New York legislation · 2025-2026 General Assembly
New York S1763: Relates to cost sharing fees for outpatient treatment at a substance use treatment program
Status: In committee, June 5, 2026
Provides that for a substance use disorder outpatient treatment episode of care by a provider licensed, certified or otherwise authorized by the office of addiction services and supports, an insured shall only be responsible for a cost sharing fee not to exceed two hundred fifty dollars.
What the bill says
An act to amend the insurance law, in relation to certain cost sharing fees for outpatient treatment at a substance use treatment program.
From the amended text, January 29, 2025:
AN ACT to amend the insurance law, in relation to certain cost sharing fees for outpatient treatment at a substance use treatment program THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. Subparagraph (E) of paragraph 31 of subsection (i) of section 3216 of the insurance law, as amended by section 6 of subpart A of part BB of chapter 57 of the laws of 2019, is amended and a new subparagraph (K) is added to read as follows: (E) This subparagraph shall apply to facilities in this state that are licensed, certified or otherwise authorized by the office of [alcoholism and substance abuse] ADDICTION services AND SUPPORTS for the provision of outpatient, intensive outpatient, outpatient rehabilitation and opioid treatment that are participating in the insurer's provider network. Coverage provided under this paragraph shall not be subject to preauthorization. Coverage provided under this paragraph shall not be subject to concurrent review for the first four weeks of continuous treatment, not to exceed twenty-eight visits, provided the facility notifies the insurer of both the start of treatment and the initial treatment plan within two business days. The facility shall perform clinical assessment of the patient at each visit, including periodic consultation with the insurer at or just prior to the fourteenth …
Sponsors
- Nathalia Fernandez (D, 34) · primary sponsor
- Joseph Addabbo (D, 15)
- Ryan, Sean (D, 61)
Latest actions
- : REFERRED TO INSURANCE
- : DELIVERED TO ASSEMBLY
- : PASSED SENATE
- : ORDERED TO THIRD READING CAL.1791
- : COMMITTEE DISCHARGED AND COMMITTED TO RULES
- : REPORTED AND COMMITTED TO FINANCE
- : REFERRED TO INSURANCE
- : RETURNED TO SENATE
- : DIED IN ASSEMBLY
- : REFERRED TO INSURANCE
Votes
- FLOOR Vote (June 4, 2026): 55 yea, 5 nay, passed
- Senate Insurance Committee: COMMITTEE Vote (February 3, 2026): 11 yea, 0 nay, passed
- Insurance Committee Vote (February 3, 2026): 11 yea, 0 nay, passed
- FLOOR Vote (May 29, 2025): 53 yea, 3 nay, passed
- Senate Insurance Committee: COMMITTEE Vote (May 12, 2025): 11 yea, 0 nay, passed
- Insurance Committee Vote (May 12, 2025): 11 yea, 0 nay, passed
Subjects: Insurance Law
Common questions
- What is S1763?
- S1763 is a bill in the New York Legislature (2025-2026 General Assembly): Relates to cost sharing fees for outpatient treatment at a substance use treatment program.
- What does S1763 do?
- In its own words: An act to amend the insurance law, in relation to certain cost sharing fees for outpatient treatment at a substance use treatment program.
- What is the status of S1763?
- In committee as of June 5, 2026. Latest action: REFERRED TO INSURANCE (June 5, 2026).
- Who sponsored S1763?
- Nathalia Fernandez (D, 34), with 2 co-sponsors.
- Where is the official record for S1763?
- On the New York Legislature website: https://www.nysenate.gov/legislation/bills/2025/S1763
Source: official New York record. Tracked by Delilah, AI for legislation across all 50 states and Congress.