NY State Senate Bill S6521

Current Bill Status - On Floor Calendar

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

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Actions

view actions (4)

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
May 30, 2023	ordered to third reading cal.1387 committee discharged and committed to rules
May 23, 2023	reported and committed to finance
Apr 25, 2023	referred to health

Votes

view votes

May 23, 2023 - Health committee Vote

S6521

committee

Aye

Nay

Aye with Reservations

Absent

Excused

Abstained

S6521 (ACTIVE) - Details

See Assembly Version of this Bill:: A3089
Law Section:: Public Health Law
Laws Affected:: Add Art 27-G §2795, Pub Health L
Versions Introduced in 2021-2022 Legislative Session:: A5432

S6521 (ACTIVE) - Summary

Re-establishes the adult cystic fibrosis assistance program to reimburse the cost of providing health care or health insurance to eligible individuals who have cystic fibrosis.

S6521 (ACTIVE) - Sponsor Memo

 
BILL NUMBER: S6521

SPONSOR: THOMAS
 
TITLE OF BILL:

An act to amend the public health law, in relation to the adult cystic
fibrosis assistance program

 
PURPOSE OR GENERAL IDEA OF BILL:

The purpose of this bill is to reimburse adults with cystic fibrosis for
their health care or health insurance costs.

 
SUMMARY OF PROVISIONS:

Section 2795 establishes the adult cystic fibrosis assistance program,
which would reimburse the cost of providing health care or health insur-
ance to eligible individuals with cystic fibrosis. To be an eligible
individual for whom health care will be provided, one must be at least
21 years old, diagnosed with cystic fibrosis, and have resided in New
York State for a minimum of twelve continuous months immediately prior
to application for services, not be eligible for medical benefits under

any group or individual health insurance policy, and not be eligible for
medical assistance pursuant to title 11 of article 5 of the social
services law solely due to earned income. All eligible individuals shall
be required to contribute 7% of their net annual income toward the cost
of care and/or the cost of the health insurance premium.

 
JUSTIFICATION:

Cystic fibrosis (CF) is a rare genetic disease that damages the lungs
and digestive system, which affects approximately 1600 New Yorkers.
Many CF patients rely on several prescription drugs and targeted,
specific care plans for treatment.

Prior to 2020, the Adult Cystic Fibrosis Assistance Program
(ACFAP)existed as part of the annual New York State budget. ACFAP has
historically provided reimbursements for out-of-pocket costs after
enrollees spent 7% of their income on health-related expenses. These
costs helped enrollees to cover inpatient and outpatient care,
prescription drugs, lab and X-ray services, home health care, and phys-
ical therapy. Enrollees in ACFAP must maintain their own healthcare
coverage which provides the most comprehensive coverage for their cystic
fibrosis needs. ACFAP allows adults with CF to maintain private insur-
ance coverage and access the care and treatments required for them to
stay healthy.

 
PRIOR LEGISLATIVE HISTORY:

None.

 
FISCAL IMPLICATIONS FOR STATE AND LOCAL GOVERNMENTS:

To be determined

S6521 (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6521
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                              April 25, 2023
                                ___________
 
 Introduced  by  Sen.  THOMAS -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT to amend the public health law, in relation to the  adult  cystic
   fibrosis assistance program
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. The public health law is amended by adding  a  new  article
 27-g to read as follows:
                               ARTICLE 27-G
                 ADULT CYSTIC FIBROSIS ASSISTANCE PROGRAM
 SECTION 2795. ADULT CYSTIC FIBROSIS ASSISTANCE PROGRAM.
   §  2795. ADULT CYSTIC FIBROSIS ASSISTANCE PROGRAM. 1. THE COMMISSIONER
 SHALL ESTABLISH A PROGRAM TO REIMBURSE THE COST OF PROVIDING HEALTH CARE
 OR HEALTH INSURANCE TO ELIGIBLE INDIVIDUALS WHO HAVE CYSTIC FIBROSIS.
   2. TO BE A FULLY ELIGIBLE INDIVIDUAL FOR  WHOM  HEALTH  CARE  WILL  BE
 PROVIDED UNDER THIS SECTION, SUCH INDIVIDUAL:
   (A) SHALL BE AT LEAST TWENTY-ONE YEARS OLD;
   (B) SHALL HAVE BEEN DIAGNOSED AS HAVING CYSTIC FIBROSIS;
   (C) SHALL HAVE RESIDED IN THE STATE FOR A MINIMUM OF TWELVE CONTINUOUS
 MONTHS IMMEDIATELY PRIOR TO APPLICATION FOR SERVICES UNDER THIS SECTION;
   (D)  SHALL  NOT  BE  ELIGIBLE  FOR MEDICAL BENEFITS UNDER ANY GROUP OR
 INDIVIDUAL HEALTH INSURANCE POLICY; AND
   (E) SHALL NOT BE ELIGIBLE FOR MEDICAL  ASSISTANCE  PURSUANT  TO  TITLE
 ELEVEN  OF  ARTICLE FIVE OF THE SOCIAL SERVICES LAW SOLELY DUE TO EARNED
 INCOME.
   3. TO BE A PARTIALLY ELIGIBLE INDIVIDUAL FOR WHOM HEALTH CARE WILL  BE
 PROVIDED UNDER THIS SECTION, SUCH INDIVIDUAL SHALL MEET ALL THE CRITERIA
 OF A FULLY ELIGIBLE INDIVIDUAL EXCEPT THAT A PARTIALLY ELIGIBLE INDIVID-
 UAL  SHALL  BE  AN INDIVIDUAL WHO IS ELIGIBLE FOR MEDICAL BENEFITS UNDER
 ANY GROUP OR INDIVIDUAL HEALTH INSURANCE POLICY BUT WHICH DOES NOT COVER
 ALL SERVICES NECESSARY FOR THE CARE AND TREATMENT OF CYSTIC FIBROSIS.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD06424-01-3

 S. 6521                             2
 
   4. THE COMMISSIONER SHALL REQUIRE EACH FULLY ELIGIBLE INDIVIDUAL, UPON
 DETERMINATION OF ELIGIBILITY, TO MAKE APPLICATION TO  A  PRIVATE  HEALTH
 INSURANCE  PROVIDER  AS PRESCRIBED BY THE COMMISSIONER FOR AN INDIVIDUAL
 HEALTH INSURANCE POLICY. IF AND WHEN SUCH POLICY IS GRANTED, THE COMMIS-
 SIONER SHALL APPROVE PAYMENT FOR THE ASSOCIATED PREMIUM.
   5.  THE  COMMISSIONER  SHALL AUTHORIZE PAYMENT FOR SERVICES RELATED TO
 THE CARE AND TREATMENT OF CYSTIC FIBROSIS NOT  OTHERWISE  COVERED  BY  A
 HEALTH INSURANCE POLICY.  PROVIDERS OF SUCH SERVICES SHALL BE REIMBURSED
 AT  THE  SAME RATE AND CLAIMS FOR PAYMENT SHALL BE MADE AS IF SUCH INDI-
 VIDUAL WAS ELIGIBLE FOR BENEFITS PURSUANT TO  TITLE  ELEVEN  OF  ARTICLE
 FIVE OF THE SOCIAL SERVICES LAW.
   6.  ALL  ELIGIBLE  INDIVIDUALS  SHALL  BE REQUIRED TO CONTRIBUTE SEVEN
 PERCENT OF THEIR NET ANNUAL INCOME TOWARD THE COST OF  CARE  AND/OR  THE
 COST OF THE ANNUAL HEALTH INSURANCE PREMIUM.
   7.  THE  COMMISSIONER  SHALL, IN CONSULTATION WITH THE COMMISSIONER OF
 SOCIAL SERVICES, PROMULGATE RULES AND REGULATIONS NECESSARY TO IMPLEMENT
 THE PROVISIONS OF THIS ARTICLE.
   § 2. This act shall take effect immediately.

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The New York State Senate

senate Bill S6521

Sponsored By

Current Bill Status - On Floor Calendar

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Votes

May 23, 2023 - Health committee Vote

Health Committee Vote: May 23, 2023

S6521 (ACTIVE) - Details

S6521 (ACTIVE) - Summary

S6521 (ACTIVE) - Sponsor Memo

S6521 (ACTIVE) - Bill Text download pdf

Comments

senate Bill S6521

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Sponsored By

Kevin Thomas

Current Bill Status - On Floor Calendar

Your Voice

Actions

Votes

May 23, 2023 - Health committee Vote

Health Committee Vote: May 23, 2023

S6521 (ACTIVE) - Details

S6521 (ACTIVE) - Summary

S6521 (ACTIVE) - Sponsor Memo

S6521 (ACTIVE) - Bill Text download pdf

Comments