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States Moving Toward Comprehensive Health Care Reform

New York

Status of reform effort: The Partnership for Coverage contracted with the Urban Institute to model four health reform proposals that are expected to be presented during the Spring of 2009.  On May 15, 2009, Governor Paterson announced health reform legislation that builds on health care provisions in the 2009-2010 budget.

 

In July 2007, then Governor Eliot Spitzer (D) directed the Health Commissioner and the Insurance Superintendent to initiate the “Partnership For Coverage” to develop a comprehensive plan for universal health care in New York.  The group was charged with studying the obstacles to health care in the current system and to develop, evaluate, and recommend a universal health care plan.  The Health Commissioner and the Insurance Superintendent solicited proposals and held public hearings throughout the state to receive feedback from the public, stakeholders, academic experts, and legislative representatives.  New York contracted with the Urban institute to model four health reform proposals that are expected to be presented during the Spring of 2009.

 

In addition, in June 2007, then Governor Spitzer signed S06344, which allows employers to buy into Family Health Plus.  Previously, only parents with incomes below 150 percent of the federal poverty level and childless adults with incomes below 100 percent of the federal poverty level could qualify for Family Health Plus.  Employers are required to pay at least 70 percent of the premiums for their employees and the state will pay the remainder of the cost.

 

On April 23, 2008, Governor Paterson (D) signed legislation that expands the Child Health Plus program to 400 percent of the federal poverty level.  New York also allows children with family incomes above 400 percent of the federal poverty level to buy-in to the program at full cost.  Implementation began on September 1, 2008. 

 

The 2009-2010 enacted budget includes provisions to simplify the public coverage enrollment process and authorizes the Department of Health to apply for a federal waiver for funding to expand Family Health Plus coverage to all adults with incomes below 200 percent FPL.  In March 2009, New York submitted a request for a three-year extension of their Medicaid waiver to continue and expand public coverage.  Building on health reform provisions in the budget, in May 2009, Governor Patterson introduced health reform legislation.  The legislation includes the following components:

 

  • Expands COBRA coverage from 18 months to 36 months for people who lose their job;
  • Extends the age that dependent children can remain on their parent's health insurance to 29;
  • Requires the approval of health insurance rates by the Superintendent of Insurance.*

 
*  S. 06344.  2007 Legislative Session.  For bill text see:  http://assembly.state.ny.us/leg/?bn=S06344&sh=t.

Updated as of 5/19/09

 

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