S8334-A Gounardes

STAFF CONTACT :

Director of Government Affairs
5186944454

BILL

S8334-A Gounardes

SUBJECT

Insurance Reimbursement for Vaccination for Severe Acute Respiratory Syndrome Coronavirus 2

DATE

Oppose

The Business Council opposes S.8334-A (Gounardes), which mandates state-regulated health plans to provide coverage for vaccines against the SARS-CoV-2 virus. While the merits of the mandate are laudable, there are dozens of existing unfunded mandates on private insurance purchased by small and medium-sized businesses, which significantly drive up the costs of coverage at a time when New Yorkers are struggling with an affordability crisis.  

Each new health insurance coverage mandate increases costs for New York’s small and medium-sized businesses and their employees. It forces them to purchase coverage that they may not need or want, making it difficult to find affordable health insurance. These mandates only apply to fully insured policies that are either purchased by individuals on the marketplace or received through a small or medium-sized employer; they do not mandate coverage under self-insured health plans. In New York, more than 50% of the commercial market is covered under a self-insured health plan. Large companies generally self-insure. This allows them to customize a plan to meet the specific needs of their employees, contract with providers/ provider networks, and directly pay claims to providers. Self-insured plans are regulated under federal law (ERISA) and are not subject to state health insurance benefit mandates.

Additional health insurance coverage mandates only worsen New York’s affordability crisis and threaten small businesses. We should be working toward ways to make things more affordable for New Yorkers. For these reasons, The Business Council opposes the above-mentioned bills