Bill Text: NY S03801 | 2011-2012 | General Assembly | Introduced
Bill Title: Requires health insurers to cover breast reconstruction surgery after a partial mastectomy.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Passed) 2012-08-01 - SIGNED CHAP.302 [S03801 Detail]
Download: New_York-2011-S03801-Introduced.html
S T A T E O F N E W Y O R K ________________________________________________________________________ 3801 2011-2012 Regular Sessions I N S E N A T E March 4, 2011 ___________ Introduced by Sen. LAVALLE -- read twice and ordered printed, and when printed to be committed 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 S. 3801 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.