•  Summary 
  •  
  •  Actions 
  •  
  •  Committee Votes 
  •  
  •  Floor Votes 
  •  
  •  Memo 
  •  
  •  Text 
  •  
  •  LFIN 
  •  
  •  Chamber Video/Transcript 

A08387 Summary:

BILL NOA08387
 
SAME ASSAME AS S07785
 
SPONSORSeawright
 
COSPNSRColton, Gallagher, Gonzalez-Rojas, Simon
 
MLTSPNSR
 
Amd §§3216, 3221 & 4303, Ins L
 
Provides that individuals may receive breast cancer screenings under an insurance plan when such individual has a second degree relative with a prior history of breast cancer.
Go to top    

A08387 Actions:

BILL NOA08387
 
12/13/2023referred to insurance
01/03/2024referred to insurance
Go to top

A08387 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A8387
 
SPONSOR: Seawright
  TITLE OF BILL: An act to amend the insurance law, in relation to including second degree relatives in certain criteria for breast cancer screenings to be covered under insurance plans   PURPOSE OR GENERAL IDEA OF BILL: The purpose of this bill is to expand eligibility for breast cancer screening to individuals with a second degree relative with a prior history of breast cancer.   SUMMARY OF PROVISIONS: Section 1 of this bill would require that every. person insured under an individual policy of accident and health insurance delivered or issued for delivery in this state shall be eligible, upon the recommendation of a physician and who has a second degree relative with a prior history of breast cancer, for a mammogram at any age. Section 2 of this bill would require that every person insured under a group or blanket policy of accident and health insurance delivered or issued for delivery in this state shall be eligible, upon the recommen- dation of a physician and who has a second degree relative with a prier history of breast cancer, fora mammogram at any age. Section 3 of this bill would require that a medical expense indemnity corporation, a hospital service corporation or a health service corpo- ration that provides coverage for hospital, surgical or medical care shall provide coverage for mammography screening for occult breast cancer at any age for covered persons upon the recommendation of a physician and who has a second degree relative with a prior history of breast cancer Section 4 of this bill provides that the effective date shall take effect on the sixtieth day after it shall have become a-law and shall apply to all policies and contracts issued, renewed, modified, altered or amended on or after such date.   JUSTIFICATION: Current law, enacted in 1988 and 1989, stipulates that insurance poli- cies covering hospital, surgical, and medical care must cover mammogra- phy examinations to detect breast cancer in policyholders over a certain age, under certain medical conditions, and with a family history of breast cancer. Mammography screening is recognized as the most effective means of detecting breast cancer in its early. Stages, when prospects for treatment and recovery are greatest. Chapter 692 of the Laws of 1988 and Chapter 417 of the Laws of 1989 were important first steps in ensur- ing the regular, healthy screening of residents and requiring policy coverage of critical preventative care. However, medical professionals have continued to call for increased regular screening for policyholders under age fifty and for those with greater risks, such as a family history of breast cancer. Furthermore, limiting mammography options to the first degree relative prevents access to some policyholders; for example, if a parent of such policyholder dies prior to receiving a breast cancer screening in a family with a known history of breast cancer. In this situation, if such policyholder had a second degree relative with breast cancer, they may not be able to utilize care services simply by the happenstance of an untimely death. Greater access to this essential early detection test would provide policyholders with better health outcomes. This bill would expand eligibility for breast cancer screening to individuals with a second degree relative with a prior history of breast cancer.   PRIOR LEGISLATIVE HISTORY: This is a new bill.   FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS: None to the State.   EFFECTIVE DATE: This act shall take effect on the sixtieth day after it shall have become a law and shall apply to all policies and contracts issued, renewed, modified, altered or amended on or after such date.
Go to top

A08387 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          8387
 
                               2023-2024 Regular Sessions
 
                   IN ASSEMBLY
 
                                    December 13, 2023
                                       ___________
 
        Introduced  by  M.  of  A.  SEAWRIGHT  --  read once and referred to the
          Committee on Insurance
 
        AN ACT to amend the insurance  law,  in  relation  to  including  second
          degree  relatives  in certain criteria for breast cancer screenings to
          be covered under insurance plans

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1. Item (i) of subparagraph (A) of paragraph 11 of subsection
     2  (i) of section 3216 of the insurance law, as amended by chapter  414  of
     3  the laws of 2017, is amended to read as follows:
     4    (i)  upon the recommendation of a physician, a mammogram, which may be
     5  provided by breast tomosynthesis, at any age for covered persons  having
     6  a  prior  history  of breast cancer or who have a first or second degree
     7  relative with a prior history of breast cancer;
     8    § 2. Item (i) of subparagraph (A) of paragraph 11 of subsection (l) of
     9  section 3221 of the insurance law, as amended by chapter 143 of the laws
    10  of 2019, is amended to read as follows:
    11    (i) upon the recommendation of a physician, a mammogram, which may  be
    12  provided  by breast tomosynthesis, at any age for covered persons having
    13  a prior history of breast cancer or who have a first  or  second  degree
    14  relative with a prior history of breast cancer;
    15    § 3. Subparagraph (A) of paragraph 1 of subsection (p) of section 4303
    16  of  the insurance law, as amended by chapter 414 of the laws of 2017, is
    17  amended to read as follows:
    18    (A) upon the recommendation of a physician, a mammogram, which may  be
    19  provided  by breast tomosynthesis, at any age for covered persons having
    20  a prior history of breast cancer or who have a first  or  second  degree
    21  relative with a prior history of breast cancer;
    22    §  4.  This  act  shall take effect on the sixtieth day after it shall
    23  have become a law and shall apply to all policies and contracts  issued,
    24  renewed, modified, altered or amended on or after such date.

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD13430-01-3
Go to top