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New York State Health Care Reform Act (HCRA) 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.
The NYS Surcharge you see on your bill is a tax on the hospital services that you receive. Under New York States Health Care Reform Act (HCRA), we are required to collect the surcharge and to pay it to New York States Department of Health.
The 1996 New York Health Care Reform Act (NYHCRA) provided for two levies: A surcharge on defined claims for indigent care and health care initiatives; An assessment fee for Graduate Medical Education (GME), based on New York state residency.
Healthcare reform makes health coverage available and more affordable for millions of Americans. It gives subsidies for those who purchase private insurance and California expanded Medi-Cal to include more people and single adults.
The New York Health Act would ensure comprehensive universal healthcare for all New Yorkers, including primary, preventive and specialty care; hospitalization; mental health; substance use treatment; reproductive health; dental, vision and hearing; long-term care; prescription drugs; and medical supplies.

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HCRA 2000 also establishes a program called Healthy New York that is targeted at small businesses that cannot afford to provide health insurance for all their employees. It creates a new managed care option that will be available only to those businesses or individuals that meet the eligibility requirements.

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