A03020 Summary:

BILL NOA03020B
 
SAME ASSAME AS S02237-B
 
SPONSORGonzalez-Rojas
 
COSPNSRPaulin, Simone, Shrestha, Ardila, Forrest, Gallagher, Levenberg, Ramos, Raga, Mitaynes, Lee, Hevesi, Simon, Burdick, Otis, Thiele, Taylor, Solages, Bronson, Jean-Pierre, Lavine, Clark, Kelles, Joyner, Bichotte Hermelyn, Burgos, Epstein, Weprin, Carroll, Rosenthal L, Dinowitz, Cruz, Reyes, Jackson, Mamdani, Seawright, Glick, Meeks, Jacobson, Kim, Anderson, Davila, Zinerman, Dickens, Gibbs, Rivera, De Los Santos, Shimsky, Colton, Cunningham, Tapia, Bores, Alvarez, Zaccaro, Septimo, Chandler-Waterman, Lucas, Dilan, Cook
 
MLTSPNSR
 
Amd §369-ii, Soc Serv L
 
Provides for coverage for certain individuals under the 1332 state innovation program.
Go to top

A03020 Committee Votes:

HEALTH Chair:Paulin DATE:05/09/2023AYE/NAY:16/9 Action: Favorable refer to committee Ways and Means
PaulinAyeJensenNay
DinowitzAyeByrnesNay
GuntherAyeGandolfoNay
Rosenthal L AyeMikulinNay
HevesiAyeBlumencranzNay
SteckAyeBendettNay
BraunsteinAyeGrayNay
SolagesAyeMcGowanNay
Bichotte HermelAye
SayeghNay
Rosenthal D Aye
McDonaldAye
ReyesAye
Gonzalez-RojasAye
RajkumarAye
ForrestAye
KellesAye
LucasAbsent

Go to top

A03020 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A3020B
 
SPONSOR: Gonzalez-Rojas
  TITLE OF BILL: An act to amend the social services law, in relation to coverage for certain individuals under the 1332 state innovation program   PURPOSE OR GENERAL IDEA OF BILL: To improve access to care by expanding eligibility for certain publicly subsidized programs for individuals who currently face barriers to health care coverage due to their immigration status.   SUMMARY OF SPECIFIC PROVISIONS: This bill would direct the Commissioner of Health (COH) to modify their 1332 waiver program to seek coverage for certain undocumented individ- uals that are residents of the state. The bill would authorize the COH to implement limitations on enrollment of this population and authorize them to provide coverage to individuals beyond that number if 1332 waiv- er funds are available to support it. Any limitations on enrollment would target coverage opportunities to lower income populations, but would allow the COH to make exceptions for particular subsets of the population that are at-risk. This bill would authorize the COH to seek approval from the federal government for additional pass through funding as a result of the reduction in emergency medicaid expenses.. This bill would also expand the 1332 waiver program reporting require- ments to include information on: any enrollment limitations and any savings to the state due to coverage of undocumented individuals.   JUSTIFICATION: Since the enactment of the Affordable Care Act Marketplace in 2010, New York has drastically reduced the number of uninsured individuals from 3 million to 1 million. However, more than 400,000 immigrant New Yorkers have not benefited from new coverage options or public coverage through the New York State of Health Marketplace because of their immigration status. Numerous studies have found that people without coverage are more likely to delay seeking preventative care for serious and chronic health conditions, avoid seeking care for fear of costs, and are at higher risk of incurring medical debt or bankruptcy. Studies have also shown that those who have gained coverage have reduced mortality and morbidity. Additionally, in many instances these individuals end up being covered by Emergency Medicaid to address their medical issues, which can often be a costly alternative to routine preventative care. Emergency Medicaid is already supported under the current budget of the state, so this bill would support the delivery of more comprehensive and preventative services to avoid unnecessary hospitalizations. Recent data shows a total in excess of $1 billion being spent on Emergency Medicaid. If this program was implemented, estimates show that state and local governments would generate a combined savings in excess of $400 million. Addi- tionally, this potential coverage option would likely lead to a similar savings in excess of $400 million to the federal government, which makes the 1332 waiver application even more likely to succeed. Based on the Department of Health's actuarially reviewed 1332 waiver document, even with the coverage of additional individuals, the waiver trust fund balance could continue to grow every year over the next five years. The SFY 2022-23 budget contained provisions expanding Medicaid eligibil- ity to individuals aged 65 or older that are otherwise eligible except for their immigration status. This bill will provide more adult immi- grants with access to health insurance coverage that is equivalent to the coverage offered to their citizens or lawfully present counterparts who are eligible for the Essential Plan or Medicaid. The program builds upon New York's success covering children (including immigrant children) through the Child Health Plus program. It extends coverage to eligible adult immigrants ensuring that all New Yorkers have access to affordable health coverage, averting the health insurance cliff many young immi- grants now face when they turn 19 after years of state investment in their health. Extending this coverage to all adults would create savings for the state and improved health outcomes for all New Yorkers. The lack of coverage for significant numbers of New Yorkers causes problems for the broader health care system because payers and providers charge more to the insured population to offset their losses related to providing care to the uninsured. Even with this cost shifting, the costs associated with uncompensated care threaten the financial sustainability of many safety net hospitals and clinics. The program will invest hundreds of million into the healthcare system, further stabilizing the state's healthcare economy. By expanding eligibility for coverage, this bill will provide essential services to hundreds of thousands of individuals, make New York health care providers more financially sound, save state and local governments hundreds of millions in costs, and ensure a healthy fiscal outlay for the continued operation of the waiver program.   PRIOR LEGISLATIVE HISTORY: 2023: S2237A (Rivera) - Passed Senate 2022: S1572A (Rivera) - Reported to Finance 2021: S1572 (Rivera) - Referred to Health 2020: S3900 (Rivera) - Referred to Health 2019: S3900 (Rivera) - Referred to Health   FISCAL IMPLICATIONS: Emergency Medicaid reductions would lead to significant State and Local savings, with some estimates showing a combined savings in excess of $400 million. Because the funding to support this coverage expansion utilizes excess federal 1332 waiver program revenues, there is zero financial cost to the state.   EFFECTIVE DATE: The bill takes effect in the same time and manner as section 3 of part H of chapter 57 of the laws of 2023.
Go to top

A03020 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         3020--B
 
                               2023-2024 Regular Sessions
 
                   IN ASSEMBLY
 
                                    February 2, 2023
                                       ___________
 
        Introduced by M. of A. GONZALEZ-ROJAS, PAULIN, SIMONE, SHRESTHA, ARDILA,
          FORREST,  GALLAGHER,  LEVENBERG,  RAMOS,  RAGA, MITAYNES, LEE, HEVESI,
          SIMON, BURDICK, OTIS, THIELE, TAYLOR, SOLAGES,  BRONSON,  JEAN-PIERRE,
          LAVINE,  CLARK,  KELLES,  JOYNER,  BICHOTTE HERMELYN, BURGOS, EPSTEIN,
          WEPRIN, CARROLL, L. ROSENTHAL, DINOWITZ, CRUZ, REYES, JACKSON,  MAMDA-
          NI,  SEAWRIGHT,  GLICK, MEEKS, JACOBSON, KIM, ANDERSON, DAVILA, ZINER-
          MAN, DICKENS, GIBBS, RIVERA, DE LOS SANTOS, SHIMSKY, COLTON,  CUNNING-
          HAM,  TAPIA,  BORES,  ALVAREZ,  ZACCARO,  SEPTIMO,  CHANDLER-WATERMAN,
          LUCAS, DILAN, COOK -- read once  and  referred  to  the  Committee  on
          Health  -- reported and referred to the Committee on Ways and Means --
          committee discharged, bill amended, ordered reprinted as  amended  and
          recommitted  to  said committee -- committee discharged, bill amended,
          ordered reprinted as amended and recommitted to said committee
 
        AN ACT to amend the social services law, in  relation  to  coverage  for
          certain individuals under the 1332 state innovation program
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Section 369-ii of the social  services  law,  as  added  by
     2  section  3  of  part  H of chapter 57 of the laws of 2023, is amended to
     3  read as follows:
     4    § 369-ii. 1332 state innovation program. 1. Authorization.    Notwith-
     5  standing  section  three hundred sixty-nine-gg of this title, subject to
     6  federal approval, if it is in the financial interest of the state to  do
     7  so,  the  commissioner of health is authorized, with the approval of the
     8  director of the budget, to establish a  1332  state  innovation  program
     9  pursuant  to  section 1332 of the patient protection and affordable care
    10  act (P.L. 111-148) and subdivision twenty-five of  section  two  hundred
    11  sixty-eight-c  of  the  public  health law. The commissioner of health's
    12  authority pursuant to this section  is  contingent  upon  obtaining  and
    13  maintaining  all  necessary  approvals  from the secretary of health and
    14  human services and the secretary of the treasury based on an application
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD04552-07-3

        A. 3020--B                          2
 
     1  for a waiver for state innovation.  The  commissioner  of  health  [may]
     2  shall  take  all  actions  necessary to obtain such approvals, including
     3  seeking any necessary approvals for amendments to the waiver.
     4    2. Definitions. For the purposes of this section:
     5    (a)  "Eligible  organization"  means  an  insurer licensed pursuant to
     6  article thirty-two or forty-two of the insurance law, a  corporation  or
     7  an  organization  under  article forty-three of the insurance law, or an
     8  organization certified under article forty-four  of  the  public  health
     9  law,  including  providers  certified  under  section forty-four hundred
    10  three-e of the public health law.
    11    (b) "Approved organization" means an eligible organization approved by
    12  the commissioner of health to underwrite a 1332 state innovation  health
    13  insurance plan pursuant to this section.
    14    (c) "Health care services" means:
    15    (i) the services and supplies as defined by the commissioner of health
    16  in consultation with the superintendent of financial services, and shall
    17  be  consistent  with  and  subject  to  the essential health benefits as
    18  defined by the commissioner in accordance with  the  provisions  of  the
    19  patient protection and affordable care act (P.L. 111-148) and consistent
    20  with the benefits provided by the reference plan selected by the commis-
    21  sioner  of  health for the purposes of defining such benefits, and shall
    22  include coverage of and access to the services of  any  national  cancer
    23  institute-designated  cancer center licensed by the department of health
    24  within the service area of the approved organization that is willing  to
    25  agree  to  provide  cancer-related  inpatient,  outpatient  and  medical
    26  services to all enrollees  in  approved  organizations'  plans  in  such
    27  cancer  center's  service area under the prevailing terms and conditions
    28  that the approved organization requires of other similar providers to be
    29  included in the approved  organization's  network,  provided  that  such
    30  terms  shall  include  reimbursement  of such center at no less than the
    31  fee-for-service medicaid payment rate and methodology applicable to  the
    32  center's inpatient and outpatient services;
    33    (ii)  dental  and  vision  services  as defined by the commissioner of
    34  health, and
    35    (iii) as defined by the commissioner of health and subject to  federal
    36  approval,  certain  services and supports provided to enrollees who have
    37  functional limitations and/or chronic illnesses that  have  the  primary
    38  purpose of supporting the ability of the enrollee to live or work in the
    39  setting  of  their  choice,  which  may include the individual's home, a
    40  worksite, or a provider-owned or controlled residential setting.
    41    (d) "Qualified health plan" means a health plan that meets the  crite-
    42  ria  for  certification described in § 1311(c) of the patient protection
    43  and affordable care act (P.L. 111-148), and is  offered  to  individuals
    44  through  the  NY  State  of  Health, the official health Marketplace, or
    45  Marketplace, as defined  in  subdivision  two  of  section  two  hundred
    46  sixty-eight-a of the public health law.
    47    (e) "Basic health insurance plan" means a health plan providing health
    48  care  services,  separate and apart from qualified health plans, that is
    49  issued by an approved organization  and  certified  in  accordance  with
    50  section three hundred sixty-nine-gg of this title.
    51    (f)  "1332 state innovation plan" means a standard health plan provid-
    52  ing health care services, separate and apart  from  a  qualified  health
    53  plan  and  a  basic health insurance plan, that is issued by an approved
    54  organization and certified in accordance with this section.
    55    3. State innovation plan eligible individual. (a) A person is eligible
    56  to receive coverage for health care under this section if they:

        A. 3020--B                          3
 
     1    (i) reside in New York state and are under sixty-five  years  of  age,
     2  including  individuals  that are ineligible for the basic health program
     3  under 42 U.S.C.  section  18051  on  the  basis  of  immigration  status
     4  provided  they  are  determined eligible pursuant to subdivision nine of
     5  this  section  and are determined eligible through the waiver process to
     6  receive coverage under this section regardless of direct federal  finan-
     7  cial support for such individuals;
     8    (ii)  are  not  eligible  for medical assistance under title eleven of
     9  this article, excluding eligibility for limited medical  assistance  for
    10  the  treatment  of an emergency medical condition authorized pursuant to
    11  42 U.S.C. 1396, or for the child  health  insurance  plan  described  in
    12  title one-A of article twenty-five of the public health law;
    13    (iii)  are  not eligible for minimum essential coverage, as defined in
    14  section 5000A(f) of the Internal Revenue Service Code  of  1986,  or  is
    15  eligible  for  an  employer-sponsored  plan  that  is not affordable, in
    16  accordance with section 5000A(f) of such code; and
    17    (iv) have household income at or below two hundred  fifty  percent  of
    18  the  federal  poverty  line  defined  and annually revised by the United
    19  States department of health and human services for a  household  of  the
    20  same  size;  and  has  household income that exceeds one hundred thirty-
    21  three percent of the federal poverty line defined and  annually  revised
    22  by  the  United  States  department  of  health and human services for a
    23  household of the  same  size;  provided,  however,  that  MAGI  eligible
    24  noncitizens  lawfully present in the United States, and individuals that
    25  are ineligible for the basic health  program  under  42  U.S.C.  section
    26  18051  on  the  basis of immigration status with household incomes at or
    27  below one hundred thirty-three percent of the federal poverty line shall
    28  be eligible to receive coverage for health care services pursuant to the
    29  provisions of this section [if such noncitizen would be  ineligible  for
    30  medical assistance under title eleven of this article due to their immi-
    31  gration status].
    32    (b)  Subject to federal approval, a child born to an individual eligi-
    33  ble for and receiving coverage for health care services pursuant to this
    34  section who but for their eligibility under this section would be eligi-
    35  ble for coverage pursuant to subparagraphs two or four of paragraph  (b)
    36  of  subdivision  one of section three hundred sixty-six of this article,
    37  shall be administratively enrolled, as defined by  the  commissioner  of
    38  health,  in  medical assistance and to have been found eligible for such
    39  assistance on the date of such birth and to  remain  eligible  for  such
    40  assistance for a period of one year.
    41    (c) Subject to federal approval, an individual who is eligible for and
    42  receiving  coverage for health care services pursuant to this section is
    43  eligible to continue to receive health care services  pursuant  to  this
    44  section  during  the individual's pregnancy and for a period of one year
    45  following the end of the pregnancy without regard to any change  in  the
    46  income  of  the household that includes the pregnant individual, even if
    47  such change would render the pregnant individual ineligible  to  receive
    48  health care services pursuant to this section.
    49    (d)  For  the  purposes of this section, 1332 state innovation program
    50  eligible individuals are prohibited  from  being  treated  as  qualified
    51  individuals  under section 1312 of the Affordable Care Act and as eligi-
    52  ble individuals under section 1331 of the ACA and enrolling in qualified
    53  health plan through the Marketplace or standard health plan through  the
    54  Basic Health Program.
    55    4.  Enrollment.  (a)  Subject to federal approval, the commissioner of
    56  health is authorized to establish an application and  enrollment  proce-

        A. 3020--B                          4
 
     1  dure  for prospective enrollees. Such procedure will include a verifica-
     2  tion system for applicants, which must  be  consistent  with  42  USC  §
     3  1320b-7.
     4    (b) Such procedure shall allow for continuous enrollment for enrollees
     5  to  the  1332 state innovation program where an individual may apply and
     6  enroll for coverage at any point.
     7    (c) Upon an applicant's enrollment in a 1332  state  innovation  plan,
     8  coverage  for  health  care  services pursuant to the provisions of this
     9  section shall be retroactive to the first day of the month in which  the
    10  individual  was determined eligible, except in the case of program tran-
    11  sitions within the Marketplace.
    12    (d) A person who has enrolled for coverage pursuant to  this  section,
    13  and who loses eligibility to enroll in the 1332 state innovation program
    14  for  a  reason other than [citizenship status,] lack of state residence,
    15  [failure to provide a valid social security number,]  providing  inaccu-
    16  rate information that would affect eligibility when requesting or renew-
    17  ing  health  coverage  pursuant  to  this section, or failure to make an
    18  applicable premium payment, before the end  of  a  twelve  month  period
    19  beginning  on the effective date of the person's initial eligibility for
    20  coverage, or before the end of a twelve month period  beginning  on  the
    21  date  of  any  subsequent determination of eligibility, shall have their
    22  eligibility for coverage continued until the end of  such  twelve  month
    23  period,  provided  that  the  state  receives federal approval for using
    24  funds under an approved 1332 waiver.
    25    5. Premiums. Subject to federal approval, the commissioner  of  health
    26  shall  establish  premium  payments enrollees in a 1332 state innovation
    27  plan shall pay to approved organizations for  coverage  of  health  care
    28  services pursuant to this section. Such premium payments shall be estab-
    29  lished in the following manner:
    30    (a)  up  to fifteen dollars monthly for an individual with a household
    31  income above two hundred percent of the federal poverty line but  at  or
    32  below  two hundred fifty percent of the federal poverty line defined and
    33  annually revised by the United States department  of  health  and  human
    34  services for a household of the same size; and
    35    (b)  no payment is required for individuals with a household income at
    36  or below two hundred percent of the federal  poverty  line  defined  and
    37  annually  revised  by  the  United States department of health and human
    38  services for a household of the same size.
    39    6. Cost-sharing. The commissioner of health shall establish cost-shar-
    40  ing obligations for enrollees, subject to  federal  approval,  including
    41  childbirth  and  newborn  care  consistent  with  the medical assistance
    42  program under title eleven of this article. There shall be no cost-shar-
    43  ing obligations for enrollees for:
    44    (a) dental and vision services as  defined  in  subparagraph  (ii)  of
    45  paragraph (c) of subdivision two of this section; and
    46    (b)  services  and  supports as defined in subparagraph (iii) of para-
    47  graph (c) of subdivision two of this section.
    48    7. Rates of payment. (a) The commissioner of health shall  select  the
    49  contract  with an independent actuary to study and recommend appropriate
    50  reimbursement methodologies for the cost of health care service coverage
    51  pursuant to this section. Such independent actuary shall review and make
    52  recommendations concerning appropriate actuarial assumptions relevant to
    53  the establishment of  reimbursement  methodologies,  including  but  not
    54  limited  to;  the  adequacy of rates of payment in relation to the popu-
    55  lation to be served adjusted for case mix,  the  scope  of  health  care

        A. 3020--B                          5
 
     1  services  approved  organizations  must provide, the utilization of such
     2  services and the network of providers required to meet state standards.
     3    (b)  Upon  consultation  with  the  independent  actuary  and entities
     4  representing approved organizations, the commissioner  of  health  shall
     5  develop  reimbursement  methodologies  and fee schedules for determining
     6  rates of payment, which rates shall be approved by the director  of  the
     7  division  of the budget, to be made by the department to approved organ-
     8  izations for the cost of health care services coverage pursuant to  this
     9  section.  Such reimbursement methodologies and fee schedules may include
    10  provisions for capitation arrangements.
    11    (c) The commissioner of health shall have the authority to  promulgate
    12  regulations,  including  emergency  regulations, necessary to effectuate
    13  the provisions of this subdivision.
    14    (d) The department of health shall  require  the  independent  actuary
    15  selected  pursuant  to  paragraph  (a)  of this subdivision to provide a
    16  complete actuarial report, along with all actuarial assumptions made and
    17  all other data, materials and methodologies used in the  development  of
    18  rates  for the 1332 state innovation plan authorized under this section.
    19  Such report shall be provided annually to the temporary president of the
    20  senate and the speaker of the assembly.
    21    8. An individual who is lawfully  admitted  for  permanent  residence,
    22  permanently  residing in the United States under color of law, or who is
    23  a non-citizen in a valid nonimmigrant status, as  defined  in  8  U.S.C.
    24  1101(a)(15),  and  who  would be ineligible for medical assistance under
    25  title eleven of this article due to  their  immigration  status  if  the
    26  provisions  of  section  one  hundred  twenty-two  of  this chapter were
    27  applied, shall be considered to be ineligible for medical assistance for
    28  purposes of paragraphs (b) and (c) of subdivision three of this section.
    29    9. (a) In determining eligibility for residents of the state that  are
    30  ineligible for the basic health program under 42 U.S.C. section 18051 on
    31  the  basis  of  immigration status, the commissioner of health may place
    32  limitations on enrollment to  ensure  that  the  costs  associated  with
    33  rendering  services to this population do not exceed the revenues antic-
    34  ipated to be transferred to the  1332  state  innovation  program  fund,
    35  pursuant  to  section ninety-eight-d of the state finance law. In estab-
    36  lishing any limitations pursuant to this subdivision the commissioner of
    37  health shall enroll as many individuals as reasonably practicable  while
    38  ensuring  continual  coverage  for  such additional individuals based on
    39  current and anticipated 1332 state innovation program fund reserves.
    40    (b) In determining any limitations on enrollment, the commissioner  of
    41  health  shall  determine  income bands for such individuals from zero to
    42  two hundred fifty percent of the federal poverty line defined and  annu-
    43  ally  revised  by  the  United  States  department  of  health and human
    44  services for a household of the same size. The  commissioner  of  health
    45  shall  prioritize  the  enrollment of individuals from the lowest income
    46  band first and then the remaining income bands in ascending order.
    47    (c) Notwithstanding the provisions of paragraph (b) of  this  subdivi-
    48  sion,  the  commissioner of health may also include subsets of the popu-
    49  lation whose continued health and well-being would be  significantly  at
    50  risk  without  routine  access  to health care. Population subsets to be
    51  prioritized for enrollment shall be determined by  the  commissioner  of
    52  health  and  shall  include  but not be limited to: (i) individuals with
    53  life threatening conditions, (ii) individuals in need of an organ trans-
    54  plant; and (iii) individuals with significant behavioral  health  issues
    55  including  but  not  limited  to serious mental illness or substance use
    56  disorder.

        A. 3020--B                          6
 
     1    10. The commissioner is authorized to seek a waiver or other  applica-
     2  ble federal approval for any additional monies to support the 1332 state
     3  innovation program that may be associated with a reduction in the utili-
     4  zation of treatment for an emergency medical condition authorized pursu-
     5  ant to 42 U.S.C. 1396. Any additional monies shall be transferred to the
     6  1332 state innovation program fund established pursuant to section nine-
     7  ty-eight-d of the state finance law and used for such purposes.
     8    11. Reporting. The commissioner of health shall submit a report to the
     9  temporary  president of the senate and the speaker of the assembly annu-
    10  ally by December thirty-first. The report shall include, at  a  minimum,
    11  an  analysis  of the 1332 state innovation program and its impact on the
    12  financial interest of the state; its impact on the Marketplace including
    13  enrollment and premiums; its impact on the number of uninsured  individ-
    14  uals in the state; its impact on the Medicaid global cap; any enrollment
    15  limitations  established  pursuant  to  subdivision nine of this section
    16  including the rationale  and  supporting  fiscal  calculations  used  to
    17  justify  such  limitation,  including any historical data, if available,
    18  for the previous three years related  to  any  previous  limitations  of
    19  enrollment,  funds transferred to the 1332 state innovation program fund
    20  pursuant to section ninety-eight-d of the state finance law, and  totals
    21  on  any  savings  to the state due to coverage of residents of the state
    22  that are ineligible for the basic health program under 42 U.S.C. section
    23  18051 on the basis of immigration status; and the  demographics  of  the
    24  1332  state  innovation  program enrollees including age and immigration
    25  status.
    26    [10.] 12. Severability. If the secretary of health and human  services
    27  or  the  secretary  of  the treasury do not approve any provision of the
    28  application for a state innovation waiver, such decision shall in no way
    29  affect or impair any other provisions that the secretaries  may  approve
    30  under this section.
    31    § 2. Severability clause. If any clause, sentence, paragraph, subdivi-
    32  sion,  section  or  part  of  this act shall be adjudged by any court of
    33  competent jurisdiction to be invalid, such judgment  shall  not  affect,
    34  impair,  or  invalidate  the remainder thereof, but shall be confined in
    35  its operation to the clause, sentence, paragraph,  subdivision,  section
    36  or part thereof directly involved in the controversy in which such judg-
    37  ment shall have been rendered. It is hereby declared to be the intent of
    38  the  legislature  that  this  act  would  have been enacted even if such
    39  invalid provisions had not been included herein.
    40    § 3. This act shall take effect on the  same  date  and  in  the  same
    41  manner  as  section 3 of part H of chapter 57 of the laws of 2023, takes
    42  effect.
Go to top