senate Bill S272

Amended

Requires coverage for anesthesia and hospital charges for dental care

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Sponsor

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
  • 08 / Jan / 2014
    • REFERRED TO INSURANCE
  • 29 / Jan / 2014
    • AMEND AND RECOMMIT TO INSURANCE
  • 29 / Jan / 2014
    • PRINT NUMBER 272A

Summary

Requires coverage for anesthesia and hospital charges for dental care.

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Bill Details

Versions:
S272
S272A
Legislative Cycle:
2013-2014
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Add ยง3240, Ins L
Versions Introduced in Previous Legislative Cycles:
2011-2012: S5340
2009-2010: A8658

Sponsor Memo

BILL NUMBER:S272

TITLE OF BILL:
An act
to amend the insurance law, in relation to requiring coverage for
hospitalization and anesthesia services related to the provision of
dental services

PURPOSE:
This legislation would require health insurance policies to cover
hospitalization and anesthesia charges in connection with dental
care in specified cases.

SUMMARY OF PROVISIONS:
See Bill.

JUSTIFICATION:
Under existing provisions of the Insurance Law, an insured is entitled
to coverage for hospitalization and anesthesia for various medical
conditions. However, dental ailments are not considered a medical
condition and such coverage has been heretofore not included in law.
Dental health is an important aspect of an individual's overall well
being and this legislation would facilitate the provision of quality
dental coverage to many insured individuals.

LEGISLATIVE HISTORY:
2011-12 - S.5340 - Referred to Insurance
2010 - A.8658 - Referred to Insurance
2009 - A.8658 - Referred to Insurance
2008 - A.4178 - Referred to Insurance
2008 - S.2718 (Same As) - Referred to Insurance
2006 - A.9339 - Referred to Insurance
2006 - S.64 (Same As) - Referred to Insurance
2004 - S.955
2000 - S.4879-A

EFFECTIVE DATE:
This act shall take effect immediately.

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

                                   272

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 9, 2013
                               ___________

Introduced  by  Sen.  LARKIN -- 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 requiring coverage for
  hospitalization and anesthesia services related to  the  provision  of
  dental services

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

  Section 1. The insurance law is amended by adding a new  section  3240
to read as follows:
  S  3240.  PAYMENT FOR ANESTHESIA AND HOSPITALIZATION RELATED TO DENTAL
SERVICES. ANY POLICY OF HEALTH INSURANCE AUTHORIZED  PURSUANT  TO  PARA-
GRAPH  THREE OF SUBSECTION (A) OF SECTION ONE THOUSAND ONE HUNDRED THIR-
TEEN OF THIS CHAPTER SHALL COVER ANESTHESIA  AND  HOSPITAL  CHARGES  FOR
DENTAL  CARE  PROVIDED  TO  A  COVERED PERSON WHO: (A) IS UNDER EIGHTEEN
YEARS OF AGE; OR (B) IS SEVERELY DISABLED; OR (C) HAS A  MEDICAL  CONDI-
TION  THAT  REQUIRES  GENERAL  ANESTHESIA  OR  HOSPITALIZATION  FOR  THE
PROVISION OF DENTAL SERVICES. THE COVERAGE REQUIRED BY THIS SECTION  MAY
BE  MADE  SUBJECT  TO PROVISIONS THAT APPLY TO OTHER BENEFITS, INCLUDING
BUT NOT LIMITED TO DEDUCTIBLES AND COINSURANCE.  A  HEALTH  INSURER  MAY
REQUIRE  PRIOR  AUTHORIZATION FOR HOSPITALIZATION FOR DENTAL CARE IN THE
SAME MANNER AS WOULD BE REQUIRED FOR OTHER COVERED  MEDICAL  CONDITIONS.
WHEN  SERVICES  DEFINED IN THIS SECTION ARE PROVIDED BY A DENTIST ACTING
WITHIN THE LAWFUL SCOPE  OF  HIS  OR  HER  LICENSE,  BENEFITS  SHALL  BE
PROVIDED AT THE SAME LEVELS AND UNDER THE SAME TERMS WHETHER PROVIDED BY
A PHYSICIAN OR DENTIST.
  S 2. This act shall take effect immediately.


 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01361-01-3

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