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S04850 Summary:

BILL NOS04850
 
SAME ASSAME AS A01158-A
 
SPONSORRYAN C
 
COSPNSR
 
MLTSPNSR
 
Amd §§3216, 3221 & 4303, Ins L
 
Provides that individuals may receive breast cancer screenings under an insurance plan when such individual has a second degree relative with a prior history of breast cancer.
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S04850 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          4850
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                    February 13, 2025
                                       ___________
 
        Introduced  by  Sen. C. RYAN -- 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  including  second
          degree  relatives  in certain criteria for breast cancer screenings to
          be covered under insurance plans

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1. Item (i) of subparagraph (A) of paragraph 11 of subsection
     2  (i) of section 3216 of the insurance law, as amended by chapter  414  of
     3  the laws of 2017, is amended to read as follows:
     4    (i)  upon the recommendation of a physician, a mammogram, which may be
     5  provided by breast tomosynthesis, at any age for covered persons  having
     6  a  prior  history  of breast cancer or who have a first or second degree
     7  relative with a prior history of breast cancer;
     8    § 1-a. Item (i) of subparagraph (A) of paragraph 11 of subsection  (i)
     9  of  section  3216 of the insurance law, as amended by chapter 424 of the
    10  laws of 2024, is amended to read as follows:
    11    (i) upon the recommendation of a physician, a mammogram, which may  be
    12  provided  by breast tomosynthesis, at any age for covered persons having
    13  a prior history of breast cancer or who have a first  or  second  degree
    14  relative with a prior history of breast cancer;
    15    § 2. Item (i) of subparagraph (A) of paragraph 11 of subsection (l) of
    16  section 3221 of the insurance law, as amended by chapter 143 of the laws
    17  of 2019, is amended to read as follows:
    18    (i)  upon the recommendation of a physician, a mammogram, which may be
    19  provided by breast tomosynthesis, at any age for covered persons  having
    20  a  prior  history  of breast cancer or who have a first or second degree
    21  relative with a prior history of breast cancer;
    22    § 2-a. Item (i) of subparagraph (A) of paragraph 11 of subsection  (l)
    23  of  section  3221 of the insurance law, as amended by chapter 424 of the
    24  laws of 2024, is amended to read as follows:

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03149-02-5

        S. 4850                             2
 
     1    (i) upon the recommendation of a physician, a mammogram, which may  be
     2  provided  by breast tomosynthesis, at any age for covered persons having
     3  a prior history of breast cancer or who have a first  or  second  degree
     4  relative with a prior history of breast cancer;
     5    § 3. Subparagraph (A) of paragraph 1 of subsection (p) of section 4303
     6  of  the insurance law, as amended by chapter 414 of the laws of 2017, is
     7  amended to read as follows:
     8    (A) upon the recommendation of a physician, a mammogram, which may  be
     9  provided  by breast tomosynthesis, at any age for covered persons having
    10  a prior history of breast cancer or who have a first  or  second  degree
    11  relative with a prior history of breast cancer;
    12    §  3-a.   Subparagraph (A) of paragraph 1 of subsection (p) of section
    13  4303 of the insurance law, as amended by chapter  424  of  the  laws  of
    14  2024, is amended to read as follows:
    15    (A)  upon the recommendation of a physician, a mammogram, which may be
    16  provided by breast tomosynthesis, at any age for covered persons  having
    17  a  prior  history  of breast cancer or who have a first or second degree
    18  relative with a prior history of breast cancer;
    19    § 4. This act shall take effect on the sixtieth  day  after  it  shall
    20  have  become a law and shall apply to all policies and contracts issued,
    21  renewed, modified, altered or amended on or after such  date;  provided,
    22  however,  that  if  chapter 424 of the laws of 2024 shall not have taken
    23  effect on or before such date then sections one-a, two-a and three-a  of
    24  this  act  shall  take effect on the same date and in the same manner as
    25  such chapter of the laws of 2024 takes effect.
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