STATE OF NEW YORK
________________________________________________________________________
5579--A
2023-2024 Regular Sessions
IN SENATE
March 8, 2023
___________
Introduced by Sens. SCARCELLA-SPANTON, BROUK, SALAZAR -- read twice and
ordered printed, and when printed to be committed to the Committee on
Insurance -- recommitted to the Committee on Insurance in accordance
with Senate Rule 6, sec. 8 -- committee discharged, bill amended,
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
19 guidelines. For the purposes of this subparagraph, "nationally recog-
20 nized clinical practice guidelines" means evidence-based clinical prac-
21 tice guidelines informed by a systematic review of evidence and an
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD01169-05-4
S. 5579--A 2
1 assessment of the benefits, and risks of alternative care options
2 intended to optimize patient care developed by independent organizations
3 or medical professional societies utilizing a transparent methodology
4 and reporting structure and with a conflict of interest policy.
5 § 3. Paragraph 1 of subsection (c) of section 4303 of the insurance
6 law is amended by adding a new subparagraph (D) to read as follows:
7 (D) Coverage provided under this paragraph for care and treatment
8 during pregnancy shall include medically necessary transvaginal ultra-
9 sounds when recommended by nationally recognized clinical practice
10 guidelines. For the purposes of this subparagraph, "nationally recog-
11 nized clinical practice guidelines" means evidence-based clinical prac-
12 tice guidelines informed by a systematic review of evidence and an
13 assessment of the benefits, and risks of alternative care options
14 intended to optimize patient care developed by independent organizations
15 or medical professional societies utilizing a transparent methodology
16 and reporting structure and with a conflict of interest policy.
17 § 4. This act shall take effect January 1, 2026 and shall apply to any
18 policy or contract issued, renewed, modified, altered, or amended on or
19 after such date.
