New York Senate Bill S03607 Latest Draft

   
  STATE OF NEW YORK ________________________________________________________________________ 3607 2025-2026 Regular Sessions  IN SENATE January 28, 2025 ___________ Introduced by Sens. HARCKHAM, ADDABBO, ASHBY, BORRELLO, BROUK, CANZONER- I-FITZPATRICK, CLEARE, COMRIE, COONEY, FERNANDEZ, GALLIVAN, GONZALEZ, HELMING, HINCHEY, HOYLMAN-SIGAL, JACKSON, KRUEGER, LANZA, LIU, MARTI- NEZ, MARTINS, MATTERA, MAY, MAYER, MURRAY, OBERACKER, PALUMBO, PARKER, RHOADS, RIVERA, ROLISON, S. RYAN, SALAZAR, SCARCELLA-SPANTON, SEPULVE- DA, SERRANO, SKOUFIS, STAVISKY, STEC, TEDISCO, WEBB, WEBER, WEIK -- read twice and ordered printed, and when printed to be committed to the Committee on Civil Service and Pensions AN ACT in relation to protecting the health insurance benefits of reti- rees of public employers and contributions of retirees of Medicare-el- igible public employers The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. This act shall be known as the "Health Equity for Retirees 2 Act" or "(HERA)". 3 § 2. 1. On and after the effective date of this act, a public employer 4 shall not diminish the health insurance benefits provided to retirees 5 and their Medicare-eligible dependents or the contributions such employ- 6 er makes for such health insurance coverage below the level of such 7 benefits or contributions made on behalf of such retirees and their 8 dependents by such public employer as of December 31, 2021. Nothing in 9 this subdivision shall be construed to impair the ability of any employ- 10 ee organization to negotiate the terms and conditions of employment for 11 their employee members. 12 2. For the purposes of this act: 13 (a) "diminish" shall mean any change in health care offered that could 14 potentially make it harder for retirees residing anywhere within the 15 United States, including its territories and possessions, to access 16 their health care than before such change was made. These changes shall 17 include, but are not limited to, increasing the cost of such health care 18 (including with respect to premiums, deductibles, coinsurance, and EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD07760-02-5 
 S. 3607 2 1 copayments), reducing contributions made by a public employer, forcing 2 retirees into Medicare Advantage Plans, forcing them to use health care 3 providers only from pre-designated panels, or forcing them to wait for 4 pre-authorization for medical procedures that are recommended by their 5 health care providers; 6 (b) "health care benefits" shall mean any and all aspects of health 7 care coverage offered to retirees and their Medicare-eligible dependents 8 by public employers, including, but not limited to: (i) costs: this 9 includes the amount of money (on either an absolute or proportional 10 basis) retirees and their Medicare-eligible dependents are charged for 11 premiums, deductibles, coinsurance, and copayments associated with any 12 health care coverage; (ii) coverage: this encompasses the specific 13 services and benefits covered by the health care plan, including inpa- 14 tient and outpatient care, preventative services, prescription drugs, 15 mental health and substance abuse treatment, and vision and dental care; 16 and (iii) provider choice: this includes the ability of retirees and 17 their Medicare-eligible dependents to access any health care provider 18 who accepts Medicare or participates in the offered plan's network, 19 without restriction; 20 (c) "public employer" shall mean the following: (i) the state or a 21 civil division thereof; (ii) a county, city, town or village; (iii) a 22 school district, board of cooperative educational services, vocational 23 education and extension board or a school district as enumerated in 24 section 1 of chapter 566 of the laws of 1967, as amended; (iv) any 25 governmental entity operating a college or university; (v) a public 26 improvement or special district including police or fire districts; (vi) 27 a public authority, commission or public benefit corporation; or (vii) 28 any other public corporation, agency, instrumentality or unit of govern- 29 ment which exercises governmental power under the laws of this state; 30 and 31 (d) "retiree" shall mean a Medicare-eligible retiree of a public 32 employer. 33 § 3. This act shall take effect immediately and shall be deemed to 34 have been in full force and effect on and after December 31, 2021.