New York Assembly Bill A06561 Latest Draft

   
  STATE OF NEW YORK ________________________________________________________________________ 6561--A 2025-2026 Regular Sessions  IN ASSEMBLY March 6, 2025 ___________ Introduced by M. of A. WEPRIN -- read once and referred to the Committee on Insurance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the insurance law, in relation to including image-guided biopsies under certain insurance coverage for breast cancer screening The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Item (iv) of subparagraph (A) of paragraph 11 of subsection 2 (i) of section 3216 of the insurance law, as amended by chapter 424 of 3 the laws of 2024, is amended to read as follows: 4 (iv) upon the recommendation of a physician, screening and diagnostic 5 imaging, including diagnostic mammograms, breast ultrasounds, image- 6 guided breast biopsies, or magnetic resonance imaging, recommended by 7 nationally recognized clinical practice guidelines for the detection of 8 breast cancer. For the purposes of this item, "nationally recognized 9 clinical practice guidelines" means evidence-based clinical practice 10 guidelines informed by a systematic review of evidence and an assessment 11 of the benefits, and risks of alternative care options intended to opti- 12 mize patient care developed by independent organizations or medical 13 professional societies utilizing a transparent methodology and reporting 14 structure and with a conflict of interest policy. 15 § 2. Item (v) of subparagraph (A) of paragraph 11 of subsection (l) of 16 section 3221 of the insurance law, as amended by chapter 424 of the laws 17 of 2024, is amended to read as follows: 18 (v) upon the recommendation of a physician, screening and diagnostic 19 imaging, including diagnostic mammograms, breast ultrasounds, image- 20 guided breast biopsies, or magnetic resonance imaging, recommended by 21 nationally recognized clinical practice guidelines for the detection of 22 breast cancer. For the purposes of this item, "nationally recognized 23 clinical practice guidelines" means evidence-based clinical practice 24 guidelines informed by a systematic review of evidence and an assessment EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD10190-03-5 
 A. 6561--A 2 1 of the benefits, and risks of alternative care options intended to opti- 2 mize patient care developed by independent organizations or medical 3 professional societies utilizing a transparent methodology and reporting 4 structure and with a conflict of interest policy. 5 § 3. Subparagraph (E) of paragraph 1 of subsection (p) of section 4303 6 of the insurance law, as amended by chapter 424 of the laws of 2024, is 7 amended to read as follows: 8 (E) upon the recommendation of a physician, screening and diagnostic 9 imaging, including diagnostic mammograms, breast ultrasounds, image- 10 guided breast biopsies, or magnetic resonance imaging, recommended by 11 nationally recognized clinical practice guidelines for the detection of 12 breast cancer. For the purposes of this subparagraph, "nationally recog- 13 nized clinical practice guidelines" means evidence-based clinical prac- 14 tice guidelines informed by a systematic review of evidence and an 15 assessment of the benefits, and risks of alternative care options 16 intended to optimize patient care developed by independent organizations 17 or medical professional societies utilizing a transparent methodology 18 and reporting structure and with a conflict of interest policy; and 19 § 4. This act shall take effect January 1, 2026 and shall apply to all 20 policies and contracts issued, renewed, modified, altered or amended on 21 or after such date; provided, however, that if chapter 424 of the laws 22 of 2024 shall not have taken effect on or before such date then this act 23 shall take effect on the same date and in the same manner as such chap- 24 ter of the laws of 2024 takes effect.