Legislation in the New York legislature, A.1943 (Simon)/S.24(Kaplan), would require all private group and individual health plans to cover medically necessary services including habilitative and reconstructive services as a result of a congenital anomaly; the legislation includes inpatient and outpatient services, adjunctive needs and procedures for secondary conditions and follow-up treatment. 

Insurance companies have regularly denied follow-up or corrective procedures, claiming that they are cosmetic in nature–which fails to recognize the medical conditions of these patients. Delays in medically necessary care can negatively impact a child’s developmental milestones and coverage denials of a child’s reconstructive surgery, can result in families turning to safety net programs for coverage or paying out of pocket.

A.1943/S.24 recognizes the importance of ensuring access to the care and services necessary due to a congenital anomaly, such as cleft lip and palate, skeletal and maxillofacial abnormalities, facial paralysis, microtia, hypodontia, and craniosynostosis.

Ask your assembly member and senator to co-sponsor and pass A.1943/S.24.

Use the pre-written letter to send a message to your legislators today. https://facs.quorum.us/campaign/31038/