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


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 16-6)

Status: (Introduced) 2019-02-13 - referred to insurance [A05502 Detail]

Download: New_York-2019-A05502-Introduced.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                          5502
                               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 --
          Multi-Sponsored by -- M. of A. THIELE -- read once and referred to the
          Committee on Insurance
        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 (i) of section
     4  3216 of the insurance law, as amended by chapter  414  of  the  laws  of
     5  2017, is amended to read as follows:
     6    (A)  Every  policy  that  provides  coverage for hospital, surgical or
     7  medical care  shall  provide  the  following  coverage  for  mammography
     8  screening for occult breast cancer:
     9    (i)  upon the recommendation of a physician, a mammogram, which may be
    10  provided by breast tomosynthesis, at any age for covered persons  having
    11  a  prior  history  of  breast cancer or who have a first degree relative
    12  with a prior history of breast cancer;
    13    (ii) a single baseline mammogram, which  may  be  provided  by  breast
    14  tomosynthesis, for covered persons aged thirty-five through thirty-nine,
    15  inclusive; [and]
    16    (iii)  upon the recommendation of a physician, an annual mammogram for
    17  covered persons aged thirty-five through thirty-nine, inclusive; and
    18    (iv) an annual mammogram, which may be provided by breast  tomosynthe-
    19  sis, for covered persons aged forty and older.
    20    §  3.  Subparagraph  (A)  of paragraph 11 of subsection (l) of section
    21  3221 of the insurance law, as amended by chapter  414  of  the  laws  of
    22  2017, is amended to read as follows:
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09044-01-9

        A. 5502                             2
     1    (A)  Every  insurer  delivering a group or blanket policy or issuing a
     2  group or blanket policy for delivery in this state that provides  cover-
     3  age  for  hospital, surgical or medical care shall provide the following
     4  coverage for mammography screening for occult breast cancer:
     5    (i)  upon the recommendation of a physician, a mammogram, which may be
     6  provided by breast tomosynthesis, at any age for covered persons  having
     7  a  prior  history  of  breast cancer or who have a first degree relative
     8  with a prior history of breast cancer;
     9    (ii) a single baseline mammogram, which  may  be  provided  by  breast
    10  tomosynthesis, for covered persons aged thirty-five through thirty-nine,
    11  inclusive; [and]
    12    (iii)  upon the recommendation of a physician, an annual mammogram for
    13  covered persons aged thirty-five through thirty-nine, inclusive; and
    14    (iv) an annual mammogram, which may be provided by breast  tomosynthe-
    15  sis, for covered persons aged forty and older.
    16    §  4.  Subparagraphs (B), (C) and (D) of paragraph 1 of subsection (p)
    17  of section 4303 of the insurance  law,  subparagraphs  (B)  and  (C)  as
    18  amended  by chapter 414 of the laws of 2017, subparagraph (D) as amended
    19  by chapter 74 of the laws of 2016, are amended to read as follows:
    20    (B) a single baseline mammogram, which may be provided by breast tomo-
    21  synthesis, for covered persons  aged  thirty-five  through  thirty-nine,
    22  inclusive; [and]
    23    (C)  upon  the  recommendation of a physician, an annual mammogram for
    24  covered persons aged thirty-five through thirty-nine, inclusive; and
    25    (D) an annual mammogram, which may be provided by breast tomosythesis,
    26  for covered persons aged forty and older[.]; and
    27    [(D)] (E) The coverage required in this paragraph or paragraph two  of
    28  this  subsection  shall  not be subject to annual deductibles or coinsu-
    29  rance.
    30    § 5. This act shall take effect on the thirtieth day  after  it  shall
    31  have  become  a  law,  and shall apply to policies and contracts issued,
    32  renewed, modified, altered or amended on or after such effective date.
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