S T A T E O F N E W Y O R K
________________________________________________________________________
200
2023-2024 Regular Sessions
I N S E N A T E
(PREFILED)
January 4, 2023
___________
Introduced by Sen. CLEARE -- read twice and ordered printed, and when
printed to be committed to the Committee on Women's Issues
AN ACT to amend the insurance law, in relation to coverage of primary
and preventative obstetric and gynecological care
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subparagraph (C) of paragraph 14 of subsection (l) of
section 3221 of the insurance law, as amended by chapter 219 of the laws
of 2011, is amended to read as follows:
(C) Such coverage required pursuant to subparagraph (A) or (B) of this
paragraph [may] SHALL NOT be subject to annual deductibles and coinsu-
rance [as may be deemed appropriate by the superintendent and as are
consistent with those established for other benefits within a given
policy].
§ 2. Paragraph 1 of subsection (t) of section 4303 of the insurance
law, as amended by chapter 219 of the laws of 2011, is amended to read
as follows:
(1) A medical expense indemnity corporation, a hospital service corpo-
ration or a health service corporation that provides coverage for hospi-
tal, surgical, or medical care shall provide coverage for an annual
cervical cytology screening for cervical cancer and its precursor states
for women aged eighteen and older. Such coverage required by this para-
graph [may] SHALL NOT be subject to annual deductibles and coinsurance
[as may be deemed appropriate by the superintendent and as are consist-
ent with those established for other benefits within a given contract].
§ 3. The opening paragraph of paragraph 13 of subsection (k) of
section 3221 of the insurance law, as amended by chapter 219 of the laws
of 2011, is amended to read as follows:
Every group or blanket policy delivered or issued for delivery in this
state that provides major medical or similar comprehensive-type coverage
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02058-01-3
S. 200 2
shall provide such coverage for bone mineral density measurements or
tests, and if such contract otherwise includes coverage for prescription
drugs, drugs and devices approved by the federal food and drug adminis-
tration or generic equivalents as approved substitutes. In determining
appropriate coverage provided by subparagraphs (A), (B) and (C) of this
paragraph, the insurer or health maintenance organization shall adopt
standards that include the criteria of the federal Medicare program and
the criteria of the national institutes of health for the detection AND
TREATMENT of osteoporosis, provided that such coverage shall be further
determined as follows:
§ 4. The opening paragraph of subsection (bb) of section 4303 of the
insurance law, as amended by chapter 219 of the laws of 2011, is amended
to read as follows:
A health service corporation or a medical service expense indemnity
corporation that provides major medical or similar comprehensive-type
coverage shall provide such coverage for bone mineral density measure-
ments or tests, and if such contract otherwise includes coverage for
prescription drugs, drugs and devices approved by the federal food and
drug administration or generic equivalents as approved substitutes. In
determining appropriate coverage provided by paragraphs one, two and
three of this subsection, the insurer or health maintenance organization
shall adopt standards that include the criteria of the federal Medicare
program and the criteria of the national institutes of health for the
detection AND TREATMENT of osteoporosis, provided that such coverage
shall be further determined as follows:
§ 5. The second undesignated paragraph of paragraph 26 of subsection
(b) of section 4322 of the insurance law, as amended by chapter 219 of
the laws of 2011, is amended to read as follows:
In determining appropriate coverage provided by subparagraphs (A), (B)
and (C) of this paragraph, the insurer or health maintenance organiza-
tion shall adopt standards that include the criteria of the federal
Medicare program and the criteria of the national institutes of health
for the detection AND TREATMENT of osteoporosis, provided that such
coverage shall be further determined as follows:
§ 6. This act shall take effect on the sixtieth day after it shall
have become a law and shall apply to all policies issued, renewed, modi-
fied or altered on or after such date.