Establishes the child health plus and school meals enrollment coordination act.
BILL NUMBER: S4057A
TITLE OF BILL : An act to amend the public health law and the social services law, in relation to establishing the child health plus and school meals enrollment coordination act of 2011
PURPOSE : This bill would require coordination between Child Health Plus, Mediciad and School Meals to ensure that children who are eligible and enrolled for free and reduced price school meals are also enrolled in Child Health Plus or Mediciad.
SUMMARY OF PROVISIONS : Section 1: Short title Creates the Child Health Plus and School Meals Enrollment Coordination Act of 2011. Section 2: Legislative Intent. Section 3: Amends the Public Health Law to allow written documentation of income eligibility of a child for free or reduce breakfast or lunch to be used as proof of eligibility for Child Health Plus and Medicaid.
JUSTIFICATION : 250,000 children in New York State are uninsured. Most of these children, approximately 220,000, are eligible for, but not participating in Medicaid arid Child Health Plus. Children without health insurance are eight times more likely not to have a primary health care provider than children from non-poor, white, insured families. In New York State, the gap in access to health care is greater for minority children. Uninsured Hispanic children are 10 times more likely than insured Hispanic children to miss out on the medical care they need. Uninsured African-American children are 20 times more likely than insured African-American children not to receive needed medical care.
Good health and nutrition are the fundamentals of laying a strong foundation for early childhood development, success in school, and later achievement as adults, Therefore, it is imperative that New York State use all available methods to increase enrollment in Child Health Plus and Medicaid. Since the majority of children who are eligible for, but not participating in, Child Health Plus are attending school, it is necessary to improve coordination between the Free and Reduced Price School Meals Program and Child Health Plus so that children who apply for and participate the school meals programs are also enrolled in Child Health Plus.
LEGISLATIVE HISTORY :
2007-08: S.3843-A - Died Health Committee
FISCAL IMPLICATIONS : To be determined.
EFFECTIVE DATE : This act shall take effect June 1, 2011 and shall apply to the 2011-2012 academic school year.
STATE OF NEW YORK ________________________________________________________________________ 4057--A 2009-2010 Regular Sessions IN SENATE April 8, 2009 ___________Introduced by Sens. STEWART-COUSINS, ADAMS, DIAZ, HASSELL-THOMPSON, C. JOHNSON, KLEIN, KRUEGER, MONTGOMERY, ONORATO, OPPENHEIMER, SAMPSON, STAVISKY -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the public health law and the social services law, in relation to establishing the child health plus and school meals enrollment coordination act of 2011 THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Short title. This act shall be known and may be cited as the "child health plus and school meals enrollment coordination act of 2011". S 2. Legislative intent. The legislature hereby finds and declares good health and good nutrition the fundamentals of laying a strong foun- dation for early childhood development, success in school, and later achievement as adults, and therefore, finds it necessary to increase enrollment in child health plus. To do so, the legislature finds it necessary to coordinate the school meal program with child health plus. Through three successful programs, which are the Child Health Plus Insurance Program, the School Breakfast Program, and the School Lunch Program, New York state has shown a long-standing commitment to provid- ing health care to its residents, and through the efforts of the legis- lature, is a national leader in health care innovation. New York state has made important strides in enrolling children in public health insur- ance by expanding eligibility to cover more children, simplifying the application and re-certification processes, and establishing facilitated enrollment centers throughout the state. Furthermore, the state has attempted to improve the health of its schoolchildren by improving theEXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD10048-04-0 S. 4057--A 2
nutritional status of school meals and by making such meals more afford- able through the free and reduced price School Breakfast and School Lunch programs. Despite the long-standing, successful history of Child Health Plus in New York state, hundreds of thousands of children are not participating in this vitally necessary and important public health program. Uninsured children comprise approximately 10%, or approximately 250,000 of the 2.6 million uninsured people in New York state. Of these 250,000 children, 220,000 are eligible for, but not participating in either Medicaid or Child Health Plus. The legislature further finds that the impact on children who are uninsured, and particularly poor children, is serious because leaving treatable and preventable conditions undiagnosed and untreated can have lifelong adverse effects on their functioning and opportunities. Delayed or missed care also cuts children off from routine health care provided in primary care settings that includes child-specific, age-appropriate screening, diagnosis and treatment of both chronic and acute conditions. One-third (32.9%) of uninsured children in New York state go without any medical care for the entire year in a society where 87.5% of insured children receive care during the same period. Research shows that having access to reliable and accountable primary health care is associated with lower pediatric hospitalization rates for conditions that are preventable with good primary care. In New York state, the gap in access to health care is greater for minority children. Uninsured Hispanic children are 10 times more likely than insured Hispanic children to not receive the medical care they need. Uninsured African-American children are 20 times more likely than insured African-American children to not receive necessary medical care. Since the majority of children who are eligible for but not partic- ipating in Child Health Plus are attending school, the legislature finds it necessary to improve coordination between these two health and nutri- tion programs so that children who apply for and participate in either free or reduced price school meals are also enrolled in medicaid or Child Health Plus. S 3. Subparagraph (iii) of paragraph (f) of subdivision 2 of section 2511 of the public health law, as added by section 44 of part A of chap- ter 1 of the laws of 2002, is amended to read as follows: (iii) Income documentation shall include, but not be limited to, one or more of the following for each parent and legally responsible adult who is a member of the household and whose income is available to the child; (A) current annual income tax returns; (B) paycheck stubs; (C) written documentation of income from all employers; or (D) WRITTEN DOCUMENTATION OF INCOME ELIGIBILITY OF A CHILD FOR FREE OR REDUCED BREAKFAST OR LUNCH THROUGH THE SCHOOL MEAL PROGRAM CERTIFIED BY THE CHILD'S SCHOOL, PROVIDED THAT: (I) THE COMMISSIONER MAY VERIFY THE ACCURACY OF THE INFORMATION PROVIDED IN THE SAME MANNER AND WAY AS PROVIDED FOR IN SUBPARAGRAPH (II) OF THIS PARAGRAPH; AND (II) SUCH DOCUMENTATION MAY NOT BE SUITABLE PROOF OF INCOME IN THE EVENT OF A MATERIAL INCONSISTENCY IN INCOME AFTER THE COMMISSIONER HAS PERFORMED VERIFICATION PURSUANT TO SUBPARAGRAPH (II) OF THIS PARAGRAPH; ORS. 4057--A 3
(E) other documentation of income (earned or unearned) as determined by the commissioner, provided, however, such documentation shall set forth the source of such income. S 4. Paragraph (d) of subdivision 5 of section 366-a of the social services law, as amended by section 1 of part R of chapter 58 of the laws of 2009, is amended to read as follows: (d) In order to establish place of residence and income eligibility under this title at recertification, a recipient of assistance under this title shall attest to place of residence and to all information regarding the household's income that is necessary and sufficient to determine such eligibility; provided, however, that this paragraph shall not apply to persons described in subparagraph two of paragraph (a) of subdivision one of section three hundred sixty-six of this title, or to persons receiving long term care services, as defined in paragraph (b) of subdivision two of this section
[; and provided, further, that a non- applying]. A legally responsible relative APPLYING OR recertifying on behalf of a recipient of assistance who is under the age of twenty-one years shall be permitted to attest to household income under this para- graph only if the social security numbers of all legally responsible relatives are provided to the district. SUCH PROOF OF HOUSEHOLD INCOME SHALL INCLUDE, BUT NOT BE LIMITED TO, WRITTEN DOCUMENTATION OF INCOME ELIGIBILITY OF A CHILD FOR FREE OR REDUCED BREAKFAST OR LUNCH THROUGH THE SCHOOL MEAL PROGRAM CERTIFIED BY THE CHILD'S SCHOOL, PROVIDED THAT: (I) THE COMMISSIONER OF HEALTH MAY VERIFY THE ACCURACY OF SUCH INFORMA- TION IN THE SAME MANNER AND WAY AS PROVIDED FOR IN PARAGRAPH (E) OF THIS SUBDIVISION; AND (II) SUCH DOCUMENTATION MAY NOT BE SUITABLE PROOF OF INCOME IN THE EVENT OF A MATERIAL INCONSISTENCY IN INCOME AFTER THE COMMISSIONER OF HEALTH HAS PERFORMED VERIFICATION PURSUANT TO PARAGRAPH (E) OF THIS SUBDIVISION. Provided, however, for purposes of recertif- ication for assistance under this title for a recipient of medicaid waiver services provided or authorized by the office of mental retarda- tion and developmental disabilities, beginning on or after January first, two thousand ten, such recipient may be permitted, as determined by the commissioner of health, to attest to place of residence and to all information regarding the household's income and/or resources that are necessary to determine such eligibility. S 5. This act shall take effect June 1, 2011 and shall apply to the 2011-2012 academic year.