senate Bill S7709

2019-2020 Legislative Session

Enacts the "Give Kids a Chance - Carter's Law"; mandates health insurance coverage for congenital anomalies

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Sponsored By

Current Bill Status - In Senate Committee Insurance Committee


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Feb 10, 2020 referred to insurance

Co-Sponsors

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S7709 (ACTIVE) - Details

See Assembly Version of this Bill:
A8890
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 4235, 4304 & 4305, Ins L

S7709 (ACTIVE) - Summary

Enacts the "Give Kids a Chance - Carter's Law" mandating health insurance coverage for congenital anomalies including certain reconstructive services, habilitative services, and inpatient and outpatient services.

S7709 (ACTIVE) - Sponsor Memo

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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