Bill > A03148

This bill amends the New York insurance law to limit the financial responsibility of individuals seeking substance use disorder outpatient treatment. Specifically, for treatment episodes provided by facilities licensed by the Office of Addiction Services and Supports, an insured person will now only be responsible for a cost-sharing fee of up to $250, with the insurance provider 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 removes previous restrictions on copayments for substance use disorder services and eliminates preauthorization requirements for the first four weeks of continuous treatment (up to 28 visits). The changes apply to various types of insurance policies including individual, large group, and health corporation contracts. The bill aims to reduce financial barriers to accessing substance use disorder treatment by capping out-of-pocket costs and streamlining the insurance coverage process. It will take effect on the first day of January following its passage and will apply to policies issued, renewed, or modified after that date.

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https://www.nysenate.gov/legislation/bills/2025/A3148