Bill > A00580

This bill amends the New York public health law to expand insurance coverage for breast ultrasounds when a patient has dense breast tissue. Currently, providers of mammography services are required to notify patients if their mammogram shows dense breast tissue, explaining that this condition can make it harder to detect cancer and may be associated with increased breast cancer risk. The new legislation stipulates that when a provider gives this dense breast tissue notification, it will automatically be considered a medical necessity for insurance purposes, thereby helping to ensure that patients can receive additional breast ultrasound screenings without facing barriers from insurance companies. Dense breast tissue is defined using established medical guidelines, such as the American College of Radiology's breast imaging reporting and data system, which categorizes breast tissue density. By making this change, the bill aims to improve early detection of breast cancer for patients with dense breast tissue by facilitating access to supplemental screening methods.

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https://www.nysenate.gov/legislation/bills/2025/A580