Bill Text: NY A01178 | 2015-2016 | General Assembly | Amended
Bill Title: Relates to mandatory health insurance coverage for providing prosthetic devices.
Spectrum: Moderate Partisan Bill (Democrat 28-9)
Status: (Engrossed - Dead) 2016-06-14 - REFERRED TO RULES [A01178 Detail]
Download: New_York-2015-A01178-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 1178--C Cal. No. 54 2015-2016 Regular Sessions IN ASSEMBLY January 8, 2015 ___________ Introduced by M. of A. GUNTHER, ORTIZ, ROSENTHAL, WRIGHT, JAFFEE, PERRY, CLARK, HOOPER, DINOWITZ, ZEBROWSKI, TITONE, RIVERA, ABINANTI, COLTON, DenDEKKER, McKEVITT, DUPREY, RAIA, LAVINE, SALADINO, LALOR -- Multi- Sponsored by -- M. of A. ABBATE, BENEDETTO, COOK, CROUCH, CUSICK, GALEF, GIGLIO, GOTTFRIED, LUPARDO, MAGNARELLI, McDONOUGH, MONTESANO, PAULIN, SCHIMEL, SKARTADOS, THIELE -- read once and referred to the Committee on Insurance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- reported and referred to the Committee on Ways and Means -- reported and referred to the Committee on Rules -- Rules Committee discharged, bill amended, ordered reprinted as amended and recommitted to the Committee on Rules -- advanced to a third reading, amended and ordered reprinted, retain- ing its place on the order of third reading AN ACT to amend the insurance law, in relation to mandatory health insurance coverage for providing prosthetic devices The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subsection (i) of section 3216 of the insurance law is 2 amended by adding a new paragraph 33 to read as follows: 3 (33) Every policy which provides medical, major medical, or similar 4 comprehensive type coverage shall provide coverage for prosthetic 5 devices, including repairs and replacements, that are intended for 6 medically necessary rehabilitative and habilitative purposes as required 7 by 42 U.S.C. §18022. As such, prosthetic device coverage shall be 8 subject to annual deductibles and coinsurance as deemed appropriate by 9 the superintendent in amounts no greater than other essential health 10 benefits covered by the policy. The term "prosthetic device" as used in 11 this paragraph includes an artificial limb and all of the components and 12 related services that comprise prosthetic care but shall not include 13 shoes or any other article considered as ordinary wearing apparel, 14 whether or not specially constructed. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD00990-07-6
