Assembly Bill A6397A

2017-2018 Legislative Session

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

download bill text pdf

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Archive: Last Bill Status - In Assembly 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

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Bill Amendments

co-Sponsors

multi-Sponsors

2017-A6397 - Details

See Senate Version of this Bill:
S3171
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A1767
2011-2012: A2806
2013-2014: A6449
2015-2016: A3953
2019-2020: A2971, S1965

2017-A6397 - Summary

Relates to the mandatory health insurance coverage under health insurance plans of cleft lip and cleft palate to include treatment of related conditions and illnesses.

2017-A6397 - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6397
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               March 6, 2017
                                ___________
 
 Introduced  by  M.  of A. SIMON, MORELLE, McDONOUGH, STEC -- Multi-Spon-
   sored by -- M. of A. COLTON -- 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 34 to read as follows:
   (34)  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.
                                                            LBD06145-01-7

co-Sponsors

multi-Sponsors

2017-A6397A (ACTIVE) - Details

See Senate Version of this Bill:
S3171
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A1767
2011-2012: A2806
2013-2014: A6449
2015-2016: A3953
2019-2020: A2971, S1965

2017-A6397A (ACTIVE) - Summary

Relates to the mandatory health insurance coverage under health insurance plans of cleft lip and cleft palate to include treatment of related conditions and illnesses.

2017-A6397A (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  6397--A
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               March 6, 2017
                                ___________
 
 Introduced  by  M.  of A. SIMON, MORELLE, McDONOUGH, STEC, M. G. MILLER,
   HARRIS,  KEARNS,  LAVINE,  MOSLEY,   TITONE,   ROSENTHAL,   GOTTFRIED,
   BICHOTTE,  JAFFEE,  ZEBROWSKI,  GUNTHER,  GALEF,  JENNE, D'URSO, NIOU,
   GRAF, MONTESANO, SEPULVEDA, COOK, HUNTER, CARROLL,  McDONALD,  GJONAJ,
   PALUMBO  --  Multi-Sponsored by -- M. of A. BRAUNSTEIN, COLTON, ENGLE-
   BRIGHT, GIGLIO, HOOPER, HYNDMAN, LUPARDO -- read once and referred  to
   the  Committee  on  Insurance  --  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 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 34 to read as follows:
   (34)  EVERY  POLICY  WHICH PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR
 COMPREHENSIVE-TYPE COVERAGE SHALL INCLUDE COVERAGE FOR  THE  ASSESSMENT,
 EVALUATION,  TREATMENT,  MANAGEMENT, AND FOLLOW-UP CARE OF CLEFT LIP AND
 CLEFT PALATE.  SUCH COVERAGE SHALL INCLUDE BUT NOT BE LIMITED TO  TREAT-
 MENT  FOR ANY CONDITION OR ILLNESS WHICH IS RELATED TO OR DEVELOPED AS A
 RESULT OF CLEFT LIP AND/OR PALATE.  COVERAGE SHALL NOT BE DENIED ON  THE
 GROUND  THAT  IT  IS  FOR  COSMETIC  PURPOSES OR IS NOT FOR A FUNCTIONAL
 DEFECT OR IMPAIRMENT.
   § 2. Subsection (l) of section 3221 of the insurance law is amended by
 adding a new paragraph 20 to read as follows:
   (20) EVERY POLICY WHICH PROVIDES MEDICAL, MAJOR  MEDICAL,  OR  SIMILAR
 COMPREHENSIVE-TYPE  COVERAGE  SHALL INCLUDE COVERAGE FOR THE ASSESSMENT,
 EVALUATION, TREATMENT, MANAGEMENT, AND FOLLOW-UP CARE OF CLEFT  LIP  AND
 CLEFT  PALATE.  SUCH COVERAGE SHALL INCLUDE BUT NOT BE LIMITED TO TREAT-
 MENT FOR ANY CONDITION OR ILLNESS WHICH IS RELATED TO OR DEVELOPED AS  A
 RESULT  OF CLEFT LIP AND/OR PALATE.  COVERAGE SHALL NOT BE DENIED ON THE
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD06145-02-7

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