New York 2025-2026 Regular Session

New York Senate Bill S01430

Introduced
1/9/25  
Refer
1/9/25  

Caption

Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

Summary

Bill S01430 mandates that insurance policies and Medicaid provide coverage for inpatient and outpatient substance abuse treatment for a minimum of forty-five days. This includes comprehensive coverage for detoxification and rehabilitation services, ensuring that financial requirements or treatment limitations for substance use disorder benefits are not more restrictive than those applied to other medical and surgical benefits. The bill aims to enhance access to necessary treatment for individuals suffering from substance use disorders, recognizing the importance of extended care in recovery processes.

Impact

If enacted, S01430 will amend the insurance and social services laws in New York, establishing a new standard for coverage duration for substance abuse treatment. This will likely lead to increased insurance costs as providers adjust to the mandated coverage requirements. Additionally, it may improve health outcomes for individuals with substance use disorders by ensuring they receive adequate treatment without financial barriers, thereby potentially reducing long-term healthcare costs associated with untreated substance abuse.

Sentiment

The sentiment surrounding Bill S01430 appears to be generally supportive, with advocates emphasizing the necessity of comprehensive treatment for substance use disorders. However, there may be concerns from some insurance providers regarding the financial implications of mandated coverage, which could lead to debates on the balance between patient care and insurance sustainability.

Contention

Notable points of contention include the potential financial burden on insurance companies and the implications for premium costs. Some stakeholders argue that while extended coverage is essential for effective treatment, it may lead to increased insurance premiums, which could affect affordability for consumers. Additionally, there may be discussions about the adequacy of existing treatment facilities to handle the increased demand for services resulting from this legislation.

Companion Bills

NY A03366

Same As Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

NY A09686

Same As Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

Previously Filed As

NY A09686

Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

NY S00498

Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

NY A02412

Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

NY A03366

Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

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.

NY HB40

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

NY A01921

Provides outpatient insurance coverage for non-pharmacological treatments and non-opioid drugs for chronic pain.

NY S03185

Provides outpatient insurance coverage for non-pharmacological treatments and non-opioid drugs for chronic pain.

NY HB2738

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

Similar Bills

WI AB925

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

WI SB904

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

US HB238

Residential Substance Use Disorder Treatment Act of 2023 This bill revises and reauthorizes through FY2027 grants for residential substance use disorder treatment programs at state and local correctional and detention facilities. Among the revisions, the bill replaces statutory references to substance abuse with substance use disorder, specifies that the term residential substance use disorder treatment program includes a medication-assisted treatment program, requires the chief medical officer or other staff overseeing a program to complete training on the science of addiction and the latest research and clinical guidance on treating substance use disorders in criminal justice settings, and allows people who are awaiting trial or in pretrial detention to participate in the programs.

NM HB152

Medically Assisted Treatment For Juveniles

NH HB751

Requiring licensure of outpatient substance use disorder treatment facilities and relative to complaint investigation of treatment facilities by the department of health and human services office of the ombudsman and making an appropriation therefor.

PA SB691

Establishing the Nonnarcotic Medication Substance Use Disorder Treatment Program; in organization and jurisdiction of courts of common pleas, providing for court assessments for substance use disorder treatment; in other criminal provisions, further providing for supervisory relationship to offenders; and, in Pennsylvania Board of Probation and Parole, further providing for supervisory relationship to offenders.

MA H2227

Replacing archaic and stigmatizing language for substance use

MO SB218

Modifies provisions relating to court operations