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S06895 Summary:

BILL NOS06895A
 
SAME ASSAME AS A05367-A
 
SPONSORBAILEY
 
COSPNSRJACKSON
 
MLTSPNSR
 
Amd §§3216, 3221 & 4303, Ins L
 
Relates to cost sharing requirements for high deductible health plans and health savings accounts.
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S06895 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         6895--A
            Cal. No. 925
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                     March 26, 2025
                                       ___________
 
        Introduced  by  Sen.  BAILEY -- read twice and ordered printed, and when
          printed to be committed to the  Committee  on  Insurance  --  reported
          favorably  from  said  committee,  ordered to first and second report,
          ordered to a third reading, amended and ordered  reprinted,  retaining
          its place in the order of third reading

        AN ACT to amend the insurance law, in relation to high deductible health
          plans and health savings accounts
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Section 3216 of the insurance law is amended  by  adding  a
     2  new subsection (n) to read as follows:
     3    (n)  With  respect to high deductible health plans offered in conjunc-
     4  tion with a health reimbursement account or a health savings account, if
     5  application of any cost sharing  requirements  would  result  in  health
     6  savings  account ineligibility under section two hundred twenty-three of
     7  the internal revenue code, such cost sharing requirement shall apply for
     8  health savings  account-qualified  high  deductible  health  plans  with
     9  respect  to  the  deductible of such a plan, only after the enrollee has
    10  satisfied the minimum deductible under section two hundred  twenty-three
    11  of  the  internal revenue code, except with respect to items or services
    12  that are considered preventive care  pursuant  to  subparagraph  (C)  of
    13  paragraph two of subsection c of section two hundred twenty-three of the
    14  internal  revenue  code,  in which case the cost-sharing requirements of
    15  this section shall apply regardless of whether  the  minimum  deductible
    16  required  under section two hundred twenty-three of the internal revenue
    17  code has been satisfied.
    18    § 2. Section 3221 of the insurance law is  amended  by  adding  a  new
    19  subsection (v) to read as follows:
    20    (v)  With  respect to high deductible health plans offered in conjunc-
    21  tion with a health reimbursement account or a health savings account, if
    22  application of any cost sharing  requirements  would  result  in  health
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD07833-05-5

        S. 6895--A                          2
 
     1  savings  account ineligibility under section two hundred twenty-three of
     2  the internal revenue code, such cost sharing requirement shall apply for
     3  health savings  account-qualified  high  deductible  health  plans  with
     4  respect  to  the  deductible of such a plan, only after the enrollee has
     5  satisfied the minimum deductible under section two hundred  twenty-three
     6  of  the  internal revenue code, except with respect to items or services
     7  that are considered preventive care  pursuant  to  subparagraph  (C)  of
     8  paragraph two of subsection c of section two hundred twenty-three of the
     9  internal  revenue  code,  in which case the cost-sharing requirements of
    10  this section shall apply regardless of whether  the  minimum  deductible
    11  required  under section two hundred twenty-three of the internal revenue
    12  code has been satisfied.
    13    § 3. Section 4303 of the insurance law is  amended  by  adding  a  new
    14  subsection (ww) to read as follows:
    15    (ww)  With respect to high deductible health plans offered in conjunc-
    16  tion with a health reimbursement account or a health savings account, if
    17  application of any cost sharing  requirements  would  result  in  health
    18  savings  account ineligibility under section two hundred twenty-three of
    19  the internal revenue code, such cost sharing requirement shall apply for
    20  health savings  account-qualified  high  deductible  health  plans  with
    21  respect  to  the  deductible of such a plan, only after the enrollee has
    22  satisfied the minimum deductible under section two hundred  twenty-three
    23  of  the  internal revenue code, except with respect to items or services
    24  that are considered preventive care  pursuant  to  subparagraph  (C)  of
    25  paragraph two of subsection c of section two hundred twenty-three of the
    26  internal  revenue  code,  in which case the cost-sharing requirements of
    27  this section shall apply regardless of whether  the  minimum  deductible
    28  required  under section two hundred twenty-three of the internal revenue
    29  code has been satisfied.
    30    § 4. This act shall take effect immediately.
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