senate Bill S8147

2021-2022 Legislative Session

Requires health insurance policies and medicaid to cover biomarker testing for certain purposes

download bill text pdf

Sponsored By

Current Bill Status - In Senate Committee Insurance Committee


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

Your Voice

do you support this bill?

Please enter your contact information

Home address is used to determine the senate district in which you reside. Your support or opposition to this bill is then shared immediately with the senator who represents you.

Optional services from the NY State Senate:

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Include a custom message for your Senator? (Optional)

Enter a message to your senator. Many New Yorkers use this to share the reasoning behind their support or opposition to the bill. Others might share a personal anecdote about how the bill would affect them or people they care about.

Actions

view actions (1)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 26, 2022 referred to insurance

Co-Sponsors

view additional co-sponsors

S8147 (ACTIVE) - Details

See Assembly Version of this Bill:
A9149
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L; amd §365-a, Soc Serv L

S8147 (ACTIVE) - Summary

Requires health insurance policies and medicaid to cover biomarker testing for diagnosis, treatment, appropriate management, or ongoing monitoring of a covered person's disease or condition when the test is supported by medical and scientific evidence.

S8147 (ACTIVE) - Sponsor Memo

S8147 (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8147
 
                             I N  S E N A T E
 
                             January 26, 2022
                                ___________
 
 Introduced  by  Sen. PERSAUD -- read twice and ordered printed, and when
   printed to be committed to the Committee on Insurance
 
 AN ACT to amend the insurance  law  and  the  social  services  law,  in
   relation  to requiring health insurance policies and medicaid to cover
   biomarker testing for certain purposes
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Subsection  (i)  of  section 3216 of the insurance law is
 amended by adding a new paragraph 11-b to read as follows:
   (11-B) (A) EVERY POLICY WHICH  PROVIDES  MEDICAL,  MAJOR  MEDICAL,  OR
 SIMILAR COMPREHENSIVE-TYPE COVERAGE SHALL PROVIDE COVERAGE FOR BIOMARKER
 TESTING  FOR  THE  PURPOSES OF DIAGNOSIS, TREATMENT, APPROPRIATE MANAGE-
 MENT, OR ONGOING MONITORING OF A COVERED PERSON'S DISEASE  OR  CONDITION
 WHEN  THE  TEST IS SUPPORTED BY MEDICAL AND SCIENTIFIC EVIDENCE, INCLUD-
 ING, BUT NOT LIMITED TO:
   (I) LABELED INDICATIONS FOR A TEST APPROVED OR CLEARED BY THE FOOD AND
 DRUG ADMINISTRATION OF THE UNITED STATES GOVERNMENT OR  INDICATED  TESTS
 FOR A FOOD AND DRUG ADMINISTRATION APPROVED DRUG;
   (II)  CENTERS  FOR  MEDICARE  AND  MEDICAID SERVICES NATIONAL COVERAGE
 DETERMINATIONS AND MEDICARE  ADMINISTRATIVE  CONTRACTOR  LOCAL  COVERAGE
 DETERMINATIONS; OR
   (III) NATIONALLY RECOGNIZED CLINICAL PRACTICE GUIDELINES AND CONSENSUS
 STATEMENTS.
   (B)  SUCH  COVERAGE  SHALL  BE  PROVIDED  IN A MANNER THAT SHALL LIMIT
 DISRUPTIONS IN CARE INCLUDING THE NEED FOR MULTIPLE BIOPSIES OR  BIOSPE-
 CIMEN SAMPLES.
   (C)  THE COVERED PERSON AND PRESCRIBING PRACTITIONER SHALL HAVE ACCESS
 TO A CLEAR, READILY ACCESSIBLE, AND CONVENIENT  PROCESS  TO  REQUEST  AN
 EXCEPTION  TO  A  COVERAGE POLICY PROVIDED PURSUANT TO THE PROVISIONS OF
 THIS PARAGRAPH. SUCH PROCESS SHALL BE MADE  READILY  ACCESSIBLE  ON  THE
 WEBSITE OF THE INSURER.
   (D)  AS  USED  IN  THIS  PARAGRAPH, THE FOLLOWING TERMS SHALL HAVE THE
 FOLLOWING MEANINGS:
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD13311-02-2

Comments

Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.

Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.