120.971 Medical Outsourcing: MSSNY will request legislation to prevent insurance companies from incentivizing subscribers in this state to have to go overseas for medical treatment that could be provided locally and, through the American Medical Association, request federal legislation to prevent insurance companies from incentivizing subscribers to go overseas for medical
120.970 Health Coverage Coalition for the Uninsured: MSSNY approves the conclusions of the Health Coverage Coalition for the Uninsured and express its concern that additional issues of significance should be also addressed by HCCU including but not limited to the burdensome cost associated with the administration of current health care coverage,
120.969 Removing Barriers to Care for Transgender or Gender Variant Patients: MSSNY supports public and private health insurance coverage for treatment of gender dysphoria, and opposes categorical exclusions of coverage for treatment of gender dysphoria when prescribed by a physician. (HOD 2008-171; amended and reaffirmed HOD 2018)
120.968 Waiver of Primary Care Referral Requirements for Skilled Nursing Facilities and Sub-Acute Rehabilitation Facilities: MSSNY will pursue legislation and/or regulation to simplify and make transparent the health coverage of Skilled Nursing Facilities/Sub-Acute Rehabilitation Facility residents, by waiving the primary care referral requirement so that patients receive timely and appropriate treatment and appropriate reimbursement is provided
120.967 Hearing Aids: MSSNY will work with the American Medical Association to encourage all insurers, including Medicare, to provide coverage for hearing aids for individuals determined by professionals to be hearing impaired. (HOD 2008-263; Reaffirmed HOD 2018)
120.966 Coverage by Carriers for Annual Physical Examination in Healthy NY Program: MSSNY will encourage the Healthy NY Program to negotiate a benefit package that allows for an annual health maintenance visit. (HOD 2008-264; Reaffirmed HOD 2018)
120.965 Medically Necessary Procedures and Pre-certification and Pre-authorization Protocols: MSSNY will: Seek the enactment of legislation, regulation or other appropriate means to eliminate the need to obtain pre-authorization for certain procedures and tests that are clearly indicated, including for urgent and emergency care, based upon a patient’s particular health
120.964 Universal Bill: MSSNY will seek legislation or other appropriate means to assure that all durable medical equipment (DME) vendors have a universal bill that is consumer-friendly and clearly states what was paid by the health plan, secondary insurer and what is owed by the patient and that
120.963 Retail Clinics: MSSNY will pursue legislation, regulation, or other appropriate means to (a) assure that a retail clinic that receives insurer reimbursement be required to comply with existing standards for the operation of medical practices; and (b) prohibit health plans from incentivizing the utilization of health
120.962 United States Health Care and Gratuitous Privatization: MSSNY supports those health care policies that favor insurance products to achieve the health care goals of quality, cost containment and interoperability, only when the evidence in support of the superiority of such insurance products is composed of unbiased,
