Bill Text: NY A01807 | 2017-2018 | General Assembly | Introduced
Bill Title: Requires health insurance policies to cover comprehensive genetic screening for breast, ovarian, prostate, colon and lung cancers.
Spectrum: Strong Partisan Bill (Democrat 21-2)
Status: (Introduced - Dead) 2018-01-03 - referred to insurance [A01807 Detail]
Download: New_York-2017-A01807-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 1807 2017-2018 Regular Sessions IN ASSEMBLY January 13, 2017 ___________ Introduced by M. of A. ROZIC, ABINANTI, AUBRY, BRONSON, COLTON, COOK, CRESPO, GRAF, JAFFEE, LUPINACCI, M. G. MILLER, O'DONNELL, OTIS, SEPULVEDA, SKOUFIS, WEPRIN -- Multi-Sponsored by -- M. of A. ARROYO, CROUCH, GUNTHER, KEARNS, McLAUGHLIN, PERRY, RAIA, RIVERA, SIMANOWITZ -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to requiring health insurance policies to fully cover comprehensive genetic testing for breast, ovarian, prostate, colon and lung 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 of subsection (i) of section 3216 of the insurance 4 law is amended by adding a new subparagraph (G) to read as follows: 5 (G) (i) Such policy shall provide additional full coverage for compre- 6 hensive genetic testing for breast cancer only if recommended by a 7 board-certified geneticist or a board-certified genetic counselor. 8 (ii) All costs associated with such additional full coverage shall not 9 be subject to annual deductibles and coinsurance but shall be borne 10 solely by the insurer. 11 § 3. Paragraph 11-a of subsection (i) of section 3216 of the insurance 12 law is amended by adding a new subparagraph (C) to read as follows: 13 (C) (i) Such policy shall provide additional full coverage for compre- 14 hensive genetic testing for prostatic cancer only if recommended by a 15 board-certified geneticist or a board-certified genetic counselor. 16 (ii) All costs associated with such additional full coverage shall not 17 be subject to annual deductibles and coinsurance but shall be borne 18 solely by the insurer. 19 § 4. Paragraph 11 of subsection (l) of section 3221 of the insurance 20 law is amended by adding a new subparagraph (G) to read as follows: EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD00894-01-7A. 1807 2 1 (G) (i) Such policy shall provide additional full coverage for compre- 2 hensive genetic testing for breast cancer only if recommended by a 3 board-certified geneticist or a board-certified genetic counselor. 4 (ii) All costs associated with such additional full coverage shall not 5 be subject to annual deductibles and coinsurance but shall be borne 6 solely by the insurer. 7 § 5. Paragraph 11-a of subsection (l) of section 3221 of the insurance 8 law is amended by adding a new subparagraph (C) to read as follows: 9 (C)(i) Such policy shall provide additional full coverage for compre- 10 hensive genetic testing for prostatic cancer only if recommended by a 11 board-certified geneticist or a board-certified genetic counselor. 12 (ii) All costs associated with such additional full coverage shall not 13 be subject to annual deductibles and coinsurance but shall be borne 14 solely by the insurer. 15 § 6. Subsection (p) of section 4303 of the insurance law is amended by 16 adding a new paragraph 6 to read as follows: 17 (6) (i) Such coverage shall provide additional full coverage for 18 comprehensive genetic testing for breast cancer only if recommended by a 19 board-certified geneticist or a board-certified genetic counselor. 20 (ii) All costs associated with such additional full coverage shall not 21 be subject to annual deductibles and coinsurance but shall be borne 22 solely by the insurer. 23 § 7. Subsection (z-1) of section 4303 of the insurance law is amended 24 by adding a new paragraph 3 to read as follows: 25 (3)(A) Such policy shall provide additional full coverage for compre- 26 hensive genetic testing for prostatic cancer only if recommended by a 27 board-certified geneticist or a board-certified genetic counselor. 28 (B) All costs associated with such additional full coverage shall not 29 be subject to annual deductibles and coinsurance but shall be borne 30 solely by the insurer. 31 § 8. Subsection (i) of section 3216 of the insurance law is amended by 32 adding three new paragraphs 11-b, 11-c and 11-d to read as follows: 33 (11-b) (A) Every policy that provides coverage for hospital, surgical 34 or medical care shall provide full coverage for genetic screening for 35 ovarian cancer only if recommended by a board-certified geneticist or a 36 board-certified genetic counselor. 37 (B) Such additional coverage shall not be subject to annual deduct- 38 ibles and coinsurance but shall be borne solely by the insurer. 39 (11-c) (A) Every policy that provides coverage for hospital, surgical 40 or medical care shall provide full coverage for genetic screening for 41 colon cancer only if recommended by a board-certified geneticist or a 42 board-certified genetic counselor. 43 (B) All costs associated with such additional full coverage shall not 44 be subject to annual deductibles and coinsurance but shall be borne 45 solely by the insurer. 46 (11-d) (A) Every policy that provides coverage for hospital, surgical 47 or medical care shall provide full coverage for genetic screening for 48 lung cancer only if recommended by a board-certified geneticist or a 49 board-certified genetic counselor. 50 (B) All costs associated with such additional full coverage shall not 51 be subject to annual deductibles and coinsurance but shall be borne 52 solely by the insurer. 53 § 9. Subsection (l) of section 3221 of the insurance law is amended by 54 adding three new paragraphs 11-b, 11-c and 11-d to read as follows: 55 (11-b) (A) Every insurer delivering a group or blanket policy or issu- 56 ing a group or blanket policy for delivery in this state that providesA. 1807 3 1 coverage for hospital, surgical or medical care shall provide full 2 coverage or genetic screening for ovarian cancer only if recommended by 3 a board-certified geneticist or a board-certified genetic counselor. 4 (B) Such additional coverage shall not be subject to annual deduct- 5 ibles and coinsurance but shall be borne solely by the insurer. 6 (11-c) (A) Every policy that provides coverage for hospital, surgical 7 or medical care shall provide full coverage for genetic screening for 8 colon cancer only if recommended by a board-certified geneticist or a 9 board-certified genetic counselor. 10 (B) All costs associated with such additional full coverage shall not 11 be subject to annual deductibles and coinsurance but shall be borne 12 solely by the insurer. 13 (11-d) (A) Every policy that provides coverage for hospital, surgical 14 or medical care shall provide full coverage for genetic screening for 15 lung cancer only if recommended by a board-certified geneticist or a 16 board-certified genetic counselor. 17 (B) All costs associated with such additional full coverage shall not 18 be subject to annual deductibles and coinsurance but shall be borne 19 solely by the insurer. 20 § 10. Section 4303 of the insurance law is amended by adding three new 21 subsections (p-1), (p-2) and (p-3) to read as follows: 22 (p-1) (1) A medical expense indemnity corporation, a hospital service 23 corporation or a health service corporation that provides coverage for 24 hospital, surgical or medical care shall provide full coverage for 25 genetic screening for ovarian cancer only if recommended by a board-cer- 26 tified geneticist or a board-certified genetic counselor. 27 (2) Such additional coverage shall not be subject to annual deduct- 28 ibles and coinsurance but shall be borne solely by the insurer. 29 (p-2) (1) A medical expense indemnity corporation, a hospital service 30 corporation or a health service corporation that provides coverage for 31 hospital, surgical or medical care shall provide full coverage for 32 genetic screening for colon cancer only if recommended by a board-certi- 33 fied geneticist or a board-certified genetic counselor. 34 (2) All costs associated with such additional full coverage shall not 35 be subject to annual deductibles and coinsurance but shall be borne 36 solely by the insurer. 37 (p-3) (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 full coverage for 40 genetic screening for lung cancer only if recommended by a board-certi- 41 fied geneticist or a board-certified genetic counselor. 42 (2) All costs associated with such additional full coverage shall not 43 be subject to annual deductibles and coinsurance but shall be borne 44 solely by the insurer. 45 § 11. This act shall take effect on the sixtieth day after it shall 46 have become a law.
