Bill Text: NY S06586 | 2017-2018 | General Assembly | Amended

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Bill Title: Enacts "Shannon's law"; relates to requiring insurance companies to cover annual mammograms for breast cancer screening for covered persons aged thirty-five and older.

Spectrum: Bipartisan Bill

Status: (Introduced - Dead) 2018-02-06 - PRINT NUMBER 6586A [S06586 Detail]

Download: New_York-2017-S06586-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                         6586--A
                               2017-2018 Regular Sessions
                    IN SENATE
                                      June 5, 2017
                                       ___________
        Introduced  by  Sens.  BOYLE, BROOKS, KRUEGER, LAVALLE -- read twice and
          ordered printed, and when printed to be committed to the Committee  on
          Rules  -- recommitted to the Committee on Insurance in accordance with
          Senate Rule 6, sec. 8 -- committee discharged, bill  amended,  ordered
          reprinted as amended and recommitted to said committee
        AN  ACT  to  amend the insurance law, in relation to enacting "Shannon's
          Law"
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1.  Short  title. This act shall be known and may be cited as
     2  "Shannon's Law".
     3    § 2. Subparagraph (A) of paragraph 11 of  subsection  (i)  of  section
     4  3216  of  the  insurance  law,  as amended by chapter 414 of the laws of
     5  2017, is amended to read as follows:
     6    (A) Every policy that provides  coverage  for  hospital,  surgical  or
     7  medical  care  shall  provide  the  following  coverage  for mammography
     8  screening for occult breast cancer:
     9    (i) upon the recommendation of a physician, a mammogram, which may  be
    10  provided  by breast tomosynthesis, at any age for covered persons having
    11  a prior history of breast cancer or who have  a  first  degree  relative
    12  with a prior history of breast cancer;
    13    (ii)  a  single  baseline  mammogram,  which may be provided by breast
    14  tomosynthesis, for covered persons aged thirty-five through thirty-nine,
    15  inclusive; [and]
    16    (iii) upon the recommendation of a physician, an annual mammogram  for
    17  covered persons aged thirty-five through thirty-nine, inclusive; and
    18    (iv)  an annual mammogram, which may be provided by breast tomosynthe-
    19  sis, for covered persons aged forty and older.
    20    § 3. Subparagraph (A) of paragraph 11 of  subsection  (l)  of  section
    21  3221  of  the  insurance  law,  as amended by chapter 414 of the laws of
    22  2017, is amended to read as follows:
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10531-06-8
        S. 6586--A                          2
     1    (A) Every insurer delivering a group or blanket policy  or  issuing  a
     2  group  or blanket policy for delivery in this state that provides cover-
     3  age for hospital, surgical or medical care shall provide  the  following
     4  coverage for mammography screening for occult breast cancer:
     5    (i)  upon the recommendation of a physician, a mammogram, which may be
     6  provided by breast tomosynthesis, at any age for covered persons  having
     7  a  prior  history  of  breast cancer or who have a first degree relative
     8  with a prior history of breast cancer;
     9    (ii) a single baseline mammogram, which  may  be  provided  by  breast
    10  tomosynthesis, for covered persons aged thirty-five through thirty-nine,
    11  inclusive; [and]
    12    (iii)  upon the recommendation of a physician, an annual mammogram for
    13  covered persons aged thirty-five through thirty-nine, inclusive; and
    14    (iv) an annual mammogram, which may be provided by breast  tomosynthe-
    15  sis, for covered persons aged forty and older.
    16    §  4.  Subparagraphs (B), (C) and (D) of paragraph 1 of subsection (p)
    17  of section 4303 of the insurance law, as amended by chapter 414  of  the
    18  laws  of  2017, subparagraph (D) as amended by chapter 74 of the laws of
    19  2016, is amended to read as follows:
    20    (B) a single baseline mammogram, which may be provided by breast tomo-
    21  synthesis, for covered persons  aged  thirty-five  through  thirty-nine,
    22  inclusive; [and]
    23    (C)  upon  the  recommendation of a physician, an annual mammogram for
    24  covered persons aged thirty-five through thirty-nine, inclusive; and
    25    (D) an annual mammogram, which may be provided by breast tomosythesis,
    26  for covered persons aged forty and older[.]; and
    27    [(D)] (E) The coverage required in this paragraph or paragraph two  of
    28  this  subsection  shall  not be subject to annual deductibles or coinsu-
    29  rance.
    30    § 5. This act shall take effect on the thirtieth day  after  it  shall
    31  have  become  a  law,  and shall apply to policies and contracts issued,
    32  renewed, modified, altered or amended on or after such effective date.