Bill Text: NY A05727 | 2019-2020 | General Assembly | Amended
Bill Title: Requires health insurance policies to cover comprehensive genetic screening for ovarian and prostate cancers.
Spectrum: Strong Partisan Bill (Democrat 19-2)
Status: (Introduced - Dead) 2020-01-08 - referred to insurance [A05727 Detail]
Download: New_York-2019-A05727-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 5727--A 2019-2020 Regular Sessions IN ASSEMBLY February 14, 2019 ___________ Introduced by M. of A. ROZIC, ABINANTI, AUBRY, BLAKE, BRONSON, COLTON, COOK, CRESPO, JAFFEE, M. G. MILLER, O'DONNELL, OTIS, SIMON, WEPRIN -- Multi-Sponsored by -- M. of A. ARROYO, BARNWELL, CROUCH, GUNTHER, PERRY, RAIA, RIVERA -- read once and referred to the Committee on Insurance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the insurance law, in relation to requiring health insurance policies to fully cover comprehensive genetic testing for ovarian and prostate cancers in certain cases The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. This act shall be known and may be cited as the "Ana Lucia 2 act". 3 § 2. Paragraph 11-a of subsection (i) of section 3216 of the insurance 4 law is amended by adding a new subparagraph (C) to read as follows: 5 (C) (i) Such policy shall provide additional full coverage for compre- 6 hensive genetic testing for prostatic cancer only if recommended by a 7 doctor, a board-certified geneticist or a board-certified genetic coun- 8 selor. 9 (ii) All costs associated with such additional full coverage shall not 10 be subject to annual deductibles and coinsurance but shall be borne 11 solely by the insurer. 12 § 3. Paragraph 11-a of subsection (l) of section 3221 of the insurance 13 law is amended by adding a new subparagraph (C) to read as follows: 14 (C)(i) Such policy shall provide additional full coverage for compre- 15 hensive genetic testing for prostatic cancer only if recommended by a 16 doctor, a board-certified geneticist or a board-certified genetic coun- 17 selor. 18 (ii) All costs associated with such additional full coverage shall not 19 be subject to annual deductibles and coinsurance but shall be borne 20 solely by the insurer. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD01111-02-9A. 5727--A 2 1 § 4. Subsection (z-1) of section 4303 of the insurance law is amended 2 by adding a new paragraph 3 to read as follows: 3 (3)(A) Such policy shall provide additional full coverage for compre- 4 hensive genetic testing for prostatic cancer only if recommended by a 5 doctor, a board-certified geneticist or a board-certified genetic coun- 6 selor. 7 (B) All costs associated with such additional full coverage shall not 8 be subject to annual deductibles and coinsurance but shall be borne 9 solely by the insurer. 10 § 5. Subsection (i) of section 3216 of the insurance law is amended by 11 adding a new paragraph 11-b to read as follows: 12 (11-b) (A) Every policy that provides coverage for hospital, surgical 13 or medical care shall provide full coverage for genetic screening for 14 ovarian cancer only if recommended by a doctor, a board-certified genet- 15 icist or a board-certified genetic counselor. 16 (B) Such additional coverage shall not be subject to annual deduct- 17 ibles and coinsurance but shall be borne solely by the insurer. 18 § 6. Subsection (l) of section 3221 of the insurance law is amended by 19 adding a new paragraph 11-b to read as follows: 20 (11-b) (A) Every insurer delivering a group or blanket policy or issu- 21 ing a group or blanket policy for delivery in this state that provides 22 coverage for hospital, surgical or medical care shall provide full 23 coverage or genetic screening for ovarian cancer only if recommended by 24 a doctor, a board-certified geneticist or a board-certified genetic 25 counselor. 26 (B) Such additional coverage shall not be subject to annual deduct- 27 ibles and coinsurance but shall be borne solely by the insurer. 28 § 7. Section 4303 of the insurance law is amended by adding a new 29 subsection (p-1) to read as follows: 30 (p-1) (1) A medical expense indemnity corporation, a hospital service 31 corporation or a health service corporation that provides coverage for 32 hospital, surgical or medical care shall provide full coverage for 33 genetic screening for ovarian cancer only if recommended by a doctor, a 34 board-certified geneticist or a board-certified genetic counselor. 35 (2) Such additional coverage shall not be subject to annual deduct- 36 ibles and coinsurance but shall be borne solely by the insurer. 37 § 8. This act shall take effect on the sixtieth day after it shall 38 have become a law.
