New York S 5302: Requires coverage for colorectal cancer early detection beginning at age thirty-five

Status: REFERRED TO INSURANCE (as of 2026-01-07)

State: New York · Session: 2025-2026 · Bill: S 5302

Sponsors: Jessica Scarcella-Spanton, Christopher Ryan, Kristen Gonzalez

Bill Text

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S05302 Summary:

BILL NOS05302 

&nbsp

SAME ASSAME AS A04029

&nbsp

SPONSORSCARCELLA-SPANTON

&nbsp

COSPNSRGONZALEZ, RYAN C

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MLTSPNSR

&nbsp

Amd §§3221, 4303, 3216 & 339, Ins L

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Requires coverage for colorectal cancer early detection beginning at age thirty-five; adds coverage for colorectal cancer early detection as a required coverage for individual policies; requires notification of colorectal early detection coverage to be provided to insured individuals beginning at age thirty-five.

Go to top S05302 Actions:

BILL NOS05302 

&nbsp

02/20/2025REFERRED TO INSURANCE

01/07/2026REFERRED TO INSURANCE

Go to topS05302 Committee&nbspVotes:

Go to topS05302 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topS05302 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 5302

 2025-2026 Regular Sessions

 IN SENATE

 February 20, 2025
 ___________

 Introduced by Sen. SCARCELLA-SPANTON -- 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 requiring coverage for
 colorectal cancer early detection beginning at age thirty-five

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

 1 Section 1. Paragraph 11-b of subsection (l) of section 3221 of the
 2 insurance law, as amended by chapter 78 of the laws of 2023, is amended
 3 to read as follows:
 4 (11-b) (A) Every large group policy delivered or issued for delivery
 5 in this state which provides medical coverage that includes coverage for
 6 physician services in a physician's office and every large group policy
 7 which provides major medical or similar comprehensive-type coverage
 8 shall provide, upon the prescription of a health care provider acting
 9 within the provider's scope of practice pursuant to title eight of the
 10 education law, coverage for colorectal cancer preventive screenings in
 11 accordance with the American Cancer Society Guidelines for colorectal
 12 cancer screening of average risk individuals, except that such coverage
 13 shall be provided to all individuals beginning at age thirty-five. The
 14 coverage required by this paragraph shall also include coverage for all
 15 additional colorectal cancer examinations and laboratory tests recom-
 16 mended in accordance with the American Cancer Society Guidelines for
 17 colorectal cancer screening of average risk individuals, except that
 18 such coverage shall be provided to all individuals beginning at age
 19 thirty-five, including an initial colonoscopy or other medical test or
 20 procedure for colorectal cancer screening and a follow-up colonoscopy
 21 performed as a result of a positive result on a non-colonoscopy preven-
 22 tive screening test. A large group policy shall cover colorectal cancer
 23 screenings, examinations, and laboratory tests described in this para-
 24 graph upon any policy issuance or renewal that occurs six months after
 25 the date the guideline described in this paragraph is issued.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD07807-01-5

 S. 5302 2

 1 (B) An insured shall not be subject to a deductible, coinsurance, or
 2 any other cost-sharing requirements for services consistent with subpar-
 3 agraph (A) of this paragraph received from participating providers.
 4 § 2. Subsection (uu) of section 4303 of the insurance law, as added by
 5 chapter 78 of the laws of 2023, is amended to read as follows:
 6 (uu) (1) Every large group contract delivered or issued for delivery
 7 in this state which provides medical coverage that includes coverage for
 8 physician services in a physician's office and every large group
 9 contract which provides major medical or similar comprehensive-type
 10 coverage shall provide, upon the prescription of a health care provider
 11 acting within the provider's scope of practice pursuant to title eight
 12 of the education law, coverage for colorectal cancer preventive screen-
 13 ings in accordance with the American Cancer Society Guidelines for colo-
 14 rectal cancer screening of average risk individuals, except that such
 15 coverage shall be provided to all indiv

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