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Bill > A08505


NY A08505

NY A08505
Requires health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with heterogeneously dense or extremely dense breasts.


summary

Introduced
05/20/2025
In Committee
05/20/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the insurance law, in relation to requiring health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with certain breast densities

AI Summary

This bill requires health insurance policies in New York to provide additional mammography screening coverage for individuals with heterogeneously dense or extremely dense breasts. Specifically, insurers must now offer either an annual mammogram combined with a breast ultrasound or breast tomosynthesis (a 3D mammography technique) for patients with dense breast tissue. The bill amends existing insurance law to expand mammography screening requirements across different types of health insurance policies, including individual, group, and medical service corporation plans. The existing mammography coverage provisions remain intact, which include screenings for those with a prior history of breast cancer, baseline mammograms for individuals aged 35-39, and annual mammograms for those 40 and older. The new requirements aim to improve early breast cancer detection for individuals with dense breast tissue, who may have a higher risk of developing breast cancer and can benefit from more comprehensive screening methods. The bill will take effect 60 days after becoming law and will apply to all insurance policies issued, renewed, or modified after that date.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

referred to insurance (on 05/20/2025)

bill text


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