A08472 Summary:

BILL NO    A08472 

SAME AS    No same as 

SPONSOR    Rozic (MS)

COSPNSR    Abinanti, Aubry, Borelli, Cook, Graf, Jaffee, Lavine, Miller,
           Millman, O'Donnell, Scarborough, Sepulveda, Skoufis, Colton, Crespo,
           Bronson, Weprin, Otis, Lupinacci, Robinson

MLTSPNSR   Arroyo, Brennan, Ceretto, Clark, Crouch, Gunther, Jacobs, Kearns,
           McLaughlin, Perry, Raia, Rivera, Schimel, Simanowitz, Weisenberg

Amd SS3216, 3221 & 4303, Ins L

Requires health insurance policies to cover comprehensive genetic screening for
breast, ovarian, prostate, colon and lung cancers.
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A08472 Actions:

BILL NO    A08472 

01/16/2014 referred to insurance
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A08472 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          8472
 
                   IN ASSEMBLY
 
                                    January 16, 2014
                                       ___________
 
        Introduced  by  M.  of  A.  ROZIC, ABINANTI, AUBRY, BORELLI, COOK, GRAF,
          JAFFEE, LAVINE, MILLER, MILLMAN,  O'DONNELL,  SCARBOROUGH,  SEPULVEDA,
          SKOUFIS,  COLTON  --  Multi-Sponsored  by -- M. of A. ARROYO, BRENNAN,
          CERETTO, CLARK, GUNTHER, KEARNS, McLAUGHLIN, PERRY,  RIVERA,  SIMANOW-
          ITZ,  WEISENBERG  -- read once and referred to the Committee on Insur-
          ance
 

        AN ACT to amend the insurance  law,  in  relation  to  requiring  health
          insurance  policies  to  fully cover comprehensive genetic testing for
          breast, ovarian, prostate, colon and lung 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 of subsection (i) of section 3216 of  the  insurance
     4  law is amended by adding a new subparagraph (F) to read as follows:
     5    (F) (i) Such policy shall provide additional full coverage for compre-
     6  hensive  genetic  testing  for  breast  cancer  only if recommended by a
     7  board-certified geneticist or a board-certified genetic counselor.

     8    (ii) All costs associated with such additional full coverage shall not
     9  be subject to annual deductibles and  coinsurance  but  shall  be  borne
    10  solely by the insurer.
    11    § 3. Paragraph 11-a of subsection (i) of section 3216 of the insurance
    12  law is amended by adding a new subparagraph (C) to read as follows:
    13    (C) (i) Such policy shall provide additional full coverage for compre-
    14  hensive  genetic  testing  for prostatic cancer only if recommended by a
    15  board-certified geneticist or a board-certified genetic counselor.
    16    (ii) All costs associated with such additional full coverage shall not
    17  be subject to annual deductibles and  coinsurance  but  shall  be  borne
    18  solely by the insurer.
    19    §  4.  Paragraph 11 of subsection (l) of section 3221 of the insurance

    20  law is amended by adding a new subparagraph (F) to read as follows:
    21    (F) (i) Such policy shall provide additional full coverage for compre-
    22  hensive genetic testing for breast  cancer  only  if  recommended  by  a
    23  board-certified geneticist or a board-certified genetic counselor.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD06910-06-3

        A. 8472                             2
 
     1    (ii) All costs associated with such additional full coverage shall not
     2  be  subject  to  annual  deductibles  and coinsurance but shall be borne
     3  solely by the insurer.

     4    § 5. Paragraph 11-a of subsection (l) of section 3221 of the insurance
     5  law is amended by adding a new subparagraph (C) to read as follows:
     6    (C)(i)  Such policy shall provide additional full coverage for compre-
     7  hensive genetic testing for prostatic cancer only if  recommended  by  a
     8  board-certified geneticist or a board-certified genetic counselor.
     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    § 6. Subsection (p) of section 4303 of the insurance law is amended by
    13  adding a new paragraph 5 to read as follows:
    14    (5) (i) Such coverage  shall  provide  additional  full  coverage  for

    15  comprehensive genetic testing for breast cancer only if recommended by a
    16  board-certified geneticist or a board-certified genetic counselor.
    17    (ii) All costs associated with such additional full coverage shall not
    18  be  subject  to  annual  deductibles  and coinsurance but shall be borne
    19  solely by the insurer.
    20    § 7. Subsection (z-1) of section 4303 of the insurance law is  amended
    21  by adding a new paragraph 3 to read as follows:
    22    (3)(A)  Such policy shall provide additional full coverage for compre-
    23  hensive genetic testing for prostatic cancer only if  recommended  by  a
    24  board-certified geneticist or a board-certified genetic counselor.
    25    (B)  All costs associated with such additional full coverage shall not

    26  be subject to annual deductibles and  coinsurance  but  shall  be  borne
    27  solely by the insurer.
    28    § 8. Subsection (i) of section 3216 of the insurance law is amended by
    29  adding three new paragraphs 11-b, 11-c and 11-d to read as follows:
    30    (11-b)  (A) Every policy that provides coverage for hospital, surgical
    31  or medical care shall provide full coverage for  genetic  screening  for
    32  ovarian  cancer only if recommended by a board-certified geneticist or a
    33  board-certified genetic counselor.
    34    (B) Such additional coverage shall not be subject  to  annual  deduct-
    35  ibles and coinsurance but shall be borne solely by the insurer.
    36    (11-c)  (A) Every policy that provides coverage for hospital, surgical

    37  or medical care shall provide full coverage for  genetic  screening  for
    38  colon  cancer  only  if recommended by a board-certified geneticist or a
    39  board-certified genetic counselor.
    40    (B) All costs associated with such additional full coverage shall  not
    41  be  subject  to  annual  deductibles  and coinsurance but shall be borne
    42  solely by the insurer.
    43    (11-d) (A) Every policy that provides coverage for hospital,  surgical
    44  or  medical  care  shall provide full coverage for genetic screening for
    45  lung cancer only if recommended by a  board-certified  geneticist  or  a
    46  board-certified genetic counselor.
    47    (B)  All costs associated with such additional full coverage shall not

    48  be subject to annual deductibles and  coinsurance  but  shall  be  borne
    49  solely by the insurer.
    50    § 9. Subsection (l) of section 3221 of the insurance law is amended by
    51  adding three new paragraphs 11-b, 11-c and 11-d to read as follows:
    52    (11-b) (A) Every insurer delivering a group or blanket policy or issu-
    53  ing  a  group or blanket policy for delivery in this state that provides
    54  coverage for hospital, surgical  or  medical  care  shall  provide  full
    55  coverage  or genetic screening for ovarian cancer only if recommended by
    56  a board-certified geneticist or a board-certified genetic counselor.

        A. 8472                             3
 
     1    (B) Such additional coverage shall not be subject  to  annual  deduct-

     2  ibles and coinsurance but shall be borne solely by the insurer.
     3    (11-c)  (A) Every policy that provides coverage for hospital, surgical
     4  or medical care shall provide full coverage for  genetic  screening  for
     5  colon  cancer  only  if recommended by a board-certified geneticist or a
     6  board-certified genetic counselor.
     7    (B) All costs associated with such additional full coverage shall  not
     8  be  subject  to  annual  deductibles  and coinsurance but shall be borne
     9  solely by the insurer.
    10    (11-d) (A) Every policy that provides coverage for hospital,  surgical
    11  or  medical  care  shall provide full coverage for genetic screening for
    12  lung cancer only if recommended by a  board-certified  geneticist  or  a

    13  board-certified genetic counselor.
    14    (B)  All costs associated with such additional full coverage shall not
    15  be subject to annual deductibles and  coinsurance  but  shall  be  borne
    16  solely by the insurer.
    17    § 10. Section 4303 of the insurance law is amended by adding three new
    18  subsections (p-1), (p-2) and (p-3) to read as follows:
    19    (p-1)  (1) A medical expense indemnity corporation, a hospital service
    20  corporation or a health service corporation that provides  coverage  for
    21  hospital,  surgical  or  medical  care  shall  provide full coverage for
    22  genetic screening for ovarian cancer only if recommended by a board-cer-
    23  tified geneticist or a board-certified genetic counselor.
    24    (2) Such additional coverage shall not be subject  to  annual  deduct-

    25  ibles and coinsurance but shall be borne solely by the insurer.
    26    (p-2)  (1) A medical expense indemnity corporation, a hospital service
    27  corporation or a health service corporation that provides  coverage  for
    28  hospital,  surgical  or  medical  care  shall  provide full coverage for
    29  genetic screening for colon cancer only if recommended by a board-certi-
    30  fied geneticist or a board-certified genetic counselor.
    31    (2) All costs associated with such additional full coverage shall  not
    32  be  subject  to  annual  deductibles  and coinsurance but shall be borne
    33  solely by the insurer.
    34    (p-3) (1) A medical expense indemnity corporation, a hospital  service
    35  corporation  or  a health service corporation that provides coverage for

    36  hospital, surgical or medical  care  shall  provide  full  coverage  for
    37  genetic  screening for lung cancer only if recommended by a board-certi-
    38  fied geneticist or a board-certified genetic counselor.
    39    (2) All costs associated with such additional full coverage shall  not
    40  be  subject  to  annual  deductibles  and coinsurance but shall be borne
    41  solely by the insurer.
    42    § 11. This act shall take effect on the sixtieth day  after  it  shall
    43  have become a law.
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