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NY S02000

Bill

Status

Engrossed

3/18/2025

Primary Sponsor

Joseph Addabbo

Click for details

Origin

Senate

2025-2026 General Assembly

AI Summary

  • Requires all health insurance policies providing medical or comprehensive coverage to cover follow-up screening and diagnostic services for lung cancer when recommended by a health care provider following nationally recognized clinical practice guidelines

  • Prohibits insurers from imposing any patient cost sharing (copays, deductibles, coinsurance) for lung cancer follow-up screening or diagnostic services

  • Defines "nationally recognized clinical practice guidelines" as evidence-based, peer-reviewed guidelines developed by independent organizations or medical professional societies with transparent methodology and conflict of interest policies

  • Allows insurers to conduct utilization review and require preauthorization to ensure services align with clinical guidelines

  • Exempts high deductible health plans from the no cost-sharing requirement if applying it would make enrollees ineligible for health savings accounts; takes effect January 1, 2027

Legislative Description

Requires that health insurance policies shall provide coverage for follow-up screening or diagnostic services for lung cancer; provides that no patient cost sharing shall be imposed for follow-up screening or diagnostic services for lung cancer.

Last Action

SUBSTITUTED BY A1195A

5/29/2025

Committee Referrals

Insurance3/18/2025
Insurance1/14/2025

Full Bill Text

No bill text available