What's happening
This bill makes people eligible for or receiving Social Security Disability Insurance (SSDI) benefits eligible for elderly pharmaceutical insurance coverage in New York.
Why it matters
Expands access to affordable prescription drugs. for people with disabilities by allowing those on SSDI to qualify for elderly pharmaceutical insurance, which can significantly reduce out-of-pocket medication costs for a vulnerable population.
Addresses a critical gap in health coverage. , as many SSDI recipients are under age 65 and may not yet qualify for Medicare, leaving them with limited options for prescription drug assistance.
May improve health outcomes and financial stability. for individuals with disabilities by ensuring more consistent access to necessary medications, potentially reducing emergency healthcare costs and hospitalizations.
Signals a shift in state policy toward inclusivity. , recognizing that younger adults with disabilities often face similar challenges to seniors when it comes to accessing and affording prescription drugs.
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Who cares
Headline styles
Expand Drug Coverage Eligibility
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History
- Referred to aging
- Referred to aging
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
6136
2017-2018 Regular Sessions
IN ASSEMBLY
February 23, 2017
Introduced by M. of A. CRESPO -- read once and referred to the Committee on Aging
AN ACT to amend the elder law, in relation to making certain persons who are eligible for or receiving social security disability insurance benefits eligible for elderly pharmaceutical insurance coverage
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Subdivisions 1 and 2 of section 242 of the elder law, subdivision 1 as amended by section 4 of part T of chapter 56 of the laws of 2012 and subdivision 2 as amended by section 12 of part A of chapter 60 of the laws of 2014, are amended to read as follows:
1. Persons eligible for comprehensive coverage under section two hundred forty-seven of this title shall include:
(a) any unmarried resident who is at least sixty-five years of age, or eligible for or receiving social security disability insurance (SSDI) benefits, and whose income for the calendar year immediately preceding the effective date of the annual coverage period beginning on or after January first, two thousand five, is less than or equal to twenty thousand dollars. After the initial determination of eligibility, each eligible individual must be redetermined eligible at least every twenty-four months; and
(b) any married resident who is at least sixty-five years of age, or eligible for or receiving social security disability insurance (SSDI) benefits, and whose income for the calendar year immediately preceding the effective date of the annual coverage period when combined with the income in the same calendar year of such married person's spouse beginning on or after January first, two thousand one, is less than or equal to twenty-six thousand dollars. After the initial determination of eligibility, each eligible individual must be redetermined eligible at least every twenty-four months.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD07773-01-7
A. 6136 2
2. Persons eligible for catastrophic coverage under section two hundred forty-eight of this title shall include:
(a) any unmarried resident who is at least sixty-five years of age, or eligible for or receiving social security disability insurance (SSDI) benefits, and whose income for the calendar year immediately preceding the effective date of the annual coverage period beginning on or after January first, two thousand one, is more than twenty thousand and less than or equal to seventy-five thousand dollars. After the initial determination of eligibility, each eligible individual must be redetermined eligible at least every twenty-four months; and
(b) any married resident who is at least sixty-five years of age, or eligible for or receiving social security disability insurance (SSDI) benefits, and whose income for the calendar year immediately preceding the effective date of the annual coverage period when combined with the income in the same calendar year of such married person's spouse beginning on or after January first, two thousand one, is more than twentysix thousand dollars and less than or equal to one hundred thousand dollars. After the initial determination of eligibility, each eligible individual must be redetermined eligible at least every twenty-four months.
§ 2. This act shall take effect on the one hundred eightieth day after it shall have become a law and shall apply to benefits paid on or after such effective date. Effective immediately the executive director of the elderly pharmaceutical insurance coverage panel may promulgate any rules and regulations necessary for the implementation of this act.
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