Bill Text: NY A03394 | 2017-2018 | General Assembly | Introduced

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Bill Title: Provides that upon automatic enrollment of an individual by the department of financial services into a new health insurance plan that excludes coverage for reproductive health care services that were covered by the individual's previous policy, the new health insurance plan shall notify the individual of the differences in various reproductive health care coverage.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2018-01-03 - referred to insurance [A03394 Detail]

Download: New_York-2017-A03394-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          3394
                               2017-2018 Regular Sessions
                   IN ASSEMBLY
                                    January 27, 2017
                                       ___________
        Introduced  by M. of A. SIMOTAS -- read once and referred to the Commit-
          tee on Insurance
        AN ACT to amend the insurance law and the public health law, in relation
          to ensuring reproductive health care during auto enrollment
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1.  The insurance law is amended by adding a new section 3242
     2  to read as follows:
     3    § 3242. Ensuring reproductive health care during auto enrollment.  (a)
     4  Upon  the automatic enrollment of an individual by the department into a
     5  health insurance plan  provided  by  a  health  insurance  company  that
     6  excludes  coverage  for  reproductive  health  care  services  that were
     7  covered by the individual's previous health insurance plan,  the  health
     8  insurance  company  which  provides the plan in which the individual was
     9  automatically enrolled shall notify the individual  of  the  differences
    10  between each of the following:
    11    (1)  reproductive  health  care  coverage  they received through their
    12  previous plan;
    13    (2) reproductive health care coverage they  would  receive  under  the
    14  plan in which they were automatically enrolled; and
    15    (3)  the  requirements for reproductive health care coverage under the
    16  essential health benefits package.
    17    (b) For the calendar year two thousand seventeen,  an  individual  who
    18  was  automatically  enrolled  in  a  health insurance plan provided by a
    19  health insurance company that excludes coverage for reproductive  health
    20  care  services that were covered by their previous health insurance plan
    21  shall be notified by the health insurance  company  which  provides  the
    22  plan  in  which the individual was automatically enrolled of the differ-
    23  ences between each of the following:
    24    (1) reproductive health care  coverage  they  received  through  their
    25  previous plan;
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD04563-01-7
        A. 3394                             2
     1    (2)  reproductive  health  care  coverage they would receive under the
     2  plan in which they were automatically enrolled; and
     3    (3)  the  requirements for reproductive health care coverage under the
     4  essential health benefits package.
     5    (c) For individuals who were automatically enrolled in a health insur-
     6  ance plan during the calendar year two thousand seventeen prior  to  the
     7  effective  date  of this section, this information shall be delivered to
     8  them in writing no later than thirty days after the  effective  date  of
     9  this section; for individuals who are automatically enrolled in a health
    10  insurance  plan  after the effective date of this section, this informa-
    11  tion shall be delivered to them in writing no  later  than  thirty  days
    12  after automatic enrollment in the plan.
    13    § 2. The insurance law is amended by adding a new section 4329 to read
    14  as follows:
    15    § 4329. Ensuring reproductive health care during auto enrollment.  (a)
    16  Upon  the automatic enrollment of an individual by the department into a
    17  health insurance plan  provided  by  a  health  insurance  company  that
    18  excludes  coverage  for  reproductive  health  care  services  that were
    19  covered by the individual's previous health insurance plan,  the  health
    20  insurance  company  which  provides the plan in which the individual was
    21  automatically enrolled shall notify the individual  of  the  differences
    22  between each of the following:
    23    (1)  reproductive  health  care  coverage  they received through their
    24  previous plan;
    25    (2) reproductive health care coverage they  would  receive  under  the
    26  plan in which they were automatically enrolled; and
    27    (3)  the  requirements for reproductive health care coverage under the
    28  essential health benefits package.
    29    (b) For the calendar year two thousand seventeen,  an  individual  who
    30  was  automatically  enrolled  in  a  health insurance plan provided by a
    31  health insurance company that excludes coverage for reproductive  health
    32  care  services that were covered by their previous health insurance plan
    33  shall be notified by the health insurance  company  which  provides  the
    34  plan  in  which the individual was automatically enrolled of the differ-
    35  ences between each of the following:
    36    (1) reproductive health care  coverage  they  received  through  their
    37  previous plan;
    38    (2)  reproductive  health  care  coverage they would receive under the
    39  plan in which they were automatically enrolled; and
    40    (3) the requirements for reproductive health care coverage  under  the
    41  essential health benefits package.
    42    (c) For individuals who were automatically enrolled in a health insur-
    43  ance  plan  during the calendar year two thousand seventeen prior to the
    44  effective date of this section, this information shall be  delivered  to
    45  them  in  writing  no later than thirty days after the effective date of
    46  this section; for individuals who are automatically enrolled in a health
    47  insurance plan after the effective date of this section,  this  informa-
    48  tion  shall  be  delivered  to them in writing no later than thirty days
    49  after automatic enrollment in the plan.
    50    § 3. The public health law is amended by adding a new section 4415  to
    51  read as follows:
    52    §  4415.  Ensuring reproductive health care during auto enrollment. 1.
    53  Upon the automatic enrollment of an  individual  by  the  department  of
    54  financial  services  into  a  health insurance plan provided by a health
    55  maintenance organization that excludes coverage for reproductive  health
    56  care  services  that  were  covered  by the individual's previous health
        A. 3394                             3
     1  insurance plan, the health maintenance organization which  provides  the
     2  plan in which the individual was automatically enrolled shall notify the
     3  individual of the differences between each of the following:
     4    (a)  reproductive  health  care  coverage  they received through their
     5  previous plan;
     6    (b) reproductive health care coverage they  would  receive  under  the
     7  plan in which they were automatically enrolled; and
     8    (c)  the  requirements for reproductive health care coverage under the
     9  essential health benefits package.
    10    2. For the calendar year two thousand seventeen, an individual who was
    11  automatically enrolled in a health insurance plan provided by  a  health
    12  maintenance  organization that excludes coverage for reproductive health
    13  care services that were covered by their previous health insurance  plan
    14  shall  be notified by the health maintenance organization which provides
    15  the plan in which the  individual  was  automatically  enrolled  of  the
    16  differences between each of the following:
    17    (a)  reproductive  health  care  coverage  they received through their
    18  previous plan;
    19    (b) reproductive health care coverage they  would  receive  under  the
    20  plan in which they were automatically enrolled; and
    21    (c)  the  requirements for reproductive health care coverage under the
    22  essential health benefits package.
    23    3. For individuals who were automatically enrolled in a health  insur-
    24  ance  plan  during the calendar year two thousand seventeen prior to the
    25  effective date of this section, this information shall be  delivered  to
    26  them  in  writing  no later than thirty days after the effective date of
    27  this section; for individuals who are automatically enrolled in a health
    28  insurance plan after the effective date of this section,  this  informa-
    29  tion  shall  be  delivered  to them in writing no later than thirty days
    30  after automatic enrollment in the plan.
    31    § 4. This act shall take effect immediately.