STATE OF NEW YORK
________________________________________________________________________
6042--A
2023-2024 Regular Sessions
IN ASSEMBLY
March 31, 2023
___________
Introduced by M. of A. BICHOTTE HERMELYN, STIRPE, COLTON, CRUZ,
JEAN-PIERRE, JACKSON, GIBBS, LEVENBERG, SEAWRIGHT, EPSTEIN, SILLITTI,
ARDILA, HYNDMAN, SIMON, LUCAS, GUNTHER, AUBRY, DAVILA -- read once and
referred to the Committee on Insurance -- recommitted to the Committee
on Insurance in accordance with Assembly Rule 3, sec. 2 -- committee
discharged, bill amended, ordered reprinted as amended and recommitted
to said committee
AN ACT to amend the insurance law, in relation to requiring insurance
policies to provide coverage for transvaginal ultrasounds during preg-
nancy
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Paragraph 10 of subsection (i) of section 3216 of the
2 insurance law is amended by adding a new subparagraph (C) to read as
3 follows:
4 (C) Coverage provided under this paragraph for care and treatment
5 during pregnancy shall include provision for payments for not less than:
6 (i) a transvaginal ultrasound once between sixteen through twenty-four
7 weeks; and
8 (ii) a transvaginal ultrasound every two weeks from sixteen through
9 twenty-four weeks for pregnant individuals with any of the following:
10 (I) a history of early delivery between thirteen and thirty-seven weeks
11 in any prior pregnancy; (II) a history of any surgical procedure,
12 including office procedures, performed on their cervix, including but
13 not limited to LEEP and cone biopsy; (III) multifetal pregnancies; (IV)
14 a pregnant individual with a uterine unification defect, including but
15 not limited to bicornuate, septate or unicornuate uterus, or any congen-
16 ital structural defect of a kidney; and (V) a history of prior delivery
17 occurring at or near term by cesarean after obstructed labor.
18 § 2. Paragraph 5 of subsection (k) of section 3221 of the insurance
19 law is amended by adding a new subparagraph (C) to read as follows:
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD01169-03-4
A. 6042--A 2
1 (C) Coverage provided under this paragraph for care and treatment
2 during pregnancy shall include provision for payments for not less than:
3 (i) a transvaginal ultrasound once between sixteen through twenty-four
4 weeks; and
5 (ii) a transvaginal ultrasound every two weeks from sixteen through
6 twenty-four weeks for pregnant individuals with any of the following:
7 (I) a history of early delivery between thirteen and thirty-seven weeks
8 in any prior pregnancy; (II) a history of any surgical procedure,
9 including office procedures, performed on their cervix, including but
10 not limited to LEEP and cone biopsy; (III) multifetal pregnancies; (IV)
11 a pregnant individual with a uterine unification defect, including but
12 not limited to bicornuate, septate or unicornuate uterus, or any congen-
13 ital structural defect of a kidney; and (V) a history of prior delivery
14 occurring at or near term by cesarean after obstructed labor.
15 § 3. Paragraph 1 of subsection (c) of section 4303 of the insurance
16 law is amended by adding a new subparagraph (D) to read as follows:
17 (D) Coverage provided under this paragraph for care and treatment
18 during pregnancy shall include provision for payments for not less than:
19 (i) a transvaginal ultrasound once between sixteen through twenty-four
20 weeks; and
21 (ii) a transvaginal ultrasound every two weeks from sixteen through
22 twenty-four weeks for pregnant individuals with any of the following:
23 (I) a history of early delivery between thirteen and thirty-seven weeks
24 in any prior pregnancy; (II) a history of any surgical procedure,
25 including office procedures, performed on their cervix, including but
26 not limited to LEEP and cone biopsy; (III) multifetal pregnancies; (IV)
27 a pregnant individual with a uterine unification defect, including but
28 not limited to bicornuate, septate or unicornuate uterus, or any congen-
29 ital structural defect of a kidney; and (V) a history of prior delivery
30 occurring at or near term by cesarean after obstructed labor.
31 § 4. This act shall take effect on the sixtieth day after it shall
32 have become a law. Effective immediately the addition, amendment and/or
33 repeal of any rule or regulation necessary for the implementation of
34 this act on its effective date are authorized to be made and completed
35 on or before such date.
