Bill > S06151

This bill expands breast cancer screening coverage in New York's insurance regulations by lowering the age for annual mammograms from 40 to 30 years old and introducing new provisions for follow-up diagnostic testing. The legislation modifies existing insurance law to require insurers to provide mammography screenings, including breast tomosynthesis (a more advanced 3D mammography technique), for individuals as young as 25 years old, with specific provisions for those with a family history of breast cancer. Importantly, the bill mandates that follow-up diagnostic testing, such as breast biopsies, ordered by a physician after an abnormal mammogram, must be covered without annual deductibles or coinsurance. The bill defines "nationally recognized clinical practice guidelines" as evidence-based guidelines developed by independent medical organizations with transparent methodologies, ensuring that screening recommendations are based on systematic reviews of medical evidence. The new regulations will apply to all insurance policies issued, renewed, modified, altered, or amended 90 days after the bill becomes law, aiming to improve early detection and reduce financial barriers to comprehensive breast cancer screening.

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https://www.nysenate.gov/legislation/bills/2025/S6151