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NY S08503
Bill
Status
10/22/2010
Primary Sponsor
Thomas Duane
Click for details
AI Summary
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Establishes the New York Health Plan as a universal health coverage program administered by a Board of Governors, providing comprehensive health benefits to all state residents with no cost-sharing (deductibles, copayments, or coinsurance)
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Creates a New York Health Trust Fund financed by employer and employee premium payments (10% of payroll), federal Medicare and Medicaid funds redirected to the state, and existing government health spending, with all revenues dedicated solely to plan operations
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Implements cost controls through global budgets for institutional providers, fee-for-service payments for individual practitioners, and establishment of clinical practice guidelines, quality assurance measures, and utilization review procedures
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Establishes a temporary implementation commission to recommend statutory changes needed to conform state law to the plan and appropriates $500,000 for its operations; requires the superintendent of insurance to examine insurance premium rates and identify health care expenditures attributable to plan implementation
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Plan takes effect January 1 following enactment, with premium payments and benefits beginning January 1 of the following year; covered services include hospital care, professional services, mental health treatment, prescription drugs, dental services, and hospice care, excluding cosmetic procedures and custodial nursing care
Legislative Description
Enacts the New York State Health Plan, a comprehensive system of access to health insurance for New York state residents: provides for administrative structure of the plan, including its status as a public benefit corporation; provides for powers and duties of the governing board, the scope of benefits, payment mechanisms and cost controls; establishes the New York Health Trust Fund which would hold monies from a variety of sources to be used solely to finance the plan; establishes a mechanism to collect plan premium payments; establishes a temporary commission on implementation of the plan and makes a $500,000 appropriation therefor; and directs the superintendent of insurance to examine the premium rate structure for insurance underwritten in the state and to identify that portion of premiums which are attributable to health care expenditures due to implementation of the plan.
Last Action
REFERRED TO FINANCE
10/22/2010