Assembly Bill A6206

2017-2018 Legislative Session

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

download bill text pdf

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Archive: Last Bill Status - In Assembly 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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2017-A6206 (ACTIVE) - Details

See Senate Version of this Bill:
S3345
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221, 4303 & 4322, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A10450, S8326
2011-2012: A4492, S3270
2013-2014: A5282, S3321
2015-2016: A3732, S2043
2019-2020: A5053, S2305
2021-2022: A1831, S3386
2023-2024: A1500, S1234

2017-A6206 (ACTIVE) - Summary

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

2017-A6206 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6206
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 27, 2017
                                ___________
 
 Introduced  by  M. of A. MOYA -- read once and referred 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 amended by chapter 388 of the laws of 2013, 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,  whether administered orally or via tube feeding, 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 AND  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  disorders,  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, inher-
 ited diseases of amino acid or organic acid metabolism; Crohn's Disease;
 gastroesophageal reflux with failure to thrive; disorders  of  gastroin-
 testinal  motility  such  as  chronic intestinal pseudo-obstruction; and
 multiple, severe food allergies which if left untreated will cause maln-
 ourishment, chronic physical disability, mental  retardation  or  death.
 Enteral,  INFANT  AND  BABY  formulas  which are medically necessary and
 taken under written order from a physician for the treatment of specific
 diseases shall be distinguished from nutritional supplements taken elec-
 tively. Coverage for certain inherited diseases of amino acid and organ-
 ic acid metabolism shall include modified solid food products  that  are
 low protein or which contain modified protein which are medically neces-
 sary,  and  such  coverage for such modified solid food products for any
              

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