S T A T E O F N E W Y O R K
________________________________________________________________________
11627
I N A S S E M B L Y
July 29, 2026
___________
Introduced by COMMITTEE ON RULES -- (at request of M. of A. Paulin,
Jensen) -- read once and referred to the Committee on Insurance
AN ACT to amend the insurance law, in relation to coverage for the
treatment of ameloblastoma
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subsection (i) of section 3216 of the insurance law is
amended by adding a new paragraph 42 to read as follows:
(42) (A) EVERY POLICY WHICH PROVIDES PHYSICIAN SERVICES, MEDICAL,
MAJOR MEDICAL OR SIMILAR COMPREHENSIVE-TYPE COVERAGE SHALL PROVIDE
COVERAGE FOR MEDICALLY NECESSARY SERVICES FOR THE TREATMENT OF AMELOB-
LASTOMA, WHICH SHALL INCLUDE BUT NOT BE LIMITED TO DENTAL IMPLANTS AND
IMPLANT-RELATED SERVICES FOR INSUREDS WHO HAVE EXPERIENCED TOOTH LOSS OR
REMOVAL AS PART OF TREATMENT FOR AMELOBLASTOMA.
(B) EVERY POLICY WHICH PROVIDES COVERAGE OR REIMBURSEMENT FOR DENTAL
SERVICES SHALL PROVIDE COVERAGE OR REIMBURSEMENT FOR MEDICALLY NECESSARY
DENTAL SERVICES FOR THE TREATMENT OF AMELOBLASTOMA, WHICH SHALL INCLUDE
BUT NOT BE LIMITED TO DENTAL IMPLANTS AND IMPLANT-RELATED SERVICES FOR
INSUREDS WHO HAVE EXPERIENCED TOOTH LOSS OR REMOVAL AS PART OF TREATMENT
FOR AMELOBLASTOMA.
(C) NOTHING IN THIS PARAGRAPH SHALL BE CONSTRUED TO PREVENT COVERAGE
FOR THOSE WHO HAVE BEEN DIAGNOSED WITH AMELOBLASTOMA PRIOR TO THE ENACT-
MENT OF THIS PARAGRAPH AND ARE SEEKING DENTAL IMPLANTS AND IMPLANT-RE-
LATED SERVICES DUE TO TOOTH LOSS OR REMOVAL CAUSED BY AMELOBLASTOMA.
§ 2. Subsection (l) of section 3221 of the insurance law is amended by
adding a new paragraph 24 to read as follows:
(24) (A) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED FOR DELIV-
ERY IN THIS STATE WHICH PROVIDES MAJOR MEDICAL OR SIMILAR COMPREHEN-
SIVE-TYPE COVERAGE SHALL PROVIDE COVERAGE FOR MEDICALLY NECESSARY
SERVICES FOR THE TREATMENT OF AMELOBLASTOMA, WHICH SHALL INCLUDE BUT NOT
BE LIMITED TO DENTAL IMPLANTS AND IMPLANT-RELATED SERVICES FOR INSUREDS
WHO HAVE EXPERIENCED TOOTH LOSS OR REMOVAL AS PART OF TREATMENT FOR
AMELOBLASTOMA.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD16067-03-6
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