Bill Text: NY A04120 | 2021-2022 | General Assembly | Introduced
Bill Title: Relates to mandatory health insurance coverage for providing prosthetic devices.
Spectrum: Moderate Partisan Bill (Democrat 19-5)
Status: (Introduced - Dead) 2022-01-05 - referred to insurance [A04120 Detail]
Download: New_York-2021-A04120-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 4120 2021-2022 Regular Sessions IN ASSEMBLY February 1, 2021 ___________ Introduced by M. of A. GUNTHER, L. ROSENTHAL, PERRY, DINOWITZ, ZEBROW- SKI, J. RIVERA, COLTON, ABINANTI, SIMON, LALOR, MIKULIN -- Multi-Spon- sored by -- M. of A. ABBATE, BENEDETTO, COOK, CUSICK, GALEF, J. M. GIGLIO, GOTTFRIED, LUPARDO, MAGNARELLI, McDONOUGH, MONTESANO, PAULIN, THIELE -- read once and referred to the Committee on Insurance 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 36 to read as follows: 3 (36) 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. 15 § 2. Subsection (l) of section 3221 of the insurance law is amended by 16 adding a new paragraph 21 to read as follows: 17 (21) Every policy which provides medical, major medical, or similar 18 comprehensive type coverage shall provide coverage for prosthetic 19 devices, including repairs and replacements, that are intended for 20 medically necessary rehabilitative and habilitative purposes as required 21 by 42 U.S.C. §18022. As such, prosthetic device coverage shall be 22 subject to annual deductibles and coinsurance as deemed appropriate by EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD02480-01-1A. 4120 2 1 the superintendent in amounts no greater than other essential health 2 benefits covered by the policy. The term "prosthetic device" as used in 3 this paragraph includes an artificial limb and all of the components and 4 related services that comprise prosthetic care but shall not include 5 shoes or any other article considered as ordinary wearing apparel, 6 whether or not specially constructed. 7 § 3. Section 4303 of the insurance law is amended by adding a new 8 subsection (ss) to read as follows: 9 (ss) Every policy which provides medical, major medical, or similar 10 comprehensive type coverage shall provide coverage for prosthetic 11 devices, including repairs and replacements, that are intended for 12 medically necessary rehabilitative and habilitative purposes as required 13 by 42 U.S.C. §18022. As such, prosthetic device coverage shall be 14 subject to annual deductibles and coinsurance as deemed appropriate by 15 the superintendent in amounts no greater than other essential health 16 benefits covered by the policy. The term "prosthetic device" as used in 17 this subsection includes an artificial limb and all of the components 18 and related services that comprise prosthetic care but shall not include 19 shoes or any other article considered as ordinary wearing apparel, 20 whether or not specially constructed. 21 § 4. This act shall take effect on the ninetieth day after it shall 22 have become a law and shall apply to policies and contracts issued, 23 renewed, modified, altered or amended on or after such effective date.