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NY S02000
Bill
Status
3/18/2025
Primary Sponsor
Joseph Addabbo
Click for details
AI Summary
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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
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Prohibits insurers from imposing any patient cost sharing (copays, deductibles, coinsurance) for lung cancer follow-up screening or diagnostic services
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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
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Allows insurers to conduct utilization review and require preauthorization to ensure services align with clinical guidelines
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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