|
Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
|---|---|
| Jun 17, 2016 |
recommitted to rules |
| Jun 06, 2016 |
ordered to third reading cal.1446 committee discharged and committed to rules |
| Jan 15, 2016 |
print number 5943a |
| Jan 15, 2016 |
amend and recommit to insurance |
| Jan 06, 2016 |
referred to insurance returned to senate died in assembly |
| Jun 17, 2015 |
referred to insurance delivered to assembly passed senate ordered to third reading cal.1758 |
| Jun 12, 2015 |
referred to rules |
Senate Bill S5943A
2015-2016 Legislative Session
Sponsored By
(R, C, IP) 62nd Senate District
Archive: Last Bill Status - In Senate Committee Rules Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Votes
Bill Amendments
co-Sponsors
(D) 15th Senate District
2015-S5943 - Details
- Current Committee:
- Senate Rules
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2017-2018:
S704
2019-2020: S5174
2021-2022: S3649
2023-2024: S1315
2015-S5943 - Sponsor Memo
BILL NUMBER:S5943
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 THE BILL:
To ensure that coverage for rehabilitative and habilitative services,
including prosthetic devices, are available to military veterans
residing in NYS.
SUMMARY OF SPECIFIC PROVISIONS:
This bill would require that health insurers that provide medical,
major medical, or similar comprehensive type coverage include coverage
for prosthetic devices for veterans of the armed forces who are
residents of New York when such devices are deemed medically necessary
for the patient's rehabilitation.
JUSTIFICATION:
Two recent wars involving the United States, Iraq and Afghanistan has
left over 600 military men and women as amputees with life-long
injuries. Each year 185,000 amputations occur in the US and there are
nearly 2 million people living with limb loss in the US. Improving
access to quality and updated prosthetic devices will improve the
2015-S5943 - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
5943
2015-2016 Regular Sessions
I N S E N A T E
June 12, 2015
___________
Introduced by Sen. ORTT -- read twice and ordered printed, and when
printed to be committed to the Committee on Rules
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 32 to read as follows:
(32) EVERY POLICY WHICH PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR
COMPREHENSIVE TYPE COVERAGE TO A POLICYHOLDER SHALL PROVIDE COVERAGE FOR
PROSTHETIC DEVICES THAT ARE INTENDED FOR MEDIALLY NECESSARY REHABILITA-
TIVE AND HABILITATIVE PURPOSES AS REQUIRED BY 42 U.S.C. S 18022. COVER-
AGE SHALL INCLUDE THE COST OF REPAIR OR REPLACEMENT OF PROSTHETIC
DEVICES DUE TO NORMAL WEAR AND TEAR, IF A PROSTHETIC DEVICE HAS BEEN
OUTGROWN OR NO LONGER FITS PROPERLY, OR WHERE A CHANGE IN THE MEDICAL
CONDITION MAKES REPLACEMENT NECESSARY. COVERAGE SHALL NOT INCLUDE THE
COSTS OF REPAIR OR REPLACEMENT OF A PROSTHETIC DEVICE THAT IS COVERED
UNDER THE WARRANTY OF THE MANUFACTURE OR WHEN THE REPAIR OR REPLACEMENT
IS NECESSARY DUE TO MISUSE OR NEGLIGENCE. THE TERM "PROSTHETIC DEVICE"
AS USED IN THIS PARAGRAPH INCLUDES AN ARTIFICIAL LIMB, BUT SHALL NOT
INCLUDE SHOES OR ANY OTHER ARTICLE CONSIDERED AS ORDINARY WEARING
APPAREL, WHETHER OR NOT SPECIFICALLY CONSTRUCTED. THE TERM "POLICYHOLD-
ER" AS USED IN THIS PARAGRAPH SHALL MEAN A VETERAN OF THE ARMED FORCES
WHO RESIDES IN THE STATE OF NEW YORK AND WHOSE MEDICAL NEED FOR SUCH
PROSTHETIC DEVICE RESULTED FROM AN INJURY SUFFERED WHILE IN ACTIVE DUTY
SERVING IN THE ARMED FORCES. SUCH COVERAGE SHALL BE SUBJECT TO ANNUAL
DEDUCTIBLES AND COINSURANCE AS DEEMED APPROPRIATE BY THE SUPERINTENDENT.
THE COVERAGE REQUIRED BY THIS PARAGRAPH SHALL BE IDENTICAL TO, AND SHALL
NOT ENHANCE OR INCREASE THE ESSENTIAL HEALTH BENEFIT COVERAGE CHOSEN BY
THE STATE PURSUANT TO 45 CFR 156.100. NOTHING IN THIS PARAGRAPH SHALL BE
CONSTRUED TO PREVENT THE MEDICAL MANAGEMENT OR UTILIZATION REVIEW OF
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11641-01-5
co-Sponsors
(D) 15th Senate District
2015-S5943A (ACTIVE) - Details
- Current Committee:
- Senate Rules
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2017-2018:
S704
2019-2020: S5174
2021-2022: S3649
2023-2024: S1315
2015-S5943A (ACTIVE) - Sponsor Memo
BILL NUMBER: S5943A
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 THE BILL :
To ensure that coverage for rehabilitative and habilitative services,
including prosthetic devices, are available to military veterans
residing in NYS.
SUMMARY OF SPECIFIC PROVISIONS :
This bill would require that health insurers that provide medical,
major medical, or similar comprehensive type coverage include coverage
for prosthetic devices for veterans of the armed forces who are
residents of New York when such devices are deemed medically necessary
for the patient's rehabilitation.
JUSTIFICATION :
Two recent wars involving the United States, Iraq and Afghanistan has
left over 600 military men and women as amputees with life-long
injuries. Each year 185,000 amputations occur in the US and there are
2015-S5943A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
5943--A
2015-2016 Regular Sessions
I N S E N A T E
June 12, 2015
___________
Introduced by Sens. ORTT, ADDABBO -- read twice and ordered printed, and
when printed to be committed to the Committee on Rules -- 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 33 to read as follows:
(33) EVERY POLICY WHICH PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR
COMPREHENSIVE TYPE COVERAGE TO A POLICYHOLDER SHALL PROVIDE COVERAGE FOR
PROSTHETIC DEVICES THAT ARE INTENDED FOR MEDIALLY NECESSARY REHABILITA-
TIVE AND HABILITATIVE PURPOSES AS REQUIRED BY 42 U.S.C. S 18022. COVER-
AGE SHALL INCLUDE THE COST OF REPAIR OR REPLACEMENT OF PROSTHETIC
DEVICES DUE TO NORMAL WEAR AND TEAR, IF A PROSTHETIC DEVICE HAS BEEN
OUTGROWN OR NO LONGER FITS PROPERLY, OR WHERE A CHANGE IN THE MEDICAL
CONDITION MAKES REPLACEMENT NECESSARY. COVERAGE SHALL NOT INCLUDE THE
COSTS OF REPAIR OR REPLACEMENT OF A PROSTHETIC DEVICE THAT IS COVERED
UNDER THE WARRANTY OF THE MANUFACTURE OR WHEN THE REPAIR OR REPLACEMENT
IS NECESSARY DUE TO MISUSE OR NEGLIGENCE. THE TERM "PROSTHETIC DEVICE"
AS USED IN THIS PARAGRAPH INCLUDES AN ARTIFICIAL LIMB, BUT SHALL NOT
INCLUDE SHOES OR ANY OTHER ARTICLE CONSIDERED AS ORDINARY WEARING
APPAREL, WHETHER OR NOT SPECIFICALLY CONSTRUCTED. THE TERM "POLICYHOLD-
ER" AS USED IN THIS PARAGRAPH SHALL MEAN A VETERAN OF THE ARMED FORCES
WHO RESIDES IN THE STATE OF NEW YORK AND WHOSE MEDICAL NEED FOR SUCH
PROSTHETIC DEVICE RESULTED FROM AN INJURY SUFFERED WHILE IN ACTIVE DUTY
SERVING IN THE ARMED FORCES. SUCH COVERAGE SHALL BE SUBJECT TO ANNUAL
DEDUCTIBLES AND COINSURANCE AS DEEMED APPROPRIATE BY THE SUPERINTENDENT.
THE COVERAGE REQUIRED BY THIS PARAGRAPH SHALL BE IDENTICAL TO, AND SHALL
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11641-02-6
Comments
Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.
Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.
Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.