S T A T E O F N E W Y O R K
________________________________________________________________________
1235
2011-2012 Regular Sessions
I N A S S E M B L Y
(PREFILED)
January 5, 2011
___________
Introduced by M. of A. COLTON -- Multi-Sponsored by -- M. of A. PHEFFER,
J. RIVERA, TITUS -- read once and referred to the Committee on Insur-
ance
AN ACT to amend the insurance law, in relation to health insurance
coverage of prosthetic limbs
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subsection (l) of section 3221 of the insurance law is
amended by adding a new paragraph 18 to read as follows:
(18) EVERY INSURER DELIVERING A GROUP POLICY OR ISSUING A GROUP POLICY
FOR DELIVERY IN THIS STATE SHALL PROVIDE COVERAGE TO A SUBSCRIBER (A)
FOR THE REPLACEMENT OF A PROSTHETIC LIMB AFTER AMPUTATION IF SAID PROS-
THETIC LIMB IS DAMAGED OR STOLEN; AND (B) PROVIDE COVERAGE FOR THE
REPLACEMENT OF A PROSTHETIC LIMB TO A DEPENDENT CHILD OF A SUBSCRIBER
THROUGH THE ATTAINMENT OF NINETEEN YEARS OF AGE AS OFTEN AS SAID
REPLACEMENT IS REQUIRED OR PRESCRIBED BY THE DEPENDENT CHILD'S PHYSI-
CIAN.
S 2. Subsection (j) of section 4303 of the insurance law is amended by
adding a new paragraph 3 to read as follows:
(3) A HEALTH SERVICE CORPORATION OR MEDICAL EXPENSE INDEMNITY CORPO-
RATION WHICH PROVIDES MEDICAL, MAJOR MEDICAL OR SIMILAR
COMPREHENSIVE-TYPE COVERAGE MUST PROVIDE COVERAGE TO A SUBSCRIBER (A)
FOR THE REPLACEMENT OF A PROSTHETIC LIMB AFTER AMPUTATION IF SAID PROS-
THETIC LIMB IS DAMAGED OR STOLEN; AND (B) PROVIDE COVERAGE FOR THE
REPLACEMENT OF A PROSTHETIC LIMB FOR A DEPENDENT CHILD OF A SUBSCRIBER
THROUGH ATTAINMENT OF NINETEEN YEARS OF AGE AS OFTEN AS SAID REPLACEMENT
IS REQUIRED OR PRESCRIBED BY THE DEPENDENT CHILD'S PHYSICIAN.
S 3. This act shall take effect on the first of January next succeed-
ing the date on which it shall have become a law.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD04822-01-1