Assembly Bill A10687

2023-2024 Legislative Session

Requires health insurance policies to include coverage of optional anesthesia for certain contraceptive and menstrual health procedures

download bill text pdf

Sponsored By

Current Bill Status - In Assembly Committee


  • 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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2023-A10687 (ACTIVE) - Details

See Senate Version of this Bill:
S8786
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

2023-A10687 (ACTIVE) - Summary

Requires health insurance policies to include coverage of optional anesthesia for certain contraceptive and menstrual health procedures including, but not limited to, loop electrosurgical excision procedure, colposcopy, ablation, and intrauterine device insertion.

2023-A10687 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   10687
 
                           I N  A S S E M B L Y
 
                              August 28, 2024
                                ___________
 
 Introduced  by  COMMITTEE ON RULES -- (at request of M. of A. Simone) --
   read once and referred to the Committee on Insurance
 
 AN ACT to amend the insurance  law,  in  relation  to  requiring  health
   insurance  policies  to  include  coverage  of optional anesthesia for
   certain contraceptive and menstrual health procedures
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Clause  (v)  of  subparagraph  (E)  of  paragraph  17  of
 subsection (i) of section 3216 of  the  insurance  law,  as  amended  by
 section  3  of  part  M of chapter 57 of the laws of 2019, is amended to
 read as follows:
   (v) all FDA-approved MENSTRUAL  HEALTH  PROCEDURES  AND  contraceptive
 drugs,  devices,  and  other  products,  including  all over-the-counter
 contraceptive drugs, devices, and products as prescribed or as otherwise
 authorized under state or federal law;  voluntary  sterilization  proce-
 dures  pursuant  to  42 U.S.C. 18022 and identified in the comprehensive
 guidelines supported by the health resources and services administration
 and thereby incorporated in  the  essential  health  benefits  benchmark
 plan;  patient  education and counseling on contraception; and follow-up
 services related to the drugs, devices, products, and procedures covered
 under this clause, including, but not limited  to,  management  of  side
 effects,  counseling  for  continued adherence, and device insertion and
 removal. Except as otherwise authorized under this  clause,  a  contract
 shall  not  impose  any  restrictions or delays on the coverage required
 under this clause.   However, where the FDA has  approved  one  or  more
 therapeutic  and  pharmaceutical  equivalent,  as  defined  by  the FDA,
 versions of a contraceptive drug, device, or product, a contract is  not
 required  to  include all such therapeutic and pharmaceutical equivalent
 versions in its formulary, so long as  at  least  one  is  included  and
 covered  without cost-sharing and in accordance with this clause. If the
 covered therapeutic and pharmaceutical equivalent versions  of  a  drug,
 device, or product are not available or are deemed medically inadvisable
 a contract shall provide coverage for an alternate therapeutic and phar-
 maceutical  equivalent  version  of  the  contraceptive drug, device, or
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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