S T A T E O F N E W Y O R K
________________________________________________________________________
4675
2015-2016 Regular Sessions
I N A S S E M B L Y
February 5, 2015
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Introduced by M. of A. COLTON -- Multi-Sponsored by -- M. of A. RIVERA,
TITUS -- read once and referred to the Committee on Insurance
AN ACT to amend the insurance law, in relation to health insurance
coverage of prosthetic limbs
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subsection (l) of section 3221 of the insurance law is
amended by adding a new paragraph 19 to read as follows:
(19) EVERY INSURER DELIVERING A GROUP POLICY OR ISSUING A GROUP POLICY
FOR DELIVERY IN THIS STATE SHALL PROVIDE COVERAGE TO A SUBSCRIBER (A)
FOR THE REPLACEMENT OF A PROSTHETIC LIMB AFTER AMPUTATION IF SAID PROS-
THETIC LIMB IS DAMAGED OR STOLEN; AND (B) PROVIDE COVERAGE FOR THE
REPLACEMENT OF A PROSTHETIC LIMB TO A DEPENDENT CHILD OF A SUBSCRIBER
THROUGH THE ATTAINMENT OF NINETEEN YEARS OF AGE AS OFTEN AS SAID
REPLACEMENT IS REQUIRED OR PRESCRIBED BY THE DEPENDENT CHILD'S PHYSI-
CIAN.
S 2. Subsection (j) of section 4303 of the insurance law is amended by
adding a new paragraph 5 to read as follows:
(5) A HEALTH SERVICE CORPORATION OR MEDICAL EXPENSE INDEMNITY CORPO-
RATION WHICH PROVIDES MEDICAL, MAJOR MEDICAL OR SIMILAR
COMPREHENSIVE-TYPE COVERAGE MUST PROVIDE COVERAGE TO A SUBSCRIBER (A)
FOR THE REPLACEMENT OF A PROSTHETIC LIMB AFTER AMPUTATION IF SAID PROS-
THETIC LIMB IS DAMAGED OR STOLEN; AND (B) PROVIDE COVERAGE FOR THE
REPLACEMENT OF A PROSTHETIC LIMB FOR A DEPENDENT CHILD OF A SUBSCRIBER
THROUGH ATTAINMENT OF NINETEEN YEARS OF AGE AS OFTEN AS SAID REPLACEMENT
IS REQUIRED OR PRESCRIBED BY THE DEPENDENT CHILD'S PHYSICIAN.
S 3. This act shall take effect on the first of January next succeed-
ing the date on which it shall have become a law.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD06447-01-5