Provides additional support to medically fragile children who rely on community-based or home health services.

This bill amends the public health law and the insurance law to support medically fragile children requiring community-based or home health services. It mandates that health maintenance organizations and insurers consider all covered services that assist these children in reaching their maximum functional capacity as medically necessary. It prohibits basing determinations solely on adult review standards.

Provides additional support to medically fragile children who rely on community-based or home health services.

This bill amends the public health law and the insurance law to support medically fragile children requiring community-based or home health services. It mandates that health maintenance organizations and insurers consider all covered services that assist these children in reaching their maximum functional capacity as medically necessary. It prohibits basing determinations solely on adult review standards.