Bill Text: NY A01702 | 2013-2014 | General Assembly | Introduced

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Bill Title: Requires insurance coverage for the HALO breast pap test to detect risk of developing breast cancer.

Spectrum: Slight Partisan Bill (Democrat 7-3)

Status: (Introduced - Dead) 2014-01-08 - referred to insurance [A01702 Detail]

Download: New_York-2013-A01702-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         1702
                              2013-2014 Regular Sessions
                                 I N  A S S E M B L Y
                                      (PREFILED)
                                    January 9, 2013
                                      ___________
       Introduced  by M. of A. GUNTHER -- read once and referred to the Commit-
         tee on Insurance
       AN ACT to amend the insurance law, in relation to coverage for the  HALO
         breast pap test to detect risk of developing breast cancer
         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 30 to read as follows:
    3    (30)  (A) EVERY POLICY WHICH PROVIDES COVERAGE FOR HOSPITAL, SURGICAL,
    4  OR MEDICAL CARE COVERAGE SHALL PROVIDE COVERAGE FOR THE HALO BREAST  PAP
    5  TEST  TO  DETECT  A  WOMAN'S RISK OF DEVELOPING BREAST CANCER, WHEN SUCH
    6  TEST IS RECOMMENDED BY A PHYSICIAN OR CERTIFIED NURSE PRACTITIONER.
    7    (B) SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE
    8  AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE CONSISTENT
    9  WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN POLICY.
   10    (C) FOR PURPOSES OF THIS SECTION,  "HALO  BREAST  PAP  TEST"  MEANS  A
   11  PROCEDURE THAT ENTAILS COLLECTION OF NIPPLE ASPIRATE FLUID FOR CYTOLOGI-
   12  CAL EVALUATION.
   13    S 2. Subsection (l) of section 3221 of the insurance law is amended by
   14  adding a new paragraph 19 to read as follows:
   15    (19)  (A)  A  GROUP  OR BLANKET ACCIDENT OR HEALTH INSURANCE POLICY OR
   16  ISSUING A GROUP BLANKET POLICY FOR DELIVERY IN THIS STATE WHICH PROVIDES
   17  COVERAGE FOR HOSPITAL, SURGICAL, OR MEDICAL CARE COVERAGE SHALL  PROVIDE
   18  COVERAGE FOR THE HALO BREAST PAP TEST TO DETECT A WOMAN'S RISK OF DEVEL-
   19  OPING  BREAST  CANCER,  WHEN  SUCH TEST IS RECOMMENDED BY A PHYSICIAN OR
   20  CERTIFIED NURSE PRACTITIONER.
   21    (B) SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE
   22  AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE CONSISTENT
   23  WITH THOSE ESTABLISHED FOR OTHER BENEFITS GIVEN A GIVEN POLICY.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD02367-01-3
       A. 1702                             2
    1    (C) FOR PURPOSES OF THIS SECTION,  "HALO  BREAST  PAP  TEST"  MEANS  A
    2  PROCEDURE THAT ENTAILS COLLECTION OF NIPPLE ASPIRATE FLUID FOR CYTOLOGI-
    3  CAL EVALUATION.
    4    S  3.  Section  4303  of  the insurance law is amended by adding a new
    5  subsection (jj) to read as follows:
    6    (JJ)(1) A MEDICAL EXPENSE INDEMNITY CORPORATION,  A  HOSPITAL  SERVICE
    7  CORPORATION  OR A HEALTH SERVICE CORPORATION WHICH PROVIDES COVERAGE FOR
    8  HOSPITAL, SURGICAL, OR MEDICAL CARE COVERAGE SHALL PROVIDE COVERAGE  FOR
    9  THE  HALO  BREAST PAP TEST TO DETECT A WOMAN'S RISK OF DEVELOPING BREAST
   10  CANCER, WHEN SUCH TEST IS RECOMMENDED BY A PHYSICIAN OR CERTIFIED  NURSE
   11  PRACTITIONER.
   12    (2) SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE
   13  AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE CONSISTENT
   14  WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN POLICY.
   15    (3)  FOR  PURPOSES  OF  THIS  SECTION,  "HALO BREAST PAP TEST" MEANS A
   16  PROCEDURE THAT ENTAILS COLLECTION OF NIPPLE ASPIRATE FLUID FOR CYTOLOGI-
   17  CAL EVALUATION.
   18    S 4. This act shall take effect on the first of January next  succeed-
   19  ing  the date on which it shall have become a law and shall apply to all
   20  policies or contracts issued, renewed, modified, altered or  amended  on
   21  and after such effective date.