senate Bill S1709B

Requires insurance coverage for the influenza vaccine in certain circumstances

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Bill Status


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor
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actions

  • 09 / Jan / 2013
    • REFERRED TO INSURANCE
  • 15 / Jan / 2013
    • AMEND (T) AND RECOMMIT TO INSURANCE
  • 15 / Jan / 2013
    • PRINT NUMBER 1709A
  • 12 / Jun / 2013
    • AMEND AND RECOMMIT TO INSURANCE
  • 12 / Jun / 2013
    • PRINT NUMBER 1709B
  • 08 / Jan / 2014
    • REFERRED TO INSURANCE

Summary

Requires insurance coverage for the influenza vaccine when such vaccine is administered in an elementary or secondary school.

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Bill Details

See Assembly Version of this Bill:
A1090B
Versions:
S1709
S1709A
S1709B
Legislative Cycle:
2013-2014
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3216, 3221 & 4303, Ins L
Versions Introduced in Previous Legislative Cycles:
2011-2012: S4636A, A8122A, S4636A
2013-2014: S1709

Sponsor Memo

BILL NUMBER:S1709B

TITLE OF BILL: An act to amend the insurance law, in relation to
requiring insurance coverage for the influenza vaccine in certain
circumstances

PURPOSE: This bill would provide that health insurance policies that
cover influenza vaccine and its administration would provide coverage
when such vaccine is administered outside of a physician's office at a
primary or secondary school.

SUMMARY OF SPECIFIC PROVISIONS: Section 1 amends Subsection (i) of
Section 3216 of the Insurance Law by adding a new paragraph 17-a to
provide for coverage of influenza vaccine and its administration at
primary or secondary schools authorized under current law when a
health insurance plan includes coverage of influenza and its
administration under the policy.

Section 2 amends Subsection (1) of Section 3221 of the Insurance Law
by adding a new paragraph 8-a to provide for coverage of influenza
vaccine and its administration at primary or secondary schools
authorized under current law when a health insurance plan includes
coverage of influenza and its administration under the policy.

Section 3 amends Section 4303 of the Insurance Law by adding a new
subsection (k-a) to provide for coverage of influenza vaccine and its
administration at primary and secondary schools authorized under
current law when a health insurance plan includes coverage of
influenza and its administration under the policy.

Section 4 provides that the act shall take effect 60 days after it
shall have become law.

JUSTIFICATION: Influenza is a contagious respiratory illness that
causes, on average, over 200,000 people in the US to be hospitalized
each year, and over 36,000 people (primarily elderly) to die from
related complications. The best way to help prevent seasonal influenza
is by getting a vaccination each year. The Centers for Disease Control
and Prevention (CDC) recommends annual seasonal influenza vaccination
for all eligible persons, including children aged 6 months through 18
years of age. Unfortunately, vaccination rates for school-aged
children 5 to 17 years of age remain very low, with only 35% of high
risk children vaccinated and 25% of healthy children receiving the
vaccine.

Increasing the vaccination rates of children is critical to protecting
their health and preventing the spread of the virus to vulnerable
individuals in the community such as the elderly and those with
comprised immune systems. Children and young adults are three to four
times more likely to be infected with influenza. They are the major
vectors fox transmitting the virus to adults and elderly persons in
the community.

Conducting influenza vaccination programs on-site in the schools has
been shown to be an effective method of increasing vaccination rates.
Studies show that mass vaccination programs in schools also help to
reduce student absences and increase adult workdays.


This bill would facilitate the implementation of school-based
influenza programs by providing insurance coverage for influenza
vaccine and its administration at off-site locations such as schools.
The bill only applies to insurance policies that already provide
coverage for this benefit. Establishment of a school-located
infrastructure for routine school influenza would enhance the public
health and the State's pandemic preparedness.

PRIOR LEGISLATIVE HISTORY: None.

FISCAL IMPLICATIONS: None to the State.

EFFECTIVE DATE: This act shall take effect on the sixtieth day after
it becomes law.

view bill text
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 1709--B

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 9, 2013
                               ___________

Introduced  by Sen. GRISANTI -- read twice and ordered printed, and when
  printed to be committed to the Committee  on  Insurance  --  committee
  discharged, bill amended, ordered reprinted as amended and recommitted
  to  said  committee  --  committee  discharged,  bill amended, ordered
  reprinted as amended and recommitted to said committee

AN ACT to amend the insurance law, in relation  to  requiring  insurance
  coverage for the influenza vaccine in certain circumstances

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1.  Subsection (i) of section 3216 of  the  insurance  law  is
amended by adding a new paragraph 17-a to read as follows:
  (17-A)  EVERY  POLICY  DELIVERED  OR ISSUED FOR DELIVERY IN THIS STATE
THAT PROVIDES MEDICAL,  MAJOR  MEDICAL,  OR  SIMILAR  COMPREHENSIVE-TYPE
COVERAGE AND PROVIDES COVERAGE FOR IMMUNIZING AGENTS TO PREVENT INFLUEN-
ZA  SHALL  PROVIDE COVERAGE FOR INFLUENZA VACCINE AND ITS ADMINISTRATION
WHEN SUCH VACCINE IS ADMINISTERED IN AN ELEMENTARY OR SECONDARY  SCHOOL.
COVERAGE  SHALL  BE  PROVIDED FOR IMMUNIZING AGENTS TO PREVENT INFLUENZA
THAT ARE PRESCRIBED AND ADMINISTERED IN ACCORDANCE  WITH  STANDARDS  AND
REQUIREMENTS  SET FORTH IN THE EDUCATION LAW OR ANY OTHER APPLICABLE LAW
OR RULE.
  S 2. Subsection (l) of section 3221 of the insurance law is amended by
adding a new paragraph 8-a to read as follows:
  (8-A) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED  FOR  DELIVERY
IN  THIS  STATE THAT PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR COMPRE-
HENSIVE-TYPE COVERAGE AND PROVIDES COVERAGE  FOR  IMMUNIZING  AGENTS  TO
PREVENT  INFLUENZA  SHALL PROVIDE COVERAGE FOR INFLUENZA VACCINE AND ITS
ADMINISTRATION WHEN SUCH VACCINE IS ADMINISTERED  IN  AN  ELEMENTARY  OR
SECONDARY  SCHOOL.  COVERAGE  SHALL BE PROVIDED FOR IMMUNIZING AGENTS TO
PREVENT INFLUENZA THAT ARE PRESCRIBED  AND  ADMINISTERED  IN  ACCORDANCE

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD04290-06-3

S. 1709--B                          2

WITH  STANDARDS  AND  REQUIREMENTS SET FORTH IN THE EDUCATION LAW OR ANY
OTHER APPLICABLE LAW OR RULE.
  S  3.  Section  4303  of  the insurance law is amended by adding a new
subsection (k-1) to read as follows:
  (K-1) EVERY POLICY ISSUED BY A MEDICAL EXPENSE INDEMNITY  CORPORATION,
A  HOSPITAL  SERVICE  CORPORATION  OR  A  HEALTH SERVICE CORPORATION FOR
DELIVERY IN THIS STATE THAT PROVIDES MEDICAL, MAJOR MEDICAL, OR  SIMILAR
COMPREHENSIVE-TYPE  COVERAGE  FOR IMMUNIZING AGENTS TO PREVENT INFLUENZA
SHALL PROVIDE COVERAGE FOR INFLUENZA VACCINE AND ITS ADMINISTRATION WHEN
SUCH VACCINE IS ADMINISTERED  IN  AN  ELEMENTARY  OR  SECONDARY  SCHOOL.
COVERAGE  SHALL  BE  PROVIDED FOR IMMUNIZING AGENTS TO PREVENT INFLUENZA
THAT ARE PRESCRIBED AND ADMINISTERED IN ACCORDANCE  WITH  STANDARDS  AND
REQUIREMENTS  SET FORTH IN THE EDUCATION LAW OR ANY OTHER APPLICABLE LAW
OR RULE.
  S 4. This act shall take effect on the sixtieth  day  after  it  shall
have become a law.

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