Assembly Bill A6042B

2023-2024 Legislative Session

Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy

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Sponsored By

Current Bill Status - In Senate Committee Rules 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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Bill Amendments

co-Sponsors

2023-A6042 - Details

See Senate Version of this Bill:
S5579
Current Committee:
Senate Rules
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2021-2022 Legislative Session:
A7741, S7146

2023-A6042 - Summary

Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy.

2023-A6042 - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6042
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              March 31, 2023
                                ___________
 
 Introduced   by  M.  of  A.  BICHOTTE HERMELYN,  STIRPE,  COLTON,  CRUZ,
   JEAN-PIERRE, JACKSON -- read once and referred  to  the  Committee  on
   Insurance
 
 AN  ACT  to  amend the insurance law, in relation to requiring insurance
   policies to provide coverage for transvaginal ultrasounds during preg-
   nancy

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. This act shall be known and may be cited as the "Eli Parker
 Levitt Law".
   §  2.  Paragraph 10 of subsection (i) of section 3216 of the insurance
 law is amended by adding a new subparagraph (C) to read as follows:
   (C) COVERAGE PROVIDED UNDER THIS  PARAGRAPH  FOR  CARE  AND  TREATMENT
 DURING PREGNANCY SHALL INCLUDE PROVISION FOR PAYMENTS FOR NOT LESS THAN:
   (I) A TRANSVAGINAL ULTRASOUND ONCE BETWEEN SIXTEEN THROUGH TWENTY-FOUR
 WEEKS; AND
   (II)  A  TRANSVAGINAL  ULTRASOUND EVERY TWO WEEKS FROM SIXTEEN THROUGH
 TWENTY-FOUR WEEKS FOR PREGNANT INDIVIDUALS WITH ANY  OF  THE  FOLLOWING:
 (I)  A HISTORY OF EARLY DELIVERY BETWEEN THIRTEEN AND THIRTY-SEVEN WEEKS
 IN ANY PRIOR PREGNANCY;  (II)  A  HISTORY  OF  ANY  SURGICAL  PROCEDURE,
 INCLUDING  OFFICE  PROCEDURES,  PERFORMED ON THEIR CERVIX, INCLUDING BUT
 NOT LIMITED TO LEEP AND CONE BIOPSY; (III) MULTIFETAL PREGNANCIES;  (IV)
 A  PREGNANT  INDIVIDUAL WITH A UTERINE UNIFICATION DEFECT, INCLUDING BUT
 NOT LIMITED TO BICORNUATE, SEPTATE OR UNICORNUATE UTERUS, OR ANY CONGEN-
 ITAL STRUCTURAL DEFECT OF A KIDNEY; AND (V) A HISTORY OF PRIOR  DELIVERY
 OCCURRING AT OR NEAR TERM BY CESAREAN AFTER OBSTRUCTED LABOR.
   §  3.  Paragraph  5 of subsection (k) of section 3221 of the insurance
 law is amended by adding a new subparagraph (C) to read as follows:
   (C) COVERAGE PROVIDED UNDER THIS  PARAGRAPH  FOR  CARE  AND  TREATMENT
 DURING PREGNANCY SHALL INCLUDE PROVISION FOR PAYMENTS FOR NOT LESS THAN:
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD01169-02-3
 A. 6042                             2

co-Sponsors

2023-A6042A - Details

See Senate Version of this Bill:
S5579
Current Committee:
Senate Rules
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2021-2022 Legislative Session:
A7741, S7146

2023-A6042A - Summary

Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy.

2023-A6042A - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  6042--A
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              March 31, 2023
                                ___________
 
 Introduced   by  M.  of  A.  BICHOTTE HERMELYN,  STIRPE,  COLTON,  CRUZ,
   JEAN-PIERRE, JACKSON, GIBBS, LEVENBERG, SEAWRIGHT, EPSTEIN,  SILLITTI,
   ARDILA, HYNDMAN, SIMON, LUCAS, GUNTHER, AUBRY, DAVILA -- 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  requiring  insurance
   policies to provide coverage for transvaginal ultrasounds during preg-
   nancy
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Paragraph 10 of subsection  (i)  of  section  3216  of  the
 insurance  law  is  amended  by adding a new subparagraph (C) to read as
 follows:
   (C) COVERAGE PROVIDED UNDER THIS  PARAGRAPH  FOR  CARE  AND  TREATMENT
 DURING PREGNANCY SHALL INCLUDE PROVISION FOR PAYMENTS FOR NOT LESS THAN:
   (I) A TRANSVAGINAL ULTRASOUND ONCE BETWEEN SIXTEEN THROUGH TWENTY-FOUR
 WEEKS; AND
   (II)  A  TRANSVAGINAL  ULTRASOUND EVERY TWO WEEKS FROM SIXTEEN THROUGH
 TWENTY-FOUR WEEKS FOR PREGNANT INDIVIDUALS WITH ANY  OF  THE  FOLLOWING:
 (I)  A HISTORY OF EARLY DELIVERY BETWEEN THIRTEEN AND THIRTY-SEVEN WEEKS
 IN ANY PRIOR PREGNANCY;  (II)  A  HISTORY  OF  ANY  SURGICAL  PROCEDURE,
 INCLUDING  OFFICE  PROCEDURES,  PERFORMED ON THEIR CERVIX, INCLUDING BUT
 NOT LIMITED TO LEEP AND CONE BIOPSY; (III) MULTIFETAL PREGNANCIES;  (IV)
 A  PREGNANT  INDIVIDUAL WITH A UTERINE UNIFICATION DEFECT, INCLUDING BUT
 NOT LIMITED TO BICORNUATE, SEPTATE OR UNICORNUATE UTERUS, OR ANY CONGEN-
 ITAL STRUCTURAL DEFECT OF A KIDNEY; AND (V) A HISTORY OF PRIOR  DELIVERY
 OCCURRING AT OR NEAR TERM BY CESAREAN AFTER OBSTRUCTED LABOR.
   §  2.  Paragraph  5 of subsection (k) of section 3221 of the insurance
 law is amended by adding a new subparagraph (C) to read as follows:
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD01169-03-4

co-Sponsors

2023-A6042B (ACTIVE) - Details

See Senate Version of this Bill:
S5579
Current Committee:
Senate Rules
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2021-2022 Legislative Session:
A7741, S7146

2023-A6042B (ACTIVE) - Summary

Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy.

2023-A6042B (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  6042--B
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              March 31, 2023
                                ___________
 
 Introduced   by  M.  of  A.  BICHOTTE HERMELYN,  STIRPE,  COLTON,  CRUZ,
   JEAN-PIERRE, JACKSON, GIBBS, LEVENBERG, SEAWRIGHT, EPSTEIN,  SILLITTI,
   ARDILA, HYNDMAN, SIMON, LUCAS, GUNTHER, AUBRY, DAVILA -- 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 -- again reported from said  committee  with  amend-
   ments, ordered reprinted as amended and recommitted to said committee
 
 AN  ACT  to  amend the insurance law, in relation to requiring insurance
   policies to provide coverage for transvaginal ultrasounds during preg-
   nancy
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Paragraph  10  of  subsection  (i) of section 3216 of the
 insurance law is amended by adding a new subparagraph  (C)  to  read  as
 follows:
   (C)  COVERAGE  PROVIDED  UNDER  THIS  PARAGRAPH FOR CARE AND TREATMENT
 DURING PREGNANCY SHALL INCLUDE MEDICALLY NECESSARY  TRANSVAGINAL  ULTRA-
 SOUNDS  WHEN  RECOMMENDED  BY  NATIONALLY  RECOGNIZED  CLINICAL PRACTICE
 GUIDELINES. FOR THE PURPOSES OF THIS  SUBPARAGRAPH,  "NATIONALLY  RECOG-
 NIZED  CLINICAL PRACTICE GUIDELINES" MEANS EVIDENCE-BASED CLINICAL PRAC-
 TICE GUIDELINES INFORMED BY A  SYSTEMATIC  REVIEW  OF  EVIDENCE  AND  AN
 ASSESSMENT  OF  THE  BENEFITS,  AND  RISKS  OF  ALTERNATIVE CARE OPTIONS
 INTENDED TO OPTIMIZE PATIENT CARE DEVELOPED BY INDEPENDENT ORGANIZATIONS
 OR MEDICAL PROFESSIONAL SOCIETIES UTILIZING  A  TRANSPARENT  METHODOLOGY
 AND REPORTING STRUCTURE AND WITH A CONFLICT OF INTEREST POLICY.
   §  2.  Paragraph  5 of subsection (k) of section 3221 of the insurance
 law is amended by adding a new subparagraph (C) to read as follows:
   (C) COVERAGE PROVIDED UNDER THIS  PARAGRAPH  FOR  CARE  AND  TREATMENT
 DURING  PREGNANCY  SHALL INCLUDE MEDICALLY NECESSARY TRANSVAGINAL ULTRA-
 SOUNDS WHEN  RECOMMENDED  BY  NATIONALLY  RECOGNIZED  CLINICAL  PRACTICE
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD01169-04-4

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