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Code · New York · Expanded Health Care Coverage Act 703/88

§ 3. Definitions.

347 words·~2 min read·/ny/expanded-health-care-coverage-act-703-88/3·

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§ 3. Definitions. For the purpose of this act, unless the context
clearly requires otherwise:
1. "Applicant" means an eligible organization which submits a proposal
under subdivision five of section four of this act.
2. "Approved organization" means an eligible organization approved by
the commissioner to conduct either an individual subsidy program or an
employer incentive program, under subdivision five of section four of
this act.
3. "Commissioner" means the commissioner of health.
4. "Eligible organization" means an organization submitting a proposal
to the commissioner under subdivision five of section four of this act.
The organizations which may submit a proposal shall include, but not be
limited to, the following:
(i)a commercial insurer;
(ii)a corporation or health maintenance organization licensed under
article forty-three of the insurance law;
(iii)a health maintenance organization certified under article
forty-four of the public health law;
(iv)a comprehensive health services plan operating under regulations
of the department of social services or the department of health;
(v)an employer association; or
(vi)a local social services district.
5. "Employer incentive program" means a pilot program which assists
employers in providing health care coverage under subdivision three of
section four of this act.
6. "Incentive payment" means payments made to an approved organization
to reduce the cost of providing health care coverage under the employer
incentive program.
7. "Individual subsidy program" means a pilot program which shall
assist individuals and families in purchasing health care coverage under
subdivision two of section four of this act.
8. "Regional pilot project" means a program to test a model providing
health care coverage under insurance or equivalent coverage mechanisms
for the uninsured and to test negotiated special payment rate
methodologies for inpatient and outpatient services delivered by general
hospitals.
9. "Subcommittee" means the subcommittee on health insurance
established pursuant to chapter one hundred twenty-six of the laws of
nineteen hundred eighty-one.
10. "Subsidy payment" means a payment made to an approved organization
to reduce the cost of purchasing health care coverage under the
individual subsidy program.
11. "Superintendent" means the superintendent of financial services.
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