2013 New York Consolidated Laws
PBH - Public Health
Article 27-G - (2795) CYSTIC FIBROSIS HEALTH CARE PROGRAM
2795 - Cystic fibrosis; health care for adults over twenty-one years old.

 
    §  2795. Cystic fibrosis; health care for adults over twenty-one years
  old.  1. The commissioner shall establish a  program  to  reimburse  the
  cost   of   providing  health  care  or  health  insurance  to  eligible
  individuals who have cystic fibrosis.
    2. To be a fully eligible individual for  whom  health  care  will  be
  provided under this section, such individual:
    (a) shall be at least twenty-one years old;
    (b) shall have been diagnosed as having cystic fibrosis;
    (c) shall have resided in the state for a minimum of twelve continuous
  months immediately prior to application for services under this section;
    (d)  shall  not  be  eligible  for medical benefits under any group or
  individual health insurance policy; and
    (e) shall not be eligible for medical  assistance  pursuant  to  title
  eleven  of  article five of the social services law solely due to earned
  income.
    3. To be a partially eligible individual for whom health care will  be
  provided under this section, such individual shall meet all the criteria
  of  a  fully  eligible  individual  except  that  a  partially  eligible
  individual shall be an individual who is eligible for  medical  benefits
  under any group or individual health insurance policy but which does not
  cover  all  services  necessary  for  the  care  and treatment of cystic
  fibrosis.
    4. The commissioner shall require each fully eligible individual, upon
  determination of eligibility, to make application to  a  private  health
  insurance  provider  as prescribed by the commissioner for an individual
  health insurance policy.  If  and  when  such  policy  is  granted,  the
  commissioner shall approve payment for the associated premium.
    5. The commissioner shall authorize payment for service related to the
  care  and treatment of cystic fibrosis not otherwise covered by a health
  insurance policy. Providers of such services shall be reimbursed at  the
  same  rate  and  claims  for payment shall be made as if such individual
  were eligible for benefits pursuant to title eleven of article  five  of
  the social services law.
    6.  All  eligible  individuals  shall  be required to contribute seven
  percent of their net annual income toward the cost of  care  and/or  the
  cost of the annual health insurance premium.
    7.  The  commissioner  shall, in consultation with the commissioner of
  social services, promulgate rules and regulations necessary to implement
  the provisions of this act.