Bill Text: NY A00877 | 2021-2022 | General Assembly | Introduced


Bill Title: Requires health insurance policies to cover costs for pediatric acute-onset neuropsychiatric syndrome rehabilitation treatment.

Spectrum: Moderate Partisan Bill (Democrat 9-2)

Status: (Introduced - Dead) 2022-01-05 - referred to insurance [A00877 Detail]

Download: New_York-2021-A00877-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                           877

                               2021-2022 Regular Sessions

                   IN ASSEMBLY

                                       (Prefiled)

                                     January 6, 2021
                                       ___________

        Introduced  by  M.  of  A.  JONES,  GALEF,  SIMON, LUPARDO, ENGLEBRIGHT,
          MAGNARELLI, RICHARDSON, MONTESANO, COLTON, BLANKENBUSH  --  read  once
          and referred to the Committee on Insurance

        AN  ACT  to  amend  the  insurance law, in relation to requiring certain
          health insurance policies to cover  costs  for  pediatric  acute-onset
          neuropsychiatric syndrome

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
     2  amended by adding a new paragraph 36 to read as follows:
     3    (36)(A) Every health plan, and health insurance issuer offering health
     4  insurance coverage in connection with a group health plan, shall provide
     5  coverage  for a participant or beneficiary who has pediatric acute-onset
     6  neuropsychiatric syndrome if the attending physician of the  participant
     7  or  beneficiary  certifies  in  writing  the  medical  necessity of that
     8  proposed course of rehabilitative treatment.
     9    (B) As used in this paragraph, the term "pediatric acute-onset neurop-
    10  sychiatric syndrome" shall have the same meaning as such term is used in
    11  paragraph (n) of subdivision one of section two  hundred  seven  of  the
    12  public health law.
    13    § 2. Subsection (k) of section 3221 of the insurance law is amended by
    14  adding a new paragraph 22 to read as follows:
    15    (22)  (A)  Every  health  plan,  and  health insurance issuer offering
    16  health insurance coverage in connection with a group health plan,  shall
    17  provide  coverage  for  a  participant  or beneficiary who has pediatric
    18  acute-onset neuropsychiatric syndrome if the attending physician of  the
    19  participant or beneficiary certifies in writing the medical necessity of
    20  that proposed course of rehabilitative treatment.
    21    (B) As used in this paragraph, the term "pediatric acute-onset neurop-
    22  sychiatric syndrome" shall have the same meaning as such term is used in

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD05446-01-1

        A. 877                              2

     1  paragraph  (n)  of  subdivision  one of section two hundred seven of the
     2  public health law.
     3    §  3.  Section  4303  of  the insurance law is amended by adding a new
     4  subsection (ss) to read as follows:
     5    (ss)(1) Every health plan, and health insurance issuer offering health
     6  insurance coverage in connection with a group health plan, shall provide
     7  coverage for a participant or beneficiary who has pediatric  acute-onset
     8  neuropsychiatric  syndrome if the attending physician of the participant
     9  or beneficiary certifies  in  writing  the  medical  necessity  of  that
    10  proposed course of rehabilitative treatment.
    11    (2)  As  used  in  this  subsection,  the  term "pediatric acute-onset
    12  neuropsychiatric syndrome" shall have the same meaning as such  term  is
    13  used in paragraph (n) of subdivision one of section two hundred seven of
    14  the public health law.
    15    §  4. This act shall take effect on the first of January next succeed-
    16  ing the date on which it shall have become a law and shall apply accord-
    17  ing to its terms to all policies,  contracts  and  certificates  issued,
    18  renewed, modified, altered or amended on or after such effective date.
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