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A04863 Summary:

BILL NOA04863A
 
SAME ASNo Same As
 
SPONSORBarrett
 
COSPNSRCahill, Buchwald, DiPietro, Lupardo, Otis
 
MLTSPNSR
 
 
Directs the department of financial services, in consultation with the commissioner of health, to study and report upon insurance coverage for the treatment of Lyme disease.
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A04863 Actions:

BILL NOA04863A
 
02/03/2017referred to insurance
06/02/2017amend (t) and recommit to insurance
06/02/2017print number 4863a
06/06/2017reported referred to ways and means
06/08/2017reported referred to rules
06/13/2017reported
06/13/2017rules report cal.217
06/13/2017ordered to third reading rules cal.217
06/13/2017passed assembly
06/13/2017delivered to senate
06/13/2017REFERRED TO RULES
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A04863 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A4863A
 
SPONSOR: Barrett
  TITLE OF BILL: An act directing the department of financial services, in consultation with the commissioner of the department of health, to study and report upon the adequacy of insurance coverage for the treat- ment of Lyme disease and other tick-borne related diseases   PURPOSE OR GENERAL IDEA OF BILL: To review insurance coverage for the treatment of Lyme disease and other tick-borne related diseases within New York State.   SUMMARY OF PROVISIONS: Section one of the bill provides legislative findings Section two of the bill directs the superintendent of the department of financial services (DFS), in consultation with the Commissioner of health, to review the adequacy of insurance coverage for the treatment of Lyme disease and other tick-borne diseases. The study will include: *the present state of insurance coverage for the treatment of Lyme disease and other tick-borne related diseases within New York state; *prevailing reasons for the denial of insurance coverage for the treat- ment of Lyme disease and other tick-borne related diseases; *the number of insureds in need of long term care of Lyme disease and other tick-borne related diseases; *The number of uninsured persons in need of long term care of Lyme disease and other tick-borne related diseases; *coverage required by other states for treatment for long-term and chronic Lyme disease in other states; *specific medical conditions related to Lyme disease and other tick- borne related diseases; and *recommendations to ensure that there is adequate coverage for Lyme disease, including long term care of Lyme disease, and other tick-borne related diseases within New York state. Section three directs the superintendent of DFS to submit a report of the department's findings and recommendations to the governor, temporary president of the senate and speaker of the assembly within 120 days of the effective date of the act. Section four of the bill sets forth the effective date.   DIFFERENCE BETWEEN ORIGINAL AND AMENDED VERSION (IF APPLICABLE): The original bill required the New York state health care quality and cost containment commission to issue a report on coverage for chronic Lyme disease. The amended version requires the department of financial services, in consultation with the commissioner of health to review the adequacy of insurance coverage for the treatment of Lyme disease and other tick-borne diseases.   JUSTIFICATION: Currently health insurance companies are not required to cover long term treatment for those who suffer from chronic Lyme or other tick-borne diseases, and for many New Yorkers this is devastating. Those suffering from chronic Lyme and other tick-borne diseases can experience extreme and long term fatigue, nausea, depression, joint pain and many other severe symptoms. Rhode Island and Connecticut have recognized the toll these diseases take on victims by passing legislation that requires insurance coverage.   PRIOR LEGISLATIVE HISTORY: 2016: A10677 Referred to Insurance   FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS: None.   EFFECTIVE DATE: This act shall take effect immediately.
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A04863 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         4863--A
 
                               2017-2018 Regular Sessions
 
                   IN ASSEMBLY
 
                                    February 3, 2017
                                       ___________
 
        Introduced  by  M. of A. BARRETT, CAHILL, BUCHWALD, DiPIETRO, LUPARDO --
          read once and referred to the  Committee  on  Insurance  --  committee
          discharged, bill amended, ordered reprinted as amended and recommitted
          to said committee
 
        AN  ACT  directing the department of financial services, in consultation
          with the commissioner of the department of health, to study and report
          upon the adequacy of insurance coverage  for  the  treatment  of  Lyme
          disease and other tick-borne related diseases
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. The legislature hereby finds that the increasing number  of
     2  Lyme  disease  and  tick-borne  related diseases in New York state high-
     3  lights the need to examine the current status of the adequacy of  insur-
     4  ance  coverage  related  to this health epidemic. Lyme disease is one of
     5  several tick-borne diseases  which  result  in  extreme  and  long  term
     6  fatigue,  nausea, depression, joint pain and many other severe symptoms.
     7  Lyme disease is the most  common  vector-borne  illness  in  the  United
     8  States,  and  New York is one of 14 states that account for 95% of cases
     9  in the United States. According to the  New  York  state  department  of
    10  health,  over  20,000 cases of Lyme disease were diagnosed between years
    11  2012 to 2014.  While sufferers of these tick-borne diseases require long
    12  term treatment, health insurance companies have denied services  related
    13  to necessary medical treatment.
    14    §  2.  The  superintendent of the department of financial services, in
    15  consultation with the commissioner of the department  of  health,  shall
    16  review  the  adequacy  of  insurance  coverage for the treatment of Lyme
    17  disease and other tick-borne related diseases and  make  recommendations
    18  regarding  any coverage limitations that may be found. Such review shall
    19  include but not be limited to:
    20    (a) the present state of insurance coverage for the treatment of  Lyme
    21  disease and other tick-borne related diseases within New York state;
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD04853-02-7

        A. 4863--A                          2
 
     1    (b)  prevailing  reasons  for the denial of insurance coverage for the
     2  treatment of Lyme disease and other tick-borne related diseases;
     3    (c)  the  number of insureds in need of long term care of Lyme disease
     4  and other tick-borne related diseases;
     5    (d) the number of uninsured persons in need of long term care of  Lyme
     6  disease and other tick-borne related diseases;
     7    (e)  coverage required by other states for treatment for long term and
     8  chronic Lyme disease in other states;
     9    (f) specific medical conditions related  to  Lyme  disease  and  other
    10  tick-borne related diseases; and
    11    (g) recommendations to ensure that there is adequate coverage for Lyme
    12  disease,  including long term care of Lyme disease, and other tick-borne
    13  related diseases within New York state.
    14    § 3. Within one hundred twenty days of the effective date of this act,
    15  the superintendent of financial services shall submit a  report  to  the
    16  governor,  temporary president of the senate and speaker of the assembly
    17  of the department's findings, conclusions, and recommendations.
    18    § 4. This act shall take effect immediately.
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