Assembly Bill A10322

2015-2016 Legislative Session

Relates to mandatory health insurance coverage for acupuncture services

download bill text pdf

Sponsored By

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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2015-A10322 (ACTIVE) - Details

See Senate Version of this Bill:
S8011
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3216 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2017-2018: A6103, S7636
2019-2020: A2925, S4560
2021-2022: A3165, S5071
2023-2024: A6913, S6038

2015-A10322 (ACTIVE) - Summary

Relates to mandatory health insurance coverage for acupuncture services.

2015-A10322 (ACTIVE) - Bill Text download pdf 

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

                                  10322

                          I N  A S S E M B L Y

                              May 20, 2016
                               ___________

Introduced by M. of A. KIM -- read once and referred to the Committee on
  Insurance

AN  ACT  to  amend  the  insurance  law, in relation to mandatory health
  insurance coverage for acupuncture services

  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 33 to read as follows:
  (33) EVERY POLICY ISSUED WITHIN THE  HEALTH  BENEFIT  EXCHANGE  ESTAB-
LISHED  PURSUANT TO SECTION 1311 OF THE AFFORDABLE CARE ACT, 42 U.S.C. S
18031, SHALL PROVIDE COVERAGE FOR ACUPUNCTURE TREATMENT  AS  DEFINED  IN
SECTION  EIGHT THOUSAND TWO HUNDRED ELEVEN OF THE EDUCATION LAW PROVIDED
BY AN INDIVIDUAL LICENSED, AUTHORIZED, OR CERTIFIED PURSUANT TO  ARTICLE
ONE  HUNDRED  SIXTY OF THE EDUCATION LAW. HOWEVER, ACUPUNCTURE TREATMENT
AND SERVICES MAY BE SUBJECT TO  REASONABLE  DEDUCTIBLE,  CO-PAYMENT  AND
CO-INSURANCE  AMOUNT,  REASONABLE  FEE OR BENEFIT LIMITS, AND REASONABLE
UTILIZATION REVIEW, PROVIDED THAT ANY SUCH  AMOUNTS,  LIMITS  OR  REVIEW
SHALL  BE NO GREATER THAN OTHER ESSENTIAL HEALTH BENEFITS COVERED BY THE
POLICY AND PROVIDED FURTHER THAT ANY SUCH  AMOUNTS,  LIMITS,  OR  REVIEW
SHALL  NOT  FUNCTION  TO  DIRECT  TREATMENT  IN  A MANNER DISCRIMINATIVE
AGAINST ACUPUNCTURE TREATMENT. NOTHING  HEREIN  SHALL  BE  CONSTRUED  AS
IMPENDING  OR PREVENTING EITHER THE PROVISION OR COVERAGE OF ACUPUNCTURE
TREATMENT AND SERVICES BY  DULY  LICENSED  OR  CERTIFIED  ACUPUNCTURIST,
WITHIN  THE  LAWFUL  SCOPE  OF  THE PRACTICE OF ACUPUNCTURE, IN HOSPITAL
FACILITIES ON A STAFF OR EMPLOYEE BASIS.
  S 2. Section 4303 of the insurance law is  amended  by  adding  a  new
subsection (qq) to read as follows:
  (QQ)  EVERY  POLICY  ISSUED  WITHIN THE HEALTH BENEFIT EXCHANGE ESTAB-
LISHED PURSUANT TO SECTION 1311 OF THE AFFORDABLE CARE ACT, 42 U.S.C.  S
18031,  SHALL  PROVIDE  COVERAGE FOR ACUPUNCTURE TREATMENT AS DEFINED IN
SECTION EIGHT THOUSAND TWO HUNDRED ELEVEN OF THE EDUCATION LAW  PROVIDED
BY  AN INDIVIDUAL LICENSED, AUTHORIZED, OR CERTIFIED PURSUANT TO ARTICLE
ONE HUNDRED SIXTY OF THE EDUCATION LAW. HOWEVER,  ACUPUNCTURE  TREATMENT
AND  SERVICES  MAY  BE  SUBJECT TO REASONABLE DEDUCTIBLE, CO-PAYMENT AND

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

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