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A05974 Summary:

BILL NOA05974
 
SAME ASSAME AS S03900
 
SPONSORGottfried
 
COSPNSRCrespo, Epstein, Perry, Weprin, Hevesi, Simon, Ortiz, Carroll, Rosenthal L, Dinowitz, Simotas, Rodriguez, Cruz, De La Rosa
 
MLTSPNSRLentol
 
Amd 369-gg, Art 5 Title 11-D Head, Soc Serv L
 
Provides eligibility for services under the basic health program for individuals whose immigration status renders him or her ineligible for federal financial participation and who meet additional requirements.
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A05974 Actions:

BILL NOA05974
 
02/22/2019referred to health
03/06/2019reported referred to codes
03/12/2019reported referred to ways and means
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A05974 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A5974
 
SPONSOR: Gottfried
  TITLE OF BILL: An act to amend the social services law, in relation to coverage for health care services under the basic health program for individuals whose immigration status renders him or her ineligible for federal financial participation   PURPOSE OR GENERAL IDEA OF BILL: To expand eligibility for the Essential Plan to individuals who current- ly face barriers to health care coverage due to their immigration status.   SUMMARY OF SPECIFIC PROVISIONS: Section one of the bill adds a new subdivision 3-a to Section 269-gg of the social services law detailing qualifications for participation in the state's basic health program, known as the Essential Plan. Section 2 of the bill amends the title heading of title 11-D of article 5 of the social services law to read "Basic Health Program." Section 3 of the bill is the effective date.   JUSTIFICATION: Since the enactment of the Affordable Care Act Marketplace in 2010, New York has drastically reduced the number of uninsured from 3 million to 1 million people. 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 preventive 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. The lack of coverage for significant numbers of New Yorkers causes prob- lems 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. But even with this cost shifting, the costs associated with uncompensated care threaten the financial sustain- ability of many safety net hospitals and clinics. The program will invest $532 million into the health care system, further stabilizing the state's health care economy. This bill will provide adult immigrants with access to health insurance coverage that is equivalent to the coverage offered to their citizen or lawfully present counterparts who are eligible for the Essential Plan. 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 immigrants now face when they turn 19 after years of state investment in their health. By expanding eligibility for coverage under the Essential Plan, this bill makes New York health care providers more financially sound and better able to provide continuous, high-quality care to this population.   PRIOR LEGISLATIVE HISTORY: 2019: New bill   FISCAL IMPLICATIONS: The cost to the state to accomplish this goal is estimated to be over $500 million. The state will be saving close to the same amount in emer- gency Medicaid spending. Eligible individuals would be paying small premium amounts to contribute to their coverage.   EFFECTIVE DATE: This act shall take effect on the one hundred-eightieth day after it shall have become a law. Effective immediately, the commission of health shall make regulations and take other actions reasonably necessary to implement this act on this date.
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A05974 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          5974
 
                               2019-2020 Regular Sessions
 
                   IN ASSEMBLY
 
                                    February 22, 2019
                                       ___________
 
        Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
          Committee on Health
 
        AN ACT to amend the social services law, in  relation  to  coverage  for
          health  care  services  under the basic health program for individuals
          whose immigration status renders him or  her  ineligible  for  federal
          financial participation

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Section 369-gg of the social services  law  is  amended  by
     2  adding a new subdivision 3-a to read as follows:
     3    3-a. Alternate eligibility. A person shall also be eligible to receive
     4  coverage  for  health  care services under this title, without regard to
     5  federal financial participation, if he or she is a resident of New  York
     6  state,  has  household  income  below two hundred percent of the federal
     7  poverty line as defined  and  annually  revised  by  the  United  States
     8  department  of  health  and  human  services for a household of the same
     9  size, and is ineligible for federal financial participation in the basic
    10  health program under 42 U.S.C. section 18051 on the basis of immigration
    11  status, but otherwise meets the eligibility requirements  in  paragraphs
    12  (b) and (c) of subdivision three of this section. An applicant who fails
    13  to  make an applicable premium payment shall lose eligibility to receive
    14  coverage for health care services in accordance  with  time  frames  and
    15  procedures determined by the commissioner.
    16    §  2.  The  title  heading  of  title  11-D of article 5 of the social
    17  services law, as added by chapter 1 of the laws of 1999, is  amended  to
    18  read as follows:
    19              [FAMILY HEALTH PLUS PROGRAM] BASIC HEALTH PROGRAM
    20    § 3. This act shall take effect on the one hundred eightieth day after
    21  it  shall  have become a law. Effective immediately, the commissioner of
    22  health shall make regulations and take other actions  reasonably  neces-
    23  sary to implement this act on that date.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09899-03-9
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