1. New York State Outreach & Enrollment Updates
Webinar
June 19, 2019
11am – 12pm

2. Agenda Welcome and CHCANYS Introductions
Immigrant-related policy updates
NY DOH Announcement
State Legislation of Interest
Marketplace Changes
Job Opportunities at CHCANYS

3. Proposed Changes to Public Charge
What is public charge?
Federal determination
Individuals who are considered a public charge may be denied entry to the US or denied a green card.
Currently included: SSI, TANF (“welfare”)
Who does this apply to?
Immigrants seeking to enter the US or applying for a green card, except:
Refugees; asylees; women, men, and children applying for a green card under the Violence Against Women Act; people applying for U and T visas; children seeking Special Immigrant Juvenile status
Proposed Rule: Changes to public charge (not yet in effect)
Expands benefits considered: Medicaid, SNAP (“food stamps”), Medicare Part D Low Income Subsidy, Section 8 Housing, possibly CHIP, and more
The US Department of Homeland Security assesses individuals seeking admission to the US or applying for a green card to determine if they would be a “public charge.” Public charge refers to any individual who is likely to become “primarily dependent on the government for subsistence, as demonstrated by either the receipt of public cash assistance for income maintenance, or institutionalization for long-term care at government expense.” 

4. Why is this relevant for O&E?
Consumers may be confused about the proposed changes to public charge and seeking clarification about which benefits could affect their immigration status
Chilling effect
DOH estimate: 70,000 New Yorkers actually affected, more than 1 million potentially impacted by the chilling effect
Sources say the federal government will be releasing the final rule this summer
Resources:
How to talk about public charge with immigrants and their families
CHCANYS Public Charge Webpage
National Immigration Law Center

5. 9/19/2019

6. Presidential Memo
President Trump recently released a Memorandum directing Federal Agencies to issue new guidance and procedures to implement requirements of sponsors of lawful permanent residents (green card holders)
The guidance reinforces existing policy stating that sponsors agree to reimburse the government for the cost of public benefits received by the green card holder, including Medicaid
Resource:
FAQ: Understanding the President’s Memo on Enforcing the Responsibilities of Sponsors
9/19/2019

7. Combatting Threats to Immigrant Health
Disenrollment from benefits through NYSOH
DOH is strategizing ways to combat the Public Charge Chilling Effect:
Public messaging to “chilled” group – those not effected by public charge (ex: Essential Plan enrollees)
DOH is not aware of reporting requirements to cooperate with ICE, DOJ, DHS, OR USCIS
Data agreements indicate that information obtained by DOH is to be used only for the purposes of eligibility, except in the case of a court ordered subpoena or warrant
9/19/2019

8. Announcement: DOH Immigration Training
Over a month ago, DOH sent out a survey to Assistors: What would be good topics for additional training?
Overwhelming response: Additional Immigration Trainings
Last week, DOH sent a follow-up survey:
What kinds of immigration training do you want to see?
Of the DOH trainings on immigration that have already been implemented, what was the most helpful?
What kinds of tools do you need?
Seeking volunteer for a small focus group to develop additional immigration trainings
Any interest?
9/19/2019

9. State Legislation of Interest
A.6791 (Cruz)/S.4578 (Salazar) – Allows undocumented immigrants to buy unsubsidized qualified health plans through the health insurance marketplace
A.5248 (Gottfried)/S.3577 (Rivera) – Enacts the New York State Health Act, a single payer health care system
A.5974 (Gottfried)/ S.3900 (Rivera) – Uses New York State funds to expand New York’s Essential Plan to New Yorker’s who make up to 200% FPL and are currently excluded from health coverage because of their immigration status
9/19/2019

10. Marketplace Changes PARIS Match HCS ID Assignment Auto-Enrollment
Recent
Upcoming changes
PARIS Match
DOH has implemented the public assistance reporting information system into NYSOH as of February 2019
First use will be in June 2019
March 2019: New capability to electronically add Authorized Representatives
HCS ID Assignment
Reduce duplication in the marketplace and reduce calls to customer service
Auto-Enrollment
Reduce gaps in coverage
Improvement to Address Page
DOH training to be held for Navigators and Assistors in August
You may have a trusted friend, relative, partner, or lawyer help you and act for you on matters related to your application. This person is called an authorized representative. You need to give permission to the Marketplace to speak with your authorized representative. Click here for information on how to name someone as your authorized representative.
9/19/2019

11. Full Position Announcement Here Full Position Announcement Here
CHCANYS is hiring!
NAVIGATOR PROGRAM SUPERVISOR (Albany or Upstate NY)
3 BILINGUAL NAVIGATORS (Wayne, Yates, Ontario Counties)
Manage and oversee Navigators in Upstate New York offering in-person enrollment assistance for affordable health coverage through the New York State of Health.
Minimum of 5 years of experience providing assistance to consumers and/or advocates on health insurance and health care access issues
Full Position Announcement Here
Spanish/English speaking Navigators will provide in-person enrollment assistance to consumers and small businesses in Wayne, Yates, and Ontario Counties
Must have a valid NYS driver’s license & be willing to travel
Weekend & evening hours
Minimum 1 year related experience
Full Position Announcement Here
9/19/2019

12. Contact us:
OE Help
O&E Webpage