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S03323 Summary:

BILL NOS03323A
 
SAME ASSAME AS A03280-A
 
SPONSORSCARCELLA-SPANTON
 
COSPNSR
 
MLTSPNSR
 
Amd §§3216, 3221 & 4303, Ins L
 
Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy.
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S03323 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         3323--A
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                    January 24, 2025
                                       ___________
 
        Introduced  by Sen. SCARCELLA-SPANTON -- read twice and ordered printed,
          and when printed to be committed 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 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-
    22  tice  guidelines  informed  by  a  systematic  review of evidence and an
    23  assessment of the  benefits,  and  risks  of  alternative  care  options
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD07220-05-5

        S. 3323--A                          2
 
     1  intended to optimize patient care developed by independent organizations
     2  or  medical  professional  societies utilizing a transparent methodology
     3  and reporting structure and with a conflict of interest policy.
     4    §  4.  Paragraph  1 of subsection (c) of section 4303 of the insurance
     5  law is amended by adding a new subparagraph (D) to read as follows:
     6    (D) Coverage provided under this  paragraph  for  care  and  treatment
     7  during  pregnancy  shall include medically necessary transvaginal ultra-
     8  sounds when  recommended  by  nationally  recognized  clinical  practice
     9  guidelines.  For  the  purposes of this subparagraph, "nationally recog-
    10  nized clinical practice guidelines" means evidence-based clinical  prac-
    11  tice  guidelines  informed  by  a  systematic  review of evidence and an
    12  assessment of the  benefits,  and  risks  of  alternative  care  options
    13  intended to optimize patient care developed by independent organizations
    14  or  medical  professional  societies utilizing a transparent methodology
    15  and reporting structure and with a conflict of interest policy.
    16    § 5. This act shall take effect January 1, 2027 and shall apply to any
    17  policy or contract issued, renewed, modified, altered, or amended on  or
    18  after such date.
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