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A07741 Summary:

BILL NOA07741
 
SAME ASSAME AS S07146
 
SPONSORBichotte Hermelyn
 
COSPNSRStirpe, Colton, Cruz, Gottfried, Fernandez, Jean-Pierre, Jackson
 
MLTSPNSR
 
Amd §§3216, 3221 & 4303, Ins L
 
Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy.
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A07741 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          7741
 
                               2021-2022 Regular Sessions
 
                   IN ASSEMBLY
 
                                      May 21, 2021
                                       ___________
 
        Introduced  by  M.  of A. BICHOTTE HERMELYN -- read once and referred to
          the Committee on Insurance
 
        AN ACT to amend the insurance law, in relation  to  requiring  insurance
          policies to provide coverage for transvaginal ultrasounds during preg-
          nancy
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Paragraph 10 of subsection  (i)  of  section  3216  of  the
     2  insurance  law  is  amended  by adding a new subparagraph (C) to read as
     3  follows:
     4    (C) Coverage provided under this  paragraph  for  care  and  treatment
     5  during pregnancy shall include provision for payments for not less than:
     6    (i) a transvaginal ultrasound once between sixteen through twenty-four
     7  weeks; and
     8    (ii)  a  transvaginal  ultrasound every two weeks from sixteen through
     9  twenty-four weeks for pregnant individuals with any  of  the  following:
    10  (I)  a history of early delivery between thirteen and thirty-seven weeks
    11  in any prior pregnancy;  (II)  a  history  of  any  surgical  procedure,
    12  including  office  procedures,  performed on their cervix, including but
    13  not limited to LEEP and cone biopsy; (III) multifetal pregnancies;  (IV)
    14  a  pregnant  individual with a uterine unification defect, including but
    15  not limited to bicornuate, septate or unicornuate uterus, or any congen-
    16  ital structural defect of a kidney; and (V) a history of prior  delivery
    17  occurring at or near term by cesarean after obstructed labor.
    18    §  2.  Paragraph  5 of subsection (k) of section 3221 of the insurance
    19  law is amended by adding a new subparagraph (C) to read as follows:
    20    (C) Coverage provided under this  paragraph  for  care  and  treatment
    21  during pregnancy shall include provision for payments for not less than:
    22    (i) a transvaginal ultrasound once between sixteen through twenty-four
    23  weeks; and
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11528-01-1

        A. 7741                             2
 
     1    (ii)  a  transvaginal  ultrasound every two weeks from sixteen through
     2  twenty-four weeks for pregnant individuals with any  of  the  following:
     3  (I)  a history of early delivery between thirteen and thirty-seven weeks
     4  in any prior pregnancy;  (II)  a  history  of  any  surgical  procedure,
     5  including  office  procedures,  performed on their cervix, including but
     6  not limited to LEEP and cone biopsy; (III) multifetal pregnancies;  (IV)
     7  a  pregnant  individual with a uterine unification defect, including but
     8  not limited to bicornuate, septate or unicornuate uterus, or any congen-
     9  ital structural defect of a kidney; and (V) a history of prior  delivery
    10  occurring at or near term by cesarean after obstructed labor.
    11    §  3.  Paragraph  1 of subsection (c) of section 4303 of the insurance
    12  law is amended by adding a new subparagraph (D) to read as follows:
    13    (D) Coverage provided under this  paragraph  for  care  and  treatment
    14  during pregnancy shall include provision for payments for not less than:
    15    (i) a transvaginal ultrasound once between sixteen through twenty-four
    16  weeks; and
    17    (ii)  a  transvaginal  ultrasound every two weeks from sixteen through
    18  twenty-four weeks for pregnant individuals with any  of  the  following:
    19  (I)  a history of early delivery between thirteen and thirty-seven weeks
    20  in any prior pregnancy;  (II)  a  history  of  any  surgical  procedure,
    21  including  office  procedures,  performed on their cervix, including but
    22  not limited to LEEP and cone biopsy; (III) multifetal pregnancies;  (IV)
    23  a  pregnant  individual with a uterine unification defect, including but
    24  not limited to bicornuate, septate or unicornuate uterus, or any congen-
    25  ital structural defect of a kidney; and (V) a history of prior  delivery
    26  occurring at or near term by cesarean after obstructed labor.
    27    §  4.  This  act  shall take effect on the sixtieth day after it shall
    28  have become a law.  Effective immediately the addition, amendment and/or
    29  repeal of any rule or regulation necessary  for  the  implementation  of
    30  this  act  on its effective date are authorized to be made and completed
    31  on or before such date.
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