Senate Bill S3321

2013-2014 Legislative Session

Requires certain health insurance policies to include coverage for the cost of certain infant and baby formulas

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Sponsored By

Archive: Last Bill Status - In Senate Committee Insurance 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

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2013-S3321 (ACTIVE) - Details

See Assembly Version of this Bill:
A5282
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221, 4303 & 4322, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: S8326, A10450
2011-2012: S3270, A4492
2015-2016: S2043, A3732
2017-2018: S3345, A6206, A10576
2019-2020: S2305, A5053
2021-2022: S3386, A1831
2023-2024: S1234, A1500

2013-S3321 (ACTIVE) - Summary

Requires certain health insurance policies to include coverage for the cost of certain infant and baby formulas.

2013-S3321 (ACTIVE) - Sponsor Memo

2013-S3321 (ACTIVE) - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  3321

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                            January 31, 2013
                               ___________

Introduced  by  Sens. HASSELL-THOMPSON, MONTGOMERY, PARKER -- read twice
  and ordered printed, and when printed to be committed to the Committee
  on Insurance

AN ACT to amend the insurance law,  in  relation  to  requiring  certain
  health  insurance policies to include coverage for the cost of certain
  infant and baby formulas

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

  Section  1.  Paragraph  21  of  subsection  (i) of section 3216 of the
insurance law, as added by chapter 177 of the laws of 1997,  is  amended
to read as follows:
  (21) Every policy which provides coverage for prescription drugs shall
include  coverage  for the cost of enteral, INFANT AND BABY formulas for
home use for which a physician or other licensed  health  care  provider
legally  authorized  to prescribe under title eight of the education law
has issued a written order. Such written  order  shall  state  that  the
enteral,  INFANT  OR BABY formula is clearly medically necessary and has
been proven effective as a disease-specific treatment regimen for  those
individuals  who  are  or will become malnourished or suffer from disor-
ders, which if left untreated, cause chronic physical disability, mental
retardation or death. Specific diseases for which  enteral,  INFANT  AND
BABY  formulas  have  been  proven  effective shall include, but are not
limited to, inherited diseases of amino acid or organic acid metabolism;
Crohn's Disease; gastroesophageal reflux with failure to thrive;  disor-
ders  of gastrointestinal motility such as chronic intestinal pseudo-ob-
struction; and multiple, severe food allergies which if  left  untreated
will  cause malnourishment, chronic physical disability, mental retarda-
tion or death. Enteral, INFANT AND BABY  formulas  which  are  medically
necessary  and taken under written order from a physician for the treat-
ment of  specific  diseases  shall  be  distinguished  from  nutritional
supplements taken electively. Coverage for certain inherited diseases of

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD03064-01-3
              

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