Assembly Bill A10137

2015-2016 Legislative Session

Relates to insurance coverage of in vitro fertilization and other fertility preservation treatments

download bill text pdf

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Archive: Last Bill Status - In Assembly 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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2015-A10137 (ACTIVE) - Details

See Senate Version of this Bill:
S7219
Current Committee:
Assembly Rules
Law Section:
Insurance Law
Laws Affected:
Add §3242, amd §§3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2017-2018: A2646, S3148
2019-2020: A2817, S719

2015-A10137 (ACTIVE) - Summary

Relates to insurance coverage of in vitro fertilization and other fertility preservation treatments.

2015-A10137 (ACTIVE) - Bill Text download pdf

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

                                  10137

                          I N  A S S E M B L Y

                              May 12, 2016
                               ___________

Introduced  by M. of A. SIMOTAS -- read once and referred to the Commit-
  tee on Insurance

AN ACT to amend the insurance law, in relation to insurance coverage  of
  in vitro fertilization and other fertility preservation treatments

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

  Section 1. The insurance law is amended by adding a new  section  3242
to read as follows:
  S  3242.  IN  VITRO  FERTILIZATION AND FERTILITY-RELATED PROVISIONS IN
POLICIES. (A) EXCEPT AS PROVIDED IN SUBSECTION (C) OF THIS  SECTION,  NO
POLICY OF GROUP OR BLANKET ACCIDENT AND HEALTH INSURANCE SHALL BE DELIV-
ERED  OR ISSUED FOR DELIVERY IN THIS STATE TO A GROUP UNLESS IT CONTAINS
IN SUBSTANCE THE FOLLOWING PROVISIONS OR PROVISIONS WHICH IN THE OPINION
OF THE SUPERINTENDENT ARE MORE FAVORABLE TO THE HOLDERS OF SUCH  CERTIF-
ICATES  OR  NOT  LESS  FAVORABLE TO THE HOLDERS OF SUCH CERTIFICATES AND
MORE FAVORABLE TO POLICYHOLDERS:
  (1)  COVERAGE  OF  DIAGNOSTIC  AND  TREATMENT  PROCEDURES,   INCLUDING
PRESCRIPTION DRUGS AND IN VITRO FERTILIZATION, USED IN THE DIAGNOSIS AND
TREATMENT OF INFERTILITY. AS USED IN THIS SECTION, "INFERTILITY" MEANS A
DISEASE  CHARACTERIZED BY THE INCAPACITY TO IMPREGNATE ANOTHER PERSON OR
TO CONCEIVE, AS DIAGNOSED (A) BY A PHYSICIAN LICENSED TO PRACTICE  MEDI-
CINE  IN  THE STATE, OR (B) BY THE FAILURE TO ESTABLISH A CLINICAL PREG-
NANCY AFTER TWELVE MONTHS OF REGULAR, UNPROTECTED SEXUAL INTERCOURSE.
  (2) COVERAGE OF MEDICALLY NECESSARY EXPENSES  FOR  STANDARD  FERTILITY
PRESERVATION SERVICES WHEN A NECESSARY MEDICAL TREATMENT MAY DIRECTLY OR
INDIRECTLY  CAUSE IATROGENIC INFERTILITY TO A COVERED PERSON. AS USED IN
THIS SECTION, "IATROGENIC INFERTILITY" MEANS AN IMPAIRMENT OF  FERTILITY
BY SURGERY, RADIATION, CHEMOTHERAPY OR OTHER MEDICAL TREATMENT AFFECTING
REPRODUCTIVE ORGANS OR PROCESSES.
  POLICIES  WHICH  COVER  HOSPITAL  SERVICES  ONLY,  MEDICAL OR SURGICAL
SERVICES ONLY, OR PRESCRIPTION DRUGS ONLY, SHALL  PROVIDE  FERTILITY-RE-
LATED COVERAGE TO THE EXTENT THEY FALL WITHIN THE CATEGORIES OF SERVICES
OTHERWISE COVERED.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD14892-01-6
              

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