New York Affordable Care Act laws & HR compliance analysis

New York Affordable Care Act: What you need to know

The Affordable Care Act (ACA) created a system of healthcare exchanges (or “marketplaces”) to provide individuals and small employers with access to affordable insurance coverage beginning January 1, 2014. The exchanges are supposed to make it easy for small businesses and individuals to compare healthcare plans, receive answers to their questions, find out whether they are eligible for certain tax credits and/or health programs, and enroll in a healthcare plan that works for them.
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States had the flexibility to design and operate exchanges that best met their unique needs while complying with ACA’s statutory and regulatory standards. All the states had to make a choice regarding what kind of exchange they wanted. Basically, the states could:
• Build a fully state-based exchange;
• Default to a federal exchange (often referred to as a “federally facilitated exchange”); or
• Enter into a state partnership exchange with the federal government.
Each state had to establish an exchange where individuals can go to buy coverage, but the states also had to set up Small Business Health Options Programs (SHOPs or SHOP exchanges) where small businesses can purchase coverage.
New York decided to create its own state-based exchange, called NY State of Health, instead of having the federal government run one. According to NY State of Health’s website, it is an organized marketplace designed to help people shop for and enroll in health insurance coverage. More specifically, individuals, families, and small employers are supposed to be able to use it to help them compare insurance options, calculate costs, and select coverage.
NY State of Health also offers a SHOP marketplace for small ...

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New York Affordable Care Act Resources

Type Title
White Papers Employers must provide notice of health insurance marketplace
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