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A06007 Summary:

BILL NOA06007
 
SAME ASNo Same As
 
SPONSORCook (MS)
 
COSPNSRAubry, Weprin, Gunther
 
MLTSPNSRSimon
 
Amd §§3216, 3221 & 4303, Ins L
 
Provides that insurance policies which provide hospital, surgical or medical coverage shall provide coverage for hysterectomies; provides that such coverage shall include inpatient hospital coverage for a minimum period of seventy-two hours after surgery.
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A06007 Actions:

BILL NOA06007
 
03/30/2023referred to insurance
01/03/2024referred to insurance
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A06007 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A6007
 
SPONSOR: Cook (MS)
  TITLE OF BILL: An act to amend the insurance law, in relation to coverage of hysterec- tomies   PURPOSE: To require policies which provide hospital, surgical or medical coverage to also provide coverage for hysterectomies including inpatient hospital coverage for a minimum period of seventy-two hours after surgery.   SUMMARY OF PROVISIONS: Section 1. Amends subsection (i) of section 3216 of the insurance law by adding a new paragraph 33. § 2. Amends subsection (1) of section 3221 of the insurance law by adding a new paragraph 19. § 3. Amends section 4303 of the insurance law by adding a new subsection qq).   JUSTIFICATION: Certain health insurance carriers, health maintenance organizations, health plans, and hospitals have been restricting coverage and care with respect to the length of hospital stay following hysterectomies in ways that jeopardize the life and health of women and violate reasonable professional standards. The provisions of this act are necessary to provide a reasonable and uniform standard of coverage and care to protect the public health. The intent of this legislation is to require policies. which provide hospital, surgical or medical coverage to include inpatient hospital coverage for a minimum period of seventy-two hours after surgery. Hysterectomies are invasive surgical procedures which require ample time from which to recover.   LEGISLATIVE HISTORY: Previously Introduced. 2019/20 A.68.80 - S.3307; 2021/22 A.3182   FISCAL IMPLICATIONS: To be determined.   EFFECTIVE DATE: This act shall take effect on the one hundred twentieth day after it shall have become a law.
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A06007 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          6007
 
                               2023-2024 Regular Sessions
 
                   IN ASSEMBLY
 
                                     March 30, 2023
                                       ___________
 
        Introduced  by  M. of A. COOK, AUBRY, WEPRIN, GUNTHER -- Multi-Sponsored
          by -- M. of A.  SIMON -- read once and referred to  the  Committee  on
          Insurance
 
        AN  ACT to amend the insurance law, in relation to coverage of hysterec-
          tomies
 
          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 39 to read as follows:
     3    (39) (A) Every policy which provides  hospital,  surgical  or  medical
     4  coverage, or similar comprehensive type coverage, shall provide coverage
     5  for  all  cost for hysterectomies. Such coverage shall include inpatient
     6  hospital coverage for  a  minimum  period  of  seventy-two  hours  after
     7  surgery.
     8    (B) Such coverage may be subject to annual deductibles and coinsurance
     9  as may be deemed appropriate by the superintendent and as are consistent
    10  with those established for other benefits within a given policy.
    11    (C)  Coverage  under  this  paragraph  shall not restrict or eliminate
    12  existing coverage provided by the policy and nothing in  this  paragraph
    13  shall  be construed to deny or restrict in any way any existing right or
    14  benefit provided under law or by contract.
    15    § 2. Subsection (l) of section 3221 of the insurance law is amended by
    16  adding a new paragraph 22 to read as follows:
    17    (22) (A) Every group or blanket policy delivered or issued for  deliv-
    18  ery in this state which provides hospital, surgical or medical coverage,
    19  or  similar  comprehensive type coverage, shall provide coverage for all
    20  cost for hysterectomies. Such coverage shall include inpatient  hospital
    21  coverage for a minimum period of seventy-two hours after surgery.
    22    (B) Such coverage may be subject to annual deductibles and coinsurance
    23  as may be deemed appropriate by the superintendent and as are consistent
    24  with those established for other benefits within a given policy.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD08229-01-3

        A. 6007                             2
 
     1    (C)  Coverage  under  this  paragraph  shall not restrict or eliminate
     2  existing coverage provided by the policy and nothing in  this  paragraph
     3  shall  be construed to deny or restrict in any way any existing right or
     4  benefit provided under law or by contract.
     5    §  3.  Section  4303  of  the insurance law is amended by adding a new
     6  subsection (uu) to read as follows:
     7    (uu) 1. Every medical expense indemnity corporation, hospital  service
     8  corporation  and  health  service  corporation  which provides hospital,
     9  surgical or medical coverage, or similar  comprehensive  type  coverage,
    10  shall  provide  coverage  for all cost for hysterectomies. Such coverage
    11  shall include inpatient hospital coverage for a minimum period of seven-
    12  ty-two hours after surgery.
    13    2. Such coverage may be subject to annual deductibles and  coinsurance
    14  as may be deemed appropriate by the superintendent and as are consistent
    15  with those established for other benefits within a given policy.
    16    3.  Coverage  under  this  subsection  shall not restrict or eliminate
    17  existing coverage provided by the policy and nothing in this  subsection
    18  shall  be construed to deny or restrict in any way any existing right or
    19  benefit provided under law or by contract.
    20    § 4. This act shall take effect on the one hundred twentieth day after
    21  it shall have become a law and shall apply to all policies entered  into
    22  or renewed on and after such effective date.
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