Bill Text: NY A01882 | 2017-2018 | General Assembly | Introduced


Bill Title: Requires health insurance policies to cover comprehensive screening for ovarian cancer.

Spectrum: Moderate Partisan Bill (Democrat 28-4)

Status: (Introduced - Dead) 2018-01-03 - referred to insurance [A01882 Detail]

Download: New_York-2017-A01882-Introduced.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                          1882
                               2017-2018 Regular Sessions
                   IN ASSEMBLY
                                    January 13, 2017
                                       ___________
        Introduced  by  M. of A. ROZIC, AUBRY, ABINANTI, BARNWELL, COLTON, COOK,
          CRESPO, GRAF, GUNTHER,  JAFFEE,  JONES,  LUPINACCI,  MONTESANO,  MOYA,
          OTIS,  PERRY,  SEPULVEDA, SKOUFIS, STECK, TITUS, WEPRIN -- Multi-Spon-
          sored by -- M. of A. ARROYO, CROUCH, MAGEE, MOSLEY, RA, RIVERA,  SIMA-
          NOWITZ,  SKARTADOS,  TITONE -- read once and referred to the Committee
          on Insurance
        AN ACT to amend the insurance  law,  in  relation  to  requiring  health
          insurance  policies to cover comprehensive tests for ovarian cancer in
          certain cases
          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 11-b to read as follows:
     3    (11-b) (A) Every policy that provides coverage for hospital,  surgical
     4  or  medical  care shall provide the following coverage for screening for
     5  ovarian cancer:
     6    (i) upon the recommendation of a physician,  a  pelvic  exam,  genetic
     7  testing,  ultrasound  and  blood  testing at any age for covered persons
     8  having a high risk of developing ovarian cancer  or  who  have  a  first
     9  degree relative with a prior history of ovarian cancer;
    10    (ii) a single baseline ultrasound for covered persons aged thirty-five
    11  through thirty-nine, inclusive; and
    12    (iii) an annual ultrasound for covered persons aged forty and older.
    13    (B)  Such coverage required pursuant to subparagraph (A) of this para-
    14  graph may be subject to annual deductibles and  coinsurance  as  may  be
    15  deemed  appropriate  by  the  superintendent  and as are consistent with
    16  those established for other benefits within a given policy.
    17    (C) (i) Such policy shall provide for additional coverage for computed
    18  tomography, barium enema X-rays, magnetic resonance imaging (MRI), posi-
    19  tron emission tomography,  laparoscopy,  colonoscopy  and  biopsy  if  a
    20  person  is  believed  to  be at increased risk for ovarian cancer due to
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD00873-01-7

        A. 1882                             2
     1  family history or prior personal history  of  ovarian  cancer,  positive
     2  genetic  testing  or  other  indications  as determined by such person's
     3  physician or nurse practitioner.
     4    (ii) Such additional coverage may be subject to annual deductibles and
     5  coinsurance  as  may  be deemed appropriate by the superintendent and as
     6  are consistent with those established for other benefits within a  given
     7  policy.
     8    § 2. Subsection (l) of section 3221 of the insurance law is amended by
     9  adding a new paragraph 11-b to read as follows:
    10    (11-b) (A) Every insurer delivering a group or blanket policy or issu-
    11  ing  a  group or blanket policy for delivery in this state that provides
    12  coverage for hospital,  surgical  or  medical  care  shall  provide  the
    13  following coverage for screening for ovarian cancer:
    14    (i)  upon  the  recommendation  of a physician, a pelvic exam, genetic
    15  testing, ultrasound and blood testing at any  age  for  covered  persons
    16  having  a  high  risk  of  developing ovarian cancer or who have a first
    17  degree relative with a prior history of ovarian cancer;
    18    (ii) a single baseline ultrasound for covered persons aged thirty-five
    19  through thirty-nine, inclusive; and
    20    (iii) an annual ultrasound for covered persons aged forty and older.
    21    (B) Such coverage required pursuant to subparagraph (A) of this  para-
    22  graph  may  be  subject  to annual deductibles and coinsurance as may be
    23  deemed appropriate by the superintendent  and  as  are  consistent  with
    24  those established for other benefits within a given policy.
    25    (C) (i) Such policy shall provide for additional coverage for computed
    26  tomography, barium enema X-rays, magnetic resonance imaging (MRI), posi-
    27  tron  emission  tomography,  laparoscopy,  colonoscopy  and  biopsy if a
    28  person is believed to be at increased risk for  ovarian  cancer  due  to
    29  family  history  or  prior  personal history of ovarian cancer, positive
    30  genetic testing or other indications  as  determined  by  such  person's
    31  physician or nurse practitioner.
    32    (ii) Such additional coverage may be subject to annual deductibles and
    33  coinsurance  as  may  be deemed appropriate by the superintendent and as
    34  are consistent with those established for other benefits within a  given
    35  policy.
    36    §  3.  Section  4303  of  the insurance law is amended by adding a new
    37  subsection (p-1) to read as follows:
    38    (p-1) (1) A medical expense indemnity corporation, a hospital  service
    39  corporation  or  a health service corporation that provides coverage for
    40  hospital, surgical or medical care shall provide the following  coverage
    41  for screening for ovarian cancer:
    42    (A)  upon  the  recommendation  of a physician, a pelvic exam, genetic
    43  testing, ultrasound and blood testing at any  age  for  covered  persons
    44  having  a  high  risk  of  developing ovarian cancer or who have a first
    45  degree relative with a prior history of ovarian cancer;
    46    (B) a single baseline ultrasound for covered persons aged  thirty-five
    47  through thirty-nine, inclusive; and
    48    (C) an annual ultrasound for covered persons aged forty and older.
    49    (2)  Such coverage required pursuant to subparagraph (A) of this para-
    50  graph may be subject to annual deductibles and  coinsurance  as  may  be
    51  deemed  appropriate  by  the  superintendent  and as are consistent with
    52  those established for other benefits within a given policy.
    53    (3) (A) Such policy shall provide for additional coverage for computed
    54  tomography, barium enema X-rays, magnetic resonance imaging (MRI), posi-
    55  tron emission tomography,  laparoscopy,  colonoscopy  and  biopsy  if  a
    56  person  is  believed  to  be at increased risk for ovarian cancer due to

        A. 1882                             3
     1  family history or prior personal history  of  ovarian  cancer,  positive
     2  genetic  testing  or  other  indications  as determined by such person's
     3  physician or nurse practitioner.
     4    (B)  Such additional coverage may be subject to annual deductibles and
     5  coinsurance as may be deemed appropriate by the  superintendent  and  as
     6  are  consistent with those established for other benefits within a given
     7  policy.
     8    § 4. This act shall take effect on the sixtieth  day  after  it  shall
     9  have become a law.
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