Bill > A07572

This bill modifies existing New York insurance law to expand insurance coverage for breast cancer screening procedures. Specifically, the bill requires insurance providers to cover mammograms, sonograms, and other diagnostic procedures for individuals who have a prior history of breast cancer or have a first-degree relative (such as a parent, sibling, or child) with a prior history of breast cancer, upon a physician's recommendation. The bill removes previous age-based restrictions on mammogram coverage and broadens the types of screening methods that can be covered, including diagnostic mammograms, breast ultrasounds, and magnetic resonance imaging (MRI). The coverage is to be determined based on "nationally recognized clinical practice guidelines," which are defined as evidence-based guidelines developed by independent medical organizations using a transparent methodology that assesses the benefits and risks of different care options. This change applies to group insurance policies and contracts for hospital, surgical, and medical care, aiming to provide more comprehensive and flexible breast cancer screening options for individuals at higher risk.

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https://www.nysenate.gov/legislation/bills/2025/A7572