Bill Text: NY A08560 | 2015-2016 | General Assembly | Introduced
Bill Title: Requires that insurance companies provide coverage for surveillance tests for ovarian cancer of insured individuals who are deemed to be at risk for ovarian cancer.
Spectrum: Partisan Bill (Democrat 13-0)
Status: (Introduced - Dead) 2016-01-06 - referred to insurance [A08560 Detail]
Download: New_York-2015-A08560-Introduced.html
S T A T E O F N E W Y O R K ________________________________________________________________________ 8560 2015-2016 Regular Sessions I N A S S E M B L Y October 30, 2015 ___________ Introduced by M. of A. ORTIZ, COOK, COLTON, CLARK, GUNTHER, PEOPLES-STOKES, CAHILL, ENGLEBRIGHT, MILLER -- Multi-Sponsored by -- M. of A. BRENNAN, FARRELL, GOTTFRIED, LUPARDO, RIVERA -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to providing coverage for surveillance tests 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 32 to read as follows: 3 (32) EVERY POLICY THAT PROVIDES MEDICAL, MAJOR-MEDICAL OR SIMILAR 4 COMPREHENSIVE-TYPE COVERAGE SHALL PROVIDE COVERAGE FOR SURVEILLANCE 5 TESTS FOR OVARIAN CANCER FOR AN INSURED WHO IS AT RISK FOR OVARIAN 6 CANCER. (A) FOR PURPOSES OF THIS SUBSECTION, AN INSURED IS DEEMED TO BE 7 AT RISK IF: 8 (I) SHE HAS A FAMILY HISTORY OF: 9 1. ONE OR MORE FIRST-DEGREE RELATIVE WITH OVARIAN CANCER; 10 2. THREE OR MORE FEMALE RELATIVES WITH BREAST CANCER; OR 11 3. NONPOLYPOSIS COLORECTAL CANCER; OR 12 (II) SHE TESTS POSITIVE FOR BRCA1 OR BRCA2 MUTATIONS. 13 (B) FOR PURPOSES OF THIS SUBSECTION, SURVEILLANCE TESTS FOR OVARIAN 14 CANCER SHALL MEAN ANNUAL SCREENING FOR OVARIAN CANCER USING: 15 (I) CA-125 SERUM TUMOR MARKER TESTING; 16 (II) TRANSVAGINAL ULTRASOUND; AND 17 (III) PELVIC EXAMINATION. 18 S 2. Subsection (k) of section 3221 of the insurance law is amended by 19 adding a new paragraph 20 to read as follows: 20 (20) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED FOR DELIVERY IN 21 THIS STATE WHICH PROVIDES HOSPITAL, SURGICAL OR MEDICAL COVERAGE SHALL 22 INCLUDE COVERAGE FOR SURVEILLANCE TESTS FOR OVARIAN CANCER FOR AN EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04600-02-5 A. 8560 2 1 INSURED WHO IS AT RISK FOR OVARIAN CANCER. (A) FOR PURPOSES OF THIS 2 SUBSECTION, AN INSURED IS DEEMED TO BE AT RISK IF: 3 (I) SHE HAS A FAMILY HISTORY OF: 4 1. ONE OR MORE FIRST-DEGREE RELATIVE WITH OVARIAN CANCER; 5 2. THREE OR MORE FEMALE RELATIVES WITH BREAST CANCER; OR 6 3. NONPOLYPOSIS COLORECTAL CANCER; OR 7 (II) SHE TESTS POSITIVE FOR BRCA1 OR BRCA2 MUTATIONS. 8 (B) FOR PURPOSES OF THIS SUBSECTION, SURVEILLANCE TESTS FOR OVARIAN 9 CANCER SHALL MEAN ANNUAL SCREENING FOR OVARIAN CANCER USING: 10 (I) CA-125 SERUM TUMOR MARKER TESTING; 11 (II) TRANSVAGINAL ULTRASOUND; AND 12 (III) PELVIC EXAMINATION. 13 S 3. Section 4303 of the insurance law is amended by adding a new 14 subsection (pp) to read as follows: 15 (PP) A HEALTH SERVICE CORPORATION OR MEDICAL EXPENSE INDEMNITY CORPO- 16 RATION WHICH PROVIDES MEDICAL, MAJOR-MEDICAL OR SIMILAR 17 COMPREHENSIVE-TYPE COVERAGE MUST PROVIDE COVERAGE FOR SURVEILLANCE TESTS 18 FOR OVARIAN CANCER FOR AN INSURED WHO IS AT RISK FOR OVARIAN CANCER. (1) 19 FOR PURPOSES OF THIS SUBSECTION, AN INSURED IS DEEMED TO BE AT RISK IF: 20 (A) SHE HAS A FAMILY HISTORY OF: 21 (I) ONE OR MORE FIRST-DEGREE RELATIVE WITH OVARIAN CANCER; 22 (II) THREE OR MORE FEMALE RELATIVES WITH BREAST CANCER; OR 23 (III) NONPOLYPOSIS COLORECTAL CANCER; OR 24 (B) SHE TESTS POSITIVE FOR BRCA1 OR BRCA2 MUTATIONS. 25 (2) FOR PURPOSES OF THIS SUBSECTION, SURVEILLANCE TESTS FOR OVARIAN 26 CANCER SHALL MEAN ANNUAL SCREENING FOR OVARIAN CANCER USING: 27 (A) CA-125 SERUM TUMOR MARKER TESTING; 28 (B) TRANSVAGINAL ULTRASOUND; AND 29 (C) PELVIC EXAMINATION. 30 S 4. This act shall take effect immediately and shall apply to any 31 policy issued, renewed, or modified after such effective date.