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A09865 Summary:

BILL NOA09865
 
SAME ASNo Same As
 
SPONSORWilliams
 
COSPNSR
 
MLTSPNSR
 
Amd 3216, 3221 & 4303, Ins L
 
Relates to requiring that private health insurance policies provide coverage for incontinence supplies and sets a cap on allowances under such policies.
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A09865 Actions:

BILL NOA09865
 
02/14/2018referred to insurance
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A09865 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          9865
 
                   IN ASSEMBLY
 
                                    February 14, 2018
                                       ___________
 
        Introduced by M. of A. WILLIAMS -- read once and referred to the Commit-
          tee on Insurance
 
        AN ACT to amend the insurance law, in relation to requiring that private
          health insurance policies provide coverage for incontinence supplies
 
          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 34 to read as follows:
     3    (34)(A) Every policy which provides medical, major medical, or similar
     4  comprehensive  type  coverage  shall  provide  coverage for incontinence
     5  supplies. Such program shall provide incontinence  supplies  to  persons
     6  that  meet  the program eligibility requirements established in subpara-
     7  graph (B) of this paragraph. For purposes of this  paragraph,  "inconti-
     8  nence  supplies"  shall mean products designed to help manage urinary or
     9  bowel output. Such products  shall  be  intended  to  protect  clothing,
    10  bedding,  and  furniture  and  shall consist of items including, but not
    11  limited to, protective underwear,  cloths,  wipes,  bedding  protection,
    12  cleaners, creams, lotions, bedpans, and urinals.
    13    (B) To qualify for coverage under this paragraph, a person shall:
    14    (i) be a resident of the state of New York; and
    15    (ii)  obtain  a note from a physician indicating a need for an item in
    16  accordance with subparagraph (A) of this paragraph.
    17    (C) Coverage provided under this paragraph shall be subject to  a  cap
    18  on  allowances granted of eighty dollars, every three months, per eligi-
    19  ble person.
    20    § 2. Subsection (l) of section 3221 of the insurance law is amended by
    21  adding a new paragraph 20 to read as follows:
    22    (20)(A) Every group or blanket policy which  provides  medical,  major
    23  medical,  or  similar comprehensive type coverage shall provide coverage
    24  for incontinence  supplies.  Such  program  shall  provide  incontinence
    25  supplies  to  persons  that  meet  the  program eligibility requirements
    26  established in subparagraph (B) of this paragraph. For purposes of  this
    27  paragraph,  "incontinence supplies" shall mean products designed to help
    28  manage urinary or bowel output.  Such  products  shall  be  intended  to
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14462-01-8

        A. 9865                             2
 
     1  protect  clothing,  bedding,  and  furniture  and shall consist of items
     2  including, but not limited  to,  protective  underwear,  cloths,  wipes,
     3  bedding protection, cleaners, creams, lotions, bedpans, and urinals.
     4    (B) To qualify for coverage under this paragraph, a person shall:
     5    (i) be a resident of the state of New York; and
     6    (ii)  obtain  a note from a physician indicating a need for an item in
     7  accordance with subparagraph (A) of this paragraph.
     8    (C) Coverage provided under this paragraph shall be subject to  a  cap
     9  on  allowances granted of eighty dollars, every three months, per eligi-
    10  ble person.
    11    § 3. Section 4303 of the insurance law is  amended  by  adding  a  new
    12  subsection (rr) to read as follows:
    13    (rr)(1)  Every contract issued by a hospital service company or health
    14  service corporation which provides major medical or  similar  comprehen-
    15  sive-type  coverage  shall  include  coverage for incontinence supplies.
    16  Such program shall provide incontinence supplies to  persons  that  meet
    17  the  program  eligibility  requirements  established in paragraph two of
    18  this subsection. For purposes of this section,  "incontinence  supplies"
    19  shall  mean  products  designed  to help manage urinary or bowel output.
    20  Such products shall be intended to protect clothing, bedding, and furni-
    21  ture and shall consist of items including, but not limited  to,  protec-
    22  tive  underwear,  cloths,  wipes,  bedding protection, cleaners, creams,
    23  lotions, bedpans, and urinals.
    24    (2) To qualify for coverage under this subsection, a person shall:
    25    (i) be a resident of the state of New York; and
    26    (ii) obtain a note from a physician indicating a need for an  item  in
    27  accordance with paragraph one of this subsection.
    28    (3)  Coverage provided under this subsection shall be subject to a cap
    29  on allowances granted of eighty dollars, every three months, per  eligi-
    30  ble person.
    31    §  4.  This  act shall take effect on the ninetieth day after it shall
    32  have become a law and shall apply  to  policies  and  contracts  issued,
    33  renewed, modified, altered or amended on or after such effective date.
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