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A10140 Summary:

A10140 Actions:

A10140 Floor Votes:

A10140 Text:

 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          10140
 
                   IN ASSEMBLY
 
                                      June 16, 2014
                                       ___________
 
        Introduced  by COMMITTEE ON RULES -- (at request of M. of A. Magnarelli)
          -- read once and referred to the Committee on Insurance
 
        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. Paragraph 30 of subsection  (i)  of  section  3216  of  the
     2  insurance  law,  as added by a chapter of the laws of 2014, amending the
     3  insurance law relating to authorizing insurance coverage  for  equipment
     4  and supplies used for the treatment of ostomies, as proposed in legisla-
     5  tive bills numbers S.5937-A and A.8137-A, is amended to read as follows:
     6    (30) Every policy which provides medical coverage that includes cover-
     7  age  for  physician  services  in  a physician's office and every policy
     8  which provides major  medical  or  similar  comprehensive-type  coverage
     9  shall  include  coverage for [the following] equipment and supplies used
    10  for the treatment of ostomies,  if  [recommended  or]  prescribed  by  a
    11  physician  or  other licensed health care provider legally authorized to

    12  prescribe under title eight of the education law[:  flanges,  collection
    13  bags,  clamps, irrigation devices, sanitizing products, ostomy rings and
    14  ostomy belts. In addition, the commissioner of the department of  health
    15  shall  provide  and  periodically update by rule or regulation a list of
    16  additional ostomy equipment and related supplies such as  are  medically
    17  necessary  for  the  treatment of ostomies for which there shall also be
    18  coverage].  Such coverage shall be subject  to  annual  deductibles  and
    19  coinsurance  as  deemed  appropriate by the superintendent. The coverage
    20  required by this paragraph shall be identical to, and shall not  enhance
    21  or  increase  the coverage required as part of essential health benefits

    22  as required pursuant to section 2707 (a) of the public  health  services
    23  act 42 U.S.C. 300 gg-6(a).
    24    §  2.  Paragraph 19 of subsection (k) of section 3221 of the insurance
    25  law, as added by a chapter of the laws of 2014, amending  the  insurance
    26  law  relating  to  authorizing  insurance  coverage  for  equipment  and
    27  supplies used for the treatment of ostomies, as proposed in  legislative
    28  bills numbers S. 5937-A and A. 8137-A, is amended to read as follows:
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD15635-01-4
        A. 10140                            2
 
     1    (19)  Every  group  or  blanket  accident  and health insurance policy

     2  [issued] delivered or issued for delivery in this state  which  provides
     3  medical  coverage  that  includes  coverage  for physician services in a
     4  physician's office and every policy  which  provides  major  medical  or
     5  similar  comprehensive-type  coverage  shall  include  coverage for [the
     6  following] equipment and supplies used for the treatment of ostomies, if
     7  [recommended or] prescribed by a physician or other licensed health care
     8  provider legally authorized to prescribe under title eight of the educa-
     9  tion law[: flanges, collection bags, clamps, irrigation  devices,  sani-
    10  tizing products, ostomy rings and ostomy belts. In addition, the commis-
    11  sioner of the department of health shall provide and periodically update

    12  by  rule or regulation a list of additional ostomy equipment and related
    13  supplies such as are medically necessary for the treatment  of  ostomies
    14  for which there shall also be coverage].  Such coverage shall be subject
    15  to  annual  deductibles  and  coinsurance  as  deemed appropriate by the
    16  superintendent.  The coverage required by this paragraph shall be  iden-
    17  tical  to,  and  shall  not enhance or increase the coverage required as
    18  part of essential health benefits as required pursuant to  section  2707
    19  (a) of the public health services act 42 U.S.C. 300 gg-6(a).
    20    §  3.  Subsection (u-1) of section 4303 of the insurance law, as added
    21  by a chapter of the laws of 2014, amending the insurance law relating to

    22  authorizing insurance coverage for equipment and supplies used  for  the
    23  treatment  of  ostomies,  as  proposed  in  legislative bills numbers S.
    24  5937-A and A. 8137-A, is amended to read as follows:
    25    (u-1) A medical expense indemnity  corporation  or  a  health  service
    26  corporation  which  provides medical coverage that includes coverage for
    27  physician services in  a  physician's  office  and  every  policy  which
    28  provides  major  medical  or  similar  comprehensive-type coverage shall
    29  include coverage for [the following] equipment and supplies used for the
    30  treatment of ostomies, if [recommended or] prescribed by a physician  or
    31  other  licensed  health  care  provider  legally authorized to prescribe
    32  under title eight of  the  education  law[:  flanges,  collection  bags,

    33  clamps, irrigation devices, sanitizing products, ostomy rings and ostomy
    34  belts.  In  addition, the commissioner of the department of health shall
    35  provide and periodically update by rule or regulation a  list  of  addi-
    36  tional  ostomy  equipment  and  related  supplies  such as are medically
    37  necessary for the treatment of ostomies for which there  shall  also  be
    38  coverage].    Such  coverage  shall be subject to annual deductibles and
    39  coinsurance as deemed appropriate by the  superintendent.  The  coverage
    40  required by this subsection shall be identical to, and shall not enhance
    41  or  increase  the coverage required as part of essential health benefits
    42  as required pursuant to section 2707(a) of the  public  health  services

    43  act 42 U.S.C. 300 gg-6(a).
    44    §  4.  This  act  shall  take  effect on the same date and in the same
    45  manner as a chapter of the laws of  2014,  amending  the  insurance  law
    46  relating  to  authorizing  insurance coverage for equipment and supplies
    47  used for the treatment of ostomies, as  proposed  in  legislative  bills
    48  numbers S. 5937-A and A. 8137-A, takes effect.