S T A T E   O F   N E W   Y O R K
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                                 917--A

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                             January 8, 2015
                               ___________

Introduced by M. of A. PRETLOW, JAFFEE -- Multi-Sponsored by -- M. of A.
  CAHILL,  CLARK,  COOK,  CUSICK, DINOWITZ, GALEF, GLICK, HOOPER, MAGEE,
  ORTIZ, PERRY, WRIGHT -- read once and referred  to  the  Committee  on
  Insurance  --  recommitted to the Committee on Insurance 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  insurance  law, in relation to health insurance
  coverage for diagnostic testing for ovarian cancer

  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 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 POLICY WHICH PROVIDES MAJOR
MEDICAL OR SIMILAR COMPREHENSIVE-TYPE COVERAGE SHALL PROVIDE,  UPON  THE
PRESCRIPTION  OF  A HEALTH CARE PROVIDER LEGALLY AUTHORIZED TO PRESCRIBE
UNDER TITLE EIGHT OF THE EDUCATION LAW, COVERAGE FOR DIAGNOSTIC  TESTING
FOR OVARIAN CANCER, INCLUDING A PELVIC EXAMINATION, A SONOGRAM, A CA 125
BLOOD TEST AND LABORATORY AND DIAGNOSTIC SERVICES PROVIDED IN CONNECTION
WITH  EXAMINING  AND EVALUATING SUCH BLOOD TEST FOR WOMEN AGED FORTY AND
OVER WITH ONE OR MORE FEMALE RELATIVES WITH A PRIOR HISTORY  OF  OVARIAN
CANCER.
  (B) SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE
AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE CONSISTENT
WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN POLICY.
  S 2. Subsection (l) of section 3221 of the insurance law is amended by
adding a new paragraph 11-b to read as follows:
  (11-B) (A) EVERY INSURER WHICH DELIVERS OR ISSUES FOR DELIVERY IN THIS
STATE  A  POLICY  WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES COVERAGE
FOR PHYSICIAN SERVICES IN A PHYSICIAN'S OFFICE OR MAJOR MEDICAL OR SIMI-

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD05526-04-6
              

A. 917--A                           2

LAR COMPREHENSIVE-TYPE COVERAGE SHALL PROVIDE, UPON THE PRESCRIPTION  OF
A HEALTH CARE PROVIDER LEGALLY AUTHORIZED TO PRESCRIBE UNDER TITLE EIGHT
OF  THE  EDUCATION  LAW,  COVERAGE  FOR  DIAGNOSTIC  TESTING FOR OVARIAN
CANCER,  INCLUDING A PELVIC EXAMINATION, A SONOGRAM, A CA 125 BLOOD TEST
AND LABORATORY AND DIAGNOSTIC SERVICES PROVIDED IN CONNECTION WITH EXAM-
INING AND EVALUATING SUCH BLOOD TEST FOR WOMEN AGED FORTY AND OVER  WITH
ONE OR MORE FEMALE RELATIVES WITH A PRIOR HISTORY OF OVARIAN CANCER.
  (B) SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE
AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE CONSISTENT
WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN POLICY.
  S  3.  Section  4303  of  the insurance law is amended by adding a new
subsection (qq) to read as follows:
  (QQ) (1) A HOSPITAL SERVICE  CORPORATION,  MEDICAL  EXPENSE  INDEMNITY
CORPORATION  OR HEALTH SERVICE CORPORATION WHICH PROVIDES MEDICAL COVER-
AGE THAT INCLUDES COVERAGE  FOR  PHYSICIAN  SERVICES  IN  A  PHYSICIAN'S
OFFICE  OR  MAJOR  MEDICAL  OR SIMILAR COMPREHENSIVE-TYPE COVERAGE SHALL
PROVIDE, UPON THE PRESCRIPTION OF A HEALTH CARE PROVIDER LEGALLY AUTHOR-
IZED TO PRESCRIBE UNDER TITLE EIGHT OF THE EDUCATION LAW,  COVERAGE  FOR
DIAGNOSTIC TESTING FOR OVARIAN CANCER, INCLUDING A PELVIC EXAMINATION, A
SONOGRAM,  A  CA  125  BLOOD TEST AND LABORATORY AND DIAGNOSTIC SERVICES
PROVIDED IN CONNECTION WITH EXAMINING AND EVALUATING SUCH BLOOD TEST FOR
WOMEN AGED FORTY AND OVER WITH ONE OR MORE FEMALE RELATIVES WITH A PRIOR
HISTORY OF OVARIAN CANCER.
  (2) SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND COINSURANCE
AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE CONSISTENT
WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN POLICY.
  S 4. This act shall take effect on the first of January next  succeed-
ing  the date on which it shall have become a law and shall apply to all
policies issued, renewed, altered or modified on or after such effective
date.