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S02397 Summary:

BILL NOS02397
 
SAME ASSAME AS A05830
 
SPONSORPERSAUD
 
COSPNSRHOYLMAN-SIGAL
 
MLTSPNSR
 
Amd §§3216, 3221 & 4303, Ins L
 
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.
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S02397 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          2397
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                    January 17, 2025
                                       ___________
 
        Introduced  by  Sens.  PERSAUD,  HOYLMAN-SIGAL -- read twice and ordered
          printed, and when printed to be committed to the Committee  on  Insur-
          ance
 
        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-
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD06471-01-5

        S. 2397                             2
 
     1  osalpingography,   hysteroscopy   medication,   noninvasive  procedures,
     2  uterine artery embolization, radiofrequency  ablation,  laparoscopic  or
     3  robotic  myomectomy,  hysteroscopic  myomectomy,  endometrial  ablation,
     4  abdominal myomectomy, hysterectomy or any other treatment, or any combi-
     5  nation of treatments, provided such treatment is recommended by a health
     6  care provider licensed to practice in the state of New York.
     7    §  3.  Section  4303  of  the insurance law is amended by adding a new
     8  subsection (ww) to read as follows:
     9    (ww) Every medical expense  indemnity  corporation,  hospital  service
    10  corporation  and  health service corporation which provides coverage for
    11  medical, surgical or major medical care shall provide coverage  for  all
    12  costs  for  diagnosis  and  treatment  of  uterine fibroids, also called
    13  leiomyomas or myomas, and related conditions, including but not  limited
    14  to  pain, discomfort and infertility resulting therefrom. Such diagnosis
    15  and treatment may include pelvic exam, ultrasound, lab  tests,  magnetic
    16  resonance imaging, hysterosonography, hysterosalpingography, hysterosco-
    17  py  medication,  noninvasive  procedures,  uterine  artery embolization,
    18  radiofrequency ablation, laparoscopic or  robotic  myomectomy,  hystero-
    19  scopic myomectomy, endometrial ablation, abdominal myomectomy, hysterec-
    20  tomy  or any other treatment, or any combination of treatments, provided
    21  such treatment is recommended by a  health  care  provider  licensed  to
    22  practice in the state of New York.
    23    § 4. This act shall take effect on the one hundred twentieth day after
    24  it shall have become a law.
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