A00252 Summary:

BILL NOA00252
 
SAME ASSAME AS S03963
 
SPONSORCahill
 
COSPNSR
 
MLTSPNSR
 
Amd 365-m, Soc Serv L; amd 2511 & 4406-c, Pub Health L; amd 3217-b & 4325, Ins L
 
Prohibits providers of health care coverage from requiring behavioral health providers to provide all products offered by the health care plan.
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A00252 Actions:

BILL NOA00252
 
01/09/2019referred to health
01/15/2019reported referred to ways and means
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A00252 Committee Votes:

HEALTH Chair:Gottfried DATE:01/15/2019AYE/NAY:25/0 Action: Favorable refer to committee Ways and Means
GottfriedAyeRaiaAye
SchimmingerExcusedMcDonoughAye
GalefAyeRaAye
DinowitzAyeGarbarinoAye
CahillAyeByrneAye
PaulinAyeByrnesAye
CymbrowitzAyeAshbyAye
GuntherAye
RosenthalAye
HevesiAye
JaffeeAye
SteckAye
AbinantiAye
BraunsteinAye
KimAye
SolagesAye
BichotteAye
BarronAye
SayeghAye

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A00252 Floor Votes:

There are no votes for this bill in this legislative session.
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A00252 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                           252
 
                               2019-2020 Regular Sessions
 
                   IN ASSEMBLY
 
                                       (Prefiled)
 
                                     January 9, 2019
                                       ___________
 
        Introduced by M. of A. CAHILL -- read once and referred to the Committee
          on Health
 
        AN  ACT  to amend the social services law, the public health law and the
          insurance law, in relation to prohibiting a provider  of  health  care
          coverage  from  requiring  providers  of behavioral health services to
          offer all products offered by the provider of health care coverage
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  Section  365-m  of  the social services law is amended by
     2  adding a new subdivision 6 to read as follows:
     3    6. (a) No managed care provider under  section  three  hundred  sixty-
     4  four-j  of  this title shall by contract or written policy or procedure,
     5  require a behavioral health services  provider  to  participate  in  the
     6  in-network portion of any product offered by such managed care provider,
     7  other  than  products  under  such  section.  Behavioral health services
     8  providers shall have the right to select  by  execution  of  a  separate
     9  agreement  the  products  of  such  managed  care  provider in which the
    10  provider agrees to participate in the in-network portion.
    11    (b) As used in this subdivision, "behavioral  health  services"  means
    12  inpatient  and  outpatient  behavioral health services provided by those
    13  licensed or certified pursuant to article thirty-one  or  thirty-two  of
    14  the  mental  hygiene law, or programs that are licensed pursuant to both
    15  article thirty-one of the mental hygiene law and article twenty-eight of
    16  the public health law, or certified under both article thirty-two of the
    17  mental hygiene law and article twenty-eight of the public health law.
    18    § 2. Section 2511 of the public health law is amended by adding a  new
    19  subdivision 22 to read as follows:
    20    22.  (a)  No approved organization shall by contract or written policy
    21  or procedure, require a behavioral health services provider  to  partic-
    22  ipate in the in-network portion of any product offered by such organiza-
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD00070-01-9

        A. 252                              2
 
     1  tion,  other than products under this title.  Behavioral health services
     2  providers shall have the right to select  by  execution  of  a  separate
     3  agreement  the  products  of  such  approved  organization  in which the
     4  provider agrees to participate in the in-network portion.
     5    (b)  As  used  in this subdivision, "behavioral health services" means
     6  inpatient and outpatient behavioral health services  provided  by  those
     7  licensed  or  certified  pursuant to article thirty-one or thirty-two of
     8  the mental hygiene law, or programs that are licensed pursuant  to  both
     9  article thirty-one of the mental hygiene law and article twenty-eight of
    10  this  chapter,  or certified under both article thirty-two of the mental
    11  hygiene law and article twenty-eight of this chapter.
    12    § 3. Section 4406-c of the public health law is amended  by  adding  a
    13  new subdivision 10 to read as follows:
    14    10. (a) No health care plan licensed pursuant to this article shall by
    15  contract  or  written  policy  or procedure, require a behavioral health
    16  services provider to participate in the in-network portion of any  prod-
    17  uct  offered  by  such  plan. Behavioral health services providers shall
    18  have the right to select  by  execution  of  a  separate  agreement  the
    19  products of such plan in which the provider agrees to participate in the
    20  in-network portion.
    21    (b)  As  used  in this subdivision, "behavioral health services" means
    22  inpatient and outpatient behavioral health services  provided  by  those
    23  licensed  or  certified  pursuant to article thirty-one or thirty-two of
    24  the mental hygiene law, or programs that are licensed pursuant  to  both
    25  article thirty-one of the mental hygiene law and article twenty-eight of
    26  this  chapter,  or certified under both article thirty-two of the mental
    27  hygiene law and article twenty-eight of this chapter.
    28    § 4. Section 3217-b of the insurance law is amended by  adding  a  new
    29  subsection (l) to read as follows:
    30    (l)  (1) No insurer subject to the provisions of this article shall by
    31  contract, written policy  or  procedure,  require  a  behavioral  health
    32  services  provider to participate in the in-network portion of any prod-
    33  uct offered by such insurer. Behavioral health services providers  shall
    34  have  the  right  to  select  by  execution  of a separate agreement the
    35  products of such insurers in which the provider agrees to participate in
    36  the in-network portion.
    37    (2) As used in this subsection,  "behavioral  health  services"  means
    38  inpatient  and  outpatient  behavioral health services provided by those
    39  licensed or certified pursuant to article thirty-one  or  thirty-two  of
    40  the  mental  hygiene law, or programs that are licensed pursuant to both
    41  article thirty-one of the mental hygiene law and article twenty-eight of
    42  the public health law, or certified under both article thirty-two of the
    43  mental hygiene law and article twenty-eight of the public health law.
    44    § 5. Section 4325 of the insurance law is  amended  by  adding  a  new
    45  subsection (m) to read as follows:
    46    (m)  (1)  No  corporation  organized pursuant to this article shall by
    47  contract, written policy  or  procedure,  require  a  behavioral  health
    48  services  provider to participate in the in-network portion of any prod-
    49  uct offered by such corporation. Behavioral  health  services  providers
    50  shall  have the right to select by execution of a separate agreement the
    51  products of such corporation in which the provider agrees to participate
    52  in the in-network portion.
    53    (2) As used in this subsection,  "behavioral  health  services"  means
    54  inpatient  and  outpatient  behavioral health services provided by those
    55  licensed or certified pursuant to article thirty-one  or  thirty-two  of
    56  the  mental  hygiene law, or programs that are licensed pursuant to both

        A. 252                              3

     1  article thirty-one of the mental hygiene law and article twenty-eight of
     2  the public health law, or certified under both article thirty-two of the
     3  mental hygiene law and article twenty-eight of the public health law.
     4    § 6. This act shall take effect immediately.
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