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New
York Teen Drug and Alcohol Abuse Facts
Denise's law; Youth drug and alcohol detoxification
(HOLTSVILLE, New York) A grieving mom from New York has gained
the support of state Senator Brian Foley to help bring awareness
of teen drug
abuse to the forefront of the government. Denise's
law an act to amend the family court act, relates to youth
drug detoxification and alcohol
detoxification; authorizes approved applicant to
petition family court for the review by a physician of a youth
for possible drug and alcohol detoxification; provides appeal
process by youth; provides benefits for treatment of chemical
dependency in certain health insurance plans. Requires a judge,
if satisfied on reasonable grounds, to issue a warrant and cause
the youth to be taken to a physician where the youth may be
detained and examined. This section allows the petitioner to
be named as executor of the warrant and states that every assessed
youth shall be informed of their reason for apprehension, and
shall be entitled to receive a copy of the order. A physician
will be responsible for examining the youth as soon as reasonably
practicable and within 24 hours of the youth's apprehension.
After such examination a physician may issue a detoxification
order to detain the youth in a detoxification facility. Such
order shall be made only if the physician feels the youth is
suffering from severe drug addiction or drug abuse and requires
detention, is likely to cause harm to themselves or others,
or is suffering substantial mental or physical deterioration.
Also the youth would need to be unable to fully understand
and be unable to make informed decisions respecting their
need to detoxify and stabilize, or are unwilling to take steps
to begin recovery from drug abuse or addiction. An assessed
youth or a person on their behalf may appeal the decision.
Provisions of this bill also require health insurers to cover
the costs of such treatments.
Suffolk County has been in the news and on
television because of the high incidence of heroin and drug
related deaths. On July 16, 2008, Denise M. Gerardi, age 19,
passed away due to a drug overdose. Denise's loss of life
is tragic and shows the grave issues that have arisen with
a growing drug addiction problem on Long Island and
throughout New York. Sachem High School East and
many other schools on Long Island have formed
committees to look into ways to prevent the tragic loss of
life so that other families can help prevent future tragedies
from occurring. Drug addiction among youths is a grave concern
to all. Parents feel helpless and often do not know what to
do when facing this situation. Under current law, a youth
can decline and refuse any attempts at help. This legislation
allows parents to take control of the situation and get the
help sorely needed for the child. This legislation allows
a parent to petition the court to have their child assessed
by a physician to determine whether or not detoxification
would assist in helping the youth fight their teen drug addiction.
Denise's Law will help parents keep minors in detox treatment
and requires healthcare coverage for detox treatment.
Denise’s Law features two important provisions that
will help individuals and families in the fight against drug
addiction.
The bill (S. 6361) will allow parents or guardians to petition
a court to require an examination, and if needed, detoxification,
for minors who are suffering from addiction. Under the status-quo
it is not uncommon for parents to check teens into rehab,
only to have the teen check themselves out, before detoxification
is finished. Because detoxification is a central, and often
the first, part of recovery, it is crucial that parents have
the ability to keep minors in detox and start the treatment
process.
The second component of the legislation requires that drug
addiction diagnosis and detoxification and other mental, nervous,
or emotional ailments be covered by health insurance companies.
This provision is crucial in making treatment available to
as many individuals and families as possible, particularly
during these tough economic times.
“Drug addiction is destroying countless families and
communities across Long Island and all around our state,”
said Senator Brian X. Foley, the bill’s main sponsor.
“I have worked with parents, educators, and advocates
to craft this legislation which will take on the drug addiction
epidemic and help put individuals dealing with drug addiction
on a path towards recovery. My office worked with the Parent
Teacher Association (PTA) and the AWARE committee - an outreach
committee comprised of students, parents, educators, and community
leaders from the Sachem School District and the surrounding
communities – who brought forth important ideas and
a determination to make this legislation a reality. We are
grateful for their advocacy, without which this bill would
not be possible.”
Since the passing of her daughter to drug overdose, Carrie
Gerardi has worked to raise awareness about drug addiction
among parents and teens. “My daughter tragically passed
away due to an accidental drug overdose,” said Carrie
Gerardi, mother of former Sachem High School student Denise
Gerardi. “I can think of no better tribute to my daughter
then to have this legislation, which will help parents get
treatment to minors, named after Denise. I hope Denise’s
Law will be enacted as quickly as possible so those needing
immediate treatment for drug addiction are able to be helped.”
Dr. Jeffery Reynolds, Executive Director of the Long
Island Council on Alcoholism and Drug Dependency
(LICADD), applauded the legislation as a major step towards
helping those with alcohol and drug dependency. “With
opiate use among teens on the rise, parents need new tools
to protect their kids and help them get the treatment they
need,” said Reynolds. “Every day at LICADD, we
talk to parents who are desperately searching for answers
and pleading for solutions in a race for time as their kids'
heroin use spirals out of control. Too many families are losing
that race and are left standing by the side of a casket. There
are enough barriers to treatment, without families having
to do battle with insurance companies who routinely refuse
or limit coverage for substance abuse disorders. Attempting
to detox yourself is a dangerous proposition, yet without
adequate insurance coverage, many young people are doing just
that. We thank Senator Foley for introducing this legislation
and giving us the tools necessary to do battle with Long Island's
heroin crisis."
Response of Suffolk County, a crisis hotline
which helps Suffolk County residents address suicide and other
drug and mental illness related issues expressed support for
the legislation. “This important legislation will help
remove barriers to receiving treatment that many families
are desperately seeking for their children,” said Maryl
Cassidy, Executive Director of Response of Suffolk County.
"As educators, we see first-hand the devastating impact
of drug addiction, particularly among teens," said Jim
Nolan, Superintendent of the Sachem School District. "Denise's
Law will make it easier for minors with drug dependency to
get the treatment they need. I am pleased to support this
legislation and hope it becomes law as soon as possible so
we can remove the barriers that stand in the way of treatment
and uplift our schools and communities."
“While no one expects one law to solve all problems
related to addiction, Denise’s Law is a major step towards
providing treatment for teens with drug and alcohol dependency,”
said Foley.
Inspirations for Youth and Families Drug Rehab and Alcohol
Treatment Center is a comprehensive and innovative provider
of treatment for teens/adolescents suffering from drug addiction
and alcoholism.
Inspirations' licensed and certified counselors, social workers
and clinical treatment team and staff are dedicated to providing
an unsurpassed addiction
treatment experience to our teens. With diverse
areas of expertise, our teen addiction treatment team works
collaboratively with each adolescent and their families to
ensure that an individualized treatment plan is designed that
will treat not only the symptoms, but the whole individual.
Our teens and families are guided through every stage of recovery
and encouraged to participate in a wide variety of evidence-based
and cutting edge innovative treatment options.
If you teen is
in need of intervention, drug and alcohol addiction
treatment or if you have any questions regarding admissions
to our teen drug and alcohol rehab facility: please contact
us at: 1-888-387-6237.
New York Senate Open Legislation - Denise's
law; Youth drug and alcohol detoxification
S T A T E O F N E W Y O R K ______________________________________________________
6361 2009-2010 Regular Sessions I N S E N A T E December 30,
2009 ___________ Introduced by Sen. FOLEY -- read twice and
ordered printed, and when printed to be committed to the Committee
on Rules AN ACT to amend the family court act, in relation
to youth drug and alcohol detoxification; and to amend the
insurance law, in relation to providing benefits for treatment
of chemical dependency in certain health insurance plans THE
PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND
ASSEM- BLY, DO ENACT AS FOLLOWS: 1 Section 1. This act shall
be known and may be cited as "Denise's law". 2 S
2. The family court act is amended by adding a new article
10-B to 3 read as follows: 4 ARTICLE 10-B 5 YOUTH DRUG AND
ALCOHOL DETOXIFICATION 6 S 1100. YOUTH DRUG AND ALCOHOL DETOXIFICATION.
7 S 1100. YOUTH DRUG AND ALCOHOL DETOXIFICATION. 1. FOR PURPOSES
OF THIS 8 SECTION: 9 (A) "APPROVED APPLICANT" MEANS:
10 (I) WITH RESPECT TO A YOUTH: 11 (1) THAT YOUTH'S PARENT;
OR 12 (2) A PERSON WITH WHOM THAT YOUTH HAS A CLOSE PERSONAL
RELATIONSHIP; 13 OR 14 (II) A SOCIAL WORKER; 15 (B) "ASSESSED
YOUTH" MEANS A YOUTH WHO IS THE SUBJECT OF A WARRANT
16 ISSUED PURSUANT TO SUBDIVISION THREE OF THIS SECTION, WHO
HAS BEEN 17 APPREHENDED FOR THE PURPOSES OF AN EXAMINATION
OR WHO IS THE SUBJECT OF 18 A DETOXIFICATION ORDER; 19 (C)
"DETOXIFICATION FACILITY" MEANS A FACILITY IN NEW
YORK STATE 20 CERTIFIED BY THE OFFICE OF ALCOHOLISM AND SUBSTANCE
ABUSE SERVICES; 21 (D) "DETOXIFICATION ORDER" MEANS
AN ORDER ISSUED PURSUANT TO SUBDIVI- 22 SION THIRTEEN OF THIS
SECTION RESPECTING AN ASSESSED YOUTH. EXPLANATION--Matter
in ITALICS (underscored) is new; matter in brackets [ ] is
old law to be omitted. LBD15278-02-9 S. 6361 2 1 2. AN APPROVED
APPLICANT MAY PETITION THE COURT STATING THAT THE 2 APPROVED
APPLICANT BELIEVES ON REASONABLE GROUNDS THAT A YOUTH: 3 (A)
IS SUFFERING FROM SEVERE DRUG ADDICTION OR DRUG ABUSE; 4 (B)
IS AT RISK OF SERIOUS HARM OR DANGER TO HIMSELF OR HERSELF
OR TO 5 ANOTHER PERSON; 6 (C) IS IN NEED OF DETAINMENT TO
ENSURE HIS OR HER SAFETY OR THE SAFETY 7 OF ANOTHER PERSON
OR TO FACILITATE THE YOUTH'S DETOXIFICATION AND 8 STABILIZATION;
AND 9 (D) SHOULD BE EXAMINED BY A PHYSICIAN TO DETERMINE WHETHER
OR NOT THE 10 YOUTH SHOULD BE ADMITTED TO A DETOXIFICATION
FACILITY OR RECEIVE DETOXI- 11 FICATION AND STABILIZATION
SERVICES. 12 3. IF THE JUDGE IS SATISFIED ON REASONABLE GROUNDS
THAT THE YOUTH 13 NAMED IN THE PETITION SHOULD BE EXAMINED
BY A PHYSICIAN TO DETERMINE 14 WHETHER OR NOT THE YOUTH SHOULD
BE ADMITTED TO A DETOXIFICATION FACILITY 15 OR RECEIVE DETOXIFICATION
AND STABILIZATION SERVICES, THAT JUDGE MAY, 16 AFTER MAKING
ARRANGEMENTS WITH A PHYSICIAN WHO IS TO CONDUCT THE EXAM-
17 INATION, ISSUE A WARRANT IN THE PRESCRIBED FORM TO: 18
(A) APPREHEND THE YOUTH NAMED IN THE WARRANT; AND 19 (B) CAUSE
THE YOUTH TO BE TAKEN TO THE PHYSICIAN WHERE THE YOUTH MAY
20 BE DETAINED AND MAY BE EXAMINED BY THAT PHYSICIAN. 21 4.
NO PERSON SHALL FALSELY SWEAR OR AFFIRM ANY INFORMATION PURSUANT
TO 22 THIS SECTION. 23 5. A WARRANT ISSUED PURSUANT TO SUBDIVISION
THREE OF THIS SECTION 24 SHALL BE ACCOMPANIED BY WRITTEN REASONS
FOR ITS ISSUANCE. 25 6. A COPY OF A WARRANT ISSUED PURSUANT
TO SUBDIVISION THREE OF THIS 26 SECTION AND THE WRITTEN REASONS
ARE TO BE PROVIDED TO THE PHYSICIAN WHO 27 EXAMINES THE YOUTH.
28 7. IF AN APPROVED APPLICANT SO REQUESTS, THE WARRANT MAY
BE DIRECTED 29 TO AND EXECUTED BY THAT APPROVED APPLICANT.
30 8. IF THE WARRANT IS NOT DIRECTED TO AN APPROVED APPLICANT
PURSUANT TO 31 SUBDIVISION SEVEN OF THIS SECTION THE WARRANT
MUST BE DIRECTED TO AND 32 EXECUTED BY A POLICE OFFICER. 33
9. EVERY ASSESSED YOUTH: 34 (A) SHALL BE INFORMED OF THE REASON
FOR HIS OR HER APPREHENSION OR 35 DETENTION; AND 36 (B) IS
ENTITLED TO RECEIVE A COPY OF THE ORDER PURSUANT TO WHICH
HE OR 37 SHE HAS BEEN APPREHENDED OR DETAINED. 38 10. A PHYSICIAN
SHALL EXAMINE THE ASSESSED YOUTH: 39 (A) AS SOON AS IS REASONABLY
PRACTICABLE; AND 40 (B) IN ALL CASES WITHIN TWENTY-FOUR HOURS
OF THE YOUTH'S APPREHENSION. 41 11. NO YOUTH SHALL BE APPREHENDED
PURSUANT TO A WARRANT ISSUED PURSU- 42 ANT TO SUBDIVISION
THREE OF THIS SECTION MORE THAN SEVEN DAYS AFTER THE 43 DATE
ON WHICH THE WARRANT WAS ISSUED. 44 12. AFTER AN EXAMINATION
BY A PHYSICIAN, ALL OR ANY OF THE FOLLOWING 45 MAY BE DONE:
46 (A) AN ARRANGEMENT FOR DETOXIFICATION AND STABILIZATION
SERVICES MAY 47 BE MADE BY A YOUTH; 48 (B) A DETOXIFICATION
ORDER MAY BE ISSUED PURSUANT TO SUBDIVISION THIR- 49 TEEN
OF THIS SECTION WITH RESPECT TO THE ASSESSED YOUTH. 50 13.
(A) AFTER CONDUCTING AN EXAMINATION OF AN ASSESSED YOUTH FOR
THE 51 PURPOSES OF THIS SECTION AND IF THERE IS NO VOLUNTARY
ARRANGEMENT MADE 52 BY THE ASSESSED YOUTH, A PHYSICIAN MAY
ISSUE A DETOXIFICATION ORDER TO 53 DETAIN THE ASSESSED YOUTH
IN A DETOXIFICATION FACILITY. 54 (B) A DETOXIFICATION ORDER
MAY BE ISSUED ONLY IF THE PHYSICIAN IS OF 55 THE OPINION THAT
THE ASSESSED YOUTH: S. 6361 3 1 (I) IS SUFFERING FROM SEVERE
DRUG ADDICTION OR DRUG ABUSE AND REQUIRES 2 DETENTION TO FACILITATE
DETOXIFICATION AND STABILIZATION; 3 (II) IS LIKELY TO CAUSE
HARM TO HIMSELF OR HERSELF OR TO OTHER 4 PERSONS, OR TO SUFFER
SUBSTANTIAL MENTAL OR PHYSICAL DETERIORATION, IF 5 HE OR SHE
IS NOT DETAINED IN A DETOXIFICATION FACILITY; AND 6 (III)
IS EITHER: 7 (1) UNABLE TO FULLY UNDERSTAND AND TO MAKE AN
INFORMED DECISION 8 RESPECTING HIS OR HER NEED TO DETOXIFY
OR STABILIZE; OR 9 (2) UNABLE OR UNWILLING TO TAKE STEPS TO
BEGIN RECOVERY FROM DRUG 10 ADDICTION OR DRUG ABUSE OR TO
REDUCE THE RISK OF HARM TO HIMSELF OR 11 HERSELF OR OTHER
PERSONS; 12 14. (A) AN ASSESSED YOUTH, OR A PERSON ON BEHALF
OF AN ASSESSED YOUTH, 13 MAY APPEAL THE DECISION OF THE COURT
ISSUING THE WARRANT PURSUANT TO 14 SUBDIVISION THREE OF THIS
SECTION OR THE DETOXIFICATION ORDER ISSUED BY 15 THE PHYSICIAN
WITHIN SEVEN DAYS AFTER THE DATE OF THE DECISION OR WITHIN
16 ANY LONGER PERIOD THAT THE JUDGE MAY ALLOW. 17 (B) AN APPEAL
PURSUANT TO THIS SECTION MAY BE MADE BY NOTICE OF 18 MOTION,
AND THE NOTICE OF MOTION IS TO BE SERVED ON: 19 (I) THE COURT;
20 (II) THE PERSON IN CHARGE OF A DETOXIFICATION FACILITY
IN WHICH THE 21 ASSESSED YOUTH IS DETAINED; AND 22 (III) ANY
OTHER PERSONS THAT THE JUDGE MAY DIRECT. 23 (C) AN APPEAL
PURSUANT TO THIS SECTION IS TO BE SUPPORTED BY AN AFFI- 24
DAVIT OF THE APPELLANT SETTING FORTH FULLY THE FACTS IN SUPPORT
OF THE 25 APPEAL. 26 (D) IN ADDITION TO THE EVIDENCE ADDUCED
BY THE APPELLANT, THE JUDGE 27 MAY DIRECT ANY FURTHER EVIDENCE
TO BE GIVEN THAT THE JUDGE CONSIDERS 28 NECESSARY. 29 (E)
THE JUDGE MAY CONFIRM OR REVERSE THE DECISION TO ISSUE A WARRANT
30 OR THE DETOXIFICATION ORDER ISSUED BY THE PHYSICIAN AND
MAY MAKE ANY 31 ORDER THAT THE JUDGE CONSIDERS NECESSARY TO
GIVE EFFECT TO THE JUDGE'S 32 DECISION. 33 S 3. Subparagraph
(A) of paragraph 5 of subsection (l) of section 3221 34 of
the insurance law, as amended by chapter 502 of the laws of
2007, is 35 amended to read as follows: 36 (A) Every insurer
delivering a group or school blanket policy or issu- 37 ing
a group or school blanket policy for delivery, in this state,
which 38 provides coverage for inpatient hospital care or
coverage for physician 39 services shall provide as part of
such policy broad-based coverage for 40 the diagnosis and
treatment of mental, nervous or emotional disorders or 41
ailments, however defined in such policy, at least equal to
the coverage 42 provided for other health conditions and:
43 (i) where the policy provides coverage for inpatient hospital
care, 44 benefits for inpatient care in a hospital as defined
by subdivision ten 45 of section 1.03 of the mental hygiene
law, which benefits may be limited 46 to not less than thirty
days of active treatment in any contract year, 47 plan year
or calendar year, and benefits for outpatient care provided
in 48 a facility issued an operating certificate by the commissioner
of mental 49 health pursuant to the provisions of article
thirty-one of the mental 50 hygiene law, or in a facility
operated by the office of mental health, 51 which benefits
may be limited to not less than twenty visits in any 52 contract
year, plan year or calendar year. Benefits for partial hospi-
53 talization program services shall be provided as an offset
to covered 54 inpatient days at a ratio of two partial hospitalization
visits to one 55 inpatient day of treatment. BENEFITS REGARDING
DETOXIFICATION AND REHA- S. 6361 4 1 BILITATION CARE AND TREATMENT
OF CHEMICAL ABUSE AND CHEMICAL DEPENDENCE 2 SHALL BE PROVIDED
IN ACCORDANCE WITH PARAGRAPH SIX OF THIS SUBSECTION. 3 (ii)
where the policy provides coverage for physician services,
it 4 shall include benefits for outpatient care provided by
a psychiatrist or 5 psychologist licensed to practice in this
state, a licensed clinical 6 social worker who meets the requirements
of subparagraph (D) of para- 7 graph four of this subsection,
or a professional corporation or univer- 8 sity faculty practice
corporation thereof[. Such benefits may be limited 9 to not
less than twenty visits in any contract year, plan year, or
10 calendar year]; PROVIDED, HOWEVER, THAT BENEFITS REGARDING
DETOXIFICA- 11 TION AND REHABILITATION CARE AND TREATMENT
OF CHEMICAL ABUSE AND CHEMI- 12 CAL DEPENDENCE SHALL BE PROVIDED
IN ACCORDANCE WITH PARAGRAPH SIX OF 13 THIS SUBSECTION. 14
(iii) Coverage required by this paragraph may be provided
on a 15 contract year, plan year or calendar year basis and
shall be consistent 16 with the provision of other benefits
under the policy. Such coverage may 17 be subject to annual
deductibles, co-pays and coinsurance as may be 18 deemed appropriate
by the superintendent and shall be consistent with 19 those
imposed on other benefits under the policy. In the event that
a 20 policy provides coverage for both inpatient hospital
care and physician 21 services, the aggregate of the benefits
for outpatient care obtained 22 under this paragraph may be
limited to not less than twenty visits in 23 any contract
year, plan year or calendar year. 24 [(iv) In this paragraph,
"active treatment" means treatment furnished 25
in conjunction with inpatient confinement for mental, nervous
or 26 emotional disorders or ailments that meet standards
prescribed pursuant 27 to the regulations of the commissioner
of mental health.] 28 S 4. Paragraphs 6 and 7 of subsection
(l) of section 3221 of the 29 insurance law, paragraph 6 as
amended by chapter 558 of the laws of 1999 30 and paragraph
7 as amended by chapter 565 of the laws of 2000, are 31 amended
to read as follows: 32 (6) (A) Every insurer delivering a
group or school blanket policy or 33 issuing a group or school
blanket policy for delivery, in this state, 34 which provides
coverage for inpatient hospital care [must make available
35 and, if requested by the policyholder,] SHALL provide AS
PART OF SUCH 36 POLICY coverage for the diagnosis and treatment
of chemical abuse and 37 chemical dependence, however defined
in such policy, provided, however, 38 that the term chemical
abuse shall mean and include alcohol and 39 substance abuse
and chemical dependence shall mean and include alcohol- 40
ism and substance dependence, however defined in such policy.
Written 41 notice of the availability of such coverage shall
be delivered to the 42 policyholder prior to inception of
such group policy and annually there- 43 after, except that
this notice shall not be required where a policy 44 covers
two hundred or more employees or where the benefit structure
was 45 the subject of collective bargaining affecting persons
who are employed 46 in more than one state. 47 (B) Such coverage
shall be at least equal to [the following] COVERAGE 48 PROVIDED
FOR OTHER HEALTH CONDITIONS AND SHALL INCLUDE: 49 (i) [with
respect to] benefits for detoxification as a consequence of
50 chemical dependence, inpatient benefits in a hospital or
a detoxifica- 51 tion facility [may not be limited to less
than seven days of active 52 treatment in any calendar year];
and 53 (ii) [with respect to] benefits for rehabilitation
services, [such 54 benefits may not be limited to less than
thirty days of] AND inpatient 55 care in [any calendar year]
A HOSPITAL OR REHABILITATION FACILITY. S. 6361 5 1 (C) Such
coverage may be limited to facilities in New York state which
2 are certified by the office of alcoholism and substance
abuse services 3 and, in other states, to those which are
accredited by the joint commis- 4 sion on accreditation of
hospitals as alcoholism, substance abuse or 5 chemical dependence
treatment programs. 6 (D) Such coverage shall be [made available]
PROVIDED at the inception 7 of all new policies and with respect
to all other policies at any anni- 8 versary date of the policy
[subject to evidence of insurability]. 9 (E) Such coverage
may be subject to annual deductibles and co-insu- 10 rance
as may be deemed appropriate by the superintendent and are
11 consistent with those imposed on other benefits within
a given policy. 12 [Further, each insurer shall report to
the superintendent each year the 13 number of contract holders
to whom it has issued policies for the inpa- 14 tient treatment
of chemical dependence, and the approximate number of 15 persons
covered by such policies.] 16 (F) Such coverage shall not
replace, restrict or eliminate existing 17 coverage provided
by the policy. 18 (7) Every insurer delivering a group or
school blanket policy or issu- 19 ing a group or school blanket
policy for delivery in this state which 20 provides coverage
for inpatient hospital care [must] SHALL provide AS 21 PART
OF SUCH POLICY, coverage for [at least sixty] outpatient [visits
in 22 any calendar year] CARE for the diagnosis and treatment
of chemical 23 dependence [of which up to twenty may be for
family members, except 24 that] AT BEST EQUAL TO THE COVERAGE
PROVIDED FOR OTHER HEALTH CONDI- 25 TIONS. HOWEVER, this provision
shall not apply to a policy which covers 26 persons employed
in more than one state or the benefit structure of 27 which
was the subject of collective bargaining affecting persons
who are 28 employed in more than one state. Such coverage
may be limited to facili- 29 ties in New York state certified
by the office of alcoholism and 30 substance abuse services
or licensed by such office as outpatient clin- 31 ics or medically
supervised ambulatory substance abuse programs and, in 32
other states, to those which are accredited by the joint commission
on 33 accreditation of hospitals as alcoholism or chemical
dependence treat- 34 ment programs. Such coverage may be subject
to annual deductibles and 35 co-insurance as may be deemed
appropriate by the superintendent and are 36 consistent with
those imposed on other benefits within a given policy. 37
Such coverage shall not replace, restrict, or eliminate existing
cover- 38 age provided by the policy. Except as otherwise
provided in the applica- 39 ble policy or contract, no insurer
delivering a group or school blanket 40 policy or issuing
a group or school blanket policy providing coverage 41 for
alcoholism or substance abuse services pursuant to this section
42 shall deny coverage to a family member who identifies themself
as a 43 family member of a person suffering from the disease
of alcoholism, 44 substance abuse or chemical dependency and
who seeks treatment as a 45 family member who is otherwise
covered by the applicable policy or 46 contract pursuant to
this section. The coverage required by this para- 47 graph
shall include treatment as a family member pursuant to such
family 48 members' own policy or contract provided such family
member [(i) does 49 not exceed the allowable number of family
visits provided by the appli- 50 cable policy or contract
pursuant to this section, and (ii)] is other- 51 wise entitled
to coverage pursuant to this section and such family 52 members'
applicable policy or contract. 53 S 5. Paragraphs 18 and 19
of subsection (b) of section 4322 of the 54 insurance law,
as added by chapter 504 of the laws of 1995, are amended 55
to read as follows: S. 6361 6 1 (18) Inpatient diagnosis and
treatment of alcoholism and alcohol abuse 2 and substance
abuse and [substance] CHEMICAL dependence [up to thirty 3
days per calendar year] AND for detoxification [combined with
inpatient 4 treatment of mental, nervous or emotional disorders
or ailments]. 5 (19) Outpatient diagnosis and treatment of
mental, nervous or 6 emotional disorders or ailments [up to
thirty non-emergency and three 7 emergency visits per calendar
year] AND DISORDERS OF ALCOHOLISM AND 8 ALCOHOL ABUSE AND
SUBSTANCE ABUSE AND CHEMICAL DEPENDENCE. 9 S 6. Severability.
If any clause, sentence, paragraph, section or part 10 of
any provision of this act be adjudged by any court of competent
11 jurisdiction to be invalid, such judgment shall not affect,
impair or 12 invalidate the remainder thereof, but shall be
confined in its operation 13 to the clause, sentence, paragraph,
section or part of the provision 14 directly involved in the
controversy in which such judgment shall have 15 been rendered.
16 S 7. This act shall take effect on the first of January
next succeed- 17 ing the date on which it shall have become
a law; provided, however, 18 that this act shall apply to
all policies and contracts issued, renewed, 19 modified, altered
or amended on or after such effective date; and 20 provided
further, however, that any rules and regulations necessary
for 21 the implementation of the provisions of this act on
its effective date 22 are authorized and directed to be promulgated
on or before such date.
Courtesy of:
http://open.nysenate.gov
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