S T A T E O F N E W Y O R K
________________________________________________________________________
7262
2009-2010 Regular Sessions
I N A S S E M B L Y
March 26, 2009
___________
Introduced by M. of A. JOHN, GOTTFRIED -- read once and referred to the
Committee on Labor
AN ACT to amend the labor law and the insurance law, in relation to
employer health care coverage disclosure
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The labor law is amended by adding a new section 201-g to
read as follows:
S 201-G. EMPLOYER HEALTH CARE COVERAGE DISCLOSURE. 1. FOR PURPOSES OF
THIS SECTION, THE FOLLOWING TERMS SHALL MEAN:
(A) "EMPLOYER" INCLUDES THE EMPLOYER AND ANY OF ITS SUBSIDIARIES AT
ALL LOCATIONS IN THE STATE.
(B) "PROPOSED BENEFICIARY" MEANS ANY INDIVIDUAL WHO FILES AN APPLICA-
TION FOR BENEFITS FOR HIMSELF OR HERSELF, OR ANY INDIVIDUAL ON WHOSE
BEHALF AN APPLICATION IS FILED, INCLUDING, BUT NOT LIMITED TO, CHILDREN
OR OTHER DEPENDENTS OF THE APPLICANT OR ANY OTHER INDIVIDUAL FOR WHOM
THE APPLICATION IS FILED.
(C) "STATE-FUNDED PUBLIC HEALTH PROGRAM" MEANS THE FAMILY HEALTH PLUS
PROGRAM OR CHILD HEALTH PLUS PROGRAM.
2. (A) ON OR BEFORE SEPTEMBER FIRST, TWO THOUSAND TEN, THE DEPARTMENT,
IN CONSULTATION WITH THE DEPARTMENT OF HEALTH, SHALL COLLABORATE WITH
ALL OTHER NECESSARY AGENCIES AND PARTIES TO TRANSMIT TO THE LEGISLATURE
A REPORT IDENTIFYING ALL EMPLOYERS WHO EMPLOY TWO HUNDRED OR MORE
PERSONS WHO ARE BENEFICIARIES OR WHO SUPPORT BENEFICIARIES IN A
STATE-FUNDED PUBLIC HEALTH PROGRAM.
(B) THE REPORT SHALL INCLUDE ALL OF THE FOLLOWING:
(I) THE EMPLOYER'S NAME;
(II) THE EMPLOYER'S ADDRESS;
(III) THE TOTAL NUMBER OF EACH EMPLOYER'S EMPLOYEES AND ANY DEPENDENTS
OF AN EMPLOYEE WHO ARE ENROLLED IN EACH STATE-FUNDED HEALTH CARE
PROGRAM; AND
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD10731-01-9
A. 7262 2
(IV) THE TOTAL COST TO THE STATE OF PROVIDING PUBLIC HEALTH CARE BENE-
FITS FOR EACH IDENTIFIED EMPLOYER'S EMPLOYEES AND THEIR DEPENDENTS.
(C) THE REPORT SHALL NOT INCLUDE THE NAMES OF ANY INDIVIDUAL BENEFICI-
ARY UNDER A STATE-FUNDED PUBLIC HEALTH PROGRAM AND SHALL BE SUBJECT TO
CONFIDENTIALITY STANDARDS ESTABLISHED UNDER THE FEDERAL HEALTH INSURANCE
PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA; P.L. 104-191).
(D) THE DEPARTMENT SHALL MAKE THE REPORT PREPARED PURSUANT TO THIS
SECTION AVAILABLE TO THE PUBLIC ON THE DEPARTMENT'S WEB SITE.
(E) THE DEPARTMENT SHALL PROVIDE, UPON REQUEST, A COPY OF THE REPORT
TO ANY MEMBER OF THE PUBLIC, AND MAY CHARGE A REASONABLE FEE TO COVER
THE COST OF PROVIDING A COPY OF THE REPORT.
3. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS REQUIRING THE USE OF
THE SPECIFIC MEDICAL COSTS OF THE BENEFICIARIES OF THE STATE-FUNDED
PUBLIC HEALTH PROGRAM FOR EACH IDENTIFIED EMPLOYER.
S 2. The insurance law is amended by adding a new section 215 to read
as follows:
S 215. EMPLOYER HEALTH CARE COVERAGE DISCLOSURE. (A) FOR THE PURPOSES
OF THIS SECTION, THE FOLLOWING TERMS SHALL MEAN:
(1) "EMPLOYER" INCLUDES THE EMPLOYER AND ANY OF ITS SUBSIDIARIES AT
ALL LOCATIONS IN THE STATE.
(2) "PROPOSED BENEFICIARY" MEANS ANY INDIVIDUAL WHO FILES AN APPLICA-
TION FOR BENEFITS UNDER THE HEALTHY NEW YORK PROGRAM ESTABLISHED PURSU-
ANT TO SECTIONS FOUR THOUSAND THREE HUNDRED TWENTY-SIX AND FOUR THOUSAND
THREE HUNDRED TWENTY-SEVEN OF THIS CHAPTER FOR HIMSELF OR HERSELF, OR
ANY INDIVIDUAL ON WHOSE BEHALF AN APPLICATION IS FILED, INCLUDING, BUT
NOT LIMITED TO, CHILDREN OR OTHER DEPENDENTS OF THE APPLICANT OR ANY
OTHER INDIVIDUAL FOR WHOM THE APPLICATION IS FILED.
(B) ON OR BEFORE SEPTEMBER FIRST, TWO THOUSAND TEN, THE DEPARTMENT
SHALL COLLABORATE WITH ALL OTHER NECESSARY AGENCIES AND PARTIES TO TRAN-
SMIT TO THE LEGISLATURE A REPORT IDENTIFYING ALL EMPLOYERS WHO EMPLOY
TWO HUNDRED OR MORE PERSONS WHO ARE BENEFICIARIES, OR WHO SUPPORT BENE-
FICIARIES, UNDER THE HEALTHY NEW YORK PROGRAM.
(1) THE REPORT SHALL INCLUDE ALL OF THE FOLLOWING:
(I) THE EMPLOYER'S NAME;
(II) THE EMPLOYER'S ADDRESS;
(III) THE TOTAL NUMBER OF EACH EMPLOYER'S EMPLOYEES AND ANY DEPENDENTS
OF AN EMPLOYEE WHO ARE ENROLLED IN THE HEALTHY NEW YORK PROGRAM; AND
(IV) THE TOTAL COST TO THE STATE OF PROVIDING BENEFITS UNDER THE HEAL-
THY NEW YORK PROGRAM FOR EACH IDENTIFIED EMPLOYER'S EMPLOYEES AND THEIR
DEPENDENTS.
(2) THE REPORT SHALL NOT INCLUDE THE NAMES OF ANY INDIVIDUAL BENEFICI-
ARY UNDER THE HEALTHY NEW YORK PROGRAM AND SHALL BE SUBJECT TO CONFIDEN-
TIALITY STANDARDS ESTABLISHED UNDER THE FEDERAL HEALTH INSURANCE PORTA-
BILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA; P.L. 104-191).
(3) THE DEPARTMENT SHALL MAKE THE REPORT PREPARED PURSUANT TO THIS
SECTION AVAILABLE TO THE PUBLIC ON THE DEPARTMENT'S WEB SITE.
(4) THE DEPARTMENT SHALL PROVIDE, UPON REQUEST, A COPY OF THE REPORT
TO ANY MEMBER OF THE PUBLIC, AND MAY CHARGE A REASONABLE FEE TO COVER
THE COST OF PROVIDING A COPY OF THE REPORT.
(C) NOTHING IN THIS SECTION SHALL BE CONSTRUED AS REQUIRING THE USE OF
THE SPECIFIC MEDICAL COSTS OF THE BENEFICIARIES OF THE HEALTHY NEW YORK
PROGRAM FOR EACH IDENTIFIED EMPLOYER.
S 3. This act shall take effect immediately.