Bill Text: NY A02897 | 2019-2020 | General Assembly | Introduced

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Bill Title: Requires health insurance policies to cover costs for pediatric acute-onset neuropsychiatric syndrome rehabilitation treatment.

Spectrum: Slight Partisan Bill (Democrat 10-4)

Status: (Introduced - Dead) 2020-01-08 - referred to insurance [A02897 Detail]

Download: New_York-2019-A02897-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          2897
                               2019-2020 Regular Sessions
                   IN ASSEMBLY
                                    January 28, 2019
                                       ___________
        Introduced  by  M.  of  A.  JONES, D'URSO, GALEF, SIMON, LUPARDO, ENGLE-
          BRIGHT, MAGNARELLI, ARROYO, RICHARDSON,  MONTESANO,  COLTON,  PALUMBO,
          M. L. MILLER,  BLANKENBUSH  -- read once and referred to the Committee
          on Insurance
        AN ACT to amend the insurance law,  in  relation  to  requiring  certain
          health  insurance  policies  to  cover costs for pediatric acute-onset
          neuropsychiatric syndrome
          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 35 to read as follows:
     3    (35)(A) Every health plan, and health insurance issuer offering health
     4  insurance coverage in connection with a group health plan, shall provide
     5  coverage for a participant or beneficiary who has pediatric  acute-onset
     6  neuropsychiatric  syndrome if the attending physician of the participant
     7  or beneficiary certifies  in  writing  the  medical  necessity  of  that
     8  proposed course of rehabilitative treatment.
     9    (B) As used in this paragraph, the term "pediatric acute-onset neurop-
    10  sychiatric syndrome" shall have the same meaning as such term is used in
    11  paragraph  (n)  of  subdivision  one of section two hundred seven of the
    12  public health law.
    13    § 2. Subsection (k) of section 3221 of the insurance law is amended by
    14  adding a new paragraph 22 to read as follows:
    15    (22) (A) Every health  plan,  and  health  insurance  issuer  offering
    16  health  insurance coverage in connection with a group health plan, shall
    17  provide coverage for a participant  or  beneficiary  who  has  pediatric
    18  acute-onset  neuropsychiatric syndrome if the attending physician of the
    19  participant or beneficiary certifies in writing the medical necessity of
    20  that proposed course of rehabilitative treatment.
    21    (B) As used in this paragraph, the term "pediatric acute-onset neurop-
    22  sychiatric syndrome" shall have the same meaning as such term is used in
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD02904-01-9
        A. 2897                             2
     1  paragraph (n) of subdivision one of section two  hundred  seven  of  the
     2  public health law.
     3    §  3.  Section  4303  of  the insurance law is amended by adding a new
     4  subsection (ss) to read as follows:
     5    (ss)(1) Every health plan, and health insurance issuer offering health
     6  insurance coverage in connection with a group health plan, shall provide
     7  coverage for a participant or beneficiary who has pediatric  acute-onset
     8  neuropsychiatric  syndrome if the attending physician of the participant
     9  or beneficiary certifies  in  writing  the  medical  necessity  of  that
    10  proposed course of rehabilitative treatment.
    11    (2) As used in this paragraph, the term "pediatric acute-onset neurop-
    12  sychiatric syndrome" shall have the same meaning as such term is used in
    13  paragraph  (n)  of  subdivision  one of section two hundred seven of the
    14  public health law.
    15    § 4. This act shall take effect on the first of January next  succeed-
    16  ing the date on which it shall have become a law and shall apply accord-
    17  ing  to  its  terms  to all policies, contracts and certificates issued,
    18  renewed, modified, altered or amended on or after such effective date.