Bill > S00310

This bill modifies existing New York insurance law to expand insurance coverage for breast cancer screening and diagnostic procedures. Specifically, the bill requires large group insurance policies to cover mammograms and other diagnostic procedures like sonograms for individuals who have a prior personal history of breast cancer or who have a first-degree relative with a prior history of breast cancer, upon a physician's recommendation. The bill removes previous age-based restrictions on mammogram coverage (previously limited to ages 35-39) and broadens the scope of covered diagnostic procedures to include breast ultrasounds, magnetic resonance imaging (MRI), and other screening methods recommended by nationally recognized clinical practice guidelines. These guidelines are defined as evidence-based recommendations developed by independent organizations or medical professional societies that systematically review evidence and assess the benefits and risks of different care options. The changes aim to provide more comprehensive and flexible breast cancer screening coverage for individuals at higher risk, allowing for more personalized and proactive medical care.

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https://www.nysenate.gov/legislation/bills/2025/S310