New York 2025-2026 Regular Session

New York Senate Bill S03323

Introduced
1/24/25  

Caption

Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy.

Impact

The enactment of S03323 is expected to enhance access to crucial prenatal care services for pregnant individuals, specifically in scenarios where transvaginal ultrasounds are medically indicated. By ensuring that these services are covered by insurance, the law is likely to alleviate financial barriers for patients, potentially improving outcomes during pregnancy. This could significantly impact the overall quality of maternal healthcare provision within the state, promoting better prenatal monitoring and intervention when necessary.

Summary

Bill S03323, also known as the Eli Parker Levitt Law, seeks to amend the state insurance law by mandating that insurance policies provide coverage for medically necessary transvaginal ultrasounds during pregnancy. This requirement, as established by the bill, aligns with nationally recognized clinical practice guidelines, ensuring that such medical procedures are covered when deemed appropriate by healthcare professionals. The legislation emphasizes the importance of adhering to evidence-based guidelines, thereby aiming to standardize care in obstetrics and gynecology.

Contention

While the bill is designed to improve healthcare access, potential points of contention have arisen regarding the implications for insurance companies and the broader healthcare system. Some stakeholders might argue that mandatory coverage requirements could lead to increased costs for insurance providers, which could be passed on to consumers. Additionally, there are concerns regarding the interpretation of 'medically necessary' procedures, as definitions may vary between providers and insurers. This variability could lead to disputes over coverage and access, which may necessitate further regulatory clarifications.

Notable_points

The Eli Parker Levitt Law represents a proactive approach in addressing healthcare disparities in maternal care, focusing particularly on the nuanced needs of women during pregnancy. Supporters of the bill point to the importance of incorporating clinical practice guidelines to ensure that care is both evidence-based and individualized. However, it remains crucial for ongoing dialogue among healthcare professionals, insurers, and lawmakers to navigate the challenges posed by implementation and coverage interpretation.

Companion Bills

NY A03280

Same As Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy.

Previously Filed As

NY S05579

Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy.

NY A06042

Requires insurance policies to provide coverage for transvaginal ultrasounds during pregnancy.

NY A06089

Requires health insurance policies which provide coverage for mammography screenings also provide coverage for breast ultrasounds for cancer screening.

NY S00380

Requires health insurance policies to include coverage for doula services as required coverage for maternity care.

NY A08329

Requires health insurance policies to include coverage for doula services as required coverage for maternity care.

NY A01042

Requires group health insurance policies offered in the large group market to provide coverage for hearing aids.

NY A06835

Authorizes the dispensing of abortion medication under certain conditions; requires insurance policies providing coverage for contraception to provide coverage for abortion medication.

NY S07691

Authorizes the dispensing of abortion medication under certain conditions; requires insurance policies providing coverage for contraception to provide coverage for abortion medication.

NY S01234

Requires certain health insurance policies to include coverage for the cost of certain infant and baby formulas.

NY A01500

Requires certain health insurance policies to include coverage for the cost of certain infant and baby formulas.

Similar Bills

No similar bills found.