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Assembly Bill A5966

2017-2018 Legislative Session

Relates to reimbursement for dental restorations

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Archive: Last Bill Status - In Assembly Committee

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2017-A5966 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2019-2020: A2926
2021-2022: A1455

2017-A5966 (ACTIVE) - Summary

Relates to requiring insurance policies and contracts, which provide reimbursement for dental restorations, including but not limited to, reimbursement for dental bridgework, to also provide no less than the same level of reimbursement towards the payment of a dental implant.

2017-A5966 (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5966
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 17, 2017
                                ___________
 
 Introduced by M. of A. PERRY -- Multi-Sponsored by -- M. of A. HOOPER --
   read once and referred to the Committee on Insurance
 
 AN  ACT  to  amend  the  insurance law, in relation to reimbursement for
   dental restorations
 
   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 34 to read as follows:
   (34) IF A POLICY PROVIDES FOR REIMBURSEMENT FOR  DENTAL  RESTORATIONS,
 INCLUDING  BUT NOT LIMITED TO, REIMBURSEMENT FOR DENTAL BRIDGEWORK, SUCH
 POLICY SHALL ALSO PROVIDE NO LESS THAN THE SAME LEVEL  OF  REIMBURSEMENT
 TOWARDS THE PAYMENT OF A DENTAL IMPLANT. NOTHING IN THIS PARAGRAPH SHALL
 BE  DEEMED TO LIMIT THE REQUIREMENT OF THE INSURED TO PAY A COPAYMENT OR
 DEDUCTIBLE AS WOULD BE REQUIRED FOR THE REIMBURSEMENT OF DENTAL  BRIDGE-
 WORK.
   § 2. Subsection (l) of section 3221 of the insurance law is amended by
 adding a new paragraph 20 to read as follows:
   (20) EVERY INSURER DELIVERING A GROUP POLICY OR ISSUING A GROUP POLICY
 FOR  DELIVERY,  IN  THIS  STATE, WHICH PROVIDES REIMBURSEMENT FOR DENTAL
 RESTORATIONS, INCLUDING BUT NOT LIMITED  TO,  REIMBURSEMENT  FOR  DENTAL
 BRIDGEWORK, SHALL ALSO PROVIDE NO LESS THAN THE SAME LEVEL OF REIMBURSE-
 MENT TOWARDS THE PAYMENT OF A DENTAL IMPLANT.  NOTHING IN THIS PARAGRAPH
 SHALL  BE DEEMED TO LIMIT THE REQUIREMENT OF THE INSURED TO PAY A COPAY-
 MENT OR DEDUCTIBLE AS WOULD BE REQUIRED FOR THE REIMBURSEMENT OF  DENTAL
 BRIDGEWORK.
   §  3.  Section  4303  of  the insurance law is amended by adding a new
 subsection (rr) to read as follows:
   (RR) EVERY CONTRACT WHICH PROVIDES REIMBURSEMENT FOR  DENTAL  RESTORA-
 TIONS,  INCLUDING  BUT  NOT LIMITED TO, REIMBURSEMENT FOR DENTAL BRIDGE-
 WORK, SHALL ALSO PROVIDE NO LESS THAN THE SAME  LEVEL  OF  REIMBURSEMENT
 TOWARDS  THE  PAYMENT  OF A DENTAL IMPLANT.   NOTHING IN THIS SUBSECTION
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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