Assembly Bill A6449

2013-2014 Legislative Session

Relates to the mandatory health insurance coverage of cleft lip and cleft palate

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Assembly 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

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2013-A6449 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A1767
2011-2012: A2806
2015-2016: A3953
2017-2018: A6397
2019-2020: A2971

2013-A6449 (ACTIVE) - Summary

Relates to the mandatory health insurance coverage under health insurance plans of cleft lip and cleft palate to include treatment not only of gross abnormalities of lip and palate but also related conditions and illnesses; specifies certain treatments including oral surgery of the lip.

2013-A6449 (ACTIVE) - Bill Text download pdf 

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

                                  6449

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                              April 1, 2013
                               ___________

Introduced  by  M. of A. MORELLE, MARKEY, CLARK -- Multi-Sponsored by --
  M. of A. COLTON, COOK, GALEF, HOOPER, MILLMAN, NOLAN, ORTIZ, WRIGHT --
  read once and referred to the Committee on Insurance

AN ACT to amend the insurance  law,  in  relation  to  mandatory  health
  insurance coverage for cleft lip and cleft palate

  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 30 to read as follows:
  (30)  EVERY  POLICY  WHICH PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR
COMPREHENSIVE-TYPE COVERAGE SHALL INCLUDE COVERAGE  FOR  CLEFT  LIP  AND
CLEFT PALATE.  THIS SHALL INCLUDE COVERAGE NOT ONLY FOR TREATMENT OF THE
GROSS  ABNORMALITIES  OF  LIP  AND  PALATE BUT ALSO FOR ANY CONDITION OR
ILLNESS WHICH IS RELATED TO OR DEVELOPED AS A RESULT OF CLEFT LIP AND/OR
PALATE.  COVERAGE SHALL INCLUDE, BUT NOT BE LIMITED TO, EXPENSES FOR THE
FOLLOWING:
  (A) ORAL SURGERY OF THE LIP, PALATE, JAW AND RELATED STRUCTURES.  THIS
SHALL INCLUDE BONE GRAFTS;
  (B)  FACIAL  SURGERY  OF THE LIP, PALATE, JAW, NOSE AND RELATED STRUC-
TURES.  THIS SHALL INCLUDE BONE GRAFTS;
  (C) PROSTHETIC TREATMENT AND APPLIANCES AND  PROSTHODONTIA,  INCLUDING
OBTURATORS, SPEECH APPLIANCES, AND FEEDING APPLIANCES;
  (D) ORTHODONTIC TREATMENT AND APPLIANCES AND ORTHODONTIA;
  (E) PREVENTIVE AND RESTORATIVE DENTISTRY;
  (F) OTOLARYNGOLOGY TREATMENT AND MANAGEMENT;
  (G) AUDIOLOGICAL TREATMENT AND DEVICES;
  (H) SPEECH/LANGUAGE TREATMENT; AND
  (I) PSYCHOLOGICAL COUNSELING AND GENETIC COUNSELING.
COVERAGE  SHALL  INCLUDE EXPENSES FOR ASSESSMENT, EVALUATION, TREATMENT,
MANAGEMENT, AND FOLLOW-UP CARE. COVERAGE SHALL  NOT  BE  DENIED  ON  THE

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD06540-01-3

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