Prohibits the application of fail-first or step therapy protocols to coverage for the diagnosis and treatment of serious mental health conditions; defines serious mental health condition.
Requires medical records to be made available to patients in an electronic format through a web portal and in a format that allows patients to save records to their own device; requires electronic medical records systems to give qualified persons access to records in a single, secure format and to establish policies and procedures to endure confidentiality.
Requires genetic testing results only be received by patients and health care providers providing direct care while health insurance companies only receive a record that the genetic testing was performed; provides insurers cannot require access to genetic testing results and cannot take adverse action against someone for not providing genetic testing results.
Requires health care professionals to prescribe opioid antagonists when prescribing an opioid and discuss the dangers of opioid addiction with such patient in a manner consistent with regulations promulgated by the commissioner of health.
Requires the office of addiction services and supports to encourage, aid, and facilitate clinical research into the use of ibogaine in drug treatment for heroin, methamphetamine and cocaine addiction.
This bill requires the state to reimburse non-medical transportation costs for individuals with substance use disorders attending peer support services. The state office must establish reimbursement rates by April 2026, working with health officials to seek Medicaid funding and utilize federal grants like opioid response funds. It directly affects people seeking peer support services and the state’s funding mechanisms for addiction treatment access. The law creates a concrete system to cover transportation expenses, excluding medical transport, and takes effect 90 days after enactment.
Establishes an intensive addiction recovery and mental health integrated services pilot program to support two three-year demonstration programs that provide intensive addiction and mental health integrated services to individuals with significant addiction and mental health issues who have had multiple and frequent treatment episodes.
This bill requires all health insurance policies in New York to cover doula services as part of mandated maternity care. It directly affects health insurers and policyholders by adding doulas (non-medical birth support professionals) to the list of covered services alongside hospital stays and midwife care. The key provision amends insurance law to mandate that maternity coverage includes doula services for at least 48 hours post-birth (or 96 hours for C-sections), without duplicating physician or midwife services already provided. This applies to all new, renewed, or modified policies issued 180 days after the law takes effect.
Bill S 5103 amends the education law to require junior and senior high schools to include instruction on the prevention of co-occurring disorders within their health education programs. This new instruction will serve as a bridge between existing units on mental health and substance misuse or addiction. It aims to educate students about mental health, foster healthy decision-making, and explain pathways to substance misuse. The instruction must be designed according to pupils' needs and abilities, and the commissioner may consult relevant advisory councils during development.
Requires all insurance policies and health maintenance organization contracts to provide coverage for maternity patients and their newborns for hospital stays of at least 48 hours following childbirth by natural delivery and 96 hours following childbirth by caesarean section; provides such coverage for patients who are recipients of medicaid.
