Enhancing Access to Hearing Aids
March 3, 2010
New York could take an important step this year in improving access to hearing aids for the growing number of hearing-impaired. This week, I along with Assembly Member Jeff Dinowitz of the Bronx introduced legislation that will make it possible for patients to purchase hearing aids directly from their doctors.
A current state law–the only one of its kind in the country–prohibits doctors who evaluate hearing loss from deriving a profit from hearing aid sales. As a result, few doctors’ offices offer hearing aid services to their patients, since doing so is economically unviable. These restrictions create artificially high prices and unnecessary inconvenience for patients. Doctors’ offices can provide patients with cost-effective and convenient services.
This new legislation will enhance patients’ access to treatment and increase competition among providers. Patients will be able to have continuity of care with their doctors, which is especially important when patients have complex medical conditions. A 2009 Consumer Reports article indicated that the best provider of hearing aids is a medical office headed by an ear, nose and throat doctor with an audiologist on staff- an unlikely option in New York under the current law.
May 9th: Free Mammography Screenings
April 14, 2009
My office, in partnership with the American-Italian Cancer Foundation, is coordinating a free mammography screening program on Saturday, May 9th from 10 am to 3 pm in front of Lenox Hill Neighborhood House, located at 331 East 70th Street between First and Second Avenues.
Aside from non-melanoma skin cancer, breast cancer is the most common cancer affecting women in the United States. According to the American Cancer Society, there were 182,460 new cases of breast cancer in the country last year and 40,480 deaths from the disease. While there are treatments, early detection of breast cancer is the best way to prevent its worst consequences. I hope that by providing this service, women who may not have been able to get a mammogram in the past will take advantage of this important opportunity.
This service is available for any woman over 40 years of age who has not had a mammogram in the past 12 months, regardless of whether or not she has health insurance. Space is limited and appointments are necessary, so women who would like to take advantage of this opportunity should schedule their appointments as soon as possible by calling my office at 212-860-4906. All appointments must be made by May 1st.
It is recommended that women who make appointments come wearing a two-piece outfit, and refrain from using any oil, powder, deodorant, or perfume that day. If you have Medicare, Medicaid or other health insurance, you must bring your card with you, though you will not be charged any co-payment fees. If you do not have health insurance, the mammogram, provided by Multi-Diagnostic Services, Inc., will be paid for by the New York State Cancer Services Program Partnerships. Results will be sent to you will be sent to you within 10 business days.
Fighting for the Rights of People with Disabilities
January 17, 2009
As many of you know, advocating on the issues that impact people with disabilities is very important to me. Last week was very busy on the disabilities rights front, and I wanted to give a brief update about what I’ve been up to.
On January 14th, I testified at the MTA hearing in Manhattan in opposition to the fare hikes and service cuts being proposed. I urged to give the state legislature and the federal government the time we need to come up with the funds that are needed. Paramount in my testimony was my opposition to fare hikes proposed for Access-A-Ride riders. While the MTA is considering raising the fare for those straphangers who are physically able to use the regular mass transit system by as much as 50% (from $2 to as much as $3), they are asking riders with disabilities to absorb an outrageously disproportionate fare increase of as much as 300% (from $2 to as much as $6).
Affordable and accessible transportation is a lifeline for people with disabilities and the frail elderly. 64% of Access-A-Ride users have total household incomes at less than 250% of the federal poverty level. It is a matter of simple mathematics. The many riders who depend on Access-A-Ride will literally be unable to leave their homes under this proposed fare structure. My testimony can be found in the Publications area of my website.
I am pictured here with Paul B. Feuerstein, Board Chair of the Disabilities Network of NYC and President/CEO of Barrier Free Living
(left) and Lawrence Carter-Long, Executive Director of DNNYC (right). Note: We are standing in front of the VISIONS banner, the organization which hosted the meeting. VISIONS is a tremendous organization serving and advocating for people who are blind or visually impaired.
I had the great pleasure of addressing the Disabilities Network of New York City at their visioning meeting on January 15th. This is a truly diverse organization representing people with physical, vision, and hearing disabilities. The community gathering’s purpose was to determine the shared vision for advocacy goals of DNNYC. I delivered welcoming remarks at the event. Here is a brief snippet of those remarks:
As someone with a mobility disability myself, I understand from firsthand experiences the myriad of challenges that people with disabilties face. We need to ensure that all New Yorkers have access to transportation options that serve them and the MTA and the TLC won’t do this without our continued advocacy and creative thinking. We need to ensure that all New Yorkers have access to affordable, comprehensive, and quality health care. And this will not happen without our vigilance and persistence. The secret of effective politics is participation. That’s it. And is must come from people with disabilities in order for our issues to be at the forefront. It is the task and the responsibility of everyone here to make your voice heard by those that represent you, be they in City Hall, Albany or Washington, DC.
We are not an insignificant minority that can brushed aside. We are 20% of the general population and the attention the media has given to our issues while increasing, has never matched our numbers.
In less than a week we will be witnessing a changing of the guard in Washington, DC and last week we saw one in Albany —now is the time for DNNYC to make a coordinated effort to ensure we leverage our community’s growing political strength.
If you are interested in getting involved in advocating for the rights of people with disabilities, I highly recommend giving your time to this important organization.
Assembly Member Alan Maisel and I talking about health policy with PJ Weiner, Manager of Advocacy Programs for the MS Society of NYC (far right) and Robin Einbinder, Vice President of the MS Society of NYC (second from the right).
After the DNNYC event, I headed over to the Multiple Sclerosis Society of New York City inaugral legislative reception. I had the great honor of being asked to co-host this event. An impressive gathering of members of the MS Society met with their legislators including the newly minted Chair of the Senate Health Committee, Tom Duane, Assembly Members Linda Rosenthal and Alan Maisel, NYC Council Members John Liu and Gale Brewer, and representatives from the offices of Congresswoman Carolyn Maloney, Senator Daniel Squadron, Manhattan Borough President Scott Stringer, Assembly Member Jonathan Bing, and Council Members Jessica Lappin and Oliver Koppell.
There were many issues discussed at this event, but paramount on the minds of the MS Society members I spoke to was the issue of Tier IV pricing — and the need for support for a ban on this practice in New York. The MS Society has worked with Senate Majority Leader Malcolm Smith on legislation that would ban Tier IV drug pricing, a bill that I am excited to support in the New York State Assembly.
The proposed legislation would ban the creation of a fourth tier in a company’s prescription drug pricing forumlae. In states where this has been allowed to happen, medication treating diseases such as anemia, cancer, MS, and hepatitis C are categorized separately from other prescription drugs and co-payments have amounted to up to 33% of the total cost of each prescription. Patients with chronic diseases are seeing fees dramatically increase to hundreds or even thousands of dollars per prescription per month. This can never be allowed to happen in New York and I am greatful to the MS Society of New York City for raising this important issue and working with the legislature to protect all New Yorkers from this unacceptable threat to access to health care.
The Executive Budget: Beginning the Conversation About Shared Sacrifice
December 19, 2008
Governor David Paterson presents the 2009-10 Executive Budget to the NYS Legislature.
As we all expected, the Executive Budget is the result of a painful reality of our difficult economic situation. It demonstrates what we have known for months: balancing the budget will require shared sacrifice.
I am very aware of the obligation that I share with my colleagues to ensure that necessary cuts and tax increases are done in such a way to ensures that higher education remains affordable, the commitment to funding our schools is maintained, quality health care is available to every New Yorker, and that mass transit is adequately funded.
There are many cuts that I am uncomfortable with as I am sure the Governor is. As an example, Senator Tom Duane and I wrote to Governor Paterson in November to ask that the relatively small amount of funding allocated for the Bridges to Health program be maintained, only to discover today that its funds have been frozen and its full implementation delayed for many years. This is a program to provide services to medically fragile, severely traumatized, and chronically disabled children in the foster care system. I will continue to advocate for its funding.
Despite this, I respect that the Governor made tough choices from a poor set of available options and I did not envy his task. Over 50% of our state’s spending is designated to healthcare and education, so it is impossible to avoid cuts in these areas when balancing our budget. I also know that our budget can’t be balanced on cuts, nor would I want it to be. You have probably heard that the Governor has proposed a new range of taxes and fees, some of which have gotten more attention than others (like the ’sweet tax’ proposed tax on non-diet soda drinks which Governor Paterson recently defended in an editorial posted on CNN.com).
Two of these fee increases concerned drivers; the first is a 25% increase on car registration fees and the second is a 25% increase in driver license fees. I wrote to the Governor in November to suggest these fee increases (see my blog post on this topic, Increasing Driver License, Car Registration Fees Could Raise $550 Million for Cash-Starved MTA), and I am happy to see them included in the budget. But I am disappointed that these fees are not designated for mass transit funding as I suggested, but rather to plug holes in the general operating budget. It is important to me to ensure that even as we repair the massive shortfalls in the 2009 budget we plan for mass transit funding for the future. Designating funding for mass transit from drivers’ fees can achieve both.
We are in the midst of an unprecedented global financial crisis that threatens our economic security. People are losing their jobs and their homes. Pensions are losing their value and families are making horrible choices about necessities. I have no doubt that we will pass a budget that contains significant cuts in spending and increases in fees and taxes. And I will continue to demand that this sacrifice is shared and not shouldered by the most vulnerable New Yorkers. Continuing to advocate for more progressive tax structures is one way that I will work to achieve this.
It is very important to me to hear what you think about the Executive Budget. It is by no means a final version of what we will pass in 2009. The Governor himself emphasized yesterday that it is a starting point for dialogue. The PDF of the Governor’s presentation can be found on his 2009-10 Executive Budget website.
Health Budget: Great News for New Yorkers
April 24, 2008
The new 2008-09 health budget, which has been passed by the legislature and signed by the Governor, includes an impressive list of major health reforms and initiatives. This is the best health budget New York has had in many years.
In a groundbreaking – and long-overdue – change, the new budget begins to shift resources from inpatient hospital care to primary, preventative, and other outpatient care. Medicaid payments will increase for community health centers, physician and dentist care, school health centers, family planning clinics, hospital outpatient clinics, and others.
The budget also expands New York’s Child Health Plus program, raising the eligibility level for Child Health Plus from 250% of the poverty level to 400% - making health care for children affordable to more middle-class New Yorkers. Now thousands more children will get health coverage.
There will also be a new prescription drug discount card for some low-income people who have no drug coverage. The discounts will come from the state using its bargaining clout with drug companies, not from taxpayer dollars.
Additionally, under the new budget, New York will offer to repay new doctors’ medical school loans if they practice for five years in an under-served area in primary care or certain shortage specialties – helping to make access to health care a reality for many more New Yorkers.
