New York S 4072: Relates to bail of pregnant women

Bill Text

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S04072 Summary:

BILL NOS04072A

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SAME ASNo Same As

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SPONSORBYNOE

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COSPNSRRHOADS

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MLTSPNSR

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Amd §§3221 & 4303, Ins L

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Requires insurance coverage of sonograms and other diagnostic procedures used to detect breast cancer for covered persons with a prior history of breast cancer or who have a first degree relative with a prior history of breast cancer.

Go to top S04072 Actions:

BILL NOS04072A

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01/31/2025REFERRED TO INSURANCE

05/05/20251ST REPORT CAL.920

05/06/20252ND REPORT CAL.

05/07/2025ADVANCED TO THIRD READING 

06/09/2025AMENDED ON THIRD READING 4072A

06/13/2025COMMITTED TO RULES

01/07/2026REFERRED TO INSURANCE

Go to topS04072 Committee&nbspVotes:

Go to topS04072 Floor&nbspVotes:

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

Go to topS04072 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 4072--A
 Cal. No. 920

 2025-2026 Regular Sessions

 IN SENATE

 January 31, 2025
 ___________

 Introduced by Sens. BYNOE, RHOADS -- read twice and ordered printed, and
 when printed to be committed to the Committee on Insurance -- reported
 favorably from said committee, ordered to first and second report,
 ordered to a third reading, amended and ordered reprinted, retaining
 its place in the order of third reading

 AN ACT to amend the insurance law, in relation to coverage of certain
 procedures to detect breast cancer

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

 1 Section 1. Subparagraph (A) of paragraph 11 of subsection (l) of
 2 section 3221 of the insurance law, as amended by chapter 424 of the laws
 3 of 2024, is amended to read as follows:
 4 (A) Every insurer delivering a group or blanket policy or issuing a
 5 group or blanket policy for delivery in this state that provides cover-
 6 age for hospital, surgical or medical care shall provide the following
 7 coverage for mammography screening for occult breast cancer:
 8 (i) upon the recommendation of a physician, a mammogram, which may be
 9 provided by breast tomosynthesis, at any age for covered persons having
 10 a prior history of breast cancer or who have a first degree relative
 11 with a prior history of breast cancer;
 12 (ii) a single baseline mammogram, which may be provided by breast
 13 tomosynthesis, for covered persons aged thirty-five through thirty-nine,
 14 inclusive, and a single baseline mammogram, which may be provided by
 15 breast tomosynthesis, for all other covered persons upon the recommenda-
 16 tion of a physician, subject to the insurer's determination that the
 17 mammogram is medically necessary;
 18 (iii) an annual mammogram, which may be provided by breast tomosynthe-
 19 sis, for covered persons aged forty and older;
 20 (iv) for large group policies that provide coverage for hospital,
 21 surgical or medical care, an annual mammogram for all covered persons
 22 aged thirty-five through thirty-nine, inclusive and all covered persons

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD01242-06-5

 S. 4072--A 2

 1 having a prior history of breast cancer or who have a first degree rela-
 2 tive with a prior history of breast cancer, and any sonogram or other
 3 diagnostic procedure used to detect breast cancer, upon the recommenda-
 4 tion of a physician, subject to the insurer's determination that the
 5 mammogram is medically necessary; and
 6 (v) upon the recommendation of a physician, screening and diagnostic
 7 imaging, including diagnostic mammograms, breast ultrasounds, or magnet-
 8 ic resonance imaging, recommended by nationally recognized clinical
 9 practice guidelines for the detection of breast cancer. For the purposes
 10 of this item, "nationally recognized clinical practice guidelines" means
 11 evidence-based clinical practice guidelines informed by a systematic
 12 review of evidence and an assessment of the benefits, and risks of
 13 alternative care options intended to optimize patient care developed by
 14 independent organizations or medical professional societies utilizing a
 15 transparent methodology and reporting structure and with a conflict of
 16 interest policy.
 17 § 2. Subparagraph (D) of paragraph 1 of s