S T A T E O F N E W Y O R K
________________________________________________________________________
6586--A
2017-2018 Regular Sessions
I N S E N A T E
June 5, 2017
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Introduced by Sens. BOYLE, BROOKS, KRUEGER, LAVALLE -- read twice and
ordered printed, and when printed to be committed to the Committee on
Rules -- recommitted to the Committee on Insurance in accordance with
Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered
reprinted as amended and recommitted to said committee
AN ACT to amend the insurance law, in relation to enacting "Shannon's
Law"
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Short title. This act shall be known and may be cited as
"Shannon's Law".
§ 2. Subparagraph (A) of paragraph 11 of subsection (i) of section
3216 of the insurance law, as amended by chapter 414 of the laws of
2017, is amended to read as follows:
(A) Every policy that provides coverage for hospital, surgical or
medical care shall provide the following coverage for mammography
screening for occult breast cancer:
(i) upon the recommendation of a physician, a mammogram, which may be
provided by breast tomosynthesis, 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, which may be provided by breast
tomosynthesis, for covered persons aged thirty-five through thirty-nine,
inclusive; [and]
(iii) UPON THE RECOMMENDATION OF A PHYSICIAN, AN ANNUAL MAMMOGRAM FOR
COVERED PERSONS AGED THIRTY-FIVE THROUGH THIRTY-NINE, INCLUSIVE; AND
(IV) an annual mammogram, which may be provided by breast tomosynthe-
sis, for covered persons aged forty and older.
§ 3. Subparagraph (A) of paragraph 11 of subsection (l) of section
3221 of the insurance law, as amended by chapter 414 of the laws of
2017, is amended to read as follows:
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD10531-06-8
S. 6586--A 2
(A) Every insurer delivering a group or blanket policy or issuing a
group or blanket policy for delivery in this state that provides cover-
age for hospital, surgical or medical care shall provide the following
coverage for mammography screening for occult breast cancer:
(i) upon the recommendation of a physician, a mammogram, which may be
provided by breast tomosynthesis, 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, which may be provided by breast
tomosynthesis, for covered persons aged thirty-five through thirty-nine,
inclusive; [and]
(iii) UPON THE RECOMMENDATION OF A PHYSICIAN, AN ANNUAL MAMMOGRAM FOR
COVERED PERSONS AGED THIRTY-FIVE THROUGH THIRTY-NINE, INCLUSIVE; AND
(IV) an annual mammogram, which may be provided by breast tomosynthe-
sis, for covered persons aged forty and older.
§ 4. Subparagraphs (B), (C) and (D) of paragraph 1 of subsection (p)
of section 4303 of the insurance law, as amended by chapter 414 of the
laws of 2017, subparagraph (D) as amended by chapter 74 of the laws of
2016, is amended to read as follows:
(B) a single baseline mammogram, which may be provided by breast tomo-
synthesis, for covered persons aged thirty-five through thirty-nine,
inclusive; [and]
(C) UPON THE RECOMMENDATION OF A PHYSICIAN, AN ANNUAL MAMMOGRAM FOR
COVERED PERSONS AGED THIRTY-FIVE THROUGH THIRTY-NINE, INCLUSIVE; AND
(D) an annual mammogram, which may be provided by breast tomosythesis,
for covered persons aged forty and older[.]; AND
[(D)] (E) The coverage required in this paragraph or paragraph two of
this subsection shall not be subject to annual deductibles or coinsu-
rance.
§ 5. This act shall take effect on the thirtieth day after it shall
have become a law, and shall apply to policies and contracts issued,
renewed, modified, altered or amended on or after such effective date.