MEMORANDUM IN OPPOSITION
Date: June 16, 2010
Bill:Bill: A2188 (Ball)/ S628 – (Sampson)
Requires coverage for the cost of enteral formulas for which a physician has issued a written
order and which are medically necessary for the treatment of eosinophilic esophagitis and related
The Employer Alliance for Affordable Health Care is a grassroots coalition of more than
3,000 sole proprietors and small and medium-sized business owners who represent more than
150,000 working New Yorkers. We believe that everyone should have access to basic, affordable
health insurance and oppose health insurance mandates that increase premium costs and decrease
accessibility of basic, affordable health insurance.
Many of New York’s small businesses are being forced to drop coverage due to increasing premium
costs. The Legislature should refrain from this, or any type of action that could, potentially,
exacerbate costs even more, especially this type of treatment, when medically necessary, is
already covered by most private health insurance.
We oppose A2188/ S628 for the following reasons:
For these reasons, we ask you to OPPOSE A2188/S628
- Health insurance premiums continue to rise higher than the rate of inflation. From 2000-
2006, premiums for New York workers rose 5.5 times more quickly than the median earnings
(Premiums vs. Paychecks October 2006, Families USA)
- The cumulative cost of New York’s current mandates stands currently at 14.2% of total
annual premiums. (Health Insurance Mandates in New York State 2003/NovaRest Consulting
and Report by the Superintendent of Insurance on the Cost and Effectiveness of New York’s
2006 Mental Health Parity Legislation).
- Prescription drug coverage is currently one of the most costly components of private health
insurance, increasing premiums between 3% and 5%. (Health Insurance Mandates in the
States 2009, Council for Affordable Health Insurance.
- Since 1997, New York State has required health insurance carriers to cover the cost of amino-
acid based formulas which have a direct annual impact on premiums ranging from $3-$10
(Health Insurance Mandates in NYS, Nova Rest Consulting, May 2003).
- The Health Care Quality and Cost Containment Commission, established in 2007, is not yet
operational. Lawmakers should refrain from any decisions could impact premium costs and
let this commission do the job it was intended. First and foremost, this commission MUST be
seated and operational.
The Employer Alliance for Affordable Health Care is a
coalition of more than 3,400 employers and individuals from across New
York, representing more than 200,000 working New Yorkers, committed to
preserving quality affordable health care.