S T A T E O F N E W Y O R K
2013-2014 Regular Sessions
I N S E N A T E
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
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.