S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6481
 
                        2019-2020 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               March 8, 2019
                                ___________
 
 Introduced  by  M.  of  A. M. L. MILLER -- read once and referred to the
   Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to  coverage  of  primary
   and preventative obstetric and gynecological care
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Subparagraph (C) of  paragraph  14  of  subsection  (l)  of
 section 3221 of the insurance law, as amended by chapter 219 of the laws
 of 2011, is amended to read as follows:
   (C) Such coverage required pursuant to subparagraph (A) or (B) of this
 paragraph  [may]  SHALL NOT be subject to annual deductibles and coinsu-
 rance [as may be deemed appropriate by the  superintendent  and  as  are
 consistent  with  those  established  for  other benefits within a given
 policy].
   § 2. Paragraph 1 of subsection (t) of section 4303  of  the  insurance
 law,  as  amended by chapter 219 of the laws of 2011, is amended to read
 as follows:
   (1) A medical expense indemnity corporation, a hospital service corpo-
 ration or a health service corporation that provides coverage for hospi-
 tal, surgical, or medical care shall  provide  coverage  for  an  annual
 cervical cytology screening for cervical cancer and its precursor states
 for  women aged eighteen and older. Such coverage required by this para-
 graph [may] SHALL NOT be subject to annual deductibles  and  coinsurance
 [as  may be deemed appropriate by the superintendent and as are consist-
 ent with those established for other benefits within a given contract].
   § 3. The opening paragraph  of  paragraph  13  of  subsection  (k)  of
 section 3221 of the insurance law, as amended by chapter 219 of the laws
 of 2011, is amended to read as follows:
   Every group or blanket policy delivered or issued for delivery in this
 state that provides major medical or similar comprehensive-type coverage
 shall  provide  such  coverage  for bone mineral density measurements or

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

                                                            LBD09671-03-9

 A. 6481                             2
 
 tests, and if such contract otherwise includes coverage for prescription
 drugs, drugs and devices approved by the federal food and drug  adminis-
 tration  or generic equivalents as approved substitutes.  In determining
 appropriate  coverage provided by subparagraphs (A), (B) and (C) of this
 paragraph, the insurer or health maintenance  organization  shall  adopt
 standards  that include the criteria of the federal Medicare program and
 the criteria of the national institutes of health for the detection  AND
 TREATMENT  of osteoporosis, provided that such coverage shall be further
 determined as follows:
   § 4. The opening paragraph of subsection (bb) of section 4303  of  the
 insurance law, as amended by chapter 219 of the laws of 2011, is amended
 to read as follows:
   A  health  service  corporation or a medical service expense indemnity
 corporation that provides major medical  or  similar  comprehensive-type
 coverage  shall  provide such coverage for bone mineral density measure-
 ments or tests, and if such contract  otherwise  includes  coverage  for
 prescription  drugs,  drugs and devices approved by the federal food and
 drug administration or generic equivalents as approved  substitutes.  In
 determining  appropriate  coverage  provided  by paragraphs one, two and
 three of this subsection, the insurer or health maintenance organization
 shall adopt standards that include the criteria of the federal  Medicare
 program  and  the  criteria of the national institutes of health for the
 detection AND TREATMENT of osteoporosis,  provided  that  such  coverage
 shall be further determined as follows:
   §  5.  The second undesignated paragraph of paragraph 26 of subsection
 (b) of section 4322 of the insurance law, as amended by chapter  219  of
 the laws of 2011, is amended to read as follows:
   In determining appropriate coverage provided by subparagraphs (A), (B)
 and  (C)  of this paragraph, the insurer or health maintenance organiza-
 tion shall adopt standards that include  the  criteria  of  the  federal
 Medicare  program  and the criteria of the national institutes of health
 for the detection AND TREATMENT  of  osteoporosis,  provided  that  such
 coverage shall be further determined as follows:
   §  6.  This  act  shall take effect on the sixtieth day after it shall
 have become a law and shall apply to all policies issued, renewed, modi-
 fied or altered on or after such date.