What's happening
This bill requires health insurance policies in New York to cover diagnostic screening for colorectal cancer, including digital rectal exams.
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Cover Colon Cancer Screenings
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 Colon Cancer Screening
In Senate Committee · Insurance · Sponsor John E. Brooks
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
2936
2019-2020 Regular Sessions
IN ASSEMBLY
January 28, 2019
Introduced by M. of A. SOLAGES, BUCHWALD -- read once and referred to the Committee on Insurance
AN ACT to amend the insurance law, in relation to providing for health insurance coverage for diagnostic screening for colorectal 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, the following coverage for diagnostic screening for colorectal cancer:
(i) standard diagnostic testing including, but not limited to, a digital rectal examination at any age for people having a family history of colorectal cancer or a personal history of polyps or inflammatory bowel disease; and
(ii) an annual standard diagnostic examination including, but not limited to, a digital rectal examination for people age fifty and over who are asymptomatic and for people age forty and over with a family history of colorectal cancer or other colorectal cancer risk factors.
(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 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
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD05021-01-9
A. 2936 2
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, the following coverage for diagnostic screening for colorectal cancer:
(i) standard diagnostic testing including, but not limited to, a digital rectal examination at any age for people having a family history of colorectal cancer or a personal history of polyps or inflammatory bowel disease; and
(ii) an annual standard diagnostic examination including, but not limited to, a digital rectal examination for people age fifty and over who are asymptomatic and for people age forty and over with a family history of colorectal cancer or other colorectal cancer risk factors.
(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 (z-2) to read as follows:
(z-2) (1) 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, the following coverage for diagnostic screening for colorectal cancer:
(A) standard diagnostic testing including, but not limited to, a digital rectal examination at any age for people having a family history of colorectal cancer or a personal history of polyps or inflammatory bowel disease; and
(B) an annual standard diagnostic examination including, but not limited to, a digital rectal examination for people age fifty and over who are asymptomatic and for people age forty and over with a family history of colorectal cancer or other colorectal cancer risk factors.
(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.
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.