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

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

---

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-Introduced.html

---

                STATE OF NEW YORK
        ________________________________________________________________________
                                          6429
                    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
        AN ACT to amend the insurance law and chapter 581 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, in relation to enrollment periods for pregnant
          women in health  maintenance  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 is
     2  REPEALED.
     3    § 2. Paragraph 4 of subsection (b) of section 4328  of  the  insurance
     4  law, as added by section 46 of part D of chapter 56 of the laws of 2013,
     5  is amended to read as follows:
     6    (4)(A)  The individual enrollee direct payment contract offered pursu-
     7  ant to this section shall have the same  enrollment  periods,  including
     8  special enrollment periods, as required for an individual direct payment
     9  contract offered within the health benefit exchange established pursuant
    10  to  section  1311  of the affordable care act, 42 U.S.C. § 18031, or any
    11  regulations promulgated thereunder.
    12    (B) In addition to the enrollment periods required in subparagraph (A)
    13  of this  paragraph,  an  individual  enrollee  direct  payment  contract
    14  offered  pursuant  to  this  section shall allow for the enrollment of a
    15  pregnant individual. Such individual may enroll  at  any  time  after  a
    16  health  care professional licensed pursuant to title eight of the educa-
    17  tion law and acting within the scope of his or  her  practice  certifies
    18  that  the  individual  is  pregnant.  Upon enrollment, coverage shall be
    19  effective as of the first day of the month  in  which  the  health  care
    20  professional certifies that the individual is pregnant, unless the indi-
    21  vidual  elects  to have coverage effective on the first day of the month
    22  following the date that the individual  received  certification  of  the
    23  pregnancy.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09939-15-6