N.Y. Expanded Health Care Coverage Act 703/88 § 3: Definitions

§ 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.