S T A T E O F N E W Y O R K
________________________________________________________________________
3951
2017-2018 Regular Sessions
I N S E N A T E
January 31, 2017
___________
Introduced by Sen. YOUNG -- read twice and ordered printed, and when
printed to be committed to the Committee on Insurance
AN ACT to amend the insurance law and the workers' compensation law, in
relation to coverage of health care services by means of telehealth
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph 1 of subsection (a) of section 5102 of the insur-
ance law, as amended by chapter 298 of the laws of 2006, is amended to
read as follows:
(1) All necessary expenses incurred for: (i) medical, hospital
(including services rendered in compliance with article forty-one of the
public health law, whether or not such services are rendered directly by
a hospital), surgical, nursing, dental, ambulance, x-ray, prescription
drug and prosthetic services; (ii) psychiatric, physical therapy
(provided that treatment is rendered pursuant to a referral) and occupa-
tional therapy and rehabilitation; (iii) ANY HEALTH CARE SERVICES DELIV-
ERED BY MEANS OF TELEHEALTH, AS DEFINED IN SUBSECTION (B) OF SECTION
THREE THOUSAND TWO HUNDRED SEVENTEEN-H OF THIS CHAPTER; (IV) any non-
medical remedial care and treatment rendered in accordance with a reli-
gious method of healing recognized by the laws of this state; and [(iv)]
(V) any other professional health services; all without limitation as to
time, provided that within one year after the date of the accident caus-
ing the injury it is ascertainable that further expenses may be incurred
as a result of the injury. For the purpose of determining basic economic
loss, the expenses incurred under this paragraph shall be in accordance
with the limitations of section five thousand one hundred eight of this
article.
§ 2. The opening paragraph of subdivision (a) of section 13 of the
workers' compensation law, as amended by chapter 23 of the laws of 2016,
is amended to read as follows:
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD06613-01-7
S. 3951 2
The employer shall promptly provide for an injured employee such
medical, dental, surgical, optometric or other attendance or treatment,
nurse and hospital service, medicine, optometric services, crutches,
eye-glasses, false teeth, artificial eyes, orthotics, prosthetic
devices, functional assistive and adaptive devices and apparatus for
such period as the nature of the injury or the process of recovery may
require. The employer shall be liable for the payment of the expenses of
medical, dental, surgical, optometric or other attendance or treatment,
nurse and hospital service, ANY HEALTH CARE SERVICES DELIVERED BY MEANS
OF TELEHEALTH, AS DEFINED IN SUBSECTION (B) OF SECTION THREE THOUSAND
TWO HUNDRED SEVENTEEN-H OF THE INSURANCE LAW, medicine, optometric
services, crutches, eye-glasses, false teeth, artificial eyes, orthot-
ics, prosthetic devices, functional assistive and adaptive devices and
apparatus, as well as artificial members of the body or other devices or
appliances necessary in the first instance to replace, support or
relieve a portion or part of the body resulting from and necessitated by
the injury of an employee, for such period as the nature of the injury
or the process of recovery may require, and the employer shall also be
liable for replacements or repairs of such artificial members of the
body or such other devices, eye-glasses, false teeth, artificial eyes,
orthotics, prosthetic devices, functional assistive and adaptive devices
or appliances necessitated by ordinary wear or loss or damage to a
prosthesis, with or without bodily injury to the employee. Damage to or
loss of a prosthetic device shall be deemed an injury except that no
disability benefits shall be payable with respect to such injury under
section fifteen of this article. Such a replacement or repair of artifi-
cial members of the body or such other devices, eye-glasses, false
teeth, artificial eyes, orthotics, prosthetic devices, functional assis-
tive and adaptive devices or appliances or the providing of medical
treatment and care as defined herein shall not constitute the payment of
compensation under section twenty-five-a of this article. All fees and
other charges for such treatment and services shall be limited to such
charges as prevail in the same community for similar treatment of
injured persons of a like standard of living.
§ 3. This act shall take effect on the first of January next succeed-
ing the date on which it shall have become a law.