Bill Text: NY A07315 | 2021-2022 | General Assembly | Introduced

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Bill Title: Directs the the department of financial services, in consultation with the department of health to prepare a report with recommendations on their review of covered benefits related to childbirth offered by all health insurance providers in New York state.

Spectrum: Partisan Bill (Democrat 11-0)

Status: (Introduced - Dead) 2021-06-03 - substituted by s4827 [A07315 Detail]

Download: New_York-2021-A07315-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          7315

                               2021-2022 Regular Sessions

                   IN ASSEMBLY

                                       May 5, 2021
                                       ___________

        Introduced  by M. of A. JACKSON -- read once and referred to the Commit-
          tee on Insurance

        AN ACT to direct the department of financial services to review  covered
          benefits  related  to  childbirth offered by health insurance policies
          and  medical  assistance;  and  providing  for  the  repeal  of   such
          provisions upon expiration thereof

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

     1    Section 1. The superintendent of financial services,  in  consultation
     2  with  the  commissioner of health, shall review covered benefits related
     3  to childbirth offered by  all  health  insurance  policies  and  medical
     4  assistance  in New York state, the extent to which such policies meet or
     5  exceed the federal Affordable Care Act requirements, and make  recommen-
     6  dations regarding the adoption of statewide standards. Such review shall
     7  include, but not be limited to:
     8    a.  The  current range in length of stay coverage periods for surgical
     9  and vaginal deliveries across health insurance plans offered within  New
    10  York  state  distinguishing  from simple surgical deliveries and complex
    11  surgical deliveries.
    12    b. The average and range of reimbursement to maternal  fetal  medicine
    13  physicians,  obstetrics/gynecologic  physicians,  family practice physi-
    14  cians and licensed midwives for labor and a surgical delivery or vaginal
    15  delivery.
    16    c. The current range  of  out-of-pocket  expenses,  including  upfront
    17  payments  if applicable, incurred by patients for a surgical delivery or
    18  for a vaginal delivery within New York state by the type and amount.
    19    d. The extent to which health insurance  plans  offered  in  New  York
    20  state  provide  for  additional  coverage for the mother in the event of
    21  childbirth complications occurring during a vaginal or  surgical  deliv-
    22  ery.

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09087-02-1
        A. 7315                             2

     1    e.  The extent to which insurance providers cover the cost of new born
     2  care in the neo-natal intensive care unit, under what circumstances, and
     3  if related to surgical delivery.
     4    f.  The  extent  to  which  health insurance plans offered in New York
     5  state offer maternity coverage for dependents under the age  of  26  and
     6  the range of services covered.
     7    g.  The  extent  to  which  health insurance plans offered in New York
     8  state consider pregnancy a life event that makes a  woman  eligible  for
     9  special enrollment periods.
    10    §  2.  Within  one  year of the effective date of this act, the super-
    11  intendent of financial services shall create and submit a report to  the
    12  governor,  temporary  president  of the senate, speaker of the assembly,
    13  minority leader of the senate, and the minority leader of  the  assembly
    14  of  the  conclusions  and  recommendations pursuant to section 1 of this
    15  act.
    16    § 3. This act shall take effect immediately and shall be  repealed  60
    17  days  after the submission of the report pursuant to section two of this
    18  act; provided that the superintendent of financial services shall notify
    19  the legislative bill drafting commission upon filing the report required
    20  in section two of this act in order that the commission may maintain  an
    21  accurate and timely effective data base of the official text of the laws
    22  of  the  state of New York in furtherance of effectuating the provisions
    23  of section 44 of the legislative law and  section  70-b  of  the  public
    24  officers law.