Requires coverage for colorectal cancer early detection beginning at age thirty-five; adds coverage for colorectal cancer early detection as a required coverage for individual policies; requires notification of colorectal early detection coverage to be provided to insured individuals beginning at age thirty-five.
S T A T E O F N E W Y O R K
________________________________________________________________________
4029
2025-2026 Regular Sessions
I N A S S E M B L Y
January 30, 2025
___________
Introduced by M. of A. FALL -- read once and referred to the Committee
on Insurance
AN ACT to amend the insurance law, in relation to requiring coverage for
colorectal cancer early detection beginning at age thirty-five
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph 11-b of subsection (l) of section 3221 of the
insurance law, as amended by chapter 78 of the laws of 2023, is amended
to read as follows:
(11-b) (A) Every large group policy delivered or issued for delivery
in this state which provides medical coverage that includes coverage for
physician services in a physician's office and every large group policy
which provides major medical or similar comprehensive-type coverage
shall provide, upon the prescription of a health care provider acting
within the provider's scope of practice pursuant to title eight of the
education law, coverage for colorectal cancer preventive screenings in
accordance with the American Cancer Society Guidelines for colorectal
cancer screening of average risk individuals, EXCEPT THAT SUCH COVERAGE
SHALL BE PROVIDED TO ALL INDIVIDUALS BEGINNING AT AGE THIRTY-FIVE. The
coverage required by this paragraph shall also include coverage for all
additional colorectal cancer examinations and laboratory tests recom-
mended in accordance with the American Cancer Society Guidelines for
colorectal cancer screening of average risk individuals, EXCEPT THAT
SUCH COVERAGE SHALL BE PROVIDED TO ALL INDIVIDUALS BEGINNING AT AGE
THIRTY-FIVE, including an initial colonoscopy or other medical test or
procedure for colorectal cancer screening and a follow-up colonoscopy
performed as a result of a positive result on a non-colonoscopy preven-
tive screening test. A large group policy shall cover colorectal cancer
screenings, examinations, and laboratory tests described in this para-
graph upon any policy issuance or renewal that occurs six months after
the date the guideline described in this paragraph is issued.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD07807-01-5
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.
Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.