assembly Bill A8319

2013-2014 Legislative Session

Relates to coverage for mammography and other image screening for occult breast cancer

download bill text pdf

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Archive: Last Bill Status - In Assembly Committee


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

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Actions

view actions (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 08, 2014 referred to insurance
Dec 18, 2013 referred to insurance

A8319 - Details

Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L; amd §2404-c, Pub Health L

A8319 - Summary

Relates to coverage for mammography and other image screening for occult breast cancer and providing notification of test results to patient's physician.

A8319 - Bill Text download pdf

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

                                  8319

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                            December 18, 2013
                               ___________

Introduced by M. of A. JAFFEE -- read once and referred to the Committee
  on Insurance

AN ACT to amend the insurance law and the public health law, in relation
  to  authorizing  coverage  for mammography and other imaging screening
  for occult breast cancer and to provide notification of  dense  breast
  tissue results to the patient's physician

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

  Section  1.  Subparagraphs  (A),  (C)  and  (D)  of  paragraph  11  of
subsection (i) of section 3216 of the insurance law, as amended by chap-
ter 219 of the laws of 2011, are amended to read as follows:
  (A)  Every  policy  that  provides  coverage for hospital, surgical or
medical care shall provide the following coverage  for  mammography  AND
OTHER IMAGING screening for occult breast cancer:
  (i) upon the recommendation of a physician, a mammogram at any age for
covered  persons  having  a prior history of breast cancer or who have a
first degree relative with a prior history of breast cancer;
  (ii) a single baseline mammogram for covered persons aged  thirty-five
through thirty-nine, inclusive; [and]
  (iii) an annual mammogram for covered persons aged forty and older[.];
AND
  (IV)  UPON RECOMMENDATION OF A PHYSICIAN, SUPPLEMENTAL SCREENING FOR A
COVERED PERSON USING OTHER IMAGING MODALITIES AS DEEMED  APPROPRIATE  BY
THE  AMERICAN  COLLEGE OF RADIOLOGY OR THE AMERICAN CANCER SOCIETY OF AN
ENTIRE BREAST OR THE ENTIRETY OF BOTH BREASTS IF:
  (A) A MAMMOGRAM PERFORMED PURSUANT TO THIS  SUBPARAGRAPH  DEMONSTRATES
THAT THE COVERED PERSON HAS DENSE BREAST TISSUE; OR
  (B)  A  COVERED  PERSON 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 A  PHYSI-
CIAN.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD13128-01-3

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