Bill Text: NY A02164 | 2013-2014 | General Assembly | Introduced


Bill Title: Requires health insurers covering surgery to cover all expenses incurred in connection with autologous blood transfusions (self-donated); applies to individual and group policies and to medical expense indemnity and hospital or health service corporations.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2014-01-08 - referred to insurance [A02164 Detail]

Download: New_York-2013-A02164-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         2164
                              2013-2014 Regular Sessions
                                 I N  A S S E M B L Y
                                      (PREFILED)
                                    January 9, 2013
                                      ___________
       Introduced  by  M.  of  A.  CYMBROWITZ  -- read once and referred to the
         Committee on Insurance
       AN ACT to amend the insurance law, in relation  to  requiring  insurance
         policies covering surgery to cover all expenses incurred in connection
         with autologous blood transfusions
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1.  Subsection (1) of section 3221 of  the  insurance  law  is
    2  amended by adding a new paragraph 19 to read as follows:
    3    (19) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED FOR DELIVERY IN
    4  THIS  STATE  WHICH PROVIDES SURGICAL COVERAGE SHALL PROVIDE COVERAGE FOR
    5  ALL EXPENSES INCURRED IN CONNECTION WITH AUTOLOGOUS  BLOOD  TRANSFUSIONS
    6  USED FOR OR INTENDED TO BE USED FOR SURGERY, INCLUDING THE COLLECTION OF
    7  BLOOD  PRIOR  TO  SURGERY  AND  THE  TRANSFUSION  OF SUCH BLOOD INTO THE
    8  INSURED, WHETHER DONE BEFORE, DURING, OR AFTER SURGERY.   SUCH  COVERAGE
    9  MAY  BE  SUBJECT  TO ANNUAL DEDUCTIBLES AND COINSURANCE AS MAY BE DEEMED
   10  APPROPRIATE BY THE SUPERINTENDENT  AND  AS  ARE  CONSISTENT  WITH  THOSE
   11  ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN POLICY.
   12    S  2.  Section  4303  of  the insurance law is amended by adding a new
   13  subsection (jj) to read as follows:
   14    (JJ) A MEDICAL  EXPENSE  INDEMNITY  CORPORATION,  A  HOSPITAL  SERVICE
   15  CORPORATION,  OR  A  HEALTH  SERVICE CORPORATION WHICH PROVIDES SURGICAL
   16  COVERAGE SHALL PROVIDE COVERAGE FOR ALL EXPENSES INCURRED IN  CONNECTION
   17  WITH  AUTOLOGOUS  BLOOD TRANSFUSIONS USED FOR OR INTENDED TO BE USED FOR
   18  SURGERY, INCLUDING THE COLLECTION OF BLOOD  PRIOR  TO  SURGERY  AND  THE
   19  TRANSFUSION OF SUCH BLOOD INTO THE INSURED, WHETHER DONE BEFORE, DURING,
   20  OR  AFTER  SURGERY.   SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES
   21  AND COINSURANCE AS MAY BE DEEMED APPROPRIATE BY THE  SUPERINTENDENT  AND
   22  AS  ARE  CONSISTENT  WITH  THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN A
   23  GIVEN POLICY.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD06189-01-3
       A. 2164                             2
    1    S 3. This act shall take effect on the first of January next  succeed-
    2  ing  the date on which it shall have become a law and shall apply to all
    3  policies and contracts issued, renewed, modified, altered, or amended on
    4  or after such date.
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