STATE OF NEW YORK
________________________________________________________________________
5444--A
2025-2026 Regular Sessions
IN ASSEMBLY
February 14, 2025
___________
Introduced by M. of A. ROSENTHAL -- read once and referred to the
Committee on Insurance -- committee discharged, bill amended, ordered
reprinted as amended and recommitted to said committee
AN ACT to amend the insurance law, in relation to coverage for perimeno-
pausal and menopausal care and treatment
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 41 to read as follows:
3 (41) (A) Every policy that provides coverage for hospital, surgical or
4 medical care shall provide coverage for perimenopausal and menopausal
5 care and treatment administered by a physician or other licensed health
6 care provider. Symptoms of menstrual complications for perimenopausal
7 and menopausal care authorized under this paragraph include, but are not
8 limited to: irregular menstrual periods, hot flashes, chills, slowed
9 metabolism, vaginal or bladder problems, decrease in fertility, loss of
10 bone, increase in low-density lipoprotein cholesterol levels, and sleep
11 disruption including night sweats.
12 (B) For purposes of subparagraph (A) of this paragraph:
13 (i) "Menopause" means the permanent cessation of menstruation due to
14 loss of ovarian follicular function, where ovaries stop releasing eggs
15 and the body produces less estrogen and progesterone.
16 (ii) "Perimenopause" means the transition period in which a woman is
17 near the end of her reproductive years or at the onset of menopause.
18 (C) Such coverage required pursuant to subparagraph (A) of this para-
19 graph shall not be subject to annual deductibles, co-payment fees or
20 coinsurance.
21 § 2. Subsection (k) of section 3221 of the insurance law is amended by
22 adding a new paragraph 24 to read as follows:
23 (24)(A) Every policy that provides coverage for hospital, surgical or
24 medical care shall provide coverage for perimenopausal and menopausal
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD01048-04-5
A. 5444--A 2
1 care or treatment administered by a physician or other licensed health
2 care provider. Symptoms of menstrual complications for perimenopausal
3 and menopausal care authorized under this paragraph include, but are not
4 limited to: irregular menstrual periods, hot flashes, chills, slowed
5 metabolism, vaginal or bladder problems, decrease in fertility, loss of
6 bone, increase in low-density lipoprotein cholesterol levels, and sleep
7 disruption including night sweats.
8 (B) For purposes of subparagraph (A) of this paragraph:
9 (i) "Menopause" means the permanent cessation of menstruation due to
10 loss of ovarian follicular function, where ovaries stop releasing eggs
11 and the body produces less estrogen and progesterone.
12 (ii) "Perimenopause" means the transition period in which a woman is
13 near the end of her reproductive years or at the onset of menopause.
14 (C) Such coverage required pursuant to subparagraph (A) of this para-
15 graph shall not be subject to annual deductibles, co-payment fees or
16 coinsurance.
17 § 3. Section 4303 of the insurance law is amended by adding a new
18 subsection (ww) to read as follows:
19 (ww)(1) Any contract issued by a medical expense indemnity corpo-
20 ration, a hospital service corporation or a health services corporation
21 that provides coverage for hospital, surgical or medical care shall
22 provide coverage for perimenopausal and menopausal care or treatment
23 administered by a physician or other licensed health care provider.
24 Symptoms of menstrual complications for perimenopausal and menopausal
25 care authorized under this paragraph include, but are not limited to:
26 irregular menstrual periods, hot flashes, chills, slowed metabolism,
27 vaginal or bladder problems, decrease in fertility, loss of bone,
28 increase in low-density lipoprotein cholesterol levels, and sleep
29 disruption including night sweats.
30 (2) For purposes of paragraph one of this subsection:
31 (A) "Menopause" means the permanent cessation of menstruation due to
32 loss of ovarian follicular function, where ovaries stop releasing eggs
33 and the body produces less estrogen and progesterone.
34 (B) "Perimenopause" means the transition period in which a woman is
35 near the end of her reproductive years or at the onset of menopause.
36 (3) Such coverage required pursuant to paragraph one of this
37 subsection shall not be subject to annual deductibles, co-payment fees
38 or coinsurance.
39 § 4. This act shall take effect on the first of January next succeed-
40 ing the date on which it shall have become a law and shall apply to
41 policies issued, reissued, renewed, modified or amended on or after such
42 date.
