senate Bill S3321

2013-2014 Legislative Session

Requires certain health insurance policies to include coverage for the cost of certain infant and baby formulas

download bill text pdf

Sponsored By

Archive: Last Bill Status -

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

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view actions (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 08, 2014 referred to insurance
Jan 31, 2013 referred to insurance


S3321 - Details

See Assembly Version of this Bill:
Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3216, 3221, 4303 & 4322, Ins L
Versions Introduced in Previous Legislative Sessions:
2011-2012: S3270, A4492
2009-2010: S8326, A10450B

S3321 - Summary

Requires certain health insurance policies to include coverage for the cost of certain infant and baby formulas.

S3321 - Sponsor Memo

S3321 - Bill Text download pdf

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


                       2013-2014 Regular Sessions

                            I N  S E N A T E

                            January 31, 2013

Introduced  by  Sens. HASSELL-THOMPSON, MONTGOMERY, PARKER -- 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 policies to include coverage for the cost of certain
  infant and baby formulas


  Section  1.  Paragraph  21  of  subsection  (i) of section 3216 of the
insurance law, as added by chapter 177 of the laws of 1997,  is  amended
to read as follows:
  (21) Every policy which provides coverage for prescription drugs shall
include  coverage  for the cost of enteral, INFANT AND BABY formulas for
home use for which a physician or other licensed  health  care  provider
legally  authorized  to prescribe under title eight of the education law
has issued a written order. Such written  order  shall  state  that  the
enteral,  INFANT  OR BABY formula is clearly medically necessary and has
been proven effective as a disease-specific treatment regimen for  those
individuals  who  are  or will become malnourished or suffer from disor-
ders, which if left untreated, cause chronic physical disability, mental
retardation or death. Specific diseases for which  enteral,  INFANT  AND
BABY  formulas  have  been  proven  effective shall include, but are not
limited to, inherited diseases of amino acid or organic acid metabolism;
Crohn's Disease; gastroesophageal reflux with failure to thrive;  disor-
ders  of gastrointestinal motility such as chronic intestinal pseudo-ob-
struction; and multiple, severe food allergies which if  left  untreated
will  cause malnourishment, chronic physical disability, mental retarda-
tion or death. Enteral, INFANT AND BABY  formulas  which  are  medically
necessary  and taken under written order from a physician for the treat-
ment of  specific  diseases  shall  be  distinguished  from  nutritional
supplements taken electively. Coverage for certain inherited diseases of

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


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