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A00783 Summary:

COSPNSRBarron, Forrest
Amd §2510, Pub Health L
Relates to the coverage of ostomy supplies in the child health plus program.
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A00783 Actions:

01/06/2021referred to health
01/20/2021reported referred to ways and means
05/19/2021reported referred to rules
05/24/2021rules report cal.70
05/24/2021ordered to third reading rules cal.70
05/24/2021passed assembly
05/24/2021delivered to senate
06/09/2021SUBSTITUTED FOR S577
06/09/20213RD READING CAL.1662
09/28/2021delivered to governor
10/08/2021signed chap.436
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A00783 Memo:

submitted in accordance with Assembly Rule III, Sec 1(f)
  TITLE OF BILL: An act to amend the public health law, in relation to coverage of ostomy supplies in the child health plus program   PURPOSE OR GENERAL IDEA OF THE BILL: This bill would require the child health plus program to include ostomy equipment and supplies as a covered health care service.   SUMMARY OF SPECIFIC PROVISIONS: Section 1 amends subdivision 7 of section 2510 of the public health law by adding ostomy equipment and supplies to the list of covered health services. Section 2 is the effective date of the bill.   JUSTIFICATION: New York's Child Health Plus program currently provides no coverage for ostomy supplies and equipment for low-income children under the age of 19. There are several reasons why children have ostomies, including birth defects such as spina bifida, exstrophy of the bladder and imper- forate anus. Children may also develop other disorders that may require an ostomy, such as ulcerative colitis, Crohn's Disease, polyposis, malignancy, injury and nerve damage. Out of pocket costs for ostomy supplies vary and are dependent upon the complications of the ostomy. Complex ostomies result in greater monthly utilization of ostomy supplies and equipment. The cost to consumers can easily exceed hundreds of dollars per month. Children enrolled in the Child Health Plus program cannot be covered under other health insurance to help defray the cost of ostomy supplies.   PRIOR LEGISLATIVE HISTORY: 2019-2020: A.548 - Reported to Ways and Means 2017-2018: A.1509 - Reported to Ways and Means 2015-2016: A.1038 - Referred to Health 2013-2014: A.10072 - Passed Assembly   FISCAL IMPLICATIONS: To be determined.   EFFECTIVE DATE: This act shall take effect immediately.
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A00783 Text:

                STATE OF NEW YORK
                               2021-2022 Regular Sessions
                   IN ASSEMBLY
                                     January 6, 2021
        Introduced  by  M. of A. CAHILL, BARRON -- read once and referred to the
          Committee on Health
        AN ACT to amend the public health law, in relation to coverage of ostomy
          supplies in the child health plus program
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1. Subdivision 7 of section 2510 of the public health law, as
     2  amended by chapter 428 of the laws  of  2013,  is  amended  to  read  as
     3  follows:
     4    7.  "Covered  health care services" means: the services of physicians,
     5  optometrists, nurses, nurse practitioners, midwives  and  other  related
     6  professional  personnel  which  are  provided  on  an  outpatient basis,
     7  including routine well-child visits; diagnosis and treatment of  illness
     8  and injury; inpatient health care services; laboratory tests; diagnostic
     9  x-rays;  prescription  and  non-prescription  drugs, ostomy supplies and
    10  durable medical equipment; radiation therapy;  chemotherapy;  hemodialy-
    11  sis;  outpatient blood clotting factor products and other treatments and
    12  services furnished in connection with the care of hemophilia  and  other
    13  blood  clotting  protein  deficiencies; emergency room services; hospice
    14  services; emergency,  preventive  and  routine  dental  care,  including
    15  medically necessary orthodontia but excluding cosmetic surgery; emergen-
    16  cy, preventive and routine vision care, including eyeglasses; speech and
    17  hearing  services;  and, inpatient and outpatient mental health, alcohol
    18  and substance abuse services as defined by the commissioner in consulta-
    19  tion with the superintendent. "Covered health care services"  shall  not
    20  include  drugs,  procedures  and  supplies for the treatment of erectile
    21  dysfunction when provided to, or prescribed for use by, a person who  is
    22  required  to register as a sex offender pursuant to article six-C of the
    23  correction law, provided that any denial  of  coverage  of  such  drugs,
    24  procedures  or  supplies  shall  provide  the  patient with the means of
    25  obtaining additional information concerning  both  the  denial  and  the
    26  means of challenging such denial.
    27    § 2. This act shall take effect immediately.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
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