Gotham Gazette https://www.gothamgazette.com/component/tags/tag/481 Fri, 20 Sep 2019 03:47:29 +0000 Joomla! - Open Source Content Management en-gb webmaster@gothamgazette.com (Webmaster) At 94%, New York Health Insurance Coverage Best of Four Most Populous States https://www.gothamgazette.com/130-opinion/8503-new-york-94-percent-health-insurance-coverage-best-of-four-biggest-states https://www.gothamgazette.com/130-opinion/8503-new-york-94-percent-health-insurance-coverage-best-of-four-biggest-states protecting hc nyc

(photo: Kevin P. Coughlin/Office of Governor Andrew M. Cuomo)


New York State had achieved the highest percentage of residents with health insurance coverage of the four most populous states in the country by 2017, according to the Kaiser Family Foundation, one of the nation's leading health research organizations.

Ninety-four percent of New York's residents had health insurance coverage that year; California was second, with 93%. Both of these states accepted the Obamacare Medicaid Expansion, and both had 26% of their populations served by Medicaid in 2017. Texas and Florida, the other two of the four most populous states, both rejected the Medicaid expansion and had 83% insured and 87% insured, respectively. The United States as a whole had achieved 91% of its population covered by health insurance by 2017.

health insurance coverage1

A report by State Comptroller Thomas DiNapoli actually pegged New York's health insurance coverage rate even higher in January 2018, at 95%, citing Center for Disease Control data. Either number for New York, 94 or 95%, reflects a solid record of attainment of social well-being in the state; not perfect, by any means, but very good.

So how did New York get there?
This article looks at how New York's policies achieved these positive results, as well as prospects for improvement.

First, however, it's useful to take a look at the immediate pre-Obamacare environment for the nation and these most-populous states, as well as how the states and the nation were faring in 1998-2000 as the Clinton administration came to a close in a period of substantial economic growth.

The following tables look at health coverage in the United States and the four big states in 2008 and 2010, as the Great Recession was beginning and ending.

health insurance coverage2

In 2008, 15% of the nation's residents did not have health insurance and 13% were in the Medicaid program. In New York, 12% of residents were uninsured and 13% of residents were on Medicaid. By 2010, after the Great Recession, the uninsured had risen to 16% of the country, and 17% on Medicaid. In New York, uninsured was still 12%, but 22% were on Medicaid.

A 2001 U.S. Census Bureau report showed uninsured rates for 1998-2000.  As the American economy continued to expand at the end of the Bill Clinton years, health insurance coverage reached 14% uninsured by 2000.

New York's situation was worse than the nation in 1998-2000, with 15.7% of its residents uninsured in 1998, and 15.1% uninsured in 2000.

In 2000, California had 17.9% uninsured, Texas 23.2%, and Florida, 17.2%. New York, at 15% uninsured, had a higher percentage of its residents with health insurance of the four largest states, but all four had higher levels of uninsured than the nation.

What happened? First: the Defeat of Block Grants for Medicaid
After the Republican Party won the House and Senate in 1994, the new Republican majorities passed legislation to limit Medicaid spending by providing a capped lump-sum amount of money for Medicaid to every state in the country, effectively eliminating the program as an entitlement. This lump sum was called a Block Grant.

Initially, welfare and other spending for poor people would also be given to states as a block grant. President Clinton vetoed this entire package in December 1995. New York Governor George Pataki made similar proposals, which were rejected by the Democratic-controlled Assembly. Ultimately, Clinton was able to force Congress to separate Medicaid from welfare, with welfare becoming the "Temporary Assistance to Needy Families" block grant (in New York), while Medicaid health care was preserved as an entitlement for the poor.

Enter Child Health Plus and Family Health Plus
In 1997, President Clinton proposed and Congress approved a program to expand health insurance coverage for children up to age 19. In 1999, the New York State Legislature passed legislation, which Governor Pataki signed, authorizing New York to apply for approval from the federal government for a program to be named Family Health Plus, enrolling the parents of children in Child Health Plus (CHP), up to 150% of the poverty level, in the Medicaid program.

Childless adults earning up to 100% of the poverty level would also be permitted to enroll. CHP in New York had enrolled over 500,000 children by 2001, and the federal government approved the Family Health Plus waiver. Implementation was planned for the fall of 2001.

A Health Emergency is Declared in New York After 9/11
The horrific impacts of the September 11, 2001 attacks on the United States and New York are known as part of American history.

But there was a side story about health care in New York that is less well-known. The New York State government's Medicaid computers were in the World Trade Center and were destroyed in the attacks.

These computers contained the information on the eligibility of those enrolled in the Medicaid program. Medicaid was very bureaucratic; recipients had to submit proof of their continued eligibility every year in a recertification process. After the Medicaid computers were destroyed, Governor Pataki announced on September 19, 2001 that New York had received an emergency waiver of the recertification requirements for Medicaid for New York City only through January 31, 2002.

A program known as Disaster Relief Medicaid was implemented that allowed persons to merely fill out a one-page document and attest they were eligible for Medicaid -- 350,000 people enrolled by the deadline.

New York's Family Health Plus program began its implementation shortly after 9/11 as well, allowing adults with children and earning up to 150% of the poverty line to enroll in Medicaid. A national recession was underway at the time of the 9/11 attack -- exacerbated in New York, of course, by the devastation in downtown Manhattan.

New York State lost nearly 200,000 jobs between August 2001 and August 2003, heavily concentrated in New York City. The confluence of all these events resulted in a major expansion of the Medicaid program in New York State; enrollment rose from 2.7 million in 2000 to 3.9 million in 2004.

New York State also began subsidizing small-group private health insurance through a program known as Healthy New York, where subsidized enrollment reached 145,000.

New York 2005-2013: The Great Recession, Medicaid Reform, Preparing for Obamacare
The New York State economy recovered from the recession and the Trade Center attack from 2003-2008, and the Medicaid rolls remained fairly stable, reaching 4.1 million in 2008. The Great Recession began in 2008, with the nation losing 8.5 million jobs from 2008 through February 2010.

New York lost more than 300,000 jobs and about 1 million residents were added to the Medicaid program, bringing Medicaid enrollment to about 5 million before Obamacare, enacted in 2010. This major new program, intended to provide health insurance to 30 million or more additional Americans, had a lead time of several years for the states to develop the ability to implement it.

The recession caused staggering New York State budget deficits. Struggling to cope, both Governors Paterson and Cuomo undertook intensive cost-containment efforts in the Medicaid program while maintaining and even enhancing eligibility. Participation in managed care became standard for Medicaid recipients, even the disabled. New York enacted some utilization limits and tightened reimbursement rates for providers. But the State still took steps to streamline and simplify Medicaid, such as allowing 12-month eligibility periods, eliminating the asset test and fingerprinting, affirming the experience of Disaster Relief Medicaid.

New York also accepted grants from the federal government to get Obamacare up and running by the beginning of 2014. New York integrated its Medicaid program with the new Obamacare health exchanges, in what became known as New York State of Health. Family Health Plus was folded into Obamacare. State government planned for the state to centralize Medicaid administration and take over enrollment processing for persons newly applying for Medicaid as well as the private health insurance plans offered on the exchanges.

Obamacare: 94-95% of New Yorkers Now Insured
By 2013 New York had reached 89% of its population covered by health insurance, and launched Obamacare in 2014. Another 1.2 million New Yorkers were enrolled in the Medicaid program and 250,000 in the new private plans during the Obamacare rollout.

New York adopted a screening policy for applications through the Exchange to enroll residents in Medicaid if they were determined to be eligible, resulting in New York's small private plan enrollments. After all, the federal government was covering 100% of the new costs up to 2019.

New York also received approval in 2015 from the federal government to add residents not eligible for Medicaid into a new insurance program called New York Essential Care, which now covers nearly 750,000, including adults from the Family Health Plus program whose eligibility for Obamacare Medicaid had not been preserved in the switchover. Comptroller DiNapoli's report cited New York as one of only two states in the country to create such a Plan (which is being paid 93% by the federal government). Adding this program to Medicaid enrollment (now 6 million plus) brings 7 million New Yorkers into non-Medicare public plans. 95% of New Yorkers now have health insurance.

The state government recently took important steps to codify elements of the Obamacare rollout into state law through the new state budget, protections toward stability in case there is significant undercutting of the health care law via the Supreme Court or other federal action.

Three Legislators
Three members of the New York State Legislature deserve special mention for extraordinary leadership in the state’s achievements in health insurance. One is Assemblymember Dick Gottfried of Manhattan, the senior member of the Legislature who has chaired the Assembly Health Committee since 1987. Second is State Senator Kemp Hannon, a Republican from Nassau County, who chaired the State Senate Health Committee and supported the Medicaid expansions and shepherded them through the Republican-controlled State Senate. He was defeated in 2018. And third, James Tallon, who served in the State Assembly from 1975-1993, as Majority Leader and Gottfried’s predecessor as chair of the Health Committee. He became President of the United Hospital Fund in 1993 and became the state’s intellectual leader in health care.

What’s Next?
New York still has 1 million to 1.2 million residents without health insurance. The Kaiser Foundation reports that 8% of New York non-elderly adults age 19-64 still do not have health insurance.

Recently the de Blasio administration announced a plan to enroll several hundred thousand more New York City residents without health insurance into a New York City insurance plan based on its network of municipal hospitals and clinics, which have their own Medicaid Managed Care Plan (the city is also attempting to enroll undocumented immigrants, who can’t be insured, into health care plans where they are assigned primary care doctors).

The city’s efforts are a good idea and the New York State government should help the city by paying for outreach and facilitated enrollment.

New York could still build on the substantial increases in health insurance outside New York City as well, and continue efforts to provide small group coverage through its Exchange. The top five states for insurance coverage in the nation have reached 96-97% of their residents insured.

And Single-Payer? Don’t Forget Donald Trump
The New York State Assembly has passed a single-payer health plan, called the New York Health Trust, several times, as recently as 2018,; it is now bill A. 5248 in the current legislative session.

Moving forward with such a plan still has innumerable hurdles, one of which involves folding the Medicare program into a comprehensive New York health insurance plan, necessitating federal government approval under the Trump administration, which is not likely. Single-payer must also pass the State Senate and be supported by Governor Cuomo.

Going into the 2020 presidential election, even if Donald Trump is defeated and the Democrats take back the United States Senate it's not certain there will be a national consensus on single-payer or Medicare-for-All. Incremental progress might still be the choice. It is clear New York State has made great progress and still has the capacity to do better, something New Yorkers should be proud of.

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Jim Brennan was a member of the New York State Assembly for 32 years, where he chaired four committees. On Twitter @JimBrennanNY.

 

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Have an op-ed idea or submission for Gotham Gazette? Email opinion@gothamgazette.com

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At 94%, New York Health Insurance Coverage Best of Four Most Populous States Tue, 07 May 2019 04:00:00 +0000
Max & Murphy Podcast: Getting to Yes on Marijuana Legalization, with Assemblymember Richard Gottfried https://www.gothamgazette.com/state/8375-max-murphy-podcast-support-for-marijuana-legalization-with-assemblymember-richard-gottfried https://www.gothamgazette.com/state/8375-max-murphy-podcast-support-for-marijuana-legalization-with-assemblymember-richard-gottfried 4gottfried

Ben Max, left, of Gotham Gazette, and Jarrett Murphy, right, of City Limits


March 20, 2019 - Max & Murphy Podcast: Support for Marijuana Legalization, with Assemblymember Richard Gottfried

assemblymember richard gottfried 150Assemblymember Richard Gottfried was a co-sponsor of a marijuana legalization bill in the 1970s. In 2019, he's still pushing for allowing adult-use marijuana in New York, which is now supported by Governor Andrew Cuomo and, at least in principle, both Democratic majorities in the Legislature. But, there is no deal yet. Gottfried joined the show to explain his support, discuss some of the related details, and respond to critics of legalization.

Listen to the conversation and let us know what you think -- we're on Twitter @TweetBenMax and @JarrettMurphy. You can listen to the show through the embedded audio below or download the episode wherever you get your podcasts, under "Max & Murphy," and listen to Max & Murphy live on Wednesdays at 5 p.m. on WBAI radio, 99.5FM or wbai.org

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by Ben Max, Gotham Gazette
     

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Max & Murphy Podcast: Getting to Yes on Marijuana Legalization, with Assemblymember Richard Gottfried Wed, 20 Mar 2019 04:00:00 +0000
Max & Murphy Podcast: Will Single-Payer Health Care Come to New York? https://www.gothamgazette.com/state/8139-max-murphy-podcast-will-single-payer-health-care-come-to-new-york https://www.gothamgazette.com/state/8139-max-murphy-podcast-will-single-payer-health-care-come-to-new-york mxm logo

Ben Max, left, of Gotham Gazette, and Jarrett Murphy, right, of City Limits


December 12, 2018 - Max & Murphy Podcast: Will Single-Payer Health Care Come to New York?

wbai dec12 400One of the most hotly-debated issues in state government is whether New York should or will move ahead with the New York Health Act, which would institute single-payer health care. State Senator Gustavo Rivera, a Bronx Democrat, is the Senate sponsor of the bill and will soon be part of the Democratic majority in the Senate, as well as the health committee chair. He joined the show to discuss the broader priorities of the Senate Democrats and the prospects for the New York Health Act when his party has full control of state government come January.

Then, Bill Hammond, director of health policy at the Empire Center, joined the show to dissect the New York Health Act and a variety of ways in which he thinks it is problematic legislation, as well as the political terrain ahead for it.

Listen to the conversation and let us know what you think -- we're on Twitter @TweetBenMax and @JarrettMurphy. You can listen to the show through the embedded audio below or download the episode wherever you get your podcasts, under "Max & Murphy," and listen to Max & Murphy live on Wednesdays at 5 p.m. on WBAI radio, 99.5FM or wbai.org

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by Ben Max, Gotham Gazette
     

Read more by this writer.

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Max & Murphy Podcast: Will Single-Payer Health Care Come to New York? Wed, 12 Dec 2018 05:00:00 +0000
With Full Democratic Control, Sponsors of New York Single-Payer Health Care Hopeful About 2019 https://www.gothamgazette.com/state/8066-with-full-democratic-control-sponsors-of-new-york-single-payer-health-care-hopeful-about-2019 https://www.gothamgazette.com/state/8066-with-full-democratic-control-sponsors-of-new-york-single-payer-health-care-hopeful-about-2019 Cuomo health care

Gov. Cuomo (photo: Kevin Coughlin/Governor's Office)


This is part of AGENDA 2019, a joint Gotham Gazette-City Limits project
Find the rest of the series here

Though Governor Andrew Cuomo has not expressed support for instituting a single-payer health care system in New York, his fellow Democrats campaigned on the issue as they flipped control of the state Senate, landing all of state government into Democratic hands and providing a significant boost of optimism to the lead sponsors of the New York Health Act, which would create a government-administered single-payer health care system.

The bill has passed the Democrat-dominated state Assembly several times and all the members of Senate Democratic conference signed on as co-sponsors at the end of last legislative session in a unified show of support for the program heading into the election season.

Cuomo has said he supports a Medicare for all-type system at the federal level, but cast doubts on the cost and complexity of doing it in New York, and since their resounding wins on Election Day, the incoming leaders of the Democratic Senate majority have indicated that the massive undertaking of single-payer is not at the top of the agenda.

Still, with Democratic control of the Senate and the Assembly by wide margins, single-payer healthcare could be passed as early as the 2019 session, according to Assemblymember Richard Gottfried, chair of the Assembly Health Committee and lead sponsor of the New York Health Act.

“It was clear in the country and New York that healthcare was the number one issue on voters’ minds,” Gottfried said, before pointing to his legislation. “A solid majority of the new state Senate has either been a cosigner, voted for it in the Assembly, or campaigned on it. So I think we’re on track to get it passed in the Assembly and state Senate.”

The New York Health Act would replace health insurance companies with New York state government as the payer of healthcare costs for all New Yorkers. It has been passed in the Assembly four years running but has yet to be voted on in the Senate, where Republicans have held control. All of the other 30 Democratic senators joined lead sponsor Senator Gustavo Rivera of the Bronx to co-sponsor the legislation, though the Senate Democratic conference is seeing significant turnover due to primary wins by insurgent challengers. But, those challengers have in general been even more vocally supportive of single-payer health care than their more moderate predecessors. These facts give Gottfried confidence that the New York Health Act will pass during the 2019 session, which begins in January.

But the bill still faces an uphill battle, in part because of the massive changes it would institute, and the fact that though it might reduce overall individual and business healthcare costs after implementation, for the state to run the system it would require raising taxes significantly, something many Democrats have promised not to do and Cuomo is vehemently opposed to. It would also drastically impact the state’s private and public hospitals, the health insurance industry, and more. Some of the changes would of course be beneficial to New Yorkers, but the undertaking is complex and the New York Health Act as currently written leaves a lot of detail undetermined, including funding.

The governor has repeatedly opposed single-payer healthcare at the state level, suggesting that it would be more rational and financially feasible if administered by the federal government. Cuomo questioned in the past how a single-payer system could be put in place without doubling the tax burden, and cited California’s and Vermont’s debates over single-payer — which both ended when supporters were not able to answer one question: where would the funding come from? — as paragons of the impracticality of state-level single-payer.

Gottfried, a Manhattan Democrat, is confident that with his fellow lead sponsor Senator Rivera, who is likely to be the Senate health committee chair come January, and other legislators, he will be able to sway Cuomo to support the legislation.

“He’s obviously not on board yet, but he and his staff are very open to working with the Legislature on the issue,” Gottfried said. “I’m convinced we can satisfy their concerns.”

And after a recent study by RAND Corporation concluded that the New York Health Act would result in a reduction of administrative costs, provide all New Yorkers with healthcare, and reduce healthcare costs for most, Gottfried says the financing of the bill will not be a problem.

“New Yorkers are all going to have to think about what they will do with the hundreds of thousands of dollars that will end up in their pockets, and that’s a nice problem to have,” Gottfried said.

The study has a caveat, however, stating in its conclusion that “the estimated effects depend heavily on the assumptions about provider payments, administrative costs and drug prices.” Politico highlighted these assumptions as well as the likely tax increases that have largely been brushed aside by Democrats supporting the legislation. Wealthy people leaving the state, companies restructuring, the cost of hospital expenses rising at a faster rate or the Trump administration not issuing a federal waiver to redirect all healthcare-related funds to the new state entity are all possible events that could result in RAND’s conclusion falling apart.

For it to work, while health care costs drop, taxes would undoubtedly increase significantly for many New Yorkers. As cited by Politico, “a household reporting $150,000 in income would see its state tax rate increase from 6.45 percent in 2017 to 18.3 percent,” under one model scenario. Additionally, those who receive Medicaid or fall under the state’s Essential Plan, which subsidizes health insurance for low-income New Yorkers, have less to gain from the expansion. According to RAND, though, 1.2 million New Yorkers would gain health coverage.

It is likely that funds for New York single-payer health care would partially come from a new payroll tax, which RAND projects to fall largely on employers. However, RAND suggests the health act payroll tax would cost less for businesses already contributing toward employee health insurance and the Medicare payroll tax, estimating decreases in employer costs fairly quickly.

Concerns about businesses and high-income individuals leaving the state persist, with a tax atmosphere in New York that many, including Cuomo, acknowledge is already burdensome and became more so for many taxpayers, especially top earners, under the new federal tax code.

Senator Rivera, aware that cost is the primary argument against single-payer health care, repeatedly emphasized the need to work towards a version of the bill that would reduce the financial strain.

“I will continue working diligently with Assembly Member Gottfried, Senate Majority Leader Stewart-Cousins and the Senate Democratic Conference to make the New York Health Act a bill that is not only fiscally responsible, but that provides comprehensive coverage to all New Yorkers,” Rivera wrote in an email to Gotham Gazette.

The bill and its potential ramifications have been studied closely by Bill Hammond, director of health policy at The Empire Center, a think tank. "Regardless of which party controls the state Senate, the New York Health Act remains a wildly unrealistic idea," Hammond said by email. "It means putting New York's entire health-care system — representing one-fifth of the economy — in the hands of the same state government that struggles to run the subways. It requires massive, draconian tax hikes, enough to roughly triple total state revenues."

"Plus, a true single-payer plan would need federal waivers that the Trump administration has vowed to block," Hammond continued, also noting a political angle -- that if Democrats spend great sums of money and political capital on a health care overhaul of this magnitude, what will they ignore, like fighting climate change or improving mass transit.

"It was easy to cast a symbolic yes vote for a single-payer bill that had no chance of passing," Hammond said. "Now that that it might actually happen, supporters are going to be forced to confront the practical realities. Then, hopefully, they’ll focus on helping the 6% of New Yorkers who still lack insurance, rather than disrupting coverage for those who already have it."

agenda19v2 aRivera acknowledged that moving to single-payer would not satisfy everyone, especially those who benefit from the current system, and that there are negotiations to come that will likely adjust the bill to make it more palatable to holdouts.

“The biggest challenge will be to reach a consensus among stakeholders that the NY Health Act is feasible [and] fiscally responsible,” Rivera wrote.

Citing “healthcare practitioners, prescription drug companies, healthcare providers, employers, unions and New Yorkers,” as the various groups involved, Rivera also mentioned courting Cuomo as an important step to take in the coming legislative session.

“Our main priority for the next legislative session is to continue shaping the bill so that it is feasible, affordable, that the Governor is willing to sign, and that primarily, provides quality healthcare for everybody,” Rivera wrote. “During the next legislative session, we will focus on making the necessary amendments to the bill so that it truly reflects the different healthcare needs affecting all New Yorkers.”

For now, it is very difficult to imagine Cuomo coming on board, especially given the pains he’s taken to keep state spending increases at around 2 percent per year and to lower taxes. Asked about single-payer health care during a Thursday appearance on The Capitol Pressroom with host Susan Arbetter, Cuomo painted it as unrealistic given budget constraints. He said Democrats are generally in agreement on the concept, but legislators will have to deal with reality in working with him on a state budget next year, while he also said he thinks it's much more workable on the federal level. “Single-payer health plan, for example," Cuomo said, "conceptually I think it’s the right way to go in. I believe it’s more feasible financially on the national level. No state has been able to finance the transition costs.”

A variety of factors, including the challenge of getting Cuomo’s support and not wanting to come into power quickly pursuing something as revolutionary as single-payer health care, may be why the likely next Senate majority leader, Andrea Stewart-Cousins, and her likely deputy, Senator Michael Gianaris, have not highlighted it as top priorities for the coming session.

Assemblymember Gottfried noted that state Senators’ public approval of the bill gives him no reason not to “take them at their word,” and said he expects the legislation to move through the Legislature. He knows that private health insurers are certain to vehemently oppose the continued push.

“The insurance industry will be fiercely lobbying against the bill and they have a lot of money, going up against their lobbying will take a lot of work,” Gottfried said. “but I’m convinced with so many senators on the record in support of the bill, we will prevail.”

This is part of AGENDA 2019, a joint Gotham Gazette-City Limits project
Find the rest of the series here

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by Victor Porcelli, Gotham Gazette

Read more by this writer.

This article has been updated with Cuomo's comments from 11/15/18 on The Capitol Pressroom.

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With Full Democratic Control, Sponsors of New York Single-Payer Health Care Hopeful About 2019 Tue, 13 Nov 2018 05:00:00 +0000
Democrats in Swing Districts Run On, Not From, Single-Payer Health Care https://www.gothamgazette.com/state/7995-despite-lack-of-support-from-cuomo-democrats-in-swing-districts-run-on-not-from-single-payer-health-care https://www.gothamgazette.com/state/7995-despite-lack-of-support-from-cuomo-democrats-in-swing-districts-run-on-not-from-single-payer-health-care andrewcuomo affor

Gov. Cuomo & Long Island Democratic Senate candidates (photo: @andrewcuomo)


Since the Affordable Care Act has failed to tame the beast that is America’s private health insurance system, and a new presidential administration is actively hostile to even that modest attempt at near-universal coverage, activists and many Democrats in New York have recently come to embrace a way forward. Single-payer, state-government-administered health care coverage has become something of a rallying cry for progressive activists in New York even as Governor Andrew Cuomo has argued it’s a program better-suited for the federal government to tackle.

While often thought of as a politically risky issue to embrace outside of solidly progressive areas, candidates in swing districts across the state are carrying the torch for single-payer and calling it a morally correct thing to do that will also save the state money. And with criticism of the proposal from Republicans, the issue has become a flashpoint in the battle for control of the New York State Senate, the GOP’s only source of power at the state level and the key for Democrats hoping to enact a long list of progressive goals.

The New York Health Act, the proposed law that would set up single-payer health insurance in New York, has gained momentum in the state Senate after years as an Assembly-focused effort. Every Democrat in the upper chamber of the state Legislature, where the party is in the minority by one seat, signed on to the bill last session.

The push saw added attention as Democratic gubernatorial candidate Cynthia Nixon made passing the bill a centerpiece of her campaign, although unlike on other issues like legalizing marijuana, Nixon didn’t appear to push Cuomo left on healthcare. But while Nixon and New York City Democrats -- the lead sponsors of the NYHA are Manhattan Assembly Member Dick Gottfried and Bronx Senator Gustavo Rivera -- have received the most attention for their embrace of the plan, Democratic state Senate candidates in the Hudson Valley and Long Island are also running on the passage of the bill despite the risk that an embrace of big government socialism could be a liability in their swing districts.

Conventional wisdom about the relative conservatism in many areas outside of New York City, and Cuomo’s own reluctance to embrace statewide single-payer (during his debate with Nixon he said it is a good idea “in theory,” but that it would double the state’s tax burden and he supports single-payer at the federal level), would suggest that Democrats in tight races would avoid the New York Health Act. Prominent Cuomo-led events where he’s endorsed suburban Democrats haven’t included mention the bill at all, instead focusing on issues like the continuation of the two percent property tax cap, the passage of the Reproductive Health Act and a “red flag” gun control law, and funding an effort to fight the MS-13 gang.

As Cuomo avoided the issue, Senate Majority Leader John Flanagan brought up the specter of socialism and high taxes in an op-ed column arguing for the GOP’s continued control of the state Senate. “The Democrat Conference vows to enact single payer health care, and so do all the candidates they are running. Medicaid for All would double the state’s budget while taking away Medicare from our seniors. You cannot support a cap on spending and a permanent cap on property taxes, while supporting budget-doubling policies like socialized medicine.”

But for some suburban Democrats, single-payer is as much of a winning issue as any other. “There's definite support [for the New York Health Act],” said candidate Pete Harckham, running to unseat Republican Terrence Murphy in the Senate’s 40th District, in the Hudson Valley. “People are tired of fighting with insurance companies, hospitals are tired of fighting with insurance companies, doctors are tired of fighting with insurance companies. So I think there's a very high appetite for the discussion and the dialogue with the New York Health Act as the starting place.”

Jen Metzger, running against Ann Rabbit in the 42nd District for the retiring Senator John Bonancic’s Hudson Valley seat, also said that she’s heard support for the bill out on the trail. “I come right out and say I'm a supporter of the New York Health Act and no one has said yet that it's a terrible idea or a scary idea,” Metzger told Gotham Gazette. “People understand that this system is not working and that major change is needed.”

“We've got to put every option on the table, because we're coming to a breaking point,” John Mannion, running against Bob Antonacci in the race to replace retiring Senator John DeFrancisco in western New York’s 50th District, told Gotham Gazette.

Both Metzger and Harckham don’t hedge their support either; each candidate told Gotham Gazette that they view healthcare as a human right and believe in a single-payer insurance system. It’s a view that’s become common enough among Democrats that Andrew Gounardes, running against state Senator Marty Golden in a relatively conservative district in southern Brooklyn, said, “frankly I don’t think it’s out of the mainstream to talk about universal health care in the year 2018,” during a previous interview with Gotham Gazette. Cuomo has also endorsed Gounardes, at a rally in Brooklyn where there was no mention of single-payer healthcare.

Support for the bill, even in districts currently held by Republicans, may not be as much of a liability in a wave year for the candidates who’ve expressed their support for it. The 40th and 50th Districts went for Hillary Clinton in 2016 by more than 5 points each, though the 42nd District went for Donald Trump by 5 points.

Gounardes and his primary opponent Ross Barkan were hardly the only New York City Democrats banging the drum for the New York Health Act this primary season. It was one of a slew of issues that challengers to the former members of the Senate’s Independent Democratic Conference (IDC) regularly used to explain how the incumbents had not represented progressive values while forming a power-sharing agreement with the Republican conference.

Jessica Ramos promoted single-payer on her website, Alessandra Biaggi explained her support for it using her own father’s Parkinson’s Disease as an example of how the current healthcare system was failing, and Zellnor Myrie promoted a recently-released RAND Corporation study that suggested the New York Health Act would save the state money over time -- all three of them defeated former IDC members in the primary.

Even John Brooks, a Long Island Democrat running a tough re-election campaign for his seat on Long Island states on his website that he supports the New York Health Act, and has called affordable health insurance “a right, not a privilege.” Harckham though, said that the bill has appeal outside of the city because “the economic and the healthcare hardship is the same in the suburbs as it is in the city.”

Just under 5 percent of New Yorkers lack health insurance, according to a recent report by Comptroller Tom DiNapoli, and 7 million New Yorkers are receiving Medicaid, the federal program administered by the state with localities. Beyond the rhetoric of health insurance as a right and not a privilege, these Democratic candidates are also insisting the move to a single-payer system would actually save taxpayers and businesses money in the long run. “Shifting to a single-payer system would actually reduce property taxes, because it would reduce the cost of local taxes and government costs from how they pay for their employees' health insurance,” Metzger, a member of the Rosendale Town Council, told Gotham Gazette.

This is of course disputed by state Senate Republicans, who have cast the possible change to a single-payer system as a big government takeover of the healthcare sector. “You can’t hold the line on taxes and spending when you’re calling for creation of a new government-run health care system that would double the size of the state budget and cost taxpayers hundreds of billions of dollars more than they already pay,” Senate GOP spokesperson Scott Reif said in response to a Democratic pledge -- signed by Cuomo and Long Island Democratic Senate candidates -- that included a promise to keep property taxes low, but made no mention of single-payer health care.

The RAND Corporation study concluded the change to a single-payer system in New York could (if certain assumptions were made true) save the state money in the long run, as even the bill’s primary sponsor in the Assembly, Gottfried, has said, that payroll and other taxes would need to increase to pay for the new system. The New York Health Act legislation itself doesn’t provide an exact way to pay for the single-payer system, instead authorizing a commission to figure out how to fund the plan should the bill pass. But Mannion posited that it’s not as if health insurance costs are affordable or helpful at the moment.

“I spoke to someone, a small business owner in my district, who said the entire health insurance premium he paid was $300,000 for his employees six years ago, and this year alone it increased by $300,000,” Mannion said, in response to a question on whether he’s prepared to explain tax increases necessary for a single-payer system.

Still, some Democrats are wary to discuss their views on the issue, even if they list it as an issue they’re running on. Jim Gaughran, running against Republican Senator Carl Marcellino in Long Island’s 5th District, called healthcare a right and not a privilege on his website, but did not respond to a request for comment, even after he was reached on his cell phone and promised a return call that did not materialize. The same situation came up with candidates Karen Smythe, whose website calls for universal single-payer, and Pat Strong, who said she would pass the New York Health Act. In the case of Assembly Member James Skoufis, running to represent the 39th Senate District, he’s already voted for the bill more than once in his time in the Assembly, but doesn’t list is as one of his main issues on his campaign website. Skoufis released a campaign ad touting his a fight with insurance companies on behalf of a constituent, but his campaign did not respond to multiple requests for comment on whether or not he would support the New York Health Act in the Senate the way he did in the Assembly.

The candidates who spoke to Gotham Gazette did insist that even if they won and Democrats capture a majority in the state Senate, voters shouldn’t expect an immediate passage of the bill in the first budget session.

“During the gubernatorial primary, Cynthia Nixon said ‘Oh just pass [the bill] and pay for it,’ but that's not how you pass and craft legislation,” Harckham said, referring to when Nixon told the Daily News editorial board “Pass it and then figure out how to fund it” when its members asked her about the New York Health Act. “My starting point is New York Health, and let's sit down with the experts. The Assembly has passed this version, so it's pretty far along, but that doesn't mean the Senate can't alter it,” she continued. “Let's do our due diligence, with the goal of providing universal single-payer coverage for all New Yorkers.”

Harckham did say, though, that he felt “two years of legislative time” is long enough to debate and pass a bill, which he called a first-term priority on his website (state legislative terms are two years long).

“The Assembly bill has to be revamped, and we have get it right,” Mannion said. A spokesperson for Mannion later told Gotham Gazette that “getting it right” meant that Mannion believed “a transition from the current system to universal coverage as per the bill would likely require a transitional period in which purchasing into a Medicare-for-all like system would be a possible step, including offering that option on the NY State of Health exchange website.” That website is currently where New Yorkers can purchase health insurance plans under the Affordable Care Act.

And even though the governor has said he prefers single-payer on a federal level, Metzger said there might be hope of convincing him to embrace the New York Health Act by playing to his love of New York being first. “I think we can show that [single-payer] can be done, I think there's a lot of value in demonstration value,” Metzger said. “It's been these academic debates in this country for a long time. If anyone can do it, I think New York can do it.”

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by Dave Colon, Gotham Gazette
     

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Democrats in Swing Districts Run On, Not From, Single-Payer Health Care Mon, 15 Oct 2018 04:00:00 +0000
As Broader Debate Intensifies, New York Nonprofits Consider Throwing Weight Behind Single-Payer https://www.gothamgazette.com/state/7944-as-broader-debate-intensifies-new-york-nonprofits-consider-throwing-weight-behind-single-payer https://www.gothamgazette.com/state/7944-as-broader-debate-intensifies-new-york-nonprofits-consider-throwing-weight-behind-single-payer gottfried org 2

Assemblymember Gottfried (photo: Dickgottfried.org)


Wendy Stark is ready to press the reset button on health care. The executive director of Callen-Lorde Community Health Center, based in Lower Manhattan, Stark is hopeful that an overhaul may be on the horizon in New York through controversial legislation gaining increasing attention as this fall’s elections determine the upcoming balance of power in state government, from the governor’s office through the state Legislature.

The New York Health Act -- which has increasingly strong chances of passing the state Legislature but does not have the support of Democratic Governor Andrew Cuomo, who is favored to win a third term -- would set the stage for New York to toss out the current health insurance system in favor of a single taxpayer-funded, government-administered health care program for everyone.

As the bill has been the subject of more debate in recent months, partially stemming from gubernatorial candidate Cynthia Nixon’s support for it, powerful lobbyist groups representing insurers, hospitals, and businesses have been vocal about their opposition. The Business Council of New York State took to Fox & Friends to denounce the legislation, while others have written op-eds in local publications. Republicans running for office, including gubernatorial nominee Marc Molinaro, are warning New Yorkers about a potential government takeover of health care.

But as the leader of a health care provider that serves mostly low-income members of the LGBT community through its clinics in Manhattan and the Bronx and employs more than 350 people, Stark has a very different take. She says in addition to allowing her organization to save on employee benefits and administrative costs -- a projection generally backed up by the RAND Corp.’s recently-published analysis of the New York Health Act -- a single-payer system would cut down on the red tape patients have to deal with.

“So many of the barriers to care people experience are rooted in the economics of health care,” Stark said. “We don’t believe health care can make adequate improvements without changing the foundational economics of how it works and is paid for.”

Under the proposed single-payer system, insurance premiums, deductibles and copays would all go out the window, and patients could visit any health care provider without having to worry about whether they were in their insurance network. Meanwhile, taxes would go up, with the wealthiest New Yorkers paying a greater portion of their income and employers paying a certain amount per employee. Under the sample tax model proposed by the RAND Corp., the state would have to collect an estimated $139 billion in new taxes in 2022 to pay for the single-payer system. Still, RAND projected that overall spending on health care would go down -- barring a few caveats that that could stand in the way of the system being successful.

Callen-Lorde is one of 10 community-based health centers and 183 total nonprofit groups statewide that have publicly endorsed the campaign supporting the New York Health Act (in addition to a variety of mostly small for-profit businesses). But while it may seem like a natural fit, the bill still has a ways to go to become a widespread legislative priority for the large contingent of community-based organizations that help connect immigrants, people with behavioral health problems and housing insecurity, formerly incarcerated individuals, and members of other marginalized groups to needed health care and social services.

Many nonprofit health centers and other organizations, including those in the human services sector -- which employ a growing workforce and have formed coalitions to represent their interests in Albany and Washington, D.C. -- are still examining the implications of the New York Health Act before issuing full-throated endorsements. Others are directing their limited resources to what they see as more pressing policy and funding concerns.

But that may change as the policy conversation develops. Groups like the Federation of Protestant Welfare Agencies, FPWA, which represents 170 human-services and faith-based organizations, are hoping to help move things along.

“We believe the New York Health Act would strengthen nonprofits both for the communities they serve as well as their employees, and make the system more tenable long-term,” said Winn Periyasamy, policy analyst at FPWA.

FPWA, along with the Coalition for Asian American Children and Families and the New York Immigration Coalition, hosted a forum on single-payer for nonprofit representatives on the Lower East Side last month, where they heard about the New York Health Act directly from its lead sponsors in the Legislature, Assemblymember Richard Gottfried and Senator Gustavo Rivera, both Democrats who represent parts of New York City in their respective legislative houses.

New Yorkers in favor of a single-payer health system will know they’re winning, Rivera told the audience, when sinister images of him and Gottfried start appearing in insurance-industry funded attack ads.

“I can’t wait for that gritty video, I can’t wait for it!” said Rivera, of the Bronx, exuding confidence that the debate over the state’s single-payer bill is on its way to reaching a fever pitch.

The New York Health Act passed the Assembly the last four years in a row, but was thwarted each time by the Republican-controlled Senate. Now the bill--which was already only one sponsor short of a majority in the Senate in the last session--is among a slew of progressive measures that have been infused with new hope following the dissolution of the Independent Democratic Conference, which allowed Senate Democrats to caucus with Republicans.

“This is real,” Gottfried insisted at the forum. “This is not a dream. And you and your people are really crucial to making sure it gets done.”

Those in attendance were particularly interested in how the bill would affect undocumented New Yorkers, who are generally not eligible for health insurance now but would be under the single-payer system. Undocumented New Yorkers currently often use public hospitals at great expense, having eschewed preventative care due to their documentation status and lack of insurance. Dr. Mitchell Katz, chief executive of the cash-strapped NYC Health + Hospitals system, praised the Assembly on Twitter for passing the New York Health Act in June.

Attendees at the event also talked about the need to properly translate materials on single-payer into the languages of the communities they serve.

“We’re reaching into our Asian-American communities,” said Anita Gundanna, co-executive director of the Coalition for Asian American Children and Families. “A lot of people had never heard of the [single-payer] proposal before or thought through the impact of it, so for us the very beginning step is to expose our communities to what’s going on and how it might impact them.”

CACF and other groups serving Asian-Pacific Americans advocate for health care initiatives through Project CHARGE, the Coalition for Health Access to Reach Greater Equity. Gundanna said there’s a need to get more buy-in from individual organizations before single-payer can become an official part of the coalition’s policy agenda.

“We have to be strategic and patient,” she said. “We can’t move without having our coalition behind us.”

On the bright side, Gundanna pointed out, the nonprofit sector had to increase its capacity to share information about health policy a few years ago in order to help people understand and get insured through the federal Affordable Care Act, also known as Obamacare.

But more recently everyone has been on the defensive, using their resources to try to preserve the ACA and prevent a wide array of federal policies from taking effect. Lately, many organizations are preoccupied with changes the Trump administration is considering to the Public Charge Rule, which people in the social-services sector say are already discouraging some immigrants from using public benefits, including subsidized health insurance, for fear it could be used as a strike against them later.

Gundanna said she wants to present nonprofits with proactive solutions like single-payer but acknowledges that everyone must consider, “How many resources are there to explore these quote-unquote ideal options in this quote-unquote ideal world?”

Asked about the New York Health Act, the Community Healthcare Association of New York State, which spent much of 2017 and early 2018 consumed by a battle to secure endangered federal funding for its members, said in a statement, “CHCANYS supports innovations in health policy that improve access to high-quality health care for everyone. We continue to study the options for expanding coverage to all New Yorkers and are closely monitoring the current political discourse.”

Meanwhile, the Human Services Council, whose advocacy focuses on improving the government contracts its member organizations rely on for funding, is not likely to take a position on the New York Health Act, said Allison Sesso, the coalition’s executive director.

“Doing stuff on this is not why we exist and could eat up resources,” said Sesso, although she added, “I think this conversation is really important and I’m glad it’s being elevated.”

As advocates for the New York Health Act work to make the case that it’s worth the time and effort for would-be proponents to support the bill, they are also faced with the uphill battle of getting the governor on their side. A year ago, before the bill stood much of a chance of passing both houses of the state Legislature, Cuomo signaled some slight openness to the idea of implementing a single-payer system in New York. Asked about it again during his debate with Nixon, before he beat her in the gubernatorial primary this month, Cuomo came out against the idea. He said he thought it could work at the federal level but would be too costly an endeavor for the state to embark on alone.

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by Caroline Lewis for Gotham Gazette. On Twitter @clewisreports and @GothamGazette.

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As Broader Debate Intensifies, New York Nonprofits Consider Throwing Weight Behind Single-Payer Thu, 20 Sep 2018 04:00:00 +0000
Amid Health Care Funding Fights, Cuomo Explores Special Session https://www.gothamgazette.com/state/7244-amid-health-care-funding-feud-cuomo-explores-special-session https://www.gothamgazette.com/state/7244-amid-health-care-funding-feud-cuomo-explores-special-session andrew cuomo

Gov. Cuomo with top health and budget aides (photo: Kevin P. Coughlin/Governor's Office)


Governor Andrew Cuomo has been floating the idea of a special legislative session to address federal cuts to the state’s health care programs, as well as other concerns that have developed, since the state budget was agreed to in April.

In that budget, Cuomo pushed to include and won a provision granting him nearly unilateral power to adjust the state’s financial plan mid-year in the event of at least $800 million in federal cuts to the state. In April, the governor said the provision would ensure that “we do not overcommit ourselves financially” and indicated it allowed him to sign off on a budget that did not otherwise account for likely federal cuts. But, it appears as if Cuomo may call lawmakers back to Albany -- likely with agreement from the legislative majorities to an agenda -- regardless of whether the threshold has been met.

When the state Legislature finished its legislative year in June with a brief special session to pass mayoral control of schools as well as several smaller measures, such as $55 million in state aid for businesses and homeowners impacted by flooding around Lake Ontario, unknowns surrounding President Donald Trump’s promise to “repeal and replace Obamacare” loomed large.

As chatter of a special session to address two lapsed federally subsidized health care programs escalated this week, so did a feud between Cuomo’s administration and that of New York City Mayor Bill de Blasio over $380 million that was earmarked to reimburse New York City Health + Hospitals, the city’s public hospital network, for expenses incurred treating uninsured and indigent patients over the last two years.

In recent weeks, Cuomo has sounded the alarm over four essential funding streams to New York health care systems that are being threatened by Trump and a Republican-led Congress. While the federal Graham-Cassidy bill -- a replacement to the Affordable Care Act that would have cost New York $16.9 billion by 2025, according to projections -- was defeated, and parts of Trump’s sweeping tax plan that target blue states are on shaky ground, the federal government failed to renew the Disproportionate Share Hospitals funds, known as D.S.H., by October 1, creating a potential $2.6 billion shortfall that is expected to disproportionately hit New York City’s public hospital system over the next year and a half.

If they remain in effect, the cuts will place a $330,000 burden on Health + Hospitals for federal fiscal year 2018, but the city says the state is also unlawfully holding $380 million in federal funds owed to city hospitals for federal fiscal year 2017, which just ended, for services already provided.

This federal funding, which passes through the state, is allocated for municipal and state-run hospitals that treat high volumes of uninsured and indigent patients.

While it is unclear whether the cut would justify a budget adjustment by the executive branch given the April budget provision, Cuomo appears to be courting lawmakers to return for a special session that could address D.S.H. and other looming health care deficits.

Also lapsing earlier this month is the federal Child Health Insurance Plan (CHIP), which subsidizes New York’s Child Health Plus plan, putting New York in a $1.1 billion hole and potentially jeopardizing the health coverage of 330,000 lower-income New York children, according to Cuomo’s office, though it seems likely a federal deal over the children’s health program may soon be reached. Still, the state has been placed in a precarious position.

In a letter sent Wednesday to Eric Hargan, acting secretary of the U.S. Department of Health and Human Services, New York State Health Commissioner Howard Zucker warned that New York will not be able to continue the current Child Health Plus program if Congress fails to renew $1 billion in federal funding, and he said that Governor Andrew M. Cuomo will “have no choice but to call a special session of the Legislature.”

On Tuesday, Cuomo had dangled the special session idea before 13 upstate lawmakers, and in reality a much wider audience, suggesting in a letter that an extraordinary legislative session could also be used to amplify and speed up relief funding for Lake Ontario flood victims.

“I would support a special session of the legislature to return and appropriate an additional $35 million for this program to fund all eligible applicants in a time frame that recognizes the urgency of the situation,” Cuomo wrote. “There are other pending issues that could also be addressed at a special session, including the financial hardship the State will face from potential federal cutbacks.”

In addition to the 11 public hospitals in New York City’s Health + Hospitals system, the D.S.H. cuts directly impact the state-run SUNY Upstate Medical Center in Syracuse and SUNY Downstate hospitals in Brooklyn, Westchester County Medical Center, Nassau University Medical Center and Erie County Medical Center.

None of these facilities will receive payments until adjustments are made, according to Cuomo’s office.

The state has retained an outside consultant, KPMG, to figure out how to help health care facilities manage the cuts and Cuomo has repeatedly suggested that the Legislature may be forced to reconvene Congress signals that the money will not be restored by December 31. In a press conference on the topic last Tuesday, the governor suggested that local governments step up to offset some of the cuts.

“Nassau needs to help their public hospitals, New York City -- with a $4 billion surplus -- needs to help H+H, and SUNY will need to help Downstate and Upstate hospitals,” he said.

The cuts and Cuomo’s approach to dealing with them have ignited another episode in the feud between the governor and de Blasio and on Friday, the de Blasio administration announced its intention to sue New York State for D.S.H funds which administration officials say were expected by the city’s cash-strapped public hospital system for the federal fiscal year that ended on September 30.

City officials say they had budgeted with the expectation that $380 million would come through and Health + Hospitals Interim President and CEO Stan Brezenoff revealed that that the hospital system had begun to cut back on hiring to account for the deficit and was prepared to take other undesirable and risky measures.

“Our ability to deliver on our mission also relies on all levels of government. Unfortunately, the State is showing a shocking disregard for our mission and appears to have confirmed in public statements that they will not be releasing the $380 million Disproportionate Share Hospitals (DSH) funds that we need and deserve for serving more than one million Medicaid, uninsured and immigrant New Yorkers who relied on our care last fiscal year,” Brezenoff wrote in a letter to staff members last week.

As of Tuesday night, a spokesperson for the mayor’s office said the lawsuit would be filed “in state court,” but could say when it would be filed, or who would be named in the suit. De Blasio himself has said that the state’s withholding of past D.S.H payments designated for H+H, "is not normal and there is no excuse for it.”

Cuomo’s administration maintains that it is withholding its final payment to New York City’s public hospitals for the 2017 cycle in September because it is still unclear whether the federal government will renew the D.S.H. program.

“There’s no way to fund the public hospitals with a $1.1 billion cut unless it is rolled back,” the governor said during a press briefing last week. “In the meantime, we have made no D.S.H. payments to any public hospitals since October 1, which is when the law went into effect. You can’t distribute funding until you know how much you have to distribute.”

Cuomo officials say city hospitals should have anticipated the cut, noting that the program, which is associated with the Affordable Care Act, was always intended to be phased out as more New Yorkers became insured.

“The federal cuts to DSH have been pending for seven years and we are sure that all responsible CEOs of the state’s public hospitals have been accounting for these potential shortfalls in that time,” said Jason Helgerson, New York State Medicaid Director, in a statement. “The suggestion that the state is somehow in a position to reverse federal cuts is willful political ignorance and a distortion of reality -- only the federal government can possibly restore cuts they’ve enacted. Save for the federal government restoring these funds, there is no way the remaining DSH dollars can reimburse all hospitals at 100 percent.”

Cuomo’s office says that it has been in contact with city hospital officials and shared a letter Helgerson sent Brezenoff on September 29, referencing a meeting of healthcare providers to discuss the potentially imminent demise of D.S.H.

“While we implored Congress to act, as the October 1 deadline approaches, it is clear they are failing to do so,” the state Medicaid director wrote. “The Governor convened health care providers on September 19 to discuss the possibility of these cuts and held a press conference with the group outlining how harmful they will be.”

City officials claim that they have been singled out, and that all the state-run public hospitals have received their payments for the past fiscal year.

Regarding the potential lawsuit from New York City, Cuomo spokesperson Dani Lever called the threat “political theatre.”

“A more productive action would be to sue the federal government since they are making these devastating cuts, or if it actually cared about patient care, to use its funds to improve the hospital network that it owns,” said Lever.

One strategy -- requiring a legislative fix enacted through a special session -- would be to disperse the initial $380 million burden across hospitals throughout the state, most of which do not treat a large number of uninsured patients, state budget director Robert Mujica said in an interview with NY1 last week.

“The way the federal law interacts with the state law presently, is the first year of the cuts really impacts H+H first, under the law,” said Mujica. “So does that mean trying spreading the pain across all of the hospitals? That’s something we really have to look at. But always, redistributing is going to be very challenging. We hope it doesn’t come to that. We hope that the feds restore restore the cuts.”

U.S. Senate Democratic Leader Chuck Schumer of New York, who told State of Politics he’s been leading the charge to restore the hospital funding, described the battle in Congress as “neck-and-neck.”

The expiration of CHIP appears less dire; while the funding ended on September 30, states will not run out of the money for several months, and protecting children’s health is an issue that has bipartisan appeal. Schumer, who has been pushing to attach the renewal of CHIP funding to an Obamacare fix intended to stabilize markets and lower premiums, said he is working with his Republican colleagues to find a way to pay for the program.

About one-third of patients at the city’s public hospitals are uninsured and the network currently receives the largest D.S.H share. However, divvied up across state health care institutions, the $380 million burden would only account for less 1 percent of all hospital revenue, according to Bill Hammond, director of health policy at the Empire Center for Public Policy, a think tank.

"The lost money, if you look at just the federal losses, it’s about $330 million and that grows to $500 million in the second year, so it grows more and more every year. Spread across all the hospitals it would not be such a big deal, but right now it’s concentrated among 11 H+H hospitals, which is a problem,” Hammond said.

The ongoing federal health care crisis has also breathed new life into the debate over whether New York State would be well-served by a single-payer healthcare system, which Cuomo recently signalled tepid support for in an interview with WNYC radio’s Brian Lehrer.

A state-level universal health care bill, which guarantees health coverage to all New Yorkers regardless of ability to pay or immigration status, has repeatedly passed the Democratically-controlled Assembly, but has been defeated in the Republican-led state Senate by a sliver of a margin.

Assemblymember Dick Gottfried of Manhattan, who sponsors the bill, acknowledged that even if a version of his legislation was enacted tomorrow, it would take several years to fully implement, but said it warranted a second look given the uncertainty coming from Washington.

"It would not provide immediate relief, but the cuts that are likely to come from Washington will not come all at once, they will like snowball over the next couple of years," said Gottfried. “If we recognize health care as a right and provide health care coverage to every single New Yorker…Under a single-payer system, safety net hospitals and public hospitals would make out much better than they do today.”

Hospitals would save millions of dollars in administrative costs and the state would be in a much better position to bargain with drug companies, as it would represent 20 million patients, Gottfried added.

“Those savings are about the only way, realistically, that we can fill the gaps from whatever federal cuts are coming, without significantly damaging other programs or raising taxes,” he said. Critics, including Hammond, have said that Gottfried’s single-payer plan would be far costlier to the state that the Assembly member suggests.

When reached for comment on the health care cuts and whether the Assembly is prepared to return to Albany to deal with the situation, Mike Whyland, spokesperson for Assembly Speaker Carl Heastie, said, “We care deeply about these hospitals and are closely monitoring it.”

A spokesperson for Senate Majority Leader John Flanagan did not respond to a request for comment. 

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by Rachel Silberstein, State government reporter, Gotham Gazette
     

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Amid Health Care Funding Fights, Cuomo Explores Special Session Wed, 11 Oct 2017 04:00:00 +0000
Powerful Assembly Post May Be Vacant Sooner Than Expected https://www.gothamgazette.com/state/7046-powerful-assembly-chair-position-may-be-vacant-sooner-than-expected https://www.gothamgazette.com/state/7046-powerful-assembly-chair-position-may-be-vacant-sooner-than-expected farrell assembly floor

Assemblymember Herman Farrell (photo: The Assembly)


When Assemblymember Herman “Denny” Farrell, who heads the chamber’s Ways and Means Committee, announced he would not seek reelection next year, it set off a murmur about who might succeed him in the powerful -- and lucrative -- committee post.

Farrell, a Democrat elected to the Assembly in 1974 and the third longest serving member of the body, is known for his diplomacy and good natured bantering with Republicans and Democrats alike during budget hearings and on the Assembly floor.

Well-liked among his peers and beloved in his community, Farrell -- who represents Harlem, Washington Heights and Inwood -- was recognized by the Legislature last week, when it voted to rename Upper Manhattan’s Riverbank State Park after him as part of a special legislative session dealing with mayoral control over schools.

Governor Andrew Cuomo also honored the Assembly member at a breakfast at the Executive Mansion on June 20, speaking in eulogistic terms of Farrell’s time in the Assembly and as former chair to both the Manhattan and State Democratic Parties.

“Denny also taught me politics was the means to the end, and that was getting into government to achieve power…not power you would use personally, not power to take care of some donors, to take care of some unions, to take care of the political complex — power to do good things for your people and for your community,” Cuomo said, according to a recording of his remarks obtained by Politico New York. “Government is about accomplishing things for people and making their life better. Everything else is bull----.”

While Farrell’s current two-year term is set to officially end at the end of 2018, the grand farewell he received in Albany and other indicators have signalled to many in Harlem that he plans to resign before January, when the Legislature is next due back in the capital. The move would virtually ensure the party nomination of his chief of staff, Rev. Al Taylor, in a special election, according one Harlem insider who spoke to Gotham Gazette on the condition of anonymity. For special elections to the state Legislature, the borough party committees name the party representative on the ballot.

“His departure is something that a lot of people Uptown are talking about. Farrell is putting a lot of his energy and political assets into his chief of staff, Al Taylor. Wherever Denny is, Al is nearby,” the insider said, noting that the Assembly office’s most recent quarterly newsletter featured Taylor more than Farrell. “All the signs point to Farrell's resignation being imminent.”

In addition to Taylor, Juan Rosa, a former City Council staffer and community activist, is considering a run for the seat, according to multiple people familiar with the district.

Farrell, who did not return a request for comment, has not confirmed any plan to vacate his Assembly seat before January 2019, when his term would officially end.

If Farrell does indeed leave before the end of the year, not only would Taylor have the inside track to the Assembly, but Assembly Speaker Carl Heastie would name a new Ways and Means chair, the top Assembly budget post below the Speaker, before the next budget season in Albany -- a move that would likely prompt a series of new committee chair appointments throughout the Assembly for the 2018 session.

“When you make one change, you make 30 changes. That is always the part that outsiders don’t understand,” said former Assemblymember Richard Brodsky. “Part of the calculus that any Speaker makes is not just how to fill that position, but how it will affect the entire food chain.”

As capital watchers have noted Farrell’s imminent departure, it has also become apparent that several female legislators are in line for the committee leadership job -- a post no woman has ever held before.

While new leadership appointments are made every year by the Speaker, the Ways and Means chairship is arguably the most powerful and well-paid committee position in the Assembly. It is also arguably the most challenging, as the committee is tasked with budget hearing leadership and examining any legislation considered by the body that has a fiscal component.

The position comes with a significant stipend. On top of the standard $79,500 legislative salary, the Ways and Means chair earns $34,000, on par only with the $34,500 stipend received by the Assembly Majority Leader, currently Joseph Morelle, of Monroe County. Other committees, such as Codes and Education, may deliberate over a comparably high volume of bills, but come with a stipend of $18,000 each. The Ways and Means chair also has access to a significantly larger staff than any other chair in the Assembly.

Geography and seniority have long played a role in who is selected for both leading Ways and Means and other top committees. For Ways and Means, other factors typically considered include knowledge of the budget process, diplomacy, ability to get along with Republicans in both legislative houses, and the stamina to sit through many hours of annual budget hearings.

The longest serving member of the Assembly is Richard Gottfried, of Manhattan, who is followed by Assemblymember Joseph Lentol, of Brooklyn. Gottfried, who has headed the Assembly Health Committee for more than 30 years, told Gotham Gazette he has expressed to Heastie and previous speakers that he is not interested in leading Ways and Means.

“I almost can't imagine how lucky I am to have had this job; it is just about a dream position for me,” Gottfried said of leading the Health Committee. “I love being able to focus on health policy and consider myself enormously happy to have this job.”

He noted that the Speaker must ultimately assess the person’s ability to speak on behalf of the Assembly majority's view of the budget and be someone who can represent the diverse views of the Democratic Conference.

“The speaker has to be concerned with, among other things, maintaining the solidarity and cohesion of the Democratic Majority because there are always a lot of forces eager to pick us apart,” said Gottfried, who is currently focussed on trying to see single-payer health care passed in New York.

An obvious choice for Heastie might be Lentol, the second most senior member of the Assembly, who has held his seat since 1972 and has served as chair of the critical Committee on Codes since 1992. Lentol competed against Heastie in the race to replace former Speaker Sheldon Silver in 2015, as did Assemblymember Catherine Nolan, of Queens, the sixth longest serving Assembly member. Lentol did not return a request for comment on whether he was interested in the Ways and Means position.

Assemblymember Robin Schimminger, who represents a swing district encompassing Niagara and Erie Counties, follows Lentol and Farrell in seniority, but his district geography and more moderate place on the political spectrum could rule him out for such an influential position in the New York City-focussed conference.

While women have historically been underrepresented in the Legislature, including in leadership positions, for the first time in history, several are in the mix for the Ways and Means post, including Nolan, who was first elected in 1984, Assemblymember Helene Weinstein, of Brooklyn, who is the fifth longest serving member of the Assembly, having been elected in 1980, and others.

Weinstein chairs the highly technical Judiciary Committee and Nolan heads the Education Committee.

Between Weinstein and Nolan on the seniority list are Brooklyn Assemblymember Dov Hikind and Assemblymember David Gantt, of Rochester.

Female Assemblymembers Vivian Cook, of Queens; Earlene Hooper, of Nassau County; and Deborah Glick, of Manhattan, also rank among the 15 longest serving lawmakers in the 150-seat chamber. Glick has the distinction of being New York's first openly gay person elected to the state Legislature. She has been outspoken on a range of progressive issues and chairs the important Higher Education Committee.

Seniority withstanding, Heastie has made an effort to provide leadership opportunities to newer members in a way his predecessors did not, according to members of the Assembly who spoke to Gotham Gazette.

“I think we have noticed that under this leadership [Speaker Heastie] has managed to bring a few new members, who have only been here a few months, to be chairmen of committees and subcommittees. It has never happened before. You know, it took me 20 years to get a chairmanship myself,” said Brooklyn Assemblymember Félix W. Ortiz, who chairs the Cities Committee and serves as Assistant Speaker.

He may also consider factors like gender, race, political beliefs, and other elements of diversity in making his decision.

“Geography used to matter, but once you open up that door of identity, lots of people walk in. The Assembly is blessed with about 15 people whose seniority and talent and experience is considerable, it’s going to be hard for [Speaker Heastie] to make a bad choice,” said former Assemblymember Brodsky, who chaired both the Committee on Environmental Conservation and the Committee on Corporations, Authorities and Commissions during his nearly three decades in Albany.

A spokesperson for Heastie did not return a request for comment, nor did the offices of Assembly Members Nolan, Weinstein, Lentol, and Schimminger.

Correction: An earlier version of this story misidentified the location of Assembly Majority Leader Joseph Morelle's district.

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by Rachel Silberstein, State government reporter, Gotham Gazette
     

Read more by this writer.

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Powerful Assembly Post May Be Vacant Sooner Than Expected Tue, 04 Jul 2017 04:00:00 +0000
The Week Ahead in New York Politics, April 13 https://www.gothamgazette.com/government/5680-the-week-ahead-in-new-york-politics-april-13 https://www.gothamgazette.com/government/5680-the-week-ahead-in-new-york-politics-april-13 New York City Hall

New York City Hall


What to watch for this week in New York politics:

Hillary Clinton is running for President. You probably heard. The former New York Senator has her campaign headquarters in Brooklyn and will be looking for a strong boost from her New York base of supporters, including her 2000 senate campaign manager New York City Mayor Bill de Blasio. De Blasio was on Meet the Press Sunday morning and said that he is eagerly waiting to see a progressive vision from Clinton. Since Clinton had not officially declared her candidacy (she did so in the afternoon), de Blasio remained especially cautious in his remarks, but repeated his general mantra that all 2016 candidates  - for President and other offices - should be directly talking about economic inequality and offering solutions for how to reduce it. He faced some criticism for not quickly endorsing his former boss. Clinton is on her way to campaign in Iowa, and de Blasio is set to head there soon himself to talk fighting inequality. New York Senators Chuck Schumer and Kirsten Gillibrand are all-in behind Clinton, as is Governor Andrew Cuomo.

As the week begins, there's a whole lot of Hillary buzz, of course, and other presidential candidates, mostly on the Republican side of things, continue to jump into the race, with new announcements expected at the start of the week. Meanwhile, New York State and City politics kicks back into gear after a slow week last week, brought on by post-budget recess in Albany and school vacation in the city. Advocates, activists, and legislators will be gearing up this week for the Albany legislative session set to begin next week, on April 21. The lobbying will be fierce and furious through mid-June, when the session will likely end in a "big ugly" agreement on several policies among Gov. Cuomo, Senate Republicans, and Assembly Democrats. One key issue to watch is criminal justice reform, which was among the several major issues pushed from the budget to session and may very well see increased urgency given new examples of police killing unarmed black men.

In the city, City Council Speaker Melissa Mark-Viverito and colleagues are moving forward with efforts to reform both the criminal and civil justice systems. A large contingent of activists will depart on their eight-day "March to Justice" on Monday, leaving from New York City and heading to Washington, D.C. The march will start with a rally and departure from Staten Island.

The City Council gets going again with a very busy week of hearings, including one on a bill to create an Office of Civil Justice Coordinator. These sessions come as the Council prepares to release its response to de Blasio's preliminary budget, due out Tuesday and to include a renewed call for adding 1,000 new officers to the NYPD force. See below for full details of the Council schedule. While the Council is between a March full of preliminary budget hearings and a May full of executive budget hearings, for the rest of this month it mostly returns to looking at bills on the docket. De Blasio will receive the Council preliminary budget response, then release his executive budget toward the end of the month (or in early May as he did last year).

The mayor begins his week with one public event: "Mayor de Blasio will attend opening ceremonies for the New York Mets' home opener at Citi Field. The Mayor will join members of the NYPD and family members of Detective Wenjian Liu and Detective Rafael Ramos for the ceremonial first pitch." The ceremony is slated for about 12:45 p.m., just before game time a little after 1.

This week is also the big one for participatory budgeting voting in the 24 city council districts where council members have opted to implement the program. Voting kicked off this weekend.

The increasingly controversial New York State tests for third-through-eigth graders in math and English language arts are this week. The still-new common core-aligned tests have become more and more political, watch for further push by many to discredit the tests and for students to opt out of taking them. There will also continue to be efforts to defend the tests and the common core standards, and to convince parents of the importance of their children taking the exams.

And we're just a few weeks from the May 5 special elections in New York's 11th Congressional District and 43rd Assembly District, so keep an eye on those races - there will  be an Errol Louis-moderated NY1-televised debate in NY11 on Tuesday evening. Details below.

As always, there's a great deal happening all over the city, with many events to be aware of; see our day-by-day rundown below...(oh, and make sure you file your taxes by the end of the day on Wednesday)

***Do you have events or topics for us to include in an upcoming Week Ahead in New York Politics?
E-mail Gotham Gazette editor Ben Max: bmax@gothamgazette.com***

The run of the week in detail:

Monday
Monday morning, ABNY will host a breakfast event with “His Eminence, Timothy Cardinal Dolan, Archbishop, New York” at Mandarin Oriental. Cardinal Dolan will present "The Archdiocese of New York:  Not a Business, But Still Having a Vision and Projects."

Also Monday morning, Assembly Members Jeffrey Dinowitz and Richard Gottfried will hold a public hearing on a bill "which would require warning labels on sugar-sweetened beverages sold in New York State"; 10:30 a.m. at 250 Broadway..."Rates of obesity have increased dramatically in New York State and across the country over the past 30 years, adding an estimated $147 billion to our country's annual health care costs...Extensive research links rising rates of obesity, as well as diabetes, tooth decay, and other ailments, with the consumption of sugar-sweetened beverages such as soft drinks, energy drinks, sweet teas, and sports drinks. Evidence suggests that warning labels can increase consumer awareness of health risks of harmful products such as sugar-sweetened beverages."

On Monday at 11 a.m. at City Hall, Council Speaker Mark-Viverito and Council Members Brad Lander, Ben Kallos, James Vacca, and Vanessa Gibson will unveil the "New York City Council Public Technology Plan."

At 3 p.m. Monday, Mark-Viverito will participate in "Public Service is Worth It" Google Hangout moderated by Political Parity.

Monday’s City Council schedule will include a meeting of the Subcommittee on Zoning and Franchises to review the land use calendar; a meeting of the Committee on Finance to review land use applications; and an off-site meeting of the Committee on Juvenile Justice for a tour of Horizon Juvenile Center.

As mentioned, Mayor de Blasio begins his week at Citi Field for ceremonial first pitch duties just before the Mets home opener around 1 p.m. There will be a press conference on Monday at 11 a.m. at Harlem hospital with several de Blasio administration officals outlining guidelines around "infant safe sleep," so that parents and caregivers do not accidentally suffocate young children while sleeping. The mayor penned a Sunday Daily News op-ed on the subject, but he is not scheduled to attend the press conference: "Deputy Mayor Barrios Paoli, ACS Commissioner Carrion, DOHMH Commissioner Bassett, DHS Commissioner Gilbert Taylor, and HHC CEO and President Dr. Raju will launch tomorrow a comprehensive infant Safe Sleep campaign to increase awareness among parents and other caregivers about the potentially fatal risks of sharing a bed with an infant, and how to prevent injuries and deaths associated with other unsafe sleep practices, such as excessive bedding, bumpers and toys in cribs. There are nearly 50 preventable safe sleep deaths every year."

Monday afternoon, Borough President Melinda Katz will hold a Queens Borough Board Meeting.

Monday evening, Brooklyn Borough President Eric Adams and Norman Siegel, former director of the New York Civil Liberties Union, will host a town hall to discuss improving community-police relations: “We only survive and prosper as Brooklynites if we engage with one another in a calm and civil conversation. I invite you to come let your voice be heard at our upcoming town hall about improving police-community relations.”

Also Monday evening, Neighbors Allied for Good Growth in collaboration with El Puente, UPROSE, Riders Alliance, and StreetsPAC, will host a Move NY North Brooklyn Town Hall: “Learn and talk about reducing congestion in North Brooklyn, modernizing and expanding the transit system, and fixing our roads and bridges."

And, schools Chancellor Carmen Fariña will attend a "town Hall meeting of District 31's Community Education Council" on Staten Island.

Tuesday
Tuesday morning, Borough President Melinda Katz will hold a Queens Borough Cabinet Meeting.

Also Tuesday morning, City Council Members Elizabeth Crowley, Darlene Mealy, and Laurie Cumbo, and others will hold a Rally For Stronger Equal Pay Laws on the steps of City Hall.

Tuesday’s City Council schedule includes a meeting of the Subcommittee on Non-Public Schools, jointly with the Committee on Public Safety, and the Committee on Education, discussing school discipline codes and the assignment of safety agents to schools; a meeting of the Committee on Governmental Operations jointly with the Committee on Consumer Affairs and the Committee on Small Business concerning various items; and a meeting of the Committee on Economic Development jointly with the Committee on Community Development for an oversight hearing regarding the economic impact of the city’s foreclosure crisis.

The Council is set to unveil its preliminary budget response to Mayor de Blasio's FY16 spending plan on Tuesday.

Tuesday evening at 6 p.m., Assemblymember Rodneyse Bichotte and the Shirley Chisholm Democratic Club will present Honoring Women in Politics: A Mix & Mingle Fundraiser. Honorees will include State Senator Valmanette Montgomery and Council Member Laurie Cumbo. Public Advocate Letitia James - the first woman of color elected to city-wide office in New York - will make a guest appearance.

Also Tuesday evening, the Staten Island Advance and NY1 will co-host the only live televised debate between Staten Island District Attorney Daniel Donovan (R) and City Council Member Vincent Gentile (D) in their race for Congress: “The Republican Donovan and the Democratic Gentile will face off at the hour-long live event. NY1 political anchor Errol Louis will moderate the debate, with questions coming from three panelists: Staten Island Advance senior opinion writer Tom Wrobleski, political reporter Rachel Shapiro and NY1 political reporter Courtney Gross.”

Tuesday evening, Pratt Area Community Council, CAMBA and other organizations will host Brooklyn Town Hall on the right to counsel in eviction proceedings at Brooklyn Borough Hall: “Did you know that approximately 300,000 New Yorkers are taken to housing court to fight eviction every year? Did you know that while 90 percent of landlords have attorneys representing them about 90 percent of tenants do not? Join the Right to Counsel Campaign and learn about legislation that will give New Yorkers the right to legal representation in NYC’s Housing Courts!” [Read our in-depth look at the proposed right to counsel legislation]

Wednesday
Wednesday, April 15, is tax day.

On Wednesday activists will be moving around the minimum wage. This will include students from 170 colleges, including University of Albany, taking part in a fast-food worker strike: “The Fight for $15 labor movement is planning an ambitious expansion on April 15, coordinating a series of global labor strikes with protests on college campuses. The tax-day strike will include rallies and marches on 170 university campuses, including Columbia University and University of Southern California, the organizers said.”

Wednesday morning, Crain's  will host its 'Business of' Series at John Jay College of Criminal Justice: “Join Crain’s as we examine one of New York’s fastest growing industries. Our expert panelists will discuss how life sciences is creating economic diversification, stimulating job growth and tapping into the vibrant young talent from top universities and leveraging New York’s access to capital.”

Wednesday’s City Council schedule includes a meeting of the Committee on Transportation to discuss various bicycle safety topics as well as establishing civil penalties for theft of a bicycle or motor vehicle; a meeting of the Committee on Aging concerning development of a guide for building owners regarding aging in place and the elimination of the sunset provisions related to income threshold increases for the SCRIE and DRIE programs; a meeting of the Committee on Land Use to discuss items reported out of the subcommittees; a meeting of the Committee on Recovery and Resiliency to discuss the Federal Emergency Management Agency’s re-examination of National Flood Insurance Program insurance claim payouts related to Hurricane Sandy for possible underpayment; a meeting of the Committee on Courts and Legal Services around a law to amend the New York City Charter in relation to creating an Office of Civil Justice Coordinator. [Read our look at reforms being pushed by Council Speaker Mark-Viverito and others to reform the city's criminal and civil justice systems]

Wednesday evening at 7 p.m., State Senator Jesse Hamilton, Assembly Member Jo Anne Simon, and City Council Member Brad Lander will host a School-to-School Dialogue on High Stakes Testing at Old First Reformed Church, in Brooklyn.

Also Wednesday evening, Assembly Member Jeffrey Dinowitz will hold a town hall meeting at the Kingsbridge Public Library “to discuss and hear feedback on New York’s tenant protection laws, which are due to expire in June. Joining Assemblyman Dinowitz to speak will be Delsenia Glover, Campaign Manager for the Alliance for Tenant Power, and Judith Goldiner, Attorney-in-Charge at the Legal Aid Society.”

On Wednesday afternoon and Thursday morning, NYCVotes, the voter engagement arm of the City Campaign Finance Board, "is having a #VoteBetterNYC Advocacy Day training session for partners...acquainting them with the policy agenda...social media strategy and general day of logistics, ahead of the event" set to take place on April 22. The trainings will take place Wednesday at 5:30 p.m. and Thursday at 10:00 a.m. at 100 Church Street.

[Read the latest original reporting from Gotham Gazette]

Thursday
On Thursday morning, Borough President Melinda Katz will hold a land use hearing at the Queens Borough Hall.

On Thursday morning, at 11 a.m. at Brooklyn Borough Hall, it's a "Rally for Family Friendly Brooklyn" hosted by BP Adams: "We want Brooklyn to be THE place to raise healthy children and families! Join me Thursday, April 16th at 11:00 AM on the steps of Brooklyn Borough Hall as we rally for Family Friendly Brooklyn, a new initiative where I am calling for: Statewide Paid Family Leave; Breast Feeding Empowerment Zone Expansion; Support for Post-Partum Depression Screening...We will be making some exciting announcements about my administration's plans to advance Brooklyn's families, so please come out and add your support!" [Read our recent story on the push behind passing paid family leave legislation in New York]

Thursday’s City Council schedule includes a meeting of the Committee on Finance discussing the senior citizen rent increase exemption program and the disability rent increase exemption program; and a City Council full-body stated meeting at 1 p.m.

On Thursday evening in Queens, the borough's Republican Party head Bob Turner and City Council Member Eric Ulrich are hosting a fundraiser for Staten Island District Attorney and NY11 congressional candidate Dan Donovan; 6:30 p.m. at Russo's on the Bay.

Friday and the weekend
On Saturday, de Blasio administration members and their allies will participate in a Pre-K Day of Action, working to spread the word about the availability of universal pre-K, for which enrollment is open: “New York City is about to take a historic step: This fall, the City will provide free, full-day, high-quality pre-K to all 4-year-olds in the five boroughs."

[Read the latest original reporting from Gotham Gazette]

***
Have events or topics for us to include in an upcoming Week Ahead in New York Politics? E-mail Gotham Gazette executive editor Ben Max any time: bmax@gothamgazette.com (please use "For Week Ahead" as email subject).

***
by Rati Mukhuradze, Marco Poggio, and Ben Max
@GothamGazette

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The Week Ahead in New York Politics, April 13 Sun, 12 Apr 2015 16:41:16 +0000