STATE OF NEW YORK ________________________________________________________________________ 4768--A 2019-2020 Regular Sessions IN SENATE March 25, 2019 ___________ Introduced by Sens. PERSAUD, KRUEGER, SALAZAR -- read twice and ordered printed, and when printed to be committed to the Committee on Insur- ance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the insurance law, in relation to requiring health insurance policies to fully cover comprehensive genetic testing for ovarian and prostate cancers in certain cases The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. This act shall be known and may be cited as the "Ana Lucia 2 act". 3 § 2. Paragraph 11-a of subsection (i) of section 3216 of the insurance 4 law is amended by adding a new subparagraph (C) to read as follows: 5 (C) (i) Such policy shall provide additional full coverage for compre- 6 hensive genetic testing for prostatic cancer only if recommended by a 7 doctor, a board-certified geneticist or a board-certified genetic coun- 8 selor. 9 (ii) All costs associated with such additional full coverage shall not 10 be subject to annual deductibles and coinsurance but shall be borne 11 solely by the insurer. 12 § 3. Paragraph 11-a of subsection (l) of section 3221 of the insurance 13 law is amended by adding a new subparagraph (C) to read as follows: 14 (C)(i) Such policy shall provide additional full coverage for compre- 15 hensive genetic testing for prostatic cancer only if recommended by a 16 doctor, a board-certified geneticist or a board-certified genetic coun- 17 selor. 18 (ii) All costs associated with such additional full coverage shall not 19 be subject to annual deductibles and coinsurance but shall be borne 20 solely by the insurer. 21 § 4. Subsection (z-1) of section 4303 of the insurance law is amended 22 by adding a new paragraph 3 to read as follows: EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD01111-03-9S. 4768--A 2 1 (3)(A) Such policy shall provide additional full coverage for compre- 2 hensive genetic testing for prostatic cancer only if recommended by a 3 doctor, a board-certified geneticist or a board-certified genetic coun- 4 selor. 5 (B) All costs associated with such additional full coverage shall not 6 be subject to annual deductibles and coinsurance but shall be borne 7 solely by the insurer. 8 § 5. Subsection (i) of section 3216 of the insurance law is amended by 9 adding a new paragraph 11-b to read as follows: 10 (11-b) (A) Every policy that provides coverage for hospital, surgical 11 or medical care shall provide full coverage for genetic screening for 12 ovarian cancer only if recommended by a doctor, a board-certified genet- 13 icist or a board-certified genetic counselor. 14 (B) Such additional coverage shall not be subject to annual deduct- 15 ibles and coinsurance but shall be borne solely by the insurer. 16 § 6. Subsection (l) of section 3221 of the insurance law is amended by 17 adding a new paragraph 11-b to read as follows: 18 (11-b) (A) Every insurer delivering a group or blanket policy or issu- 19 ing a group or blanket policy for delivery in this state that provides 20 coverage for hospital, surgical or medical care shall provide full 21 coverage or genetic screening for ovarian cancer only if recommended by 22 a doctor, a board-certified geneticist or a board-certified genetic 23 counselor. 24 (B) Such additional coverage shall not be subject to annual deduct- 25 ibles and coinsurance but shall be borne solely by the insurer. 26 § 7. Section 4303 of the insurance law is amended by adding a new 27 subsection (p-1) to read as follows: 28 (p-1) (1) A medical expense indemnity corporation, a hospital service 29 corporation or a health service corporation that provides coverage for 30 hospital, surgical or medical care shall provide full coverage for 31 genetic screening for ovarian cancer only if recommended by a doctor, a 32 board-certified geneticist or a board-certified genetic counselor. 33 (2) Such additional coverage shall not be subject to annual deduct- 34 ibles and coinsurance but shall be borne solely by the insurer. 35 § 8. This act shall take effect on the sixtieth day after it shall 36 have become a law.