Health Reform WK-EDGE Empire State sets bar sky-high to protect health care access
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Tuesday, June 13, 2017

Empire State sets bar sky-high to protect health care access

By Kelly J. Rooney, J.D., M.P.H.

Governor Andrew Cuomo (NY-D) proposed a "first-in-the-nation" set of measures to protect access to health care, essential health services, and coverage of certain drugs, devices and services without cost-sharing, while also prohibiting discrimination against New Yorkers with pre-existing conditions or based on age or gender. Cuomo took these "aggressive actions [so that] no matter what happens in Congress, the people of New York will not have to worry about losing access to the quality medical care they need and deserve."

Among the actions taken, the governor directed the New York State Department of Financial Services (DFS) to promulgate emergency regulations to safeguard the ten categories of protections guaranteed by the Affordable Care Act (ACA) (P.L. 111-148), which include maternity and newborn care, mental health and substance use disorder services, and preventive and wellness services and chronic disease management. The DFS will also mandate that insurers do not discriminate based on age, gender, or pre-existing conditions. Insurers will have to comply with the new regulations as a requirement of their New York license.

Cuomo also ordered the Department of Health to ban insurers who withdraw from the state health insurance exchange from future participation in any program that interacts with the marketplace (Medicaid, Child Health Plus, and the Essential Plan).

The administration finalized regulations to ensure that commercial health insurance policies cover contraceptive drugs and devices and medically necessary abortion services without co-pays, coinsurance, or deductibles.

IndustryNews: StateNews NewsFeed AccessNews CHIPNews ContraceptionCoverageNews CostSharingNews EmergencyServicesNews EssentialBenefitNews HealthInsuranceExchangeNews InsurerNews MedicaidNews PreventiveCareNews WellnessNews

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