New York 2025-2026 Regular Session

New York Assembly Bill A03159

Introduced
1/23/25  
Refer
1/23/25  

Caption

Mandates commercial insurance coverage of peer support services as part of treatment for substance use disorder.

Summary

Bill A03159 amends the New York insurance law to mandate that commercial insurance policies provide coverage for peer support services as part of the treatment for substance use disorder. This includes outpatient coverage for diagnosis and treatment, detoxification, and rehabilitation services, specifically incorporating services provided by certified recovery peer advocates. The bill aims to ensure that these peer support services are treated equally to other medical and surgical benefits, prohibiting insurance policies from imposing more restrictive financial requirements or treatment limitations on substance use disorder benefits than those applied to other medical services.

Impact

The bill will have a significant impact on state insurance laws by expanding the scope of required coverage for substance use disorder treatments. It will specifically require insurance companies to include peer support services in their coverage, which may lead to increased access to these services for individuals seeking treatment. This change could also influence the way insurance policies are structured, potentially increasing costs for insurers while improving treatment outcomes for patients.

Sentiment

The general sentiment around Bill A03159 appears to be supportive, as it addresses a critical need for comprehensive treatment options for individuals with substance use disorders. However, there may be concerns from insurance providers regarding the financial implications of mandating additional coverage, which could lead to debates during the legislative process.

Contention

Notable points of contention may arise from insurance companies that are concerned about the financial burden of expanding coverage to include peer support services. Advocates for mental health and substance use disorder treatment, on the other hand, strongly support the bill, arguing that peer support is an essential component of recovery that should be covered by insurance. The discussions may reflect a divide between the interests of insurers and those of healthcare advocates.

Companion Bills

No companion bills found.

Previously Filed As

NY S01177

Mandates commercial insurance coverage of peer support services as part of treatment for substance use disorder.

NY A00943

Mandates commercial insurance coverage of peer support services as part of treatment for substance use disorder.

NY S03519

Mandates commercial insurance coverage of peer support services as part of treatment for substance use disorder.

MS HB40

Health insurance; require coverage of medically necessary treatment of mental health and substance use disorders.

NY A08864

Provides that coverage for outpatient diagnosis and treatment of substance use disorder shall not be subject to preauthorization.

NY S10149

Provides that coverage for outpatient diagnosis and treatment of substance use disorder shall not be subject to preauthorization.

VA HB2738

Health insurance; coverage for mental health and substance abuse disorders.

CT HB06086

An Act Concerning Medicaid Coverage For Peer Support Services For Mental Illness And Substance Use Disorder Treatment.

NJ S1087

Requires Medicaid coverage for family-based counseling services provided as part of treatment for substance use disorder.

WV HB2861

Mental Health and Substance Use Disorders Insurance Coverage Protection Act

Similar Bills

WI AB925

Revising various provisions of the statutes for the purpose of making corrections and reconciling conflicts (Correction Bill).

AZ HB2944

Inpatient treatment days; computation; exclusion

CA AB1879

Substance use: treatment or residential data reporting.

WI SB904

Revising various provisions of the statutes for the purpose of making corrections and reconciling conflicts (Correction Bill).

CA AB2538

Medi-Cal: hospice providers: forms.

AZ SB1244

court-ordered treatment; continuation

IA HF518

A bill for an act establishing a veterans recovery pilot program and fund for the reimbursement of expenses related to providing hyperbaric oxygen treatment to eligible veterans and making appropriations.(Formerly HF 326.)

IA HF326

A bill for an act establishing a veterans recovery pilot program and fund for the reimbursement of expenses related to providing hyperbaric oxygen treatment to eligible veterans and making appropriations.(See HF 518.)