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NY A08502

Bill

Status

Passed

2/7/2024

Primary Sponsor

Pamela Hunter

Click for details

Origin

Assembly

2023-2024 General Assembly

AI Summary

  • Amends insurance law and social services law to require health insurance policies and Medicaid to cover "biomarker precision medical testing" for diagnosis, treatment, management, or ongoing monitoring of insured persons' diseases or conditions.

  • Expands coverage criteria to include peer-reviewed literature and scientific studies published in nationally recognized medical journals, in addition to FDA approvals, Medicare coverage determinations, and clinical practice guidelines.

  • Removes the requirement that tests demonstrate "clinical utility" and replaces it with language recognizing "efficacy and appropriateness" of biomarker precision medical testing.

  • Requires coverage to be provided in a manner that limits care disruptions, including reducing the need for multiple biopsies or biospecimen samples.

  • Delays the effective date of the 2023 biomarker testing coverage law from April 1, 2024 to January 1, 2025, applying to policies and contracts issued, renewed, modified, or amended on or after that date.

Legislative Description

Requires health insurance policies and medicaid to cover biomarker precision medical testing for diagnosis, treatment, or appropriate management of, or ongoing monitoring to guide treatment decisions for, a covered person's disease or condition when the test has recognized efficacy and appropriateness for such purposes.

Last Action

signed chap.29

2/7/2024

Committee Referrals

Rules1/23/2024
Rules1/22/2024
Ways and Means1/8/2024
Insurance1/4/2024

Full Bill Text

No bill text available