S T A T E O F N E W Y O R K
________________________________________________________________________
2516--A
2023-2024 Regular Sessions
I N A S S E M B L Y
January 26, 2023
___________
Introduced by M. of A. PAULIN, SEAWRIGHT -- read once and referred to
the Committee on Insurance -- recommitted to the Committee on Insur-
ance in accordance with Assembly Rule 3, sec. 2 -- committee
discharged, bill amended, ordered reprinted as amended and recommitted
to said committee
AN ACT to amend the public health law, in relation to allowing a notice
of dense breast tissue to be considered a determination of medical
necessity for coverage of a breast ultrasound
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 2404-c of the public health law, as added by chap-
ter 265 of the laws of 2012, is amended to read as follows:
§ 2404-c. Breast cancer; duty of providers of mammography services to
notify and inform. 1. Every provider of mammography services shall, if a
patient's mammogram demonstrates dense breast tissue, provide notifica-
tion to such patient that shall include, but not be limited to, the
following information, in any summary of the mammography report sent,
pursuant to the federal mammography quality standards act, to the
patient:
Your mammogram shows that your breast tissue is dense. Dense breast
tissue is very common and is not abnormal. However, dense breast tissue
can make it harder to find cancer on a mammogram and may also be associ-
ated with an increased risk of breast cancer.
This information about the result of your mammogram is given to you to
raise your awareness. Use this information to talk to your doctor about
your own risks for breast cancer. At that time, ask your doctor if more
screening tests might be useful, based on your risk. A report of your
results was sent to your physician.
For the purposes of this section dense breast tissue shall mean heter-
ogeneously dense or extremely dense tissue as defined in nationally
recognized guidelines or systems for breast imaging reporting of mammog-
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD05349-02-4
A. 2516--A 2
raphy screening, including, but not limited to, the breast imaging
reporting and data system of the American College of Radiology, and any
equivalent new terms, as such guidelines or systems are updated.
2. WHERE A PROVIDER OF MAMMOGRAPHY SERVICES HAS PROVIDED NOTICE TO A
PATIENT UNDER SUBDIVISION ONE OF THIS SECTION, THE NOTICE SHALL BE
CONSIDERED A DETERMINATION OF MEDICAL NECESSITY FOR PURPOSES OF COVERAGE
OF A BREAST ULTRASOUND.
§ 2. This act shall take effect immediately.