Bill Text: NY S08350 | 2021-2022 | General Assembly | Introduced


Bill Title: Requires health insurance policies to include coverage for doula services as required coverage for maternity care.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced - Dead) 2022-02-15 - REFERRED TO WOMEN'S ISSUES [S08350 Detail]

Download: New_York-2021-S08350-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          8350

                    IN SENATE

                                    February 15, 2022
                                       ___________

        Introduced  by  Sen.  CLEARE -- read twice and ordered printed, and when
          printed to be committed to the Committee on Women's Issues

        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:

     1    Section  1. Item (i) of subparagraph (A) of paragraph 10 of subsection
     2  (i) of section 3216 of the insurance law, as amended by chapter  238  of
     3  the laws of 2010, is amended to read as follows:
     4    (i) Every policy which provides hospital, surgical or medical coverage
     5  shall  provide coverage for maternity care, including hospital, surgical
     6  or medical care to the same extent that hospital,  surgical  or  medical
     7  coverage  is  provided  for  illness  or  disease under the policy. Such
     8  maternity care coverage,  other  than  coverage  for  perinatal  compli-
     9  cations,  shall  include  inpatient hospital coverage for mother and for
    10  newborn for at least forty-eight hours after childbirth for any delivery
    11  other than a caesarean section, and for at least ninety-six hours  after
    12  a  caesarean section. Such coverage for maternity care shall include the
    13  services of a doula and the services of a midwife licensed  pursuant  to
    14  article  one  hundred  forty of the education law, practicing consistent
    15  with section sixty-nine hundred  fifty-one  of  the  education  law  and
    16  affiliated  or practicing in conjunction with a facility licensed pursu-
    17  ant to article twenty-eight of the public health  law,  but  no  insurer
    18  shall  be  required  to  pay  for  duplicative routine services actually
    19  provided by both a licensed midwife and a physician.
    20    § 2. Item (i) of subparagraph (A) of paragraph 5 of subsection (k)  of
    21  section 3221 of the insurance law, as amended by chapter 238 of the laws
    22  of 2010, is amended to read as follows:
    23    (i)  Every group or blanket policy delivered or issued for delivery in
    24  this state which provides hospital, surgical or medical  coverage  shall
    25  include  coverage  for  maternity  care, including hospital, surgical or
    26  medical care to the same extent that coverage is provided for illness or
    27  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.
                                                                   LBD06563-01-1

        S. 8350                             2

     1  coverage  for  perinatal complications, shall include inpatient hospital
     2  coverage for mother and newborn for at  least  forty-eight  hours  after
     3  childbirth  for  any delivery other than a caesarean section, and for at
     4  least  ninety-six  hours  after  a  caesarean section. Such coverage for
     5  maternity care shall include the services of a doula and the services of
     6  a midwife licensed pursuant to article one hundred forty of  the  educa-
     7  tion  law,  practicing consistent with section sixty-nine hundred fifty-
     8  one of the education law and affiliated  or  practicing  in  conjunction
     9  with  a facility licensed pursuant to article twenty-eight of the public
    10  health law, but no insurer shall be  required  to  pay  for  duplicative
    11  routine  services  actually  provided  by  both a licensed midwife and a
    12  physician.
    13    § 3. Subparagraph (A) of paragraph 1 of subsection (c) of section 4303
    14  of the insurance law, as amended by chapter 238 of the laws of 2010,  is
    15  amended to read as follows:
    16    (A)  Every  contract issued by a corporation subject to the provisions
    17  of this article which provides hospital service, medical expense  indem-
    18  nity  or both shall provide coverage for maternity care including hospi-
    19  tal, surgical or medical care to the same extent that hospital  service,
    20  medical  expense  indemnity  or both are provided for illness or disease
    21  under the contract. Such maternity care coverage,  other  than  coverage
    22  for  perinatal  complications, shall include inpatient hospital coverage
    23  for mother and for newborn for at least forty-eight hours  after  child-
    24  birth  for any delivery other than a caesarean section, and for at least
    25  ninety-six hours following a caesarean section. Such coverage for mater-
    26  nity care shall include the services of a doula and the  services  of  a
    27  midwife  licensed pursuant to article one hundred forty of the education
    28  law, practicing consistent with section sixty-nine hundred fifty-one  of
    29  the  education  law  and  affiliated or practicing in conjunction with a
    30  facility licensed pursuant to article twenty-eight of the public  health
    31  law,  but  no  insurer  shall be required to pay for duplicative routine
    32  services actually provided by both a licensed midwife and a physician.
    33    § 4. This act shall take effect on the one hundred eightieth day after
    34  it shall have become a law and shall apply to all policies and contracts
    35  issued, renewed, modified, altered or amended on  or  after  such  date.
    36  Effective  immediately  the addition, amendment or repeal of any rule or
    37  regulation necessary for the implementation of this act on its effective
    38  date are authorized to be made and completed on or before such date.
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