STATE OF NEW YORK
________________________________________________________________________
9063
IN SENATE
October 23, 2020
___________
Introduced by Sen. RIVERA -- read twice and ordered printed, and when
printed to be committed to the Committee on Rules
AN ACT to amend the public health law, in relation to coverage of mental
health and alcohol and substance use services under the child health
insurance plan
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Subdivision 7 of section 2510 of the public health law, as
2 amended by chapter 428 of the laws of 2013, is amended to read as
3 follows:
4 7. "Covered health care services" means: the services of physicians,
5 optometrists, nurses, nurse practitioners, midwives and other related
6 professional personnel which are provided on an outpatient basis,
7 including routine well-child visits; diagnosis and treatment of illness
8 and injury; early and periodic screening, diagnosis and treatment for
9 eligible children under the age of six and for other eligible children
10 to ascertain physical and mental disabilities; inpatient health care
11 services; laboratory tests; diagnostic x-rays; prescription and non-
12 prescription drugs and durable medical equipment; radiation therapy;
13 chemotherapy; hemodialysis; outpatient blood clotting factor products
14 and other treatments and services furnished in connection with the care
15 of hemophilia and other blood clotting protein deficiencies; emergency
16 room services; hospice services; emergency, preventive and routine
17 dental care, including medically necessary orthodontia but excluding
18 cosmetic surgery; emergency, preventive and routine vision care, includ-
19 ing eyeglasses; speech and hearing services; and, inpatient and outpa-
20 tient mental health, alcohol and substance [abuse] use services [as
21 defined by the commissioner in consultation with the superintendent].
22 "Covered health care services" shall not include drugs, procedures and
23 supplies for the treatment of erectile dysfunction when provided to, or
24 prescribed for use by, a person who is required to register as a sex
25 offender pursuant to article six-C of the correction law, provided that
26 any denial of coverage of such drugs, procedures or supplies shall
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD17447-01-0
S. 9063 2
1 provide the patient with the means of obtaining additional information
2 concerning both the denial and the means of challenging such denial.
3 § 2. This act shall take effect on the first of April after it becomes
4 a law. Effective immediately, the commissioner of health shall make
5 regulations and take other actions reasonably necessary to implement
6 this act on that date.