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S08750 Summary:

BILL NOS08750
 
SAME ASSAME AS A10063
 
SPONSORMAYER
 
COSPNSRADDABBO, ASHBY, BORRELLO, FERNANDEZ, GOUNARDES, HELMING, PALUMBO, PARKER, SEPULVEDA, STAVISKY
 
MLTSPNSR
 
Amd 3216, 3221 & 4303, Ins L
 
Enacts the "pediatric cancer neuropsychological needs assessment act"; requires insurers to provide coverage for neuropsychological assessments for children with pediatric cancers which affect brain development or function.
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S08750 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          8750
 
                    IN SENATE
 
                                      March 7, 2024
                                       ___________
 
        Introduced  by  Sen.  MAYER  -- read twice and ordered printed, and when
          printed to be committed to the Committee on Insurance
 
        AN ACT to amend the insurance law,  in  relation  to  requiring  certain
          insurance  policies  to  provide coverage for neuropsychological exams
          for children with pediatric cancers which affect brain development  or
          function

          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 "pediatric cancer neuropsychological needs assessment act".
     3    § 2. Subsection (i) of section 3216 of the insurance law is amended by
     4  adding a new paragraph 39 to read as follows:
     5    (39)  Every  policy  that  provides  medical, major medical or similar
     6  comprehensive-type coverage shall  provide  coverage  for  comprehensive
     7  evaluations  for  individuals up to age twenty-six with pediatric cancer
     8  or brain tumors, and shall not exclude coverage for the screening, diag-
     9  nosis or treatment of medical conditions otherwise covered by such poli-
    10  cy.  Such coverage shall include comprehensive neuropsychological  exam-
    11  inations  in  accordance  with evidence-based medical literature for the
    12  purposes of identifying memory, language, and executive  function  chal-
    13  lenges  and  determining  the  psychological, emotional, and educational
    14  wellness needs of the individual tested.
    15    § 3. Subsection (l) of section 3221 of the insurance law is amended by
    16  adding a new paragraph 22 to read as follows:
    17    (22) Every large group policy that provides medical, major medical  or
    18  similar  comprehensive-type  coverage shall provide coverage for compre-
    19  hensive evaluations for individuals up to age twenty-six with  pediatric
    20  cancer  or  brain tumors, and shall not exclude coverage for the screen-
    21  ing, diagnosis or treatment of medical conditions otherwise  covered  by
    22  such  policy. Such coverage shall include comprehensive neuropsychologi-
    23  cal examinations in accordance with  evidence-based  medical  literature
    24  for the purposes of identifying memory, language, and executive function
    25  challenges and determining the psychological, emotional, and educational
    26  wellness needs of the individual tested.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14301-01-4

        S. 8750                             2
 
     1    §  4.  Section  4303  of  the insurance law is amended by adding a new
     2  subsection (vv) to read as follows:
     3    (vv)  Every  large group contract issued by a hospital services corpo-
     4  ration or a health services corporation  that  provides  medical,  major
     5  medical  or  similar  comprehensive-type coverage shall provide coverage
     6  for comprehensive evaluations for individuals up to age twenty-six  with
     7  pediatric cancer or brain tumors, and shall not exclude coverage for the
     8  screening,  diagnosis  or  treatment  of  medical  conditions  otherwise
     9  covered by  such  policy.  Such  coverage  shall  include  comprehensive
    10  neuropsychological   examinations   in  accordance  with  evidence-based
    11  medical literature for the purposes of identifying memory, language, and
    12  executive  function  challenges  and  determining   the   psychological,
    13  emotional, and educational wellness needs of the individual tested.
    14    §  5. This act shall take effect on the first of January next succeed-
    15  ing the date on which it shall have become a law and shall apply to  all
    16  policies issued, modified or renewed on and after such effective date.
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