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A08137 Summary:

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A08137 Floor Votes:

A08137 Text:

 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         8137--A
 
                               2013-2014 Regular Sessions
 
                   IN ASSEMBLY
 
                                     August 30, 2013
                                       ___________
 
        Introduced  by  M.  of  A. MAGNARELLI, GUNTHER, ZEBROWSKI, OTIS, PAULIN,
          FINCH, LIFTON, STIRPE,  ABINANTI,  McDONALD,  COOK,  STECK,  BUCHWALD,
          SKOUFIS,  ROSENTHAL  --  Multi-Sponsored by -- M. of A. CLARK, CURRAN,
          CYMBROWITZ, FAHY, GALEF, JACOBS, McDONOUGH, McKEVITT,  MOSLEY,  NOLAN,
          PERRY,  RIVERA,  SCHIMEL, WALTER, WEISENBERG -- read once and referred

          to the Committee on Insurance  --  recommitted  to  the  Committee  on
          Insurance  in  accordance  with  Assembly  Rule 3, sec. 2 -- committee
          discharged, bill amended, ordered reprinted as amended and recommitted
          to said committee
 
        AN ACT to amend the insurance law, in relation to authorizing  insurance
          coverage for equipment and supplies used for the treatment of ostomies
 
          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 30 to read as follows:
     3    (30) Every policy which provides medical coverage that includes cover-
     4  age  for  physician  services  in  a physician's office and every policy

     5  which provides major  medical  or  similar  comprehensive-type  coverage
     6  shall include coverage for the following equipment and supplies used for
     7  the  treatment  of ostomies, if recommended or prescribed by a physician
     8  or other licensed health care provider legally authorized  to  prescribe
     9  under  title  eight  of  the  education  law:  flanges, collection bags,
    10  clamps, irrigation devices, sanitizing products, ostomy rings and ostomy
    11  belts. In addition, the commissioner of the department of  health  shall
    12  provide  and  periodically  update by rule or regulation a list of addi-
    13  tional ostomy equipment and  related  supplies  such  as  are  medically
    14  necessary  for  the  treatment of ostomies for which there shall also be
    15  coverage.

    16    § 2. Subsection (k) of section 3221 of the insurance law is amended by
    17  adding a new paragraph 19 to read as follows:
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11677-02-4
        A. 8137--A                          2
 
     1    (19) Every group or  blanket  accident  and  health  insurance  policy
     2  issued  or  issued  for  delivery  in  this state which provides medical
     3  coverage that includes coverage for physician services in a  physician's
     4  office  and every policy which provides major medical or similar compre-
     5  hensive-type coverage shall include coverage for the following equipment

     6  and  supplies  used  for  the  treatment  of ostomies, if recommended or
     7  prescribed by a physician or other licensed health care provider legally
     8  authorized to prescribe under title eight of the education law: flanges,
     9  collection bags, clamps, irrigation devices, sanitizing products, ostomy
    10  rings and ostomy belts. In addition, the commissioner of the  department
    11  of  health shall provide and periodically update by rule or regulation a
    12  list of additional ostomy equipment and related  supplies  such  as  are
    13  medically  necessary for the treatment of ostomies for which there shall
    14  also be coverage.
    15    § 3. Section 4303 of the insurance law is  amended  by  adding  a  new
    16  subsection (u-1) to read as follows:

    17    (u-1)  A  medical  expense  indemnity  corporation or a health service
    18  corporation which provides medical coverage that includes  coverage  for
    19  physician  services  in  a  physician's  office  and  every policy which
    20  provides major medical  or  similar  comprehensive-type  coverage  shall
    21  include  coverage  for the following equipment and supplies used for the
    22  treatment of ostomies, if recommended or prescribed by  a  physician  or
    23  other  licensed  health  care  provider  legally authorized to prescribe
    24  under title eight  of  the  education  law:  flanges,  collection  bags,
    25  clamps, irrigation devices, sanitizing products, ostomy rings and ostomy
    26  belts.  In  addition, the commissioner of the department of health shall

    27  provide and periodically update by rule or regulation a  list  of  addi-
    28  tional  ostomy  equipment  and  related  supplies  such as are medically
    29  necessary for the treatment of ostomies for which there  shall  also  be
    30  coverage.
    31    §  4. This act shall take effect on the first of January next succeed-
    32  ing the date on which it shall have become a law and shall apply to  all
    33  policies  and contracts issued, renewed, modified, altered or amended on
    34  or after such effective date.