Assembly Bill A5545

2019-2020 Legislative Session

Relates to aligning Medicaid optional benefits with the requirements of article 43 of the insurance law

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Assembly Committee

  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2019-A5545 (ACTIVE) - Details

See Senate Version of this Bill:
S2502
Current Committee:
Assembly Health
Law Section:
Social Services Law
Laws Affected:
Add Art 5 Title 11 §362, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2011-2012: A9384
2013-2014: A4894
2015-2016: A5120
2017-2018: A4508, S5702
2021-2022: S2275
2023-2024: S1697

2019-A5545 (ACTIVE) - Summary

Relates to aligning Medicaid optional benefits with the requirements of article 43 of the insurance law.

2019-A5545 (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5545
 
                        2019-2020 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 13, 2019
                                ___________
 
 Introduced  by  M.  of  A. GOODELL, GIGLIO, HAWLEY, MORINELLO, FRIEND --
   Multi-Sponsored by -- M. of A.  CROUCH,  DiPIETRO  --  read  once  and
   referred to the Committee on Health
 
 AN  ACT  to amend the social services law, in relation to aligning Medi-
   caid optional services with private sector health benefits

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  This act shall be known and may be cited as the "Medicaid
 taxpayer equity act".
   § 2. The legislature hereby finds that it is fundamentally  unfair  to
 the  taxpayers of the state for Medicaid optional services to exceed the
 minimum health insurance benefits levels that are required  for  private
 sector  health  insurance  plans.  Higher  benefit  levels  for Medicaid
 compared to private insurance create a disincentive for people to  leave
 public  assistance  and  accept  private  employment  and private health
 coverage. Higher Medicaid benefit levels are also a contributing  factor
 causing  the  state to have the highest Medicaid costs in the nation and
 some of the highest property taxes in the nation. The  purpose  of  this
 act  is  to  ensure  that  Medicaid  optional services for adults do not
 exceed the minimum health insurance benefit levels that apply to private
 insurance plans, other than long-term care services.
   § 3. Title 11 of article 5 of the social services law  is  amended  by
 adding a new section 362 to read as follows:
   §  362.  BENEFITS  PROVIDED  UNDER  THIS  TITLE  FOR MEDICAID OPTIONAL
 SERVICES. THE STATE SHALL NOT OFFER TO INDIVIDUALS OVER THE AGE OF TWEN-
 TY-ONE YEARS MEDICAID OPTIONAL SERVICES THAT EXCEED THE MINIMUM BENEFITS
 REQUIRED FOR HEALTH CARE PLANS UNDER ARTICLE FORTY-THREE OF  THE  INSUR-
 ANCE  LAW.  THIS  SECTION  SHALL  NOT  APPLY  TO MEDICAID LONG-TERM CARE
 SERVICES.
   § 4. The commissioner of the department of health shall submit to  the
 federal  department of health and human services for approval any amend-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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