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A 4545

Provides expanded enrollment through New York state of health through tax returns, expands New York state of health navigator program; creates the New York health benefit and cost commission; repealer

2025 Regular Session Introduced by Joe Angelino and 9 co-sponsors

Expands health coverage by using tax data to enroll more people, grows navigator support, and creates the New York Health Benefit and Cost Commission.

REFERRED TO HEALTH
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WeVote Research Nonpartisan
Bill Summary · A 4545

Summary of New York Assembly Bill A 4545

Overview

Bill A 4545, introduced on February 4, 2025, and currently REFERRED TO HEALTH, aims to expand health insurance enrollment and program administration in New York. The bill’s title indicates four main components: expanded enrollment through NY State of Health using tax returns, expansion of the NY State of Health navigator program, creation of the New York Health Benefit and Cost Commission, and a repealer. The bill has a primary sponsor (Josh Jensen) and multiple cosponsors, and is related to a prior-session bill, A 9302.

Purpose and Intent

  • To broaden access to health coverage by leveraging tax return information to streamline enrollment in the New York State of Health (the state’s health insurance marketplace).
  • To enhance consumer assistance and outreach by expanding the navigator program within NY State of Health.
  • To establish a new governance entity, the New York Health Benefit and Cost Commission, to oversee health benefit design and cost considerations.
  • To repeal certain provisions as part of a broader regulatory or programmatic update (as indicated by “repealer” in the title).

Key Provisions (as indicated by the bill’s title and status)

  • Expanded enrollment through NY State of Health through tax returns:
    • Likely mechanisms to use tax return data to identify eligible individuals and simplify or accelerate enrollment in subsidized or eligible plans.
  • Expansion of the NY State of Health navigator program:
    • Increased reach, resources, or authority for navigators to assist individuals in selecting and enrolling in appropriate health plans.
  • Creation of the New York Health Benefit and Cost Commission:
    • Establishment of a new statutory body to assess health benefit design, pricing, or related cost issues within New York.
  • Repealer:
    • The bill contains repealer provisions to eliminate or replace existing statutes related to health benefits or enrollment, subject to text in the final bill.

Who Would be Affected

  • Individuals seeking health coverage through NY State of Health (including eligible uninsured and current enrollees).
  • NY State of Health administrators and navigators.
  • Stakeholders involved in state health benefit design, pricing, and related policy considerations.
  • Entities subject to any repealed provisions that are replaced or updated by the bill.

Procedural and Timeline Aspects

  • Status: REFERRED TO HEALTH (as of introduction on 2025-02-04).
  • Legislative actions recorded: two identical entries on 2025-02-04, both noting referral to the Health Committee.
  • Next steps (typical for this stage): committee consideration, potential public hearings, amendments, and eventual floor votes in the Assembly. If advanced, the bill would move to further committees or the full chamber for passage; otherwise, it may halt or be amended in later sessions.
  • Related legislation: A 9302 from a prior session, suggesting alignment or overlap with earlier proposals on health enrollment or governance.

Potential Fiscal and Administrative Implications

  • Possible costs associated with expanding enrollment processes and navigator resources.
  • Administrative setup and ongoing operations for the New York Health Benefit and Cost Commission.
  • Impacts on NY State of Health workflows, data sharing (e.g., tax data for enrollment), and privacy considerations.
  • Repealer provisions could alter current program funding or statutory requirements.

Note

Details beyond the bill’s title and sponsorship (such as exact statutory language, funding levels, and specific repeals) would appear in the bill text and accompanying fiscal notes once released. This summary reflects the information provided and presents a high-level guide to the bill’s stated aims and potential impacts.

Compiled from official sources — confirm details with the bill’s official record.

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