Bill S2380-2011

Makes certain persons who are eligible for or receiving social security disability insurance benefits eligible for elderly pharmaceutical insurance coverage

Makes certain persons (meeting certain income requirements) who are eligible for or receiving social security disability insurance (SSDI) benefits eligible for elderly pharmaceutical insurance coverage.

Details

Actions

  • Jan 4, 2012: REFERRED TO AGING
  • Mar 14, 2011: REPORTED AND COMMITTED TO FINANCE
  • Jan 19, 2011: REFERRED TO AGING

Votes

VOTE: COMMITTEE VOTE: - Aging - Mar 14, 2011
Ayes (10): Ball, Farley, Golden, LaValle, Robach, Zeldin, Valesky, Diaz, Avella, Stavisky
Ayes W/R (2): Addabbo, Kruger

Memo

BILL NUMBER:S2380

TITLE OF BILL: 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

PURPOSE: This bill would add low-income disabled persons to the list of persons eligible to receive benefits from New York's (EPIC) program.

SUMMARY OF SPECIFIC PROVISIONS: Amends subdivisions 1 and 2 of section 242 of the elder law to add persons who are eligible for or receiving social security disability insurance (SSDI) to the list of eligible participants in the EPIC program.

JUSTIFICATION: The EPIC program which offers prescription drug assistance has proven helpful to many senior citizens who face high costs for pharmaceuticals, but do not qualify for Medicaid. In recent years, many programs originally designed to benefit senior citizens ranging from Social Security to real property tax reductions - have been extended to cover disabled persons. This bill recognizes that through no fault of their own, disabled persons may experience similar limitations on their ability to independently earn a living as do elderly citizens.

Advances in pharmaceuticals have also increased their importance in helping disabled persons remain active in their community. Yet, faced with severe income limitations, declining availability of employer-paid health insurance and caps on prescription coverage which are increasingly being implemented by health insurers, many disabled individuals are unable to afford the pharmaceuticals which may be essential to their health. This bill would follow clear precedent in other programs by extending the EPIC program to include low-income disabled individuals.

PRIOR LEGISLATIVE HISTORY: S.3056/A.3917 of 2009-10; S.2644/A.5178 of 2007-08

FISCAL IMPACT: To be determined.

EFFECTIVE DATE: On the one hundred twentieth day after it shall have become law.


Text

STATE OF NEW YORK ________________________________________________________________________ 2380 2011-2012 Regular Sessions IN SENATE January 19, 2011 ___________
Introduced by Sens. SEWARD, BONACIC, DeFRANCISCO, FUSCHILLO, GOLDEN, HANNON, LANZA, LARKIN, MAZIARZ, O'MARA, RANZENHOFER -- read twice and ordered printed, and when printed to be committed 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 ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivisions 1 and 2 of section 242 of the elder law, para- graph (b) of subdivision 1 and paragraphs (a) and (b) of subdivision 2 as amended by section 14 of part B of chapter 57 of the laws of 2006, 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] TWELVE, is less than or equal to twenty thousand dollars. After the initial determination of eligibil- ity, 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 begin- ning on or after January first, two thousand [one] TWELVE, 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. 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] TWELVE, is more than twenty thousand and less than or equal to thirty-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 begin- ning on or after January first, two thousand [one] TWELVE, is more than twenty-six thousand dollars and less than or equal to fifty thousand dollars. After the initial determination of eligibility, each eligible individual must be redetermined eligible at least every twenty-four months. S 2. This act shall take effect on the one hundred twentieth day after it shall have become a law.

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