Assembly Bill A8537

Signed By Governor
2021-2022 Legislative Session

Relates to providing coverage and information on chest wall reconstruction surgery after a mastectomy or partial mastectomy

download bill text pdf

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Archive: Last Bill Status - Signed by Governor


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2021-A8537 (ACTIVE) - Details

See Senate Version of this Bill:
S7881
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L; amd §§2404 & 2803-o, Pub Health L

2021-A8537 (ACTIVE) - Summary

Relates to providing coverage and information on chest wall reconstruction surgery after a mastectomy or partial mastectomy; provides that aesthetic flat closure be included in information provided to patients and in insurance coverage.

2021-A8537 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8537
 
                        2021-2022 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             December 13, 2021
                                ___________
 
 Introduced  by  M.  of A. PHEFFER AMATO -- read once and referred to the
   Committee on Insurance
 
 AN ACT to amend the insurance law and the public health law, in relation
   to providing coverage and information  on  chest  wall  reconstruction
   surgery after a mastectomy or partial mastectomy

   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subparagraph (A) of  paragraph  20  of  subsection  (i)  of
 section 3216 of the insurance law, as added by chapter 21 of the laws of
 1997,  the opening paragraph and clause (i) as amended by chapter 302 of
 the laws of 2012, is amended to read as follows:
   (A) Every policy which provides medical,  major  medical,  or  similar
 comprehensive-type  coverage  shall  provide  the following coverage for
 breast OR CHEST  WALL  reconstruction  surgery  after  a  mastectomy  or
 partial mastectomy:
   (i)  all stages of reconstruction of the breast OR CHEST WALL on which
 the mastectomy or partial mastectomy has been performed; and
   (ii) surgery and reconstruction of the other breast OR CHEST  WALL  to
 produce a symmetrical appearance;
 in  the  manner determined by the attending physician and the patient to
 be appropriate. CHEST WALL RECONSTRUCTION SURGERY SHALL INCLUDE AESTHET-
 IC FLAT CLOSURE AS SUCH TERM IS DEFINED BY THE  NATIONAL  CANCER  INSTI-
 TUTE. Such coverage may be subject to annual deductibles and coinsurance
 provisions as may be deemed appropriate by the superintendent and as are
 consistent  with  those  established  for  other benefits within a given
 policy. Written notice of the availability of  such  coverage  shall  be
 delivered  to  the  policyholder  prior  to inception of such policy and
 annually thereafter.
   § 2. Subparagraph (A) of paragraph 10 of  subsection  (k)  of  section
 3221  of  the insurance law, as added by chapter 21 of the laws of 1997,

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD13570-01-1
 A. 8537                             2
              

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