Assembly Bill A11106

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   11106
 
                           I N  A S S E M B L Y
 
                             November 6, 2020
                                ___________
 
 Introduced  by  COMMITTEE ON RULES -- (at request of M. of A. Gottfried)
   -- read once and referred to the Committee on Health
 
 AN ACT to amend the public health law, in relation to coverage of  early
   and periodic screening, diagnosis and treatment under the child health
   insurance plan
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subdivision 7 of section 2510 of the public health law,  as
 amended  by  chapter  428  of  the  laws  of 2013, is amended to read as
 follows:
   7. "Covered health care services" means: the services  of  physicians,
 optometrists,  nurses,  nurse  practitioners, midwives and other related
 professional personnel  which  are  provided  on  an  outpatient  basis,
 including  routine well-child visits; diagnosis and treatment of illness
 and injury; EARLY AND PERIODIC SCREENING, DIAGNOSIS  AND  TREATMENT  FOR
 ELIGIBLE  CHILDREN  UNDER THE AGE OF SIX AND FOR OTHER ELIGIBLE CHILDREN
 TO ASCERTAIN PHYSICAL AND MENTAL  DISABILITIES;  inpatient  health  care
 services;  laboratory  tests;  diagnostic  x-rays; prescription and non-
 prescription drugs and durable  medical  equipment;  radiation  therapy;
 chemotherapy;  hemodialysis;  outpatient  blood clotting factor products
 and other treatments and services furnished in connection with the  care
 of  hemophilia  and other blood clotting protein deficiencies; emergency
 room services;  hospice  services;  emergency,  preventive  and  routine
 dental  care,  including  medically  necessary orthodontia but excluding
 cosmetic surgery; emergency, preventive and routine vision care, includ-
 ing eyeglasses; speech and hearing services; and, inpatient  and  outpa-
 tient  mental health, alcohol and substance abuse services as defined by
 the commissioner in consultation  with  the  superintendent,  BUT  SHALL
 INCLUDE EARLY AND PERIODIC SCREENING, DIAGNOSIS AND TREATMENT FOR ELIGI-
 BLE  CHILDREN  UNDER  THE  AGE OF SIX AND FOR OTHER ELIGIBLE CHILDREN TO
 ASCERTAIN  PHYSICAL  AND  MENTAL  DISABILITIES.  "Covered  health   care
 services"  shall  not  include  drugs,  procedures  and supplies for the
 treatment of erectile dysfunction when provided to,  or  prescribed  for
 use  by, a person who is required to register as a sex offender pursuant
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
              

                       [ ] is old law to be omitted.
                                                            LBD17444-01-0

 A. 11106                            2
 
 to article six-C of the correction law,  provided  that  any  denial  of
 coverage of such drugs, procedures or supplies shall provide the patient
 with  the  means of obtaining additional information concerning both the
 denial and the means of challenging such denial.
   § 2. This act shall take effect on the first of April after it becomes
 a  law.    Effective  immediately, the commissioner of health shall make
 regulations and take other actions  reasonably  necessary  to  implement
 this act on that date.