S 8352: Requires insurance companies to cover outpatient problem gambling services.

  
  STATE OF NEW YORK ________________________________________________________________________ 8352 2025-2026 Regular Sessions  IN SENATE June 4, 2025 ___________ Introduced by Sen. ADDABBO -- read twice and ordered printed, and when printed to be committed to the Committee on Rules AN ACT to amend the insurance law, in relation to requiring insurance coverage of outpatient problem gambling services The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subparagraph (A) of paragraph 31 of subsection (i) of 2 section 3216 of the insurance law, as amended by section 6 of subpart A 3 of part BB of chapter 57 of the laws of 2019, is amended to read as 4 follows: 5 (A) Every policy that provides medical, major medical or similar 6 comprehensive-type coverage shall provide outpatient coverage for the 7 diagnosis and treatment of substance use disorder, including detoxifica- 8 tion [and], rehabilitation, and problem gambling services. Such coverage 9 shall not apply financial requirements or treatment limitations to 10 outpatient substance use disorder benefits that are more restrictive 11 than the predominant financial requirements and treatment limitations 12 applied to substantially all medical and surgical benefits covered by 13 the policy. 14 § 2. Subparagraph (A) of paragraph 7 of subsection (l) of section 3221 15 of the insurance law, as amended by section 16 of subpart A of part BB 16 of chapter 57 of the laws of 2019, is amended to read as follows: 17 (A) Every policy that provides medical, major medical or similar 18 comprehensive-type coverage shall provide outpatient coverage for the 19 diagnosis and treatment of substance use disorder, including detoxifica- 20 tion [and], rehabilitation, and problem gambling services. Such coverage 21 shall not apply financial requirements or treatment limitations to 22 outpatient substance use disorder benefits that are more restrictive 23 than the predominant financial requirements and treatment limitations 24 applied to substantially all medical and surgical benefits covered by 25 the policy. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD11088-01-5 
 S. 8352 2 1 § 3. Paragraph 1 of subdivision (l) of section 4303 of the insurance 2 law, as amended by section 27 of subpart A of part BB of chapter 57 of 3 the laws of 2019, is amended to read as follows: 4 (1) Every contract that provides medical, major medical or similar 5 comprehensive-type coverage shall provide outpatient coverage for the 6 diagnosis and treatment of substance use disorder, including detoxifica- 7 tion [and], rehabilitation, and problem gambling services. Such coverage 8 shall not apply financial requirements or treatment limitations to 9 outpatient substance use disorder benefits that are more restrictive 10 than the predominant financial requirements and treatment limitations 11 applied to substantially all medical and surgical benefits covered by 12 the contract. 13 § 4. This act shall take effect immediately and shall apply to any 14 policy issued, delivered, renewed, and/or modified on or after such 15 date.