S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   10505
 
                           I N  A S S E M B L Y
 
                                May 1, 2018
                                ___________
 
 Introduced  by M. of A. SOLAGES -- read once and referred to the Commit-
   tee on Insurance
 
 AN ACT to amend the insurance  law,  in  relation  to  requiring  health
   insurance  policies to include coverage for doula services as required
   coverage for maternity care
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1. Item (i) of subparagraph (A) of paragraph 10 of subsection
 (i) of section 3216 of the insurance law, as amended by chapter  238  of
 the laws of 2010, is amended to read as follows:
   (i) Every policy which provides hospital, surgical or medical coverage
 shall  provide coverage for maternity care, including hospital, surgical
 or medical care to the same extent that hospital,  surgical  or  medical
 coverage  is  provided  for  illness  or  disease under the policy. Such
 maternity care coverage,  other  than  coverage  for  perinatal  compli-
 cations,  shall  include  inpatient hospital coverage for mother and for
 newborn for at least forty-eight hours after childbirth for any delivery
 other than a caesarean section, and for at least ninety-six hours  after
 a  caesarean section. Such coverage for maternity care shall include the
 services of a DOULA AND THE SERVICES OF A midwife licensed  pursuant  to
 article  one  hundred  forty of the education law, practicing consistent
 with section sixty-nine hundred  fifty-one  of  the  education  law  and
 affiliated  or practicing in conjunction with a facility licensed pursu-
 ant to article twenty-eight of the public health  law,  but  no  insurer
 shall  be  required  to  pay  for  duplicative routine services actually
 provided by both a licensed midwife and a physician.
   § 2. Item (i) of subparagraph (A) of paragraph 5 of subsection (k)  of
 section 3221 of the insurance law, as amended by chapter 238 of the laws
 of 2010, is amended to read as follows:
   (i)  Every group or blanket policy delivered or issued for delivery in
 this state which provides hospital, surgical or medical  coverage  shall
 include  coverage  for  maternity  care, including hospital, surgical or
 medical care to the same extent that coverage is provided for illness or
 disease under the policy.  Such  maternity  care  coverage,  other  than
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
              

                       [ ] is old law to be omitted.
                                                            LBD15553-01-8

 A. 10505                            2
 
 coverage  for  perinatal complications, shall include inpatient hospital
 coverage for mother and newborn for at  least  forty-eight  hours  after
 childbirth  for  any delivery other than a caesarean section, and for at
 least  ninety-six  hours  after  a  caesarean section. Such coverage for
 maternity care shall include the services of a DOULA AND THE SERVICES OF
 A midwife licensed pursuant to article one hundred forty of  the  educa-
 tion  law,  practicing consistent with section sixty-nine hundred fifty-
 one of the education law and affiliated  or  practicing  in  conjunction
 with  a facility licensed pursuant to article twenty-eight of the public
 health law, but no insurer shall be  required  to  pay  for  duplicative
 routine  services  actually  provided  by  both a licensed midwife and a
 physician.
   § 3. Subparagraph (A) of paragraph 1 of subsection (c) of section 4303
 of the insurance law, as amended by chapter 238 of the laws of 2010,  is
 amended to read as follows:
   (A)  Every  contract issued by a corporation subject to the provisions
 of this article which provides hospital service, medical expense  indem-
 nity  or both shall provide coverage for maternity care including hospi-
 tal, surgical or medical care to the same extent that hospital  service,
 medical  expense  indemnity  or both are provided for illness or disease
 under the contract. Such maternity care coverage,  other  than  coverage
 for  perinatal  complications, shall include inpatient hospital coverage
 for mother and for newborn for at least forty-eight hours  after  child-
 birth  for any delivery other than a caesarean section, and for at least
 ninety-six hours following a caesarean section. Such coverage for mater-
 nity care shall include the services of a DOULA AND THE  SERVICES  OF  A
 midwife  licensed pursuant to article one hundred forty of the education
 law, practicing consistent with section sixty-nine hundred fifty-one  of
 the  education  law  and  affiliated or practicing in conjunction with a
 facility licensed pursuant to article twenty-eight of the public  health
 law,  but  no  insurer  shall be required to pay for duplicative routine
 services actually provided by both a licensed midwife and a physician.
   § 4. This act shall take effect on the one hundred eightieth day after
 it shall have become a law and shall apply to all policies and contracts
 issued, renewed, modified, altered or amended on  or  after  such  date.
 Effective  immediately  the addition, amendment or repeal of any rule or
 regulation necessary for the implementation of this act on its effective
 date are authorized to be made on or before such date.