New York S 4076: Requires insurance coverage for medical genetic testing for adoptees and persons placed in foster care

Bill Text

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S04076 Summary:

BILL NOS04076 

&nbsp

SAME ASNo Same As

&nbsp

SPONSORSCARCELLA-SPANTON

&nbsp

COSPNSR

&nbsp

MLTSPNSR

&nbsp

Amd §§3216, 3221 & 4303, Ins L

&nbsp

Requires insurance coverage for medical genetic testing for adoptees and persons placed in foster care.

Go to top S04076 Actions:

BILL NOS04076 

&nbsp

01/31/2025REFERRED TO INSURANCE

01/07/2026REFERRED TO INSURANCE

Go to topS04076 Committee&nbspVotes:

Go to topS04076 Floor&nbspVotes:

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

Go to topS04076 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 4076

 2025-2026 Regular Sessions

 IN SENATE

 January 31, 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 coverage for medical
 genetic testing for adoptees and persons placed in foster care

 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) (A) Every policy that provides hospital, surgical or medical care
 4 coverage or provides reimbursement for laboratory tests or reimbursement
 5 for diagnostic X-ray services shall provide coverage for comprehensive
 6 medical genetic testing to determine the presence or absence of an
 7 inherited genetic characteristic in an individual, including tests of
 8 nucleic acid such as DNA, RNA, and mitochondrial DNA, chromosomes or
 9 proteins in order to identify a predisposing genetic characteristic to
 10 persons who were adoptees as defined in subdivision one of section one
 11 hundred nine of the domestic relations law or who were persons placed in
 12 foster care.
 13 (B) Coverage provided under this paragraph may be limited to persons
 14 residing in New York state.
 15 (C) Coverage provided under this paragraph may be subject to annual
 16 deductibles and co-insurance as deemed appropriate by the superinten-
 17 dent.
 18 § 2. Subsection (k) of section 3221 of the insurance law is amended by
 19 adding a new paragraph 24 to read as follows:
 20 (24) (A) Every group or blanket policy delivered or issued for deliv-
 21 ery in this state which provides hospital, surgical or medical care
 22 coverage or provides reimbursement for laboratory tests or reimbursement
 23 for diagnostic X-ray services shall provide coverage for comprehensive
 24 medical genetic testing to determine the presence or absence of an
 25 inherited genetic characteristic in an individual, including tests of

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD08335-01-5

 S. 4076 2

 1 nucleic acid such as DNA, RNA, and mitochondrial DNA, chromosomes or
 2 proteins in order to identify a predisposing genetic characteristic to
 3 persons who were adoptees as defined in subdivision one of section one
 4 hundred nine of the domestic relations law or persons who were placed in
 5 foster care.
 6 (B) Coverage provided under this paragraph may be limited to persons
 7 residing in New York state.
 8 (C) Coverage provided under this paragraph may be subject to annual
 9 deductibles and co-insurance as deemed appropriate by the superinten-
 10 dent.
 11 § 3. Section 4303 of the insurance law is amended by adding a new
 12 subsection (ww) to read as follows:
 13 (ww) (1) Every contract issued by a medical expense indemnity corpo-
 14 ration, hospital service corporation or health service corporation that
 15 provides hospital, surgical or medical care coverage or provides
 16 reimbursement for laboratory tests or reimbursement for diagnostic X-ray
 17 services shall provide coverage for comprehensive medical genetic test-
 18 ing to determine the presence or absence of an inherited genetic charac-
 19 teristic in an individual, including tests of nucleic acid such as DNA,
 20 RNA, and mitochondrial DNA, chromosomes or proteins in order to identify
 21 a predisposing genetic characteristic to persons who were adoptees as
 22 defined in subdivision one of section one hundred nine of the domestic
 23 relations law or persons wh