S T A T E O F N E W Y O R K
________________________________________________________________________
5208
2017-2018 Regular Sessions
I N A S S E M B L Y
February 7, 2017
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Introduced by M. of A. GLICK -- read once and referred to the Committee
on Insurance
AN ACT to amend the insurance law, in relation to coverage of the diag-
nosis and treatment of infertility
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph 13 of subsection (i) of section 3216 of the
insurance law is amended by adding a new subparagraph (C) to read as
follows:
(C) (I) NO POLICY WHICH PROVIDES COVERAGE PURSUANT TO THIS PARAGRAPH
SHALL LIMIT OR RESTRICT, OR PLACE ADDITIONAL REQUIREMENTS UPON, SUCH
COVERAGE, WHEN AN INSURED HAS A PARTNER OF THE SAME SEX. COVERAGE
PURSUANT TO THIS PARAGRAPH SHALL BE PROVIDED TO SUCH INSUREDS ON THE
SAME BASIS AND CONDITIONS AS PROVIDED TO INSUREDS WITH A PARTNER OF THE
OPPOSITE SEX.
(II) AN INSURER SUBJECT TO THE PROVISIONS OF THIS PARAGRAPH SHALL NOT
REQUIRE AS A CONDITION OF COVERAGE THAT AN INSURED WHO HAS A PARTNER OF
THE SAME SEX THAT: (I) THE INSURED'S PARTNER'S SPERM BE USED IN THE
COVERED TREATMENTS OR PROCEDURES; OR (II) THE INSURED DEMONSTRATE INFER-
TILITY EXCLUSIVELY BY MEANS OF A HISTORY OF UNSUCCESSFUL HETEROSEXUAL
SEXUAL INTERCOURSE.
(III) IN THE EVENT THAT A POLICY PROVIDES COVERAGE OF IN VITRO FERTI-
LIZATION, SUCH POLICY SHALL NOT LIMIT OR RESTRICT, OR PLACE ADDITIONAL
REQUIREMENTS UPON, SUCH COVERAGE WHEN AN INSURED HAS A PARTNER OF THE
SAME SEX. SUCH COVERAGE SHALL BE PROVIDED TO SUCH INSUREDS ON THE SAME
BASIS AND CONDITIONS AS PROVIDED TO INSUREDS WITH A PARTNER OF THE OPPO-
SITE SEX.
§ 2. Paragraph 6 of subsection (k) of section 3221 of the insurance
law is amended by adding a new subparagraph (E) to read as follows:
(E) (I) NO GROUP OR BLANKET POLICY WHICH PROVIDES COVERAGE PURSUANT TO
THIS PARAGRAPH SHALL LIMIT OR RESTRICT, OR PLACE ADDITIONAL REQUIREMENTS
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD00131-01-7
A. 5208 2
UPON, SUCH COVERAGE, WHEN AN INSURED HAS A PARTNER OF THE SAME SEX.
COVERAGE PURSUANT TO THIS PARAGRAPH SHALL BE PROVIDED TO SUCH INSUREDS
ON THE SAME BASIS AND CONDITIONS AS PROVIDED TO INSUREDS WITH A PARTNER
OF THE OPPOSITE SEX.
(II) AN INSURER SUBJECT TO THE PROVISIONS OF THIS PARAGRAPH SHALL NOT
REQUIRE AS A CONDITION OF COVERAGE THAT AN INSURED WHO HAS A PARTNER OF
THE SAME SEX THAT: (I) THE INSUREDS PARTNER'S SPERM BE USED IN THE
COVERED TREATMENTS OR PROCEDURES; OR (II) THE INSURED DEMONSTRATE INFER-
TILITY EXCLUSIVELY BY MEANS OF A HISTORY OF UNSUCCESSFUL HETEROSEXUAL
SEXUAL INTERCOURSE.
(III) IN THE EVENT THAT A GROUP OR BLANKET POLICY PROVIDES COVERAGE OF
IN VITRO FERTILIZATION, SUCH POLICY SHALL NOT LIMIT OR RESTRICT, OR
PLACE ADDITIONAL REQUIREMENTS UPON, SUCH COVERAGE WHEN AN INSURED HAS A
PARTNER OF THE SAME SEX. SUCH COVERAGE SHALL BE PROVIDED TO SUCH
INSUREDS ON THE SAME BASIS AND CONDITIONS AS PROVIDED TO INSUREDS WITH A
PARTNER OF THE OPPOSITE SEX.
§ 3. Subsection (s) of section 4303 of the insurance law, as amended
by section 2 of part K of chapter 82 of the laws of 2002, is amended by
adding a new paragraph 5 to read as follows:
(5)(A) NO CONTRACT WHICH PROVIDES COVERAGE PURSUANT TO THIS SUBSECTION
SHALL LIMIT OR RESTRICT, OR PLACE ADDITIONAL REQUIREMENTS UPON, SUCH
COVERAGE, WHEN A COVERED PERSON HAS A PARTNER OF THE SAME SEX. COVERAGE
PURSUANT TO THIS SUBSECTION SHALL BE PROVIDED TO SUCH COVERED PERSONS ON
THE SAME BASIS AND CONDITIONS AS PROVIDED TO COVERED PERSONS WITH A
PARTNER OF THE OPPOSITE SEX.
(B) A HOSPITAL SERVICE CORPORATION OR HEALTH SERVICE CORPORATION
SUBJECT TO THE PROVISIONS OF THIS SUBSECTION SHALL NOT REQUIRE AS A
CONDITION OF COVERAGE THAT A COVERED PERSON WHO HAS A PARTNER OF THE
SAME SEX THAT: (I) THE COVERED PERSON'S PARTNER'S SPERM BE USED IN THE
COVERED TREATMENTS OR PROCEDURES; OR (II) THE COVERED PERSON DEMONSTRATE
INFERTILITY EXCLUSIVELY BY MEANS OF A HISTORY OF UNSUCCESSFUL HETEROSEX-
UAL SEXUAL INTERCOURSE.
(C) IN THE EVENT THAT A CONTRACT PROVIDES COVERAGE OF IN VITRO FERTI-
LIZATION, SUCH CONTRACT SHALL NOT LIMIT OR RESTRICT, OR PLACE ADDITIONAL
REQUIREMENTS UPON, SUCH COVERAGE WHEN A COVERED PERSON HAS A PARTNER OF
THE SAME SEX. SUCH COVERAGE SHALL BE PROVIDED TO SUCH COVERED PERSONS ON
THE SAME BASIS AND CONDITIONS AS PROVIDED TO COVERED PERSONS WITH A
PARTNER OF THE OPPOSITE SEX.
§ 4. This act shall take effect immediately.