Assembly Bill A5782

2019-2020 Legislative Session

Provides health insurance coverage for New Yorkers if the federal Affordable Care Act is repealed

download bill text pdf

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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-A5782 (ACTIVE) - Details

See Senate Version of this Bill:
S1090
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd Ins L, generally
Versions Introduced in 2017-2018 Legislative Session:
A11340, S4828

2019-A5782 (ACTIVE) - Summary

Provides health insurance coverage for New Yorkers if the federal Affordable Care Act is repealed.

2019-A5782 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5782
 
                        2019-2020 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 19, 2019
                                ___________
 
 Introduced  by M. of A. ROZIC -- read once and referred 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   Affordable Care Act is repealed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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