[New York] This thread is technically a bodega

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EugeneJ: Feb 5, 2012; by FactsAreUseless

get that OUT of my face posted:

good news and bad news about the New York Health Act. bad news is that its primary sponsors don't think it'll pass this session, and given that momentum is around renewing rent laws, i don't think so either. there will be hearings by the end of the month. good news is that Tim Kennedy of Buffalo and Andrew Gounardes of south Brooklyn have signed on, bringing it to 31 sponsors. DSA members will be going to Diane Savino's office to talk about it. i also encourage calling Todd Kaminsky, who supported it before and is on the health committee. James Skoufis voted for it in the Assembly and two freshmen senators on Long Island supported it on the campaign trail. burn those phones up

Had no idea this was still alive

https://www.thenation.com/article/single-payer-new-york-health-act/

quote:

Unfortunately, New York�s governor is not eager to lead the way. In March, Cuomo said that if the legislature passes the NYHA, he will sign it but �no sane person will pass it.� He has essentially dared the legislature to try: �You want to do that? Let�s go�. Every union is against it�. The Civil Service Employees Association is against it. The 1199 health-care union is against it.�

So wait - why are union members and retirees who receive health care benefits mad at single-payer?

Assuming they get the same or similar health coverage through New York Health Act, are they mad they paid union dues for nothing?

Or is it just a selfish boomer thing?

EugeneJ has issued a correction as of 03:51 on May 18, 2019

# ¿ May 18, 2019 03:47

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# ¿ May 10, 2024 06:10

EugeneJ: Feb 5, 2012; by FactsAreUseless

So if I'm reading you guys right - dues from the younger union members pay off the benefits for the union retirees (health benefits/pensions), and if workers opt out of joining the union en masse (Janus v. AFSCME), the retirees will be forced onto single-payer and have no money to fund their pensions

That is indeed a conundrum

# ¿ May 18, 2019 14:12

EugeneJ: Feb 5, 2012; by FactsAreUseless

First hearing on the New York Health Act was last night in Albany, and this jumped out at me:

https://www.timesunion.com/news/article/At-packed-hearing-NY-lawmakers-weigh-13902161.php

quote:

"I have concerns about tinkering � not tinkering, basically destroying � the current system and rolling the dice for less than a half a million people," said Republican Assemblyman Andrew Raia, referring to the number of uninsured New Yorkers when you exclude undocumented and certain legal immigrants, as well as those who might gain coverage if New York expanded its Essential Plan.

For those who are wondering what the Essential Plan is:

https://www.bizjournals.com/albany/news/2018/09/19/why-the-essential-plan-is-a-health-care-success-in.html

quote:

Authorized as part of the Affordable Care Act, the Essential Plan (EP) is available to low-income New Yorkers who don�t qualify for Medicaid or Child Health Plus. New York is one of two states in the nation that took advantage of federal dollars to create what�s called a Basic Health Plan, which offers an affordable option for consumers earning below 200 percent of the federal poverty level (about $50,000 for a family of four). Here in New York, the Basic Health Plan is called the Essential Plan.

Dems are trying to push this bill through:

https://www.lohud.com/story/news/health/2018/11/01/federal-bill-new-york-essential-plan-health-coverage/1847578002/

quote:

The Basic Health Program Expansion Act of 2018 aims to build on enrollment through the state-run Affordable Care Act exchange. It would make New York�s Essential Plan available to people with incomes up to $48,560, doubling the income cap from its current $24,280.

How would everyone here feel about free/cheap healthcare for everyone making under $48,560 instead of single-payer?

# ¿ May 30, 2019 03:38

EugeneJ: Feb 5, 2012; by FactsAreUseless

Gunshow Poophole posted:

how is the essential plan administered? Is it through a typical insurance provider or is it the equivalent of a public option and all contributions are vested in / managed and disbursed by the government?

Administered by health insurance companies within the state using federal funds

Note the final sentence here:

https://www.health.ny.gov/health_care/managed_care/essential/docs/2017_annual_report.pdf

quote:

The Essential Plan is funded primarily by Federal funds with some State funding. The Federal funds calculation is based on 95 percent of the tax credits and cost-sharing reductions that individuals would have received if they enrolled in QHPs. In State Fiscal Year (SFY) 2015-16, Federal funds covered 98 percent of program costs, with State funding covering 2 percent of the costs. The percentage of Federal funds decreased to 91 percent in SFY 2016-17 as QHP enrollees transition to the Essential Plan. State funds are expected to account for 3 percent of program costs SFY 2017-18 and consumer premium contributions for less than 1 percent of costs. State funds support the lower cost-sharing for consumers in the Essential Plan as compared to the comparable QHP plan. Program administration costs cannot be financed by the trust fund and must be financed with State dollars.

In SFY 2017-18 the State Medicaid program is projected to save over $1 billion from the transition of lawfully residing non-citizens from Medicaid to the Essential Plan.

Seems like weakening the state Medicaid program and relying on federal funding instead might backfire at some point

# ¿ May 30, 2019 06:23

EugeneJ: Feb 5, 2012; by FactsAreUseless

Buffalo News refuses to run any articles on the New York Health Act, but published this editorial:

Another Voice: Single-payer system is wrong prescription for N.Y. health care

quote:

As an an independent insurance broker in the field of health and employee benefits, I, along with a vast number of my insurance industry colleagues, truly understand and empathize with many of the opinions voiced lately regarding the confusion and frustration in our U.S. health care system. But that doesn�t mean we should throw it out for a single-payer, government-run system.

lol

# ¿ Jun 6, 2019 14:07

EugeneJ: Feb 5, 2012; by FactsAreUseless

Panel at LIA meeting knocks state single-payer health care bill

quote:

The New York Health Act, which would launch state-financed single-payer health care in New York, would lead to higher taxes and deep revenue cuts at area hospitals, experts said at a Long Island Association breakfast panel held Thursday in Melville.

The act has passed the Assembly several years in a row, but has never made it through the Senate, which had been under Republican control until the most recent state elections in 2018.

With the Senate under Democratic control, "there is concern," said Kevin Dahill, the chief executive of the Nassau-Suffolk Hospital Council, which lobbies on behalf of area hospitals. A single-payer bill "has been around for about 20 years, and we haven't worried about it for about 17 years. Now we are worried."

The law would provide health care for every resident with no copays, deductibles or premiums.

Critics of the legislation on the panel said the cost of the new plan would be exorbitant, especially if the state used Medicare rates to make payments to providers.

"Ninety-three hospitals would lose more than 10 percent of revenue," said Bill Hammond, director of health policy at the Empire Center for Public Policy, a fiscally conservative Albany think tank.

"Three-quarters of hospitals would lose money. It would have a ripple effect through the economy," Hammond added.

A study last year by the RAND Corp., a nonprofit analytical think tank, concluded that a single-payer system would force New York to raise another $139 billion in state tax revenue to cover the program for 2022, the year it modeled.

Proponents of the bill said a single-payer system would immediately cover the 1 million New Yorkers who don't currently have health insurance. Supporters also said about half of New Yorkers covered by private health insurance plans delayed or skipped basic care due to cost.

TEN PERCENT OF REVENUE

OH NOOOOOOOOOOOO

# ¿ Jun 14, 2019 01:15

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# ¿ May 10, 2024 06:10

EugeneJ: Feb 5, 2012; by FactsAreUseless

https://twitter.com/CannabisIndy/status/1141944702419292160

# ¿ Jun 21, 2019 14:27

The Something Awful Forums > Discussion > C-SPAM > [New York] This thread is technically a bodega

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