| Date of Action |
Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|---|---|
| Jan 29, 2014 |
print number 3951a |
| Jan 29, 2014 |
amend and recommit to insurance |
| Jan 08, 2014 |
referred to insurance |
| Feb 28, 2013 |
referred to insurance |
Senate Bill S3951A
2013-2014 Legislative Session
Sponsored By
(R, C, IP) Senate District
Archive: Last Bill Status - In Senate Committee Insurance Committee
Actions
Bill Amendments
co-Sponsors
(R, C, IP) Senate District
2013-S3951 - Details
- See Assembly Version of this Bill:
- A1103
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2009-2010:
A770
2011-2012: A497
2015-2016: S1708, A1178
2017-2018: S2080, A2212
2019-2020: A3086
2021-2022: A4120
2023-2024: A4395
2013-S3951 - Summary
Relates to mandatory health insurance coverage for providing prosthetic devices equal to or above Medicare's standard of coverage; includes the repair or replacement of a prosthetic device required to be worn or used by a policy holder; includes expenses for assessment, evaluation, treatment, management, and follow-up care.
2013-S3951 - Sponsor Memo
BILL NUMBER:S3951
TITLE OF BILL: An act to amend the insurance law, in relation to
mandatory health insurance coverage for providing prosthetic devices
PURPOSE OR GENERAL IDEA OF BILL: To provide mandatory coverage for
prosthetic devices for children who periodically need to have these
devices altered or replaced due to normal physical growth, for adults
whose conditions change and to account for updated technology, repair
and replacement.
SUMMARY OF SPECIFIC PROVISIONS:
Sections 1. 2 & 3: Amends subsection (i) of section 3216, subsection
(1) of section 3221, and section 4303 of the Insurance Law to require
that every policy which provides medical, major medical, or similar
comprehensive type coverage shall include coverage equal to or above
Medicare's standard of coverage for prosthetic devices.
Section 4: Effective date.
JUSTIFICATION: Though not as common as in adults, children, even
infants may need a prosthetic device due to the loss of a limb. The
overwhelming experience for a child of losing a limb does not need to
be compounded by a long battle to pay for treatment. This legislation
will provide coverage to children and adults for prosthetic devices
2013-S3951 - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
3951
2013-2014 Regular Sessions
I N S E N A T E
February 28, 2013
___________
Introduced by Sen. BONACIC -- 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 mandatory health
insurance coverage for providing prosthetic devices
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 EQUAL TO OR ABOVE
MEDICARE'S STANDARD OF COVERAGE FOR PROSTHETIC DEVICES. THIS SHALL
INCLUDE COVERAGE NOT ONLY FOR THE PROVISION OF A PROSTHETIC DEVICE
REQUIRED TO BE WORN OR USED BY A POLICY HOLDER BUT ALSO THE REPAIR OR
REPLACEMENT OF A PROSTHETIC DEVICE REQUIRED TO BE WORN OR USED BY A
POLICY HOLDER. COVERAGE SHALL INCLUDE EXPENSES FOR ASSESSMENT, EVALU-
ATION, TREATMENT, MANAGEMENT, AND FOLLOW-UP CARE. COVERAGE SHALL NOT BE
DENIED ON THE GROUND THAT IT IS FOR COSMETIC PURPOSES OR IS NOT FOR A
FUNCTIONAL DEFECT OR IMPAIRMENT. THE TERM "PROSTHETIC DEVICE" AS USED IN
THIS SECTION INCLUDES AN ARTIFICIAL LIMB OR ARTIFICIAL EYE BUT SHALL NOT
INCLUDE SHOES OR ANY OTHER ARTICLE CONSIDERED AS ORDINARY WEARING
APPAREL, WHETHER OR NOT SPECIALLY CONSTRUCTED.
S 2. Subsection (l) of section 3221 of the insurance law is amended by
adding a new paragraph 19 to read as follows:
(19) EVERY POLICY WHICH PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR
COMPREHENSIVE TYPE COVERAGE SHALL INCLUDE COVERAGE EQUAL TO OR ABOVE
MEDICARE'S STANDARD OF COVERAGE FOR PROSTHETIC DEVICES. THIS SHALL
INCLUDE COVERAGE NOT ONLY FOR THE PROVISION OF A PROSTHETIC DEVICE
REQUIRED TO BE WORN OR USED BY A POLICY HOLDER BUT ALSO THE REPAIR OR
REPLACEMENT OF A PROSTHETIC DEVICE REQUIRED TO BE WORN OR USED BY A
POLICY HOLDER. COVERAGE SHALL INCLUDE EXPENSES FOR ASSESSMENT, EVALU-
ATION, TREATMENT, MANAGEMENT, AND FOLLOW-UP CARE. COVERAGE SHALL NOT BE
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02404-01-3
co-Sponsors
(R, C, IP) Senate District
2013-S3951A (ACTIVE) - Details
- See Assembly Version of this Bill:
- A1103
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2009-2010:
A770
2011-2012: A497
2015-2016: S1708, A1178
2017-2018: S2080, A2212
2019-2020: A3086
2021-2022: A4120
2023-2024: A4395
2013-S3951A (ACTIVE) - Summary
Relates to mandatory health insurance coverage for providing prosthetic devices equal to or above Medicare's standard of coverage; includes the repair or replacement of a prosthetic device required to be worn or used by a policy holder; includes expenses for assessment, evaluation, treatment, management, and follow-up care.
2013-S3951A (ACTIVE) - Sponsor Memo
BILL NUMBER:S3951A
TITLE OF BILL: An act to amend the insurance law, in relation to
mandatory health insurance coverage for providing prosthetic devices
PURPOSE OR GENERAL IDEA OF BILL: To provide mandatory coverage for
prosthetic devices for children who periodically need to have these
devices altered or replaced due to normal physical growth, for adults
whose conditions change and to account for updated technology, repair
and replacement.
SUMMARY OF SPECIFIC PROVISIONS:
Sections 1, 2 & 3: Amends subsection (i) of section 3216, subsection
(1) of section 3221, and section 4303 of the Insurance Law to require
that every policy which provides medical, major medical, or similar
comprehensive type coverage shall include coverage equal to or above
Medicare's standard of coverage for prosthetic devices.
Section 4:Effective date.
JUSTIFICATION: Though not as common as in adults, children, even
infants may need a prosthetic device due to the loss of a limb. The
overwhelming experience for a child of losing a limb does not need to
be compounded by a long battle to pay for treatment. This legislation
will provide coverage to children and adults for prosthetic devices
2013-S3951A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
3951--A
2013-2014 Regular Sessions
I N S E N A T E
February 28, 2013
___________
Introduced by Sens. BONACIC, ROBACH -- 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 mandatory health
insurance coverage for providing prosthetic devices
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 EQUAL TO OR ABOVE
MEDICARE'S STANDARD OF COVERAGE FOR PROSTHETIC DEVICES. THIS SHALL
INCLUDE COVERAGE NOT ONLY FOR THE PROVISION OF A PROSTHETIC DEVICE
REQUIRED TO BE WORN OR USED BY A POLICY HOLDER BUT ALSO THE REPAIR OR
REPLACEMENT OF A PROSTHETIC DEVICE REQUIRED TO BE WORN OR USED BY A
POLICY HOLDER. COVERAGE SHALL INCLUDE EXPENSES FOR ASSESSMENT, EVALU-
ATION, TREATMENT, MANAGEMENT, AND FOLLOW-UP CARE. COVERAGE SHALL NOT BE
DENIED ON THE GROUND THAT IT IS FOR COSMETIC PURPOSES OR IS NOT FOR A
FUNCTIONAL DEFECT OR IMPAIRMENT. THE TERM "PROSTHETIC DEVICE" AS USED IN
THIS SECTION INCLUDES AN ARTIFICIAL LIMB OR ARTIFICIAL EYE BUT SHALL NOT
INCLUDE SHOES OR ANY OTHER ARTICLE CONSIDERED AS ORDINARY WEARING
APPAREL, WHETHER OR NOT SPECIALLY CONSTRUCTED.
S 2. Subsection (l) of section 3221 of the insurance law is amended by
adding a new paragraph 19 to read as follows:
(19) EVERY POLICY WHICH PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR
COMPREHENSIVE TYPE COVERAGE SHALL INCLUDE COVERAGE EQUAL TO OR ABOVE
MEDICARE'S STANDARD OF COVERAGE FOR PROSTHETIC DEVICES. THIS SHALL
INCLUDE COVERAGE NOT ONLY FOR THE PROVISION OF A PROSTHETIC DEVICE
REQUIRED TO BE WORN OR USED BY A POLICY HOLDER BUT ALSO THE REPAIR OR
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02404-02-4
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