Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Mar 11, 2010 |
referred to insurance |
Assembly Bill A10231
2009-2010 Legislative Session
Sponsored By
GUNTHER
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
co-Sponsors
Richard Gottfried
multi-Sponsors
Michael Montesano
2009-A10231 (ACTIVE) - Details
2009-A10231 (ACTIVE) - Sponsor Memo
BILL NUMBER:A10231 TITLE OF BILL: An act to amend the insurance law, in relation to annual physicals and well care visits PURPOSE: This legislation would provide that insurance policies that cover annual physicals and well care visits shall allow one visit per calendar year. SUMMARY OF PROVISIONS: Sections 3216, 3221 and 4303 of the New York State Insurance Law are amended to add new paragraphs to provide that insurance policies that cover annual physicals and well care visits shall allow one visit per calendar year regardless if 365 days has passed since the previous physical or well care visit. JUSTIFICATION: Most health care insurers in New York State allow one well-care visit or physical per year. To the insurance company that means one such visit every 365 day period. While on the surface this seems appropriate, it actually presents a unfair deterrent to care. If an individual has a physical on August 28, 2009, that individual must wait until at least that date next year for their next covered physical or wellness visit. This creates a problem. For example, if a student needs a school required physical before the 365 day period has expired, that student may be delayed in participating in certain school activ- ities or functions.
2009-A10231 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 10231 I N A S S E M B L Y March 11, 2010 ___________ Introduced by M. of A. GUNTHER, GOTTFRIED -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to annual physicals and well care visits 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 27 to read as follows: (27) EVERY INDIVIDUAL POLICY WHICH PROVIDES MEDICAL, MAJOR MEDICAL OR SIMILAR COMPREHENSIVE-TYPE COVERAGE THAT INCLUDES COVERAGE FOR A PHYS- ICAL OR WELL CARE VISIT ONCE IN EVERY THREE HUNDRED SIXTY-FIVE DAYS SHALL BE INTERPRETED TO MEAN THAT SUCH PHYSICAL OR WELL CARE VISIT CAN BE HAD ONCE EVERY CALENDAR YEAR, REGARDLESS OF WHETHER OR NOT A PERIOD OF THREE HUNDRED SIXTY-FIVE DAYS HAS PASSED SINCE THE PREVIOUS PHYSICAL OR WELL CARE VISIT. S 2. Subsection (k) of section 3221 of the insurance law is amended by adding a new paragraph 16 to read as follows: (16) EVERY GROUP OR BLANKET POLICY WHICH PROVIDES MEDICAL, MAJOR MEDICAL OR SIMILAR COMPREHENSIVE-TYPE COVERAGE THAT INCLUDES COVERAGE FOR A PHYSICAL OR WELL CARE VISIT ONCE IN EVERY THREE HUNDRED SIXTY-FIVE DAYS SHALL BE INTERPRETED TO MEAN THAT SUCH PHYSICAL OR WELL CARE VISIT CAN BE HAD ONCE EVERY CALENDAR YEAR, REGARDLESS OF WHETHER OR NOT A PERIOD OF THREE HUNDRED SIXTY-FIVE DAYS HAS PASSED SINCE THE PREVIOUS PHYSICAL OR WELL CARE VISIT. S 3. Section 4303 of the insurance law is amended by adding a new subsection (gg) to read as follows: (GG) EVERY CONTRACT ISSUED BY A CORPORATION SUBJECT TO THE PROVISIONS OF THIS ARTICLE WHICH PROVIDES MEDICAL, MAJOR MEDICAL OR SIMILAR COMPRE- HENSIVE-TYPE COVERAGE THAT INCLUDES COVERAGE FOR A PHYSICAL OR WELL CARE VISIT ONCE IN EVERY THREE HUNDRED SIXTY-FIVE DAYS SHALL BE INTERPRETED TO MEAN THAT SUCH PHYSICAL OR WELL CARE VISIT CAN BE HAD ONCE EVERY CALENDAR YEAR, REGARDLESS OF WHETHER OR NOT A PERIOD OF THREE HUNDRED SIXTY-FIVE DAYS HAS PASSED SINCE THE PREVIOUS PHYSICAL OR WELL CARE VISIT. S 4. This act shall take effect on the ninetieth day after it shall have become a law and shall apply to policies and contracts issued, renewed, modified, altered or amended on or after such date.
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