Requires health insurers to cover breast reconstruction surgery after a partial mastectomy.

Sponsor: LAVALLE / Co-sponsor(s): GALLIVAN
Law Section: Insurance Law / Law: Amd SS3216, 3221 & 4303, Ins L

S3801A-2011 Actions

Aug 1, 2012: SIGNED CHAP.302
Jul 20, 2012: DELIVERED TO GOVERNOR
Jun 20, 2012: returned to senate
Jun 20, 2012: passed assembly
Jun 20, 2012: ordered to third reading rules cal.513
Jun 20, 2012: substituted for a7193a
Jun 18, 2012: referred to insurance
Jun 18, 2012: DELIVERED TO ASSEMBLY
Jun 18, 2012: PASSED SENATE
Jun 6, 2012: ADVANCED TO THIRD READING
Jun 5, 2012: 2ND REPORT CAL.
Jun 4, 2012: 1ST REPORT CAL.992
May 22, 2012: PRINT NUMBER 3801A
May 22, 2012: AMEND (T) AND RECOMMIT TO INSURANCE
Jan 4, 2012: REFERRED TO INSURANCE
Mar 4, 2011: REFERRED TO INSURANCE

S3801A-2011 Meetings

Insurance: Jun 4, 2012

S3801A-2011 Calendars

Active List: Jun 18, 2012 , Floor Calendar: Jun 5, 2012 , Floor Calendar: Jun 6, 2012 , Floor Calendar: Jun 11, 2012 , Floor Calendar: Jun 12, 2012 , Floor Calendar: Jun 13, 2012 , Floor Calendar: Jun 14, 2012 , Floor Calendar: Jun 18, 2012

S3801A-2011 Votes

VOTE: COMMITTEE VOTE: - Insurance - Jun 4, 2012

Ayes (17): Seward, Flanagan, Golden, Grisanti, Lanza, Larkin, LaValle, Martins, Saland, Young, Breslin, Diaz, Espaillat, Kennedy, Parker, Peralta, Stavisky
Excused (1): Smith

VOTE: FLOOR VOTE: - Jun 18, 2012

Ayes (56): Addabbo, Avella, Ball, Bonacic, Breslin, Carlucci, DeFrancisco, Diaz, Dilan, Duane, Farley, Flanagan, Fuschillo, Gallivan, Gianaris, Golden, Griffo, Grisanti, Hannon, Hassell-Thomps, Johnson, Kennedy, Klein, Krueger, Lanza, Larkin, LaValle, Libous, Little, Marcellino, Martins, Maziarz, McDonald, Montgomery, Nozzolio, Oppenheimer, Parker, Peralta, Ranzenhofer, Ritchie, Rivera, Robach, Saland, Sampson, Savino, Serrano, Seward, Skelos, Smith, Squadron, Stavisky, Stewart-Cousin, Storobin, Valesky, Young, Zeldin
Excused (6): Adams, Alesi, Espaillat, Huntley, O'Mara, Perkins

S3801A-2011 Memo

BILL NUMBER:S3801A

TITLE OF BILL:
An act
to amend the insurance law, in relation to coverage for breast
reconstruction surgery after a partial mastectomy

PURPOSE:
To include insurance coverage for reconstruction after partial
mastectomies.

SUMMARY OF PROVISIONS:
Amends Insurance Law section:

�3216(20)(A)(i)
�3221(k)(10)(i)
�4303(x)(1)(A)

EXISTING LAW:
Insurance presently covers reconstruction for mastectomies but partial
mastectomies are not similarly covered.

JUSTIFICATION:
Women who undergo the partial loss of a breast should have the same
option of reconstruction surgery as those presently covered.

LEGISLATIVE HISTORY:
2009-10: S.1773
2007-08: S.7738

FISCAL IMPLICATIONS:
None.

EFFECTIVE DATE:
This act shall take effect immediately and shall apply to all policies
and contracts issued, renewed, modified, altered or amended on or
after such date.

S3801A-2011 Text

 S T A T E   O F   N E W   Y O R K
 
 3801--A
 2011-2012 Regular Sessions
 I N  SENATE
 March 4, 2011
 
 Introduced by Sens. LAVALLE, GALLIVAN -- read twice and ordered printed,
 and  when  printed  to  be  committed to the Committee on Insurance -
 recommitted to the Committee on Insurance in  accordance  with  Senate
 Rule  6,  sec.  8  --  committee  discharged,  bill  amended,  ordered
 reprinted as amended and recommitted to said committee
 

AN ACT to amend the insurance law, in relation to  coverage  for  breast
 reconstruction surgery after a partial mastectomy
 

THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM
 BLY, DO ENACT AS FOLLOWS:

 

Section 1. The opening paragraph and clause (i) of subparagraph (A) of
 paragraph 20 of subsection (i) of section 3216 of the insurance law,  as
 added by chapter 21 of the laws of 1997, are amended to read as follows:

 Every policy which provides medical, major medical, or similar compre
 hensive-type  coverage  shall  provide the following coverage for breast
 reconstruction surgery after a mastectomy OR PARTIAL MASTECTOMY:

 (i) all stages of reconstruction of the breast on which the mastectomy
 OR PARTIAL MASTECTOMY has been performed; and
 

S 2. The opening paragraph and clause (i) of subparagraph (A) of para
 graph 10 of subsection (k) of section 3221  of  the  insurance  law,  as
 added by chapter 21 of the laws of 1997, are amended to read as follows:

 Every group or blanket policy delivered or issued for delivery in this
 state  which  provides medical, major medical, or similar comprehensive
 type coverage shall provide the following  coverage  for  breast  recon
 struction surgery after a mastectomy OR PARTIAL MASTECTOMY:

 (i) all stages of reconstruction of the breast on which the mastectomy
 OR PARTIAL MASTECTOMY has been performed; and
 

S  3.  The  opening  paragraph  and subparagraph (A) of paragraph 1 of
 subsection (x) of section 4303 of the insurance law, as added by chapter
 21 of the laws of 1997, are amended to read as follows:

 Every contract issued by  a  medical  expense  indemnity  corporation,
 hospital   service  corporation  or  health  service  corporation  which
 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD09920-02-2
        S. 3801--A                          2
 provides coverage for surgical or medical care shall provide the follow
 ing coverage for breast reconstruction surgery  after  a  mastectomy  OR
 PARTIAL MASTECTOMY:

 (A) all stages of reconstruction of the breast on which the mastectomy
 OR PARTIAL MASTECTOMY has been performed; and
 

S  4.  This  act  shall take effect immediately and shall apply to all
 policies and contracts issued, renewed, modified, altered or amended  on
 or after such date.

S3801A-2011: Requires health insurers to cover breast reconstruction surgery after a partial mastectomy