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Who cares
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Sponsors
3 Co-sponsors
History
- Substituted by A1327A
- Amended on third reading (t) 4922a
- Advanced to third reading
- 2nd report cal.
- 1st report cal.1062
- Referred to health
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Provides for the expedited utilization review of court ordered mental health and/or substance use disorder services
Signed by Governor · Sponsor Kevin Cahill
Full text
The text isn't available here yet. Check nysenate.gov.
Sponsor's memo
BILL NUMBER:S4922A
Title of bill
An act to amend the public health law and the insurance law, in relation to expedited utilization review of court ordered mental health and/or substance use disorder services
Purpose
This bill amends the Public Health Law and the Insurance Law related to court ordered services.
Summary of provisions
Section 1 amends section 4903 of the public health law to allow expedited utilization review for court ordered mental health and/or substance use disorder services.
Sections 2 amends section 4904 of the public health law to allow expedited external appeal for court ordered mental health and/or substance use disorder services.
Sections 3 and 4 make identical changes to the insurance law.
Section 5 relates to the effective date.
Justification
The bill would allow for expedited utilization review and expedited external appeals for court-ordered services. Specifically, for an individual with commercial health insurance coverage and who may be subject to a court order requiring mental health and/or substance use disorder services, the individual (or their designee) may request expedited utilization review to determine if court ordered services will be covered by the health plan. Court-ordered mental health and/or substance use disorder services would also be eligible for an expedited external appeal if the initial review results in an adverse determination.
This would allow individuals who are receiving court ordered services to have confidence that the services will be covered based on the UR agent's expedited determination and, if applicable, the subsequent expedited external appeal determination.
Legislative history
Similar to S.7502 of 2014.
Fiscal implications
None.
Effective date
This act shall take effect July 1, 2016 and apply to policies issued, renewed or modified on or after that date.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.