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A09258 Summary:

BILL NOA09258
 
SAME ASSAME AS S03530
 
SPONSORDiPietro
 
COSPNSR
 
MLTSPNSR
 
Add §25-a, Veterans' Services L
 
Establishes a veterans' dental insurance program through the department of civil service; appropriates funds.
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A09258 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          9258
 
                               2025-2026 Regular Sessions
 
                   IN ASSEMBLY
 
                                    November 21, 2025
                                       ___________
 
        Introduced by M. of A. DiPIETRO -- read once and referred to the Commit-
          tee on Veterans' Affairs
 
        AN  ACT to amend the veterans' services law, in relation to establishing
          a veterans' dental insurance coverage program; and making an appropri-
          ation therefor
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  The  veterans'  services  law  is amended by adding a new
     2  section 25-a to read as follows:
     3    § 25-a. Veterans' dental insurance coverage program.  1.  The  commis-
     4  sioner shall establish a veterans' dental insurance coverage program, in
     5  consultation  with  the  commissioner of civil service, within the state
     6  employee dental insurance plan. Such program shall provide comprehensive
     7  and routine dental care services to New York state resident veterans  as
     8  such term is defined in this article.
     9    2.  Eligibility  under this section shall not be granted to any person
    10  who at the time an application is made is receiving equivalent or better
    11  coverage from any other public or private third party payment source  or
    12  insurance plan than those benefits provided for under this section.
    13    3.  The  commissioner  shall  establish a sliding scale for copayments
    14  which shall be based on income and  disability  level  of  the  veteran.
    15  Veterans with a disability rating of between ten and fifty percent shall
    16  be  subject to copayment amounts as set by the director based on income.
    17  Veterans with a disability rating of fifty percent or higher  shall  not
    18  be subject to copayments for treatment or services under this program.
    19    4. Program regulations shall:
    20    (a)  provide for a process of determining and re-determining eligibil-
    21  ity  for  participation  in  this  program  including   provisions   for
    22  submission  of  proof  of  veteran status, residency, income, disability
    23  rating and information on  existing  complete  or  partial  coverage  of
    24  dental expenses under a third party assistance or insurance plan;
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD07059-01-5

        A. 9258                             2
 
     1    (b) provide for a fair hearing process for individuals and participat-
     2  ing dentists to appeal determinations or actions of the contractors; and
     3    (c)  establish  procedures for the state to recover the value of bene-
     4  fits or payments made under this section, if any,  that  were  based  on
     5  applications  or  claims submitted in violation of any provision of this
     6  section.
     7    § 2. The sum of five million dollars ($5,000,000), or so much  thereof
     8  as  may  be necessary, is hereby appropriated to the department of civil
     9  service out of any moneys in the state treasury in the general  fund  to
    10  the  credit of the local assistance account, not otherwise appropriated,
    11  and made immediately available, for the  purpose  of  carrying  out  the
    12  provisions  of  this  act. Such moneys shall be payable on the audit and
    13  warrant of the comptroller on vouchers  certified  or  approved  by  the
    14  president of the department of civil service in the manner prescribed by
    15  law.
    16    § 3. This act shall take effect on the one hundred eightieth day after
    17  it shall have become a law.  Effective immediately, the addition, amend-
    18  ment and/or repeal of any rule or regulation necessary for the implemen-
    19  tation  of  this act on its effective date are authorized to be made and
    20  completed on or before such effective date.
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