Requires health insurers to provide coverage for procedures relating to the diagnosis and treatment of uterine fibroids and related conditions, including pain, discomfort and infertility resulting therefrom.
STATE OF NEW YORK
________________________________________________________________________
5830
2025-2026 Regular Sessions
IN ASSEMBLY
February 20, 2025
___________
Introduced by M. of A. FORREST -- read once and referred to the Commit-
tee on Insurance
AN ACT to amend the insurance law, in relation to requiring health
insurers to provide coverage for diagnosis and treatment of fibroids
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) Every insurer issuing a policy of accident and health insurance
4 for delivery in this state shall provide coverage for all costs for
5 diagnosis and treatment of uterine fibroids, also called leiomyomas or
6 myomas, and related conditions, including but not limited to pain,
7 discomfort and infertility resulting therefrom. Such diagnosis and
8 treatment may include pelvic exam, ultrasound, lab tests, magnetic reso-
9 nance imaging, hysterosonography, hysterosalpingography, hysteroscopy
10 medication, noninvasive procedures, uterine artery embolization, radiof-
11 requency ablation, laparoscopic or robotic myomectomy, hysteroscopic
12 myomectomy, endometrial ablation, abdominal myomectomy, hysterectomy or
13 any other treatment, or any combination of treatments, provided such
14 treatment is recommended by a health care provider licensed to practice
15 in the state of New York.
16 § 2. Subsection (k) of section 3221 of the insurance law is amended by
17 adding a new paragraph 24 to read as follows:
18 (24) Every group or blanket policy delivered or issued for delivery in
19 this state which provides hospital, surgical or medical coverage shall
20 provide coverage for all costs for diagnosis and treatment of uterine
21 fibroids, also called leiomyomas or myomas, and related conditions,
22 including but not limited to pain, discomfort and infertility resulting
23 therefrom. Such diagnosis and treatment may include pelvic exam, ultra-
24 sound, lab tests, magnetic resonance imaging, hysterosonography, hyster-
25 osalpingography, hysteroscopy medication, noninvasive procedures,
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD06471-01-5
A. 5830 2
1 uterine artery embolization, radiofrequency ablation, laparoscopic or
2 robotic myomectomy, hysteroscopic myomectomy, endometrial ablation,
3 abdominal myomectomy, hysterectomy or any other treatment, or any combi-
4 nation of treatments, provided such treatment is recommended by a health
5 care provider licensed to practice in the state of New York.
6 § 3. Section 4303 of the insurance law is amended by adding a new
7 subsection (ww) to read as follows:
8 (ww) Every medical expense indemnity corporation, hospital service
9 corporation and health service corporation which provides coverage for
10 medical, surgical or major medical care shall provide coverage for all
11 costs for diagnosis and treatment of uterine fibroids, also called
12 leiomyomas or myomas, and related conditions, including but not limited
13 to pain, discomfort and infertility resulting therefrom. Such diagnosis
14 and treatment may include pelvic exam, ultrasound, lab tests, magnetic
15 resonance imaging, hysterosonography, hysterosalpingography, hysterosco-
16 py medication, noninvasive procedures, uterine artery embolization,
17 radiofrequency ablation, laparoscopic or robotic myomectomy, hystero-
18 scopic myomectomy, endometrial ablation, abdominal myomectomy, hysterec-
19 tomy or any other treatment, or any combination of treatments, provided
20 such treatment is recommended by a health care provider licensed to
21 practice in the state of New York.
22 § 4. This act shall take effect on the one hundred twentieth day after
23 it shall have become a law.
