Bill Text: NY S06421 | 2015-2016 | General Assembly | Amended

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Bill Title: Relates to retroactive enrollment in child health insurance plans.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Passed) 2016-04-08 - SIGNED CHAP.27 [S06421 Detail]

Download: New_York-2015-S06421-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                         6421--A
            Cal. No. 32
                    IN SENATE
                                     January 8, 2016
                                       ___________
        Introduced  by  Sen.  FUNKE  -- read twice and ordered printed, and when
          printed to be committed to the Committee on  Rules  --  ordered  to  a
          third  reading,  amended and ordered reprinted, 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. Subdivision 2 of section 2511 of the public health  law  is
     2  amended by adding a new paragraph (i) to read as follows:
     3    (i)  Notwithstanding  any inconsistent provision of law, rule or regu-
     4  lation:
     5    (i) A newborn child who meets the eligibility criteria  set  forth  in
     6  this  subdivision  or subdivision five of this section, as determined by
     7  an approved organization or the health insurance  exchange  marketplace,
     8  whichever  is  applicable,  shall be enrolled retroactively to the first
     9  day of the month in which the child is born, provided that the applicant
    10  for insurance submits a completed and signed  application  and  required
    11  information and documentation within sixty days of the child's birth.
    12    (ii)  A  newborn child shall be presumed eligible for subsidy payments
    13  under this subdivision or eligible for coverage under  subdivision  five
    14  of  this  section,  provided  that the applicant for insurance submits a
    15  completed and signed application within sixty days of the child's birth.
    16  Once eligibility is determined  by  the  approved  organization  or  the
    17  health  insurance  exchange marketplace, whichever is applicable, on the
    18  basis of preliminary information, the child shall be  enrolled  retroac-
    19  tively  to  the  first  day of the month in which the child is born. All
    20  other procedures and standards regarding presumptive enrollment applica-
    21  ble to eligible children enrolled under  this  title  and  specified  in
    22  state contracts with approved organizations or implemented by the health
    23  insurance  exchange marketplace, whichever is applicable, shall apply to
    24  presumptive enrollment of newborn children.
    25    § 2. Subparagraph (i) of paragraph (g) of  subdivision  2  of  section
    26  2511  of  the  public health law, as amended by a chapter of the laws of
    27  2015 amending the public health law, relating to the date of  enrollment
    28  in  the  child  health  insurance plan, as proposed in legislative bills
    29  numbers S.4745-B and A.7155-B, is amended to read as follows:
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10056-15-6