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NY A05389
Bill
Status
2/25/2013
Primary Sponsor
Richard Gottfried
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AI Summary
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Establishes New York Health program as a universal single-payer health coverage system providing comprehensive health benefits to all state residents with no premiums, deductibles, co-payments, or co-insurance.
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Creates a Board of Trustees composed of ex officio members and 17 appointed trustees representing consumers, health care providers, hospitals, health care organizations, and labor to oversee program implementation and standards.
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Implements care coordination system requiring members to enroll with an approved care coordinator (individual practitioner, hospital, health organization, or other entity) to access covered health services.
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Finances the program through payroll assessments (similar to Medicare tax, graduated by income bracket with employers paying 80% and employees 20%) and non-payroll income assessments on upper-bracket taxable income, with all revenue deposited into the New York Health Trust Fund.
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Authorizes federal waivers for Medicaid, Medicare, Child Health Plus, and other programs to consolidate funding into New York Health; permits health care providers to collectively negotiate payment rates, payment methodologies, utilization review procedures, and other specified terms and conditions.
Legislative Description
Establishes the New York Health program, a comprehensive system of access to health insurance for New York state residents: provides for administrative structure of the plan; provides for powers and duties of the board of trustees, the scope of benefits, payment methodologies and care coordination; establishes the New York Health Trust Fund which would hold monies from a variety of sources to be used solely to finance the plan; enacts provisions relating to financing of New York Health, including a payroll assessment, similar to the Medicare tax; establishes a temporary commission on implementation of the plan; provides for collective negotiations by health care providers with New York Health.
Last Action
held for consideration in ways and means
6/17/2014