Assembly Actions -
Senate Actions - UPPERCASE
|Feb 10, 2020||
referred to insurance
Senate Bill S7709
2019-2020 Legislative Session
Archive: Last Bill Status - In Senate Committee Insurance Committee
- In Committee Assembly
- On Floor Calendar Assembly
- Passed Assembly
- Delivered to Governor
- Signed By Governor
2019-S7709 (ACTIVE) - Details
2019-S7709 (ACTIVE) - Sponsor Memo
BILL NUMBER: S7709 SPONSOR: KAPLAN TITLE OF BILL: An act to amend the insurance law, in relation to enacting the "Give Kids a Chance - Carter's Law" mandating health insurance coverage for congenital anomalies PURPOSE: To require coverage for medical and dental treatments as well as rehabi- litative therapies (physical, speech, occupational, etc.) to address conditions or illness related to or developed as a result of a congen- ital anomaly. SUMMARY OF PROVISIONS: Section 1. Adds 5 new paragraphs 5, 6, 7, 8 and 9 to subsection (a) of § 3216 of the insurance law to require every policy that provides coverage for hospital, surgical, or medical care to provide coverage for the
2019-S7709 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7709 I N S E N A T E February 10, 2020 ___________ Introduced by Sen. KAPLAN -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance AN ACT to amend the insurance law, in relation to enacting the "Give Kids a Chance - Carter's Law" mandating health insurance coverage for congenital anomalies THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Short title. This act shall be known and may be cited as the "Give Kids a Chance - Carter's Law". § 2. Subsection (a) of section 3216 of the insurance law is amended by adding 5 new paragraphs 5, 6, 7, 8 and 9 to read as follows: (5) "CONGENITAL ANOMALY" MEANS A MEDICALLY DIAGNOSED CONDITION EXIST- ING AT OR FROM BIRTH THAT IS A DEVIATION FROM THE COMMON STRUCTURE OR FUNCTION OF THE BODY, WHETHER CAUSED BY A HEREDITARY OR DEVELOPMENTAL DISABILITY OR DISEASE. (6) "COSMETIC SURGERY" MEANS SURGICAL AND NONSURGICAL ELECTIVE PROCE- DURES THAT ENHANCE AND RESHAPE STRUCTURES OF THE BODY TO IMPROVE APPEAR- ANCE AND CONFIDENCE, BUT ARE NOT NECESSARY TO IMPROVE BODY STRUCTURE OR FUNCTION. (7) "HABILITATIVE SERVICES" MEANS HEALTHCARE SERVICES THAT HELP AN INDIVIDUAL KEEP, LEARN, OR IMPROVE SKILLS AND FUNCTIONING FOR DAILY LIVING. HABILITATIVE SERVICES SHALL INCLUDE BUT IS NOT LIMITED TO PHYS- ICAL AND OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, AND SERVICES FOR PEOPLE WITH DISABILITIES IN A VARIETY OF INPATIENT AND/OR OUTPATIENT SETTINGS. (8) "RECONSTRUCTIVE SERVICES" MEANS PROCEDURES OR SURGERY THAT ARE PERFORMED TO TREAT STRUCTURES OF THE BODY AFFECTED AESTHETICALLY OR FUNCTIONALLY BY CONGENITAL ANOMALIES, DEVELOPMENTAL ABNORMALITIES, TRAU- MA, INFECTION, TUMORS, OR DISEASE. RECONSTRUCTIVE SERVICES ARE INTENDED TO IMPROVE FUNCTION AND ABILITY, AND MAY ALSO BE PERFORMED TO ACHIEVE A MORE TYPICAL APPEARANCE OF THE AFFECTED STRUCTURE. (9) "DEVIATION" MEANS AN ANOMALY THAT IMPAIRS THE FUNCTION OF THE BODY AND INCLUDES BUT IS NOT LIMITED TO THE CONDITIONS OF CLEFT LIP, CLEFT PALATE, WEBBED FINGERS OR TOES, SUPERNUMERARY TOES OR FINGERS, CRANIOFA- EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
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