Bill Text: NY S01965 | 2019-2020 | General Assembly | Introduced

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Bill Title: Relates to the mandatory health insurance coverage under health insurance plans of cleft lip and cleft palate to include treatment of related conditions and illnesses.

Spectrum: Slight Partisan Bill (Republican 4-2)

Status: (Introduced - Dead) 2020-02-28 - RECOMMIT, ENACTING CLAUSE STRICKEN [S01965 Detail]

Download: New_York-2019-S01965-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          1965
                               2019-2020 Regular Sessions
                    IN SENATE
                                    January 18, 2019
                                       ___________
        Introduced  by Sens. LITTLE, AKSHAR, AMEDORE, BROOKS, FELDER, RITCHIE --
          read twice and ordered printed, and when printed to  be  committed  to
          the Committee on Insurance
        AN  ACT  to  amend  the  insurance  law, in relation to mandatory health
          insurance coverage for cleft lip and cleft palate
          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) Every policy which provides medical, major  medical,  or  similar
     4  comprehensive-type  coverage  shall include coverage for the assessment,
     5  evaluation, treatment, management, and follow-up care of cleft  lip  and
     6  cleft  palate.  Such coverage shall include but not be limited to treat-
     7  ment for any condition or illness which is related to or developed as  a
     8  result  of cleft lip and/or palate.  Coverage shall not be denied on the
     9  ground that it is for cosmetic purposes  or  is  not  for  a  functional
    10  defect or impairment.
    11    § 2. Subsection (l) of section 3221 of the insurance law is amended by
    12  adding a new paragraph 21 to read as follows:
    13    (21)  Every  policy  which provides medical, major medical, or similar
    14  comprehensive-type coverage shall include coverage for  the  assessment,
    15  evaluation,  treatment,  management, and follow-up care of cleft lip and
    16  cleft palate. Such coverage shall include but not be limited  to  treat-
    17  ment  for any condition or illness which is related to or developed as a
    18  result of cleft lip and/or palate.  Coverage shall not be denied on  the
    19  ground  that  it  is  for  cosmetic  purposes or is not for a functional
    20  defect or impairment.
    21    § 3. Section 4303 of the insurance law is  amended  by  adding  a  new
    22  subsection (ss) to read as follows:
    23    (ss)  Every  policy  which provides medical, major medical, or similar
    24  comprehensive-type coverage shall include coverage for  the  assessment,
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD01784-01-9
        S. 1965                             2
     1  evaluation,  treatment,  management, and follow-up care of cleft lip and
     2  cleft palate.  Such coverage shall include but not be limited to  treat-
     3  ment  for any condition or illness which is related to or developed as a
     4  result  of cleft lip and/or palate.  Coverage shall not be denied on the
     5  ground that it is for cosmetic purposes  or  is  not  for  a  functional
     6  defect or impairment.
     7    §  4.  This  act shall take effect on the ninetieth day after it shall
     8  have become a law and shall apply  to  policies  and  contracts  issued,
     9  renewed, modified, altered or amended on or after such date.