|
Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
|---|---|
| Jan 15, 2016 |
print number 5350b |
| Jan 15, 2016 |
amend and recommit to insurance |
| Jan 06, 2016 |
referred to insurance |
| Jun 25, 2015 |
recommitted to rules |
| Jun 08, 2015 |
ordered to third reading cal.1381 committee discharged and committed to rules |
| May 27, 2015 |
print number 5350a |
| May 27, 2015 |
amend and recommit to insurance |
| May 13, 2015 |
referred to insurance |
Senate Bill S5350B
2015-2016 Legislative Session
Sponsored By
(R, C, IP) 62nd Senate District
Archive: Last Bill Status - In Senate Committee Insurance Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Votes
Bill Amendments
2015-S5350 - Details
2015-S5350 - Sponsor Memo
BILL NUMBER:S5350
TITLE OF BILL: An act to amend the insurance law, in relation to manda-
tory health insurance coverage for prosthetic devices
PURPOSE OR GENERAL IDEA OF THE BILL:
To ensure that coverage for rehabilitative and habilitative services,
including prosthetic devices, are available to military veterans resid-
ing in NYS.
SUMMARY OF SPECIFIC PROVISIONS:
This bill would require that health insurers that provide medical, Major
medical, or similar comprehensive type coverage and cover durable
medical equipment include coverage for prosthetic devices for veterans
of the armed forces who are residents of New York on parity with the
coverage for durable medical, equipment.
JUSTIFICATION:
Two recent wars involving the United States, Iraq and Afghanistan has
left over 600 military men and women as amputees with life-long inju-
ries. Each year 185,000 amputations occur in the US and there are nearly
2 million people living with limb loss in the US. Improving access to
quality and updated prosthetic devices will improve the quality of life
2015-S5350 - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
5350
2015-2016 Regular Sessions
I N S E N A T E
May 13, 2015
___________
Introduced by Sen. ORTT -- 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 prosthetic devices
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 32 to read as follows:
(32) EVERY POLICY WHICH PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR
COMPREHENSIVE TYPE COVERAGE AND PROVIDES COVERAGE FOR DURABLE MEDICAL
EQUIPMENT SHALL PROVIDE COVERAGE FOR PROSTHETIC DEVICES THAT ARE
INTENDED FOR MEDICALLY NECESSARY REHABILITATIVE AND HABILITATIVE
PURPOSES AS REQUIRED BY 42 U.S.C. S 18022 THAT IS EQUIVALENT TO THE
COVERAGE PROVIDED FOR DURABLE MEDICAL EQUIPMENT. COVERAGE SHALL NOT BE
DENIED IF THE POLICY HOLDER'S PHYSICIAN DETERMINES THE PROSTHETIC DEVICE
IS THE MOST APPROPRIATE MODEL THAT ADEQUATELY MEETS THE MEDICAL NEEDS OF
THE POLICY HOLDER. THE TERM "PROSTHETIC DEVICE" AS USED IN THIS PARA-
GRAPH INCLUDES AN ARTIFICIAL LIMB BUT SHALL NOT INCLUDE SHOES OR ANY
OTHER ARTICLE CONSIDERED AS ORDINARY WEARING APPAREL, WHETHER OR NOT
SPECIALLY CONSTRUCTED. THE TERM "POLICY HOLDER" AS USED IN THIS PARA-
GRAPH SHALL MEAN A VETERAN OF THE ARMED FORCES WHO RESIDES IN THE STATE
OF NEW YORK AND WHOSE MEDICAL NEED FOR SUCH PROSTHETIC DEVICE RESULTED
FROM AN INJURY SUFFERED IN THE LINE OF DUTY WHILE SERVING IN THE ARMED
FORCES.
S 2. Subsection (l) of section 3221 of the insurance law is amended by
adding a new paragraph 19 to read as follows:
(19) EVERY POLICY WHICH PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR
COMPREHENSIVE TYPE COVERAGE AND PROVIDES COVERAGE FOR DURABLE MEDICAL
EQUIPMENT SHALL PROVIDE COVERAGE FOR PROSTHETIC DEVICES THAT ARE
INTENDED FOR MEDICALLY NECESSARY REHABILITATIVE AND HABILITATIVE
PURPOSES AS REQUIRED BY 42 U.S.C. S 18022 THAT IS EQUIVALENT TO THE
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD06364-03-5
2015-S5350A - Details
2015-S5350A - Sponsor Memo
BILL NUMBER:S5350A
TITLE OF BILL: An act to amend the insurance law, in relation to
mandatory health insurance coverage for prosthetic devices
PURPOSE OR GENERAL IDEA OF THE BILL:
To ensure that coverage for rehabilitative and habilitative services,
including prosthetic devices, are available to military veterans
residing in NYS.
SUMMARY OF SPECIFIC PROVISIONS:
This bill would require that health insurers that provide medical,
major medical, or similar comprehensive type coverage include coverage
for prosthetic devices for veterans of the armed forces who are
residents of New York when such devices are deemed medically necessary
for the patient's rehabilitation.
JUSTIFICATION:
Two recent wars involving the United States, Iraq and Afghanistan has
left over 600 military men and women as amputees with life-long
injuries. Each year 185,000 amputations occur in the US and there are
nearly 2 million people living with limb loss in the US. Improving
access to quality and updated prosthetic devices will improve the
2015-S5350A - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
5350--A
2015-2016 Regular Sessions
I N S E N A T E
May 13, 2015
___________
Introduced by Sen. ORTT -- 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
AN ACT to amend the insurance law, in relation to mandatory health
insurance coverage for prosthetic devices
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 32 to read as follows:
(32) EVERY POLICY WHICH PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR
COMPREHENSIVE TYPE COVERAGE SHALL PROVIDE COVERAGE FOR PROSTHETIC
DEVICES THAT ARE INTENDED FOR MEDICALLY NECESSARY REHABILITATIVE AND
HABILITATIVE PURPOSES AS REQUIRED BY 42 U.S.C. S 18022. COVERAGE SHALL
NOT BE DENIED IF THE POLICY HOLDER'S PHYSICIAN DETERMINES THE PROSTHETIC
DEVICE ADEQUATELY MEETS THE MEDICAL NEEDS OF THE POLICY HOLDER IN
COMPLIANCE WITH THE AGE, DISABILITY AND EXPECTED LENGTH OF LIFE
ANTI-DISCRIMINATION REQUIREMENTS OF 42 U.S.C. S 18022 (B)(4)(B) AND THE
REQUIREMENT TO CONSIDER THE HEALTH CARE NEEDS OF DIVERSE SEGMENTS OF THE
POPULATION, INCLUDING PERSONS WITH DISABILITIES, PURSUANT TO 42 U.S.C.
S 18022 (B)(4)(C). THE TERM "PROSTHETIC DEVICE" AS USED IN THIS PARA-
GRAPH INCLUDES AN ARTIFICIAL LIMB BUT SHALL NOT INCLUDE SHOES OR ANY
OTHER ARTICLE CONSIDERED AS ORDINARY WEARING APPAREL, WHETHER OR NOT
SPECIALLY CONSTRUCTED. SUCH COVERAGE SHALL BE SUBJECT TO ANNUAL DEDUCT-
IBLES AND COINSURANCE AS DEEMED APPROPRIATE BY THE SUPERINTENDENT. THE
COVERAGE REQUIRED BY THIS PARAGRAPH SHALL BE IDENTICAL TO, AND SHALL NOT
ENHANCE OR INCREASE THE COVERAGE REQUIRED AS PART OF ESSENTIAL HEALTH
BENEFITS AS REQUIRED PURSUANT TO SECTION 2707(A) OF THE PUBLIC HEALTH
SERVICES ACT 42 U.S.C. S 300 GG-6(A). THE TERM "POLICY HOLDER" AS USED
IN THIS PARAGRAPH SHALL MEAN A VETERAN OF THE ARMED FORCES WHO RESIDES
IN THE STATE OF NEW YORK AND WHOSE MEDICAL NEED FOR SUCH PROSTHETIC
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD06364-05-5
2015-S5350B (ACTIVE) - Details
2015-S5350B (ACTIVE) - Sponsor Memo
BILL NUMBER: S5350B
TITLE OF BILL : An act to amend the insurance law, in relation to
mandatory health insurance coverage for prosthetic devices
PURPOSE OR GENERAL IDEA OF THE BILL : To ensure that coverage for
rehabilitative and habilitative services, including prosthetic
devices, are available to military veterans residing in NYS.
SUMMARY OF SPECIFIC PROVISIONS : This bill would require that health
insurers that provide medical, major medical, or similar comprehensive
type coverage include coverage for prosthetic devices for veterans of
the armed forces who are residents of New York when such devices are
deemed medically necessary for the patient's rehabilitation.
JUSTIFICATION : Two recent wars involving the United States, Iraq
and Afghanistan has left over 600 military men and women as amputees
with life-long injuries. Each year 185,000 amputations occur in the US
and there are nearly 2 million people living with limb loss in the US.
Improving access to quality and updated prosthetic devices will
improve the quality of life of veterans and other amputees, while
helping to reduce other medical costs related to lack of mobility and
associated physical and emotional health.
According to the Veterans Health Administration, approximately 6
percent of wounded service members returning from Iraq are individuals
2015-S5350B (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
5350--B
2015-2016 Regular Sessions
I N S E N A T E
May 13, 2015
___________
Introduced by Sen. ORTT -- 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 -- recommitted to the Committee on Insurance in
accordance with Senate Rule 6, sec. 8 -- committee discharged, bill
amended, ordered reprinted as amended and recommitted to said commit-
tee
AN ACT to amend the insurance law, in relation to mandatory health
insurance coverage for prosthetic devices
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 33 to read as follows:
(33) EVERY POLICY WHICH PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR
COMPREHENSIVE TYPE COVERAGE SHALL PROVIDE COVERAGE FOR PROSTHETIC
DEVICES THAT ARE INTENDED FOR MEDICALLY NECESSARY REHABILITATIVE AND
HABILITATIVE PURPOSES AS REQUIRED BY 42 U.S.C. S 18022. COVERAGE SHALL
NOT BE DENIED IF THE POLICY HOLDER'S PHYSICIAN DETERMINES THE PROSTHETIC
DEVICE ADEQUATELY MEETS THE MEDICAL NEEDS OF THE POLICY HOLDER IN
COMPLIANCE WITH THE AGE, DISABILITY AND EXPECTED LENGTH OF LIFE
ANTI-DISCRIMINATION REQUIREMENTS OF 42 U.S.C. S 18022 (B)(4)(B) AND THE
REQUIREMENT TO CONSIDER THE HEALTH CARE NEEDS OF DIVERSE SEGMENTS OF THE
POPULATION, INCLUDING PERSONS WITH DISABILITIES, PURSUANT TO 42 U.S.C.
S 18022 (B)(4)(C). THE TERM "PROSTHETIC DEVICE" AS USED IN THIS PARA-
GRAPH INCLUDES AN ARTIFICIAL LIMB BUT SHALL NOT INCLUDE SHOES OR ANY
OTHER ARTICLE CONSIDERED AS ORDINARY WEARING APPAREL, WHETHER OR NOT
SPECIALLY CONSTRUCTED. SUCH COVERAGE SHALL BE SUBJECT TO ANNUAL DEDUCT-
IBLES AND COINSURANCE AS DEEMED APPROPRIATE BY THE SUPERINTENDENT. THE
COVERAGE REQUIRED BY THIS PARAGRAPH SHALL BE IDENTICAL TO, AND SHALL NOT
ENHANCE OR INCREASE THE COVERAGE REQUIRED AS PART OF ESSENTIAL HEALTH
BENEFITS AS REQUIRED PURSUANT TO SECTION 2707(A) OF THE PUBLIC HEALTH
SERVICES ACT 42 U.S.C. S 300 GG-6(A). THE TERM "POLICY HOLDER" AS USED
IN THIS PARAGRAPH SHALL MEAN A VETERAN OF THE ARMED FORCES WHO RESIDES
IN THE STATE OF NEW YORK AND WHOSE MEDICAL NEED FOR SUCH PROSTHETIC
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