S T A T E O F N E W Y O R K
________________________________________________________________________
1158--A
2025-2026 Regular Sessions
I N A S S E M B L Y
January 9, 2025
___________
Introduced by M. of A. SEAWRIGHT, COLTON, GALLAGHER, GONZALEZ-ROJAS,
SIMON, HYNDMAN -- read once and referred to the Committee on Insurance
-- committee discharged, bill amended, ordered reprinted as amended
and recommitted to said committee
AN ACT to amend the insurance law, in relation to including second
degree relatives in certain criteria for breast cancer screenings to
be covered under insurance plans
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Item (i) of 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:
(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 OR SECOND degree
relative with a prior history of breast cancer;
§ 1-a. Item (i) of subparagraph (A) of paragraph 11 of subsection (i)
of section 3216 of the insurance law, as amended by chapter 424 of the
laws of 2024, is amended to read as follows:
(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 OR SECOND degree
relative with a prior history of breast cancer;
§ 2. Item (i) of subparagraph (A) of paragraph 11 of subsection (l) of
section 3221 of the insurance law, as amended by chapter 143 of the laws
of 2019, is amended to read as follows:
(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 OR SECOND degree
relative with a prior history of breast cancer;
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD03149-03-5
A. 1158--A 2
§ 2-a. Item (i) of subparagraph (A) of paragraph 11 of subsection (l)
of section 3221 of the insurance law, as amended by chapter 424 of the
laws of 2024, is amended to read as follows:
(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 OR SECOND degree
relative with a prior history of breast cancer;
§ 3. Subparagraph (A) of paragraph 1 of subsection (p) of section 4303
of the insurance law, as amended by chapter 414 of the laws of 2017, is
amended to read as follows:
(A) 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 OR SECOND degree
relative with a prior history of breast cancer;
§ 3-a. Subparagraph (A) of paragraph 1 of subsection (p) of section
4303 of the insurance law, as amended by chapter 424 of the laws of
2024, is amended to read as follows:
(A) 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 OR SECOND degree
relative with a prior history of breast cancer;
§ 4. This act shall take effect on the sixtieth day after it shall
have become a law and shall apply to all policies and contracts issued,
renewed, modified, altered or amended on or after such date; provided,
however, that if chapter 424 of the laws of 2024 shall not have taken
effect on or before such date then sections one-a, two-a and three-a of
this act shall take effect on the same date and in the same manner as
such chapter of the laws of 2024 takes effect.