Amd §§3216, 3221 & 4303, Ins L; amd §365-a, Soc Serv L
Requires that health insurance policies shall provide coverage for follow-up screening or diagnostic services for lung cancer; provides that no patient cost sharing shall be imposed for follow-up screening or diagnostic services for lung cancer.
STATE OF NEW YORK
________________________________________________________________________
1195
2025-2026 Regular Sessions
IN ASSEMBLY
January 9, 2025
___________
Introduced by M. of A. PEOPLES-STOKES, WEPRIN, REYES, SHIMSKY, SIMON --
read once and referred to the Committee on Insurance
AN ACT to amend the insurance law and the social services law, in
relation to mandatory health insurance coverage for follow-up screen-
ing or diagnostic services for lung cancer
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Subsection (i) of section 3216 of the insurance law is
2 amended by adding a new paragraph 40 to read as follows:
3 (40) (A) Every policy which provides medical, major medical, or simi-
4 lar comprehensive-type coverage shall provide coverage for follow-up
5 screening or diagnostic services for lung cancer when recommended by a
6 health care provider acting within the provider's scope of practice
7 pursuant to title eight of the education law.
8 (B) Notwithstanding any other provision of law, any policy that
9 provides coverage required by this paragraph shall not impose patient
10 cost sharing for follow-up screening or diagnostic services for lung
11 cancer.
12 § 2. Subsection (l) of section 3221 of the insurance law is amended by
13 adding a new paragraph 23 to read as follows:
14 (23) (A) Every policy which provides medical, major medical, or simi-
15 lar comprehensive-type coverage shall provide coverage for follow-up
16 screening or diagnostic services for lung cancer when recommended by a
17 health care provider acting within the provider's scope of practice
18 pursuant to title eight of the education law.
19 (B) Notwithstanding any other provision of law, any policy that
20 provides coverage required by this paragraph shall not impose patient
21 cost sharing for follow-up screening or diagnostic services for lung
22 cancer.
23 § 3. Section 4303 of the insurance law is amended by adding a new
24 subsection (ww) to read as follows:
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD02876-01-5
A. 1195 2
1 (ww) (1) Every policy which provides medical, major medical, or simi-
2 lar comprehensive-type coverage shall provide coverage for follow-up
3 screening or diagnostic services for lung cancer when recommended by a
4 health care provider acting within the provider's scope of practice
5 pursuant to title eight of the education law.
6 (2) Notwithstanding any other provision of law, any policy that
7 provides coverage required by this subsection shall not impose patient
8 cost sharing for follow-up screening or diagnostic services for lung
9 cancer.
10 § 4. Subdivision 2 of section 365-a of the social services law is
11 amended by adding a new paragraph (nn) to read as follows:
12 (nn) (i) follow-up screening or diagnostic services for lung cancer
13 when recommended by a health care provider acting within the provider's
14 scope of practice pursuant to title eight of the education law.
15 (ii) notwithstanding any other provision of law, coverage required by
16 this paragraph shall not impose patient cost sharing for follow-up
17 screening or diagnostic services for lung cancer.
18 § 5. This act shall take effect January 1, 2027 and shall apply to all
19 policies and contracts issued, renewed, modified, altered or amended on
20 or after such date.
