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S03896 Summary:

BILL NOS03896
 
SAME ASSAME AS A07495
 
SPONSORKENNEDY
 
COSPNSRGAUGHRAN, HARCKHAM
 
MLTSPNSR
 
Amd §§3216, 3221 & 4303, Ins L; amd §§3 & 201, Work Comp L
 
Requires health insurers to provide coverage for long term medical care for Lyme disease and other tick borne related pathogens.
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S03896 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          3896
 
                               2021-2022 Regular Sessions
 
                    IN SENATE
 
                                    February 1, 2021
                                       ___________
 
        Introduced  by  Sens.  KENNEDY,  GAUGHRAN,  HARCKHAM  --  read twice and
          ordered printed, and when printed to be committed to the Committee  on
          Insurance
 
        AN  ACT to amend the insurance law and the workers' compensation law, in
          relation to coverage of long term medical care for  Lyme  disease  and
          other tick borne related pathogens

          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 36 to read as follows:
     3    (36)  Every  insurer issuing a policy of accident and health insurance
     4  for delivery in this state shall provide  coverage  for  all  costs  for
     5  treatment  of  Lyme  disease  (Lyme  borreliosis)  and  other tick borne
     6  related pathogens. Such treatment shall include  not  less  than  thirty
     7  days  of  intravenous  antibiotic therapy, sixty days of oral antibiotic
     8  therapy, or both, and shall provide further treatment if recommended  by
     9  a physician licensed to practice medicine in the state of New York.
    10    § 2. Subsection (l) of section 3221 of the insurance law is amended by
    11  adding a new paragraph 21 to read as follows:
    12    (21) Every group or blanket policy delivered or issued for delivery in
    13  this  state  which provides hospital, surgical or medical coverage shall
    14  provide coverage for all costs  for  treatment  of  Lyme  disease  (Lyme
    15  borreliosis)  and  other  tick  borne  related pathogens. Such treatment
    16  shall include not less than thirty days of intravenous antibiotic thera-
    17  py, sixty days of oral antibiotic therapy, or both,  and  shall  provide
    18  further  treatment  if  recommended  by a physician licensed to practice
    19  medicine in the state of New York.
    20    § 3. Section 4303 of the insurance law is  amended  by  adding  a  new
    21  subsection (ss) to read as follows:
    22    (ss)  Every  medical  expense  indemnity corporation, hospital service
    23  corporation and health service corporation which provides  coverage  for
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD07579-01-1

        S. 3896                             2
 
     1  medical,  surgical  or major medical care shall provide coverage for all
     2  costs for treatment of Lyme disease (Lyme borreliosis)  and  other  tick
     3  borne  related  pathogens.    Such treatment shall include not less than
     4  thirty  days of intravenous antibiotic therapy, sixty days of oral anti-
     5  biotic therapy, or both, and shall provide further treatment  if  recom-
     6  mended  by a physician licensed to practice medicine in the state of New
     7  York.
     8    § 4. Paragraph 30 of subdivision  2  of  section  3  of  the  workers'
     9  compensation  law,  as renumbered by chapter 665 of the laws of 1971, is
    10  renumbered paragraph 31 and a new paragraph  30  is  added  to  read  as
    11  follows:
    12    30. Lyme disease                           30. Any process involving
    13    (Lyme borreliosis)                         outdoor activity or
    14    and other tick borne                       treatment of animals.
    15    related pathogens.
    16    §  5. The closing paragraph of subdivision 2 of section 3 of the work-
    17  ers' compensation law, as amended by chapter 666 of the laws of 1971, is
    18  amended to read as follows:
    19    Nothing in paragraph [thirty] thirty-one of this subdivision shall  be
    20  construed  to  apply  to  any  disability  or  death  due to any disease
    21  described in paragraph twenty-nine of this subdivision.
    22    § 6. Subdivision 9 of section 201 of the workers' compensation law  is
    23  amended by adding a new paragraph C to read as follows:
    24    C.  "Disability"  also  includes disability caused by or in connection
    25  with Lyme disease (Lyme borreliosis) and other tick borne related patho-
    26  gens.
    27    § 7. This act shall take effect on the one hundred twentieth day after
    28  it shall have become a law. Effective immediately, the addition,  amend-
    29  ment  and/or repeal of any rules or regulations necessary for the imple-
    30  mentation of this act on its effective date is authorized to be made  on
    31  or before such effective date.
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