- Summary
- Actions
- Committee Votes
- Floor Votes
- Memo
- Text
- LFIN
- Chamber Video/Transcript
A01619 Summary:
BILL NO | A01619 |
  | |
SAME AS | SAME AS S03101 |
  | |
SPONSOR | Rozic (MS) |
  | |
COSPNSR | Blake, Bronson, Colton, Crespo, D'Urso, De La Rosa, Englebright, Barrett, Fahy, Fernandez, Gunther, Ortiz, Rosenthal L, Rosenthal D, Rivera, Simon, Solages, Abinanti, Johns, Raia, Epstein, Niou, Reyes, Taylor, Ashby, Gottfried, Miller B, Aubry, Griffin, Simotas, Paulin, Fall, Cruz, Woerner, Arroyo, Steck, Weprin |
  | |
MLTSPNSR | Braunstein, Cook, Crouch, Galef, Giglio, Miller ML, Nolan, Ra, Sayegh |
  | |
Amd §§3221 & 4303, Ins L | |
  | |
Relates to coverage for eating disorders; requires comparable coverage for adults and children with eating disorders; defines eating disorder. |
A01619 Actions:
BILL NO | A01619 | |||||||||||||||||||||||||||||||||||||||||||||||||
  | ||||||||||||||||||||||||||||||||||||||||||||||||||
01/16/2019 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
02/04/2019 | reported referred to codes | |||||||||||||||||||||||||||||||||||||||||||||||||
02/11/2019 | reported | |||||||||||||||||||||||||||||||||||||||||||||||||
02/21/2019 | advanced to third reading cal.55 | |||||||||||||||||||||||||||||||||||||||||||||||||
02/26/2019 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
02/26/2019 | delivered to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
02/27/2019 | REFERRED TO INSURANCE | |||||||||||||||||||||||||||||||||||||||||||||||||
05/06/2019 | SUBSTITUTED FOR S3101 | |||||||||||||||||||||||||||||||||||||||||||||||||
05/06/2019 | 3RD READING CAL.463 | |||||||||||||||||||||||||||||||||||||||||||||||||
05/06/2019 | PASSED SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
05/06/2019 | RETURNED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
12/10/2019 | delivered to governor | |||||||||||||||||||||||||||||||||||||||||||||||||
12/20/2019 | vetoed memo.241 | |||||||||||||||||||||||||||||||||||||||||||||||||
12/20/2019 | tabled |
A01619 Committee Votes:
Cahill | Aye | Garbarino | Aye | ||||||
Cook | Aye | Hawley | Aye | ||||||
Pretlow | Aye | Blankenbush | Aye | ||||||
Rivera | Aye | Finch | Aye | ||||||
Cymbrowitz | Aye | Raia | Aye | ||||||
Lavine | Aye | Palmesano | Aye | ||||||
Steck | Aye | Byrne | Aye | ||||||
Dilan | Aye | ||||||||
Hunter | Aye | ||||||||
Simotas | Aye | ||||||||
Walker | Absent | ||||||||
Niou | Aye | ||||||||
Rosenthal | Aye | ||||||||
Stern | Aye | ||||||||
McDonald | Aye | ||||||||
Romeo | Aye | ||||||||
Jacobson | Aye | ||||||||
Lentol | Aye | Ra | Aye | ||||||
Schimminger | Aye | Giglio | Aye | ||||||
Pretlow | Aye | Montesano | Aye | ||||||
Cook | Aye | Morinello | Aye | ||||||
Cymbrowitz | Aye | Palumbo | Aye | ||||||
O'Donnell | Aye | Garbarino | Aye | ||||||
Lavine | Aye | ||||||||
Perry | Aye | ||||||||
Zebrowski | Aye | ||||||||
Abinanti | Aye | ||||||||
Weprin | Aye | ||||||||
Mosley | Aye | ||||||||
Hevesi | Aye | ||||||||
Fahy | Aye | ||||||||
Seawright | Aye | ||||||||
Rosenthal | Aye | ||||||||
Go to top
A01619 Floor Votes:
Yes
Abbate
Yes
Crespo
ER
Gantt
Yes
LiPetri
Yes
Perry
Yes
Simon
Yes
Abinanti
Yes
Crouch
Yes
Garbarino
Yes
Lupardo
Yes
Pheffer Amato
Yes
Simotas
Yes
Arroyo
ER
Cruz
Yes
Giglio
Yes
Magnarelli
ER
Pichardo
Yes
Smith
Yes
Ashby
Yes
Cusick
Yes
Glick
Yes
Malliotakis
Yes
Pretlow
Yes
Smullen
Yes
Aubry
Yes
Cymbrowitz
Yes
Goodell
Yes
Manktelow
Yes
Quart
Yes
Solages
Yes
Barclay
Yes
Davila
Yes
Gottfried
Yes
McDonald
Yes
Ra
Yes
Stec
Yes
Barnwell
Yes
De La Rosa
Yes
Griffin
Yes
McDonough
Yes
Raia
Yes
Steck
Yes
Barrett
Yes
DenDekker
Yes
Gunther
Yes
McMahon
Yes
Ramos
Yes
Stern
Yes
Barron
Yes
DeStefano
ER
Hawley
Yes
Mikulin
Yes
Raynor
Yes
Stirpe
Yes
Benedetto
Yes
Dickens
Yes
Hevesi
Yes
Miller B
Yes
Reilly
ER
Tague
ER
Bichotte
ER
Dilan
Yes
Hunter
Yes
Miller MG
Yes
Reyes
Yes
Taylor
ER
Blake
Yes
Dinowitz
Yes
Hyndman
Yes
Miller ML
Yes
Richardson
Yes
Thiele
ER
Blankenbush
No
DiPietro
Yes
Jacobson
No
Montesano
Yes
Rivera
Yes
Titus
Yes
Brabenec
ER
D'Urso
Yes
Jaffee
Yes
Morinello
Yes
Rodriguez
Yes
Vanel
Yes
Braunstein
Yes
Eichenstein
Yes
Jean-Pierre
Yes
Mosley
Yes
Romeo
Yes
Walczyk
Yes
Bronson
Yes
Englebright
Yes
Johns
Yes
Niou
Yes
Rosenthal D
Yes
Walker
Yes
Buchwald
Yes
Epstein
Yes
Jones
Yes
Nolan
Yes
Rosenthal L
Yes
Wallace
Yes
Burke
Yes
Fahy
Yes
Joyner
Yes
Norris
Yes
Rozic
Yes
Walsh
Yes
Buttenschon
Yes
Fall
ER
Kim
ER
O'Donnell
Yes
Ryan
Yes
Weinstein
Yes
Byrne
Yes
Fernandez
Yes
Kolb
Yes
Ortiz
ER
Salka
Yes
Weprin
Yes
Byrnes
Yes
Finch
No
Lalor
Yes
Otis
Yes
Santabarbara
ER
Williams
Yes
Cahill
No
Fitzpatrick
Yes
Lavine
Yes
Palmesano
Yes
Sayegh
Yes
Woerner
Yes
Carroll
No
Friend
Yes
Lawrence
Yes
Palumbo
Yes
Schimminger
Yes
Wright
Yes
Colton
Yes
Frontus
Yes
Lentol
Yes
Paulin
Yes
Schmitt
Yes
Zebrowski
Yes
Cook
Yes
Galef
Yes
Lifton
Yes
Peoples-Stokes
Yes
Seawright
Yes
Mr. Speaker
‡ Indicates voting via videoconference
A01619 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 1619 2019-2020 Regular Sessions IN ASSEMBLY January 16, 2019 ___________ Introduced by M. of A. ROZIC, BLAKE, BRONSON, COLTON, CRESPO, D'URSO, DE LA ROSA, ENGLEBRIGHT, BARRETT, FAHY, FERNANDEZ, GUNTHER, ORTIZ, L. ROSENTHAL, D. ROSENTHAL, RIVERA, SIMON, SOLAGES, ABINANTI, JOHNS, RAIA -- Multi-Sponsored by -- M. of A. COOK, CROUCH, GALEF, GIGLIO, M. L. MILLER, NOLAN, RA -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to coverage for eating disorders The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subparagraph (B) of paragraph 5 of subsection (1) of 2 section 3221 of the insurance law, as amended by chapter 502 of the laws 3 of 2007, is amended to read as follows: 4 (B) (i) Every insurer delivering a group or school blanket policy or 5 issuing a group or school blanket policy for delivery, in this state, 6 which provides coverage for inpatient hospital care or coverage for 7 physician services, shall provide comparable coverage for adults and 8 children with biologically based mental illness. Such group policies 9 issued or delivered in this state shall also provide such comparable 10 coverage for children with serious emotional disturbances. Such coverage 11 shall be provided under the terms and conditions otherwise applicable 12 under the policy, including network limitations or variations, exclu- 13 sions, co-pays, coinsurance, deductibles or other specific cost sharing 14 mechanisms. Provided further, where a policy provides both in-network 15 and out-of-network benefits, the out-of-network benefits may have 16 different coinsurance, co-pays, or deductibles, than the in-network 17 benefits, regardless of whether the policy is written under one license 18 or two licenses. 19 (ii) For purposes of this paragraph, the term "biologically based 20 mental illness" means a mental, nervous, or emotional condition that is 21 caused by a biological disorder of the brain and results in a clinically EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD01128-01-9A. 1619 2 1 significant, psychological syndrome or pattern that substantially limits 2 the functioning of the person with the illness. Such biologically based 3 mental illnesses are defined as schizophrenia/psychotic disorders, major 4 depression, bipolar disorder, delusional disorders, panic disorder, 5 obsessive compulsive disorders[, bulimia, and anorexia] or an eating 6 disorder. 7 (iii) For purposes of this paragraph, the term "eating disorder" means 8 pica, rumination disorder, avoidant/restrictive food intake disorder, 9 anorexia nervosa, bulimia nervosa, binge eating disorder, other speci- 10 fied feeding or eating disorder, and any other eating disorder contained 11 in the most recent version of the Diagnostic and Statistical Manual of 12 Mental Disorders published by the American Psychiatric Association. 13 § 2. Paragraph 2 of subsection (g) of section 4303 of the insurance 14 law, as amended by chapter 502 of the laws of 2007, is amended to read 15 as follows: 16 (2) (A) A hospital service corporation or a health service corpo- 17 ration, which provides group, group remittance or school blanket cover- 18 age for inpatient hospital care, shall provide comparable coverage for 19 adults and children with biologically based mental illness. Such hospi- 20 tal service corporation or health service corporation shall also provide 21 such comparable coverage for children with serious emotional disturb- 22 ances. Such coverage shall be provided under the terms and conditions 23 otherwise applicable under the contract, including network limitations 24 or variations, exclusions, co-pays, coinsurance, deductibles or other 25 specific cost sharing mechanisms. Provided further, where a contract 26 provides both in-network and out-of-network benefits, the out-of-network 27 benefits may have different coinsurance, co-pays, or deductibles, than 28 the in-network benefits, regardless of whether the contract is written 29 under one license or two licenses. 30 (B) For purposes of this subsection, the term "biologically based 31 mental illness" means a mental, nervous, or emotional condition that is 32 caused by a biological disorder of the brain and results in a clinically 33 significant, psychological syndrome or pattern that substantially limits 34 the functioning of the person with the illness. Such biologically based 35 mental illnesses are defined as schizophrenia/psychotic disorders, major 36 depression, bipolar disorder, delusional disorders, panic disorder, 37 obsessive compulsive disorders[, anorexia, and bulimia] or an eating 38 disorder. 39 (C) For purposes of this subsection, the term "eating disorder" means 40 pica, rumination disorder, avoidant/restrictive food intake disorder, 41 anorexia nervosa, bulimia nervosa, binge eating disorder, other speci- 42 fied feeding or eating disorder, and any other eating disorder contained 43 in the most recent version of the Diagnostic and Statistical Manual of 44 Mental Disorders published by the American Psychiatric Association. 45 § 3. Paragraph 2 of subsection (h) of section 4303 of the insurance 46 law, as amended by chapter 502 of the laws of 2007, is amended to read 47 as follows: 48 (2) (A) A medical expense indemnity corporation or a health service 49 corporation, which provides group, group remittance or school blanket 50 coverage for physician services, shall provide comparable coverage for 51 adults and children with biologically based mental illness. Such medical 52 expense indemnity corporation or health service corporation shall also 53 provide such comparable coverage for children with serious emotional 54 disturbances. Such coverage shall be provided under the terms and condi- 55 tions otherwise applicable under the contract, including network limita- 56 tions or variations, exclusions, co-pays, coinsurance, deductibles orA. 1619 3 1 other specific cost sharing mechanisms. Provided further, where a 2 contract provides both in-network and out-of-network benefits, the out- 3 of-network benefits may have different coinsurance, co-pays, or deduct- 4 ibles, than the in-network benefits, regardless of whether the contract 5 is written under one license or two licenses. 6 (B) For purposes of this subsection, the term "biologically based 7 mental illness" means a mental, nervous, or emotional condition that is 8 caused by a biological disorder of the brain and results in a clinically 9 significant, psychological syndrome or pattern that substantially limits 10 the functioning of the person with the illness. Such biologically based 11 mental illnesses are defined as schizophrenia/psychotic disorders, major 12 depression, bipolar disorder, delusional disorders, panic disorder, 13 obsessive compulsive disorder[, anorexia, and bulimia] or an eating 14 disorder. 15 (C) For purposes of this subsection, the term "eating disorder" means 16 pica, rumination disorder, avoidant/restrictive food intake disorder, 17 anorexia nervosa, bulimia nervosa, binge eating disorder, other speci- 18 fied feeding or eating disorder, and any other eating disorder contained 19 in the most recent version of the Diagnostic and Statistical Manual of 20 Mental Disorders published by the American Psychiatric Association. 21 § 4. This act shall take effect on the ninetieth day after it shall 22 have become a law; provided, however, that the provisions of this act 23 shall apply to policies and contracts issued, renewed, modified, altered 24 or amended on or after such effective date.