|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Jan 08, 2014||referred to insurance|
|Jan 31, 2013||referred to insurance|
senate Bill S3321
Archive: Last Bill Status - In Committee
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
S3321 - Details
S3321 - Summary
Requires certain health insurance policies to include coverage for the cost of certain infant and baby formulas.
S3321 - Sponsor Memo
BILL NUMBER:S3321 TITLE OF BILL: 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 PURPOSE: To allow parents to affordably provide medically necessary formulas for infants who would become malnourished or suffer from disor- ders if these particular formulas were made unavailable to them. These disorders, if left untreated, may cause chronic physical disability, mental retardation or death. SUMMARY OF SPECIFIC PROVISIONS: This bill would require that coverage by any policy which provides coverage for prescription drugs must provide coverage for the cost of infant and baby formulas which are proven effective as a disease-specific regimen. Such formulas must be prescribed by a physician or other license health care professional. Coverage for certain infant and baby formulas for any twelve months shall not be less than $3000. JUSTIFICATION: Many infants have been prescribed medically necessary formulas which have been proven effective as a disease-specific treat- ment regimen for infants who are, or will become, malnourished or suffer from disorders, which, if left untreated, may cause chronic physical disability, mental retardation or death. Specific diseases for which infant formulas have been proven effective include: inherited diseases
S3321 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 3321 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 THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: 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. LBD03064-01-3
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