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S3454Senate2015-2016 SessionSame asA1840

Requires insurance coverage for the HALO breast pap test to detect risk of developing breast cancer

Sponsor Diane J. SavinoSD-23+16 co-sponsorsAffects Finance
Status
In Senate Committee
Insurance
Impact
Pending
Passage
Pending

Bill progress

Step 2 of 7

In committee · Insurance

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History

  1. Referred to insurance
  2. Referred to insurance

Companion bill

The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.

A1840Assembly

Requires insurance coverage for the HALO breast pap test to detect risk of developing breast cancer

In Assembly Committee · Insurance · Sponsor Aileen Gunther

Full text

The text isn't available here yet. Check nysenate.gov.

Sponsor's memo

BILL NUMBER:S3454

Title of bill

An act to amend the insurance law, in relation to coverage for the HALO breast pap test to detect risk of developing breast cancer

Purpose

To require insurance coverage for the HALO breast pap test to detect risk of developing breast cancer.

Summary of provisions

Section 1 amends subsection (i) of section 3216 of the insurance law by adding a new paragraph 32 which requires every policy which provides coverage for hospital, surgical, or medical care coverage also provide coverage for the HALO breast pap test, when such test is recommended by a physician.

Section 2 amends subsection (1) of section 3221 of the insurance law by adding a new paragraph 19 which requires any group or blanket accident or health insurance policy or issuing a group blanket policy for delivery in this state which provides coverage for hospital, surgical, or medical care coverage also provide coverage for the HALO breast pap test, when such test is recommended by a physician.

Section 3 amends section 4303 of the insurance law by adding a new subsection (pp) which requires any medical expense indemnity corporation, hospital service corporation or a health service corporation which provides coverage for hospital, surgical, or medical care coverage also provide coverage for the HALO breast pap test, when such test is recommended by a physician.

Section 4 is the effective date.

Justification

HALO is the only FDA-cleared risk assessment tool for non-hereditary breast cancer. By collecting nipple aspirate fluid (NAF) for cytological evaluation, HALO helps identify precancerous changes at the cellular level years before a potentially cancerous lesion might form. Multiple clinical studies concur that women with these cellular abnormalities are four to five times more likely to develop future breast cancer.

One in eight women will develop breast cancer in her lifetime, but to date, ifs been very difficult to identify who is at risk, so we wait for lumps before intervening. Traditional methods of breast cancer screening, mammograms and breast exams, find cancers that have been growing, on average, for eight to ten years. Also, standard film mammography is not as effective in women under 50 with dense breasts, and misses up to 73 percent of cancers in this group, which is one reason for the recent controversy over its use. HALO is a risk assessment tool that can help identify women at greatest risk, years earlier, allowing for earlier intervention and increasing chances for prevention and survival. Knowing who is at greatest risk helps us focus or a limited resources on the right women.

Legislative history

2013-14 - died in Insurance Committee in both Houses.

Fiscal implications

None

Effective date

This act shall take effect on the first of January next succeeding the date on which it shall become a law and apply to all policies or contracts issued, renewed, modified, altered or amended on and after such effective date.

Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.