New York 2025-2026 Regular Session

New York Senate Bill S05263

Introduced
2/20/25  
Refer
2/20/25  
Report Pass
5/5/25  
Refer
1/7/26  

Caption

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

Summary

Bill S05263 amends the New York insurance law to ensure that outpatient coverage for the diagnosis and treatment of substance use disorder is not subject to preauthorization. This includes detoxification and rehabilitation services, which must be provided without imposing financial requirements or treatment limitations that are more restrictive than those applied to other medical and surgical benefits covered by the policy. The bill aims to improve access to necessary treatment for individuals facing substance use disorders by streamlining the approval process for outpatient services.

Impact

The passage of this bill will significantly alter the landscape of insurance coverage for substance use disorder treatment in New York. By eliminating the preauthorization requirement, it will facilitate quicker access to outpatient services for individuals in need of diagnosis and treatment. This change is expected to enhance the overall effectiveness of treatment programs and may lead to better health outcomes for those struggling with substance use issues. Additionally, it aligns insurance practices with the growing recognition of substance use disorders as critical health issues that require immediate and accessible care.

Sentiment

The sentiment surrounding Bill S05263 has been overwhelmingly positive, as indicated by the unanimous votes in committee sessions. Stakeholders, including members of the Senate Insurance Committee and the Senate Alcoholism and Substance Use Disorders Committee, have expressed strong support for the bill, recognizing the importance of reducing barriers to treatment for substance use disorders. The lack of opposition during discussions suggests a collective acknowledgment of the necessity for improved access to care.

Contention

There have been no notable points of contention regarding Bill S05263 during the discussions and voting processes. The unanimous support from committee members indicates a consensus on the importance of the bill and its potential impact on improving access to substance use disorder treatment. However, ongoing discussions in the broader legislative context may still arise as the bill progresses through the legislative process.

Companion Bills

NY A08864

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

Previously Filed As

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 A09686

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

NY S2467

Prohibits health insurance providers from requiring preauthorization for in-network mental health or substance use disorder services.

NY H7943

Prohibits health insurance providers from requiring preauthorization for in-network mental health or substance use disorder services.

NY HB40

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

NY S0054

Prohibits health insurance providers from requiring preauthorization for in- network mental health or substance use disorder services.

NY A626

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

NY S2492

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

NY H1277

Relative to dual diagnosis treatment coverage

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.)