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Assembly Bill A7193A

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 Via S3801 - Signed by Governor

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co-Sponsors

multi-Sponsors

2011-A7193 - Details

See Senate Version of this Bill:
S3801
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2009-2010 Legislative Session:
S1773

2011-A7193 - Summary

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

2011-A7193 - Bill Text download pdf 

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

                                  7193

                       2011-2012 Regular Sessions

                          I N  A S S E M B L Y

                             April 15, 2011
                               ___________

Introduced  by M. of A. COOK, MENG, GUNTHER, P. RIVERA, GIBSON, M. MILL-
  ER, TITONE -- Multi-Sponsored by -- M. of A. McENENY, PHEFFER --  read
  once and referred 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

co-Sponsors

multi-Sponsors

2011-A7193A (ACTIVE) - Details

See Senate Version of this Bill:
S3801
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2009-2010 Legislative Session:
S1773

2011-A7193A (ACTIVE) - Summary

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

2011-A7193A (ACTIVE) - Bill Text download pdf 

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

                                 7193--A

                       2011-2012 Regular Sessions

                          I N  A S S E M B L Y

                             April 15, 2011
                               ___________

Introduced  by M. of A. COOK, MENG, GUNTHER, P. RIVERA, GIBSON, M. MILL-
  ER, TITONE, MOYA,  WEPRIN,  MARKEY,  STEVENSON,  SCARBOROUGH,  JAFFEE,
  AUBRY, HOOPER -- Multi-Sponsored by -- M. of A. GALEF, McENENY -- read
  once  and referred to the Committee on Insurance -- recommitted to the
  Committee on Insurance in accordance with Assembly Rule 3, sec.  2  --
  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:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09920-03-2

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