Assembly Bill A1053

2015-2016 Legislative Session

Requires major medical or similar comprehensive-type coverage insurance policies to cover cranial prostheses worn for certain permanent or temporary hair loss

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-A1053 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A3821
2011-2012: A3351
2013-2014: A2173

2015-A1053 (ACTIVE) - Summary

Requires major medical or similar comprehensive-type coverage insurance policies to cover the purchase of cranial prostheses worn for permanent or temporary hair loss resulting from accident, injury or disease, or the treatment of such conditions and prescribed by the treating physician or other licensed health care provider legally authorized to prescribe under title eight of the education law.

2015-A1053 (ACTIVE) - Bill Text download pdf

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

                                  1053

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                             January 8, 2015
                               ___________

Introduced  by  M. of A. CYMBROWITZ, GALEF, COLTON -- Multi-Sponsored by
  -- M. of A. HOOPER -- read once  and  referred  to  the  Committee  on
  Insurance

AN  ACT  to amend the insurance law, in relation to requiring individual
  and group or blanket accident or health insurance policies and  hospi-
  tal  service  corporations,  health  service corporations, and medical
  indemnity corporations, which provide hospital,  surgical  or  medical
  coverage  to  include  coverage for the purchase of cranial prostheses
  when prescribed as medically necessary

  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 32 to read as follows:
  (32) (A) EVERY INDIVIDUAL POLICY WHICH PROVIDES MAJOR MEDICAL OR SIMI-
LAR COMPREHENSIVE-TYPE COVERAGE SHALL INCLUDE COVERAGE FOR THE  PURCHASE
OF CRANIAL PROSTHESES WORN FOR PERMANENT OR TEMPORARY HAIR LOSS SUFFERED
AS  A  RESULT  OF  ACCIDENT, INJURY OR DISEASE, OR THE TREATMENT OF SUCH
CONDITIONS, PROVIDED THAT  THE  TREATING  PHYSICIAN  OR  OTHER  LICENSED
HEALTH  CARE  PROVIDER LEGALLY AUTHORIZED TO PRESCRIBE UNDER TITLE EIGHT
OF THE EDUCATION LAW ISSUES A WRITTEN ORDER FOR SUCH PURCHASE TO SIGNIFY
HIS OR HER OPINION THAT SUCH PURCHASE IS MEDICALLY NECESSARY TO  PROMOTE
THE  PATIENT'S  PHYSICAL  OR  PSYCHOLOGICAL WELL-BEING OR TO PROMOTE THE
HEALING PROCESS.
  (B) SUCH COVERAGE MAY BE SUBJECT TO SUCH ANNUAL DEDUCTIBLES AND  COIN-
SURANCE  AS DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE CONSIST-
ENT WITH THOSE REQUIRED FOR OTHER  BENEFITS  UNDER  THE  POLICY.    SUCH
COVERAGE MAY BE LIMITED TO ONE CRANIAL PROSTHESIS PER COVERED PERSON FOR
THE LIFETIME OF THE POLICY.
  S 2. Subsection (k) of section 3221 of the insurance law is amended by
adding a new paragraph 20 to read as follows:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD05029-02-5

              

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