New York S 1737: Relates to insurance reserve funds of certain school districts

Bill Text

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S01737 Summary:

BILL NOS01737 

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SAME ASNo Same As

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SPONSORFAHY

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COSPNSR

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MLTSPNSR

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Amd §§3216, 3221 & 4303, Ins L

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Requires health insurance coverage for craniofacial disorders.

Go to top S01737 Actions:

BILL NOS01737 

&nbsp

01/13/2025REFERRED TO INSURANCE

01/07/2026REFERRED TO INSURANCE

Go to topS01737 Committee&nbspVotes:

Go to topS01737 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topS01737 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 1737

 2025-2026 Regular Sessions

 IN SENATE

 January 13, 2025
 ___________

 Introduced by Sen. FAHY -- read twice and ordered printed, and when
 printed to be committed to the Committee on Insurance

 AN ACT to amend the insurance law, in relation to health insurance
 coverage for craniofacial disorders

 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 40 to read as follows:
 3 (40)(A) Every policy delivered or issued for delivery in this state
 4 which provides medical coverage that includes coverage for physician
 5 services in a physician's office and every policy which provides major
 6 medical or similar comprehensive-type coverage shall provide coverage
 7 for diagnosis and medically necessary treatment, including surgical and
 8 nonsurgical procedures, for a musculoskeletal disorder that affects any
 9 bone or joint in the face, neck or head and is the result of accident,
 10 trauma, congenital defect, developmental defect, or pathology. Subject
 11 to subparagraph (B) of this paragraph, this coverage shall be the same
 12 as that provided under the health insurance plan for any other muscu-
 13 loskeletal disorder in the body and may be provided when prescribed or
 14 administered by a physician or a dentist. This paragraph shall not be
 15 construed to require coverage for dental services for the diagnosis or
 16 treatment of dental disorders or dental pathology primarily affecting
 17 the gums, teeth, or alveolar ridge.
 18 (B) A referral from a health care provider under contract with the
 19 policy may be required.
 20 § 2. Subsection (k) of section 3221 of the insurance law is amended by
 21 adding a new paragraph 24 to read as follows:
 22 (24)(A) Every group or blanket policy delivered or issued for delivery
 23 in this state which provides medical coverage that includes coverage for
 24 physician services in a physician's office or major medical or similar
 25 comprehensive-type coverage shall provide coverage for diagnosis and

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD04798-01-5

 S. 1737 2

 1 medically necessary treatment, including surgical and nonsurgical proce-
 2 dures, for a musculoskeletal disorder that affects any bone or joint in
 3 the face, neck or head and is the result of accident, trauma, congenital
 4 defect, developmental defect, or pathology. Subject to subparagraph (B)
 5 of this paragraph, this coverage shall be the same as that provided
 6 under the health insurance plan for any other musculoskeletal disorder
 7 in the body and may be provided when prescribed or administered by a
 8 physician or a dentist. This paragraph shall not be construed to require
 9 coverage for dental services for the diagnosis or treatment of dental
 10 disorders or dental pathology primarily affecting the gums, teeth, or
 11 alveolar ridge.
 12 (B) A referral from a health care provider under contract with the
 13 policy may be required.
 14 § 3. Section 4303 of the insurance law is amended by adding a new
 15 subsection (ww) to read as follows:
 16 (ww)(1) A hospital service corporation, medical expense indemnity
 17 corporation or health service corporation which provides medical cover-
 18 age that includes coverage for physician services in a physician's
 19 office or major medical or similar comprehensive-type coverage shall
 20 provide coverage for diagnosis and medically necessary treatment,
 21 including surgical and nonsurgical procedures, for a musculoskeletal
 22 disorder that affects any bone or joint in the face, neck or