Bill Text: NY A01745 | 2017-2018 | General Assembly | Introduced

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Bill Title: Provides that every health insurance policy which provides coverage for hospital, surgical or medical care shall provide coverage for the standard diagnostic testing for ovarian cancer upon the recommendation of a physician; provides that such standard diagnostic testing shall include a pelvic examination, a sonogram and a CA 125 blood test and related laboratory and diagnostic services.

Spectrum: Partisan Bill (Democrat 13-0)

Status: (Introduced - Dead) 2018-01-03 - referred to insurance [A01745 Detail]

Download: New_York-2017-A01745-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          1745
                               2017-2018 Regular Sessions
                   IN ASSEMBLY
                                    January 12, 2017
                                       ___________
        Introduced by M. of A. PRETLOW, JAFFEE -- Multi-Sponsored by -- M. of A.
          CAHILL,  COOK,  CUSICK,  DINOWITZ, GALEF, GLICK, HOOPER, MAGEE, ORTIZ,
          PERRY, WRIGHT -- read once and referred to the Committee on Insurance
        AN ACT to amend the insurance  law,  in  relation  to  health  insurance
          coverage for diagnostic testing for ovarian 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 11-b to read as follows:
     3    (11-b) (A) Every policy delivered or issued for delivery in this state
     4  which  provides  medical  coverage  that includes coverage for physician
     5  services in a physician's office and every policy which  provides  major
     6  medical  or  similar comprehensive-type coverage shall provide, upon the
     7  prescription of a health care provider legally authorized  to  prescribe
     8  under  title eight of the education law, coverage for diagnostic testing
     9  for ovarian cancer, including a pelvic examination, a sonogram, a CA 125
    10  blood test and laboratory and diagnostic services provided in connection
    11  with examining and evaluating such blood test for women aged  forty  and
    12  over  with  one or more female relatives with a prior history of ovarian
    13  cancer.
    14    (B) Such coverage may be subject to annual deductibles and coinsurance
    15  as may be deemed appropriate by the superintendent and as are consistent
    16  with those established for other benefits within a given policy.
    17    § 2. Subsection (l) of section 3221 of the insurance law is amended by
    18  adding a new paragraph 11-b to read as follows:
    19    (11-b) (A) Every insurer which delivers or issues for delivery in this
    20  state a policy which provides medical coverage  that  includes  coverage
    21  for physician services in a physician's office or major medical or simi-
    22  lar  comprehensive-type coverage shall provide, upon the prescription of
    23  a health care provider legally authorized to prescribe under title eight
    24  of the education  law,  coverage  for  diagnostic  testing  for  ovarian
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD01981-01-7
        A. 1745                             2
     1  cancer,  including a pelvic examination, a sonogram, a CA 125 blood test
     2  and laboratory and diagnostic services provided in connection with exam-
     3  ining and evaluating such blood test for women aged forty and over  with
     4  one or more female relatives with a prior history of ovarian cancer.
     5    (B) Such coverage may be subject to annual deductibles and coinsurance
     6  as may be deemed appropriate by the superintendent and as are consistent
     7  with those established for other benefits within a given policy.
     8    §  3.  Section  4303  of  the insurance law is amended by adding a new
     9  subsection (oo) to read as follows:
    10    (oo) (1) A hospital service  corporation,  medical  expense  indemnity
    11  corporation  or health service corporation which provides medical cover-
    12  age that includes coverage  for  physician  services  in  a  physician's
    13  office  or  major  medical  or similar comprehensive-type coverage shall
    14  provide, upon the prescription of a health care provider legally author-
    15  ized to prescribe under title eight of the education law,  coverage  for
    16  diagnostic testing for ovarian cancer, including a pelvic examination, a
    17  sonogram,  a  CA  125  blood test and laboratory and diagnostic services
    18  provided in connection with examining and evaluating such blood test for
    19  women aged forty and over with one or more female relatives with a prior
    20  history of ovarian cancer.
    21    (2) 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.
    24    § 4. This act shall take effect on the first of January next  succeed-
    25  ing  the date on which it shall have become a law and shall apply to all
    26  policies issued, renewed, altered or modified on or after such effective
    27  date.