Bill Text: NY A01235 | 2011-2012 | General Assembly | Introduced

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Bill Title: Provides for health insurance coverage for loss or damage to prosthetic limb; also provides for coverage for replacement of limb as prescribed by a doctor.

Spectrum: Partisan Bill (Democrat 4-0)

Status: (Introduced - Dead) 2012-01-04 - referred to insurance [A01235 Detail]

Download: New_York-2011-A01235-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         1235
                              2011-2012 Regular Sessions
                                 I N  A S S E M B L Y
                                      (PREFILED)
                                    January 5, 2011
                                      ___________
       Introduced by M. of A. COLTON -- Multi-Sponsored by -- M. of A. PHEFFER,
         J. RIVERA,  TITUS -- read once and referred to the Committee on Insur-
         ance
       AN ACT to amend the insurance  law,  in  relation  to  health  insurance
         coverage of prosthetic limbs
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Subsection (l) of section 3221  of  the  insurance  law  is
    2  amended by adding a new paragraph 18 to read as follows:
    3    (18) EVERY INSURER DELIVERING A GROUP POLICY OR ISSUING A GROUP POLICY
    4  FOR  DELIVERY  IN  THIS STATE SHALL PROVIDE COVERAGE TO A SUBSCRIBER (A)
    5  FOR THE REPLACEMENT OF A PROSTHETIC LIMB AFTER AMPUTATION IF SAID  PROS-
    6  THETIC  LIMB  IS  DAMAGED  OR  STOLEN;  AND (B) PROVIDE COVERAGE FOR THE
    7  REPLACEMENT OF A PROSTHETIC LIMB TO A DEPENDENT CHILD  OF  A  SUBSCRIBER
    8  THROUGH  THE  ATTAINMENT  OF  NINETEEN  YEARS  OF  AGE  AS OFTEN AS SAID
    9  REPLACEMENT IS REQUIRED OR PRESCRIBED BY THE  DEPENDENT  CHILD'S  PHYSI-
   10  CIAN.
   11    S 2. Subsection (j) of section 4303 of the insurance law is amended by
   12  adding a new paragraph 3 to read as follows:
   13    (3)  A  HEALTH SERVICE CORPORATION OR MEDICAL EXPENSE INDEMNITY CORPO-
   14  RATION   WHICH   PROVIDES   MEDICAL,   MAJOR    MEDICAL    OR    SIMILAR
   15  COMPREHENSIVE-TYPE  COVERAGE  MUST  PROVIDE COVERAGE TO A SUBSCRIBER (A)
   16  FOR THE REPLACEMENT OF A PROSTHETIC LIMB AFTER AMPUTATION IF SAID  PROS-
   17  THETIC  LIMB  IS  DAMAGED  OR  STOLEN;  AND (B) PROVIDE COVERAGE FOR THE
   18  REPLACEMENT OF A PROSTHETIC LIMB FOR A DEPENDENT CHILD OF  A  SUBSCRIBER
   19  THROUGH ATTAINMENT OF NINETEEN YEARS OF AGE AS OFTEN AS SAID REPLACEMENT
   20  IS REQUIRED OR PRESCRIBED BY THE DEPENDENT CHILD'S PHYSICIAN.
   21    S  3. This act shall take effect on the first of January next succeed-
   22  ing the date on which it shall have become a law.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD04822-01-1