New York 2025-2026 Regular Session

New York Senate Bill S08157

Introduced
5/15/25  
Refer
5/15/25  

Caption

Enacts the "NYS health care tax reform act"; establishes a public goods and medicaid subsidy surcharge on insurance corporations; establishes a public goods and medicaid subsidy surcharge on business corporations; establishes a public goods and medicaid subsidy surcharge on pass-through entities; relates to filing fee surcharges; relates to revenues to be included in the health care reform act resources fund; establishes a public goods and medicaid surcharge on misclassified workers.

Impact

The act introduces a set of new financial obligations for insurance companies and business corporations in the form of surcharges based on their liabilities from direct premiums. These new rates, starting at 36.2%, increase progressively over time, thereby enhancing the state's revenue to support subsidized health services. One of the bill's intents is to lower barriers faced by employees who receive employer-provided health benefits, making healthcare more accessible. However, it also raises concerns regarding the financial burden on businesses, especially small entities which might struggle to cope with the rising tax obligations.

Summary

S08157, also known as the NYS Health Care Tax Reform Act, seeks to address the funding structure for healthcare in New York State through various surcharges on insurance corporations and other business entities. Its passage proposes significant amendments to existing tax laws to replace some of the current healthcare-related taxes with new surcharges intended to stabilize the state’s Medicaid funding. By restructuring these taxes, the bill aims to make healthcare coverage more affordable for New York residents and ensure that public health services continue to be funded adequately.

Contention

Notably, the bill faces scrutiny regarding its potential to disproportionately impact small businesses and insurance providers. Critics argue that this reform may lead to increased costs that could be passed onto consumers, ultimately undermining the intended goal of making insurance more affordable. Additionally, the complexity of the new tax structure and the gradual increase in surcharge rates raises questions about its fairness and equity in the business landscape. Opponents may point to the severe penalties for non-compliance and the effectiveness of these measures in achieving a genuinely progressive healthcare model.

Companion Bills

NY A08642

Same As Enacts the "NYS health care tax reform act"; establishes a public goods and medicaid subsidy surcharge on insurance corporations; establishes a public goods and medicaid subsidy surcharge on business corporations; establishes a public goods and medicaid subsidy surcharge on pass-through entities; relates to filing fee surcharges; relates to revenues to be included in the health care reform act resources fund; establishes a public goods and medicaid surcharge on misclassified workers.

Previously Filed As

NY A08642

Enacts the "NYS health care tax reform act"; establishes a public goods and medicaid subsidy surcharge on insurance corporations; establishes a public goods and medicaid subsidy surcharge on business corporations; establishes a public goods and medicaid subsidy surcharge on pass-through entities; relates to filing fee surcharges; relates to revenues to be included in the health care reform act resources fund; establishes a public goods and medicaid surcharge on misclassified workers.

NY A10361

Relates to the department of public service; limits increases in the amount of surcharges; establishes a one year moratorium on the collection of energy surcharges; establishes a moratorium on new surcharge assessments, taxes or fees.

NY H1201

Relative to insurance surcharges

NY HB4942

WORK COMP-SURCHARGES & FEES

NY H1197

Relative to insurance point surcharges

NY S3225

Prohibits public utilities from assessing surcharges and certain fees.

NY HF3430

Surcharges for all-electric vehicles and plug-in hybrid electric vehicles modified, and vehicle weight surcharge established.

NY H1219

Relative to surcharges on motor vehicle insurance premiums

NY HB06057

An Act Concerning Credit Card Fees And Surcharges.

NY H4159

Relative to cardholder surcharges

Similar Bills

No similar bills found.