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Assembly Bill A3953

2015-2016 Legislative Session

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

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Archive: Last Bill Status - In Assembly Committee

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2015-A3953 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A1767
2011-2012: A2806
2013-2014: A6449
2017-2018: A6397
2019-2020: A2971

2015-A3953 (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.

2015-A3953 (ACTIVE) - Bill Text download pdf 

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

                                  3953

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                            January 28, 2015
                               ___________

Introduced  by  M. of A. MORELLE, MARKEY, CLARK -- Multi-Sponsored by --
  M. of A. COLTON, COOK, GALEF, HOOPER, 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 32 to read as follows:
  (32) 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.
                                                           LBD04675-02-5

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