Pregnancy May Soon Be a Q.L.E. in New York.

Discussion in 'Health Insurance Exchange Forum' started by AllenChicago, Jun 9, 2015.

  1. AllenChicago
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    AllenChicago Guru

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    I must say, the state of New York is never lacking in health insurance related news!

    There are now two bills under consideration to make Pregnancy a qualifying life event (QLE) for Special Enrollment in private health insurance coverage.

    Story: Bill would allow mothers-to-be to sign up for health insurance
    -ac
     
  2. Tkruger
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    Tkruger Guru

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    I'm confused. Doesn't federal trump state? How can NY passing pregnancy from a state standpoint be recognised as a QLE for the Federal Marketplace?
     
  3. kgmom219
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    kgmom219 Guru

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    Federal trumps state if the law is "better".

    Example: Federal law does not require the birthday rule for GI on Medicare. However some states have it. Its a "better" law for the insured.

    In this case, NY is getting the Feds and Insurance companies to pay for pregos. Instead of the state paying for pregos. (Pregos ALWAYS get coverage, one way or another). Sounds like a brilliant plan to me. I always like it when I get someone else to pay for my laws....
     
  4. kgmom219
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    kgmom219 Guru

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    In TX, pregnancy has ALWAYS been an immediate event for Medicaid enrollment.

    Assuming thats true in other states, why are the legislators even doing this? Pregnancy is covered and the birth is an SEP.

    Am I missing something?
     

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