Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
May 25, 2022 |
print number 9572a |
May 25, 2022 |
amend and recommit to insurance |
Mar 16, 2022 |
referred to insurance |
Assembly Bill A9572A
2021-2022 Legislative Session
Sponsored By
SOLAGES
Archive: Last Bill Status - In Assembly 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
Bill Amendments
2021-A9572 - Details
2021-A9572 - Summary
Requires coverage for hearing aids for patients who are covered under a policy or contract of insurance if the hearing aids are fitted and dispensed by a licensed audiologist certified by the American Speech-Language-Hearing Association following medical clearance by a physician licensed to practice medicine and an audiological evaluation.
2021-A9572 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 9572 I N A S S E M B L Y March 16, 2022 ___________ Introduced by M. of A. SOLAGES -- read once and referred to the Commit- tee on Insurance AN ACT to amend the insurance law, in relation to the mandatory coverage of hearing aids by insurers and other organizations 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 36 to read as follows: (36) (A) AS USED IN THIS PARAGRAPH, "HEARING AID" SHALL MEAN A MEDI- CALLY-PRESCRIBED, NON-DISPOSABLE DEVICE THAT IS OF A DESIGN AND CIRCUI- TRY TO OPTIMIZE AUDITION AND LISTENING SKILLS. (B) THIS PARAGRAPH SHALL APPLY TO THE FOLLOWING ENTITIES: (I) INSURERS AND NONPROFIT HEALTH SERVICE PLANS, INCLUDING THE OFFICE OF GROUP BENEFITS, THAT PROVIDE HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS ON AN EXPENSE-INCURRED BASIS UNDER HEALTH INSURANCE POLICIES OR CONTRACTS THAT ARE ISSUED OR DELIVERED IN THIS STATE. (II) MANAGED CARE ORGANIZATIONS AS DEFINED AND LICENSED BY STATE LAW THAT PROVIDE HOSPITAL, MEDICAL OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS UNDER CONTRACTS THAT ARE ISSUED OR DELIVERED IN THIS STATE. (C) AN ENTITY SUBJECT TO THIS PARAGRAPH SHALL PROVIDE COVERAGE FOR HEARING AIDS FOR PATIENTS WHO ARE COVERED UNDER A POLICY OR CONTRACT OF INSURANCE IF THE HEARING AIDS ARE FITTED AND DISPENSED BY A LICENSED AUDIOLOGIST CERTIFIED BY THE AMERICAN SPEECH-LANGUAGE-HEARING ASSOCI- ATION FOLLOWING MEDICAL CLEARANCE BY A PHYSICIAN LICENSED TO PRACTICE MEDICINE AND AN AUDIOLOGICAL EVALUATION, PROVIDED: (I) AN ENTITY SUBJECT TO THIS PARAGRAPH MAY LIMIT THE BENEFIT PAYABLE UNDER THIS PARAGRAPH TO FIVE THOUSAND DOLLARS PER HEARING AID FOR EACH HEARING-IMPAIRED EAR EVERY TWENTY-FOUR MONTHS. (II) AN INSURED OR ENROLLED INDIVIDUAL MAY CHOOSE A HEARING AID THAT IS PRICED HIGHER THAN THE BENEFIT PAYABLE UNDER THIS PARAGRAPH AND MAY PAY THE DIFFERENCE BETWEEN THE PRICE OF THE HEARING AID AND THE BENEFIT PAYABLE UNDER THIS PARAGRAPH WITHOUT FINANCIAL OR CONTRACTUAL PENALTY TO THE PROVIDER OF THE HEARING AID. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
2021-A9572A (ACTIVE) - Details
2021-A9572A (ACTIVE) - Summary
Requires coverage for hearing aids for patients who are covered under a policy or contract of insurance if the hearing aids are fitted and dispensed by a licensed audiologist certified by the American Speech-Language-Hearing Association following medical clearance by a physician licensed to practice medicine and an audiological evaluation.
2021-A9572A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 9572--A I N A S S E M B L Y March 16, 2022 ___________ Introduced by M. of A. SOLAGES -- read once and referred to the Commit- tee 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 the mandatory coverage of hearing aids by insurers and other organizations 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 37 to read as follows: (37) (A) AS USED IN THIS PARAGRAPH, "HEARING AID" SHALL MEAN A MEDI- CALLY-PRESCRIBED, NON-DISPOSABLE DEVICE THAT IS OF A DESIGN AND CIRCUI- TRY TO OPTIMIZE AUDITION AND LISTENING SKILLS. (B) EVERY POLICY WHICH PROVIDES HOSPITAL, MEDICAL OR SURGICAL COVERAGE SHALL PROVIDE COVERAGE FOR HEARING AIDS FOR PATIENTS IF THE HEARING AIDS ARE FITTED AND DISPENSED BY A LICENSED AUDIOLOGIST CERTIFIED BY THE AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION FOLLOWING MEDICAL CLEARANCE BY A PHYSICIAN LICENSED TO PRACTICE MEDICINE AND AN AUDIOLOGICAL EVALU- ATION, PROVIDED AN ENTITY SUBJECT TO THIS PARAGRAPH MAY LIMIT THE BENE- FIT PAYABLE UNDER THIS PARAGRAPH TO FIVE THOUSAND DOLLARS PER HEARING AID FOR EACH HEARING-IMPAIRED EAR EVERY TWENTY-FOUR MONTHS. (C) THIS PARAGRAPH DOES NOT PROHIBIT AN ENTITY SUBJECT TO THE PROVISIONS OF THIS PARAGRAPH FROM PROVIDING COVERAGE THAT IS GREATER OR MORE FAVORABLE TO AN INSURED OR ENROLLED. § 2. Section 3221 of the insurance law is amended by adding a new subsection (u) to read as follows: (U) (1) AS USED IN THIS SUBSECTION, "HEARING AID" SHALL MEAN A MEDI- CALLY-PRESCRIBED, NON-DISPOSABLE DEVICE THAT IS OF A DESIGN AND CIRCUI- TRY TO OPTIMIZE AUDITION AND LISTENING. (2) EVERY POLICY WHICH PROVIDES HOSPITAL, MEDICAL OR SURGICAL COVERAGE SHALL PROVIDE COVERAGE FOR HEARING AIDS FOR PATIENTS IF SUCH HEARING AIDS ARE FITTED AND DISPENSED BY A LICENSED AUDIOLOGIST CERTIFIED BY THE AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION, FOLLOWING MEDICAL CLEAR- ANCE BY A PHYSICIAN LICENSED TO PRACTICE MEDICINE, AND AN AUDIOLOGICAL EVALUATION, PROVIDED AN ENTITY SUBJECT TO THIS SUBSECTION MAY LIMIT THE EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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