Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 05, 2022 |
referred to insurance |
Feb 05, 2021 |
print number 491a |
Feb 05, 2021 |
amend and recommit to insurance |
Jan 06, 2021 |
referred to insurance |
Assembly Bill A491A
2021-2022 Legislative Session
Sponsored By
ROSENTHAL L
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
Actions
Bill Amendments
co-Sponsors
Charles Lavine
N. Nick Perry
Fred Thiele
Angelo Santabarbara
multi-Sponsors
Charles Barron
Vivian Cook
Steven Cymbrowitz
2021-A491 - Details
- See Senate Version of this Bill:
- S4867
- Current Committee:
- Assembly Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2013-2014:
A8363, S3474
2015-2016: A436, S252
2017-2018: A2271, S4292
2019-2020: A2816, S3321
2023-2024: A1876
2021-A491 - Summary
Requires health insurance policies and contracts shall provide coverage for the diagnosis and treatment of lymphedema, both primary and secondary lymphedema; requires such coverage shall include benefits for equipment, supplies, devices, complex decongestive therapy and out-patient self-management training and education for the treatment of lymphedema, both primary and secondary lymphedema.
2021-A491 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 491 2021-2022 Regular Sessions I N A S S E M B L Y (PREFILED) January 6, 2021 ___________ Introduced by M. of A. L. ROSENTHAL, LAVINE, PERRY, THIELE, SANTABAR- BARA, FRONTUS -- Multi-Sponsored by -- M. of A. BARRON, COOK, CYMBROW- ITZ -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to requiring certain health insurance coverage for lymphedema THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Clause (ii) of subparagraph (A) of paragraph 20 of subsection (i) of section 3216 of the insurance law, as added by chapter 21 of the laws of 1997, is amended and a new clause (iii) is added to read as follows: (ii) surgery and reconstruction of the other breast to produce a symmetrical appearance; AND (III) PROSTHESES AND PHYSICAL COMPLICATIONS OF ALL STAGES OF MASTECTO- MY, INCLUDING LYMPHEDEMA; § 2. Subsection (i) of section 3216 of the insurance law is amended by adding two new paragraphs 36 and 37 to read as follows: (36) EVERY POLICY WHICH PROVIDES HOSPITAL, SURGICAL, MEDICAL OR MAJOR MEDICAL COVERAGE SHALL PROVIDE COVERAGE FOR THE DIFFERENTIAL DIAGNOSIS AND TREATMENT OF LYMPHEDEMA. SUCH COVERAGE SHALL INCLUDE, IN ADDITION TO BENEFITS FOR A COURSE OF MANUAL LYMPH DRAINAGE WHOSE FREQUENCY AND DURA- TION IS DETERMINED BY THE TREATING PHYSICIAN OR THERAPIST BASED ON MEDICAL NECESSITY AND NOT BASED ON PHYSICAL THERAPY AND REHABILITATION STANDARDS, BENEFITS FOR EQUIPMENT, SUPPLIES, DEVICES, COMPLEX DECONGES- TIVE THERAPY, AND OUT-PATIENT SELF-MANAGEMENT TRAINING AND EDUCATION FOR THE TREATMENT OF LYMPHEDEMA, IF PRESCRIBED BY A HEALTH CARE PROFESSIONAL LEGALLY AUTHORIZED TO PRESCRIBE OR PROVIDE SUCH ITEMS UNDER TITLE EIGHT OF THE EDUCATION LAW. LYMPHEDEMA THERAPY ADMINISTERED UNDER THIS SECTION SHALL BE ADMINISTERED ONLY BY A THERAPIST CERTIFIED TO PERFORM LYMPHEDEMA TREATMENT BY THE LYMPHOLOGY ASSOCIATION OF NORTH AMERICA EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
co-Sponsors
Charles Lavine
N. Nick Perry
Fred Thiele
Angelo Santabarbara
multi-Sponsors
Charles Barron
Vivian Cook
Steven Cymbrowitz
2021-A491A (ACTIVE) - Details
- See Senate Version of this Bill:
- S4867
- Current Committee:
- Assembly Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2013-2014:
A8363, S3474
2015-2016: A436, S252
2017-2018: A2271, S4292
2019-2020: A2816, S3321
2023-2024: A1876
2021-A491A (ACTIVE) - Summary
Requires health insurance policies and contracts shall provide coverage for the diagnosis and treatment of lymphedema, both primary and secondary lymphedema; requires such coverage shall include benefits for equipment, supplies, devices, complex decongestive therapy and out-patient self-management training and education for the treatment of lymphedema, both primary and secondary lymphedema.
2021-A491A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 491--A 2021-2022 Regular Sessions I N A S S E M B L Y (PREFILED) January 6, 2021 ___________ Introduced by M. of A. L. ROSENTHAL, LAVINE, PERRY, THIELE, SANTABAR- BARA, FRONTUS -- Multi-Sponsored by -- M. of A. BARRON, COOK, CYMBROW- ITZ -- read once and referred to the Committee on Insurance -- commit- tee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the insurance law, in relation to requiring certain health insurance coverage for lymphedema THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Clause (ii) of subparagraph (A) of paragraph 20 of subsection (i) of section 3216 of the insurance law, as added by chapter 21 of the laws of 1997, is amended and a new clause (iii) is added to read as follows: (ii) surgery and reconstruction of the other breast to produce a symmetrical appearance; AND (III) PROSTHESES AND PHYSICAL COMPLICATIONS OF ALL STAGES OF MASTECTO- MY, INCLUDING LYMPHEDEMA; § 2. Subsection (i) of section 3216 of the insurance law is amended by adding two new paragraphs 36 and 37 to read as follows: (36) EVERY POLICY WHICH PROVIDES HOSPITAL, SURGICAL, MEDICAL OR MAJOR MEDICAL COVERAGE SHALL PROVIDE COVERAGE FOR THE DIFFERENTIAL DIAGNOSIS AND TREATMENT OF LYMPHEDEMA, BOTH PRIMARY AND SECONDARY LYMPHEDEMA. SUCH COVERAGE SHALL INCLUDE, IN ADDITION TO BENEFITS FOR A COURSE OF MANUAL LYMPH DRAINAGE WHOSE FREQUENCY AND DURATION IS DETERMINED BY THE TREATING PHYSICIAN OR THERAPIST BASED ON MEDICAL NECESSITY AND NOT BASED ON PHYSICAL THERAPY AND REHABILITATION STANDARDS, BENEFITS FOR EQUIP- MENT, SUPPLIES, DEVICES, COMPLEX DECONGESTIVE THERAPY, AND OUT-PATIENT SELF-MANAGEMENT TRAINING AND EDUCATION FOR THE TREATMENT OF LYMPHEDEMA, IF PRESCRIBED BY A HEALTH CARE PROFESSIONAL LEGALLY AUTHORIZED TO PRESCRIBE OR PROVIDE SUCH ITEMS UNDER TITLE EIGHT OF THE EDUCATION LAW. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
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