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Senate Bill S1010

2025-2026 Legislative Session

Relates to retroactive enrollment in child health insurance plans

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Current Bill Status - In Senate Committee Health Committee

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2025-S1010 (ACTIVE) - Details

Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §2511, Pub Health L
Versions Introduced in 2023-2024 Legislative Session:
S4885

2025-S1010 (ACTIVE) - Summary

Permits coverage under Child Health Plus to take effect retroactively to the first day of the month in which the application was submitted for children who meet the eligibility criteria, provided that the applicant for insurance submits a completed and signed application and required information and documentation within sixty days of the child's birth.

2025-S1010 (ACTIVE) - Sponsor Memo

2025-S1010 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1010
 
                        2025-2026 Regular Sessions
 
                             I N  S E N A T E
 
                                (PREFILED)
 
                              January 8, 2025
                                ___________
 
 Introduced  by  Sen.  BROUK  -- 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  retroactive
   enrollment in the Child Health Insurance Plan

   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Paragraph (i) of subdivision  2  of  section  2511  of  the
 public  health  law is amended by adding two new subparagraphs (iii) and
 (iv) to read as follows:
   (III) A CHILD WHO MEETS THE ELIGIBILITY CRITERIA  SET  FORTH  IN  THIS
 SUBDIVISION  OR  SUBDIVISION  FIVE  OF THIS SECTION, AS DETERMINED BY AN
 APPROVED ORGANIZATION OR  THE  HEALTH  INSURANCE  EXCHANGE  MARKETPLACE,
 WHICHEVER  IS  APPLICABLE,  SHALL BE ENROLLED RETROACTIVELY TO THE FIRST
 DAY OF THE MONTH IN WHICH THE APPLICATION WAS SUBMITTED,  PROVIDED  THAT
 THE  APPLICANT  FOR INSURANCE SUBMITS A COMPLETED AND SIGNED APPLICATION
 AND REQUIRED INFORMATION AND DOCUMENTATION  WITHIN  SIXTY  DAYS  OF  THE
 ORIGINAL APPLICATION SUBMISSION.
   (IV)  A  CHILD  SHALL  BE PRESUMED ELIGIBLE FOR SUBSIDY PAYMENTS UNDER
 THIS SUBDIVISION OR ELIGIBLE FOR COVERAGE UNDER SUBDIVISION FIVE OF THIS
 SECTION, PROVIDED THAT THE APPLICANT FOR INSURANCE SUBMITS  A  COMPLETED
 AND  SIGNED APPLICATION WITHIN SIXTY DAYS OF THE APPLICATION SUBMISSION.
 ONCE ELIGIBILITY IS DETERMINED  BY  THE  APPROVED  ORGANIZATION  OR  THE
 HEALTH  INSURANCE  EXCHANGE MARKETPLACE, WHICHEVER IS APPLICABLE, ON THE
 BASIS OF PRELIMINARY INFORMATION, THE CHILD SHALL BE  ENROLLED  RETROAC-
 TIVELY  TO  THE  FIRST  DAY  OF  THE  MONTH IN WHICH THE APPLICATION WAS
 SUBMITTED. ALL OTHER  PROCEDURES  AND  STANDARDS  REGARDING  PRESUMPTIVE
 ENROLLMENT APPLICABLE TO ELIGIBLE CHILDREN ENROLLED UNDER THIS TITLE AND
 SPECIFIED  IN STATE CONTRACTS WITH APPROVED ORGANIZATIONS OR IMPLEMENTED
 BY THE HEALTH INSURANCE EXCHANGE MARKETPLACE, WHICHEVER  IS  APPLICABLE,
 SHALL APPLY TO PRESUMPTIVE ENROLLMENT OF CHILDREN.
   § 2. This act shall take effect immediately.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

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