S T A T E O F N E W Y O R K
________________________________________________________________________
8658
2009-2010 Regular Sessions
I N A S S E M B L Y
June 2, 2009
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Introduced by M. of A. WEISENBERG -- read once and referred 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 HEALTH INSURANCE AUTHORIZED PURSUANT TO PARAGRAPH THREE OF
SUBSECTION (A) OF SECTION ONE THOUSAND ONE HUNDRED THIRTEEN 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 CONDITION 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 AUTHORI-
ZATION 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.
LBD14009-01-9