Bill Text: NY S01708 | 2015-2016 | General Assembly | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Relates to mandatory health insurance coverage for providing prosthetic devices.

Sponsorship: Bipartisan Bill

Status: (Introduced - Dead) 2016-01-13 - PRINT NUMBER 1708C [S01708 Detail]

Download: New_York-2015-S01708-Amended.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        1708--B
                              2015-2016 Regular Sessions
                                   I N  S E N A T E
                                   January 14, 2015
                                      ___________
       Introduced  by Sens. BONACIC, AVELLA, BRESLIN, HANNON, LATIMER, MARTINS,
         PANEPINTO, ROBACH, VENDITTO -- read twice  and  ordered  printed,  and
         when  printed to be committed to the Committee on Insurance -- commit-
         tee discharged, bill amended, ordered reprinted as amended and  recom-
         mitted  to  said  committee  --  committee  discharged,  bill amended,
         ordered reprinted as amended and recommitted to said committee
       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 32 to read as follows:
    3    (32)  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. S18022.  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    S 2. Subsection (l) of section 3221 of the insurance law is amended by
   16  adding a new paragraph 19 to read as follows:
   17    (19) 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.  S18022.  AS  SUCH,  PROSTHETIC  DEVICE COVERAGE SHALL BE
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD00990-06-5
       S. 1708--B                          2
    1  SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE AS DEEMED  APPROPRIATE  BY
    2  THE  SUPERINTENDENT  IN  AMOUNTS  NO GREATER THAN OTHER ESSENTIAL HEALTH
    3  BENEFITS COVERED BY THE POLICY. THE TERM "PROSTHETIC DEVICE" AS USED  IN
    4  THIS PARAGRAPH INCLUDES AN ARTIFICIAL LIMB AND ALL OF THE COMPONENTS AND
    5  RELATED  SERVICES  THAT  COMPRISE  PROSTHETIC CARE BUT SHALL NOT INCLUDE
    6  SHOES OR ANY OTHER  ARTICLE  CONSIDERED  AS  ORDINARY  WEARING  APPAREL,
    7  WHETHER OR NOT SPECIALLY CONSTRUCTED.
    8    S  3.  Section  4303  of  the insurance law is amended by adding a new
    9  subsection (pp) to read as follows:
   10    (PP) EVERY POLICY WHICH PROVIDES MEDICAL, MAJOR  MEDICAL,  OR  SIMILAR
   11  COMPREHENSIVE  TYPE  COVERAGE  SHALL  PROVIDE  COVERAGE  FOR  PROSTHETIC
   12  DEVICES, INCLUDING REPAIRS  AND  REPLACEMENTS,  THAT  ARE  INTENDED  FOR
   13  MEDICALLY NECESSARY REHABILITATIVE AND HABILITATIVE PURPOSES AS REQUIRED
   14  BY  42  U.S.C.  S18022.  AS  SUCH,  PROSTHETIC  DEVICE COVERAGE SHALL BE
   15  SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE AS DEEMED  APPROPRIATE  BY
   16  THE  SUPERINTENDENT  IN  AMOUNTS  NO GREATER THAN OTHER ESSENTIAL HEALTH
   17  BENEFITS COVERED BY THE POLICY. THE TERM "PROSTHETIC DEVICE" AS USED  IN
   18  THIS  SUBSECTION  INCLUDES  AN ARTIFICIAL LIMB AND ALL OF THE COMPONENTS
   19  AND RELATED SERVICES THAT COMPRISE PROSTHETIC CARE BUT SHALL NOT INCLUDE
   20  SHOES OR ANY OTHER  ARTICLE  CONSIDERED  AS  ORDINARY  WEARING  APPAREL,
   21  WHETHER OR NOT SPECIALLY CONSTRUCTED.
   22    S  4.  This  act shall take effect on the ninetieth day after it shall
   23  have become a law and shall apply  to  policies  and  contracts  issued,
   24  renewed, modified, altered or amended on or after such effective date.