STATE OF NEW YORK
________________________________________________________________________
4361
2023-2024 Regular Sessions
IN ASSEMBLY
February 14, 2023
___________
Introduced by M. of A. GUNTHER, ROZIC, COLTON, COOK -- read once and
referred to the Committee on Insurance
AN ACT to amend the insurance law, in relation to coverage for the HALO
breast pap test to detect risk of developing breast cancer
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 39 to read as follows:
3 (39) (A) Every policy which provides coverage for hospital, surgical,
4 or medical care coverage shall provide coverage for the HALO breast pap
5 test to detect a woman's risk of developing breast cancer, when such
6 test is recommended by a physician or certified nurse practitioner.
7 (B) Such coverage may be subject to annual deductibles and coinsurance
8 as may be deemed appropriate by the superintendent and as are consistent
9 with those established for other benefits within a given policy.
10 (C) For purposes of this section, "HALO breast pap test" means a
11 procedure that entails collection of nipple aspirate fluid for cytologi-
12 cal evaluation.
13 § 2. Subsection (l) of section 3221 of the insurance law is amended by
14 adding a new paragraph 22 to read as follows:
15 (22) (A) A group or blanket accident or health insurance policy or
16 issuing a group blanket policy for delivery in this state which provides
17 coverage for hospital, surgical, or medical care coverage shall provide
18 coverage for the HALO breast pap test to detect a woman's risk of devel-
19 oping breast cancer, when such test is recommended by a physician or
20 certified nurse practitioner.
21 (B) Such coverage may be subject to annual deductibles and coinsurance
22 as may be deemed appropriate by the superintendent and as are consistent
23 with those established for other benefits within a given policy.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD09033-01-3
A. 4361 2
1 (C) For purposes of this section, "HALO breast pap test" means a
2 procedure that entails collection of nipple aspirate fluid for cytologi-
3 cal evaluation.
4 § 3. Section 4303 of the insurance law is amended by adding a new
5 subsection (uu) to read as follows:
6 (uu)(1) A medical expense indemnity corporation, a hospital service
7 corporation or a health service corporation which provides coverage for
8 hospital, surgical, or medical care coverage shall provide coverage for
9 the HALO breast pap test to detect a woman's risk of developing breast
10 cancer, when such test is recommended by a physician or certified nurse
11 practitioner.
12 (2) Such coverage may be subject to annual deductibles and coinsurance
13 as may be deemed appropriate by the superintendent and as are consistent
14 with those established for other benefits within a given policy.
15 (3) For purposes of this section, "HALO breast pap test" means a
16 procedure that entails collection of nipple aspirate fluid for cytologi-
17 cal evaluation.
18 § 4. This act shall take effect on the first of January next succeed-
19 ing the date on which it shall have become a law and shall apply to all
20 policies or contracts issued, renewed, modified, altered or amended on
21 and after such effective date.
