1. New York State Health Advocates Spring Meeting
June 22, 2017

2. Health Care For All New York

3. Who Are We?

4. What Issues Do We Work On?
Federal Issues:
Affordable Care Act
Medicaid
Medicare
Children’s Health Insurance Program (CHIP)
New York State Issues:
Maintaining and expanding coverage
Improving Marketplace and ACA implementation
Payment and delivery system reform (DSRIP, SHIP, PHIP)
Charity care funding distribution

5. How Can I Get Involved? Visit HCFANY’S website: www.hcfany.org
Sign-up for action alerts and s
Follow us on Facebook and
Check out our events page and attend our events
Share your own events with us
Read our blog
Share your story

6. Since 2003, MMNY has been the statewide grassroots coalition representing the interests of people who are served by the Medicaid program
Lara Kassel, Coalition Coordinator
x124 |
| @MedicaidMtrsNY

7. Focus on Medicaid in ACA repeal efforts
Understanding and debunking claims
Block grants
Per capita cap
Impact on NY Medicaid program
Significant cuts  loss of access
What we have in NYS that we need to protect
Expanded eligibility
Immigrant coverage
Essential Plan / Basic Health Program
Medicaid as an entitlement

8. What are we doing to protect Medicaid?
Medicaid defense/Federal issues Workgroup
Education, information sharing, opportunities for dialogue
Collection and posting of resources
Coalition and relationship building
Technical analysis, review of NYS laws and rules
“Why Medicaid matters to us all”

9. Health Care for America Now
New York

10. Raising Women’s Voices-NY
New York coordinator for national initiative advocating for the health needs of women, LGBT people and our families
HCFANY Steering Committee member and Co-chair of HCFANY’s LGBT Task Force

11. What’s at stake for NY women
In New York, 53% of Medicaid enrollees are women and 51% of all births are covered by Medicaid.

12. What RWV-NY is doing to resist Trumpcare!

13. Coverage 4 All

14. Threats to Immigrant Health
AHCA
Reduces tax credit eligibility from broad “lawfully present” to narrow “qualified immigrant” (excludes asylum applicants, Temporary Protected Status holders, many others)
Medicaid cuts devastating to immigrant communities that rely on program, especially those with state-only coverage
“Verify First” Act – limits eligibility while status is verified, leading to coverage gaps and delayed care
Passed House on 6/12, awaiting action by Senate
Exemplifies specific targeting of immigrants
Major threats on horizon – DSH and CHIP funding

15. #Coverage4All
Campaign focusing on state-level immigrant health solutions
State level more important than ever given federal threats and anti-immigrant rhetoric/action
Send a strong message that immigrant inclusion must have a health care component
Policy proposals build on New York’s legacy at the forefront of state programs for immigrants excluded from immigrant coverage
Expand universal Child Health Plus program through age 29
Assembly Bill A.8054

16. #Coverage4All: Get Involved!
Join 260+ campaign members on our listserv to get updates and opportunities for action
Join 70+ organizations that have endorsed #Coverage4All through our organizational sign-on
Submit a Memorandum of Support for A.8054 (template available)
Contact your Assemblymember to co-sponsor A.8054
Spread the word!
Max Hadler, New York Immigration Coalition or (212) ext.250

17. Center for Independence of the Disabled, New York

18. 11.3 % of New Yorkers have a Disability
6.7 % of New Yorkers have an ambulatory disability - difficulty walking or climbing stairs
5.3% have an independent living disability – difficulty doing errands because of a physical, mental, or emotional condition
4.4% have a cognitive disability – difficulty remembering
2.7% have a self-care disability - difficulty dressing or bathing
2.7% have a hearing impairment
2 % of New Yorkers have a visual disability

19. What we're watching and working on - Federal
ACA repeal and replacement
Essential Health Benefits - maintaining access to habilitation and rehabilitation, mental health and substance abuse treatment, durable medical equipment
Annual and lifetime limits
Community First Choice option
Medicaid restructuring and defunding
2/3 of all spending goes to long term care including home and community based services which enable seniors and people with disabilities to live, work, attend school and participate in their communities.
1 in 5 people w/ Medicare rely on Medicaid for long term care and for help paying premiums and cost sharing

20. Particular we're watching and working on – New York State
State efforts to maintain access to coverage in the face of federal changes – Medicaid Buy-in, spend down?
Will eligibility and benefits be cut through managed care companies which deny and cut services to maintain solvency?
Efforts to reverse institutional bias – providing care in the community rather than in facilities
Consumer assistance programs
State efforts at payment and delivery system reform (DSRIP, SHIP, PHIP)

21. How you can get involved
People with disabilities have been showing up and speaking out at town halls, die-ins, and rallies highlighting how critical their care is to their lives
Conducting statewide, call-ins, tweeting and campaigns
People with disabilities have been getting arrested in D.C.
People with disabilities have been joining local actions
Call on your Independent Living Center, Seniors organizations or disability rights organization

22. Questions?