On the first day of Breast Cancer Awareness Month, Governor Kathy Hochul today signed legislation to expand insurance coverage for breast cancer screening and imaging to include procedures recommended by clinical practice guidelines recognized nationally for the detection of breast cancer.
“All women in New York State should have access to all coverage options for breast cancer screening and imaging, which is key to early diagnosis and treatment,” she said. Governor Hochul. “This legislation ensures that critical preventive services are available without financial constraints, saving lives and setting a new standard of care for New Yorkers.”
The legislation S.2465C/A.1696C amends parts of the Insurance Act to require individual, group, and nonprofit health insurance plans (including HMOs) to cover breast cancer screening and diagnostic imaging . This coverage applies if recommended by a physician based on nationally recognized clinical guidelines. Screening tests include diagnostic mammograms, breast ultrasounds, and MRIs.
The legislation also clarifies that cost sharing will not apply to these proceedings except to the extent it results in health savings account ineligibility under IRS guidelines.
The legislation defines “nationally recognized clinical practice guidelines” to include evidence-based standards developed by independent organizations or medical professional societies that use a transparent methodology and reporting structure.
State Senator Roxanne J. Persaud said, “With the signing of this critical legislation, we take an important step in the fight against breast cancer. This expansion of insurance coverage for screening and imaging will allow people to prioritize their health without the burden of cost and ensure that early detection becomes a standard, not a privilege. I thank my colleague, Assemblywoman Hunter, for joining my cause and Governor Hochul for signing this legislation.”
Assemblywoman Pamela J. Hunter said, “Expanding insurance coverage for breast cancer screening and imaging based on nationally recognized clinical guidelines is a vital step to ensure that women across New York have access to life-saving early detection.” . This legislation, signed during Breast Cancer Awareness Month, removes financial barriers for critical diagnostic procedures such as mammograms, ultrasounds and MRIs, which are essential in the fight against breast cancer. “I am proud to have championed this bill in the Assembly and want to thank Governor Hochul and Senator Persaud for their leadership and support in making this a reality for women across the state.”
