A 5830: Requires health insurers to provide coverage for procedures relating to the diagnosis and treatment of uterine fibroids and related conditions, including pain, discomfort and infertility resulting therefrom.

  
  STATE OF NEW YORK ________________________________________________________________________ 5830 2025-2026 Regular Sessions  IN ASSEMBLY February 20, 2025 ___________ Introduced by M. of A. FORREST -- read once and referred to the Commit- tee on Insurance AN ACT to amend the insurance law, in relation to requiring health insurers to provide coverage for diagnosis and treatment of fibroids The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subsection (i) of section 3216 of the insurance law is 2 amended by adding a new paragraph 40 to read as follows: 3 (40) Every insurer issuing a policy of accident and health insurance 4 for delivery in this state shall provide coverage for all costs for 5 diagnosis and treatment of uterine fibroids, also called leiomyomas or 6 myomas, and related conditions, including but not limited to pain, 7 discomfort and infertility resulting therefrom. Such diagnosis and 8 treatment may include pelvic exam, ultrasound, lab tests, magnetic reso- 9 nance imaging, hysterosonography, hysterosalpingography, hysteroscopy 10 medication, noninvasive procedures, uterine artery embolization, radiof- 11 requency ablation, laparoscopic or robotic myomectomy, hysteroscopic 12 myomectomy, endometrial ablation, abdominal myomectomy, hysterectomy or 13 any other treatment, or any combination of treatments, provided such 14 treatment is recommended by a health care provider licensed to practice 15 in the state of New York. 16 § 2. Subsection (k) of section 3221 of the insurance law is amended by 17 adding a new paragraph 24 to read as follows: 18 (24) Every group or blanket policy delivered or issued for delivery in 19 this state which provides hospital, surgical or medical coverage shall 20 provide coverage for all costs for diagnosis and treatment of uterine 21 fibroids, also called leiomyomas or myomas, and related conditions, 22 including but not limited to pain, discomfort and infertility resulting 23 therefrom. Such diagnosis and treatment may include pelvic exam, ultra- 24 sound, lab tests, magnetic resonance imaging, hysterosonography, hyster- 25 osalpingography, hysteroscopy medication, noninvasive procedures, EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD06471-01-5 
 A. 5830 2 1 uterine artery embolization, radiofrequency ablation, laparoscopic or 2 robotic myomectomy, hysteroscopic myomectomy, endometrial ablation, 3 abdominal myomectomy, hysterectomy or any other treatment, or any combi- 4 nation of treatments, provided such treatment is recommended by a health 5 care provider licensed to practice in the state of New York. 6 § 3. Section 4303 of the insurance law is amended by adding a new 7 subsection (ww) to read as follows: 8 (ww) Every medical expense indemnity corporation, hospital service 9 corporation and health service corporation which provides coverage for 10 medical, surgical or major medical care shall provide coverage for all 11 costs for diagnosis and treatment of uterine fibroids, also called 12 leiomyomas or myomas, and related conditions, including but not limited 13 to pain, discomfort and infertility resulting therefrom. Such diagnosis 14 and treatment may include pelvic exam, ultrasound, lab tests, magnetic 15 resonance imaging, hysterosonography, hysterosalpingography, hysterosco- 16 py medication, noninvasive procedures, uterine artery embolization, 17 radiofrequency ablation, laparoscopic or robotic myomectomy, hystero- 18 scopic myomectomy, endometrial ablation, abdominal myomectomy, hysterec- 19 tomy or any other treatment, or any combination of treatments, provided 20 such treatment is recommended by a health care provider licensed to 21 practice in the state of New York. 22 § 4. This act shall take effect on the one hundred twentieth day after 23 it shall have become a law.