Bill Text: NY S07921 | 2023-2024 | General Assembly | Introduced
Bill Title: Requires insurance coverage of sonograms and other diagnostic procedures used to detect breast cancer for covered persons thirty through thirty-nine.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced) 2024-01-03 - REFERRED TO INSURANCE [S07921 Detail]
Download: New_York-2023-S07921-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 7921 IN SENATE January 3, 2024 ___________ Introduced by Sen. RHOADS -- 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 of certain procedures to detect breast cancer The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subparagraph (A) of paragraph 11 of subsection (l) of 2 section 3221 of the insurance law, as amended by chapter 143 of the laws 3 of 2019, is amended to read as follows: 4 (A) Every insurer delivering a group or blanket policy or issuing a 5 group or blanket policy for delivery in this state that provides cover- 6 age for hospital, surgical or medical care shall provide the following 7 coverage for mammography screening for occult breast cancer: 8 (i) upon the recommendation of a physician, a mammogram, which may be 9 provided by breast tomosynthesis, at any age for covered persons having 10 a prior history of breast cancer or who have a first degree relative 11 with a prior history of breast cancer; 12 (ii) a single baseline mammogram, which may be provided by breast 13 tomosynthesis, for covered persons aged thirty-five through thirty-nine, 14 inclusive; 15 (iii) an annual mammogram, which may be provided by breast tomosynthe- 16 sis, for covered persons aged forty and older; and 17 (iv) for large group policies that provide coverage for hospital, 18 surgical or medical care, an annual mammogram for covered persons aged 19 [thirty-five] thirty through thirty-nine, inclusive, or any sonogram or 20 other diagnostic procedure used to detect breast cancer, upon the recom- 21 mendation of a physician, subject to the insurer's determination that 22 the mammogram is medically necessary. 23 § 2. Subparagraph (D) of paragraph 1 of subsection (p) of section 4303 24 of the insurance law, as amended by chapter 143 of the laws of 2019, is 25 amended to read as follows: 26 (D) for large group contracts offered by a medical expense indemnity 27 corporation, a hospital service corporation or a health service corpo- 28 ration that provide coverage for hospital, surgical or medical care, an EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD11825-02-3S. 7921 2 1 annual mammogram for covered persons aged [thirty-five] thirty through 2 thirty-nine, inclusive, or any sonogram or other diagnostic procedure 3 used to detect breast cancer, upon the recommendation of a physician, 4 subject to the corporation's determination that the mammogram is 5 medically necessary; and 6 § 3. This act shall take effect on the thirtieth day after it shall 7 have become a law, and shall apply to policies and contracts issued, 8 renewed, modified, altered or amended on or after such effective date.