senate Bill S3801A

Signed By Governor
2011-2012 Legislative Session

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

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Archive: Last Bill Status - Signed by Governor


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

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Aug 01, 2012 signed chap.302
Jul 20, 2012 delivered to governor
Jun 20, 2012 returned to senate
passed assembly
ordered to third reading rules cal.513
substituted for a7193a
Jun 18, 2012 referred to insurance
delivered to assembly
passed senate
Jun 06, 2012 advanced to third reading
Jun 05, 2012 2nd report cal.
Jun 04, 2012 1st report cal.992
May 22, 2012 print number 3801a
amend (t) and recommit to insurance
Jan 04, 2012 referred to insurance
Mar 04, 2011 referred to insurance

Votes

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Bill Amendments

Original
A (Active)
Original
A (Active)

Co-Sponsors

S3801 - Bill Details

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

S3801 - Bill Texts

view summary

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

view sponsor memo
BILL NUMBER:S3801

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

PURPOSE:
To provide insurance coverage for reconstruction for all mastectomies
and lumpectomies.

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
and lumpectomies 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.

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

                                  3801

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                              March 4, 2011
                               ___________

Introduced  by  Sen. LAVALLE -- 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  breast
  reconstruction surgery after a partial mastectomy or lumpectomy

  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, PARTIAL MASTECTOMY OR LUMPEC-
TOMY:
  (i)  all  stages  of  reconstruction  of  the  breast  on  which   the
mastectomy, PARTIAL MASTECTOMY OR LUMPECTOMY 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, PARTIAL MASTECTOMY OR LUMPECTOMY:
  (i)  all  stages  of  reconstruction  of  the  breast  on  which   the
mastectomy, PARTIAL MASTECTOMY OR LUMPECTOMY 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
provides coverage for surgical or medical care shall provide the follow-

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09920-01-1

S. 3801                             2

ing coverage for  breast  reconstruction  surgery  after  a  mastectomy,
PARTIAL MASTECTOMY OR LUMPECTOMY:
  (A)   all  stages  of  reconstruction  of  the  breast  on  which  the
mastectomy, PARTIAL MASTECTOMY OR LUMPECTOMY 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.

Co-Sponsors

S3801A (ACTIVE) - Bill Details

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

S3801A (ACTIVE) - Bill Texts

view summary

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

view 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 full text
download pdf
                    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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