senate Bill S4828

2017-2018 Legislative Session

Provides health insurance coverage for New Yorkers if the federal Afforable Care Act is repealed

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Insurance Committee


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

view actions (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 03, 2018 referred to insurance
Mar 02, 2017 referred to insurance

Co-Sponsors

S4828 (ACTIVE) - Details

See Assembly Version of this Bill:
A11340
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd Ins L, generally
Versions Introduced in 2019-2020 Legislative Session:
S1090, A5782

S4828 (ACTIVE) - Summary

Provides health insurance coverage for New Yorkers if the federal Affordable Care Act is repealed.

S4828 (ACTIVE) - Sponsor Memo

S4828 (ACTIVE) - Bill Text download pdf


                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  4828

                       2017-2018 Regular Sessions

                            I N  S E N A T E

                              March 2, 2017
                               ___________

Introduced  by  Sen. PERSAUD -- read twice and ordered printed, and when
  printed to be committed to the Committee on Insurance

AN ACT to amend the insurance  law,  in  relation  to  providing  health
  insurance  protection  to  New  Yorkers  in the event that the federal
  Affordable Care Act is repealed

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. The insurance law is amended by adding a new section 3217-i
to read as follows:
  §  3217-I.  ESSENTIAL HEALTH BENEFITS PACKAGE.  (A) COVERAGE REQUIRED.
NO INSURER SUBJECT TO THIS ARTICLE SHALL DECLINE TO PROVIDE AN ESSENTIAL
HEALTH BENEFITS PACKAGE AS REQUIRED BY THIS SECTION.
  (B) DEFINITION. THE TERM "ESSENTIAL HEALTH  BENEFITS  PACKAGE"  MEANS,
WITH  RESPECT  TO ANY HEALTH PLAN, COVERAGE THAT PROVIDES FOR THE ESSEN-
TIAL HEALTH BENEFITS AS DEFINED BY THE SUPERINTENDENT  UNDER  SUBSECTION
(C) OF THIS SECTION; LIMITS COST-SHARING FOR SUCH COVERAGE IN ACCORDANCE
WITH  SUBSECTION  (D)  OF THIS SECTION; AND SUBJECT TO SUBSECTION (D) OF
THIS SECTION, PROVIDES EITHER BRONZE, SILVER, GOLD OR PLATINUM LEVEL  OF
COVERAGE AS DESCRIBED IN SUBSECTION (E) OF THIS SECTION.
  (C)  SUPERINTENDENT'S  POWERS  AND  DUTIES  WITH  RESPECT TO ESSENTIAL
HEALTH BENEFITS. (1) SUBJECT TO PARAGRAPH TWO OF  THIS  SUBSECTION,  THE
SUPERINTENDENT  SHALL  DEFINE THE ESSENTIAL HEALTH BENEFITS, EXCEPT THAT
SUCH BENEFITS SHALL INCLUDE AT LEAST THE  FOLLOWING  GENERAL  CATEGORIES
AND THE ITEMS AND SERVICES COVERED WITHIN SUCH CATEGORIES: (I) AMBULATO-
RY  PATIENT  SERVICES,  (II)  EMERGENCY SERVICES, (III) HOSPITALIZATION,
(IV) MATERNITY AND NEWBORN CARE, (V) MENTAL  HEALTH  AND  SUBSTANCE  USE
DISORDER   SERVICES,   INCLUDING   BEHAVIORAL   HEALTH  TREATMENT,  (VI)
PRESCRIPTION DRUGS, (VII) REHABILITATIVE AND HABILITATIVE  SERVICES  AND
DEVICES,  (VIII)  LABORATORY  SERVICES,  (IX)  PREVENTIVE  AND  WELLNESS
SERVICES AND CHRONIC DISEASE MANAGEMENT,  AND  (X)  PEDIATRIC  SERVICES,
INCLUDING ORAL AND VISION CARE.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.

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