Relates to the mandatory health insurance coverage under health insurance plans of cleft lip and cleft palate to include treatment of related conditions and illnesses.
STATE OF NEW YORK
________________________________________________________________________
1965
2019-2020 Regular Sessions
IN SENATE
January 18, 2019
___________
Introduced by Sens. LITTLE, AKSHAR, AMEDORE, BROOKS, FELDER, RITCHIE --
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 mandatory health
insurance coverage for cleft lip and cleft palate
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 35 to read as follows:
3 (35) Every policy which provides medical, major medical, or similar
4 comprehensive-type coverage shall include coverage for the assessment,
5 evaluation, treatment, management, and follow-up care of cleft lip and
6 cleft palate. Such coverage shall include but not be limited to treat-
7 ment for any condition or illness which is related to or developed as a
8 result of cleft lip and/or palate. Coverage shall not be denied on the
9 ground that it is for cosmetic purposes or is not for a functional
10 defect or impairment.
11 § 2. Subsection (l) of section 3221 of the insurance law is amended by
12 adding a new paragraph 21 to read as follows:
13 (21) Every policy which provides medical, major medical, or similar
14 comprehensive-type coverage shall include coverage for the assessment,
15 evaluation, treatment, management, and follow-up care of cleft lip and
16 cleft palate. Such coverage shall include but not be limited to treat-
17 ment for any condition or illness which is related to or developed as a
18 result of cleft lip and/or palate. Coverage shall not be denied on the
19 ground that it is for cosmetic purposes or is not for a functional
20 defect or impairment.
21 § 3. Section 4303 of the insurance law is amended by adding a new
22 subsection (ss) to read as follows:
23 (ss) Every policy which provides medical, major medical, or similar
24 comprehensive-type coverage shall include coverage for the assessment,
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD01784-01-9
S. 1965 2
1 evaluation, treatment, management, and follow-up care of cleft lip and
2 cleft palate. Such coverage shall include but not be limited to treat-
3 ment for any condition or illness which is related to or developed as a
4 result of cleft lip and/or palate. Coverage shall not be denied on the
5 ground that it is for cosmetic purposes or is not for a functional
6 defect or impairment.
7 § 4. This act shall take effect on the ninetieth day after it shall
8 have become a law and shall apply to policies and contracts issued,
9 renewed, modified, altered or amended on or after such date.
