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STATE OF NEW YORK
________________________________________________________________________

6798

2011-2012 Regular Sessions

IN ASSEMBLY

March 31, 2011
___________

Introduced  by  M.  of  A.  WEISENBERG  -- read once and referred to the
  Committee on Insurance

AN ACT to amend the insurance law, in relation to requiring coverage for
  hospitalization and anesthesia services related to  the  provision  of
  dental services

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. The insurance law is amended by adding a new  section  3240
to read as follows:
  S  3240.  PAYMENT FOR ANESTHESIA AND HOSPITALIZATION RELATED TO DENTAL
SERVICES. ANY HEALTH INSURANCE AUTHORIZED PURSUANT TO PARAGRAPH THREE OF
SUBSECTION (A) OF SECTION ONE THOUSAND  ONE  HUNDRED  THIRTEEN  OF  THIS
CHAPTER  SHALL  COVER  ANESTHESIA  AND  HOSPITAL CHARGES FOR DENTAL CARE
PROVIDED TO A COVERED PERSON WHO: (A) IS UNDER EIGHTEEN YEARS OF AGE; OR
(B) IS SEVERELY DISABLED; OR (C) HAS A MEDICAL CONDITION  THAT  REQUIRES
GENERAL  ANESTHESIA  OR  HOSPITALIZATION  FOR  THE  PROVISION  OF DENTAL
SERVICES. THE COVERAGE REQUIRED BY THIS SECTION MAY BE MADE  SUBJECT  TO
PROVISIONS  THAT  APPLY  TO OTHER BENEFITS, INCLUDING BUT NOT LIMITED TO
DEDUCTIBLES AND COINSURANCE. A HEALTH INSURER MAY REQUIRE PRIOR AUTHORI-
ZATION FOR HOSPITALIZATION FOR DENTAL CARE IN THE SAME MANNER  AS  WOULD
BE  REQUIRED FOR OTHER COVERED MEDICAL CONDITIONS. WHEN SERVICES DEFINED
IN THIS SECTION ARE PROVIDED BY A DENTIST ACTING WITHIN THE LAWFUL SCOPE
OF HIS OR HER LICENSE, BENEFITS SHALL BE PROVIDED AT THE SAME LEVELS AND
UNDER THE SAME TERMS WHETHER PROVIDED BY A PHYSICIAN OR DENTIST.
  S 2. This act shall take effect immediately.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD04199-01-1