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The HCRA fund was created to fund a set of public health care programs. HCRA was enacted in 1996 to overhaul New York States regulation of payments from insurers to health care providers and create new revenue streams to fund specific programs.
HCRA is a major component of New York States Health Care financing laws which governs hospital reimbursement methodologies and targets funding for a multitude of health care initiatives.
Health reform in the US refers to the overhaul of its health care system and is frequently used interchangeably with the Affordable Care Act (ACA). Health reform includes addressing the ever- increasing costs of national health care by individuals, families, and the government.
The Managed Care Reform Act (the Act), in part, amends the Insurance Law to address disclosure requirements, provider due process requirements, provider contract limitations, grievance procedure requirements and provider access and continuity of care requirements.
What is the pool? The New York Public Goods Pool is a fund created by the state of New York to finance health care initiatives and care for the indigent within that state. The Pool was started in 1997 and is funded by a surcharge tax on all health services rendered in the state of New York.

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Legislation nicknamed the New York Health Act would create a universal health care system and cover all primary, preventive and specialized medical care for all New Yorkers, regardless of immigration status. The system would be funded through an income-based graduated tax based on a persons ability to pay.
Electronic Filing User ID Application (DOH-4264)
In these situations, responsibility for payment of the HCRA surcharge rests with the private insurance carrier, at rates based on their election status, plus if applicable, a regional GME percentage, when billed.

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