Bill Text: NY S00200 | 2023-2024 | General Assembly | Introduced

---

Bill Title: Provides for coverage of primary and preventative obstetric and gynecological care.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2024-01-03 - REFERRED TO WOMEN'S ISSUES [S00200 Detail]

Download: New_York-2023-S00200-Introduced.html

---

                STATE OF NEW YORK
        ________________________________________________________________________

                                           200

                               2023-2024 Regular Sessions

                    IN SENATE

                                       (Prefiled)

                                     January 4, 2023
                                       ___________

        Introduced  by  Sen.  CLEARE -- read twice and ordered printed, and when
          printed to be committed to the Committee on Women's Issues

        AN ACT to amend the insurance law, in relation to  coverage  of  primary
          and preventative obstetric and gynecological care

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

     1    Section 1. Subparagraph (C) of  paragraph  14  of  subsection  (l)  of
     2  section 3221 of the insurance law, as amended by chapter 219 of the laws
     3  of 2011, is amended to read as follows:
     4    (C) Such coverage required pursuant to subparagraph (A) or (B) of this
     5  paragraph  [may]  shall not be subject to annual deductibles and coinsu-
     6  rance [as may be deemed appropriate by the  superintendent  and  as  are
     7  consistent  with  those  established  for  other benefits within a given
     8  policy].
     9    § 2. Paragraph 1 of subsection (t) of section 4303  of  the  insurance
    10  law,  as  amended by chapter 219 of the laws of 2011, is amended to read
    11  as follows:
    12    (1) A medical expense indemnity corporation, a hospital service corpo-
    13  ration or a health service corporation that provides coverage for hospi-
    14  tal, surgical, or medical care shall  provide  coverage  for  an  annual
    15  cervical cytology screening for cervical cancer and its precursor states
    16  for  women aged eighteen and older. Such coverage required by this para-
    17  graph [may] shall not be subject to annual deductibles  and  coinsurance
    18  [as  may be deemed appropriate by the superintendent and as are consist-
    19  ent with those established for other benefits within a given contract].
    20    § 3. The opening paragraph  of  paragraph  13  of  subsection  (k)  of
    21  section 3221 of the insurance law, as amended by chapter 219 of the laws
    22  of 2011, is amended to read as follows:
    23    Every group or blanket policy delivered or issued for delivery in this
    24  state that provides major medical or similar comprehensive-type coverage

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD02058-01-3
        S. 200                              2

     1  shall  provide  such  coverage  for bone mineral density measurements or
     2  tests, and if such contract otherwise includes coverage for prescription
     3  drugs, drugs and devices approved by the federal food and drug  adminis-
     4  tration  or generic equivalents as approved substitutes.  In determining
     5  appropriate coverage provided by subparagraphs (A), (B) and (C) of  this
     6  paragraph,  the  insurer  or health maintenance organization shall adopt
     7  standards that include the criteria of the federal Medicare program  and
     8  the  criteria of the national institutes of health for the detection and
     9  treatment of osteoporosis, provided that such coverage shall be  further
    10  determined as follows:
    11    §  4.  The opening paragraph of subsection (bb) of section 4303 of the
    12  insurance law, as amended by chapter 219 of the laws of 2011, is amended
    13  to read as follows:
    14    A health service corporation or a medical  service  expense  indemnity
    15  corporation  that  provides  major medical or similar comprehensive-type
    16  coverage shall provide such coverage for bone mineral  density  measure-
    17  ments  or  tests,  and  if such contract otherwise includes coverage for
    18  prescription drugs, drugs and devices approved by the federal  food  and
    19  drug  administration  or generic equivalents as approved substitutes. In
    20  determining appropriate coverage provided by  paragraphs  one,  two  and
    21  three of this subsection, the insurer or health maintenance organization
    22  shall  adopt standards that include the criteria of the federal Medicare
    23  program and the criteria of the national institutes of  health  for  the
    24  detection  and  treatment  of  osteoporosis, provided that such coverage
    25  shall be further determined as follows:
    26    § 5. The second undesignated paragraph of paragraph 26  of  subsection
    27  (b)  of  section 4322 of the insurance law, as amended by chapter 219 of
    28  the laws of 2011, is amended to read as follows:
    29    In determining appropriate coverage provided by subparagraphs (A), (B)
    30  and (C) of this paragraph, the insurer or health  maintenance  organiza-
    31  tion  shall  adopt  standards  that  include the criteria of the federal
    32  Medicare program and the criteria of the national institutes  of  health
    33  for  the  detection  and  treatment  of osteoporosis, provided that such
    34  coverage shall be further determined as follows:
    35    § 6. This act shall take effect on the sixtieth  day  after  it  shall
    36  have become a law and shall apply to all policies issued, renewed, modi-
    37  fied or altered on or after such date.