|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Jan 03, 2018||referred to insurance|
|Mar 02, 2017||referred to insurance|
senate Bill S4828
Archive: Last Bill Status - In Senate Committee Insurance Committee
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
S4828 (ACTIVE) - Details
S4828 (ACTIVE) - Sponsor Memo
BILL NUMBER: S4828 TITLE OF BILL : 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relation to providing health insurance protection to New Yorkers in the event that the federal Affordable Care Act is repealed PURPOSE OR GENERAL IDEA OF BILL : Ensures that protections and coverage requirements enacted under the Affordable Care Act are protected in New York State Law. SUMMARY OF SPECIFIC PROVISIONS : Sections 1 and 2 of the bill add the essential health benefits package coverage requirements for insurance plans that are currently in federal law, into New York State Law. Sections 3 through 9 makes conforming changes to sections of the insurance law to refer to the new essential health benefits language added by sections 1 and 2 of the bill instead of the Affordable Care Act. Sections 10 and 11 provide the definition of "pre-existing condition" and updates the insurance law to remove references to the Affordable Care Act and instead refer to the new definition of "pre-existing condition."
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relation to providing health insurance protection to New Yorkers in the event that the federal Affordable Care Act is repealed THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1.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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