Affordable Care Act --New York State Health Exchange Open Year-Round for Medicaid Applications and for Certain "Special Enrollment" categories

New York State  Official Website on Exchange --- http://healthbenefitexchange.ny.gov/.

Open enrollment on the New York State Health Exchange ended on 3/31/14, with an extension through April 15th to complete applications that were filed before that date.   However, it is not too late to enroll for certain people and certain coverage:

As of April 15, 2014, 1,319,239 New Yorkers have completed their applications and 960,762 have enrolled for coverage since the launch of the Marketplace on October 1, 2013. More than 70 percent of those who have enrolled to date were uninsured at the time of application. The Marketplace is well on its way to meeting or exceeding its enrollment goal of 1.1 million people by the end of 2016.

Background on the Affordable Care Act and the New York State Exchange.  New York is is one of a small group of states to establish its own health insurance Exchange.  Health reform consists of two laws. The first and larger of the two is the Patient Protection and Affordable Care Act (PPACA) signed on March 23, 2010, and the second is the Health Care & Education Reconciliation Act, signed on March 30, 2010. Federal health reform contains many provisions which affect both public health insurance programs, such as Medicaid and Medicare, and private health insurance including the health insurance many people either get through their employer or purchase directly. The provisions of the health reform laws go into effect on a staggered basis, with some provisions going into effect immediately, but most going into effect in 2014.

CMS published proposed regulations to implement all aspects of health reform, including the enrollment processes, appeals of denials of the various subsidies, etc.  In February 2013, numerous organizations in NYS and nationally submitted comments on the regulations  in February 2013 including the Empire Justice Center,  the National Health Law Program, and Selfhelp Community Services.

Many organizations have produced extensive materials explaining and interpreting these laws and how they will be implemented.  

In July 2013, DOH released the listing of organizations who will serve as In-Person Assistors/Navigators.  These organizations will provide in-person enrollment assistance to individuals, families, small businesses and their employees who apply for health insurance through the Exchange.

Here are some suggested resources:


This site provides general information only. This is not legal advice. You can only obtain legal advice from a lawyer. In addition, your use of this site does not create an attorney-client relationship.  To contact a lawyer, visit http://lawhelp.org/ny. We make every effort to keep these materials and links up-to-date and in accordance with New York City, New York state and federal law. However, we do not guarantee the accuracy of this information.  To report a dead link or other website-related problem, please e-mail us.




Article ID: 120
Last updated: 21 Mar, 2016
Revision: 11
Federal Health Reform -> Affordable Care Act --New York State Health Exchange Open Year-Round for Medicaid Applications and for Certain "Special Enrollment" categories
http://www.wnylc.com/health/entry/120/