Bill Text: NY S06429 | 2015-2016 | General Assembly | Amended

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Bill Title: Relates to enrollment periods for pregnant women in health maintenance organizations.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Passed) 2016-03-11 - SIGNED CHAP.11 [S06429 Detail]

Download: New_York-2015-S06429-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                         6429--A
            Cal. No. 40
                    IN SENATE
                                     January 8, 2016
                                       ___________
        Introduced  by  Sen.  SEWARD -- 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 insurance law and a chapter  of  the  laws  of  2015
          amending  the  insurance  law  and  the  public health law relating to
          permitting pregnant women to enroll  in  the  state  health  insurance
          exchange at any time, as proposed in legislative bills numbers S. 5972
          and A. 6780-B, in relation to enrollment periods for pregnant women in
          health  maintainers organizations; and to repeal certain provisions of
          the insurance law and the public health law relating thereto
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1.  Subsection (d) of section 3217-c of the insurance law, as
     2  added by a chapter of the laws of 2015 amending the  insurance  law  and
     3  the public health law relating to permitting pregnant women to enroll in
     4  the state health insurance exchange at any time, as proposed in legisla-
     5  tive bills numbers S. 5972 and A. 6780-B, is REPEALED.
     6    §  2.  Paragraph  4 of subsection (b) of section 4328 of the insurance
     7  law, as added by section 46 of part D of chapter 56 of the laws of 2013,
     8  is amended to read as follows:
     9    (4)(A) The individual enrollee direct payment contract offered  pursu-
    10  ant  to  this  section shall have the same enrollment periods, including
    11  special enrollment periods, as required for an individual direct payment
    12  contract offered within the health benefit exchange established pursuant
    13  to section 1311 of the affordable care act, 42 U.S.C. §  18031,  or  any
    14  regulations promulgated thereunder.
    15    (B) In addition to the enrollment periods required in subparagraph (A)
    16  of  this  paragraph,  an  individual  enrollee  direct  payment contract
    17  offered pursuant to this section shall allow for  the  enrollment  of  a
    18  pregnant  individual.  Such  individual  may  enroll at any time after a
    19  health care professional licensed pursuant to title eight of the  educa-
    20  tion  law  and  acting within the scope of his or her practice certifies
    21  that the individual is pregnant.  Upon  enrollment,  coverage  shall  be
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09939-20-6