Bill Text: NY S01847 | 2013-2014 | General Assembly | Introduced
Bill Title: Requires health insurance contracts and policies to include coverage for ovarian/primary peritoneal cancer screening.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2014-01-08 - REFERRED TO INSURANCE [S01847 Detail]
Download: New_York-2013-S01847-Introduced.html
S T A T E O F N E W Y O R K ________________________________________________________________________ 1847 2013-2014 Regular Sessions I N S E N A T E (PREFILED) January 9, 2013 ___________ Introduced by Sen. LAVALLE -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance AN ACT to amend the insurance law, in relation to providing for health insurance coverage for diagnostic screening for ovarian/primary peri- toneal 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 11-b to read as follows: 3 (11-B) (A) EVERY POLICY DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE 4 WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES COVERAGE FOR PHYSICIAN 5 SERVICES IN A PHYSICIAN'S OFFICE AND EVERY POLICY WHICH PROVIDES MAJOR 6 MEDICAL OR SIMILAR COMPREHENSIVE-TYPE COVERAGE SHALL PROVIDE, UPON THE 7 PRESCRIPTION OF A HEALTH CARE PROVIDER LEGALLY AUTHORIZED TO PRESCRIBE 8 UNDER TITLE EIGHT OF THE EDUCATION LAW, THE FOLLOWING COVERAGE FOR DIAG- 9 NOSTIC SCREENING FOR OVARIAN/PRIMARY PERITONEAL CANCER: AN ANNUAL STAND- 10 ARD DIAGNOSTIC EXAM INCLUDING, BUT NOT LIMITED TO, A PELVIC EXAMINATION 11 AND A CA 125 BLOOD TEST FOR WOMEN AGE TWENTY AND OVER. 12 (B) SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE 13 AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE CONSISTENT 14 WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN POLICY. 15 S 2. Subsection (l) of section 3221 of the insurance law is amended by 16 adding a new paragraph 11-b to read as follows: 17 (11-B) (A) EVERY POLICY DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE 18 WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES COVERAGE FOR PHYSICIAN 19 SERVICES IN A PHYSICIAN'S OFFICE AND EVERY POLICY WHICH PROVIDES MAJOR 20 MEDICAL OR SIMILAR COMPREHENSIVE-TYPE COVERAGE SHALL PROVIDE, UPON THE 21 PRESCRIPTION OF A HEALTH CARE PROVIDER LEGALLY AUTHORIZED TO PRESCRIBE 22 UNDER TITLE EIGHT OF THE EDUCATION LAW, THE FOLLOWING COVERAGE FOR DIAG- 23 NOSTIC SCREENING FOR OVARIAN/PRIMARY PERITONEAL CANCER: AN ANNUAL STAND- EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD06157-01-3 S. 1847 2 1 ARD DIAGNOSTIC EXAM INCLUDING, BUT NOT LIMITED TO, A PELVIC EXAMINATION 2 AND A CA 125 BLOOD TEST FOR WOMEN AGE TWENTY AND OVER. 3 (B) SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE 4 AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE CONSISTENT 5 WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN POLICY. 6 S 3. Section 4303 of the insurance law is amended by adding a new 7 subsection (z-2) to read as follows: 8 (Z-2)(1) EVERY POLICY DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE 9 WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES COVERAGE FOR PHYSICIAN 10 SERVICES IN A PHYSICIAN'S OFFICE AND EVERY POLICY WHICH PROVIDES MAJOR 11 MEDICAL OR SIMILAR COMPREHENSIVE-TYPE COVERAGE SHALL PROVIDE, UPON THE 12 PRESCRIPTION OR A HEALTH CARE PROVIDER LEGALLY AUTHORIZED TO PRESCRIBE 13 UNDER TITLE EIGHT OF THE EDUCATION LAW, THE FOLLOWING COVERAGE FOR DIAG- 14 NOSTIC SCREENING FOR OVARIAN/PRIMARY PERITONEAL CANCER: AN ANNUAL STAN- 15 DARD DIAGNOSTIC EXAM INCLUDING, BUT NOT LIMITED TO, A PELVIC EXAMINATION 16 AND A CA 125 BLOOD TEST FOR WOMEN AGE TWENTY AND OVER. 17 (2) SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE 18 AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE CONSISTENT 19 WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN POLICY. 20 S 4. This act shall take effect on the first of January next succeed- 21 ing the date on which it shall have become a law.