Assembly Bill A8653

2021-2022 Legislative Session

Requires insurance coverage for lactation consultant services

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Insurance 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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2021-A8653 (ACTIVE) - Details

See Senate Version of this Bill:
S8239
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2023-2024 Legislative Session:
A3980, S7126

2021-A8653 (ACTIVE) - Summary

Requires insurance coverage for lactation consultant services by professionally certified counselors who evaluate and manage lactation and infant feeding problems and provide preventative clinical consulting to prevent or minimize the occurrence of potential problems.

2021-A8653 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8653
 
                           I N  A S S E M B L Y
 
                             January 10, 2022
                                ___________
 
 Introduced  by M. of A. JACKSON -- read once and referred to the Commit-
   tee on Insurance
 
 AN ACT to amend the insurance law, in relation  to  requiring  insurance
   coverage for lactation consultant 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 36 to read as follows:
   (36)  EVERY  POLICY  THAT  PROVIDES COVERAGE FOR HOSPITAL, SURGICAL OR
 MEDICAL CARE SHALL PROVIDE OUTPATIENT COVERAGE FOR LACTATION  CONSULTANT
 SERVICES.    COVERAGE  PROVIDED  UNDER  THIS PARAGRAPH MAY BE SUBJECT TO
 ANNUAL DEDUCTIBLES AND CO-INSURANCE AS DEEMED APPROPRIATE BY THE  SUPER-
 INTENDENT  AND  THAT ARE CONSISTENT WITH THOSE IMPOSED ON OTHER BENEFITS
 WITHIN A GIVEN POLICY. FOR THE PURPOSES OF  THIS  PARAGRAPH,  "LACTATION
 CONSULTANT"  SHALL  MEAN A PROFESSIONALLY CERTIFIED COUNSELOR WHO EVALU-
 ATES AND MANAGES LACTATION AND  INFANT  FEEDING  PROBLEMS  AND  PROVIDES
 PREVENTIVE  CLINICAL CONSULTING TO PREVENT OR MINIMIZE THE OCCURRENCE OF
 POTENTIAL PROBLEMS.
   § 2. Subsection (k) of section 3221 of the insurance law is amended by
 adding a new paragraph 22 to read as follows:
   (22) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED FOR DELIVERY IN
 THIS STATE THAT PROVIDES COVERAGE FOR HOSPITAL, SURGICAL OR MEDICAL CARE
 SHALL PROVIDE SUCH COVERAGE FOR LACTATION CONSULTANT SERVICES.  FOR  THE
 PURPOSES  OF THIS PARAGRAPH, "LACTATION CONSULTANT" SHALL MEAN A PROFES-
 SIONALLY CERTIFIED COUNSELOR WHO EVALUATES  AND  MANAGES  LACTATION  AND
 INFANT  FEEDING  PROBLEMS AND PROVIDES PREVENTIVE CLINICAL CONSULTING TO
 PREVENT OR MINIMIZE THE OCCURRENCE OF POTENTIAL PROBLEMS.
   § 3. Section 4303 of the insurance law is  amended  by  adding  a  new
 subsection (ss) to read as follows:
   (SS)  A  MEDICAL  EXPENSE  INDEMNITY  CORPORATION,  A HOSPITAL SERVICE
 CORPORATION OR A HEALTH SERVICE CORPORATION THAT PROVIDES  COVERAGE  FOR
 HOSPITAL,  SURGICAL  OR  MEDICAL  CARE  SHALL  PROVIDE SUCH COVERAGE FOR
 LACTATION CONSULTANT SERVICES. FOR  THE  PURPOSES  OF  THIS  SUBSECTION,
 "LACTATION  CONSULTANT"  SHALL MEAN A PROFESSIONALLY CERTIFIED COUNSELOR
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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