S T A T E O F N E W Y O R K
________________________________________________________________________
4302
2023-2024 Regular Sessions
I N S E N A T E
February 7, 2023
___________
Introduced by Sens. ASHBY, PALUMBO, OBERACKER, RHOADS, ROLISON, WEIK --
read twice and ordered printed, and when printed to be committed to
the Committee on Veterans, Homeland Security and Military Affairs
AN ACT to amend the military law, the state finance law, the civil prac-
tice law and rules, the tax law and the executive law, in relation to
establishing the "New York's Own combat veterans healthcare choice
program act"
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Short title. This act shall be known and may be cited as
the "New York's Own combat veterans healthcare choice program act".
§ 2. The military law is amended by adding a new section 216-a to read
as follows:
§ 216-A. MEDICAL CARE WHEN INJURED OR DISABLED IN COMBAT ZONE. 1. ANY
NEW YORK RESIDENT MEMBER OF THE ORGANIZED MILITIA WHO SHALL, WHEN ON
ACTIVE DUTY IN A COMBAT ZONE, DESIGNATED BY THE PRESIDENT OF THE UNITED
STATES DURING OPERATION ENDURING FREEDOM OR OPERATION IRAQI FREEDOM, FOR
THREE HUNDRED SIXTY DAYS OR MORE ON ORDERS ISSUED BY THE GOVERNOR, THE
COMMANDING GENERAL OF THE NEW YORK ARMY NATIONAL GUARD, THE COMMANDING
OFFICER OF THE NEW YORK AIR NATIONAL GUARD OR THE COMMANDING OFFICER OF
THE NAVAL MILITIA, RECEIVE ANY WOUND OR INJURY, OR INCUR OR CONTRACT ANY
DISABILITY OR DISEASE, BY REASON OF SUCH DUTY, OR WHO SHALL WITHOUT
FAULT OR NEGLECT ON HIS OR HER PART BE WOUNDED OR DISABLED WHILE
PERFORMING ANY LAWFULLY ORDERED DUTY WHILE IN SUCH A COMBAT ZONE, WHICH
SHALL INCAPACITATE HIM OR HER, AND WHO IS UNABLE TO RECEIVE TIMELY OR
ADEQUATE HEALTHCARE SERVICES FROM THE FEDERAL DEPARTMENT OF VETERANS
AFFAIRS WITHIN NINETY DAYS OF MAKING APPLICATION FOR SUCH SERVICES SHALL
RECEIVE THE PAYMENT INTO SUCH SERVICE MEMBER'S NEW YORK COMBAT VETERANS
HEALTHCARE CHOICE ACCOUNT ESTABLISHED PURSUANT TO ARTICLE FOURTEEN OF
THIS CHAPTER FOR CARE AND MEDICAL TREATMENT IF AUTHORITY THEREFOR IS
GRANTED BY THE ADJUTANT GENERAL, EXPENSES FOR SUCH CARE AND MEDICAL
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD07181-01-3
S. 4302 2
ATTENDANCE AS ARE NECESSARY FOR THE APPROPRIATE TREATMENT OF THE WOUND,
INJURY, DISEASE OR DISABILITY MAY BE PAID FROM THE NEW YORK COMBAT
VETERANS HEALTHCARE CHOICE ACCOUNT AS PROVIDED IN ARTICLE FOURTEEN OF
THIS CHAPTER UNTIL TREATMENT IS PROVIDED BY THE FEDERAL VETERANS ADMIN-
ISTRATION, OR THE INCAPACITY RESULTING FROM SUCH WOUND, INJURY, DISEASE
OR DISABILITY CANNOT BE MATERIALLY IMPROVED BY FURTHER CARE OR TREAT-
MENT. THE DETERMINATION OF WHETHER SUCH INJURY OR DISEASE WAS INCURRED
WHILE PERFORMING SUCH LAWFULLY ORDERED ACTIVE DUTY IN A COMBAT ZONE,
DESIGNATED BY THE PRESIDENT OF THE UNITED STATES DURING OPERATION ENDUR-
ING FREEDOM OR OPERATION IRAQI FREEDOM, SHALL BE IN ACCORDANCE WITH THIS
SECTION AND SUCH REGULATIONS AS MAY BE PRESCRIBED BY THE ADJUTANT GENER-
AL.
2. IF CARE FOR SUCH A SERVICE MEMBER IS APPROVED BY THE ADJUTANT
GENERAL AND THE SERVICE MEMBER SHALL HAVE CREATED A NEW YORK COMBAT
VETERANS HEALTHCARE CHOICE ACCOUNT IN ACCORDANCE WITH ARTICLE FOURTEEN
OF THIS CHAPTER, THE STATE SHALL MAKE A PAYMENT OF FIVE THOUSAND DOLLARS
INTO SUCH SERVICE MEMBER'S COMBAT VETERANS HEALTHCARE CHOICE ACCOUNT.
SUCH PAYMENT SHALL NOT EXCEED FIVE THOUSAND DOLLARS IN ANY CALENDAR YEAR
AND SHALL BE DISCONTINUED UPON THE SERVICE MEMBER RECEIVING CARE FROM
THE FEDERAL DEPARTMENT OF VETERANS AFFAIRS FOR THE INJURIES OR DISABILI-
TIES SUSTAINED WHILE IN QUALIFIED STATE SERVICE.
3. NONE OF THE BENEFITS PROVIDED BY SUBDIVISION ONE OF THIS SECTION
SHALL BE PAID OR ALLOWED UNLESS A CLAIM THEREFOR HAS BEEN PRESENTED TO
THE ADJUTANT GENERAL WITHIN THREE YEARS AFTER THE DATE WHEN SUCH WOUND,
INJURY, DISEASE OR DISABILITY WAS INCURRED, OR FROM THE DATE OF DISCOV-
ERY OF SUCH WOUND, INJURY, DISEASE OR DISABILITY. NONE OF THE BENEFITS
PROVIDED BY SUBDIVISION ONE OF THIS SECTION SHALL BE PAID OR ALLOWED BY
THE STATE FOR ANY PERIOD DURING WHICH SUCH MEMBER OF THE ORGANIZED MILI-
TIA IS ENTITLED TO RECEIVE THE SAME AS A CHARGE AGAINST FEDERAL FUNDS.
4. A. WHERE A CLAIM IS MADE UNDER THIS SECTION THE ADJUTANT GENERAL
WILL MAKE A DETERMINATION AS TO WHETHER VALID APPLICATION OR ATTEMPT TO
SCHEDULE AN APPOINTMENT TO FILE AN APPLICATION FOR CARE WAS MADE TO THE
FEDERAL VETERANS ADMINISTRATION AND WHETHER NINETY DAYS SHALL HAVE
PASSED SINCE SUCH APPLICATION OR ATTEMPT WAS MADE. THE ADJUTANT GENERAL
MAY CAUSE EXAMINATIONS OF THE CLAIMANT TO BE MADE FROM TIME TO TIME BY A
PHYSICIAN, SURGEON OR DENTIST DESIGNATED FOR THE PURPOSE BY THE ADJUTANT
GENERAL, AND HE OR SHE MAY DIRECT THE REMOVAL OF A CLAIMANT TO, AND HIS
OR HER TREATMENT IN, A HOSPITAL DESIGNATED BY THE ADJUTANT GENERAL, AND
IF THE CLAIMANT REFUSES TO PERMIT ANY SUCH EXAMINATION OR IF HE OR SHE
REFUSES TO GO TO SUCH HOSPITAL OR TO FOLLOW THE ADVICE GIVEN OR TREAT-
MENT PRESCRIBED FOR HIM OR HER THEREIN, HE OR SHE SHALL THEREBY FORFEIT
AND BE BARRED FROM ALL RIGHT TO ANY CLAIM OR ALLOWANCE UNDER THIS
SECTION.
B. THE ADJUTANT GENERAL MAY APPOINT A MEDICAL EXAMINER OR A BOARD OF
THREE OFFICERS, AT LEAST ONE OF WHOM SHALL BE A MEDICAL OFFICER, TO
INQUIRE INTO THE MERITS OF ANY CLAIM PRESENTED UNDER THIS SECTION, AND
TO RECOMMEND THE AMOUNT OR AMOUNTS, IF ANY, TO BE PAID OR ALLOWED UNDER
THIS SECTION, OR HE OR SHE MAY, IN HIS OR HER DISCRETION, DETERMINE ANY
CLAIM WITHOUT APPOINTING A MEDICAL EXAMINER OR BOARD AND FIX THE AMOUNT
TO BE PAID OR ALLOWED UNDER THIS SECTION. IF NO MEDICAL OFFICER IS
AVAILABLE, SUCH MEDICAL EXAMINER OR MEDICAL OFFICER ON SUCH BOARD MAY BE
A CIVILIAN PHYSICIAN, SURGEON OR DENTIST.
C. A MEDICAL EXAMINER OR BOARD APPOINTED UNDER THIS SECTION SHALL HAVE
THE SAME POWER TO TAKE EVIDENCE, ADMINISTER OATHS, ISSUE SUBPOENAS AND
COMPEL WITNESSES TO ATTEND AND TESTIFY AND TO PRODUCE BOOKS AND PAPERS,
AND TO PUNISH THEIR FAILURE TO DO SO AS IS POSSESSED BY MILITARY COURTS.
S. 4302 3
D. THE FINDINGS AND RECOMMENDATIONS OF THE MEDICAL EXAMINER OR BOARD
SHALL BE SUBMITTED TO THE ADJUTANT GENERAL WHO MAY RETURN THE
PROCEEDINGS TO SUCH EXAMINER OR BOARD FOR RECONSIDERATION OR FOR TAKING
FURTHER TESTIMONY AND WHO SHALL APPROVE OR DISAPPROVE THE CLAIM AND FIX
THE AMOUNT, IF ANY, TO BE PAID OR ALLOWED UNDER THIS SECTION. THE AMOUNT
SO FIXED BY THE ADJUTANT GENERAL SHALL BE A CHARGE AGAINST AND BE PAID
IN THE MANNER PROVIDED BY THIS SECTION, BY THE STATE.
§ 3. The military law is amended by adding a new article 14 to read as
follows:
ARTICLE 14
NEW YORK'S OWN COMBAT VETERANS HEALTHCARE CHOICE PROGRAM
SECTION 400. PROGRAM ESTABLISHED.
401. PURPOSE.
402. DEFINITIONS.
403. FUNCTIONS OF THE COMPTROLLER AND THE DIVISION.
404. PROGRAM REQUIREMENTS; NEW YORK COMBAT VETERANS HEALTHCARE
CHOICE ACCOUNT.
405. PROGRAM LIMITATIONS; NEW YORK COMBAT VETERANS HEALTHCARE
CHOICE ACCOUNT.
§ 400. PROGRAM ESTABLISHED. THERE IS HEREBY ESTABLISHED THE NEW YORK
COMBAT VETERANS HEALTHCARE CHOICE PROGRAM AND SUCH PROGRAM SHALL BE
KNOWN AND MAY BE CITED AS THE "NEW YORK'S OWN COMBAT VETERANS HEALTHCARE
CHOICE PROGRAM".
§ 401. PURPOSE. THE PURPOSES OF THE NEW YORK COMBAT VETERANS HEALTH-
CARE CHOICE PROGRAM ARE TO AUTHORIZE THE ESTABLISHMENT OF VETERANS
HEALTHCARE CHOICE ACCOUNTS AND PROVIDE GUIDELINES FOR THE MAINTENANCE OF
SUCH ACCOUNTS TO:
1. ENABLE RESIDENT VETERAN MEMBERS OF THE ORGANIZED MILITIA OF THIS
STATE WHO WERE ON ACTIVE DUTY IN A COMBAT ZONE, DESIGNATED BY THE PRESI-
DENT OF THE UNITED STATES DURING OPERATION ENDURING FREEDOM OR OPERATION
IRAQI FREEDOM, TO OBTAIN HEALTHCARE FROM THE PROVIDER OF THEIR CHOICE,
WITH FUNDS FROM A NEW YORK COMBAT VETERANS HEALTHCARE CHOICE ACCOUNT
FUNDED BY THE STATE AND THE SERVICE MEMBER IN ACCORDANCE WITH THIS ARTI-
CLE, WHEN AFTER NINETY DAYS OF MAKING APPLICATION TO OR ATTEMPTING TO
SCHEDULE AN APPOINTMENT WITH THE FEDERAL VETERANS ADMINISTRATION FOR
SUCH CARE, THE SERVICE MEMBER IS UNABLE TO SECURE TIMELY OR ADEQUATE
HEALTHCARE SERVICES FOR INJURIES AND DISABILITIES SUSTAINED IN THE LINE
OF ACTIVE DUTY IN SUCH A COMBAT ZONE, WHENEVER ORDERED INTO SUCH COMBAT
ZONE FOR THREE HUNDRED SIXTY DAYS OR MORE BY THE GOVERNOR, THE COMMAND-
ING GENERAL OF THE NEW YORK ARMY NATIONAL GUARD, THE COMMANDING OFFICER
OF THE NEW YORK AIR NATIONAL GUARD OR THE COMMANDING OFFICER OF THE
NAVAL MILITIA;
2. PROVIDE FUNDING FROM THE STATE FOR NEW YORK COMBAT VETERANS HEALTH-
CARE CHOICE ACCOUNTS IN AN AMOUNT OF UP TO FIVE THOUSAND DOLLARS PER
CALENDAR YEAR FOR A PERIOD NOT TO EXCEED THREE YEARS, WHEN IN ACCORDANCE
WITH THIS ARTICLE, A QUALIFIED STATE RESIDENT COMBAT VETERAN IS UNABLE
TO SECURE HEALTHCARE SERVICES WITHIN NINETY DAYS OF MAKING APPLICATION
OR SCHEDULING AN APPOINTMENT TO MAKE SUCH AN APPLICATION FOR SUCH
SERVICES FROM THE FEDERAL VETERANS ADMINISTRATION; AND
3. TO CREATE A STATE PERSONAL INCOME TAX DEDUCTION FOR AMOUNTS
CONTRIBUTED BY QUALIFIED RESIDENT COMBAT VETERANS TO A NEW YORK COMBAT
VETERANS HEALTHCARE CHOICE ACCOUNT IN AN AMOUNT NOT TO EXCEED FIVE THOU-
SAND DOLLARS PER CALENDAR YEAR AS PROVIDED IN THIS ARTICLE.
§ 402. DEFINITIONS. AS USED IN THIS ARTICLE, THE FOLLOWING TERMS SHALL
HAVE THE FOLLOWING MEANINGS:
S. 4302 4
1. "ACCOUNT" OR "NEW YORK COMBAT VETERANS HEALTHCARE CHOICE ACCOUNT"
SHALL MEAN AN INDIVIDUAL SAVINGS ACCOUNT ESTABLISHED IN ACCORDANCE WITH
THE PROVISIONS OF THIS ARTICLE.
2. "ACCOUNT OWNER" SHALL MEAN A PERSON WHO ENTERS INTO A NEW YORK
COMBAT VETERANS HEALTHCARE CHOICE ACCOUNT AGREEMENT PURSUANT TO THE
PROVISIONS OF THIS ARTICLE, INCLUDING A PERSON WHO ENTERS INTO SUCH AN
AGREEMENT AS A FIDUCIARY OR AGENT ON BEHALF OF A TRUST, ESTATE, PARTNER-
SHIP, ASSOCIATION, COMPANY OR CORPORATION. THE ACCOUNT OWNER MAY ALSO BE
THE DESIGNATED BENEFICIARY OF THE ACCOUNT.
3. "DESIGNATED BENEFICIARY" SHALL MEAN, WITH RESPECT TO AN ACCOUNT OR
ACCOUNTS, THE INDIVIDUAL DESIGNATED AS THE INDIVIDUAL WHOSE HEALTHCARE
EXPENSES ARE EXPECTED TO BE PAID FROM THE ACCOUNT OR ACCOUNTS.
4. "FINANCIAL ORGANIZATION" SHALL MEAN AN ORGANIZATION AUTHORIZED TO
DO BUSINESS IN THE STATE OF NEW YORK AND (A) IS AN AUTHORIZED FIDUCIARY
TO ACT AS A TRUSTEE PURSUANT TO THE PROVISIONS OF AN ACT OF CONGRESS
ENTITLED "EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974" AS SUCH
PROVISIONS MAY BE AMENDED FROM TIME TO TIME, OR AN INSURANCE COMPANY;
AND (B)(I) IS LICENSED OR CHARTERED BY THE DEPARTMENT OF FINANCIAL
SERVICES, (II) IS CHARTERED BY AN AGENCY OF THE FEDERAL GOVERNMENT,
(III) IS SUBJECT TO THE JURISDICTION AND REGULATION OF THE SECURITIES
AND EXCHANGE COMMISSION OF THE FEDERAL GOVERNMENT, OR (IV) IS ANY OTHER
ENTITY OTHERWISE AUTHORIZED TO ACT IN THIS STATE AS A TRUSTEE OF A
HEALTH SAVINGS ACCOUNT PURSUANT TO THE PROVISIONS OF AN ACT OF CONGRESS
ENTITLED THE "MEDICARE PRESCRIPTION DRUG, IMPROVEMENT, AND MODERNIZATION
ACT", AS SUCH PROVISIONS MAY BE AMENDED FROM TIME TO TIME.
5. "ELIGIBLE HEALTHCARE INSTITUTION" SHALL MEAN ANY INSTITUTION
LICENSED, CERTIFIED OR AUTHORIZED BY THE STATE TO PROVIDE HEALTHCARE
SERVICES.
6. "MEMBER OF FAMILY" SHALL MEAN A FAMILY MEMBER AS DEFINED IN SECTION
529 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED.
7. "PROGRAM" SHALL MEAN THE NEW YORK COMBAT VETERANS HEALTHCARE CHOICE
ACCOUNT PROGRAM ESTABLISHED PURSUANT TO THIS ARTICLE.
8. "QUALIFIED HEALTHCARE EXPENSES" SHALL MEAN ANY MEDICAL EXPENSE
DEDUCTIBLE ON FEDERAL INCOME TAXES.
9. "QUALIFIED STATE SERVICE" SHALL MEAN ACTIVE DUTY SERVICE RENDERED
WHILE BEING ORDERED INTO A COMBAT ZONE, DESIGNATED BY THE PRESIDENT OF
THE UNITED STATES DURING OPERATION ENDURING FREEDOM OR OPERATION IRAQI
FREEDOM, FOR THREE HUNDRED SIXTY DAYS OR MORE BY THE GOVERNOR, THE
COMMANDING GENERAL OF THE NEW YORK ARMY NATIONAL GUARD, THE COMMANDING
OFFICER OF THE NEW YORK AIR NATIONAL GUARD OR THE COMMANDING OFFICER OF
THE NAVAL MILITIA.
10. "QUALIFIED WITHDRAWAL" SHALL MEAN A WITHDRAWAL FROM AN ACCOUNT TO
PAY THE QUALIFIED HEALTHCARE EXPENSES OF A SERVICE MEMBER OR DESIGNATED
BENEFICIARY OF AN ACCOUNT AT AN ELIGIBLE HEALTHCARE INSTITUTION.
11. "NONQUALIFIED WITHDRAWAL" SHALL MEAN A WITHDRAWAL FROM AN ACCOUNT
WHICH IS NOT:
A. A QUALIFIED WITHDRAWAL; OR
B. A WITHDRAWAL MADE AS THE RESULT OF THE DEATH OR DISABILITY OF THE
DESIGNATED BENEFICIARY OF THE ACCOUNT.
12. "DIVISION" SHALL MEAN THE DIVISION OF MILITARY AND NAVAL AFFAIRS.
13. "COMPTROLLER" SHALL MEAN THE STATE COMPTROLLER.
14. "MANAGEMENT CONTRACT" SHALL MEAN THE CONTRACT EXECUTED BY THE
COMPTROLLER AND A FINANCIAL ORGANIZATION SELECTED TO ACT AS A DEPOSITORY
AND MANAGER OF THE PROGRAM.
S. 4302 5
15. "NEW YORK COMBAT VETERANS HEALTHCARE CHOICE ACCOUNT AGREEMENT"
SHALL MEAN AN AGREEMENT BETWEEN THE COMPTROLLER OR A FINANCIAL ORGANIZA-
TION AND AN ACCOUNT OWNER.
16. "PROGRAM MANAGER" SHALL MEAN A FINANCIAL ORGANIZATION SELECTED BY
THE COMPTROLLER TO ACT AS DEPOSITORY AND MANAGER OF THE PROGRAM.
§ 403. FUNCTIONS OF THE COMPTROLLER AND THE DIVISION. 1. THE COMP-
TROLLER AND THE DIVISION SHALL IMPLEMENT THE PROGRAM UNDER THE TERMS AND
CONDITIONS ESTABLISHED BY THIS ARTICLE AND A MEMORANDUM OF UNDERSTANDING
RELATING TO ANY TERMS OR CONDITIONS NOT OTHERWISE EXPRESSLY PROVIDED FOR
IN THIS ARTICLE.
2. IN FURTHERANCE OF SUCH IMPLEMENTATION THE MEMORANDUM OF UNDERSTAND-
ING SHALL ADDRESS THE AUTHORITY AND RESPONSIBILITY OF THE COMPTROLLER
AND THE DIVISION TO:
A. DEVELOP AND IMPLEMENT THE PROGRAM IN A MANNER CONSISTENT WITH THE
PROVISIONS OF THIS ARTICLE THROUGH RULES AND REGULATIONS ESTABLISHED IN
ACCORDANCE WITH THE STATE ADMINISTRATIVE PROCEDURE ACT;
B. ENGAGE THE SERVICES OF CONSULTANTS ON A CONTRACT BASIS FOR RENDER-
ING PROFESSIONAL AND TECHNICAL ASSISTANCE AND ADVICE;
C. SEEK RULINGS AND OTHER GUIDANCE FROM THE UNITED STATES DEPARTMENT
OF TREASURY AND THE INTERNAL REVENUE SERVICE RELATING TO THE PROGRAM;
D. MAKE CHANGES TO THE PROGRAM REQUIRED FOR THE PARTICIPANTS IN THE
PROGRAM TO OBTAIN THE FEDERAL INCOME TAX BENEFITS OR TREATMENT PROVIDED
FOR HEALTH SAVINGS ACCOUNTS;
E. CHARGE, IMPOSE AND COLLECT ADMINISTRATIVE FEES AND SERVICE CHARGES
IN CONNECTION WITH ANY AGREEMENT, CONTRACT OR TRANSACTION RELATING TO
THE PROGRAM;
F. DEVELOP MARKETING PLANS AND PROMOTION MATERIAL;
G. ESTABLISH THE METHODS BY WHICH THE FUNDS HELD IN SUCH ACCOUNTS BE
DISPERSED;
H. ESTABLISH THE METHOD BY WHICH FUNDS SHALL BE ALLOCATED TO PAY FOR
ADMINISTRATIVE COSTS; AND
I. DO ALL THINGS NECESSARY AND PROPER TO CARRY OUT THE PURPOSES OF
THIS ARTICLE.
§ 404. PROGRAM REQUIREMENTS; NEW YORK COMBAT VETERANS HEALTHCARE
CHOICE ACCOUNT. 1. NEW YORK COMBAT VETERANS HEALTHCARE CHOICE ACCOUNTS
ESTABLISHED PURSUANT TO THE PROVISIONS OF THIS ARTICLE SHALL BE GOVERNED
BY THE PROVISIONS OF THIS SECTION.
2. A NEW YORK COMBAT VETERANS HEALTHCARE CHOICE ACCOUNT MAY BE OPENED
BY ANY PERSON WHO DESIRES TO SAVE MONEY FOR THE PAYMENT OF THE QUALIFIED
HEALTHCARE EXPENSES OF THE DESIGNATED BENEFICIARY. AN ACCOUNT OWNER MAY
DESIGNATE ANOTHER QUALIFIED SERVICE MEMBER AS SUCCESSOR OWNER OF THE
ACCOUNT IN THE EVENT OF THE DEATH OF THE ORIGINAL ACCOUNT OWNER. SUCH
PERSON WHO OPENS AN ACCOUNT OR ANY SUCCESSOR OWNER SHALL BE CONSIDERED
THE ACCOUNT OWNER.
A. AN APPLICATION FOR SUCH ACCOUNT SHALL BE IN THE FORM PRESCRIBED BY
THE PROGRAM AND CONTAIN THE FOLLOWING:
(I) THE NAME, ADDRESS AND SOCIAL SECURITY NUMBER OR EMPLOYER IDENTIFI-
CATION NUMBER OF THE ACCOUNT OWNER;
(II) THE DESIGNATION OF A DESIGNATED BENEFICIARY;
(III) THE NAME, ADDRESS, AND SOCIAL SECURITY NUMBER OF THE DESIGNATED
BENEFICIARY; AND
(IV) SUCH OTHER INFORMATION AS THE PROGRAM MAY REQUIRE.
B. THE COMPTROLLER AND THE DIVISION MAY ESTABLISH A NOMINAL FEE FOR
SUCH APPLICATION.
3. ANY PERSON, INCLUDING THE ACCOUNT OWNER, MAY MAKE CONTRIBUTIONS TO
THE ACCOUNT AFTER THE ACCOUNT IS OPENED.
S. 4302 6
4. CONTRIBUTIONS TO ACCOUNTS MAY BE MADE ONLY IN CASH.
5. AN ACCOUNT OWNER MAY MAKE A QUALIFIED WITHDRAWAL OF ALL OR PART OF
THE BALANCE FROM AN ACCOUNT ON SIXTY DAYS NOTICE OR SUCH SHORTER PERIOD
AS MAY BE AUTHORIZED UNDER RULES GOVERNING THE PROGRAM. SUCH RULES SHALL
INCLUDE PROVISIONS THAT WILL GENERALLY ENABLE THE DETERMINATION AS TO
WHETHER A WITHDRAWAL IS A NONQUALIFIED WITHDRAWAL OR A QUALIFIED WITH-
DRAWAL.
6. AN ACCOUNT OWNER MAY CHANGE THE DESIGNATED BENEFICIARY OF AN
ACCOUNT TO A SERVICE MEMBER WHO IS A MEMBER OF THE FAMILY OF THE PRIOR
DESIGNATED BENEFICIARY IN ACCORDANCE WITH PROCEDURES ESTABLISHED BY THE
MEMORANDUM OF UNDERSTANDING PURSUANT TO THE PROVISIONS OF SECTION FOUR
HUNDRED THREE OF THIS ARTICLE.
7. THE PROGRAM SHALL PROVIDE SEPARATE ACCOUNTING FOR EACH DESIGNATED
BENEFICIARY.
8. NO ACCOUNT OWNER OR DESIGNATED BENEFICIARY OF ANY ACCOUNT SHALL BE
PERMITTED TO DIRECT THE INVESTMENT OF ANY CONTRIBUTIONS TO AN ACCOUNT OR
THE EARNINGS THEREON MORE THAN TWO TIMES IN ANY CALENDAR YEAR.
9. NEITHER AN ACCOUNT OWNER NOR A DESIGNATED BENEFICIARY MAY USE AN
INTEREST IN AN ACCOUNT AS SECURITY FOR A LOAN. ANY PLEDGE OF AN INTEREST
IN AN ACCOUNT SHALL BE OF NO FORCE AND EFFECT.
10. THE COMPTROLLER SHALL PROMULGATE RULES OR REGULATIONS TO PREVENT
CONTRIBUTIONS ON BEHALF OF A DESIGNATED BENEFICIARY IN EXCESS OF AN
AMOUNT THAT WOULD CAUSE THE AGGREGATE ACCOUNT BALANCE FOR ALL ACCOUNTS
FOR A DESIGNATED BENEFICIARY TO EXCEED A MAXIMUM ACCOUNT BALANCE, AS
ESTABLISHED FROM TIME TO TIME BY THE COMPTROLLER AND THE DIVISION ON THE
BASIS OF HEALTHCARE COSTS IN THE STATE, WITH ADEQUATE SAFEGUARDS TO
PREVENT MORE CONTRIBUTIONS THAN NECESSARY TO PROVIDE FOR THE QUALIFIED
HEALTHCARE COSTS OF THE BENEFICIARY, AS REQUIRED TO MAINTAIN THE PROGRAM
AS A "QUALIFIED HEALTH SAVINGS PROGRAM" PURSUANT TO FEDERAL LAW.
11. A. IF THERE IS ANY DISTRIBUTION FROM AN ACCOUNT TO ANY INDIVIDUAL
OR FOR THE BENEFIT OF ANY INDIVIDUAL DURING A CALENDAR YEAR, SUCH
DISTRIBUTION SHALL BE REPORTED TO THE INTERNAL REVENUE SERVICE AND THE
ACCOUNT OWNER, THE DESIGNATED BENEFICIARY, OR THE DISTRIBUTEE TO THE
EXTENT REQUIRED BY FEDERAL LAW OR REGULATION.
B. STATEMENTS SHALL BE PROVIDED TO EACH ACCOUNT OWNER AT LEAST ONCE
EACH YEAR WITHIN SIXTY DAYS AFTER THE END OF THE TWELVE MONTH PERIOD TO
WHICH THEY RELATE. THE STATEMENT SHALL IDENTIFY THE CONTRIBUTIONS MADE
DURING A PRECEDING TWELVE MONTH PERIOD, THE TOTAL CONTRIBUTIONS MADE TO
THE ACCOUNT THROUGH THE END OF THE PERIOD, THE VALUE OF THE ACCOUNT AT
THE END OF SUCH PERIOD, DISTRIBUTIONS MADE DURING SUCH PERIOD AND ANY
OTHER INFORMATION THAT THE COMPTROLLER SHALL REQUIRE TO BE REPORTED TO
THE ACCOUNT OWNER.
C. STATEMENTS AND INFORMATION RELATING TO ACCOUNTS SHALL BE PREPARED
AND FILED TO THE EXTENT REQUIRED BY FEDERAL AND STATE TAX LAW.
12. A. A LOCAL GOVERNMENT OR ORGANIZATION DESCRIBED IN SECTION
501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, MAY OPEN AND
BECOME THE ACCOUNT OWNER OF AN ACCOUNT TO FUND QUALIFIED HEALTHCARE
EXPENSES FOR PERSONS WHOSE IDENTITY WILL BE DETERMINED UPON DISBURSE-
MENT.
B. IN THE CASE OF ANY ACCOUNT OPENED PURSUANT TO PARAGRAPH A OF THIS
SUBDIVISION THE REQUIREMENT SET FORTH IN SUBDIVISION TWO OF THIS SECTION
THAT A DESIGNATED BENEFICIARY BE DESIGNATED WHEN AN ACCOUNT IS OPENED
SHALL NOT APPLY AND EACH INDIVIDUAL WHO RECEIVES AN INTEREST IN SUCH
ACCOUNT AS A QUALIFIED HEALTHCARE EXPENSE GRANT SHALL BE TREATED AS A
DESIGNATED BENEFICIARY WITH RESPECT TO SUCH INTEREST.
S. 4302 7
13. AN ANNUAL FEE MAY BE IMPOSED UPON THE ACCOUNT OWNER FOR THE MAIN-
TENANCE OF THE ACCOUNT.
14. THE PROGRAM SHALL DISCLOSE THE FOLLOWING INFORMATION IN WRITING TO
EACH ACCOUNT OWNER AND PROSPECTIVE ACCOUNT OWNER OF A NEW YORK COMBAT
VETERANS HEALTHCARE CHOICE ACCOUNT:
A. THE TERMS AND CONDITIONS FOR PURCHASING A NEW YORK COMBAT VETERANS
HEALTHCARE CHOICE ACCOUNT;
B. ANY RESTRICTIONS ON THE SUBSTITUTION OF BENEFICIARIES;
C. THE PERSON OR ENTITY ENTITLED TO TERMINATE THE NEW YORK COMBAT
VETERANS HEALTHCARE CHOICE ACCOUNT AGREEMENT;
D. THE PERIOD OF TIME DURING WHICH A BENEFICIARY MAY RECEIVE BENEFITS
UNDER THE NEW YORK COMBAT VETERANS HEALTHCARE CHOICE ACCOUNT AGREEMENT;
E. THE TERMS AND CONDITIONS UNDER WHICH MONEY MAY BE WHOLLY OR
PARTIALLY WITHDRAWN FROM THE PROGRAM, INCLUDING, BUT NOT LIMITED TO, ANY
REASONABLE CHARGES AND FEES THAT MAY BE IMPOSED FOR WITHDRAWAL;
F. THE PROBABLE TAX CONSEQUENCES ASSOCIATED WITH CONTRIBUTIONS TO AND
DISTRIBUTIONS FROM ACCOUNTS; AND
G. ALL OTHER RIGHTS AND OBLIGATIONS PURSUANT TO NEW YORK COMBAT VETER-
ANS HEALTHCARE CHOICE ACCOUNT AGREEMENTS, AND ANY OTHER TERMS, CONDI-
TIONS, AND PROVISIONS DEEMED NECESSARY AND APPROPRIATE BY THE TERMS OF
THE MEMORANDUM OF UNDERSTANDING ENTERED INTO PURSUANT TO SECTION FOUR
HUNDRED THREE OF THIS ARTICLE.
15. NEW YORK COMBAT VETERANS HEALTHCARE CHOICE ACCOUNT AGREEMENTS
SHALL BE SUBJECT TO SECTION FOURTEEN-C OF THE BANKING LAW AND THE
"TRUTH-IN-SAVINGS" REGULATIONS PROMULGATED THEREUNDER.
16. NOTHING IN THIS ARTICLE OR IN ANY NEW YORK COMBAT VETERANS HEALTH-
CARE CHOICE ACCOUNT AGREEMENT ENTERED INTO PURSUANT TO THIS ARTICLE
SHALL BE CONSTRUED AS A GUARANTEE BY THE STATE OR ANY HEALTHCARE PROVID-
ER THAT A BENEFICIARY WILL BE ADMITTED TO AN ELIGIBLE HEALTHCARE INSTI-
TUTION, OR, UPON ADMISSION TO AN ELIGIBLE HEALTHCARE INSTITUTION WILL BE
PERMITTED TO REMAIN IN SUCH ELIGIBLE HEALTHCARE INSTITUTION.
§ 405. PROGRAM LIMITATIONS; NEW YORK COMBAT VETERANS HEALTHCARE CHOICE
ACCOUNT. 1. NOTHING IN THIS ARTICLE SHALL BE CONSTRUED TO:
A. GIVE ANY DESIGNATED BENEFICIARY ANY RIGHTS OR LEGAL INTEREST WITH
RESPECT TO AN ACCOUNT UNLESS THE DESIGNATED BENEFICIARY IS THE ACCOUNT
OWNER;
B. GUARANTEE THAT A DESIGNATED BENEFICIARY WILL BE ADMITTED TO AN
ELIGIBLE HEALTHCARE INSTITUTION;
C. CREATE STATE RESIDENCY FOR AN INDIVIDUAL MERELY BECAUSE THE INDI-
VIDUAL IS A DESIGNATED BENEFICIARY; OR
D. GUARANTEE THAT AMOUNTS SAVED PURSUANT TO THE PROGRAM WILL BE SUFFI-
CIENT TO COVER THE QUALIFIED HEALTHCARE EXPENSES OF A DESIGNATED BENEFI-
CIARY.
2. A. NOTHING IN THIS ARTICLE SHALL CREATE OR BE CONSTRUED TO CREATE
ANY OBLIGATION OF THE COMPTROLLER, THE STATE, OR ANY AGENCY OR INSTRU-
MENTALITY OF THE STATE TO GUARANTEE FOR THE BENEFIT OF ANY ACCOUNT OWNER
OR DESIGNATED BENEFICIARY WITH RESPECT TO:
(I) THE RATE OF INTEREST OR OTHER RETURN ON ANY ACCOUNT; AND
(II) THE PAYMENT OF INTEREST OR OTHER RETURN ON ANY ACCOUNT.
B. THE COMPTROLLER AND THE DIVISION BY RULE OR REGULATION SHALL
PROVIDE THAT EVERY CONTRACT, APPLICATION, DEPOSIT SLIP, OR OTHER SIMILAR
DOCUMENT THAT MAY BE USED IN CONNECTION WITH A CONTRIBUTION TO AN
ACCOUNT CLEARLY INDICATE THAT THE ACCOUNT IS NOT INSURED BY THE STATE
AND NEITHER THE PRINCIPAL DEPOSITED NOR THE INVESTMENT RETURN IS GUARAN-
TEED BY THE STATE.
S. 4302 8
§ 4. The state finance law is amended by adding a new section 82-a to
read as follows:
§ 82-A. NEW YORK COMBAT VETERANS HEALTHCARE CHOICE PROGRAM TRUST FUND.
1. THERE IS HEREBY ESTABLISHED IN THE SOLE CUSTODY OF THE STATE COMP-
TROLLER A SPECIAL FUND TO BE KNOWN AS THE NEW YORK COMBAT VETERANS
HEALTHCARE CHOICE PROGRAM TRUST FUND. ALL PAYMENTS FROM SUCH FUND SHALL
BE MADE IN ACCORDANCE WITH ARTICLE FOURTEEN OF THE MILITARY LAW AND THE
MEMORANDUM OF UNDERSTANDING ENTERED INTO PURSUANT THERETO ON THE AUDIT
OF THE STATE COMPTROLLER.
2. THE FUND SHALL BE A TRUST FUND AND SHALL CONSIST OF A TRUST ACCOUNT
AND AN OPERATING ACCOUNT. THE TRUST ACCOUNT SHALL INCLUDE AMOUNTS
RECEIVED BY THE NEW YORK COMBAT VETERANS HEALTHCARE CHOICE PROGRAM
PURSUANT TO NEW YORK COMBAT VETERANS HEALTHCARE CHOICE ACCOUNT AGREE-
MENTS, ADMINISTRATIVE CHARGES, FEES, AND ALL OTHER AMOUNTS RECEIVED BY
THE PROGRAM FROM OTHER SOURCES, AND INTEREST AND INVESTMENT INCOME
EARNED BY THE TRUST FUND. THE COMPTROLLER SHALL, FROM TIME TO TIME, MAKE
TRANSFERS FROM THE TRUST ACCOUNT TO THE OPERATING ACCOUNT FOR THE IMME-
DIATE PAYMENT OF OBLIGATIONS UNDER NEW YORK COMBAT VETERANS HEALTHCARE
CHOICE ACCOUNT AGREEMENTS, OPERATING EXPENSES AND ADMINISTRATIVE COSTS
OF THE NEW YORK COMBAT VETERANS HEALTHCARE CHOICE ACCOUNT. ADMINISTRA-
TIVE COSTS SHALL BE PAID OUT OF THE OPERATING ACCOUNT ACCORDING TO THE
TERMS AND CONDITIONS ESTABLISHED PURSUANT TO THE PROVISIONS OF SECTION
FOUR HUNDRED THREE OF THE MILITARY LAW.
3. (A) THE COMPTROLLER, AS TRUSTEE, SHALL INVEST THE ASSETS OF THE
TRUST FUND IN INVESTMENTS AUTHORIZED BY ARTICLE FOUR-A OF THE RETIREMENT
AND SOCIAL SECURITY LAW, PROVIDED HOWEVER, THAT:
(I) THE PROVISIONS OF PARAGRAPH (A) OF SUBDIVISION TWO OF SECTION ONE
HUNDRED SEVENTY-SEVEN OF THE RETIREMENT AND SOCIAL SECURITY LAW SHALL
NOT APPLY EXCEPT FOR THE FIRST CLAUSE OF SUBPARAGRAPH (II) OF SUCH PARA-
GRAPH; AND
(II) NOTWITHSTANDING THE PROVISIONS OF SUBDIVISION SEVEN OF SECTION
ONE HUNDRED SEVENTY-SEVEN OF THE RETIREMENT AND SOCIAL SECURITY LAW OR
ANY OTHER LAW TO THE CONTRARY, THE ASSETS OF THE TRUST FUND MAY BE
INVESTED IN ANY FUNDING AGREEMENT ISSUED IN ACCORDANCE WITH SECTION
THREE THOUSAND TWO HUNDRED TWENTY-TWO OF THE INSURANCE LAW BY A DOMESTIC
LIFE INSURANCE COMPANY OR A FOREIGN LIFE INSURANCE COMPANY DOING BUSI-
NESS IN THIS STATE, SUBJECT TO THE FOLLOWING:
(1) SUCH A FUNDING AGREEMENT MAY PROVIDE FOR A GUARANTEED MINIMUM RATE
OF RETURN;
(2) SUCH A FUNDING AGREEMENT MAY BE ALLOCATED AS EITHER A SEPARATE
ACCOUNT OR A GENERAL ACCOUNT OF THE ISSUER, AS THE COMPTROLLER MAY
DECIDE;
(3) TOTAL INVESTMENTS OF THE TRUST FUND PURSUANT TO THIS PARAGRAPH IN
ANY FUNDING AGREEMENTS ISSUED BY A SINGLE LIFE INSURANCE COMPANY WHICH
ARE ALLOCATED AS A GENERAL ACCOUNT OF THE ISSUER SHALL NOT, IN THE
AGGREGATE, EXCEED THREE HUNDRED FIFTY MILLION DOLLARS; AND
(4) NO ASSETS OF THE TRUST FUND SHALL BE INVESTED IN ANY SUCH FUNDING
AGREEMENT UNLESS, AT THE TIME OF SUCH INVESTMENT, THE GENERAL OBLI-
GATIONS OR FINANCIAL STRENGTH OF THE ISSUER HAVE RECEIVED EITHER THE
HIGHEST OR SECOND HIGHEST RATING BY TWO NATIONALLY RECOGNIZED RATING
SERVICES OR BY ONE NATIONALLY RECOGNIZED RATING SERVICE IN THE EVENT
THAT ONLY ONE SUCH SERVICE RATES SUCH OBLIGATIONS.
(B) TRUST FUND ASSETS SHALL BE KEPT SEPARATE AND SHALL NOT BE COMMIN-
GLED WITH OTHER ASSETS, EXCEPT AS PROVIDED IN THIS SECTION. THE COMP-
TROLLER MAY ENTER INTO CONTRACTS TO PROVIDE FOR INVESTMENT ADVICE AND
MANAGEMENT, CUSTODIAL SERVICES, AND OTHER PROFESSIONAL SERVICES FOR THE
S. 4302 9
ADMINISTRATION AND INVESTMENT OF THE PROGRAM. ADMINISTRATIVE FEES, COSTS
AND EXPENSES, INCLUDING INVESTMENT FEES AND EXPENSES, SHALL BE PAID FROM
THE ASSETS OF THE FUND.
4. THE COMPTROLLER SHALL PROVIDE FOR THE ADMINISTRATION OF THE TRUST
FUND, INCLUDING MAINTAINING PARTICIPANT RECORDS AND ACCOUNTS, AND
PROVIDING ANNUAL AUDITED REPORTS. THE COMPTROLLER MAY ENTER INTO
CONTRACTS TO PROVIDE ADMINISTRATIVE SERVICES AND REPORTING.
§ 5. Section 5205 of the civil practice law and rules is amended by
adding a new subdivision (q) to read as follows:
(Q) EXEMPTION FOR NEW YORK COMBAT VETERANS HEALTHCARE CHOICE PROGRAM
TRUST FUND PAYMENT MONIES. MONIES IN AN ACCOUNT CREATED PURSUANT TO
ARTICLE FOURTEEN OF THE MILITARY LAW ARE EXEMPT FROM APPLICATION TO THE
SATISFACTION OF A MONEY JUDGMENT.
§ 6. Subsection (b) of section 612 of the tax law is amended by adding
a new paragraph 44 to read as follows:
(44) DISTRIBUTIONS RECEIVED DURING THE TAXABLE YEAR BY A DISTRIBUTION
OF A NEW YORK COMBAT VETERANS HEALTHCARE CHOICE ACCOUNT ESTABLISHED
PURSUANT TO ARTICLE FOURTEEN OF THE MILITARY LAW, TO THE EXTENT SUCH
DISTRIBUTIONS ARE NOT QUALIFIED WITHDRAWALS WITHIN THE MEANING OF SUBDI-
VISION TEN OF SECTION FOUR HUNDRED TWO OF THE MILITARY LAW.
§ 7. Subsection (c) of section 612 of the tax law is amended by adding
two new paragraphs 47 and 48 to read as follows:
(47) CONTRIBUTIONS MADE DURING THE TAXABLE YEAR BY AN ACCOUNT OWNER TO
ONE OR MORE NEW YORK COMBAT VETERANS HEALTHCARE CHOICE ACCOUNTS ESTAB-
LISHED PURSUANT TO ARTICLE FOURTEEN OF THE MILITARY LAW, TO THE EXTENT
NOT DEDUCTIBLE OR ELIGIBLE FOR CREDIT FOR FEDERAL INCOME TAX PURPOSES,
PROVIDED, HOWEVER, THE EXCLUSION PROVIDED FOR IN THIS PARAGRAPH SHALL
NOT EXCEED FIVE THOUSAND DOLLARS FOR AN INDIVIDUAL OR HEAD OF HOUSEHOLD,
AND FOR MARRIED COUPLES WHO FILE JOINT TAX RETURNS, SHALL NOT EXCEED TEN
THOUSAND DOLLARS; PROVIDED, FURTHER, THAT SUCH EXCLUSION SHALL BE AVAIL-
ABLE ONLY TO THE ACCOUNT OWNER AND NOT TO ANY OTHER PERSON.
(48) DISTRIBUTIONS FROM A NEW YORK COMBAT VETERANS HEALTHCARE CHOICE
ACCOUNT ESTABLISHED PURSUANT TO ARTICLE FOURTEEN OF THE MILITARY LAW, TO
THE EXTENT INCLUDIBLE IN GROSS INCOME FOR FEDERAL INCOME TAX PURPOSES.
§ 8. Subsection (d) of section 658 of the tax law is amended by adding
a new paragraph 4 to read as follows:
(4) THE COMMISSIONER MAY BY REGULATION OR INSTRUCTION REQUIRE THE
FILING OF A REPORT ANNUALLY BY THE COMPTROLLER OR PROGRAM MANAGER OF THE
NEW YORK COMBAT VETERANS HEALTHCARE CHOICE PROGRAM, OR THEIR DESIGNEE,
SETTING FORTH THE NAMES AND IDENTIFICATION NUMBERS OF ACCOUNT OWNERS,
DESIGNATED BENEFICIARIES AND DISTRIBUTEES OF NEW YORK COMBAT VETERANS
HEALTHCARE CHOICE PROGRAM ACCOUNTS, THE AMOUNTS CONTRIBUTED TO SUCH
ACCOUNTS, THE AMOUNTS DISTRIBUTED FROM SUCH ACCOUNTS AND THE NATURE OF
SUCH DISTRIBUTIONS AS QUALIFIED WITHDRAWALS OR AS WITHDRAWALS OTHER THAN
QUALIFIED WITHDRAWALS, AND ANY SUCH OTHER INFORMATION AS THE COMMISSION-
ER MAY REQUIRE REGARDING THE TAXATION UNDER THIS ARTICLE OF AMOUNTS
CONTRIBUTED TO OR WITHDRAWN FROM SUCH ACCOUNTS. THE COMMISSIONER MAY
REQUIRE THAT ANY SUCH REPORT ALSO BE MADE TO THE ACCOUNT OWNER, DESIG-
NATED BENEFICIARY OR DISTRIBUTEE OF ANY SUCH ACCOUNT.
§ 9. Section 190 of the executive law is amended by adding a new
subdivision 6 to read as follows:
6. THE DIVISION OF MILITARY AND NAVAL AFFAIRS SHALL ESTABLISH AND
MAINTAIN A VOLUNTARY REGISTRY OF STATE RESIDENTS WHO ARE HONORABLY
DISCHARGED VETERANS OF THE ARMED FORCES OF THE UNITED STATES, AND WHO
SERVED ON REGULAR ACTIVE DUTY (OTHER THAN FOR TRAINING) DURING PART OF
ONE OF THE FOLLOWING PERIODS:
S. 4302 10
(A) FROM SEPTEMBER EIGHTEENTH, TWO THOUSAND ONE UNTIL THE END OF THE
UNITED STATES MILITARY EFFORTS IN AFGHANISTAN; OR
(B) FROM OCTOBER SIXTEENTH, TWO THOUSAND TWO UNTIL THE END OF THE
UNITED STATES MILITARY EFFORTS IN IRAQ.
THE INFORMATION IN SUCH REGISTRY SHALL BE DEEMED CONFIDENTIAL, AND MAY
ONLY BE ACCESSED BY SUCH VETERAN FOR PURPOSES OF PROOF OF HIS OR HER
MILITARY SERVICE.
§ 10. This act shall take effect immediately and shall apply to taxa-
ble years beginning after December 31, 2024.