Bill Text: NY A07193 | 2011-2012 | General Assembly | Introduced

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Bill Title: Requires health insurers to cover breast reconstruction surgery after a partial mastectomy.

Spectrum: Partisan Bill (Democrat 20-1)

Status: (Introduced - Dead) 2012-06-20 - substituted by s3801a [A07193 Detail]

Download: New_York-2011-A07193-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         7193
                              2011-2012 Regular Sessions
                                 I N  A S S E M B L Y
                                    April 15, 2011
                                      ___________
       Introduced  by M. of A. COOK, MENG, GUNTHER, P. RIVERA, GIBSON, M. MILL-
         ER, TITONE -- Multi-Sponsored by -- M. of A. McENENY, PHEFFER --  read
         once and referred to the Committee on Insurance
       AN  ACT  to  amend the insurance law, in relation to coverage for breast
         reconstruction surgery after a partial mastectomy or lumpectomy
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. The opening paragraph and clause (i) of subparagraph (A) of
    2  paragraph  20 of subsection (i) of section 3216 of the insurance law, as
    3  added by chapter 21 of the laws of 1997, are amended to read as follows:
    4    Every policy which provides medical, major medical, or similar compre-
    5  hensive-type coverage shall provide the following  coverage  for  breast
    6  reconstruction surgery after a mastectomy, PARTIAL MASTECTOMY OR LUMPEC-
    7  TOMY:
    8    (i)   all  stages  of  reconstruction  of  the  breast  on  which  the
    9  mastectomy, PARTIAL MASTECTOMY OR LUMPECTOMY has been performed; and
   10    S 2. The opening paragraph and clause (i) of subparagraph (A) of para-
   11  graph 10 of subsection (k) of section 3221  of  the  insurance  law,  as
   12  added by chapter 21 of the laws of 1997, are amended to read as follows:
   13    Every group or blanket policy delivered or issued for delivery in this
   14  state  which  provides medical, major medical, or similar comprehensive-
   15  type coverage shall provide the following  coverage  for  breast  recon-
   16  struction surgery after a mastectomy, PARTIAL MASTECTOMY OR LUMPECTOMY:
   17    (i)   all  stages  of  reconstruction  of  the  breast  on  which  the
   18  mastectomy, PARTIAL MASTECTOMY OR LUMPECTOMY has been performed; and
   19    S 3. The opening paragraph and subparagraph  (A)  of  paragraph  1  of
   20  subsection (x) of section 4303 of the insurance law, as added by chapter
   21  21 of the laws of 1997, are amended to read as follows:
   22    Every  contract  issued  by  a  medical expense indemnity corporation,
   23  hospital  service  corporation  or  health  service  corporation   which
   24  provides coverage for surgical or medical care shall provide the follow-
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD09920-01-1
       A. 7193                             2
    1  ing  coverage  for  breast  reconstruction  surgery  after a mastectomy,
    2  PARTIAL MASTECTOMY OR LUMPECTOMY:
    3    (A)   all  stages  of  reconstruction  of  the  breast  on  which  the
    4  mastectomy, PARTIAL MASTECTOMY OR LUMPECTOMY has been performed; and
    5    S 4. This act shall take effect immediately and  shall  apply  to  all
    6  policies  and contracts issued, renewed, modified, altered or amended on
    7  or after such date.