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S07303 Summary:

BILL NOS07303
 
SAME ASNo Same As
 
SPONSORSCARCELLA-SPANTON
 
COSPNSR
 
MLTSPNSR
 
Amd 3216, 3221 & 4303, Ins L
 
Requires insurance coverage for medical genetic testing for adoptees and persons placed in foster care.
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S07303 Actions:

BILL NOS07303
 
05/19/2023REFERRED TO INSURANCE
01/03/2024REFERRED TO INSURANCE
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S07303 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          7303
 
                               2023-2024 Regular Sessions
 
                    IN SENATE
 
                                      May 19, 2023
                                       ___________
 
        Introduced  by Sen. SCARCELLA-SPANTON -- 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 coverage  for  medical
          genetic testing for adoptees and persons placed in foster care
 
          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 that provides hospital, surgical or medical care
     4  coverage or provides reimbursement for laboratory tests or reimbursement
     5  for  diagnostic  X-ray services shall provide coverage for comprehensive
     6  medical genetic testing to determine  the  presence  or  absence  of  an
     7  inherited  genetic  characteristic  in an individual, including tests of
     8  nucleic acid such as DNA, RNA, and  mitochondrial  DNA,  chromosomes  or
     9  proteins  in  order to identify a predisposing genetic characteristic to
    10  persons who were adoptees as defined in subdivision one of  section  one
    11  hundred nine of the domestic relations law or who were persons placed in
    12  foster care.
    13    (B)  Coverage  provided under this paragraph may be limited to persons
    14  residing in New York state.
    15    (C) Coverage provided under this paragraph may be  subject  to  annual
    16  deductibles  and  co-insurance  as deemed appropriate by the superinten-
    17  dent.
    18    § 2. Subsection (k) of section 3221 of the insurance law is amended by
    19  adding a new paragraph 23 to read as follows:
    20    (23) (A) Every group or blanket policy delivered or issued for  deliv-
    21  ery  in  this  state  which  provides hospital, surgical or medical care
    22  coverage or provides reimbursement for laboratory tests or reimbursement
    23  for diagnostic X-ray services shall provide coverage  for  comprehensive
    24  medical  genetic  testing  to  determine  the  presence or absence of an
    25  inherited genetic characteristic in an individual,  including  tests  of
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11573-01-3

        S. 7303                             2
 
     1  nucleic  acid  such  as  DNA, RNA, and mitochondrial DNA, chromosomes or
     2  proteins in order to identify a predisposing genetic  characteristic  to
     3  persons  who  were adoptees as defined in subdivision one of section one
     4  hundred nine of the domestic relations law or persons who were placed in
     5  foster care.
     6    (B)  Coverage  provided under this paragraph may be limited to persons
     7  residing in New York state.
     8    (C) Coverage provided under this paragraph may be  subject  to  annual
     9  deductibles  and  co-insurance  as deemed appropriate by the superinten-
    10  dent.
    11    § 3. Section 4303 of the insurance law is  amended  by  adding  a  new
    12  subsection (vv) to read as follows:
    13    (vv)  (1)  Every contract issued by a medical expense indemnity corpo-
    14  ration, hospital service corporation or health service corporation  that
    15  provides  hospital,  surgical  or  medical  care  coverage  or  provides
    16  reimbursement for laboratory tests or reimbursement for diagnostic X-ray
    17  services shall provide coverage for comprehensive medical genetic  test-
    18  ing to determine the presence or absence of an inherited genetic charac-
    19  teristic  in an individual, including tests of nucleic acid such as DNA,
    20  RNA, and mitochondrial DNA, chromosomes or proteins in order to identify
    21  a predisposing genetic characteristic to persons who  were  adoptees  as
    22  defined  in  subdivision one of section one hundred nine of the domestic
    23  relations law or persons who were placed in foster care.
    24    (2) Coverage provided under this subsection may be limited to  persons
    25  residing in New York state.
    26    (3)  Coverage  provided under this subsection may be subject to annual
    27  deductibles and co-insurance as deemed appropriate  by  the  superinten-
    28  dent.
    29    §  4.  This  act shall take effect on the ninetieth day after it shall
    30  have become a law and shall apply to any policy issued,  renewed,  modi-
    31  fied, altered, or amended on or after such date.
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