•  Summary 
  •  
  •  Actions 
  •  
  •  Committee Votes 
  •  
  •  Floor Votes 
  •  
  •  Memo 
  •  
  •  Text 
  •  
  •  LFIN 
  •  
  •  Chamber Video/Transcript 

A08054 Summary:

BILL NOA08054A
 
SAME ASSAME AS S08618
 
SPONSORGottfried
 
COSPNSRSolages, Crespo, Thiele, Simon, Lentol, Bronson, De La Rosa, Mosley, Sepulveda, Vanel, Ortiz, Jaffee, D'Urso, Williams, Blake, Carroll, Niou, Rosenthal L, Dickens, Rodriguez, Bichotte
 
MLTSPNSR
 
Amd §2510, Pub Health L
 
Extends eligibility for the child health insurance plan to young adults between the ages of 19 and 30 years of age.
Go to top    

A08054 Actions:

BILL NOA08054A
 
05/25/2017referred to health
01/03/2018referred to health
04/23/2018amend and recommit to health
04/23/2018print number 8054a
05/01/2018reported referred to ways and means
Go to top

A08054 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A8054A       REVISED MEMO 04/30/2018
 
SPONSOR: Gottfried
  TITLE OF BILL: An act to amend the public health law, in relation to extending eligibility for the child health insurance plan to young adults   PURPOSE OR GENERAL IDEA OF BILL: To extend the age of eligibility for Child Health Plus to young adults insurance coverage due to their immigration status.'   SUMMARY OF SPECIFIC PROVISIONS: Section 1 amends subdivision 4 of section 2510 of the public health law to add the phrase "eligible young adult" and adds a new subdivision 4-a to define "eligible young adult" as a person 19 years of age or older but less than the age of 30. Section 2 amends paragraph (d) of subdivision 9 of section 2510 of the public health law to add the phrase "under the age of nineteen" to subparagraphs (i), (ii), (iii), (iv), (v)and (vi); and adds subpara- graphs (vii), (viii), (ix) and (x) defining eligibility based on incomes and associated premium payment levels. Section 3 states the effective date as April 1, 2018.   JUSTIFICATION: Over the past few years, New York has drastically cut its uninsured rate. However, many immigrant New Yorkers have not benefited from new coverage options or public coverage through the New York State of Health Marketplace because of exclusions based on their immigration status. Numerous studies have found that people without coverage are more likely to delay seeking preventive care for serious and chronic health condi- tions, avoid seeking care for fear of costs, and are at higher risk of incurring medical debt or bankruptcy. Recent studies have shown that those who have gained coverage have reduced mortality and morbidity. Finally, lack of coverage for significant numbers of New Yorkers incurs 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. But even with this cost shifting, the costs associated with uncompensated care threatens the financial sustainability of many safety net hospitals and clinics. This bill would provide young 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 Essential Plan or through Qualified Health Plans offered through the New York State of Health Marketplace. The bill extends coverage through New York's Child Health Plus program to young adult immigrants between the ages of 19 through 29, averting the health insurance cliff many young immigrants now face when they turn 19 after years of state investment in their health. This program builds upon New York's strong commitment to young people evidenced by both our universally available Child Health Plus program and our commercial young adult coverage law which requires employers and insurance carriers to offer young adults the opportunity to stay on their parents' health plan through the age of 29. This bill seeks to provide coverage to immigrant young adults that mirrors the coverage offered to their young adult citizen and qualified immigrant counterparts. By expanding coverage, this bill makes New York health care providers more financially sound and better able to provide continuous, high-qual- ity care to 1 this population.   PRIOR LEGISLATIVE HISTORY: New Bill   FISCAL IMPLICATIONS FOR STATE & LOCAL GOVERNMENTS: According to a 2016 report by the Community Service Society of New York, How Can New York Provide Health Insurance Coverage to its Uninsured Immigrant Residents?, there are approximately 90,100 young adult immi- grants who would be eligible, but only 27,900 of those who are eligible are likely to enroll. Members would pay premiums on a sliding fee scale, based on the young adult's income. The total cost to the state would be approximately $78 million in 2016. Adjusting for medical inflation, the cost in 2018 would be $81 million. There would be no fiscal impact on local governments.   EFFECTIVE DATE: This act shall take effect April 1, 2019; provided that the commissioner of health shall take such actions, including making regulations and applying for federal financial participation; as are reasonably neces- sary for implementation of this act on that date.
Go to top

A08054 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         8054--A
 
                               2017-2018 Regular Sessions
 
                   IN ASSEMBLY
 
                                      May 25, 2017
                                       ___________
 
        Introduced  by  M.  of  A.  GOTTFRIED,  SOLAGES,  CRESPO, THIELE, SIMON,
          LENTOL, BRONSON, DE LA ROSA, MOSLEY, SEPULVEDA, VANEL, ORTIZ,  JAFFEE,
          D'URSO,  WILLIAMS, BLAKE, CARROLL, NIOU, L. ROSENTHAL, DICKENS, RODRI-
          GUEZ -- read once and referred to the Committee on Health -- recommit-
          ted to the Committee on Health in accordance  with  Assembly  Rule  3,
          sec.  2  --  committee  discharged, bill amended, ordered reprinted as
          amended and recommitted to said committee
 
        AN ACT to amend the public health law, in relation to  extending  eligi-
          bility for the child health insurance plan to young adults
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Subdivision 4 of section 2510 of the public health law,  as
     2  amended by chapter 2 of the laws of 1998, is amended, and a new subdivi-
     3  sion 4-a is added to read as follows:
     4    4.  "Eligible  child" or "eligible children" means a person or persons
     5  [under the age of thirteen years for the period January first,  nineteen
     6  hundred ninety-one through December thirty-first, nineteen hundred nine-
     7  ty-three; born on or after June first, nineteen hundred eighty and under
     8  the  age  of  sixteen for a period commencing on or after January first,
     9  nineteen hundred ninety-four  through  December  thirty-first,  nineteen
    10  hundred  ninety-six; and for a person or persons enrolled in the program
    11  on the day before they are sixteen years of age, under the age of seven-
    12  teen for a period commencing on or after June  first,  nineteen  hundred
    13  ninety-five  through December thirty-first, nineteen hundred ninety-six;
    14  and] under the age of nineteen [for periods commencing on or after Janu-
    15  ary first, nineteen hundred ninety-seven,] who meets or meet the  crite-
    16  ria  in  section two thousand five hundred eleven of this title.  Unless
    17  the context clearly requires otherwise,  "eligible  child"  includes  an
    18  eligible young adult.
    19    4-a.  "Eligible  young  adult" means a person nineteen years of age or
    20  older but less than the age of thirty, who meets the criteria in section
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11187-02-8

        A. 8054--A                          2
 
     1  two thousand five hundred eleven of this title and who is  not  eligible
     2  for  the  basic health program under section three hundred sixty-nine-gg
     3  of the social services law or a qualified health plan  through  the  New
     4  York  state  of  health  marketplace.  An  eligible young adult shall be
     5  deemed to be his or her own legally responsible adult for  the  purposes
     6  of this title.
     7    §  2.  Paragraph  (d)  of  subdivision 9 of section 2510 of the public
     8  health law, as amended by section 29 of part D of chapter 56 of the laws
     9  of 2013, is amended to read as follows:
    10    (d) for periods on or after July first, two thousand nine, amounts  as
    11  follows:
    12    (i)  no  payments  are required for eligible children under the age of
    13  nineteen whose family household income is less than  one  hundred  sixty
    14  percent  of the non-farm federal poverty level and for eligible children
    15  under the age of nineteen who are American Indians or  Alaskan  Natives,
    16  as  defined  by  the U.S. Department of Health and Human Services, whose
    17  family household income is less than two hundred  fifty-one  percent  of
    18  the non-farm federal poverty level; and
    19    (ii)  nine  dollars per month for each eligible child under the age of
    20  nineteen whose family household income  is  between  one  hundred  sixty
    21  percent  and  two  hundred  twenty-two  percent  of the non-farm federal
    22  poverty level, but no more than twenty-seven dollars per month per fami-
    23  ly; and
    24    (iii) fifteen dollars per month for each eligible child under the  age
    25  of  nineteen  whose family household income is between two hundred twen-
    26  ty-three percent and two hundred fifty percent of the  non-farm  federal
    27  poverty level, but no more than forty-five dollars per month per family;
    28  and
    29    (iv) thirty dollars per month for each eligible child under the age of
    30  nineteen  whose family household income is between two hundred fifty-one
    31  percent and three hundred percent of the non-farm federal poverty level,
    32  but no more than ninety dollars per month per family;
    33    (v) forty-five dollars per month for each eligible child under the age
    34  of nineteen whose family household income is between three  hundred  one
    35  percent  and three hundred fifty percent of the non-farm federal poverty
    36  level, but no more than one hundred thirty-five dollars  per  month  per
    37  family; [and]
    38    (vi)  sixty dollars per month for each eligible child under the age of
    39  nineteen whose family household income is between three  hundred  fifty-
    40  one  percent  and  four  hundred percent of the non-farm federal poverty
    41  level, but no more than one hundred eighty dollars per month  per  fami-
    42  ly[.];
    43    (vii)  no payments are required for eligible young adults whose house-
    44  hold income is at or below one hundred fifty  percent  of  the  non-farm
    45  federal poverty level;
    46    (viii)  twenty  dollars  per month for each eligible young adult whose
    47  household income is above one hundred fifty-one percent of the  non-farm
    48  federal  poverty  level  but at or below two hundred percent of the non-
    49  farm federal poverty level;
    50    (ix) one hundred sixty dollars per month for each eligible young adult
    51  whose household income is above two hundred one percent of the  non-farm
    52  federal  poverty  level but at or below two hundred fifty percent of the
    53  non-farm federal poverty level; and
    54    (x) a premium payment equivalent to the second lowest  costing  silver
    55  plan  offered  in the New York state of health marketplace that would be
    56  available to the young adult if eligible for a  qualified  health  plan,

        A. 8054--A                          3
 
     1  not to exceed the amount of a full monthly premium payment for the child
     2  health  insurance  plan  for  each  eligible young adult whose income is
     3  above two hundred fifty-one percent  of  the  non-farm  federal  poverty
     4  level.
     5    §  3.  This  act  shall  take  effect April 1, 2019; provided that the
     6  commissioner of health shall take such actions, including  making  regu-
     7  lations and applying for federal financial participation, as are reason-
     8  ably necessary for implementation of this act on that date.
Go to top