New York S 6523: Requires insurance companies to reimburse all health care practitioners at the same rate for cervical cytology screening

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S06523 Summary:

BILL NOS06523 

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SAME ASNo Same As

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SPONSORCLEARE

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COSPNSR

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MLTSPNSR

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Amd §§3216, 3221 & 4303, Ins L; amd §364-j, Soc Serv L; add §267-c, Pub Health L

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Requires insurance companies to reimburse all health care practitioners at the same rate for cervical cytology screening, including the preparation of a Pap smear; prohibits health care practitioners from refusing to provide a Pap smear during a regular annual checkup if such patient has not had a Pap smear done in the preceding twelve months.

Go to top S06523 Actions:

BILL NOS06523 

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03/17/2025REFERRED TO INSURANCE

01/07/2026REFERRED TO INSURANCE

Go to topS06523 Committee&nbspVotes:

Go to topS06523 Floor&nbspVotes:

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

Go to topS06523 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 6523

 2025-2026 Regular Sessions

 IN SENATE

 March 17, 2025
 ___________

 Introduced by Sen. CLEARE -- read twice and ordered printed, and when
 printed to be committed to the Committee on Insurance

 AN ACT to amend the insurance law, the social services law and the
 public health law, in relation to requiring insurance companies to
 reimburse all health care practitioners at the same rate for cervical
 cytology screening

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

 1 Section 1. Subparagraph (B) of paragraph 15 of subsection (i) of
 2 section 3216 of the insurance law, as amended by chapter 219 of the laws
 3 of 2011, is amended to read as follows:
 4 (B) For purposes of subparagraphs (A) and (C) of this paragraph,
 5 cervical cytology screening shall include an annual pelvic examination,
 6 collection and preparation of a Pap smear, and laboratory and diagnostic
 7 services provided in connection with examining and evaluating the Pap
 8 smear. An insurer shall provide the same rate of reimbursement for
 9 cervical cytology screening whether such screening is performed by a
 10 licensed health care practitioner or by a provider of obstetrical and/or
 11 gynecologic services.
 12 § 2. Subparagraph (B) of paragraph 14 of subsection (l) of section
 13 3221 of the insurance law, as amended by chapter 219 of the laws of
 14 2011, is amended to read as follows:
 15 (B) For purposes of subparagraphs (A) and (C) of this paragraph,
 16 cervical cytology screening shall include an annual pelvic examination,
 17 collection and preparation of a Pap smear, and laboratory and diagnostic
 18 services provided in connection with examining and evaluating the Pap
 19 smear. An insurer shall provide the same rate of reimbursement for
 20 cervical cytology screening whether such screening is performed by a
 21 licensed health care practitioner or by a provider of obstetrical and/or
 22 gynecologic services.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD10991-01-5

 S. 6523 2

 1 § 3. Paragraph 2 of subsection (t) of section 4303 of the insurance
 2 law, as amended by chapter 219 of the laws of 2011, is amended to read
 3 as follows:
 4 (2) For purposes of paragraph one of this subsection, cervical cytolo-
 5 gy screening shall include an annual pelvic examination, collection and
 6 preparation of a Pap smear, and laboratory and diagnostic services
 7 provided in connection with examining and evaluating the Pap smear. An
 8 insurer shall provide the same rate of reimbursement for cervical cytol-
 9 ogy screening whether such screening is performed by a licensed health
 10 care practitioner or by a provider of obstetrical and/or gynecologic
 11 services.
 12 § 4. Section 364-j of the social services law is amended by adding a
 13 new subdivision 18-a to read as follows:
 14 18-a. Managed care providers shall be reimbursed at the same rate for
 15 cervical cytology screening, including but not limited to the prepara-
 16 tion of a Pap smear, whether such screening is performed by a primary
 17 care practitioner or by a medical services provider of obstetrical
 18 and/or gynecologic services.
 19 § 5. The public health law is amended by adding a new section 267-c to
 20 read as follows:
 21 § 267-c. Cervical cytology screening. Notwith