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NY A00580

Bill

Status

Introduced

1/8/2025

Primary Sponsor

Amy Paulin

Click for details

Origin

Assembly

2025-2026 General Assembly

AI Summary

  • Amends New York Public Health Law to make dense breast tissue notifications from mammography providers automatically qualify as a determination of medical necessity for insurance coverage of breast ultrasounds

  • Builds on existing 2012 law requiring mammography providers to notify patients when their mammogram shows dense breast tissue, which can make cancer harder to detect

  • Dense breast tissue is defined as heterogeneously dense or extremely dense tissue according to American College of Radiology standards or equivalent nationally recognized guidelines

  • Removes potential insurance barriers by eliminating the need for separate medical necessity determinations when a patient receives a dense breast tissue notification

  • Takes effect immediately upon passage

Legislative Description

Allows a notice of dense breast tissue to be considered a determination of medical necessity for purposes of coverage of breast ultrasounds as recommended by a provider of mammography services.

Last Action

referred to insurance

1/7/2026

Committee Referrals

Insurance1/8/2025

Full Bill Text

No bill text available