A 1158: Provides that individuals may receive breast cancer screenings under an insurance plan when such individual has a second degree relative with a prior history of breast cancer.

  
  STATE OF NEW YORK ________________________________________________________________________ 1158 2025-2026 Regular Sessions  IN ASSEMBLY January 9, 2025 ___________ Introduced by M. of A. SEAWRIGHT, COLTON, GALLAGHER, GONZALEZ-ROJAS, SIMON, HYNDMAN -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to including second degree relatives in certain criteria for breast cancer screenings to be covered under insurance plans The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Item (i) of subparagraph (A) of paragraph 11 of subsection 2 (i) of section 3216 of the insurance law, as amended by chapter 424 of 3 the laws of 2024, is amended to read as follows: 4 (i) upon the recommendation of a physician, a mammogram, which may be 5 provided by breast tomosynthesis, at any age for covered persons having 6 a prior history of breast cancer or who have a first or second degree 7 relative with a prior history of breast cancer; 8 § 2. Item (i) of subparagraph (A) of paragraph 11 of subsection (l) of 9 section 3221 of the insurance law, as amended by chapter 143 of the laws 10 of 2019, is amended to read as follows: 11 (i) upon the recommendation of a physician, a mammogram, which may be 12 provided by breast tomosynthesis, at any age for covered persons having 13 a prior history of breast cancer or who have a first or second degree 14 relative with a prior history of breast cancer; 15 § 2-a. Item (i) of subparagraph (A) of paragraph 11 of subsection (l) 16 of section 3221 of the insurance law, as amended by chapter 424 of the 17 laws of 2024, is amended to read as follows: 18 (i) upon the recommendation of a physician, a mammogram, which may be 19 provided by breast tomosynthesis, at any age for covered persons having 20 a prior history of breast cancer or who have a first or second degree 21 relative with a prior history of breast cancer; 22 § 3. Subparagraph (A) of paragraph 1 of subsection (p) of section 4303 23 of the insurance law, as amended by chapter 414 of the laws of 2017, is 24 amended to read as follows: EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD03149-01-5 
 A. 1158 2 1 (A) upon the recommendation of a physician, a mammogram, which may be 2 provided by breast tomosynthesis, at any age for covered persons having 3 a prior history of breast cancer or who have a first or second degree 4 relative with a prior history of breast cancer; 5 § 3-a. Subparagraph (A) of paragraph 1 of subsection (p) of section 6 4303 of the insurance law, as amended by chapter 424 of the laws of 7 2024, is amended to read as follows: 8 (A) upon the recommendation of a physician, a mammogram, which may be 9 provided by breast tomosynthesis, at any age for covered persons having 10 a prior history of breast cancer or who have a first or second degree 11 relative with a prior history of breast cancer; 12 § 4. This act shall take effect on the sixtieth day after it shall 13 have become a law and shall apply to all policies and contracts issued, 14 renewed, modified, altered or amended on or after such date; provided, 15 however, that if chapter 424 of the laws of 2024 shall not have taken 16 effect on or before such date then sections two-a and three-a of this 17 act shall take effect on the same date and in the same manner as such 18 chapter of the laws of 2024 takes effect.