1. New York Health: The Single Payer Plan for New York State Robert A. Padgug, PhD Brooklyn College, CUNY October, 2012

2. New York Health New York Health (Assembly bill A7860/Senate S5425), a single-payer plan Provides: Comprehensive Health coverage For All New Yorkers

3. New York Health: Agenda EligibilityEligibility BenefitsBenefits Provider ReimbursementProvider Reimbursement Program FundingProgram Funding Federal Waivers/Federal FundingFederal Waivers/Federal Funding Private InsurancePrivate Insurance Why New York Health Now?Why New York Health Now?

4. New York Health: Eligibility Every resident of NYS eligible to enroll Every resident of NYS eligible to enroll Regardless of age, income, wealth, or employmentRegardless of age, income, wealth, or employment No premiums, No deductibles, No copays No premiums, No deductibles, No copays

5. New York Health: Benefits (1) Comprehensive BenefitsComprehensive Benefits Choice of ProvidersChoice of Providers Inpatient Hospital CareInpatient Hospital Care Physician CarePhysician Care Outpatient CareOutpatient Care Primary & Preventive CarePrimary & Preventive Care Prescription DrugsPrescription Drugs Dental, Vision, & Hearing CareDental, Vision, & Hearing Care

6. New York Health: Benefits (2) You choose a primary care provider (PCP) and you choose all your care- givers You choose a primary care provider (PCP) and you choose all your care- givers PCPs assist you to get all necessary care and medical follow-upPCPs assist you to get all necessary care and medical follow-up PCPs assist you to negotiate the health care systemPCPs assist you to negotiate the health care system No insurance company stands between you and your providersNo insurance company stands between you and your providers

7. New York Health: Reimbursement New York Health pays all providers in full with no copays or other charges to patientsNew York Health pays all providers in full with no copays or other charges to patients New reimbursement methods will be developed to replace current wasteful fee-for-service payments New reimbursement methods will be developed to replace current wasteful fee-for-service payments Rates negotiated by New York Health with health care provider organizations Rates negotiated by New York Health with health care provider organizations

8. New York Health: Funding (1) No premiums, no deductibles, no copaysNo premiums, no deductibles, no copays No insurance company “regressive taxes” (premiums) imposed regardless of ability to payNo insurance company “regressive taxes” (premiums) imposed regardless of ability to pay Paid for by a progressive NYS payroll taxPaid for by a progressive NYS payroll tax

9. New York Health: Funding (2) Payroll Tax: Progressive, graduatedProgressive, graduated 80% employer-paid80% employer-paid 20% employee-paid20% employee-paid 100% self-employed100% self-employed Small income-tax surchargeSmall income-tax surcharge Existing premiums eliminatedExisting premiums eliminated

10. New York Health: Funding (3) Existing Federal funds to be used for New York Health, including:Existing Federal funds to be used for New York Health, including: - Medicare - Medicaid - Family & Child Health Plus Federal waivers where necessaryFederal waivers where necessary Local share of Medicaid funding (property-tax based mainly) endedLocal share of Medicaid funding (property-tax based mainly) ended

11. New York Health: Funding (4) All state and federal revenues to create The New York Health Trust Fund to be used only for New York Health

12. New York Health: Further Work Long-Term Care (Including Nursing Home) – a plan to include needs to be researched & developedLong-Term Care (Including Nursing Home) – a plan to include needs to be researched & developed Hospital & Physician/Nurse Practitioner/Physician Assistant Reimbursement – specific methods need to be developed & finanlizedHospital & Physician/Nurse Practitioner/Physician Assistant Reimbursement – specific methods need to be developed & finanlized

13. New York Health: Private Insurance Private insurance duplicating New York Health benefits could not be offered in New York State

14. Why New York Health Now? Enables us to discuss what’s crucial in state single payer legislationEnables us to discuss what’s crucial in state single payer legislation Provides an organizing focusProvides an organizing focus Educates Legislators, some of whom will run for Congress in the futureEducates Legislators, some of whom will run for Congress in the future