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Transcript of That 1 1 BEFORE THE NEW YORK STATE SENATE FINANCE AND ASSEMBLY WAYS AND MEANS COMMITTEES 2 ----------------------------------------------------- 3 JOINT LEGISLATIVE HEARING 4 In the Matter of the 2018-2019 EXECUTIVE BUDGET 5 ON HEALTH AND MEDICAID 6 ----------------------------------------------------- 7 Hearing Room B 8 Legislative Office Building Albany, New York 9 February 12, 2018 10 10:04 a.m. 11 12 PRESIDING: 13 Senator Catharine M. Young Chair, Senate Finance Committee 14 Assemblywoman Helene E. Weinstein 15 Chair, Assembly Ways & Means Committee 16 PRESENT: 17 Senator Liz Krueger Senate Finance Committee (RM) 18 Assemblyman Robert Oaks 19 Assembly Ways & Means Committee (RM) 20 Senator Kemp Hannon Chair, Senate Committee on Health 21 Assemblyman Richard N. Gottfried 22 Chair, Assembly Health Committee 23 Senator David J. Valesky Vice Chair, Senate Committee on Health 24 2 1 2018-2019 Executive Budget Health and Medicaid 2 2-12-18 3 PRESENT: (Continued) 4 Senator James L. Seward Chair, Senate Committee on Insurance 5 Assemblyman Kevin A. Cahill 6 Chair, Assembly Committee on Insurance 7 Senator Diane Savino Vice Chair, Senate Finance Committee 8 Senator Gustavo Rivera 9 Assemblyman Andrew P. Raia 10 Senator James Tedisco 11 Assemblyman Phil Steck 12 Assemblyman Andrew Garbarino 13 Senator Elizabeth O'C. Little 14 Assemblyman John McDonald 15 Senator Martin J. Golden 16 Assemblyman Edward P. Ra 17 Senator Patricia A. Ritchie 18 Assemblywoman Michaelle Solages 19 Assemblyman Kevin M. Byrne 20 Assemblywoman Rodneyse Bichotte 21 Assemblywoman Patricia Fahy 22 Senator James Sanders 23 Assemblyman Walter T. Mosley 24 3 1 2018-2019 Executive Budget Health and Medicaid 2 2-12-18 3 PRESENT: (Continued) 4 Senator Roxanne Persaud 5 Assemblyman James Skoufis 6 Senator Timothy Kennedy 7 Assemblyman Felix Ortiz 8 Senator Susan Serino 9 Assemblyman Thomas J. Abinanti 10 Senator Todd Kaminsky 11 Assemblywoman Jo Anne Simon 12 Senator Brad Hoylman 13 Assemblywoman Nily Rozic 14 Assemblywoman Aileen M. Gunther 15 Senator Marisol Alcantara 16 Assemblywoman Rebecca A. Seawright 17 18 19 20 21 22 23 24 4 1 2018-2019 Executive Budget Health and Medicaid 2 2-12-18 3 LIST OF SPEAKERS 4 STATEMENT QUESTIONS 5 Howard Zucker, M.D., J.D. Commissioner 6 NYS Department of Health -and- 7 Jason Helgerson NYS Medicaid Director 12 23 8 Maria T. Vullo 9 Superintendent NYS Department of Financial 10 Services 276 285 11 Dennis Rosen Medicaid Inspector General 12 NYS Office of the Medicaid Inspector General 378 383 13 Bea Grause 14 President Healthcare Association of NYS 15 of NYS (HANYS) 402 16 Kenneth E. Raske President 17 Greater New York Hospital Assoc. -and- 18 Steven Safyer, M.D. President and CEO 19 Montefiore Health System 405 414 20 Helen Schaub VP, NYS Director of Policy 21 and Legislation 1199SEIU United Healthcare 22 Workers East 431 23 24 5 1 2018-2019 Executive Budget Health and Medicaid 2 2-12-18 3 LIST OF SPEAKERS, Continued 4 STATEMENT QUESTIONS 5 Joanne Cunningham President 6 Home Care Association of New York State 437 7 Claudia J. Hammar 8 President NYS Association of Health 9 Care Providers 443 10 Edward Scharfenberger Bishop 11 Diocese of Albany -and- 12 Jenn Hyde Executive Director 13 Catholic Charities Tri-County Services 449 14 Stephen Hanse 15 President and CEO NYS Health Facilities Association 16 NYS Center for Assisted Living -and- 17 Nancy Leveille Executive Director 18 Foundation for Quality Care 459 469 19 Ami J. Schnauber VP, Advocacy & Public Policy 20 LeadingAge New York 471 21 Eric Linzer President and CEO 22 Kathy Preston Vice President of 23 Government Affairs NY Health Plan Association 476 24 6 1 2018-2019 Executive Budget Health and Medicaid 2 2-12-18 3 LIST OF SPEAKERS, Continued 4 STATEMENT QUESTIONS 5 Rose Duhan President and CEO 6 Community Heath Care Association of NYS 482 487 7 Morris Auster 8 Senior VP/Chief Leg. Counsel Medical Society of the 9 State of New York 489 10 Jill Furillo, RN Executive Director 11 NYS Nurses Association 496 501 12 Dr. Carol Smith President 13 NYS Association of County Health Officials 502 505 14 Neal Kalish 15 Director United Ambulette Coalition 512 16 John Tomassi 17 Executive Director Upstate Transportation 18 Association 518 19 Roxanne Richardson President 20 Kathy Febraio Executive Director 21 Pharmacists Society of the State of New York 521 22 Michael Duteau 23 President Chain Pharmacy Association 24 of New York State 527 7 1 2018-2019 Executive Budget Health and Medicaid 2 2-12-18 3 LIST OF SPEAKERS, Continued 4 STATEMENT QUESTIONS 5 Bill Hammond Director of Health Policy 6 Empire Center for Public Policy 533 7 Cheryl Spulecki President 8 NYS Association of Nurse Anesthetists 9 -and- Dr. Juan Quintana 10 Former President American Association of 11 Nurse Anesthetists 538 12 Rose Berkun, M.D. Immediate Past President 13 Vilma Joseph, M.D. Secretary 14 New York State Society of Anesthesiologists 548 15 Amy Kennedy 16 Executive Director Lauren Pollow 17 Director of Government Affairs NYS Center for Assisted Living 553 18 Lisa Newcomb 19 Executive Director Empire State Association of 20 Assisted Living 558 21 22 23 24 8 1 2018-2019 Executive Budget Health and Medicaid 2 2-12-18 3 LIST OF SPEAKERS, Continued 4 STATEMENT QUESTIONS 5 Lauri Cole Executive Director 6 NYS Council for Community Behavioral Healthcare 7 -and- Andrea Smyth 8 Executive Director NYS Coalition for Children's 9 Behavioral Health 563 10 Patrick Kwan Senior Director for Advocacy 11 & Communications Primary Care Development Corp. 570 12 Bryan O'Malley 13 Executive Director Consumer Directed Personal 14 Assistance Association of NYS 574 15 Julie Hart Director, Government Relations 16 American Cancer Society Cancer Action Network 579 17 James McGuirk, Ph.D. 18 CEO Astor Services for Children 19 and Families 586 590 20 Timothy Hathaway Executive Director 21 Prevent Child Abuse New York 592 22 Steven Sanders Executive Director 23 Agencies for Children's Therapy Services 595 599 24 9 1 2018-2019 Executive Budget Health and Medicaid 2 2-12-18 3 LIST OF SPEAKERS, Continued 4 STATEMENT QUESTIONS 5 Rebecca A. Novick Director, Health Law Unit 6 The Legal Aid Society 602 7 Charles King President and CEO 8 Housing Works 608 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 10 1 CHAIRWOMAN YOUNG: Good morning. Good 2 morning. Would everyone please take your 3 seats. 4 Good morning. I'm Senator Catharine 5 Young, and I'm chair of the Senate Standing 6 Committee on Finance. I'm very pleased to be 7 joined this morning by my colleague 8 Assemblywoman Helene Weinstein, who is chair 9 of Ways and Means. 10 And I'll begin by introducing some of 11 the other legislators that are here today. 12 We've got Senator Diane Savino, who is vice 13 chair of the Finance Committee; Senator Liz 14 Krueger, who is ranking member; Senator Kemp 15 Hannon, who is chair of the Senate Standing 16 Committee on Health. Vice chair of Health is 17 Senator David Valesky. We've got Senator 18 James Seward, chair of the Insurance 19 Committee; Senator Rivera; Senator Sanders; 20 Senator Tedisco; and Senator Little. 21 Chairwoman? 22 CHAIRWOMAN WEINSTEIN: I'm Helene 23 Weinstein, chair of Ways and Means. And 24 joining us is Assemblyman Dick Gottfried, 11 1 chair of our Health Committee; Assemblyman 2 John McDonald; Assemblywoman Michaelle 3 Solages; Assemblywoman Rodneyse Bichotte; 4 Assemblyman Phil Steck; and Assemblyman 5 Walter Mosley. 6 And Bob Oaks, our ranker on Ways and 7 Means, will introduce the Republican members 8 here. 9 ASSEMBLYMAN OAKS: Yes. We're joined 10 by Andrew Raia, ranker on the Health 11 Committee; Andrew Garbarino; and Kevin Byrne. 12 CHAIRWOMAN YOUNG: Thank you. 13 Pursuant to the State Constitution and 14 Legislative Law, the fiscal committees of the 15 State Legislature are authorized to hold 16 hearings on the Executive Budget. Today's 17 hearing will be limited to a discussion of 18 the Governor's proposed budget for the 19 Department of Health and the Office of 20 Medicaid Inspector General. Following each 21 presentation, there will be some time allowed 22 for questions from the chairs of the fiscal 23 committees and other legislators. 24 First I'd like to welcome Dr. Howard 12 1 Zucker, commissioner of Health. Following 2 the presentation by Dr. Zucker will be Dennis 3 Rosen, Medicaid inspector general, followed 4 by Maria Vullo, superintendent of the 5 Department of Financial Services. 6 Testimony will be followed by a 7 question-and-answer period by members of the 8 Legislature. 9 So at this time we would like to begin 10 with the testimony of Commissioner Zucker. 11 Welcome. 12 COMMISSIONER ZUCKER: Good morning. 13 Good morning, Chairpersons Young and 14 Weinstein, Hannon and Gottfried, and members 15 of the New York State Senate and Assembly. 16 I'm here to present Governor Cuomo's 17 2018-2019 Executive Budget as it relates to 18 healthcare. 19 I am joined by Jason Helgerson, the 20 State Medicaid Director. 21 You have a more comprehensive version 22 of my testimony before you, but I will be 23 delivering an abbreviated version this 24 morning. 13 1 For four years I've had the distinct 2 honor of overseeing the Department of Health. 3 The over 5,000 employees of the department 4 are at the front line of every response to 5 protect the health, safety and well-being of 6 New York's residents. In just the past 12 7 months, we have addressed Zika, Legionella, 8 harmful algae blooms, unregulated 9 contaminants in drinking water, outbreaks of 10 hepatitis A, measles, mumps, and the list 11 goes on.
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