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NY A00580
Bill
Status
1/8/2025
Primary Sponsor
Amy Paulin
Click for details
AI Summary
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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
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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
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Dense breast tissue is defined as heterogeneously dense or extremely dense tissue according to American College of Radiology standards or equivalent nationally recognized guidelines
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Removes potential insurance barriers by eliminating the need for separate medical necessity determinations when a patient receives a dense breast tissue notification
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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