Fall, Lucas, Abinanti, Dinowitz, De Los Santos, Walker
MLTSPNSR
Add §9112, amd §§1109 & 9106, Ins L
Imposes a tax on out-of-state transfers, dividends, payments, and loans by certain accident and health insurance companies and health maintenance organizations to be deposited in the New York state agency trust fund, distressed provider assistance account.
NEW YORK STATE ASSEMBLY MEMORANDUM IN SUPPORT OF LEGISLATION submitted in accordance with Assembly Rule III, Sec 1(f)
BILL NUMBER: A9519
SPONSOR: Dilan TITLE OF BILL:
An act to amend the insurance law, in relation to imposing a tax on
out-of-state transfers, dividends, payments, and loans by certain acci-
dent and health insurance companies and health maintenance organizations
PURPOSE:
To amend the insurance law to tax out-of-state transfers of premium
dollars by publicly-traded accident and health insurance companies domi-
ciled in other states and to return such dollars to New York communities
through the Distressed Provider Assistance Account, which aids
distressed hospitals
SUMMARY OF PROVISIONS:
Section 1 of the bill adds a new section 9112 to the insurance law to
provide for a tax on accident and health insurance companies equal to
9.63% of any dividends or other funds derived from subscriber prepay-
ments or premiums received for the domestic insurer's commercial
programs in New York State that are then transferred, distributed, or
loaned to an entity in the domestic insurers' holding company system
that is domiciled outside of New York State, with some exceptions. Each
domestic insurer would be required to report to the Department of Finan-
cial Services all transfers, distributions, and loans in a form deter-
mined by the Superintendent. All revenues collected from the tax would
be deposited into the New York State Agency Trust Fund, Distressed
Provider Assistance Account.
Sections 2 and 3 of the bill amend sections 1109 and 9106 of the insur-
ance law to clarify that the provisions of this legislation apply also
to health maintenance organizations licensed under article 44 of the
public health law.
Section 4 establishes the effective date.
JUSTIFICATION:
The New York health insurance marketplace has become increasingly domi-
nated by publicly-traded health insurance companies domiciled outside of
New York State. These companies' parent corporations, including United
Healthcare, Aetna, and Anthem (operating in New York as Empire), have
made huge profits both before and during the COVID-19 pandemic-before
the pandemic by routinely denying payments to doctors and hospitals for
care provided to their enrollees, and then during the pandemic because
so many New Yorkers deferred health care visits and procedures while
continuing to pay premiums The primary concern of these companies is to
provide a return for their shareholders, which is why they engage in
practices to increase their profits-by denying payments And transferring
funds to their parent companies in Indianapolis (Anthem), Minnetonka
(UnitedHealthcare), and Hartford (Aetna).
This bill would keep a portion of these transferred premium dollars paid
by New Yorkers and their employers in New York State by taxing transfers
out of state by 9.63%. These dollars would be returned to underserved
communities by depositing any revenue collected into the State's
Distressed Provider Assistance Account, which is set aside for invest-
ments in financially distressed hospitals. In this way, more of New
Yorkers' premium dollars would remain in New York State and strengthen
health care in low-income communities, rather than transferred to other
states to increase insurers' profits.
LEGISLATIVE HISTORY:
New Bill
FISCAL IMPLICATIONS:
This proposal has the potential to provide additional revenue to New
York State.
EFFECTIVE DATE:
This act shall take effect immediately, except that if this act shall
have become a law on or after April 1, 2022 this act shall take effect
immediately and shall be deemed to have been in full force and effect on
and after April 1, 2022.
STATE OF NEW YORK
________________________________________________________________________
9519
IN ASSEMBLY
March 16, 2022
___________
Introduced by M. of A. DILAN -- read once and referred to the Committee
on Insurance
AN ACT to amend the insurance law, in relation to imposing a tax on
out-of-state transfers, dividends, payments, and loans by certain
accident and health insurance companies and health maintenance organ-
izations
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The insurance law is amended by adding a new section 9112
2 to read as follows:
3 § 9112. Tax on out-of-state transfers, dividends, payments, and loans
4 by accident and health insurance companies licensed under article
5 forty-two of this chapter and health maintenance organizations. (a) As
6 used in this section the following terms shall have the following mean-
7 ings:
8 (1) "Domestic insurer" means an insurer that is an accident and health
9 insurance company licensed under article forty-two of this chapter or an
10 organization complying with the provisions of article forty-four of the
11 public health law.
12 (2) "Commercial program" means any program of health insurance other
13 than (i) programs for individuals covered by article five of the social
14 services law, article twenty-five of the public health law, titles
15 XVIII, XIX, and XXI of the federal social security act, or chapter 89 of
16 title 5 of the United States code or (ii) programs of insurance avail-
17 able on the health benefit exchange established by section two hundred
18 sixty-eight of the public health law.
19 (b) Effective on and after April first, two thousand twenty-two, there
20 shall be paid by every domestic insurer to the superintendent, on or
21 before the first day of March, a tax equal to nine and sixty-three one
22 hundredths percent of any dividends, ordinary, extraordinary, or other-
23 wise, or other funds deriving from subscriber prepayments or premiums
24 received for the domestic insurer's commercial programs that are paid,
25 transferred, distributed, or loaned to an entity in such domestic insur-
26 er's holding company system that is domiciled in any other state;
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD14391-03-2
A. 9519 2
1 provided, however, that payments for services performed, including
2 pursuant to reinsurance treaties or agreements, or agreements for the
3 rendering of services on a regular or systematic basis, shall not be
4 subject to such tax. Such tax shall be in addition to any tax due under
5 article thirty-three of the tax law and shall apply only to a payment,
6 transfer, distribution, or loan made to an entity domiciled out-of-state
7 within the domestic insurer's holding company system, and not also to
8 subsequent dividends or distributions to shareholders or other persons
9 or entities made after the initial payment, transfer, distribution, or
10 loan that is taxed in accordance with this section.
11 (c) Each domestic insurer shall report all payments, transfers,
12 distributions and loans subject to subsection (b) of this section, and
13 taxes paid thereon, to the superintendent in the manner and form
14 prescribed by the superintendent.
15 (d) All taxes collected or received under this section shall be depos-
16 ited into the New York state agency trust fund, distressed provider
17 assistance account.
18 § 2. Subsection (a) of section 1109 of the insurance law, as amended
19 by section 1 of part A of chapter 78 of the laws of 2014, is amended to
20 read as follows:
21 (a) An organization complying with the provisions of article forty-
22 four of the public health law may operate without being licensed under
23 this chapter and without being subject to any provisions of this chap-
24 ter, except: (1) to the extent that such organization must comply with
25 the provisions of this chapter by virtue of such article, and (2) the
26 provisions of sections three hundred eight, one thousand three hundred
27 one, one thousand three hundred two, one thousand three hundred seven,
28 one thousand three hundred twenty-two, nine thousand one hundred six and
29 nine thousand one hundred twelve, with regard to health maintenance
30 organizations that are domiciled in this state and certified or operat-
31 ing in at least one other state, two thousand one hundred three, two
32 thousand one hundred twelve, two thousand one hundred fourteen, two
33 thousand one hundred fifteen, two thousand one hundred seventeen, two
34 thousand one hundred twenty-three, two thousand six hundred eight-a, two
35 thousand six hundred twelve, three thousand two hundred twenty-four-a,
36 four thousand three hundred eight, four thousand three hundred seven-
37 teen, four thousand three hundred eighteen, four thousand three hundred
38 twenty, four thousand three hundred twenty-one, four thousand three
39 hundred twenty-two and four thousand three hundred twenty-three of this
40 chapter.
41 § 3. Subsection (d) of section 9106 of the insurance law is amended to
42 read as follows:
43 (d) any corporation otherwise subject to the provisions of this arti-
44 cle which as a health maintenance organization offers a comprehensive
45 health services plan pursuant to the provisions of article forty-four of
46 the public health law to subscribers. Such exemption shall be limited to
47 that income derived from subscriber prepayments to such plan. Notwith-
48 standing the foregoing, section nine thousand one hundred twelve of this
49 article shall apply to all domestic insurers within the meaning of that
50 section.
51 § 4. This act shall take effect immediately, except that if this act
52 shall have become a law on or after April 1, 2022 this act shall take
53 effect immediately and shall be deemed to have been in full force and
54 effect on and after April 1, 2022.
