Bill Text: NY S04745 | 2015-2016 | General Assembly | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Relates to the date of enrollment in the child health insurance plan; establishes date of enrollment as the date of the child's birth, if the applicant for insurance applies prior to the child's birth or up to 60 days following the child's birth, or on the date the applicant for insurance applies for coverage if the application is made more than 60 days after the child's birth.

Spectrum: Partisan Bill (Republican 2-0)

Status: (Passed) 2015-12-22 - APPROVAL MEMO.31 [S04745 Detail]

Download: New_York-2015-S04745-Amended.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        4745--A
           Cal. No. 1282
                              2015-2016 Regular Sessions
                                   I N  S E N A T E
                                    April 15, 2015
                                      ___________
       Introduced  by  Sen.  FUNKE  -- read twice and ordered printed, and when
         printed to be committed to the Committee on Health -- reported favora-
         bly from said committee, ordered to first and second  report,  amended
         on  second  report, ordered to a third reading, and to be reprinted as
         amended, retaining its place in the order of third reading
       AN ACT to amend the public health  law,  in  relation  to  the  date  of
         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:
    1    Section 1. Subparagraph (i) of  paragraph  (g)  of  subdivision  2  of
    2  section  2511 of the public health law, as amended by section 29 of part
    3  A of chapter 58 of the laws of 2007, is amended to read as follows:
    4    (i) Notwithstanding any inconsistent provision of law to the  contrary
    5  and subject to the availability of federal financial participation under
    6  title  XIX  of the federal social security act, a child under the age of
    7  nineteen shall be presumed to  be  eligible  for  subsidy  payments  and
    8  temporarily enrolled for coverage under this title, once during a twelve
    9  month  period,  beginning  on  the  [first  day of the enrollment period
   10  following the date that an  approved  organization  determines,  on  the
   11  basis  of  preliminary  information, that a child's net household income
   12  does not exceed the income level specified in title  eleven  of  article
   13  five  of  the  social  services  law  for  children eligible for medical
   14  assistance based on such child's age] DATE OF THE CHILD'S BIRTH, IF  THE
   15  APPLICANT  FOR  INSURANCE APPLIED PRIOR TO THE CHILD'S BIRTH AN APPROVED
   16  ORGANIZATION DETERMINES, ON THE BASIS OF PRELIMINARY  INFORMATION,  THAT
   17  THE CHILD'S NET HOUSEHOLD INCOME DOES NOT EXCEED THE INCOME LEVEL SPECI-
   18  FIED  IN  TITLE  ELEVEN  OF  ARTICLE FIVE OF THE SOCIAL SERVICES LAW FOR
   19  CHILDREN ELIGIBLE FOR MEDICAL ASSISTANCE BASED ON SUCH CHILD'S  AGE,  OR
   20  ON  THE  DATE  THE  APPLICANT  FOR INSURANCE APPLIES FOR COVERAGE IF THE
   21  APPLICATION IS MADE AFTER THE CHILD'S BIRTH AND AN APPROVED ORGANIZATION
   22  DETERMINES, ON THE BASIS OF PRELIMINARY INFORMATION,  THAT  THE  CHILD'S
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD10056-04-5
       S. 4745--A                          2
    1  NET HOUSEHOLD INCOME DOES NOT EXCEED THE INCOME LEVEL SPECIFIED IN TITLE
    2  ELEVEN  OF ARTICLE FIVE OF THE SOCIAL SERVICES LAW FOR CHILDREN ELIGIBLE
    3  FOR MEDICAL ASSISTANCE BASED ON SUCH CHILD'S AGE.  The temporary enroll-
    4  ment  period shall continue until the earlier of the date an eligibility
    5  determination is made pursuant to this title or title eleven of  article
    6  five  of the social services law, or two months after the date temporary
    7  enrollment begins; provided however, a temporary enrollment  period  may
    8  be  extended  in the event an eligibility determination under this title
    9  or title eleven of article five of the social services law is  not  made
   10  within  such  two  month  period  through  no fault of the applicant for
   11  insurance for medical assistance. The  commissioner  shall  assure  that
   12  children  who are enrolled pursuant to this paragraph receive the appro-
   13  priate follow-up for a determination of eligibility for  benefits  under
   14  this  title  or  title eleven of article five of the social services law
   15  prior to the termination of the temporary enrollment period. The commis-
   16  sioner shall assure that children and their families are informed of all
   17  available enrollment sites in accordance with subdivision nine  of  this
   18  section.
   19    S  2.  This act shall take effect immediately, provided, however, that
   20  the amendments to paragraph (g) of subdivision 2 of section 2511 of  the
   21  public  health  law made by section one of this act shall not affect the
   22  expiration of such paragraph and shall be deemed to expire therewith.