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A03280 Summary:

BILL NOA03280A
 
SAME ASSAME AS S03323-A
 
SPONSORBichotte Hermelyn
 
COSPNSRStirpe, Colton, Cruz, Jackson, Gibbs, Levenberg, Seawright, Epstein, Hyndman, Simon, Lucas, Davila, Weprin, Rozic, Meeks, Lunsford
 
MLTSPNSR
 
Amd §§3216, 3221 & 4303, Ins L
 
Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy.
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A03280 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         3280--A
                                                                Cal. No. 150
 
                               2025-2026 Regular Sessions
 
                   IN ASSEMBLY
 
                                    January 27, 2025
                                       ___________
 
        Introduced by M. of A. BICHOTTE HERMELYN, STIRPE, COLTON, CRUZ, JACKSON,
          GIBBS,  LEVENBERG,  SEAWRIGHT, EPSTEIN, HYNDMAN, SIMON, LUCAS, DAVILA,
          WEPRIN, ROZIC, MEEKS, LUNSFORD  --  read  once  and  referred  to  the
          Committee on Insurance -- reported from committee, advanced to a third
          reading,  amended  and  ordered  reprinted, retaining its place on the
          order of third reading
 
        AN ACT to amend the insurance law, in relation to enacting the Eli Park-
          er Levitt law
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  Short  title. This act shall be known and may be cited as
     2  the "Eli Parker Levitt Law".
     3    § 2. Paragraph 10 of subsection (i) of section 3216 of  the  insurance
     4  law is amended by adding a new subparagraph (C) to read as follows:
     5    (C)  Coverage  provided  under  this  paragraph for care and treatment
     6  during pregnancy shall include medically necessary  transvaginal  ultra-
     7  sounds  when  recommended  by  nationally  recognized  clinical practice
     8  guidelines. For the purposes of this  subparagraph,  "nationally  recog-
     9  nized  clinical practice guidelines" means evidence-based clinical prac-
    10  tice guidelines informed by a  systematic  review  of  evidence  and  an
    11  assessment  of  the  benefits,  and  risks  of  alternative care options
    12  intended to optimize patient care developed by independent organizations
    13  or medical professional societies utilizing  a  transparent  methodology
    14  and reporting structure and with a conflict of interest policy.
    15    §  3.  Paragraph  5 of subsection (k) of section 3221 of the insurance
    16  law is amended by adding a new subparagraph (D) to read as follows:
    17    (D) Coverage provided under this  paragraph  for  care  and  treatment
    18  during  pregnancy  shall include medically necessary transvaginal ultra-
    19  sounds when  recommended  by  nationally  recognized  clinical  practice
    20  guidelines.  For  the  purposes of this subparagraph, "nationally recog-
    21  nized clinical practice guidelines" means evidence-based clinical  prac-
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD07220-04-5

        A. 3280--A                          2
 
     1  tice  guidelines  informed  by  a  systematic  review of evidence and an
     2  assessment of the  benefits,  and  risks  of  alternative  care  options
     3  intended to optimize patient care developed by independent organizations
     4  or  medical  professional  societies utilizing a transparent methodology
     5  and reporting structure and with a conflict of interest policy.
     6    § 4. Paragraph 1 of subsection (c) of section 4303  of  the  insurance
     7  law is amended by adding a new subparagraph (D) to read as follows:
     8    (D)  Coverage  provided  under  this  paragraph for care and treatment
     9  during pregnancy shall include medically necessary  transvaginal  ultra-
    10  sounds  when  recommended  by  nationally  recognized  clinical practice
    11  guidelines. For the purposes of this  subparagraph,  "nationally  recog-
    12  nized  clinical practice guidelines" means evidence-based clinical prac-
    13  tice guidelines informed by a  systematic  review  of  evidence  and  an
    14  assessment  of  the  benefits,  and  risks  of  alternative care options
    15  intended to optimize patient care developed by independent organizations
    16  or medical professional societies utilizing  a  transparent  methodology
    17  and reporting structure and with a conflict of interest policy.
    18    § 5. This act shall take effect January 1, 2027 and shall apply to any
    19  policy  or contract issued, renewed, modified, altered, or amended on or
    20  after such date.
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