Bill S7893-2013

Relates to authorizing insurance coverage for equipment and supplies used for the treatment of ostomies

Relates to authorizing insurance coverage for equipment and supplies used for the treatment of ostomies.

Details

Actions

  • Jun 20, 2014: SUBSTITUTED BY A10140
  • Jun 18, 2014: ORDERED TO THIRD READING CAL.1590
  • Jun 17, 2014: REFERRED TO RULES

Votes

VOTE: COMMITTEE VOTE: - Rules - Jun 18, 2014
Ayes (23): Skelos, Libous, Bonacic, Carlucci, Farley, Flanagan, Hannon, Larkin, LaValle, Marcellino, Maziarz, Nozzolio, Seward, Valesky, Little, Stewart-Cousins, Breslin, Dilan, Hassell-Thompson, Krueger, Montgomery, Parker, Perkins
Ayes W/R (1): Gianaris
Excused (1): Espaillat

Memo

BILL NUMBER:S7893

TITLE OF BILL: An act to amend the insurance law, in relation to authorizing insurance coverage for equipment and supplies used for the treatment of ostomies

PURPOSE:

This bill would clarify the statutory requirement that every health insurer provide coverage for ostomy supplies.

SUMMARY OF PROVISIONS:

This chapter amendment would clarify that coverage for ostomy supplies shall be identical to coverage provided under the essential health benefits required under the Affordable Care Act.

JUSTIFICATION:

Ostomies are a lifelong health condition and require equipment and supplies that can become costly. The current law allows for the full coverage of equipment and supplies used to treat other chronic conditions, such as diabetes. This legislation seeks to require health insurers and health maintenance organizations to include full coverage of equipment and supplies used to treat ostomies, in order to ease some of the burden associated with this condition.

LEGISLATIVE HISTORY:

New bill

FISCAL IMPLICATIONS:

None to the State.

EFFECTIVE DATE:

On the same date and in the same manner as A8137-A/S5937-A of 2014.


Text

STATE OF NEW YORK ________________________________________________________________________ 7893 IN SENATE June 17, 2014 ___________
Introduced by Sen. VALESKY -- read twice and ordered printed, and when printed to be committed to the Committee on Rules AN ACT to amend the insurance law, in relation to authorizing insurance coverage for equipment and supplies used for the treatment of ostomies THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Paragraph 30 of subsection (i) of section 3216 of the insurance law, as added by a chapter of the laws of 2014, amending the insurance law relating to authorizing insurance coverage for equipment and supplies used for the treatment of ostomies, as proposed in legisla- tive bills numbers S.5937-A and A.8137-A, is amended to read as follows: (30) Every policy which provides medical coverage that includes cover- age for physician services in a physician's office and every policy which provides major medical or similar comprehensive-type coverage shall include coverage for [the following] equipment and supplies used for the treatment of ostomies, if [recommended or] prescribed by a physician or other licensed health care provider legally authorized to prescribe under title eight of the education law[: flanges, collection bags, clamps, irrigation devices, sanitizing products, ostomy rings and ostomy belts. In addition, the commissioner of the department of health shall provide and periodically update by rule or regulation a list of additional ostomy equipment and related supplies such as are medically necessary for the treatment of ostomies for which there shall also be coverage]. SUCH COVERAGE SHALL BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE AS DEEMED APPROPRIATE BY THE SUPERINTENDENT. THE COVERAGE REQUIRED BY THIS PARAGRAPH SHALL BE IDENTICAL TO, AND SHALL NOT ENHANCE OR INCREASE THE COVERAGE REQUIRED AS PART OF ESSENTIAL HEALTH BENEFITS AS REQUIRED PURSUANT TO SECTION 2707 (A) OF THE PUBLIC HEALTH SERVICES ACT 42 U.S.C. 300 GG-6(A). S 2. Paragraph 19 of subsection (k) of section 3221 of the insurance law, as added by a chapter of the laws of 2014, amending the insurance law relating to authorizing insurance coverage for equipment and supplies used for the treatment of ostomies, as proposed in legislative bills numbers S. 5937-A and A. 8137-A, is amended to read as follows:
(19) Every group or blanket accident and health insurance policy [issued] DELIVERED or issued for delivery in this state which provides medical coverage that includes coverage for physician services in a physician's office and every policy which provides major medical or similar comprehensive-type coverage shall include coverage for [the following] equipment and supplies used for the treatment of ostomies, if [recommended or] prescribed by a physician or other licensed health care provider legally authorized to prescribe under title eight of the educa- tion law[: flanges, collection bags, clamps, irrigation devices, sani- tizing products, ostomy rings and ostomy belts. In addition, the commis- sioner of the department of health shall provide and periodically update by rule or regulation a list of additional ostomy equipment and related supplies such as are medically necessary for the treatment of ostomies for which there shall also be coverage]. SUCH COVERAGE SHALL BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE AS DEEMED APPROPRIATE BY THE SUPERINTENDENT. THE COVERAGE REQUIRED BY THIS PARAGRAPH SHALL BE IDEN- TICAL TO, AND SHALL NOT ENHANCE OR INCREASE THE COVERAGE REQUIRED AS PART OF ESSENTIAL HEALTH BENEFITS AS REQUIRED PURSUANT TO SECTION 2707 (A) OF THE PUBLIC HEALTH SERVICES ACT 42 U.S.C. 300 GG-6(A). S 3. Subsection (u-1) of section 4303 of the insurance law, as added by a chapter of the laws of 2014, amending the insurance law relating to authorizing insurance coverage for equipment and supplies used for the treatment of ostomies, as proposed in legislative bills numbers S. 5937-A and A. 8137-A, is amended to read as follows: (u-1) A medical expense indemnity corporation or a health service corporation which provides medical coverage that includes coverage for physician services in a physician's office and every policy which provides major medical or similar comprehensive-type coverage shall include coverage for [the following] equipment and supplies used for the treatment of ostomies, if [recommended or] prescribed by a physician or other licensed health care provider legally authorized to prescribe under title eight of the education law[: flanges, collection bags, clamps, irrigation devices, sanitizing products, ostomy rings and ostomy belts. In addition, the commissioner of the department of health shall provide and periodically update by rule or regulation a list of addi- tional ostomy equipment and related supplies such as are medically necessary for the treatment of ostomies for which there shall also be coverage]. SUCH COVERAGE SHALL BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE AS DEEMED APPROPRIATE BY THE SUPERINTENDENT. THE COVERAGE REQUIRED BY THIS SUBSECTION SHALL BE IDENTICAL TO, AND SHALL NOT ENHANCE OR INCREASE THE COVERAGE REQUIRED AS PART OF ESSENTIAL HEALTH BENEFITS AS REQUIRED PURSUANT TO SECTION 2707(A) OF THE PUBLIC HEALTH SERVICES ACT 42 U.S.C. 300 GG-6(A). S 4. This act shall take effect on the same date and in the same manner as a chapter of the laws of 2014, amending the insurance law relating to authorizing insurance coverage for equipment and supplies used for the treatment of ostomies, as proposed in legislative bills numbers S. 5937-A and A. 8137-A, takes effect.

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