New York A 7310: Requires certain health insurance policies to provide coverage for diagnostic testing for ovarian cancer

Bill Text

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A07310 Summary:

BILL NOA07310 

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SAME ASNo Same As

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SPONSORPretlow

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COSPNSR

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MLTSPNSR

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Amd §§3216, 3221 & 4303, Ins L

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Provides that every health insurance policy which provides coverage for hospital, surgical or medical care shall provide coverage for the standard diagnostic testing for ovarian cancer upon the recommendation of a physician; provides that such standard diagnostic testing shall include a pelvic examination, a sonogram and a CA 125 blood test and related laboratory and diagnostic services.

Go to top A07310 Actions:

BILL NOA07310 

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03/25/2025referred to insurance

01/07/2026referred to insurance

Go to topA07310 Committee&nbspVotes:

Go to topA07310 Floor&nbspVotes:

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

Go to topA07310 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 7310

 2025-2026 Regular Sessions

 IN ASSEMBLY

 March 25, 2025
 ___________

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

 AN ACT to amend the insurance law, in relation to health insurance
 coverage for diagnostic testing for ovarian cancer

 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 11-d to read as follows:
 3 (11-d) (A) Every policy delivered or issued for delivery in this state
 4 which provides medical coverage that includes coverage for physician
 5 services in a physician's office and every policy which provides major
 6 medical or similar comprehensive-type coverage shall provide, upon the
 7 prescription of a health care provider legally authorized to prescribe
 8 under title eight of the education law, coverage for diagnostic testing
 9 for ovarian cancer, including a pelvic examination, a sonogram, a CA 125
 10 blood test and laboratory and diagnostic services provided in connection
 11 with examining and evaluating such blood test for women aged forty and
 12 over with one or more female relatives with a prior history of ovarian
 13 cancer.
 14 (B) Such coverage may be subject to annual deductibles and coinsurance
 15 as may be deemed appropriate by the superintendent and as are consistent
 16 with those established for other benefits within a given policy.
 17 § 2. Subsection (l) of section 3221 of the insurance law is amended by
 18 adding a new paragraph 11-d to read as follows:
 19 (11-d) (A) Every insurer which delivers or issues for delivery in this
 20 state a policy which provides medical coverage that includes coverage
 21 for physician services in a physician's office or major medical or simi-
 22 lar comprehensive-type coverage shall provide, upon the prescription of
 23 a health care provider legally authorized to prescribe under title eight
 24 of the education law, coverage for diagnostic testing for ovarian
 25 cancer, including a pelvic examination, a sonogram, a CA 125 blood test

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD11007-01-5

 A. 7310 2

 1 and laboratory and diagnostic services provided in connection with exam-
 2 ining and evaluating such blood test for women aged forty and over with
 3 one or more female relatives with a prior history of ovarian cancer.
 4 (B) Such coverage may be subject to annual deductibles and coinsurance
 5 as may be deemed appropriate by the superintendent and as are consistent
 6 with those established for other benefits within a given policy.
 7 § 3. Section 4303 of the insurance law is amended by adding a new
 8 subsection (ww) to read as follows:
 9 (ww) (1) A hospital service corporation, medical expense indemnity
 10 corporation or health service corporation which provides medical cover-
 11 age that includes coverage for physician services in a physician's
 12 office or major medical or similar comprehensive-type coverage shall
 13 provide, upon the prescription of a health care provider legally author-
 14 ized to prescribe under title eight of the education law, coverage for
 15 diagnostic testing for ovarian cancer, including a pelvic examination, a
 16 sonogram, a CA 125 blood test and laboratory and di