New York A 6273: Establishes the New York state public health care option program; and establishes the New York state public health care option program fund

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A06273 Summary:

BILL NOA06273 

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SAME ASNo Same As

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SPONSORCarroll P

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COSPNSRGriffin

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MLTSPNSRSimon

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Add Art 2 Title 3-A §§245 - 245-d, Pub Health L; add §99-r, St Fin L

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Establishes the New York state public health care option program to provide a comprehensive and affordable health care insurance option for all residents of this state; establishes the New York state public health care option program fund.

Go to top A06273 Actions:

BILL NOA06273 

&nbsp

03/03/2025referred to health

01/07/2026referred to health

Go to topA06273 Committee&nbspVotes:

Go to topA06273 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topA06273 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 6273

 2025-2026 Regular Sessions

 IN ASSEMBLY

 March 3, 2025
 ___________

 Introduced by M. of A. P. CARROLL -- read once and referred to the
 Committee on Health

 AN ACT to amend the public health law, in relation to establishing the
 New York state public health care option program; and to amend the
 state finance law, in relation to establishing the New York state
 public health care option program fund

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. Article 2 of the public health law is amended by adding a
 2 new title 3-A to read as follows:
 3 TITLE III-A
 4 NEW YORK STATE PUBLIC HEALTH CARE OPTION PROGRAM
 5 Section 245. Definitions.
 6 245-a. Public option program established.
 7 245-b. Powers of the commissioner.
 8 245-c. Member costs; limitations.
 9 245-d. Board of trustees.
 10 § 245. Definitions. As used in this title the terms shall have the
 11 following meanings:
 12 1. "Board" means the board of trustees of the New York state public
 13 health care option program.
 14 2. "Cost sharing expense" means deductibles, co-insurance, co-pay-
 15 ments, or any other required similar expense incurred by a member. "Cost
 16 sharing expense" shall not include premiums or any expenses related to
 17 services or providers that are out of the program's network.
 18 3. "Health care provider" means any individual or entity authorized to
 19 provide medical and/or health care services to members of the program.
 20 4. "Health care service" means any health care service, including care
 21 coordination, included as a benefit under the program.
 22 5. "Member" means an individual who is enrolled in the program.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD09477-01-5

 A. 6273 2

 1 6. "New York state public health care option program", "public option
 2 program", and "program" mean the New York state public health care
 3 option program created by section two hundred forty-five-a of this
 4 title.
 5 7. "New York state public health care option program fund" means the
 6 New York state public health care option program fund established under
 7 section ninety-nine-r of the state finance law.
 8 8. "Participating provider" means any individual or entity that is a
 9 health care provider qualified and approved by the programs to provide
 10 health care services to members under the program, or a health care
 11 organization.
 12 § 245-a. Public option program established. The New York state public
 13 health care option program is hereby established. The commissioner shall
 14 establish and implement the program pursuant to this title. The program
 15 shall provide a comprehensive and affordable health care insurance
 16 option for all residents of this state who choose to enroll in the
 17 program. The commissioner shall ensure that coverage provided through
 18 the program is competitive in terms of affordability, benefits and
 19 access to quality health care providers. Every resident of the state
 20 shall be eligible and entitled to enroll as a member under the program.
 21 § 245-b. Powers of the commissioner. In carrying out the provisions of
 22 this title, the commissioner shall have the power and authority to:
 23 1. Establish premiums for which members are responsible and other
 24 charges for enrolling in or being a member under the program.
 25 2. Ensure that the program's plans shall be available for enr