S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________

                                         6309

                              2009-2010 Regular Sessions

                                   I N  S E N A T E

                                   November 20, 2009
                                      ___________

       Introduced  by  Sen.  C. JOHNSON  -- read twice and ordered printed, and
         when printed to be committed to the Committee on Rules

       AN ACT to amend the insurance law,  in  relation  to  requiring  certain
         health and casualty insurers to provide coverage for prenatal vitamins

         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 10-a to read as follows:
    3    (10-A)(A)  EVERY POLICY DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE
    4  WHICH PROVIDES MEDICAL COVERAGE THAT  INCLUDES  COVERAGE  FOR  PHYSICIAN
    5  SERVICES  IN  A PHYSICIAN'S OFFICE AND EVERY POLICY WHICH PROVIDES MAJOR
    6  MEDICAL OR SIMILAR COMPREHENSIVE-TYPE COVERAGE  SHALL  PROVIDE  COVERAGE
    7  FOR  PRENATAL MATERNITY CARE. SUCH PRENATAL MATERNITY CARE SHALL INCLUDE
    8  COVERAGE OF PRENATAL VITAMINS.
    9    (B) SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE
   10  AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE CONSISTENT
   11  WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN POLICY.
   12    S 2. Subsection (k) of section 3221 of the insurance law is amended by
   13  adding a new paragraph 5-a to read as follows:
   14    (5-A)(A) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED FOR  DELIV-
   15  ERY IN THIS STATE WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES COVERAGE
   16  FOR PHYSICIAN SERVICES IN A PHYSICIAN'S OFFICE, AND EVERY GROUP OR BLAN-
   17  KET  POLICY  WHICH  PROVIDES MAJOR MEDICAL OR SIMILAR COMPREHENSIVE-TYPE
   18  COVERAGE SHALL PROVIDE COVERAGE FOR PRENATAL MATERNITY CARE. SUCH PRENA-
   19  TAL MATERNITY CARE SHALL INCLUDE COVERAGE OF PRENATAL VITAMINS.
   20    (B) SUCH COVERAGE MAY BE SUBJECT TO  ANNUAL  DEDUCTIBLES  AND  COINSU-
   21  RANCE,  AS  MAY  BE  DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE
   22  CONSISTENT WITH THOSE ESTABLISHED FOR  OTHER  BENEFITS  WITHIN  A  GIVEN
   23  POLICY.
   24    S  3.  Section  4303  of  the insurance law is amended by adding a new
   25  subsection (c-1) to read as follows:

        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD14960-01-9
       S. 6309                             2

    1    (C-1)(1) EVERY  CONTRACT  ISSUED  BY  A  CORPORATION  SUBJECT  TO  THE
    2  PROVISIONS  OF  THIS  ARTICLE  WHICH  PROVIDES HOSPITAL SERVICE, MEDICAL
    3  EXPENSE INDEMNITY OR BOTH SHALL PROVIDE COVERAGE FOR PRENATAL  MATERNITY
    4  CARE.  SUCH  PRENATAL  MATERNITY CARE SHALL INCLUDE COVERAGE OF PRENATAL
    5  VITAMINS.
    6    (2)  SUCH COVERAGE SHALL BE MADE AVAILABLE AT THE INCEPTION OF ALL NEW
    7  CONTRACTS AND, WITH RESPECT TO ALL OTHER CONTRACTS, AT  ANY  ANNIVERSARY
    8  DATE  SUBJECT  TO EVIDENCE OF INSURABILITY. SUCH COVERAGE MAY BE SUBJECT
    9  TO ANNUAL DEDUCTIBLES AND COINSURANCE AS MAY BE  DEEMED  APPROPRIATE  BY
   10  THE SUPERINTENDENT.
   11    S 4. This act shall take effect immediately.