Provides for health insurance coverage for loss or damage to a prosthetic limb; also provides for coverage for replacement of a prosthetic limb as prescribed by a doctor.
STATE OF NEW YORK
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4111
2021-2022 Regular Sessions
IN ASSEMBLY
February 1, 2021
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Introduced by M. of A. COLTON, M. MILLER, SIMON -- Multi-Sponsored by --
M. of A. COOK, J. RIVERA -- read once and referred to the Committee
on Insurance
AN ACT to amend the insurance law, in relation to health insurance
coverage of prosthetic limbs
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Subsection (l) of section 3221 of the insurance law is
2 amended by adding a new paragraph 21 to read as follows:
3 (21) Every insurer delivering a group policy or issuing a group policy
4 for delivery in this state shall provide coverage to a subscriber (A)
5 for the replacement of a prosthetic limb after amputation if said pros-
6 thetic limb is damaged or stolen; and (B) provide coverage for the
7 replacement of a prosthetic limb to a dependent child of a subscriber
8 through the attainment of nineteen years of age as often as said
9 replacement is required or prescribed by the dependent child's physi-
10 cian.
11 § 2. Subsection (j) of section 4303 of the insurance law is amended by
12 adding a new paragraph 5 to read as follows:
13 (5) A health service corporation or medical expense indemnity corpo-
14 ration which provides medical, major medical or similar comprehensive-
15 type coverage must provide coverage to a subscriber (A) for the replace-
16 ment of a prosthetic limb after amputation if said prosthetic limb is
17 damaged or stolen; and (B) provide coverage for the replacement of a
18 prosthetic limb for a dependent child of a subscriber through attainment
19 of nineteen years of age as often as said replacement is required or
20 prescribed by the dependent child's physician.
21 § 3. This act shall take effect on the first of January next succeed-
22 ing the date on which it shall have become a law.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD05966-01-1
