STATE OF NEW YORK
________________________________________________________________________
6042--B
2023-2024 Regular Sessions
IN ASSEMBLY
March 31, 2023
___________
Introduced by M. of A. BICHOTTE HERMELYN, STIRPE, COLTON, CRUZ,
JEAN-PIERRE, JACKSON, GIBBS, LEVENBERG, SEAWRIGHT, EPSTEIN, SILLITTI,
ARDILA, HYNDMAN, SIMON, LUCAS, GUNTHER, AUBRY, DAVILA -- read once and
referred to the Committee on Insurance -- recommitted to the Committee
on Insurance in accordance with Assembly Rule 3, sec. 2 -- committee
discharged, bill amended, ordered reprinted as amended and recommitted
to said committee -- again reported from said committee with amend-
ments, ordered reprinted as amended and recommitted to said committee
AN ACT to amend the insurance law, in relation to requiring insurance
policies to provide coverage for transvaginal ultrasounds during preg-
nancy
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Paragraph 10 of subsection (i) of section 3216 of the
2 insurance law is amended by adding a new subparagraph (C) to read as
3 follows:
4 (C) Coverage provided under this paragraph for care and treatment
5 during pregnancy shall include medically necessary transvaginal ultra-
6 sounds when recommended by nationally recognized clinical practice
7 guidelines. For the purposes of this subparagraph, "nationally recog-
8 nized clinical practice guidelines" means evidence-based clinical prac-
9 tice guidelines informed by a systematic review of evidence and an
10 assessment of the benefits, and risks of alternative care options
11 intended to optimize patient care developed by independent organizations
12 or medical professional societies utilizing a transparent methodology
13 and reporting structure and with a conflict of interest policy.
14 § 2. Paragraph 5 of subsection (k) of section 3221 of the insurance
15 law is amended by adding a new subparagraph (C) to read as follows:
16 (C) Coverage provided under this paragraph for care and treatment
17 during pregnancy shall include medically necessary transvaginal ultra-
18 sounds when recommended by nationally recognized clinical practice
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD01169-04-4
A. 6042--B 2
1 guidelines. For the purposes of this subparagraph, "nationally recog-
2 nized clinical practice guidelines" means evidence-based clinical prac-
3 tice guidelines informed by a systematic review of evidence and an
4 assessment of the benefits, and risks of alternative care options
5 intended to optimize patient care developed by independent organizations
6 or medical professional societies utilizing a transparent methodology
7 and reporting structure and with a conflict of interest policy.
8 § 3. Paragraph 1 of subsection (c) of section 4303 of the insurance
9 law is amended by adding a new subparagraph (D) to read as follows:
10 (D) Coverage provided under this paragraph for care and treatment
11 during pregnancy shall include medically necessary transvaginal ultra-
12 sounds when recommended by nationally recognized clinical practice
13 guidelines. For the purposes of this subparagraph, "nationally recog-
14 nized clinical practice guidelines" means evidence-based clinical prac-
15 tice guidelines informed by a systematic review of evidence and an
16 assessment of the benefits, and risks of alternative care options
17 intended to optimize patient care developed by independent organizations
18 or medical professional societies utilizing a transparent methodology
19 and reporting structure and with a conflict of interest policy.
20 § 4. This act shall take effect January 1, 2026 and shall apply to any
21 policy or contract issued, renewed, modified, altered, or amended on or
22 after such date.
