Bill > A02681

This bill establishes a state-level health insurance mandate in New York that requires residents to maintain minimum essential coverage (MEC) or pay a tax penalty, similar to the federal Affordable Care Act's individual mandate that was effectively eliminated in 2019. Starting January 1, 2026, applicable individuals must have health insurance, and those who do not will be required to pay a shared responsibility tax penalty when filing their state income tax returns. The penalty amount will be calculated based on the statewide average premium for bronze-level plans offered through the NY State of Health marketplace, with several exemptions available, including for those with low household income, out-of-state residents, and individuals with religious or hardship exemptions. The collected penalty funds will be deposited into the NY State of Health fund, and the tax will not be enforced if federal premium tax credits become unavailable or if a comparable federal penalty is in place. The bill, known as the "health PACT (personal accountability for care and treatment) act," aims to ensure broader health insurance coverage in New York and provide financial support for the state's health insurance exchange.

Budget and Finance

https://www.nysenate.gov/legislation/bills/2025/A2681