Bill Text: NY A05502 | 2019-2020 | General Assembly | Amended


Bill Title: Enacts "Shannon's law"; relates to requiring insurance companies to cover annual mammograms for breast cancer screening for covered persons aged thirty-five and older.

Spectrum: Slight Partisan Bill (Democrat 18-7)

Status: (Introduced) 2019-06-18 - substituted by s3852a [A05502 Detail]

Download: New_York-2019-A05502-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         5502--A

                               2019-2020 Regular Sessions

                   IN ASSEMBLY

                                    February 13, 2019
                                       ___________

        Introduced  by M. of A. JEAN-PIERRE, COOK, WALKER, COLTON, JAFFEE, HYND-
          MAN, DICKENS, ZEBROWSKI, SIMON, D'URSO, ROZIC, ABINANTI, BLAKE,  McDO-
          NOUGH,  M. L. MILLER,  PALUMBO,  WRIGHT,  JOYNER, BRABENEC, GARBARINO,
          LiPETRI, TITUS, RAIA -- Multi-Sponsored by -- M. of A. THIELE --  read
          once  and  referred  to  the  Committee  on  Insurance -- reported and
          referred to the Committee on Codes -- reported  and  referred  to  the
          Committee  on  Ways  and  Means -- committee discharged, bill amended,
          ordered reprinted as amended and recommitted to said committee

        AN ACT to amend the insurance law, in relation  to  enacting  "Shannon's
          Law"

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Short title. This act shall be known and may  be  cited  as
     2  "Shannon's Law".
     3    §  2.  Subparagraph  (A)  of paragraph 11 of subsection (l) of section
     4  3221 of the insurance law, as amended by chapter  414  of  the  laws  of
     5  2017, is amended to read as follows:
     6    (A)  Every  insurer  delivering a group or blanket policy or issuing a
     7  group or blanket policy for delivery in this state that provides  cover-
     8  age  for  hospital, surgical or medical care shall provide the following
     9  coverage for mammography screening for occult breast cancer:
    10    (i) upon the recommendation of a physician, a mammogram, which may  be
    11  provided  by breast tomosynthesis, at any age for covered persons having
    12  a prior history of breast cancer or who have  a  first  degree  relative
    13  with a prior history of breast cancer;
    14    (ii)  a  single  baseline  mammogram,  which may be provided by breast
    15  tomosynthesis, for covered persons aged thirty-five through thirty-nine,
    16  inclusive; [and]
    17    (iii) an annual mammogram, which may be provided by breast tomosynthe-
    18  sis, for covered persons aged forty and older[.]; and

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09044-03-9

        A. 5502--A                          2

     1    (iv) for large group policies  that  provide  coverage  for  hospital,
     2  surgical  or  medical care, an annual mammogram for covered persons aged
     3  thirty-five through thirty-nine, inclusive, upon the recommendation of a
     4  physician, subject to the insurer's determination that the mammogram  is
     5  medically necessary.
     6    §  3.  Subparagraphs (B), (C) and (D) of paragraph 1 of subsection (p)
     7  of section 4303 of the insurance  law,  subparagraphs  (B)  and  (C)  as
     8  amended  by chapter 414 of the laws of 2017, subparagraph (D) as amended
     9  by chapter 74 of the laws of 2016, are amended to read as follows:
    10    (B) a single baseline mammogram, which may be provided by breast tomo-
    11  synthesis, for covered persons  aged  thirty-five  through  thirty-nine,
    12  inclusive; [and]
    13    (C) an annual mammogram, which may be provided by breast tomosythesis,
    14  for covered persons aged forty and older[.];
    15    (D)  for  large group contracts offered by a medical expense indemnity
    16  corporation, a hospital service corporation or a health  service  corpo-
    17  ration  that provide coverage for hospital, surgical or medical care, an
    18  annual mammogram for covered persons aged  thirty-five  through  thirty-
    19  nine,  inclusive, upon the recommendation of a physician, subject to the
    20  corporation's determination that the mammogram is  medically  necessary;
    21  and
    22    (E)  The  coverage required in this paragraph or paragraph two of this
    23  subsection shall not be subject to annual deductibles or coinsurance.
    24    § 4. This act shall take effect on the thirtieth day  after  it  shall
    25  have  become  a  law,  and shall apply to policies and contracts issued,
    26  renewed, modified, altered or amended on or after such effective date.
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