Bill Text: NY A06042 | 2023-2024 | General Assembly | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

---

Bill Title: Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy.

Spectrum: Partisan Bill (Democrat 21-0)

Status: (Engrossed) 2024-06-05 - REFERRED TO RULES [A06042 Detail]

Download: New_York-2023-A06042-Amended.html

---

                STATE OF NEW YORK
        ________________________________________________________________________

                                         6042--A

                               2023-2024 Regular Sessions

                   IN ASSEMBLY

                                     March 31, 2023
                                       ___________

        Introduced   by  M.  of  A.  BICHOTTE HERMELYN,  STIRPE,  COLTON,  CRUZ,
          JEAN-PIERRE, JACKSON, GIBBS, LEVENBERG, SEAWRIGHT, EPSTEIN,  SILLITTI,
          ARDILA, HYNDMAN, SIMON, LUCAS, GUNTHER, AUBRY, DAVILA -- read once and
          referred to the Committee on Insurance -- recommitted to the Committee
          on  Insurance  in accordance with Assembly Rule 3, sec. 2 -- committee
          discharged, bill amended, ordered reprinted as amended and recommitted
          to said committee

        AN ACT to amend the insurance law, in relation  to  requiring  insurance
          policies to provide coverage for transvaginal ultrasounds during preg-
          nancy

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

     1    Section 1. Paragraph 10 of subsection  (i)  of  section  3216  of  the
     2  insurance  law  is  amended  by adding a new subparagraph (C) to read as
     3  follows:
     4    (C) Coverage provided under this  paragraph  for  care  and  treatment
     5  during pregnancy shall include provision for payments for not less than:
     6    (i) a transvaginal ultrasound once between sixteen through twenty-four
     7  weeks; and
     8    (ii)  a  transvaginal  ultrasound every two weeks from sixteen through
     9  twenty-four weeks for pregnant individuals with any  of  the  following:
    10  (I)  a history of early delivery between thirteen and thirty-seven weeks
    11  in any prior pregnancy;  (II)  a  history  of  any  surgical  procedure,
    12  including  office  procedures,  performed on their cervix, including but
    13  not limited to LEEP and cone biopsy; (III) multifetal pregnancies;  (IV)
    14  a  pregnant  individual with a uterine unification defect, including but
    15  not limited to bicornuate, septate or unicornuate uterus, or any congen-
    16  ital structural defect of a kidney; and (V) a history of prior  delivery
    17  occurring at or near term by cesarean after obstructed labor.
    18    §  2.  Paragraph  5 of subsection (k) of section 3221 of the insurance
    19  law is amended by adding a new subparagraph (C) to read as follows:

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD01169-03-4
        A. 6042--A                          2

     1    (C) Coverage provided under this  paragraph  for  care  and  treatment
     2  during pregnancy shall include provision for payments for not less than:
     3    (i) a transvaginal ultrasound once between sixteen through twenty-four
     4  weeks; and
     5    (ii)  a  transvaginal  ultrasound every two weeks from sixteen through
     6  twenty-four weeks for pregnant individuals with any  of  the  following:
     7  (I)  a history of early delivery between thirteen and thirty-seven weeks
     8  in any prior pregnancy;  (II)  a  history  of  any  surgical  procedure,
     9  including  office  procedures,  performed on their cervix, including but
    10  not limited to LEEP and cone biopsy; (III) multifetal pregnancies;  (IV)
    11  a  pregnant  individual with a uterine unification defect, including but
    12  not limited to bicornuate, septate or unicornuate uterus, or any congen-
    13  ital structural defect of a kidney; and (V) a history of prior  delivery
    14  occurring at or near term by cesarean after obstructed labor.
    15    §  3.  Paragraph  1 of subsection (c) of section 4303 of the insurance
    16  law is amended by adding a new subparagraph (D) to read as follows:
    17    (D) Coverage provided under this  paragraph  for  care  and  treatment
    18  during pregnancy shall include provision for payments for not less than:
    19    (i) a transvaginal ultrasound once between sixteen through twenty-four
    20  weeks; and
    21    (ii)  a  transvaginal  ultrasound every two weeks from sixteen through
    22  twenty-four weeks for pregnant individuals with any  of  the  following:
    23  (I)  a history of early delivery between thirteen and thirty-seven weeks
    24  in any prior pregnancy;  (II)  a  history  of  any  surgical  procedure,
    25  including  office  procedures,  performed on their cervix, including but
    26  not limited to LEEP and cone biopsy; (III) multifetal pregnancies;  (IV)
    27  a  pregnant  individual with a uterine unification defect, including but
    28  not limited to bicornuate, septate or unicornuate uterus, or any congen-
    29  ital structural defect of a kidney; and (V) a history of prior  delivery
    30  occurring at or near term by cesarean after obstructed labor.
    31    §  4.  This  act  shall take effect on the sixtieth day after it shall
    32  have become a law.  Effective immediately the addition, amendment and/or
    33  repeal of any rule or regulation necessary  for  the  implementation  of
    34  this  act  on its effective date are authorized to be made and completed
    35  on or before such date.