Bill > S01763

This bill amends the New York insurance law to limit the out-of-pocket costs for individuals seeking outpatient substance use disorder treatment. Specifically, the legislation requires that for any outpatient treatment episode provided by a provider licensed by the Office of Addiction Services and Supports, an insured individual will only be responsible for a cost-sharing fee up to $250, with the insurance company covering all other financial obligations. An "episode of care" is defined as including up to 60 visits with the same treatment provider. The bill also modifies existing regulations to remove copayments for outpatient substance use disorder services and eliminates preauthorization requirements for the first four weeks of treatment (up to 28 visits). The changes apply to various types of insurance policies, including individual, large group, and health corporation contracts, and aim to make substance use disorder treatment more accessible by reducing financial barriers. The legislation will take effect on the first day of January following its enactment and will apply to policies issued, renewed, or modified on or after that date.

Budget and Finance, Business and Industry

https://www.nysenate.gov/legislation/bills/2025/S1763