Lance's Corner

Governor Hochul Announces Agreement on New York State Budget

Apr 15, 2024

Per the notice below, Governor Hochul has announced agreement on the fiscal year (FY) 2025 New York State Budget.

Governor Hochul Announces Agreement on FY 2025 State Budget

Governor Kathy Hochul today announced a conceptual agreement with legislative leaders on key priorities in the Fiscal Year 2025 New York State Budget.

“I promised to fight the right fights for New Yorkers, deliver common sense solutions, and tackle the thorny issues that others might ignore, and that's exactly what we’ve done,” Governor Hochul said.  “We’re delivering on a common-sense agenda: fighting crime, fixing our mental health system, and building more housing so people can finally afford to live in New York.”

Highlights of the budget include:

  • Securing a historic agreement to address New York’s housing crisis by creating a new 485x tax incentive for affordable housing; extending the 421a incentive for projects already in the pipeline; making it easier to convert unused office space into affordable housing; eliminating outdated density caps in New York City; unlocking the potential of units that have been vacant since 2019; establishing a new law to protect tenants from price gouging.
  • Creating a statewide tax incentive for multi-family housing; making $650 million in discretionary funds exclusively available to Pro-Housing Communities; providing incentives for communities that want more accessory dwelling units; investing $500 million to develop up to 15,000 new housing units on State-owned sites; and protecting homeowners from deed theft.
  • Cracking down on retail theft by increasing penalties for offenders who assault retail workers; $40.2 million for retail theft enforcement; and a $3,000 tax credit for business owners to invest in security resources.
  • Shutting down illicit cannabis storefronts by authorizing the Office of Cannabis Management (OCM) to padlock businesses for a full year; allowing local governments to pass laws to execute padlock orders; establishing fines for landlords knowingly renting to retailers selling cannabis without a license.
  • Fighting the rising tide of hate by expanding the number of offenses that can be prosecuted as hate crimes and investing $35 million in the Securing Communities Against Hate Grant that protects houses of worship, religious schools and other at-risk sites.
  • Improving public safety through targeted investments in communities, including $347 million to continue New York’s efforts to reduce and prevent gun violence and $35.7 million to prevent and prosecute crimes of domestic violence.
  • Investing $7.1 million to reduce recidivism and improve reentry into the workforce by providing more intensive supervision of individuals on parole, expanding transitional housing opportunities, expanding college programming to all state prisons, and providing transportation for visitors to and from State Correctional Facilities.
  • Making our streets safer with new efforts to fight toll evasion on our roads and fare evasion on our subways.
  • Making record investments in mental health, including $19 million for mental health services for school aged children, $55 million to establish 200 new inpatient psychiatric beds at State-run facilities; and mandating better mental health care at hospitals.
  • Investing $31 million to expand mental health services for first responders and for individuals struggling with mental illness who are involved in the criminal justice system.
  • Maintaining our $3.9 billion commitment to support distressed hospitals and $20 billion multi-year investment to build new healthcare infrastructure, expand Medicare coverage for seniors and pregnant New Yorkers and increase the home care worker minimum wage.
  • Protecting mothers and babies by becoming the first state in the nation to offer paid leave to expecting mothers; requiring employers to provide time for nursing mothers to express; addressing the proliferation of surgical procedures in situations where they’re not necessary; and increasing access to care for postpartum depression.
  • Securing $200 million in Medicaid savings through fiscal intermediaries and by cracking down on CDPAP fraud; investing $7.5 billion in the health care system over the next three years through an amendment to New York’s Medicaid Section 1115 Demonstration program to support a comprehensive series of actions to advance health equity, reduce health disparities, and strengthen access to primary and behavioral health care across the state.
  • Authorizing the State to pursue federal approval for a managed care organization (MCO) tax, which could generate significant revenue for the State to provide a multi-year investment in New York’s health care system.
  • Investing $150 million to advance NY SWIMS and build pools across the state, helping New Yorkers learn to swim, and keeping them safe in and near the water.
  • Supporting New York students through record funding for P-12 schools; investing a record $35.9 billion in total school aid, including $24.9 billion in Foundation Aid; lowering the inflation factor in the Foundation Aid formula to right-size funding for the 2024-25 school year and commissioning a Rockefeller Institute study to examine the Foundation Aid formula to prepare for changes next year; ensuring every school district utilizes instructional best practices grounded in the Science of Reading to improve reading proficiency among New York kids.
  • Advancing a Consumer Protection and Affordability agenda to reduce costs and keep money in New Yorkers’ pockets by eliminating cost-sharing for insulin for thousands of New Yorkers; strengthening protections against unfair business practices; achieving the largest increase in benefits for paid medical and disability leave in more than three decades; and helping New Yorkers combat medical debt.
  • Establishing Empire AI, a nation-leading consortium that will create and launch a state-of-the-art artificial intelligence computing center in Buffalo to be used by New York colleges and universities to secure New York's place at the forefront of artificial intelligence and advance AI for the public good.
  • Providing critical funding support to mass transit systems statewide, including $7.9 billion in operating aid for the MTA, $333 million for upstate transit systems, and $551 million for non-MTA downstate systems, a 5.4 percent increase in funding.
  • Advancing nation-leading infrastructure programs by contributing $2.6 billion for the third year of a record $32.9 billion five-year DOT Capital Plan, funding projects that are reconnecting communities across the state, and $100 million for local programs through the CHIPS program.
  • Making record environmental investments with $500 million for clean water, $400 million for the Environmental Protection Fund, and $47 million to support the Governor's goal to plant 25 million trees by 2033.

With a conceptual agreement in place, the legislative houses are expected to pass bills that will enact these priorities.  Based on a preliminary assessment of the negotiated changes to the Executive proposal, the total budget for FY 2025 is currently estimated at $237 billion.  The FY 2025 budget does not raise income or statewide business taxes and maintains state reserves at the gold standard of 15 percent for a “rainy day.”

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc