Bill S1709B-2013

Requires insurance coverage for the influenza vaccine in certain circumstances

Requires insurance coverage for the influenza vaccine when such vaccine is administered in an elementary or secondary school.

Details

Actions

  • Jan 8, 2014: REFERRED TO INSURANCE
  • Jun 12, 2013: PRINT NUMBER 1709B
  • Jun 12, 2013: AMEND AND RECOMMIT TO INSURANCE
  • Jan 15, 2013: PRINT NUMBER 1709A
  • Jan 15, 2013: AMEND (T) AND RECOMMIT TO INSURANCE
  • Jan 9, 2013: REFERRED TO INSURANCE

Memo

BILL NUMBER:S1709B

TITLE OF BILL: An act to amend the insurance law, in relation to requiring insurance coverage for the influenza vaccine in certain circumstances

PURPOSE: This bill would provide that health insurance policies that cover influenza vaccine and its administration would provide coverage when such vaccine is administered outside of a physician's office at a primary or secondary school.

SUMMARY OF SPECIFIC PROVISIONS: Section 1 amends Subsection (i) of Section 3216 of the Insurance Law by adding a new paragraph 17-a to provide for coverage of influenza vaccine and its administration at primary or secondary schools authorized under current law when a health insurance plan includes coverage of influenza and its administration under the policy.

Section 2 amends Subsection (1) of Section 3221 of the Insurance Law by adding a new paragraph 8-a to provide for coverage of influenza vaccine and its administration at primary or secondary schools authorized under current law when a health insurance plan includes coverage of influenza and its administration under the policy.

Section 3 amends Section 4303 of the Insurance Law by adding a new subsection (k-a) to provide for coverage of influenza vaccine and its administration at primary and secondary schools authorized under current law when a health insurance plan includes coverage of influenza and its administration under the policy.

Section 4 provides that the act shall take effect 60 days after it shall have become law.

JUSTIFICATION: Influenza is a contagious respiratory illness that causes, on average, over 200,000 people in the US to be hospitalized each year, and over 36,000 people (primarily elderly) to die from related complications. The best way to help prevent seasonal influenza is by getting a vaccination each year. The Centers for Disease Control and Prevention (CDC) recommends annual seasonal influenza vaccination for all eligible persons, including children aged 6 months through 18 years of age. Unfortunately, vaccination rates for school-aged children 5 to 17 years of age remain very low, with only 35% of high risk children vaccinated and 25% of healthy children receiving the vaccine.

Increasing the vaccination rates of children is critical to protecting their health and preventing the spread of the virus to vulnerable individuals in the community such as the elderly and those with comprised immune systems. Children and young adults are three to four times more likely to be infected with influenza. They are the major vectors fox transmitting the virus to adults and elderly persons in the community.

Conducting influenza vaccination programs on-site in the schools has been shown to be an effective method of increasing vaccination rates. Studies show that mass vaccination programs in schools also help to reduce student absences and increase adult workdays.

This bill would facilitate the implementation of school-based influenza programs by providing insurance coverage for influenza vaccine and its administration at off-site locations such as schools. The bill only applies to insurance policies that already provide coverage for this benefit. Establishment of a school-located infrastructure for routine school influenza would enhance the public health and the State's pandemic preparedness.

PRIOR LEGISLATIVE HISTORY: None.

FISCAL IMPLICATIONS: None to the State.

EFFECTIVE DATE: This act shall take effect on the sixtieth day after it becomes law.


Text

STATE OF NEW YORK ________________________________________________________________________ 1709--B 2013-2014 Regular Sessions IN SENATE (PREFILED) January 9, 2013 ___________
Introduced by Sen. GRISANTI -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the insurance law, in relation to requiring insurance coverage for the influenza vaccine in certain circumstances 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 17-a to read as follows: (17-A) EVERY POLICY DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE THAT PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR COMPREHENSIVE-TYPE COVERAGE AND PROVIDES COVERAGE FOR IMMUNIZING AGENTS TO PREVENT INFLUEN- ZA SHALL PROVIDE COVERAGE FOR INFLUENZA VACCINE AND ITS ADMINISTRATION WHEN SUCH VACCINE IS ADMINISTERED IN AN ELEMENTARY OR SECONDARY SCHOOL. COVERAGE SHALL BE PROVIDED FOR IMMUNIZING AGENTS TO PREVENT INFLUENZA THAT ARE PRESCRIBED AND ADMINISTERED IN ACCORDANCE WITH STANDARDS AND REQUIREMENTS SET FORTH IN THE EDUCATION LAW OR ANY OTHER APPLICABLE LAW OR RULE. S 2. Subsection (l) of section 3221 of the insurance law is amended by adding a new paragraph 8-a to read as follows: (8-A) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE THAT PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR COMPRE- HENSIVE-TYPE COVERAGE AND PROVIDES COVERAGE FOR IMMUNIZING AGENTS TO PREVENT INFLUENZA SHALL PROVIDE COVERAGE FOR INFLUENZA VACCINE AND ITS ADMINISTRATION WHEN SUCH VACCINE IS ADMINISTERED IN AN ELEMENTARY OR SECONDARY SCHOOL. COVERAGE SHALL BE PROVIDED FOR IMMUNIZING AGENTS TO PREVENT INFLUENZA THAT ARE PRESCRIBED AND ADMINISTERED IN ACCORDANCE
WITH STANDARDS AND REQUIREMENTS SET FORTH IN THE EDUCATION LAW OR ANY OTHER APPLICABLE LAW OR RULE. S 3. Section 4303 of the insurance law is amended by adding a new subsection (k-1) to read as follows: (K-1) EVERY POLICY ISSUED BY A MEDICAL EXPENSE INDEMNITY CORPORATION, A HOSPITAL SERVICE CORPORATION OR A HEALTH SERVICE CORPORATION FOR DELIVERY IN THIS STATE THAT PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR COMPREHENSIVE-TYPE COVERAGE FOR IMMUNIZING AGENTS TO PREVENT INFLUENZA SHALL PROVIDE COVERAGE FOR INFLUENZA VACCINE AND ITS ADMINISTRATION WHEN SUCH VACCINE IS ADMINISTERED IN AN ELEMENTARY OR SECONDARY SCHOOL. COVERAGE SHALL BE PROVIDED FOR IMMUNIZING AGENTS TO PREVENT INFLUENZA THAT ARE PRESCRIBED AND ADMINISTERED IN ACCORDANCE WITH STANDARDS AND REQUIREMENTS SET FORTH IN THE EDUCATION LAW OR ANY OTHER APPLICABLE LAW OR RULE. S 4. This act shall take effect on the sixtieth day after it shall have become a law.

Comments

Open Legislation comments facilitate discussion of New York State legislation. All comments are subject to moderation. Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity or hate speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Comment moderation is generally performed Monday through Friday.

By contributing or voting you agree to the Terms of Participation and verify you are over 13.

Discuss!

blog comments powered by Disqus