S T A T E O F N E W Y O R K
________________________________________________________________________
528
2017-2018 Regular Sessions
I N A S S E M B L Y
January 9, 2017
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Introduced by M. of A. ROSENTHAL -- read once and referred to the
Committee on Insurance
AN ACT to amend the insurance law, in relation to insurance coverage of
in vitro fertilization treatments
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The opening paragraph of subparagraph (C) of paragraph 6 of
subsection (k) of section 3221 of the insurance law, as amended by
section 1 of part K of chapter 82 of the laws of 2002, is amended to
read as follows:
Coverage of diagnostic and treatment procedures, including
prescription drugs AND IN VITRO FERTILIZATION, used in the diagnosis and
treatment of infertility as required by subparagraphs (A) and (B) of
this paragraph shall be provided in accordance with the provisions of
this subparagraph.
§ 2. Item (v) of subparagraph (C) of paragraph 6 of subsection (k) of
section 3221 of the insurance law, as amended by section 1 of part K of
chapter 82 of the laws of 2002, is amended to read as follows:
(v) Coverage shall not be required to include the diagnosis and treat-
ment of infertility in connection with: (I) [in vitro fertilization,]
gamete intrafallopian tube transfers or zygote intrafallopian tube
transfers; (II) the reversal of elective sterilizations; (III) sex
change procedures; (IV) cloning; or (V) medical or surgical services or
procedures that are deemed to be experimental in accordance with clin-
ical guidelines referenced in clause (vi) of this subparagraph.
§ 3. The opening paragraph of paragraph 3 of 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 to read as follows:
Coverage of diagnostic and treatment procedures, including
prescription drugs AND IN VITRO FERTILIZATION used in the diagnosis and
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD01782-01-7
A. 528 2
treatment of infertility as required by paragraphs one and two of this
subsection shall be provided in accordance with this paragraph.
§ 4. Subparagraph (E) of paragraph 3 of 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 to read as follows:
(E) Coverage shall not be required to include the diagnosis and treat-
ment of infertility in connection with: (i) [in vitro fertilization,]
gamete intrafallopian tube transfers or zygote intrafallopian tube
transfers; (ii) the reversal of elective sterilizations; (iii) sex
change procedures; (iv) cloning; or (v) medical or surgical services or
procedures that are deemed to be experimental in accordance with clin-
ical guidelines referenced in subparagraph (F) of this paragraph.
§ 5. This act shall take effect immediately.