Directs the state comptroller to conduct an audit of the department of financial services to ensure the agency is meeting its responsibility to evaluate and assess insurer compliance with federal and state mental health and substance use disorder parity requirements.
Summary
Bill A05753 mandates the New York State Comptroller to conduct biennial audits of the Department of Financial Services (DFS). The purpose of these audits is to ensure that the DFS is effectively evaluating and assessing insurer compliance with both federal and state mental health and substance use disorder parity requirements. The bill requires the Comptroller to publish a detailed report following each audit, which will include evaluations of the DFS's accuracy in measuring compliance, as well as compliance determinations for each insurer.
Impact
If enacted, this bill will enhance oversight of the Department of Financial Services, ensuring that it fulfills its obligations under mental health and substance use disorder parity laws. This could lead to improved compliance among insurers, potentially resulting in better access to mental health and substance use disorder services for New Yorkers. The bill will amend the executive law, adding a new section that outlines the audit process and reporting requirements.
Sentiment
The sentiment surrounding Bill A05753 appears to be supportive, as it addresses critical issues related to mental health and substance use disorder parity. Stakeholders have expressed a need for increased accountability and transparency in how insurers comply with these important regulations. However, there may be concerns regarding the resource allocation for conducting these audits and the potential impact on the DFS's operations.
Contention
Notable points of contention may arise regarding the frequency of the audits and the resources required to conduct them. Some may argue that biennial audits could be burdensome for the DFS, while others may advocate for even more frequent evaluations to ensure compliance. Additionally, there may be differing opinions on the effectiveness of audits as a tool for ensuring compliance with parity requirements.
Directs the state comptroller to conduct an audit of the department of financial services to ensure the agency is meeting its responsibility to evaluate and assess insurer compliance with federal and state mental health and substance use disorder parity requirements.
Directs the state comptroller to conduct an audit of the department of health and other agencies to ensure that the agency meets its responsibilities to review and assess Medicaid managed care organizations for compliance with federal and state requirements to maintain adequate health care providers within network, and to meet mental health and substance use disorder parity requirements.
Requires the superintendent of financial services to audit certain reports to ensure such insurers are in full compliance with federal and state mental health and substance use disorder parity requirements.
Requires the superintendent of financial services to audit certain reports to ensure such insurers are in full compliance with federal and state mental health and substance use disorder parity requirements.
Directs the state comptroller to conduct an audit of the department of health and other agencies to ensure that the agency meets its responsibilities to review and assess Medicaid managed care organizations for compliance with federal and state requirements to maintain adequate health care providers within network, and to meet mental health and substance use disorder parity requirements.
Requires the superintendent of financial services to audit certain reports to ensure such insurers are in full compliance with federal and state mental health and substance use disorder parity requirements.
Requires health insurers to comply with federal mental health parity laws, prevent discriminatory treatment limits, and ensures meaningful mental health and substance use coverage in all benefit classifications.