STATE OF NEW YORK
________________________________________________________________________
7180
2023-2024 Regular Sessions
IN ASSEMBLY
May 12, 2023
___________
Introduced by M. of A. BICHOTTE HERMELYN -- read once and referred to
the Committee on Health
AN ACT to amend the social services law, in relation to medical assist-
ance eligibility of infants up to the age of three years
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Subparagraphs 2 and 3 of paragraph (b) of subdivision 1 of
2 section 366 of the social services law, as added by section 1 of part D
3 of chapter 56 of the laws of 2013, are amended to read as follows:
4 (2) A pregnant woman or an infant younger than [one year] three years
5 of age is eligible for standard coverage if his or her MAGI household
6 income does not exceed the MAGI-equivalent of two hundred percent of the
7 federal poverty line for the applicable family size, which shall be
8 calculated in accordance with guidance issued by the secretary of the
9 United States department of health and human services, or an infant
10 younger than [one year] three years of age who meets the presumptive
11 eligibility requirements of subdivision four of section three hundred
12 sixty-four-i of this title.
13 (3) A child who is at least [one year] three years of age but younger
14 than nineteen years of age is eligible for standard coverage if his or
15 her MAGI household income does not exceed the MAGI-equivalent of one
16 hundred thirty-three percent of the federal poverty line for the appli-
17 cable family size, which shall be calculated in accordance with guidance
18 issued by the Secretary of the United States department of health and
19 human services, or a child who is at least [one year] three years of age
20 but younger than nineteen years of age who meets the presumptive eligi-
21 bility requirements of subdivision four of section three hundred sixty-
22 four-i of this title.
23 § 2. Subparagraphs 2 and 4 of paragraph (b) of subdivision 4 of
24 section 366 of the social services law, as added by section 2 of part D
25 of chapter 56 of the laws of 2013, are amended to read as follows:
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD02234-01-3
A. 7180 2
1 (2) A child born to a woman eligible for and receiving medical assist-
2 ance on the date of the child's birth shall be deemed to have applied
3 for medical assistance and to have been found eligible for such assist-
4 ance on the date of such birth and to remain eligible for such assist-
5 ance for a period of [one year] three years, so long as the child is a
6 member of the woman's household and the woman remains eligible for such
7 assistance or would remain eligible for such assistance if she were
8 pregnant.
9 (4) An infant eligible under subparagraph two or four of paragraph (b)
10 of subdivision one of this section who is receiving medically necessary
11 in-patient services for which medical assistance is provided on the date
12 the child attains [one year] three years of age, and who, but for
13 attaining such age, would remain eligible for medical assistance under
14 such subparagraph, shall continue to remain eligible until the end of
15 the stay for which in-patient services are being furnished.
16 § 3. This act shall take effect on the one hundred eightieth day after
17 it shall have become a law. Effective immediately, the commissioner of
18 health shall make regulations and take actions reasonably necessary to
19 implement this act on that date, including taking all steps necessary
20 and using best efforts to secure federal financial participation
21 for eligible beneficiaries under title XIX of the social security act,
22 for the purposes of this act, including the prompt submission of
23 appropriate amendments to the medical assistance state plan.
