S T A T E O F N E W Y O R K
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3124
2009-2010 Regular Sessions
I N A S S E M B L Y
January 23, 2009
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Introduced by M. of A. BRADLEY, PHEFFER, McENENY -- Multi-Sponsored by
-- M. of A. GREENE -- read once and referred to the Committee on
Governmental Employees
AN ACT to amend the civil service law, in relation to establishing a
long term care insurance program for all state employees and retirees
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The civil service law is amended by adding a new section
176-a to read as follows:
S 176-A. MANDATORY LONG TERM CARE INSURANCE PROGRAM. 1. THE PRESIDENT
SHALL COOPERATE WITH THE SUPERINTENDENT OF INSURANCE TO ESTABLISH A LONG
TERM CARE INSURANCE PROGRAM FOR ALL STATE EMPLOYEES AND RETIREES. SUCH
PROGRAM SHALL: (A) PROVIDE INSURANCE COVERAGE, FOR THE ADMISSION TO, AND
CARE AND TREATMENT BY, A NURSING HOME AS SELECTED BY THE EMPLOYEE OR
RETIREE, IN SUCH AMOUNT NOT LESS THAN THE AVERAGE DAILY COST IN THE
REGION IN WHICH THE EMPLOYEE OR RETIREE RESIDES, FOR AS LONG AS THE
EMPLOYEE OR RETIREE RESIDES IN SUCH NURSING HOME;
(B) PROVIDE, IN ADDITION TO SUCH NURSING HOME COVERAGE, IN HOME CARE
COVERAGE FOR THE CARE AND TREATMENT BY AN IN HOME CARE PROGRAM AS
SELECTED BY THE EMPLOYEE OR RETIREE, IN SUCH AMOUNT NOT LESS THAN THE
AVERAGE DAILY COST IN THE REGION IN WHICH THE EMPLOYEE OR RETIREE
RESIDES, FOR AS LONG AS THE EMPLOYEE OR RETIREE REQUIRES SUCH IN HOME
CARE OR TREATMENT;
(C) PROVIDE SUCH NURSING HOME COVERAGE AND IN HOME CARE COVERAGE TO
ANY EMPLOYEE OR RETIREE OVER AGE SEVENTY WHO WAS AN ACTIVE STATE EMPLOY-
EE AS OF THE EFFECTIVE DATE OF THIS SECTION;
(D) MANDATE THE PROVISION OF SUCH COVERAGE TO ALL EMPLOYEES AND RETI-
REES IN THE SAME MANNER AS HEALTH INSURANCE BENEFITS WITH EMPLOYEE
CONTRIBUTIONS NOT EXCEEDING THOSE CURRENTLY IMPOSED FOR HEALTH INSURANCE
BENEFITS;
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD03352-01-9
A. 3124 2
(E) PROVIDE THAT ALL EMPLOYEES OR RETIREES SO COVERED UNDER THIS
PROGRAM SHALL BE INELIGIBLE TO RECEIVE MEDICAID REIMBURSEMENT FOR ANY
COVERAGE PROVIDED PURSUANT TO THIS PROGRAM, AND AS SUCH SHALL NOT BE
REQUIRED TO DIVEST ASSETS OR MEET MEDICAID ELIGIBILITY REQUIREMENTS; AND
(F) HAVE A DOMESTIC INSURER, SELECTED BY THE PRESIDENT AND SUPERINTEN-
DENT OF INSURANCE, THAT HAS PREVIOUS EXPERIENCE IN UNDERWRITING LARGE
SCALE LONG TERM INSURANCE PROGRAMS.
2. THE PRESIDENT, WITH THE SUPERINTENDENT OF INSURANCE, SHALL ESTAB-
LISH THIS PROGRAM ON OR BEFORE JULY FIRST, TWO THOUSAND TEN.
S 2. This act shall take effect immediately.