August 06, 2019

New York Expands Mammography Insurance Mandate to Younger Women

New York Gov. Andrew Cuomo signed SB3852 into law August 2 to require insurers to cover annual mammograms upon the recommendation of a physician for women aged 35 to 39.

The new law goes into effect on September 1 — thirty days after signing —- and will apply to policies and contracts issued, renewed, modified, altered or amended.

The state’s insurers were previously required to cover a single baseline mammogram for covered persons aged 35 to 39 and annual mammograms for covered persons aged 40 and older.

Once the law goes into effect, large group policies providing coverage for hospital, surgical or medical care will be required to also cover an annual mammogram for covered persons aged 35 to 39, when recommended by a physician and deemed medically necessary by the insurer.