New York 2025-2026 Regular Session

New York Senate Bill S05114

Introduced
2/19/25  
Refer
2/19/25  
Report Pass
5/28/25  

Caption

Requires all policies that provide coverage for inpatient hospital care to include benefits for child and family treatment and support services and children's home and community based services.

Summary

Bill S05114 mandates that all insurance policies providing inpatient hospital care must include coverage for child and family treatment and support services, as well as children's home and community-based services. This amendment aims to enhance mental health support for children and families by ensuring that necessary treatment options are covered under insurance policies. The bill specifies the types of services that must be included, such as outpatient care from licensed mental health facilities and crisis intervention services.

Impact

If enacted, this bill will significantly alter the landscape of mental health insurance coverage in New York State. It will require insurers to expand their coverage to include specific mental health services for children and families, thus potentially increasing access to necessary treatment. This change may lead to higher insurance premiums or adjustments in policy offerings as insurers adapt to the new requirements.

Sentiment

The general sentiment surrounding Bill S05114 appears to be positive, as evidenced by the unanimous support in the Senate Insurance Committee vote, where it passed with 11 votes in favor and none against. This suggests a strong bipartisan agreement on the importance of improving mental health services for children and families.

Contention

While there is broad support for the bill, some concerns may arise regarding the financial implications for insurance providers and the potential for increased premiums. Insurers may argue that the expanded coverage requirements could lead to higher operational costs, which could be passed on to consumers. However, these concerns were not highlighted in the committee discussions or voting records available.

Companion Bills

NY A05389

Same As Requires all policies that provide coverage for inpatient hospital care to include benefits for child and family treatment and support services and children's home and community based services.

Previously Filed As

NY A05389

Requires all policies that provide coverage for inpatient hospital care to include benefits for child and family treatment and support services and children's home and community based services.

NJ S1087

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

NY S09507

Provides additional support to medically fragile children who rely on community-based or home health services.

NY A08604

Provides additional support to medically fragile children who rely on community-based or home health services.

NY A09686

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

NJ A626

Increases access to substance use disorder treatment; Requires Medicaid coverage for substance use disorder services provided by community-based organizations.

NJ S2492

Increases access to substance use disorder treatment; Requires Medicaid coverage for substance use disorder services provided by community-based organizations.

NJ A3122

Requires health benefits coverage for family planning and reproductive health care services, including early infancy care, without cost sharing.

NY S09275

Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities including hospitals, certain professionals, and insurers; requires insurance coverage for services or treatments for gender dysphoria or gender incongruence.

OR SB539

Relating to fees charged for services provided in hospital-based facilities.

Similar Bills

No similar bills found.