Requires insurance coverage of sonograms and other diagnostic procedures used to detect breast cancer for covered persons with a prior history of breast cancer or who have a first degree relative with a prior history of breast cancer.
Summary
Bill A07572 amends the insurance law in New York to enhance coverage for breast cancer detection procedures. It mandates that insurers provide coverage for mammograms, including breast tomosynthesis, for individuals with a prior history of breast cancer or those who have a first-degree relative with such a history. The bill further stipulates that a single baseline mammogram is covered for individuals aged 35 to 39, and it allows for additional diagnostic imaging procedures as recommended by physicians, based on nationally recognized clinical practice guidelines.
Impact
The bill impacts state insurance laws by expanding the scope of coverage for breast cancer detection, specifically targeting individuals at higher risk due to personal or familial medical history. It requires insurers to cover not only mammograms but also other diagnostic procedures, thereby potentially increasing early detection rates and improving health outcomes for those affected by breast cancer.
Sentiment
The sentiment surrounding Bill A07572 appears to be generally supportive, as it addresses critical health care needs for individuals with a higher risk of breast cancer. However, there may be concerns regarding the financial implications for insurers and the potential for increased premiums, which could lead to some opposition during discussions.
Contention
Notable points of contention may arise from insurance companies regarding the expanded coverage requirements and the associated costs. Some stakeholders may argue that the bill could lead to increased insurance premiums or administrative burdens, while advocates for women's health may emphasize the importance of comprehensive coverage for early detection of breast cancer.
Same As
Requires insurance coverage of sonograms and other diagnostic procedures used to detect breast cancer for covered persons with a prior history of breast cancer or who have a first degree relative with a prior history of breast cancer.
Requires insurance coverage of sonograms and other diagnostic procedures used to detect breast cancer for covered persons with a prior history of breast cancer or who have a first degree relative with a prior history of breast cancer.
Requires insurance coverage of sonograms and other diagnostic procedures used to detect breast cancer for covered persons with a prior history of breast cancer or who have a first degree relative with a prior history of breast cancer.
Requires health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with heterogeneously dense or extremely dense breasts.
Requires health care professional to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.
Requires health care professionals to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.