§ 369-gg. Basic health program. 1. Definitions. For purposes of this\nsection:\n (a) "Eligible organization" means an insurer licensed pursuant to\narticle thirty-two or forty-two of the insurance law, a corporation or\nan organization under article forty-three of the insurance law, or an\norganization certified under article forty-four of the public health\nlaw, including providers certified under section forty-four hundred\nthree-e of the public health law;\n (b) "Approved organization" means an eligible organization approved by\nthe commissioner to underwrite a basic health insurance plan pursuant to\nthis title;\n * (c) "Health care services" means (i) the services and supplies as\ndefined by the commissioner in consultation with the superintendent of\nfinancial services, and shall be consistent with and subject to the\nessential health benefits as defined by the commissioner in accordance\nwith the provisions of the patient protection and affordable care act\n(P.L. 111-148) and consistent with the benefits provided by the\nreference plan selected by the commissioner for the purposes of defining\nsuch benefits, and shall include coverage of and access to the services\nof any national cancer institute-designated cancer center licensed by\nthe department of health within the service area of the approved\norganization that is willing to agree to provide cancer-related\ninpatient, outpatient and medical services to all enrollees in approved\norganizations' plans in such cancer center's service area under the\nprevailing terms and conditions that the approved organization requires\nof other similar providers to be included in the approved organization's\nnetwork, provided that such terms shall include reimbursement of such\ncenter at no less than the fee-for-service medicaid payment rate and\nmethodology applicable to the center's inpatient and outpatient\nservices; (ii) dental and vision services as defined by the\ncommissioner, and (iii) as defined by the commissioner and subject to\nfederal approval, certain services and supports provided to enrollees\neligible pursuant to subparagraph one of paragraph (g) of subdivision\none of section three hundred sixty-six of this article who have\nfunctional limitations and/or chronic illnesses that have the primary\npurpose of supporting the ability of the enrollee to live or work in the\nsetting of their choice, which may include the individual's home, a\nworksite, or a provider-owned or controlled residential setting;\n * NB Effective until December 31, 2030\n * (c) "Health care services" means (i) the services and supplies as\ndefined by the commissioner in consultation with the superintendent of\nfinancial services, and shall be consistent with and subject to the\nessential health benefits as defined by the commissioner in accordance\nwith the provisions of the patient protection and affordable care act\n(P.L. 111-148) and consistent with the benefits provided by the\nreference plan selected by the commissioner for the purposes of defining\nsuch benefits, and shall include coverage of and access to the services\nof any national cancer institute-designated cancer center licensed by\nthe department of health within the service area of the approved\norganization that is willing to agree to provide cancer-related\ninpatient, outpatient and medical services to all enrollees in approved\norganizations' plans in such cancer center's service area under the\nprevailing terms and conditions that the approved organization requires\nof other similar providers to be included in the approved organization's\nnetwork, provided that such terms shall include reimbursement of such\ncenter at no less than the fee-for-service medicaid payment rate and\nmethodology applicable to the center's inpatient and outpatient\nservices; and (ii) dental and vision services as defined by the\ncommissioner, and (iii) as defined by the commissioner and subject to\nfederal approval, certain services and supports
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