Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 09, 2014 |
print number 3474a |
Jan 09, 2014 |
amend and recommit to insurance |
Jan 08, 2014 |
referred to insurance |
Feb 04, 2013 |
referred to insurance |
Senate Bill S3474A
2013-2014 Legislative Session
Sponsored By
(R) Senate District
Archive: Last Bill Status - In Senate Committee Insurance Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Bill Amendments
2013-S3474 - Details
- See Assembly Version of this Bill:
- A8363
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2015-2016:
S252, A436
2017-2018: S4292, A2271
2019-2020: S3321, A2816
2021-2022: S4867, A491
2023-2024: A1876
2013-S3474 - Summary
Requires health insurance policies and contracts shall provide coverage for the diagnosis and treatment of lymphedema; and requires such coverage shall include benefits for equipment, supplies, devices, complex decongestive therapy and out-patient self management training and education for the treatment of lymphedema.
2013-S3474 - Sponsor Memo
BILL NUMBER:S3474 TITLE OF BILL: An act to amend the insurance law, in relation to requiring certain health insurance coverage for lymphedema PURPOSE: Requires health insurance providers to cover the differential diagnosis and treatment of lymphedema. Such coverage shall include, in addition to benefits for a course of manual lymph drainage whose frequency and duration is determined by the treating physician or thera- pist based on medical necessity arid not based on physical therapy and rehabilitation standards, benefits for equipment, supplies, devices, complex decongestive therapy and outpatient self-management training and education for the treatment of lymphedema if prescribed by a health care professional legally authorized to prescribe or provide such items under Title 8 of the education law. Lymphedema therapy administered under section 2 shall be administered only by a therapist certified to perform lymphedema treatment by the Lymphology Association of North America (LANA) or certified in accordance with standards equivalent to the certification standards of LANA. Such equipment, supplies or devices shall include, but not be limited to, bandages, compression garments, pads, orthotic shoes and devices. SUMMARY OF PROVISIONS: Section 1.Subsection (i) of section 3216 of the Insurance Law is amended by adding new paragraphs 30 and 31;
2013-S3474 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 3474 2013-2014 Regular Sessions I N S E N A T E February 4, 2013 ___________ Introduced by Sen. LAVALLE -- 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 certain health insurance coverage for lymphedema THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Clause (ii) of subparagraph (A) of paragraph 20 of subsection (i) of section 3216 of the insurance law, as added by chapter 21 of the laws of 1997, is amended and a new clause (iii) is added to read as follows: (ii) surgery and reconstruction of the other breast to produce a symmetrical appearance; AND (III) PROSTHESES AND PHYSICAL COMPLICATIONS OF ALL STAGES OF MASTECTO- MY, INCLUDING LYMPHEDEMA; S 2. Subsection (i) of section 3216 of the insurance law is amended by adding two new paragraphs 30 and 31 to read as follows: (30) EVERY POLICY WHICH PROVIDES HOSPITAL, SURGICAL, MEDICAL OR MAJOR MEDICAL COVERAGE SHALL PROVIDE COVERAGE FOR THE DIFFERENTIAL DIAGNOSIS AND TREATMENT OF LYMPHEDEMA. SUCH COVERAGE SHALL INCLUDE, IN ADDITION TO BENEFITS FOR A COURSE OF MANUAL LYMPH DRAINAGE WHOSE FREQUENCY AND DURA- TION IS DETERMINED BY THE TREATING PHYSICIAN OR THERAPIST BASED ON MEDICAL NECESSITY AND NOT BASED ON PHYSICAL THERAPY AND REHABILITATION STANDARDS, BENEFITS FOR EQUIPMENT, SUPPLIES, DEVICES, COMPLEX DECONGES- TIVE THERAPY, AND OUT-PATIENT SELF-MANAGEMENT TRAINING AND EDUCATION FOR THE TREATMENT OF LYMPHEDEMA, IF PRESCRIBED BY A HEALTH CARE PROFESSIONAL LEGALLY AUTHORIZED TO PRESCRIBE OR PROVIDE SUCH ITEMS UNDER TITLE EIGHT OF THE EDUCATION LAW. LYMPHEDEMA THERAPY ADMINISTERED UNDER THIS SECTION SHALL BE ADMINISTERED ONLY BY A THERAPIST CERTIFIED TO PERFORM LYMPHEDEMA TREATMENT BY THE LYMPHOLOGY ASSOCIATION OF NORTH AMERICA (LANA) OR CERTIFIED IN ACCORDANCE WITH STANDARDS EQUIVALENT TO THE CERTIFICATION STANDARDS OF LANA. SUCH EQUIPMENT, SUPPLIES OR DEVICES EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD07765-02-3
co-Sponsors
(R, C, IP) Senate District
(D, IP) Senate District
2013-S3474A (ACTIVE) - Details
- See Assembly Version of this Bill:
- A8363
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2015-2016:
S252, A436
2017-2018: S4292, A2271
2019-2020: S3321, A2816
2021-2022: S4867, A491
2023-2024: A1876
2013-S3474A (ACTIVE) - Summary
Requires health insurance policies and contracts shall provide coverage for the diagnosis and treatment of lymphedema; and requires such coverage shall include benefits for equipment, supplies, devices, complex decongestive therapy and out-patient self management training and education for the treatment of lymphedema.
2013-S3474A (ACTIVE) - Sponsor Memo
BILL NUMBER:S3474A TITLE OF BILL: An act to amend the insurance law, in relation to requiring certain health insurance coverage for lymphedema PURPOSE: Requires health insurance providers to cover the differential diagnosis and treatment of lymphedema. Such coverage shall include, in addition to benefits for a course of manual lymph drainage whose frequency and duration is determined by the treating physician or therapist based on medical necessity arid not based on physical therapy and rehabilitation standards, benefits for equipment, supplies, devices, complex decongestive therapy and outpatient self-management training and education for the treatment of lymphedema if prescribed by a health care professional legally authorized to prescribe or provide such items under Title 8 of the education law. Lymphedema therapy administered under section 2 shall be administered only by a therapist certified to perform lymphedema treatment by the Lymphology Association of North America (LANA) or certified in accordance with standards equivalent to the certification standards of LANA. Such equipment, supplies or devices shall include, but not be limited to, bandages, compression garments, pads, orthotic shoes and devices. SUMMARY OF PROVISIONS: Section 2 Subsection (i) of section 3216 of the Insurance Law is
2013-S3474A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 3474--A 2013-2014 Regular Sessions I N S E N A T E February 4, 2013 ___________ Introduced by Sen. LAVALLE -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance -- recommitted to the Committee on Insurance in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the insurance law, in relation to requiring certain health insurance coverage for lymphedema THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Clause (ii) of subparagraph (A) of paragraph 20 of subsection (i) of section 3216 of the insurance law, as added by chapter 21 of the laws of 1997, is amended and a new clause (iii) is added to read as follows: (ii) surgery and reconstruction of the other breast to produce a symmetrical appearance; AND (III) PROSTHESES AND PHYSICAL COMPLICATIONS OF ALL STAGES OF MASTECTO- MY, INCLUDING LYMPHEDEMA; S 2. Subsection (i) of section 3216 of the insurance law is amended by adding two new paragraphs 30 and 31 to read as follows: (30) EVERY POLICY WHICH PROVIDES HOSPITAL, SURGICAL, MEDICAL OR MAJOR MEDICAL COVERAGE SHALL PROVIDE COVERAGE FOR THE DIFFERENTIAL DIAGNOSIS AND TREATMENT OF LYMPHEDEMA. SUCH COVERAGE SHALL INCLUDE, IN ADDITION TO BENEFITS FOR A COURSE OF MANUAL LYMPH DRAINAGE WHOSE FREQUENCY AND DURA- TION IS DETERMINED BY THE TREATING PHYSICIAN OR THERAPIST BASED ON MEDICAL NECESSITY AND NOT BASED ON PHYSICAL THERAPY AND REHABILITATION STANDARDS, BENEFITS FOR EQUIPMENT, SUPPLIES, DEVICES, COMPLEX DECONGES- TIVE THERAPY, AND OUT-PATIENT SELF-MANAGEMENT TRAINING AND EDUCATION FOR THE TREATMENT OF LYMPHEDEMA, IF PRESCRIBED BY A HEALTH CARE PROFESSIONAL LEGALLY AUTHORIZED TO PRESCRIBE OR PROVIDE SUCH ITEMS UNDER TITLE EIGHT OF THE EDUCATION LAW. LYMPHEDEMA THERAPY ADMINISTERED UNDER THIS SECTION SHALL BE ADMINISTERED ONLY BY A THERAPIST CERTIFIED TO PERFORM EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD07765-04-3
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