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S3559 • 2025

Allows a notice of dense breast tissue to be determination of medical necessity for coverage of a breast ultrasound

Allows a notice of dense breast tissue to be determination of medical necessity for coverage of a breast ultrasound

Healthcare
Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
Cordell Cleare
Last action
2026-06-05
Official status
In Senate Committee
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Allows a notice of dense breast tissue to be determination of medical necessity for coverage of a breast ultrasound

Allows a notice of dense breast tissue to be determination of medical necessity for coverage of a breast ultrasound 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.

What This Bill Does

  • Allows a notice of dense breast tissue to be determination of medical necessity for coverage of a breast ultrasound 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.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-06-05 Senate

    COMMITTED TO RULES

  2. 2026-04-27 Senate

    ADVANCED TO THIRD READING

  3. 2026-04-22 Senate

    2ND REPORT CAL.

  4. 2026-04-21 Senate

    1ST REPORT CAL.807

  5. 2026-01-07 Senate

    REFERRED TO HEALTH

  6. 2025-04-08 Senate

    REPORTED AND COMMITTED TO INSURANCE

  7. 2025-01-28 Senate

    REFERRED TO HEALTH

Official Summary Text

Allows a notice of dense breast tissue to be determination of medical necessity for coverage of a breast ultrasound
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.

Current Bill Text

Read the full stored bill text
S T A T E   O F   N E W   Y O R K
        ________________________________________________________________________

                                          3559

                               2025-2026 Regular Sessions

                                    I N  S E N A T E

                                    January 28, 2025
                                       ___________

        Introduced   by  Sens.  CLEARE,  ASHBY,  CANZONERI-FITZPATRICK,  COMRIE,
          FERNANDEZ, HOYLMAN-SIGAL, PALUMBO, PARKER -- read  twice  and  ordered
          printed, and when printed to be committed to the Committee on Health

        AN  ACT to amend the public health law, in relation to allowing a notice
          of dense breast tissue to be considered  a  determination  of  medical
          necessity for coverage of a breast ultrasound

          THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
        BLY, DO ENACT AS FOLLOWS:

     1    Section 1. Section 2404-c of the public health law, as added by  chap-
     2  ter 265 of the laws of 2012, is amended to read as follows:
     3    §  2404-c. Breast cancer; duty of providers of mammography services to
     4  notify and inform. 1. Every provider of mammography services shall, if a
     5  patient's mammogram demonstrates dense breast tissue, provide  notifica-
     6  tion  to  such  patient  that  shall include, but not be limited to, the
     7  following information, in any summary of the  mammography  report  sent,
     8  pursuant  to  the  federal  mammography  quality  standards  act, to the
     9  patient:
    10    Your mammogram shows that your breast tissue is  dense.  Dense  breast
    11  tissue  is very common and is not abnormal. However, dense breast tissue
    12  can make it harder to find cancer on a mammogram and may also be associ-
    13  ated with an increased risk of breast cancer.
    14    This information about the result of your mammogram is given to you to
    15  raise your awareness. Use this information to talk to your doctor  about
    16  your  own risks for breast cancer. At that time, ask your doctor if more
    17  screening tests might be useful, based on your risk. A  report  of  your
    18  results was sent to your physician.
    19    For the purposes of this section dense breast tissue shall mean heter-
    20  ogeneously  dense  or  extremely  dense  tissue as defined in nationally
    21  recognized guidelines or systems for breast imaging reporting of mammog-
    22  raphy screening, including, but  not  limited  to,  the  breast  imaging

         EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD02130-01-5
        S. 3559                             2

     1  reporting  and data system of the American College of Radiology, and any
     2  equivalent new terms, as such guidelines or systems are updated.
     3    2.  WHERE  A PROVIDER OF MAMMOGRAPHY SERVICES HAS PROVIDED NOTICE TO A
     4  PATIENT UNDER SUBDIVISION ONE OF  THIS  SECTION,  THE  NOTICE  SHALL  BE
     5  CONSIDERED A DETERMINATION OF MEDICAL NECESSITY FOR PURPOSES OF COVERAGE
     6  OF A BREAST ULTRASOUND.
     7    § 2.  This act shall take effect immediately.