S 5263 New York Senate · 2025 Regular Session

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

This bill requires health insurance plans to cover outpatient diagnosis and treatment for substance use disorder - including detoxification and rehabilitation - without preauthorization. It applies to all medical, major medical, and comprehensive insurance policies. The law prohibits insurers from applying stricter financial limits or treatment restrictions to substance use disorder care than those used for standard medical or surgical services. This change aims to reduce administrative barriers for people seeking treatment.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 20, 2025 Last action Apr 29, 2026
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Full legislative history

Actions timeline

Total actions
9
Key actions
0
Committee
5
Apr 20, 2026
Committee
REPORTED AND COMMITTED TO ALCOHOLISM AND SUBSTANCE USE DISORDERS
upper
Jan 7, 2026
Committee
REFERRED TO INSURANCE
upper
Jun 13, 2025
Committee
COMMITTED TO RULES
upper
May 5, 2025
Committee
REPORTED AND COMMITTED TO ALCOHOLISM AND SUBSTANCE USE DISORDERS
upper
Feb 20, 2025
Committee
REFERRED TO INSURANCE
upper
1 primary · 4 co-sponsors

Sponsors