and shall not apply financial requirements or treatment 10 limitations to outpatient substance use disorder benefits that are more 11 restrictive than the predominant financial requirements and treatment 12 limitations applied to substantially all medical and surgical benefits 13 covered by the policy. 14 § 2. Subparagraph (A) of paragraph 7 of subsection (l) of section 3221 15 of the insurance law, as amended by section 16 of subpart A of part BB 16 of chapter 57 of the laws of 2019, is amended to read as follows: 17 (A) Every policy that provides medical, major medical or similar 18 comprehensive-type coverage shall provide outpatient coverage for the 19 diagnosis and treatment of substance use disorder, including detoxifica- 20 tion and rehabilitation services. Such coverage shall not be subject to 21 preauthorization and shall not apply financial requirements or treatment 22 limitations to outpatient substance use disorder benefits that are more 23 restrictive than the predominant financial requirements and treatment 24 limitations applied to substantially all medical and surgical benefits 25 covered by the policy.

EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD08834-02-5

S. 10149 2

1 § 3. Paragraph 1 of subsection (l) of section 4303 of the insurance 2 law, as amended by section 27 of subpart A of part BB of chapter 57 of 3 the laws of 2019, is amended to read as follows: 4 (1) Every contract that provides medical, major medical or similar 5 comprehensive-type coverage shall provide outpatient coverage for the 6 diagnosis and treatment of substance use disorder, including detoxifica- 7 tion and rehabilitation services. Such coverage shall not be subject to 8 preauthorization and shall not apply financial requirements or treatment 9 limitations to outpatient substance use disorder benefits that are more 10 restrictive than the predominant financial requirements and treatment 11 limitations applied to substantially all medical and surgical benefits 12 covered by the contract. 13 § 4. This act shall take effect immediately, and shall apply to poli- 14 cies and contracts issued, renewed, modified, altered or amended on or 15 after such date.

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