Bill Text: NY A07706 | 2015-2016 | General Assembly | Amended

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Bill Title: Includes certain out of home services such as transition from a hospital, nursing facility or other institutional setting to the home within home care insurance coverage.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2016-01-15 - print number 7706a [A07706 Detail]

Download: New_York-2015-A07706-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                         7706--A
                               2015-2016 Regular Sessions
                   IN ASSEMBLY
                                      May 26, 2015
                                       ___________
        Introduced by M. of A. CAHILL -- read once and referred to the Committee
          on  Insurance  -- recommitted to the Committee on Insurance in accord-
          ance with Assembly Rule  3,  sec.  2  --  committee  discharged,  bill
          amended,  ordered reprinted as amended and recommitted to said commit-
          tee
        AN ACT to amend the insurance law, in relation to including certain  out
          of  home services such as transition from a hospital, nursing facility
          or other institutional setting to the home within home care  insurance
          coverage
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. Subparagraphs (C), (D) and (E) of paragraph 1 of subsection
     2  (k) of section 3221 of the insurance law, subparagraphs (C) and  (D)  as
     3  amended  by  chapter  557  of  the  laws of 2000, are amended to read as
     4  follows:
     5    (C) Home care means the care and treatment of a covered person who  is
     6  under  the  care  of  a  physician  [but  only  if] and who requires the
     7  services of an agency described in subparagraph (D)  of  this  paragraph
     8  for: transition of the covered person from hospital, nursing facility or
     9  other institutional setting to home; rehabilitation, recovery or medical
    10  management  of  the  covered person at home following hospitalization or
    11  following care in a nursing facility or other institutional setting;  or
    12  medical management of a condition predisposing the covered individual to
    13  hospitalization  [or],  confinement in a nursing facility [as defined in
    14  subchapter XVIII of the federal Social Security Act, 42 U.S.C.  §§  1395
    15  et  seq,  would otherwise have been required] or the need for other out-
    16  of-home services otherwise covered under the contract if home care [was]
    17  is not provided, and the plan covering the home health service is estab-
    18  lished and approved in writing by such physician.
    19    (D) Home care shall be  provided  by  an  agency  possessing  a  valid
    20  certificate of approval or license issued pursuant to article thirty-six
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10539-04-6