senate Bill S3801A

Signed by Governor

Requires health insurers to cover breast reconstruction surgery after a partial mastectomy

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Co-Sponsors

Bill Status


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

  • 04 / Mar / 2011
    • REFERRED TO INSURANCE
  • 04 / Jan / 2012
    • REFERRED TO INSURANCE
  • 22 / May / 2012
    • AMEND (T) AND RECOMMIT TO INSURANCE
  • 22 / May / 2012
    • PRINT NUMBER 3801A
  • 04 / Jun / 2012
    • 1ST REPORT CAL.992
  • 05 / Jun / 2012
    • 2ND REPORT CAL.
  • 06 / Jun / 2012
    • ADVANCED TO THIRD READING
  • 18 / Jun / 2012
    • PASSED SENATE
  • 18 / Jun / 2012
    • DELIVERED TO ASSEMBLY
  • 18 / Jun / 2012
    • REFERRED TO INSURANCE
  • 20 / Jun / 2012
    • SUBSTITUTED FOR A7193A
  • 20 / Jun / 2012
    • ORDERED TO THIRD READING RULES CAL.513
  • 20 / Jun / 2012
    • PASSED ASSEMBLY
  • 20 / Jun / 2012
    • RETURNED TO SENATE
  • 20 / Jul / 2012
    • DELIVERED TO GOVERNOR
  • 01 / Aug / 2012
    • SIGNED CHAP.302

Summary

Requires health insurers to cover breast reconstruction surgery after a partial mastectomy.

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Bill Details

See Assembly Version of this Bill:
A7193A
Versions:
S3801
S3801A
Legislative Cycle:
2011-2012
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2009-2010 Legislative Cycle:
S1773

Sponsor Memo

BILL NUMBER:S3801A

TITLE OF BILL:
An act
to amend the insurance law, in relation to coverage for breast
reconstruction surgery after a partial mastectomy

PURPOSE:
To include insurance coverage for reconstruction after partial
mastectomies.

SUMMARY OF PROVISIONS:
Amends Insurance Law section:

§3216(20)(A)(i)
§3221(k)(10)(i)
§4303(x)(1)(A)

EXISTING LAW:
Insurance presently covers reconstruction for mastectomies but partial
mastectomies are not similarly covered.

JUSTIFICATION:
Women who undergo the partial loss of a breast should have the same
option of reconstruction surgery as those presently covered.

LEGISLATIVE HISTORY:
2009-10: S.1773
2007-08: S.7738

FISCAL IMPLICATIONS:
None.

EFFECTIVE DATE:
This act shall take effect immediately and shall apply to all policies
and contracts issued, renewed, modified, altered or amended on or
after such date.

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

                                 3801--A

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                              March 4, 2011
                               ___________

Introduced by Sens. LAVALLE, GALLIVAN -- read twice and ordered printed,
  and  when  printed  to  be  committed to the Committee on Insurance --
  recommitted to the Committee on Insurance in  accordance  with  Senate
  Rule  6,  sec.  8  --  committee  discharged,  bill  amended,  ordered
  reprinted as amended and recommitted to said committee

AN ACT to amend the insurance law, in relation to  coverage  for  breast
  reconstruction surgery after a partial mastectomy

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

  Section 1. The opening paragraph and clause (i) of subparagraph (A) of
paragraph 20 of subsection (i) of section 3216 of the insurance law,  as
added by chapter 21 of the laws of 1997, are amended to read as follows:
  Every policy which provides medical, major medical, or similar compre-
hensive-type  coverage  shall  provide the following coverage for breast
reconstruction surgery after a mastectomy OR PARTIAL MASTECTOMY:
  (i) all stages of reconstruction of the breast on which the mastectomy
OR PARTIAL MASTECTOMY has been performed; and
  S 2. The opening paragraph and clause (i) of subparagraph (A) of para-
graph 10 of subsection (k) of section 3221  of  the  insurance  law,  as
added by chapter 21 of the laws of 1997, are amended to read as follows:
  Every group or blanket policy delivered or issued for delivery in this
state  which  provides medical, major medical, or similar comprehensive-
type coverage shall provide the following  coverage  for  breast  recon-
struction surgery after a mastectomy OR PARTIAL MASTECTOMY:
  (i) all stages of reconstruction of the breast on which the mastectomy
OR PARTIAL MASTECTOMY has been performed; and
  S  3.  The  opening  paragraph  and subparagraph (A) of paragraph 1 of
subsection (x) of section 4303 of the insurance law, as added by chapter
21 of the laws of 1997, are amended to read as follows:
  Every contract issued by  a  medical  expense  indemnity  corporation,
hospital   service  corporation  or  health  service  corporation  which

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09920-02-2

S. 3801--A                          2

provides coverage for surgical or medical care shall provide the follow-
ing coverage for breast reconstruction surgery  after  a  mastectomy  OR
PARTIAL MASTECTOMY:
  (A) all stages of reconstruction of the breast on which the mastectomy
OR PARTIAL MASTECTOMY has been performed; and
  S  4.  This  act  shall take effect immediately and shall apply to all
policies and contracts issued, renewed, modified, altered or amended  on
or after such date.

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