What's happening
This bill requires health insurance policies in New York to cover diagnostic testing for ovarian cancer in certain at-risk women.
Why it matters
Targets women at higher risk. The bill specifically focuses on women aged 40 and over who have at least one female relative with a prior history of ovarian cancer, aiming to catch the disease earlier in a population at increased risk.
Mandates comprehensive coverage. Insurers must cover not just a single test, but a suite of diagnostic procedures—including pelvic exams, sonograms, CA 125 blood tests, and related lab work—ensuring a more thorough approach to early detection.
Limits out-of-pocket costs. While insurance plans can still apply deductibles and coinsurance to these tests, the bill requires that cost-sharing be consistent with other benefits, potentially reducing financial barriers to critical early cancer screening.
Impacts a wide range of insurance plans. The requirements apply to all major forms of regulated health insurance in New York (individual, group, and not-for-profit plans), broadening access regardless of how a person is insured.
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Who cares
Headline styles
Cover Ovarian Cancer Testing
Plain English, a few words. Used as the page title.
Sponsors
1 Co-sponsor
History
- Referred to insurance
- 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.
Cover Ovarian Cancer Testing
In Senate Committee · Insurance · Sponsor David Carlucci
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
1745
2017-2018 Regular Sessions
IN ASSEMBLY
January 12, 2017
Introduced by M. of A. PRETLOW, JAFFEE -- Multi-Sponsored by -- M. of A. CAHILL, COOK, CUSICK, DINOWITZ, GALEF, GLICK, HOOPER, MAGEE, ORTIZ, PERRY, WRIGHT -- read once and referred to the Committee on Insurance
AN ACT to amend the insurance law, in relation to health insurance coverage for diagnostic testing for ovarian cancer
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Subsection (i) of section 3216 of the insurance law is amended by adding a new paragraph 11-b to read as follows:
(11-b) (A) Every policy delivered or issued for delivery in this state which provides medical coverage that includes coverage for physician services in a physician's office and every policy which provides major medical or similar comprehensive-type coverage shall provide, upon the prescription of a health care provider legally authorized to prescribe under title eight of the education law, coverage for diagnostic testing for ovarian cancer, including a pelvic examination, a sonogram, a CA 125 blood test and laboratory and diagnostic services provided in connection with examining and evaluating such blood test for women aged forty and over with one or more female relatives with a prior history of ovarian cancer.
(B) Such coverage may be subject to annual deductibles and coinsurance as may be deemed appropriate by the superintendent and as are consistent with those established for other benefits within a given policy.
§ 2. Subsection (l) of section 3221 of the insurance law is amended by adding a new paragraph 11-b to read as follows:
(11-b) (A) Every insurer which delivers or issues for delivery in this state a policy which provides medical coverage that includes coverage for physician services in a physician's office or major medical or similar comprehensive-type coverage shall provide, upon the prescription of a health care provider legally authorized to prescribe under title eight of the education law, coverage for diagnostic testing for ovarian
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD01981-01-7
A. 1745 2
cancer, including a pelvic examination, a sonogram, a CA 125 blood test and laboratory and diagnostic services provided in connection with examining and evaluating such blood test for women aged forty and over with one or more female relatives with a prior history of ovarian cancer.
(B) Such coverage may be subject to annual deductibles and coinsurance as may be deemed appropriate by the superintendent and as are consistent with those established for other benefits within a given policy.
§ 3. Section 4303 of the insurance law is amended by adding a new subsection (oo) to read as follows:
(oo) (1) A hospital service corporation, medical expense indemnity corporation or health service corporation which provides medical coverage that includes coverage for physician services in a physician's office or major medical or similar comprehensive-type coverage shall provide, upon the prescription of a health care provider legally authorized to prescribe under title eight of the education law, coverage for diagnostic testing for ovarian cancer, including a pelvic examination, a sonogram, a CA 125 blood test and laboratory and diagnostic services provided in connection with examining and evaluating such blood test for women aged forty and over with one or more female relatives with a prior history of ovarian cancer.
(2) Such coverage may be subject to annual deductibles and coinsurance as may be deemed appropriate by the superintendent and as are consistent with those established for other benefits within a given policy.
§ 4. This act shall take effect on the first of January next succeeding the date on which it shall have become a law and shall apply to all policies issued, renewed, altered or modified on or after such effective date.
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.