S02907 Summary:

BILL NOS02907
 
SAME ASSAME AS A03821
 
SPONSORFLANAGAN
 
COSPNSR
 
MLTSPNSR
 
Amd SS3216, 3221 & 4303, Ins L
 
Requires major medical or similar comprehensive-type coverage insurance policies to cover the purchase of cranial prostheses worn for permanent or temporary hair loss resulting from accident, injury or disease, or the treatment of such conditions and prescribed by the treating physician or other licensed health care provider legally authorized to prescribe under title eight of the education law.
Go to top    

S02907 Actions:

BILL NOS02907
 
03/05/2009REFERRED TO INSURANCE
01/06/2010REFERRED TO INSURANCE
Go to top

S02907 Floor Votes:

There are no votes for this bill in this legislative session.
Go to top

S02907 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          2907
 
                               2009-2010 Regular Sessions
 
                    IN SENATE
 
                                      March 5, 2009
                                       ___________
 
        Introduced  by Sen. FLANAGAN -- 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  requiring  individual
          and  group or blanket accident or health insurance policies and hospi-
          tal service corporations, health  service  corporations,  and  medical

          indemnity  corporations,  which  provide hospital, surgical or medical
          coverage to include coverage for the purchase  of  cranial  prostheses
          when prescribed as medically necessary
 
          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 26 to read as follows:
     3    (26) (A) Every individual policy which provides major medical or simi-
     4  lar  comprehensive-type coverage shall include coverage for the purchase
     5  of cranial prostheses worn for permanent or temporary hair loss suffered
     6  as a result of accident, injury or disease, or  the  treatment  of  such
     7  conditions,  provided  that  the  treating  physician  or other licensed

     8  health care provider legally authorized to prescribe under  title  eight
     9  of the education law issues a written order for such purchase to signify
    10  his  or her opinion that such purchase is medically necessary to promote
    11  the patient's physical or psychological well-being  or  to  promote  the
    12  healing process.
    13    (B)  Such coverage may be subject to such annual deductibles and coin-
    14  surance as deemed appropriate by the superintendent and as are  consist-
    15  ent  with  those  required  for  other benefits under the policy.   Such
    16  coverage may be limited to one cranial prosthesis per covered person for
    17  the lifetime of the policy.
    18    § 2. Subsection (k) of section 3221 of the insurance law is amended by
    19  adding a new paragraph 15 to read as follows:

    20    (15) (A) Every group or blanket policy which provides major medical or
    21  similar comprehensive-type  coverage  shall  include  coverage  for  the
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD06541-01-9

        S. 2907                             2
 
     1  purchase of cranial prostheses worn for permanent or temporary hair loss
     2  suffered as a result of accident, injury or disease, or the treatment of
     3  such  conditions, provided that the treating physician or other licensed
     4  health  care  provider legally authorized to prescribe under title eight

     5  of the education law issues a written order for such purchase to signify
     6  his or her opinion that such purchase is medically necessary to  promote
     7  the  patient's  physical  or  psychological well-being or to promote the
     8  healing process.
     9    (B) Such coverage may be subject to such annual deductibles and  coin-
    10  surance  as deemed appropriate by the superintendent and as are consist-
    11  ent with those required for other  benefits  under  the  policy.    Such
    12  coverage may be limited to one cranial prosthesis per covered person for
    13  the lifetime of the policy.
    14    §  3.  Section  4303  of  the insurance law is amended by adding a new
    15  subsection (ff) to read as follows:
    16    (ff)(1)  Every  contract  issued  by  a  corporation  subject  to  the

    17  provisions  of  this  article  which  provides  major medical or similar
    18  comprehensive-type coverage, shall include coverage for the purchase  of
    19  cranial prostheses worn for permanent or temporary hair loss suffered as
    20  a result of accident, injury or disease, or the treatment of such condi-
    21  tions,  provided  that  the  treating physician or other licensed health
    22  care provider legally authorized to prescribe under title eight  of  the
    23  education law issues a written order for such purchase to signify his or
    24  her  opinion  that  such  purchase is medically necessary to promote the
    25  patient's physical or psychological well-being or to promote the healing
    26  process.
    27    (2) Such coverage may be subject to such annual deductibles and  coin-

    28  surance  as deemed appropriate by the superintendent and as are consist-
    29  ent with those required for other  benefits  under  the  policy.    Such
    30  coverage may be limited to one cranial prosthesis per covered person for
    31  the lifetime of the policy.
    32    §  4.  This  act shall take effect on the ninetieth day after it shall
    33  have become a law and shall apply according to its terms  to  all  poli-
    34  cies,  contracts  and certificates issued, renewed, modified, altered or
    35  amended on or after such date.
Go to top