Relates to the date of enrollment in the child health insurance plan program; repealer
Impact
The implementation of A10397 is expected to significantly affect child coverage under health insurance programs by ensuring that qualifying children are not left without coverage, even for short periods. The retroactive enrollment provision could potentially alleviate the burden on families who might otherwise face gaps in coverage at critical times. Additionally, the amendment would result in state-funded subsidy payments covering the full cost of insurance premiums for eligible children, effectively reducing economic disparities in health access for children across New York State.
Summary
Bill A10397 aims to amend the public health law in New York to eliminate the prospective enrollment waiting period for children under the age of nineteen enrolling in the child health insurance plan program. This bill will allow eligible children to be enrolled retroactively, starting from the first day of the month in which they are deemed eligible for coverage, provided that proper application documentation is submitted. Therefore, it seeks to enhance access to health insurance for children by streamlining the enrollment process.
Contention
As with many legislative proposals, A10397 may face contention during discussions. Supporters may argue that allowing retroactive enrollment is a necessary step towards ensuring all children have access to essential health care services without delay. However, potential opponents might raise concerns regarding the financial implications of expanded subsidy payments on state budgets. Furthermore, there could be debates about the administrative feasibility of implementing such retroactive measures and ensuring they are handled effectively by health insurance organizations.
Same As
Eliminates the prospective enrollment waiting period for children under the age of nineteen enrolling in the child health insurance plan program by enrolling a child retroactively to the first day of the month in which they are approved for coverage under such program.
Eliminates the prospective enrollment waiting period for children under the age of nineteen enrolling in the child health insurance plan program by enrolling a child retroactively to the first day of the month in which they are approved for coverage under such program.
Allows for a new special open enrollment period to choose a new health insurance plan for consumers in certain instances to allow for continuity of care with an existing health care provider.
Allows for a new special open enrollment period to choose a new health insurance plan for consumers in certain instances to allow for continuity of care with an existing health care provider.
Authorizes municipalities and districts to enter into cooperative agreements for the provision of centralized public employee administrative and personnel services; provides for health insurance coverage of municipal employees pursuant to standardized health insurance contracts; authorizes the provision of reduced premiums for municipal health insurance plans which offer wellness programs.
Provides for enrollment of eligible incarcerated persons in the medical assistance for needy persons program; provides for enrollment of incarcerated individuals in other medical assistance programs, where eligible.
Provides for enrollment of eligible incarcerated persons in the medical assistance for needy persons program; provides for enrollment of incarcerated individuals in other medical assistance programs, where eligible.
Payment rates established for certain substance use disorder treatment services, and vendor eligibility recodified for payments from the behavioral health fund.
Cover Outstanding Vulnerable Expansion-eligible Residents Now Act or the COVER Now Act This bill establishes a demonstration program to allow local governments to provide health benefits to the Medicaid expansion population in states that have not expanded Medicaid. Under the program, local governments may provide coverage for individuals who are newly eligible for Medicaid under the Patient Protection and Affordable Care Act (i.e., the Medicaid expansion population) for a maximum of 10 years, or until their respective states expand Medicaid. The bill provides a 100% federal matching rate for the first three years of program participation. The bill prohibits states from taking certain actions against participating localities, such as withholding funding, increasing taxes, or restricting provider participation. States that violate these requirements are subject to certain funding penalties.