Senate Bill S7000

Vetoed By Governor
2009-2010 Legislative Session

Requires that accident and health insurance policies shall provide coverage for screening, diagnosis and treatment of autism spectrum disorder

download bill text pdf

Sponsored By

Archive: Last Bill Status - Vetoed by Governor


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Vetoed By Governor
  • Signed By Governor

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Bill Amendments

co-Sponsors

2009-S7000 - Details

Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L; amd §2500-j, Pub Health L
Versions Introduced in 2011-2012 Legislative Session:
S4097

2009-S7000 - Summary

Requires that individual accident and health insurance policies shall provide coverage for screening, diagnosis and treatment of autism spectrum disorder.

2009-S7000 - Sponsor Memo

2009-S7000 - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  7000

                            I N  S E N A T E

                              March 5, 2010
                               ___________

Introduced  by Sens. BRESLIN, DUANE, C. JOHNSON, FOLEY, FUSCHILLO, HUNT-
  LEY, MORAHAN, McDONALD,  HASSELL-THOMPSON,  ADAMS,  ADDABBO,  BONACIC,
  DIAZ, DILAN, GRIFFO, KRUEGER, KRUGER, LAVALLE, MARCELLINO, MONTGOMERY,
  NOZZOLIO,  ONORATO,  OPPENHEIMER,  PADAVAN,  PARKER,  PERKINS, ROBACH,
  SALAND,   SAMPSON,   SCHNEIDERMAN,   SERRANO,   SQUADRON,    STAVISKY,
  STEWART-COUSINS,  THOMPSON,  VOLKER -- read twice and ordered printed,
  and when printed to be committed to the Committee on Insurance

AN ACT to amend the insurance law and the public health law, in relation
  to coverage for the screening, diagnosis and treatment of autism spec-
  trum disorder

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section  1.  Paragraph  25  of  subsection  (i) of section 3216 of the
insurance law, as added by chapter 557 of the laws of 2006,  is  amended
to read as follows:
  (25)  Every  policy which provides coverage for hospital, surgical, or
medical care coverage shall  [not  exclude]  PROVIDE  coverage  for  THE
SCREENING,  diagnosis  and  treatment  of  [medical conditions otherwise
covered by the policy solely because the treatment is provided to  diag-
nose  or  treat]  autism spectrum disorder IN ACCORDANCE WITH THIS PARA-
GRAPH.  SUCH COVERAGE MAY BE SUBJECT TO ANNUAL  DEDUCTIBLES,  COPAYMENTS
AND  COINSURANCE  AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND
SHALL BE CONSISTENT WITH THOSE IMPOSED ON OTHER BENEFITS UNDER THE POLI-
CY. THIS PARAGRAPH SHALL NOT BE CONSTRUED AS LIMITING THE BENEFITS  THAT
ARE  OTHERWISE AVAILABLE TO AN INDIVIDUAL UNDER THE POLICY. COVERAGE MAY
BE SUBJECT TO UTILIZATION REVIEW OF HEALTH CARE SERVICES, INCLUDING  THE
REVIEW  OF  MEDICAL  NECESSITY,  CASE MANAGEMENT, AND OTHER MANAGED CARE
PROVISIONS.
  (A) For purposes of this [section] PARAGRAPH, "autism spectrum  disor-
der"  means  a GROUP OF neurobiological [condition that includes autism,
Asperger syndrome, Rett's syndrome, or pervasive developmental disorder]
CONDITIONS DEFINED IN THE DIAGNOSTIC AND STATISTICAL  MANUAL  OF  MENTAL
DISORDERS  IV  REVISED,  OR  ITS  SUCCESSOR,  AS PERVASIVE DEVELOPMENTAL

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD16099-02-0
              

co-Sponsors

2009-S7000A - Details

Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L; amd §2500-j, Pub Health L
Versions Introduced in 2011-2012 Legislative Session:
S4097

2009-S7000A - Summary

Requires that individual accident and health insurance policies shall provide coverage for screening, diagnosis and treatment of autism spectrum disorder.

2009-S7000A - Sponsor Memo

2009-S7000A - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 7000--A

                            I N  S E N A T E

                              March 5, 2010
                               ___________

Introduced  by Sens. BRESLIN, DUANE, C. JOHNSON, FOLEY, FUSCHILLO, HUNT-
  LEY, MORAHAN, McDONALD,  HASSELL-THOMPSON,  ADAMS,  ADDABBO,  BONACIC,
  DeFRANCISCO,  DIAZ, DILAN, ESPADA, GOLDEN, GRIFFO, HANNON, O. JOHNSON,
  KRUEGER, KRUGER, LANZA, LAVALLE, LITTLE, MARCELLINO, MAZIARZ, MONTGOM-
  ERY, NOZZOLIO, ONORATO, OPPENHEIMER, PADAVAN, PARKER, PERKINS, ROBACH,
  SALAND,  SAMPSON,  SAVINO,  SCHNEIDERMAN,  SERRANO,  SMITH,  SQUADRON,
  STAVISKY, STEWART-COUSINS, THOMPSON, VALESKY, VOLKER -- 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 and the public health law, in relation
  to coverage for the screening, diagnosis and treatment of autism spec-
  trum disorder

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Paragraph 25 of subsection  (i)  of  section  3216  of  the
insurance  law,  as added by chapter 557 of the laws of 2006, is amended
to read as follows:
  (25) Every policy which provides coverage for hospital,  surgical,  or
medical  care  coverage  shall  [not  exclude]  PROVIDE coverage for THE
SCREENING, diagnosis and  treatment  of  [medical  conditions  otherwise
covered  by the policy solely because the treatment is provided to diag-
nose or treat] autism spectrum disorder IN ACCORDANCE  WITH  THIS  PARA-
GRAPH.    SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES, COPAYMENTS
AND COINSURANCE AS MAY BE DEEMED APPROPRIATE BY THE  SUPERINTENDENT  AND
SHALL BE CONSISTENT WITH THOSE IMPOSED ON OTHER BENEFITS UNDER THE POLI-
CY.  THIS PARAGRAPH SHALL NOT BE CONSTRUED AS LIMITING THE BENEFITS THAT
ARE OTHERWISE AVAILABLE TO AN INDIVIDUAL UNDER THE POLICY. COVERAGE  MAY
BE  SUBJECT TO UTILIZATION REVIEW OF HEALTH CARE SERVICES, INCLUDING THE
REVIEW OF MEDICAL NECESSITY, CASE MANAGEMENT,  AND  OTHER  MANAGED  CARE
PROVISIONS.
  (A)  For purposes of this [section] PARAGRAPH, "autism spectrum disor-
der" means a GROUP OF neurobiological [condition that  includes  autism,
Asperger syndrome, Rett's syndrome, or pervasive developmental disorder]

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
              

co-Sponsors

2009-S7000B (ACTIVE) - Details

Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L; amd §2500-j, Pub Health L
Versions Introduced in 2011-2012 Legislative Session:
S4097

2009-S7000B (ACTIVE) - Summary

Requires that individual accident and health insurance policies shall provide coverage for screening, diagnosis and treatment of autism spectrum disorder.

2009-S7000B (ACTIVE) - Sponsor Memo

2009-S7000B (ACTIVE) - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 7000--B

                            I N  S E N A T E

                              March 5, 2010
                               ___________

Introduced  by Sens. BRESLIN, DUANE, C. JOHNSON, FOLEY, FUSCHILLO, HUNT-
  LEY, MORAHAN, McDONALD,  HASSELL-THOMPSON,  ADAMS,  ADDABBO,  BONACIC,
  DeFRANCISCO,  DIAZ,  DILAN,  ESPADA,  FARLEY,  GOLDEN, GRIFFO, HANNON,
  O. JOHNSON, KRUEGER, KRUGER, LANZA, LARKIN, LAVALLE, LITTLE, MARCELLI-
  NO,  MONTGOMERY,  NOZZOLIO,  ONORATO,  OPPENHEIMER,  PADAVAN,  PARKER,
  PERKINS,  ROBACH,  SALAND,  SAMPSON,  SAVINO,  SCHNEIDERMAN,  SERRANO,
  SMITH, SQUADRON, STAVISKY, STEWART-COUSINS, THOMPSON, VALESKY,  VOLKER
  -- 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  --
  reported  favorably from said committee and committed to the Committee
  on Codes -- reported favorably from said committee  and  committed  to
  the  Committee  on  Finance  --  committee  discharged,  bill amended,
  ordered reprinted as amended and recommitted to said committee

AN ACT to amend the insurance law and the public health law, in relation
  to coverage for the screening, diagnosis and treatment of autism spec-
  trum disorder

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section  1.  Paragraph  25  of  subsection  (i) of section 3216 of the
insurance law, as added by chapter 557 of the laws of 2006,  is  amended
to read as follows:
  (25)  Every  policy which provides coverage for hospital, surgical, or
medical care coverage shall  [not  exclude]  PROVIDE  coverage  for  THE
SCREENING,  diagnosis  and  treatment  of  [medical conditions otherwise
covered by the policy solely because the treatment is provided to  diag-
nose  or  treat]  autism spectrum disorder IN ACCORDANCE WITH THIS PARA-
GRAPH AND SHALL NOT EXCLUDE COVERAGE FOR THE TREATMENT OF MEDICAL CONDI-
TIONS  OTHERWISE  COVERED  BY  THE  POLICY  BECAUSE  THE  INDIVIDUAL  IS
DIAGNOSED  WITH  AN  AUTISM  SPECTRUM  DISORDER.    SUCH COVERAGE MAY BE
SUBJECT TO ANNUAL DEDUCTIBLES, COPAYMENTS  AND  COINSURANCE  AS  MAY  BE
DEEMED  APPROPRIATE  BY  THE SUPERINTENDENT AND SHALL BE CONSISTENT WITH
THOSE IMPOSED ON OTHER BENEFITS UNDER THE POLICY. THIS  PARAGRAPH  SHALL
NOT  BE  CONSTRUED AS LIMITING THE BENEFITS THAT ARE OTHERWISE AVAILABLE

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
              

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