senate Bill S5340

2011-2012 Legislative Session

Requires coverage for anesthesia and hospital charges for dental care

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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
May 10, 2011 referred to insurance

S5340 - Bill Details

See Assembly Version of this Bill:
A6798
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Add ยง3240, Ins L
Versions Introduced in 2009-2010 Legislative Session:
A8658

S5340 - Bill Texts

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Requires coverage for anesthesia and hospital charges for dental care.

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BILL NUMBER:S5340

TITLE OF BILL:
An act
to amend the insurance law, in relation to requiring coverage for
hospitalization and anesthesia services related to the provision of
dental services

PURPOSE:
This legislation would require health insurance policies to cover
hospitalization and anesthesia charges in connection with dental
care in specified cases.

SUMMARY OF PROVISIONS:
See Bill.

JUSTIFICATION:
Under existing provisions of the Insurance Law, an insured is entitled
to coverage for hospitalization and anesthesia for various medical
conditions. However, dental ailments are not considered a medical
condition and such coverage has been heretofore not included in law.
Dental health is an important aspect of an individual's overall well
being and this legislation would facilitate the provision of quality
dental coverage to many insured individuals.

LEGISLATIVE HISTORY:
2010 - A.8658 - Referred to Insurance
2009 - A.8658 - Referred to Insurance
2008 - A.4178 - Referred to Insurance
2008 - S.2718 (Same As) - Referred to Insurance
2006 - A.9339 - Referred to Insurance
2006 - S.64 (Same As) - Referred to Insurance
2004 - S.955
2000 - S.4879-A

EFFECTIVE DATE:
This act shall take effect immediately.

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

                                  5340

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                              May 10, 2011
                               ___________

Introduced  by  Sen.  LARKIN -- 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 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.
                                                           LBD04199-01-1

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