Bill > S07280

This bill reduces the age for annual mammogram coverage from 35 to 30 for individuals enrolled in large group insurance policies in New York State. Specifically, the legislation amends the insurance law to require large group policies to provide annual mammograms for covered persons aged 30 through 39, upon a physician's recommendation and subject to the insurer's determination of medical necessity. The bill maintains existing provisions for mammogram coverage, including screenings for those with a prior history of breast cancer or a first-degree relative with breast cancer, and continues to allow for various screening methods like breast tomosynthesis. The bill also preserves language about coverage for diagnostic imaging based on nationally recognized clinical practice guidelines. Notably named "Shannon's Law," the legislation will take effect concurrently with another related law (chapter 424 of the laws of 2024) and will apply to insurance policies issued, renewed, modified, altered, or amended on or after its effective date. The primary goal appears to be expanding early breast cancer screening access for individuals in large group insurance plans by lowering the age of recommended annual mammograms.

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https://www.nysenate.gov/legislation/bills/2025/S7280