Bill Text: NY A03394 | 2017-2018 | General Assembly | Introduced
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
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. LBD04563-01-7A. 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 healthA. 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.