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:

                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________

                                         8472

                                 I N  A S S E M B L Y

                                   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    S 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    S 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    S  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    S 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    S 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    S 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    S 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    S 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    S 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    S 11. This act shall take effect on the sixtieth day  after  it  shall
   43  have become a law.
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