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.
Impact
The implementation of A10397 is expected to significantly affect child coverage under health insurance programs by ensuring that qualifying children are not left without coverage, even for short periods. The retroactive enrollment provision could potentially alleviate the burden on families who might otherwise face gaps in coverage at critical times. Additionally, the amendment would result in state-funded subsidy payments covering the full cost of insurance premiums for eligible children, effectively reducing economic disparities in health access for children across New York State.
Summary
Bill A10397 aims to amend the public health law in New York to eliminate the prospective enrollment waiting period for children under the age of nineteen enrolling in the child health insurance plan program. This bill will allow eligible children to be enrolled retroactively, starting from the first day of the month in which they are deemed eligible for coverage, provided that proper application documentation is submitted. Therefore, it seeks to enhance access to health insurance for children by streamlining the enrollment process.
Contention
As with many legislative proposals, A10397 may face contention during discussions. Supporters may argue that allowing retroactive enrollment is a necessary step towards ensuring all children have access to essential health care services without delay. However, potential opponents might raise concerns regarding the financial implications of expanded subsidy payments on state budgets. Furthermore, there could be debates about the administrative feasibility of implementing such retroactive measures and ensuring they are handled effectively by health insurance organizations.
Same As
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.
Permits coverage under Child Health Plus to take effect retroactively to the first day of the month in which the application was submitted for children who meet the eligibility criteria, provided that the applicant for insurance submits a completed and signed application and required information and documentation within sixty days of the child's birth.
Expands coverage for the treatment of asthma to include a second rescue and maintenance inhaler, along with any medically necessary devices for children under nineteen years of age.
Expands coverage for the treatment of asthma to include a second rescue and maintenance inhaler, along with any medically necessary devices for children under nineteen years of age.
Enacts "Isabella's law" to require all health insurance policies and medical assistance to provide insurance coverage for the cost of medically necessary hearing aids for children under the age of 16.
Prohibits approved organizations providing coverage under the child health insurance plan from discriminating against health care providers which do not participate in the organization's health care network.
Payment rates established for certain substance use disorder treatment services, and vendor eligibility recodified for payments from the behavioral health fund.