S 6499: Provides for coverage of primary and preventative obstetric and gynecological care.

  
  STATE OF NEW YORK ________________________________________________________________________ 6499 2025-2026 Regular Sessions  IN SENATE March 14, 2025 ___________ Introduced by Sen. CLEARE -- read twice and ordered printed, and when printed to be committed to the Committee on Women's Issues AN ACT to amend the insurance law, in relation to coverage of primary and preventative obstetric and gynecological care The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subparagraph (C) of paragraph 14 of subsection (l) of 2 section 3221 of the insurance law, as amended by chapter 219 of the laws 3 of 2011, is amended to read as follows: 4 (C) Such coverage required pursuant to subparagraph (A) or (B) of this 5 paragraph [may] shall not be subject to annual deductibles and coinsu- 6 rance [as may be deemed appropriate by the superintendent and as are 7 consistent with those established for other benefits within a given 8 policy]. 9 § 2. Paragraph 1 of subsection (t) of section 4303 of the insurance 10 law, as amended by chapter 219 of the laws of 2011, is amended to read 11 as follows: 12 (1) A medical expense indemnity corporation, a hospital service corpo- 13 ration or a health service corporation that provides coverage for hospi- 14 tal, surgical, or medical care shall provide coverage for an annual 15 cervical cytology screening for cervical cancer and its precursor states 16 for women aged eighteen and older. Such coverage required by this para- 17 graph [may] shall not be subject to annual deductibles and coinsurance 18 [as may be deemed appropriate by the superintendent and as are consist- 19 ent with those established for other benefits within a given contract]. 20 § 3. The opening paragraph of paragraph 13 of subsection (k) of 21 section 3221 of the insurance law, as amended by chapter 219 of the laws 22 of 2011, is amended to read as follows: 23 Every group or blanket policy delivered or issued for delivery in this 24 state that provides major medical or similar comprehensive-type coverage 25 shall provide such coverage for bone mineral density measurements or EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD10939-01-5 
 S. 6499 2 1 tests, and if such contract otherwise includes coverage for prescription 2 drugs, drugs and devices approved by the federal food and drug adminis- 3 tration or generic equivalents as approved substitutes. In determining 4 appropriate coverage provided by subparagraphs (A), (B) and (C) of this 5 paragraph, the insurer or health maintenance organization shall adopt 6 standards that include the criteria of the federal Medicare program and 7 the criteria of the national institutes of health for the detection and 8 treatment of osteoporosis, provided that such coverage shall be further 9 determined as follows: 10 § 4. The opening paragraph of subsection (bb) of section 4303 of the 11 insurance law, as amended by chapter 219 of the laws of 2011, is amended 12 to read as follows: 13 A health service corporation or a medical service expense indemnity 14 corporation that provides major medical or similar comprehensive-type 15 coverage shall provide such coverage for bone mineral density measure- 16 ments or tests, and if such contract otherwise includes coverage for 17 prescription drugs, drugs and devices approved by the federal food and 18 drug administration or generic equivalents as approved substitutes. In 19 determining appropriate coverage provided by paragraphs one, two and 20 three of this subsection, the insurer or health maintenance organization 21 shall adopt standards that include the criteria of the federal Medicare 22 program and the criteria of the national institutes of health for the 23 detection and treatment of osteoporosis, provided that such coverage 24 shall be further determined as follows: 25 § 5. The second undesignated paragraph of paragraph 26 of subsection 26 (b) of section 4322 of the insurance law, as amended by chapter 219 of 27 the laws of 2011, is amended to read as follows: 28 In determining appropriate coverage provided by subparagraphs (A), (B) 29 and (C) of this paragraph, the insurer or health maintenance organiza- 30 tion shall adopt standards that include the criteria of the federal 31 Medicare program and the criteria of the national institutes of health 32 for the detection and treatment of osteoporosis, provided that such 33 coverage shall be further determined as follows: 34 § 6. This act shall take effect on the sixtieth day after it shall 35 have become a law and shall apply to all policies issued, renewed, modi- 36 fied or altered on or after such date.