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S04497 Summary:

BILL NOS04497
 
SAME ASSAME AS A07339
 
SPONSORHINCHEY
 
COSPNSRGONZALEZ, GOUNARDES, MYRIE
 
MLTSPNSR
 
Amd §§3221, 4303 & 3216, Ins L
 
Requires certain insurance policies to provide coverage for fertility preservation services, including anticipated iatrogenic infertility.
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S04497 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          4497
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                    February 6, 2025
                                       ___________
 
        Introduced  by  Sen. HINCHEY -- 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 coverage for fertility
          preservation services
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1. Clauses (vi) and (viii) of subparagraph (C) of paragraph 6
     2  of subsection (k) of section 3221 of the insurance law,  as  amended  by
     3  section  1  of part L of chapter 57 of the laws of 2019,  are amended to
     4  read as follows:
     5    (vi) Coverage  shall  also  include  standard  fertility  preservation
     6  services  [when  a  medical  treatment  may directly or indirectly cause
     7  iatrogenic infertility to an insured]. Coverage may be subject to annual
     8  deductibles and coinsurance, including  copayments,  as  may  be  deemed
     9  appropriate  by  the  superintendent  and  as  are consistent with those
    10  established for other benefits within a given policy.
    11    (viii) No  insurer  providing  coverage  under  this  paragraph  shall
    12  discriminate based on an insured's expected length of life, present [of]
    13  or predicted disability, degree of medical dependency, perceived quality
    14  of  life,  or  other health conditions, including anticipated iatrogenic
    15  infertility, nor based on personal characteristics, including age,  sex,
    16  sexual orientation, marital status or gender identity.
    17    §  2.  Subparagraphs  (F)  and (H) of paragraph 3 of subsection (s) of
    18  section 4303 of the insurance law, as amended by section 2 of part L  of
    19  chapter 57 of the laws of 2019, are amended to read as follows:
    20    (F)  Coverage  shall  also  include  standard  fertility  preservation
    21  services [when a medical treatment  may  directly  or  indirectly  cause
    22  iatrogenic infertility to an insured]. Coverage may be subject to annual
    23  deductibles  and  coinsurance,  including  copayments,  as may be deemed
    24  appropriate by the superintendent  and  as  are  consistent  with  those
    25  established for other benefits within a given contract.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD08489-01-5

        S. 4497                             2
 
     1    (H)  No  corporation  providing  coverage  under this subsection shall
     2  discriminate based on an insured's expected length of life,  present  or
     3  predicted disability, degree of medical dependency, perceived quality of
     4  life,  or  other  health  conditions,  including  anticipated iatrogenic
     5  infertility,  nor based on personal characteristics, including age, sex,
     6  sexual orientation, marital status or gender identity.
     7    § 3. Subparagraph (C) of paragraph 13 of  subsection  (i)  of  section
     8  3216 of the insurance law, as added by section 3 of part L of chapter 57
     9  of the laws of 2019, is amended to read as follows:
    10    (C)  Every  policy  that  provides  medical,  major medical or similar
    11  comprehensive-type coverage shall provide coverage for standard fertili-
    12  ty preservation services [when a medical treatment may directly or indi-
    13  rectly cause iatrogenic infertility to  an  insured].  Coverage  may  be
    14  subject  to annual deductibles and coinsurance, including copayments, as
    15  may be deemed appropriate by the superintendent and  as  are  consistent
    16  with those established for other benefits within a given policy.
    17    (i)  For purposes of this subparagraph, "iatrogenic infertility" means
    18  an impairment of fertility by surgery, radiation, chemotherapy or  other
    19  medical treatment affecting reproductive organs or processes.
    20    (ii) No insurer providing coverage under this paragraph shall discrim-
    21  inate  based  on  an  insured's  expected  length  of  life,  present or
    22  predicted disability, degree of medical dependency, perceived quality of
    23  life, or  other  health  conditions,  including  anticipated  iatrogenic
    24  infertility,  nor based on personal characteristics, including age, sex,
    25  sexual orientation, marital status or gender identity.
    26    § 4. This act shall take effect immediately.
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