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NY A10397
Bill
Status
3/3/2026
Primary Sponsor
Jennifer Lunsford
Click for details
AI Summary
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Eliminates the waiting period for children under 19 enrolling in New York's Child Health Insurance Plan (CHIP) by requiring retroactive enrollment to the first day of the month in which eligibility is determined
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Establishes presumptive eligibility for children once a completed and signed application is submitted, with formal enrollment backdated upon final eligibility determination
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Requires subsidy payments to approved organizations to cover health care services provided during any retroactive presumptive enrollment period
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Clarifies that medical care, services, or supplies provided during retroactive enrollment periods are considered services to an eligible person for claims submission purposes
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Introduced by Assembly Member Lunsford on March 3, 2026, and referred to the Committee on Health
Legislative Description
Eliminates the prospective enrollment waiting period for children under the age of nineteen enrolling in the child health insurance plan program by enrolling a child retroactively to the first day of the month in which they are approved for coverage under such program.
Last Action
referred to health
3/3/2026