Assembly Bill A7953

2023-2024 Legislative Session

Relates to including certain out of home services such as transition from a hospital, nursing facility or other institutional setting to the home within home care insurance coverage

download bill text pdf

Sponsored By

Current 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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2023-A7953 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A7706
2017-2018: A54
2019-2020: A408
2021-2022: A380

2023-A7953 (ACTIVE) - Summary

Includes certain out of home services such as transition from a hospital, nursing facility or other institutional setting to the home within home care insurance coverage.

2023-A7953 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7953
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              August 18, 2023
                                ___________
 
 Introduced  by M. of A. SIMON -- read once and referred to the Committee
   on Insurance
 
 AN ACT to amend the insurance law, in relation to including certain  out
   of  home services such as transition from a hospital, nursing facility
   or other institutional setting to the home within home care  insurance
   coverage

   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subparagraphs (C), (D) and (E) of paragraph 1 of subsection
 (k) of section 3221 of the insurance law, subparagraphs (C) and  (D)  as
 amended  by  chapter  557  of  the  laws of 2000, are amended to read as
 follows:
   (C) Home care means the care and treatment of a covered person who  is
 under  the  care  of  a  physician  [but  only  if] AND WHO REQUIRES THE
 SERVICES OF AN AGENCY DESCRIBED IN SUBPARAGRAPH (D)  OF  THIS  PARAGRAPH
 FOR: TRANSITION OF THE COVERED PERSON FROM HOSPITAL, NURSING FACILITY OR
 OTHER INSTITUTIONAL SETTING TO HOME; REHABILITATION, RECOVERY OR MEDICAL
 MANAGEMENT  OF  THE  COVERED PERSON AT HOME FOLLOWING HOSPITALIZATION OR
 FOLLOWING CARE IN A NURSING FACILITY OR OTHER INSTITUTIONAL SETTING;  OR
 MEDICAL MANAGEMENT OF A CONDITION PREDISPOSING THE COVERED INDIVIDUAL TO
 hospitalization  [or],  confinement in a nursing facility [as defined in
 subchapter XVIII of the federal Social Security Act, 42 U.S.C.  §§  1395
 et  seq,  would otherwise have been required] OR THE NEED FOR OTHER OUT-
 OF-HOME SERVICES OTHERWISE COVERED UNDER THE CONTRACT if home care [was]
 IS not provided, and the plan covering the home health service is estab-
 lished and approved in writing by such physician.
   (D) Home care shall be  provided  by  an  agency  possessing  a  valid
 certificate of approval or license issued pursuant to article thirty-six
 of the public health law and shall consist of one or more of the follow-
 ing:
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD09346-01-3
 A. 7953                             2
              

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