A03760 Summary:
BILL NO | A03760A |
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SAME AS | No same as |
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SPONSOR | Espinal |
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COSPNSR | Jaffee, Rozic, Aubry, Rosa, Colton, Steck, Sepulveda, Abinanti, Borelli, Montesano, Graf, Cook, Skoufis, Scarborough, Moya, Perry, Titus |
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MLTSPNSR | Arroyo, Brennan, Clark, Jacobs, Magee, Ra, Rivera, Simanowitz, Sweeney, Titone, Weisenberg |
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Amd SS3216, 3221, 4303 & 4326, Ins L | |
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Requires health insurance policies to cover comprehensive screening for ovarian cancer. |
A03760 Actions:
BILL NO | A03760A | |||||||||||||||||||||||||||||||||||||||||||||||||
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01/29/2013 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
02/13/2013 | amend (t) and recommit to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
02/13/2013 | print number 3760a | |||||||||||||||||||||||||||||||||||||||||||||||||
11/20/2013 | enacting clause stricken |
A03760 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 3760--A 2013-2014 Regular Sessions IN ASSEMBLY January 29, 2013 ___________ Introduced by M. of A. ESPINAL, JAFFEE -- read once and referred to the Committee on Insurance -- 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 cover comprehensive tests for ovarian cancer in certain cases The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Paragraph 7 of subsection (d) of section 4326 of the 2 insurance law, as added by chapter 1 of the laws of 1999, is amended to 3 read as follows: 4 (7) adult preventive health services consisting of mammography screen- 5 ing; ovarian cancer screening as provided in subsection (p-1) of section 6 four thousand three hundred three of this article; cervical cytology 7 screening; periodic physical examinations no more than once every three 8 years; and adult immunizations; 9 § 2. Subsection (i) of section 3216 of the insurance law is amended by 10 adding a new paragraph 11-b to read as follows: 11 (11-b) (A) Every policy that provides coverage for hospital, surgical 12 or medical care shall provide the following coverage for screening for 13 ovarian cancer: 14 (i) upon the recommendation of a physician, a pelvic exam, genetic 15 testing, ultrasound and blood testing at any age for covered persons 16 having a high risk of developing ovarian cancer or who have a first 17 degree relative with a prior history of ovarian cancer; 18 (ii) a single baseline ultrasound for covered persons aged thirty-five 19 through thirty-nine, inclusive; and 20 (iii) an annual ultrasound for covered persons aged forty and older. 21 (B) Such coverage required pursuant to subparagraph (A) of this para- 22 graph may be subject to annual deductibles and coinsurance as may be EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD06910-03-3A. 3760--A 2 1 deemed appropriate by the superintendent and as are consistent with 2 those established for other benefits within a given policy. 3 (C) (i) Such policy shall provide for additional coverage for computed 4 tomography, barium enema X-rays, magnetic resonance imaging (MRI), posi- 5 tron emission tomography, laparoscopy, colonoscopy and biopsy if a 6 person is believed to be at increased risk for ovarian cancer due to 7 family history or prior personal history of ovarian cancer, positive 8 genetic testing or other indications as determined by such person's 9 physician or nurse practitioner. 10 (ii) Such additional coverage may be subject to annual deductibles and 11 coinsurance as may be deemed appropriate by the superintendent and as 12 are consistent with those established for other benefits within a given 13 policy. 14 § 3. Subsection (1) of section 3221 of the insurance law is amended by 15 adding a new paragraph 11-b to read as follows: 16 (11-b) (A) Every insurer delivering a group or blanket policy or issu- 17 ing a group or blanket policy for delivery in this state that provides 18 coverage for hospital, surgical or medical care shall provide the 19 following coverage for screening for ovarian cancer: 20 (i) upon the recommendation of a physician, a pelvic exam, genetic 21 testing, ultrasound and blood testing at any age for covered persons 22 having a high risk of developing ovarian cancer or who have a first 23 degree relative with a prior history of ovarian cancer; 24 (ii) a single baseline ultrasound for covered persons aged thirty-five 25 through thirty-nine, inclusive; and 26 (iii) an annual ultrasound for covered persons aged forty and older. 27 (B) Such coverage required pursuant to subparagraph (A) of this para- 28 graph may be subject to annual deductibles and coinsurance as may be 29 deemed appropriate by the superintendent and as are consistent with 30 those established for other benefits within a given policy. 31 (C) (i) Such policy shall provide for additional coverage for computed 32 tomography, barium enema X-rays, magnetic resonance imaging (MRI), posi- 33 tron emission tomography, laparoscopy, colonoscopy and biopsy if a 34 person is believed to be at increased risk for ovarian cancer due to 35 family history or prior personal history of ovarian cancer, positive 36 genetic testing or other indications as determined by such person's 37 physician or nurse practitioner. 38 (ii) Such additional coverage may be subject to annual deductibles and 39 coinsurance as may be deemed appropriate by the superintendent and as 40 are consistent with those established for other benefits within a given 41 policy. 42 § 4. Section 4303 of the insurance law is amended by adding a new 43 subsection (p-1) to read as follows: 44 (p-1) (1) A medical expense indemnity corporation, a hospital service 45 corporation or a health service corporation that provides coverage for 46 hospital, surgical or medical care shall provide the following coverage 47 for screening for ovarian cancer: 48 (A) upon the recommendation of a physician, a pelvic exam, genetic 49 testing, ultrasound and blood testing at any age for covered persons 50 having a high risk of developing ovarian cancer or who have a first 51 degree relative with a prior history of ovarian cancer; 52 (B) a single baseline ultrasound for covered persons aged thirty-five 53 through thirty-nine, inclusive; and 54 (C) an annual ultrasound for covered persons aged forty and older. 55 (2) Such coverage required pursuant to subparagraph (A) of this para- 56 graph may be subject to annual deductibles and coinsurance as may beA. 3760--A 3 1 deemed appropriate by the superintendent and as are consistent with 2 those established for other benefits within a given policy. 3 (3) (A) Such policy shall provide for additional coverage for computed 4 tomography, barium enema X-rays, magnetic resonance imaging (MRI), posi- 5 tron emission tomography, laparoscopy, colonoscopy and biopsy if a 6 person is believed to be at increased risk for ovarian cancer due to 7 family history or prior personal history of ovarian cancer, positive 8 genetic testing or other indications as determined by such person's 9 physician or nurse practitioner. 10 (B) Such additional coverage may be subject to annual deductibles and 11 coinsurance as may be deemed appropriate by the superintendent and as 12 are consistent with those established for other benefits within a given 13 policy. 14 § 5. This act shall take effect on the sixtieth day after it shall 15 have become a law.