New York A 5830: Relates to reimbursement by Medicaid for services required by state law

Bill Text

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A05830 Summary:

BILL NOA05830 

&nbsp

SAME ASSAME AS S02397

&nbsp

SPONSORForrest

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COSPNSREpstein, Gallagher

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MLTSPNSR

&nbsp

Amd §§3216, 3221 & 4303, Ins L

&nbsp

Requires health insurers to provide coverage for procedures relating to the diagnosis and treatment of uterine fibroids and related conditions, including pain, discomfort and infertility resulting therefrom.

Go to top A05830 Actions:

BILL NOA05830 

&nbsp

02/20/2025referred to insurance

01/07/2026referred to insurance

Go to topA05830 Committee&nbspVotes:

Go to topA05830 Floor&nbspVotes:

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

Go to topA05830 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 5830

 2025-2026 Regular Sessions

 IN ASSEMBLY

 February 20, 2025
 ___________

 Introduced by M. of A. FORREST -- read once and referred to the Commit-
 tee on Insurance

 AN ACT to amend the insurance law, in relation to requiring health
 insurers to provide coverage for diagnosis and treatment of fibroids

 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 40 to read as follows:
 3 (40) Every insurer issuing a policy of accident and health insurance
 4 for delivery in this state shall provide coverage for all costs for
 5 diagnosis and treatment of uterine fibroids, also called leiomyomas or
 6 myomas, and related conditions, including but not limited to pain,
 7 discomfort and infertility resulting therefrom. Such diagnosis and
 8 treatment may include pelvic exam, ultrasound, lab tests, magnetic reso-
 9 nance imaging, hysterosonography, hysterosalpingography, hysteroscopy
 10 medication, noninvasive procedures, uterine artery embolization, radiof-
 11 requency ablation, laparoscopic or robotic myomectomy, hysteroscopic
 12 myomectomy, endometrial ablation, abdominal myomectomy, hysterectomy or
 13 any other treatment, or any combination of treatments, provided such
 14 treatment is recommended by a health care provider licensed to practice
 15 in the state of New York.
 16 § 2. Subsection (k) of section 3221 of the insurance law is amended by
 17 adding a new paragraph 24 to read as follows:
 18 (24) Every group or blanket policy delivered or issued for delivery in
 19 this state which provides hospital, surgical or medical coverage shall
 20 provide coverage for all costs for diagnosis and treatment of uterine
 21 fibroids, also called leiomyomas or myomas, and related conditions,
 22 including but not limited to pain, discomfort and infertility resulting
 23 therefrom. Such diagnosis and treatment may include pelvic exam, ultra-
 24 sound, lab tests, magnetic resonance imaging, hysterosonography, hyster-
 25 osalpingography, hysteroscopy medication, noninvasive procedures,

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD06471-01-5

 A. 5830 2

 1 uterine artery embolization, radiofrequency ablation, laparoscopic or
 2 robotic myomectomy, hysteroscopic myomectomy, endometrial ablation,
 3 abdominal myomectomy, hysterectomy or any other treatment, or any combi-
 4 nation of treatments, provided such treatment is recommended by a health
 5 care provider licensed to practice in the state of New York.
 6 § 3. Section 4303 of the insurance law is amended by adding a new
 7 subsection (ww) to read as follows:
 8 (ww) Every medical expense indemnity corporation, hospital service
 9 corporation and health service corporation which provides coverage for
 10 medical, surgical or major medical care shall provide coverage for all
 11 costs for diagnosis and treatment of uterine fibroids, also called
 12 leiomyomas or myomas, and related conditions, including but not limited
 13 to pain, discomfort and infertility resulting therefrom. Such diagnosis
 14 and treatment may include pelvic exam, ultrasound, lab tests, magnetic
 15 resonance imaging, hysterosonography, hysterosalpingography, hysterosco-
 16 py medication, noninvasive procedures, uterine artery embolization,
 17 radiofrequency ablation, laparoscopic or robotic myomectomy, hystero-
 18 scopic myomectomy, endometrial ablation, abdominal my