Senate Bill S8488

2009-2010 Legislative Session

Requires health insurance policies to cover comprehensive ultrasound screening and magnetic resonance imaging for breast cancer in certain cases

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Rules Committee


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2009-S8488 (ACTIVE) - Details

Current Committee:
Senate Rules
Law Section:
Insurance Law
Laws Affected:
Amd §3216, 3221, 4303 & 4326, Ins L
Versions Introduced in 2011-2012 Legislative Session:
S1883

2009-S8488 (ACTIVE) - Summary

Requires individual and group health insurance policies, and health maintenance organizations to provide coverage for comprehensive ultrasound screening and/or magnetic resonance imaging for breast cancer in certain cases; requires mammography reports to include information about breast density.

2009-S8488 (ACTIVE) - Sponsor Memo

2009-S8488 (ACTIVE) - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  8488

                            I N  S E N A T E

                           September 15, 2010
                               ___________

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

AN ACT to amend the insurance  law,  in  relation  to  requiring  health
  insurance  policies  to  cover  comprehensive ultrasound screening and
  magnetic resonance imaging for breast  cancer  in  certain  cases  and
  requiring  the  provision  of  certain  information relating to breast
  density to patients

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section  1.  Paragraph  11  of  subsection  (i) of section 3216 of the
insurance law is amended by adding a new subparagraph  (D)  to  read  as
follows:
  (D)  (I)  SUCH POLICY SHALL PROVIDE ADDITIONAL COVERAGE FOR COMPREHEN-
SIVE ULTRASOUND SCREENING AND/OR MAGNETIC RESONANCE IMAGING (MRI) OF  AN
ENTIRE BREAST OR THE ENTIRETY OF BOTH BREASTS IF:
  (I)  A  MAMMOGRAM  DEMONSTRATES  HETEROGENEOUS  OR DENSE BREAST TISSUE
BASED ON THE BREAST IMAGING REPORTING AND DATA SYSTEM ESTABLISHED BY THE
AMERICAN COLLEGE OF RADIOLOGY; OR
  (II) A WOMAN IS BELIEVED TO BE AT INCREASED RISK FOR BREAST CANCER DUE
TO FAMILY HISTORY OR PRIOR PERSONAL HISTORY OF BREAST  CANCER,  POSITIVE
GENETIC  TESTING  OR  OTHER  INDICATIONS  AS  DETERMINED BY SUCH WOMAN'S
PHYSICIAN OR NURSE PRACTITIONER.
  (II) SUCH ADDITIONAL COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND
COINSURANCE AS MAY BE DEEMED APPROPRIATE BY THE  SUPERINTENDENT  AND  AS
ARE  CONSISTENT WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN
POLICY.
  (III) EACH MAMMOGRAPHY REPORT PROVIDED  TO  A  PATIENT  SHALL  INCLUDE
INFORMATION  ABOUT BREAST DENSITY, BASED ON THE BREAST IMAGING REPORTING
AND DATA SYSTEM ESTABLISHED BY THE AMERICAN COLLEGE OF RADIOLOGY.  WHERE
APPLICABLE,  SUCH  REPORT  SHALL  INCLUDE THE FOLLOWING NOTICE: "IF YOUR
MAMMOGRAM DEMONSTRATES THAT YOU HAVE DENSE BREAST  TISSUE,  WHICH  COULD
HIDE SMALL ABNORMALITIES, YOU MIGHT BENEFIT FROM SUPPLEMENTARY SCREENING
TESTS,  WHICH  CAN INCLUDE A BREAST ULTRASOUND SCREENING OR A BREAST MRI
EXAMINATION, OR BOTH, DEPENDING  ON  YOUR  INDIVIDUAL  RISK  FACTORS.  A

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

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