Bill Text: NY A11028 | 2019-2020 | General Assembly | Introduced

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Bill Title: Requires health insurance providers to cover the costs of colorectal cancer screenings and follow-up examinations for positive screenings for individuals age 45 and older.

Spectrum: Partisan Bill (Democrat 13-0)

Status: (Introduced - Dead) 2020-10-07 - referred to insurance [A11028 Detail]

Download: New_York-2019-A11028-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          11028

                   IN ASSEMBLY

                                     October 7, 2020
                                       ___________

        Introduced  by COMMITTEE ON RULES -- (at request of M. of A. Cymbrowitz)
          -- read once and referred to the Committee on Insurance

        AN ACT to amend the insurance  law,  in  relation  to  requiring  health
          insurance providers to cover the costs of colorectal cancer screenings

          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 delivered or issued for delivery in this state
     4  which  provides  medical  coverage  that includes coverage for physician
     5  services in a physician's office and every policy which  provides  major
     6  medical  or  similar comprehensive-type coverage shall provide, upon the
     7  prescription of a health care provider legally authorized  to  prescribe
     8  under  title  eight of the education law, coverage for colorectal cancer
     9  screening for persons forty-five years of age or  older.  Such  coverage
    10  shall  include  an  annual screening using the stool-based fecal immuno-
    11  chemical test or the  guaiac-based  fecal  occult  blood  test.  If  the
    12  results  of  such  test are positive for signs of cancer, coverage shall
    13  also be provided for a follow-up visual examination.
    14    (B) Such coverage may be subject to annual deductibles and coinsurance
    15  as may be deemed appropriate by the superintendent and as are consistent
    16  with those established for other benefits within a given policy.
    17    § 2. Subsection (l) of section 3221 of the insurance law is amended by
    18  adding a new paragraph 11-b to read as follows:
    19    (11-b) (A) Every policy delivered or issued for delivery in this state
    20  which provides medical coverage that  includes  coverage  for  physician
    21  services  in  a physician's office and every policy which provides major
    22  medical or similar comprehensive-type coverage shall provide,  upon  the
    23  prescription  of  a health care provider legally authorized to prescribe
    24  under title eight of the education law, coverage for  colorectal  cancer
    25  screening  for  persons  forty-five years of age or older. Such coverage
    26  shall include an annual screening using the  stool-based  fecal  immuno-
    27  chemical  test  or  the  guaiac-based  fecal  occult  blood test. If the

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD17289-01-0
        A. 11028                            2

     1  results of such test are positive for signs of  cancer,  coverage  shall
     2  also be provided for a follow-up visual examination.
     3    (B) Such coverage may be subject to annual deductibles and coinsurance
     4  as may be deemed appropriate by the superintendent and as are consistent
     5  with those established for other benefits within a given policy.
     6    §  3.  Section  4303  of  the insurance law is amended by adding a new
     7  subsection (z-2) to read as follows:
     8    (z-2) (1) Every policy delivered or issued for delivery in this  state
     9  which  provides  medical  coverage  that includes coverage for physician
    10  services in a physician's office and every policy which  provides  major
    11  medical  or  similar comprehensive-type coverage shall provide, upon the
    12  prescription of a health care provider legally authorized  to  prescribe
    13  under  title  eight of the education law, coverage for colorectal cancer
    14  screening for persons forty-five years of age or  older.  Such  coverage
    15  shall  include  an  annual screening using the stool-based fecal immuno-
    16  chemical test or the  guaiac-based  fecal  occult  blood  test.  If  the
    17  results  of  such  test are positive for signs of cancer, coverage shall
    18  also be provided for a follow-up visual examination.
    19    (2) Such coverage may be subject to annual deductibles and coinsurance
    20  as may be deemed appropriate by the superintendent and as are consistent
    21  with those established for other benefits within a given policy.
    22    § 4. This act shall take effect on the ninetieth day  after  it  shall
    23  have become a law and shall apply to all policies issued, renewed, modi-
    24  fied or altered on or after such date.