Bill > S03762

This bill amends the New York Social Services Law to expand health care coverage through the 1332 State Innovation Program, which allows states to create alternative health insurance models. The bill specifically extends coverage to individuals who are ineligible for the Basic Health Program due to immigration status, including those with household incomes up to 250% of the federal poverty line. Key provisions include establishing a continuous enrollment process, setting modest premium payments (up to $15 monthly for those near the income threshold), and eliminating cost-sharing for certain services like dental, vision, and support services for individuals with functional limitations. The bill requires the Commissioner of Health to work with an independent actuary to develop appropriate reimbursement methodologies, submit annual reports to the legislature, and prioritize enrollment for individuals with the lowest incomes and those with critical health needs. The program is subject to federal approval and aims to provide health care coverage to populations who might otherwise be uninsured, with a particular focus on supporting immigrants and low-income residents who do not qualify for existing health care programs.