Each year, HCFANY submits comments to the Department of Financial Services (the Department) as part of the State’s rate review process. The annual rate review process allows the Department to regulate health insurance premiums for the ACA marketplace. HCFANY’s comments focus on carriers offering products on New York’s individual market and cover the rate applications […]
With the release of New York’s FY2026-2027 Final Budget, HCFANY thanks the Governor and the Legislature for enacting proposals to help consumers and patients access affordable, quality health care, and hopes to see continued efforts as HR1 policies are implemented over the next several years. HCFANY is disappointed that the final budget fails to protect […]
Every year, health insurance carriers that participate in New York’s Marketplace, New York State of Health, submit requests to the Department of Financial Services (DFS) on what they would like to charge for health insurance premiums the following year. See below for template language and instructions for submitting a comment on the proposed 2027 premium […]
New York State of Health (NYSOH) recently announced that cost-sharing reduction programs made possible by the State 1332 Innovation Waiver will continue until the end of 2026. These crucial affordability programs reduced deductibles and eliminated co-payments for outpatient maternity care and out-of-pocket costs for diabetes-related treatments for individuals enrolled in Qualified Health Plans on the individual market. On July 1, 2026, the State will transition from the […]
Over 6.6 million New Yorkers browse and enroll in health coverage through New York’s official health plan Marketplace, New York State of Health (NYSOH). As of January 2026, 4.1 million were enrolled in Medicaid, 210,000 in Qualified Health Plans, 551,000 in Child Health Plus, and 1.7 million in the Essential Plan. Every year, the New […]
HCFANY is thankful to have the opportunity to testify at the 2026 Joint Legislative Budget Hearing on Health. Find HCFANY’s detailed Executive FY27 Testimony here. The Executive Budget includes many proposals to help protect and enhance New Yorkers’ access to affordable health coverage. HCFANY’s budget testimony covers three topics: Protect and improve health coverage Regulate prices to create a more affordable health care […]
Today, Governor Hochul delivered her 2026 ‘State of the State’ address. HCFANY commends the Governor for proposing initiatives that protect patients from rising health care costs, mitigate federal cuts to health care, and reduce barriers to care. The Governor also acknowledged some key victories last year, many of which HCFANY has advocated for. This includes […]
The New York Department of Financial Services (the Department) reduced the requested rates by insurance carriers for the individual market by 48 percent for 2026. Carriers initially requested a 13 percent average rate surge, but through New York’s prior approval process, the Department trimmed this figure down to an average of seven percent. Without this […]
New York’s individual market premiums might increase by an eye-popping average 19 percent in 2023, far surpassing the requests coming in from carriers in other states. Washington and Michigan are proposing increases of just 7%, despite having comparable individual markets. Rate increases mean New Yorkers would spend a greater share of their budget on health […]
Despite reporting record profits during the pandemic, all of New York’s 12 individual market insurance companies plan to increase premiums in 2023. Costs could increase by a whopping 19 percent on average, meaning New Yorkers would spend a greater share of their budget on health care and less on food, transportation and other necessities – […]
Insurers offering products in New York’s individual, small group, and Medicare Advantage markets submit applications to the Department of Financial Services (DFS) each year which describes how premiums will change and why. DFS (and HCFANY!) encourage consumers to respond to these requests by share their experiences with DFS. How affordable do you think your current […]