S T A T E O F N E W Y O R K
________________________________________________________________________
7741
2021-2022 Regular Sessions
I N A S S E M B L Y
May 21, 2021
___________
Introduced by M. of A. BICHOTTE HERMELYN -- read once and referred to
the Committee on Insurance
AN ACT to amend the insurance law, in relation to requiring insurance
policies to provide coverage for transvaginal ultrasounds during preg-
nancy
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph 10 of subsection (i) of section 3216 of the
insurance law is amended by adding a new subparagraph (C) to read as
follows:
(C) COVERAGE PROVIDED UNDER THIS PARAGRAPH FOR CARE AND TREATMENT
DURING PREGNANCY SHALL INCLUDE PROVISION FOR PAYMENTS FOR NOT LESS THAN:
(I) A TRANSVAGINAL ULTRASOUND ONCE BETWEEN SIXTEEN THROUGH TWENTY-FOUR
WEEKS; AND
(II) A TRANSVAGINAL ULTRASOUND EVERY TWO WEEKS FROM SIXTEEN THROUGH
TWENTY-FOUR WEEKS FOR PREGNANT INDIVIDUALS WITH ANY OF THE FOLLOWING:
(I) A HISTORY OF EARLY DELIVERY BETWEEN THIRTEEN AND THIRTY-SEVEN WEEKS
IN ANY PRIOR PREGNANCY; (II) A HISTORY OF ANY SURGICAL PROCEDURE,
INCLUDING OFFICE PROCEDURES, PERFORMED ON THEIR CERVIX, INCLUDING BUT
NOT LIMITED TO LEEP AND CONE BIOPSY; (III) MULTIFETAL PREGNANCIES; (IV)
A PREGNANT INDIVIDUAL WITH A UTERINE UNIFICATION DEFECT, INCLUDING BUT
NOT LIMITED TO BICORNUATE, SEPTATE OR UNICORNUATE UTERUS, OR ANY CONGEN-
ITAL STRUCTURAL DEFECT OF A KIDNEY; AND (V) A HISTORY OF PRIOR DELIVERY
OCCURRING AT OR NEAR TERM BY CESAREAN AFTER OBSTRUCTED LABOR.
§ 2. Paragraph 5 of subsection (k) of section 3221 of the insurance
law is amended by adding a new subparagraph (C) to read as follows:
(C) COVERAGE PROVIDED UNDER THIS PARAGRAPH FOR CARE AND TREATMENT
DURING PREGNANCY SHALL INCLUDE PROVISION FOR PAYMENTS FOR NOT LESS THAN:
(I) A TRANSVAGINAL ULTRASOUND ONCE BETWEEN SIXTEEN THROUGH TWENTY-FOUR
WEEKS; AND
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11528-01-1
A. 7741 2
(II) A TRANSVAGINAL ULTRASOUND EVERY TWO WEEKS FROM SIXTEEN THROUGH
TWENTY-FOUR WEEKS FOR PREGNANT INDIVIDUALS WITH ANY OF THE FOLLOWING:
(I) A HISTORY OF EARLY DELIVERY BETWEEN THIRTEEN AND THIRTY-SEVEN WEEKS
IN ANY PRIOR PREGNANCY; (II) A HISTORY OF ANY SURGICAL PROCEDURE,
INCLUDING OFFICE PROCEDURES, PERFORMED ON THEIR CERVIX, INCLUDING BUT
NOT LIMITED TO LEEP AND CONE BIOPSY; (III) MULTIFETAL PREGNANCIES; (IV)
A PREGNANT INDIVIDUAL WITH A UTERINE UNIFICATION DEFECT, INCLUDING BUT
NOT LIMITED TO BICORNUATE, SEPTATE OR UNICORNUATE UTERUS, OR ANY CONGEN-
ITAL STRUCTURAL DEFECT OF A KIDNEY; AND (V) A HISTORY OF PRIOR DELIVERY
OCCURRING AT OR NEAR TERM BY CESAREAN AFTER OBSTRUCTED LABOR.
§ 3. Paragraph 1 of subsection (c) of section 4303 of the insurance
law is amended by adding a new subparagraph (D) to read as follows:
(D) COVERAGE PROVIDED UNDER THIS PARAGRAPH FOR CARE AND TREATMENT
DURING PREGNANCY SHALL INCLUDE PROVISION FOR PAYMENTS FOR NOT LESS THAN:
(I) A TRANSVAGINAL ULTRASOUND ONCE BETWEEN SIXTEEN THROUGH TWENTY-FOUR
WEEKS; AND
(II) A TRANSVAGINAL ULTRASOUND EVERY TWO WEEKS FROM SIXTEEN THROUGH
TWENTY-FOUR WEEKS FOR PREGNANT INDIVIDUALS WITH ANY OF THE FOLLOWING:
(I) A HISTORY OF EARLY DELIVERY BETWEEN THIRTEEN AND THIRTY-SEVEN WEEKS
IN ANY PRIOR PREGNANCY; (II) A HISTORY OF ANY SURGICAL PROCEDURE,
INCLUDING OFFICE PROCEDURES, PERFORMED ON THEIR CERVIX, INCLUDING BUT
NOT LIMITED TO LEEP AND CONE BIOPSY; (III) MULTIFETAL PREGNANCIES; (IV)
A PREGNANT INDIVIDUAL WITH A UTERINE UNIFICATION DEFECT, INCLUDING BUT
NOT LIMITED TO BICORNUATE, SEPTATE OR UNICORNUATE UTERUS, OR ANY CONGEN-
ITAL STRUCTURAL DEFECT OF A KIDNEY; AND (V) A HISTORY OF PRIOR DELIVERY
OCCURRING AT OR NEAR TERM BY CESAREAN AFTER OBSTRUCTED LABOR.
§ 4. This act shall take effect on the sixtieth day after it shall
have become a law. Effective immediately the addition, amendment and/or
repeal of any rule or regulation necessary for the implementation of
this act on its effective date are authorized to be made and completed
on or before such date.