Bill Text: NY A03972 | 2021-2022 | General Assembly | Introduced

New York Assembly Bill 3972 (Prior Session Legislation)

Introduced

Bill Title: Relates to coverage of primary and preventative obstetric and gynecological care.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2022-03-21 - enacting clause stricken [A03972 Detail]

Download: New_York-2021-A03972-Introduced.html


                STATE OF NEW YORK
        ________________________________________________________________________

                                          3972

                               2021-2022 Regular Sessions

                   IN ASSEMBLY

                                    January 29, 2021
                                       ___________

        Introduced  by  M.  of  A.  M. MILLER  --  read once and referred to the
          Committee on Insurance

        AN ACT to amend the insurance law, in relation to  coverage  of  primary
          and preventative obstetric and gynecological care

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Subparagraph (C) of  paragraph  14  of  subsection  (l)  of
     2  section 3221 of the insurance law, as amended by chapter 219 of the laws
     3  of 2011, is amended to read as follows:
     4    (C) Such coverage required pursuant to subparagraph (A) or (B) of this
     5  paragraph  [may]  shall not be subject to annual deductibles and coinsu-
     6  rance [as may be deemed appropriate by the  superintendent  and  as  are
     7  consistent  with  those  established  for  other benefits within a given
     8  policy].
     9    § 2. Paragraph 1 of subsection (t) of section 4303  of  the  insurance
    10  law,  as  amended by chapter 219 of the laws of 2011, is amended to read
    11  as follows:
    12    (1) A medical expense indemnity corporation, a hospital service corpo-
    13  ration or a health service corporation that provides coverage for hospi-
    14  tal, surgical, or medical care shall  provide  coverage  for  an  annual
    15  cervical cytology screening for cervical cancer and its precursor states
    16  for  women aged eighteen and older. Such coverage required by this para-
    17  graph [may] shall not be subject to annual deductibles  and  coinsurance
    18  [as  may be deemed appropriate by the superintendent and as are consist-
    19  ent with those established for other benefits within a given contract].
    20    § 3. The opening paragraph  of  paragraph  13  of  subsection  (k)  of
    21  section 3221 of the insurance law, as amended by chapter 219 of the laws
    22  of 2011, is amended to read as follows:
    23    Every group or blanket policy delivered or issued for delivery in this
    24  state that provides major medical or similar comprehensive-type coverage
    25  shall  provide  such  coverage  for bone mineral density measurements or

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD08660-01-1

        A. 3972                             2

     1  tests, and if such contract otherwise includes coverage for prescription
     2  drugs, drugs and devices approved by the federal food and drug  adminis-
     3  tration  or generic equivalents as approved substitutes.  In determining
     4  appropriate  coverage provided by subparagraphs (A), (B) and (C) of this
     5  paragraph, the insurer or health maintenance  organization  shall  adopt
     6  standards  that include the criteria of the federal Medicare program and
     7  the criteria of the national institutes of health for the detection  and
     8  treatment  of osteoporosis, provided that such coverage shall be further
     9  determined as follows:
    10    § 4. The opening paragraph of subsection (bb) of section 4303  of  the
    11  insurance law, as amended by chapter 219 of the laws of 2011, is amended
    12  to read as follows:
    13    A  health  service  corporation or a medical service expense indemnity
    14  corporation that provides major medical  or  similar  comprehensive-type
    15  coverage  shall  provide such coverage for bone mineral density measure-
    16  ments or tests, and if such contract  otherwise  includes  coverage  for
    17  prescription  drugs,  drugs and devices approved by the federal food and
    18  drug administration or generic equivalents as approved  substitutes.  In
    19  determining  appropriate  coverage  provided  by paragraphs one, two and
    20  three of this subsection, the insurer or health maintenance organization
    21  shall adopt standards that include the criteria of the federal  Medicare
    22  program  and  the  criteria of the national institutes of health for the
    23  detection and treatment of osteoporosis,  provided  that  such  coverage
    24  shall be further determined as follows:
    25    §  5.  The second undesignated paragraph of paragraph 26 of subsection
    26  (b) of section 4322 of the insurance law, as amended by chapter  219  of
    27  the laws of 2011, is amended to read as follows:
    28    In determining appropriate coverage provided by subparagraphs (A), (B)
    29  and  (C)  of this paragraph, the insurer or health maintenance organiza-
    30  tion shall adopt standards that include  the  criteria  of  the  federal
    31  Medicare  program  and the criteria of the national institutes of health
    32  for the detection and treatment  of  osteoporosis,  provided  that  such
    33  coverage shall be further determined as follows:
    34    §  6.  This  act  shall take effect on the sixtieth day after it shall
    35  have become a law and shall apply to all policies issued, renewed, modi-
    36  fied or altered on or after such date.