Bill Text: NY A05651 | 2019-2020 | General Assembly | Introduced
Bill Title: Requires health insurance policies to cover comprehensive screening for ovarian cancer.
Spectrum: Partisan Bill (Democrat 21-1)
Status: (Introduced - Dead) 2020-01-08 - referred to insurance [A05651 Detail]
Download: New_York-2019-A05651-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 5651 2019-2020 Regular Sessions IN ASSEMBLY February 14, 2019 ___________ Introduced by M. of A. ROZIC, PEOPLES-STOKES, AUBRY, ABINANTI, BARNWELL, BLAKE, COLTON, COOK, CRESPO, D'URSO, GUNTHER, JAFFEE, JONES, OTIS, PERRY, SIMON, STECK, TITUS, WEPRIN, MONTESANO, M. G. MILLER -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to requiring health insurance policies to cover comprehensive tests for ovarian cancer in certain cases 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 that provides coverage for hospital, surgical 4 or medical care shall provide the following coverage for screening for 5 ovarian cancer: 6 (i) upon the recommendation of a physician, a pelvic exam, genetic 7 testing, ultrasound and blood testing at any age for covered persons 8 having a high risk of developing ovarian cancer or who have a first 9 degree relative with a prior history of ovarian cancer; 10 (ii) a single baseline ultrasound for covered persons aged thirty-five 11 through thirty-nine, inclusive; and 12 (iii) an annual ultrasound for covered persons aged forty and older. 13 (B) Such coverage required pursuant to subparagraph (A) of this para- 14 graph may be subject to annual deductibles and coinsurance as may be 15 deemed appropriate by the superintendent and as are consistent with 16 those established for other benefits within a given policy. 17 (C) (i) Such policy shall provide for additional coverage for computed 18 tomography, barium enema X-rays, magnetic resonance imaging (MRI), posi- 19 tron emission tomography, laparoscopy, colonoscopy and biopsy if a 20 person is believed to be at increased risk for ovarian cancer due to 21 family history or prior personal history of ovarian cancer, positive EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD01112-01-9A. 5651 2 1 genetic testing or other indications as determined by such person's 2 physician or nurse practitioner. 3 (ii) Such additional coverage may be subject to annual deductibles and 4 coinsurance as may be deemed appropriate by the superintendent and as 5 are consistent with those established for other benefits within a given 6 policy. 7 § 2. Subsection (l) of section 3221 of the insurance law is amended by 8 adding a new paragraph 11-b to read as follows: 9 (11-b) (A) Every insurer delivering a group or blanket policy or issu- 10 ing a group or blanket policy for delivery in this state that provides 11 coverage for hospital, surgical or medical care shall provide the 12 following coverage for screening for ovarian cancer: 13 (i) upon the recommendation of a physician, a pelvic exam, genetic 14 testing, ultrasound and blood testing at any age for covered persons 15 having a high risk of developing ovarian cancer or who have a first 16 degree relative with a prior history of ovarian cancer; 17 (ii) a single baseline ultrasound for covered persons aged thirty-five 18 through thirty-nine, inclusive; and 19 (iii) an annual ultrasound for covered persons aged forty and older. 20 (B) Such coverage required pursuant to subparagraph (A) of this para- 21 graph may be subject to annual deductibles and coinsurance as may be 22 deemed appropriate by the superintendent and as are consistent with 23 those established for other benefits within a given policy. 24 (C) (i) Such policy shall provide for additional coverage for computed 25 tomography, barium enema X-rays, magnetic resonance imaging (MRI), posi- 26 tron emission tomography, laparoscopy, colonoscopy and biopsy if a 27 person is believed to be at increased risk for ovarian cancer due to 28 family history or prior personal history of ovarian cancer, positive 29 genetic testing or other indications as determined by such person's 30 physician or nurse practitioner. 31 (ii) Such additional coverage may be subject to annual deductibles and 32 coinsurance as may be deemed appropriate by the superintendent and as 33 are consistent with those established for other benefits within a given 34 policy. 35 § 3. Section 4303 of the insurance law is amended by adding a new 36 subsection (p-1) to read as follows: 37 (p-1) (1) A medical expense indemnity corporation, a hospital service 38 corporation or a health service corporation that provides coverage for 39 hospital, surgical or medical care shall provide the following coverage 40 for screening for ovarian cancer: 41 (A) upon the recommendation of a physician, a pelvic exam, genetic 42 testing, ultrasound and blood testing at any age for covered persons 43 having a high risk of developing ovarian cancer or who have a first 44 degree relative with a prior history of ovarian cancer; 45 (B) a single baseline ultrasound for covered persons aged thirty-five 46 through thirty-nine, inclusive; and 47 (C) an annual ultrasound for covered persons aged forty and older. 48 (2) Such coverage required pursuant to subparagraph (A) of this para- 49 graph may be subject to annual deductibles and coinsurance as may be 50 deemed appropriate by the superintendent and as are consistent with 51 those established for other benefits within a given policy. 52 (3) (A) Such policy shall provide for additional coverage for computed 53 tomography, barium enema X-rays, magnetic resonance imaging (MRI), posi- 54 tron emission tomography, laparoscopy, colonoscopy and biopsy if a 55 person is believed to be at increased risk for ovarian cancer due to 56 family history or prior personal history of ovarian cancer, positiveA. 5651 3 1 genetic testing or other indications as determined by such person's 2 physician or nurse practitioner. 3 (B) Such additional coverage may be subject to annual deductibles and 4 coinsurance as may be deemed appropriate by the superintendent and as 5 are consistent with those established for other benefits within a given 6 policy. 7 § 4. This act shall take effect on the sixtieth day after it shall 8 have become a law.
