senate Bill S1611

2011-2012 Legislative Session

Requires medical care insurance policies to include coverage for the care of Alzheimer's and related disease patients upon request

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Archive: Last Bill Status - In Committee


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 04, 2012 referred to insurance
Jan 10, 2011 referred to insurance

S1611 - Details

Current Committee:
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221, 4301 & 4303, Ins L
Versions Introduced in 2009-2010 Legislative Session:
S4229

S1611 - Summary

Provides for the coverage of Alzheimer's and related disease patients under group and individual health insurance contracts and non-profit medical or health service corporations; certain terms defined.

S1611 - Sponsor Memo

S1611 - Bill Text download pdf

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

                                  1611

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                            January 10, 2011
                               ___________

Introduced  by  Sen.  SAVINO -- 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 coverage for the  care
  of Alzheimer's and related disease patients

  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 28 to read as follows:
  (28)  (A) EVERY POLICY WHICH PROVIDES FOR SURGICAL OR MEDICAL COVERAGE
OR IN-PATIENT HOSPITAL CARE AS  WELL  AS  NON-HEALTH  RELATED  SERVICES,
SHALL  MAKE  AVAILABLE,  WHEN REQUESTED BY THE CONTRACT HOLDER, COVERAGE
FOR OUT-PATIENT TREATMENT OF ALZHEIMER'S OR RELATED DISEASES.
  (B) FOR THE PURPOSES OF THIS PARAGRAPH, THE FOLLOWING TERMS SHALL HAVE
THE FOLLOWING MEANINGS:
  (I) "NON-HEALTH RELATED SERVICES"  MEANS  THOSE  OUT-PATIENT  SERVICES
WHICH  MEET  THE CARE AND BEHAVIORAL NEEDS OF THE PATIENT, INCLUDING BUT
NOT LIMITED TO CRISIS  INTERVENTION,  ADULT  DAY  CARE,  HOME  CARE  AND
RESPITE CARE.
  (II)  "CARE  AND BEHAVIORAL NEEDS OF THE PATIENT" MEANS THE MANIFESTA-
TION OF SYMPTOMS WHICH MAY INCLUDE BUT NOT LIMITED TO MEMORY LOSS, APHA-
SIA (COMMUNICATION DISORDER), BECOMING LOST  OR  DISORIENTED,  CONFUSION
AND AGITATION WITH THE POTENTIAL FOR COMBATIVENESS AND INCONTINENCE.
  (III)  "ALZHEIMER'S  OR RELATED DISEASES" MEANS ANY OF THOSE IRREVERS-
IBLE BRAIN DISORDERS WHICH RESULT IN  THE  SYMPTOMS  DESCRIBED  IN  THIS
PARAGRAPH  BUT  NOT  LIMITED  TO MULTI-INFARCT DEMENTIAS AND PARKINSON'S
DISEASE.
  S 2. Subsection (l) of section 3221 of the insurance law is amended by
adding a new paragraph 18 to read as follows:
  (18) (A) EVERY INSURER DELIVERING A GROUP POLICY OR  ISSUING  A  GROUP
POLICY  FOR  DELIVERY IN THIS STATE WHICH PROVIDES HOSPITAL, SURGICAL OR
MEDICAL COVERAGE SHALL, IF REQUESTED BY THE POLICYHOLDER INCLUDE  COVER-

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD05670-01-1

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