New York 2025-2026 Regular Session

New York Assembly Bill A09686

Introduced
1/21/26  

Caption

Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

Impact

If enacted, A09686 will impact insurance policies by requiring comprehensive coverage for substance abuse treatment, eliminating conditions that could create barriers to care. Health insurers will be mandated to adhere to these provisions, making it illegal to impose stricter financial requirements on substance use disorder treatments compared to other medical services. This ensures that individuals seeking help for addiction will not encounter undue obstacles, thereby enhancing overall treatment efficacy and recovery rates.

Summary

Bill A09686 introduces significant amendments to New York's insurance and social services law, mandating that insurance providers and Medicaid cover a minimum of forty-five days of inpatient and outpatient treatment for individuals suffering from substance use disorders. This legislation seeks to ensure comprehensive treatment options for addiction, reflecting a growing recognition of the need for mental health and substance abuse care as critical components of public health. By facilitating access to extended treatment, the bill aims to improve health outcomes for those affected by substance use disorders.

Contention

Despite its intentions, the bill may face opposition from various stakeholders within the healthcare and insurance sectors. Some insurance providers may argue that such mandates could increase costs and lead to higher premiums for consumers. Additionally, there might be concerns regarding the adequacy of funding and the capacity of service providers to meet increased demand for treatment. Discussions are likely to focus on balancing the need for comprehensive care with the financial implications for insurers and the state.

Companion Bills

NY S01430

Same As Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

Previously Filed As

NY S01430

Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

NY A03366

Requires insurance and Medicaid coverage for inpatient and outpatient substance abuse treatment for a period of not less than forty-five days.

NY A08864

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

NY S10149

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

NY A01921

Provides outpatient insurance coverage for non-pharmacological treatments and non-opioid drugs for chronic pain.

NY S03185

Provides outpatient insurance coverage for non-pharmacological treatments and non-opioid drugs for chronic pain.

NY S09649

Enacts the "Give Kids a Chance - Carter and Ray's Law" mandating health insurance coverage for congenital anomalies including certain reconstructive services, habilitative services, and inpatient and outpatient services.

NY A08518

Requires insurance companies to cover outpatient problem gambling services.

NY S08352

Requires insurance companies to cover outpatient problem gambling services.

NY HB40

Health insurance; require coverage of medically necessary treatment of mental health and substance use disorders.

Similar Bills

NM HB152

Medically Assisted Treatment For Juveniles

NH HB751

Requiring licensure of outpatient substance use disorder treatment facilities and relative to complaint investigation of treatment facilities by the department of health and human services office of the ombudsman and making an appropriation therefor.

PA SB691

Establishing the Nonnarcotic Medication Substance Use Disorder Treatment Program; in organization and jurisdiction of courts of common pleas, providing for court assessments for substance use disorder treatment; in other criminal provisions, further providing for supervisory relationship to offenders; and, in Pennsylvania Board of Probation and Parole, further providing for supervisory relationship to offenders.

MO SB218

Modifies provisions relating to court operations

MA H2227

Replacing archaic and stigmatizing language for substance use

NJ S810

Authorizes outpatient substance use disorder treatment programs to make housing available under certain circumstances.

MS HB718

Opioid use disorder; require substance use disorder facilities to provide pregnant women with onsite access to certain treatments.

MO HB3417

Modifies provisions relating to treatment courts