Bill A213-2011

Requires coverage of medical nutrition therapy by health and accident insurance policies

Requires all accident and health insurance policies to provide coverage of medical nutrition therapy; defines medical nutrition therapy to mean the nutritional diagnostic, therapy, and counseling services for the purpose of disease management which are furnished by a dietician or nutrition professional.

Details

Actions

  • Jan 4, 2012: referred to insurance
  • Jan 5, 2011: referred to insurance

Text

STATE OF NEW YORK ________________________________________________________________________ 213 2011-2012 Regular Sessions IN ASSEMBLY (PREFILED) January 5, 2011 ___________
Introduced by M. of A. ORTIZ, JACOBS, GALEF, SCHROEDER -- Multi-Spon- sored by -- M. of A. DESTITO, LIFTON, J. RIVERA, P. RIVERA, ROBINSON, WEISENBERG -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to making coverage for medical nutrition therapy applicable to insurance policies and contracts 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 28 to read as follows: (28) EVERY POLICY SHALL PROVIDE COVERAGE FOR ALL COSTS OF MEDICAL NUTRITION THERAPY, IF RECOMMENDED OR PRESCRIBED BY A PHYSICIAN. FOR PURPOSES OF THIS PARAGRAPH, "MEDICAL NUTRITION THERAPY" SHALL MEAN NUTRITIONAL DIAGNOSTIC, THERAPY, AND COUNSELING SERVICES FOR THE PURPOSE OF DISEASE MANAGEMENT WHICH ARE FURNISHED BY A DIETITIAN OR NUTRITION PROFESSIONAL CERTIFIED PURSUANT TO ARTICLE ONE HUNDRED FIFTY-SEVEN OF THE EDUCATION LAW. S 2. Subsection (l) of section 3221 of the insurance law is amended by adding a new paragraph 18 to read as follows: (18) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE WHICH PROVIDES HOSPITAL, SURGICAL OR MEDICAL COVERAGE SHALL PROVIDE COVERAGE FOR ALL COSTS OF MEDICAL NUTRITION THERAPY, IF RECOM- MENDED OR PRESCRIBED BY A PHYSICIAN. FOR PURPOSES OF THIS PARAGRAPH, "MEDICAL NUTRITION THERAPY" SHALL MEAN NUTRITIONAL DIAGNOSTIC, THERAPY, AND COUNSELING SERVICES FOR THE PURPOSE OF DISEASE MANAGEMENT WHICH ARE FURNISHED BY A DIETITIAN OR NUTRITION PROFESSIONAL CERTIFIED PURSUANT TO ARTICLE ONE HUNDRED FIFTY-SEVEN OF THE EDUCATION LAW. S 3. Section 4303 of the insurance law is amended by adding a new subsection (hh) to read as follows:
(HH) EVERY CONTRACT ISSUED BY A MEDICAL EXPENSE INDEMNITY CORPORATION, HOSPITAL SERVICE CORPORATION AND HEALTH SERVICE CORPORATION WHICH PROVIDES COVERAGE FOR MEDICAL, SURGICAL OR MAJOR MEDICAL CARE SHALL PROVIDE COVERAGE FOR ALL COSTS OF MEDICAL NUTRITION THERAPY, IF RECOM- MENDED OR PRESCRIBED BY A PHYSICIAN. FOR PURPOSES OF THIS SUBSECTION, "MEDICAL NUTRITION THERAPY" SHALL MEAN NUTRITIONAL DIAGNOSTIC, THERAPY, AND COUNSELING SERVICES FOR THE PURPOSE OF DISEASE MANAGEMENT WHICH ARE FURNISHED BY A DIETITIAN OR NUTRITION PROFESSIONAL CERTIFIED PURSUANT TO ARTICLE ONE HUNDRED FIFTY-SEVEN OF THE EDUCATION LAW. S 4. This act shall take effect on the one hundred twentieth day after it shall have become a law and shall apply to all policies and contracts issued, renewed, modified, altered or amended on or after such date; and provided further, that any rules and regulations necessary to implement the provisions of this act are authorized and directed to be promulgat- ed, amended or repealed on or before such effective date.

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