STATE OF NEW YORK
________________________________________________________________________
5727--A
2019-2020 Regular Sessions
IN ASSEMBLY
February 14, 2019
___________
Introduced by M. of A. ROZIC, ABINANTI, AUBRY, BLAKE, BRONSON, COLTON,
COOK, CRESPO, JAFFEE, M. G. MILLER, O'DONNELL, OTIS, SIMON, WEPRIN --
Multi-Sponsored by -- M. of A. ARROYO, BARNWELL, CROUCH, GUNTHER,
PERRY, RAIA, RIVERA -- read once and referred 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 requiring health
insurance policies to fully cover comprehensive genetic testing for
ovarian and prostate cancers in certain cases
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. This act shall be known and may be cited as the "Ana Lucia
2 act".
3 § 2. Paragraph 11-a 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) (i) Such policy shall provide additional full coverage for compre-
6 hensive genetic testing for prostatic cancer only if recommended by a
7 doctor, a board-certified geneticist or a board-certified genetic coun-
8 selor.
9 (ii) All costs associated with such additional full coverage shall not
10 be subject to annual deductibles and coinsurance but shall be borne
11 solely by the insurer.
12 § 3. Paragraph 11-a of subsection (l) of section 3221 of the insurance
13 law is amended by adding a new subparagraph (C) to read as follows:
14 (C)(i) Such policy shall provide additional full coverage for compre-
15 hensive genetic testing for prostatic cancer only if recommended by a
16 doctor, a board-certified geneticist or a board-certified genetic coun-
17 selor.
18 (ii) All costs associated with such additional full coverage shall not
19 be subject to annual deductibles and coinsurance but shall be borne
20 solely by the insurer.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD01111-02-9
A. 5727--A 2
1 § 4. Subsection (z-1) of section 4303 of the insurance law is amended
2 by adding a new paragraph 3 to read as follows:
3 (3)(A) Such policy shall provide additional full coverage for compre-
4 hensive genetic testing for prostatic cancer only if recommended by a
5 doctor, a board-certified geneticist or a board-certified genetic coun-
6 selor.
7 (B) All costs associated with such additional full coverage shall not
8 be subject to annual deductibles and coinsurance but shall be borne
9 solely by the insurer.
10 § 5. Subsection (i) of section 3216 of the insurance law is amended by
11 adding a new paragraph 11-b to read as follows:
12 (11-b) (A) Every policy that provides coverage for hospital, surgical
13 or medical care shall provide full coverage for genetic screening for
14 ovarian cancer only if recommended by a doctor, a board-certified genet-
15 icist or a board-certified genetic counselor.
16 (B) Such additional coverage shall not be subject to annual deduct-
17 ibles and coinsurance but shall be borne solely by the insurer.
18 § 6. Subsection (l) of section 3221 of the insurance law is amended by
19 adding a new paragraph 11-b to read as follows:
20 (11-b) (A) Every insurer delivering a group or blanket policy or issu-
21 ing a group or blanket policy for delivery in this state that provides
22 coverage for hospital, surgical or medical care shall provide full
23 coverage or genetic screening for ovarian cancer only if recommended by
24 a doctor, a board-certified geneticist or a board-certified genetic
25 counselor.
26 (B) Such additional coverage shall not be subject to annual deduct-
27 ibles and coinsurance but shall be borne solely by the insurer.
28 § 7. Section 4303 of the insurance law is amended by adding a new
29 subsection (p-1) to read as follows:
30 (p-1) (1) A medical expense indemnity corporation, a hospital service
31 corporation or a health service corporation that provides coverage for
32 hospital, surgical or medical care shall provide full coverage for
33 genetic screening for ovarian cancer only if recommended by a doctor, a
34 board-certified geneticist or a board-certified genetic counselor.
35 (2) Such additional coverage shall not be subject to annual deduct-
36 ibles and coinsurance but shall be borne solely by the insurer.
37 § 8. This act shall take effect on the sixtieth day after it shall
38 have become a law.