New York State Plan for Health Care Reform: Toward Universal Health Care in NYS

A5389/S2078 Also known as: the Gottfried-Perkins NY Health Works

 Do you know that New York State has a plan for health care reform? Well we do, and it calls for the following:

  • Universal coverage: Everybody in – nobody out!
  • Comprehensive benefits
  • Individualized coordination of care
  • No co-pays, no deductibles
  • Free choice of doctor and hospital
  • No private insurance can duplicate New York health
  • Funded by progressive taxes and Federal funds

How Gottfried-Perkins works:

Every resident of NYS is eligible to enroll. There are no barriers due to age, sex, income, wealth, employment or health status. There are not health premiums, no co-pays or deductibles and not regressive premiums.

The comprehensive benefits include:

Inpatient and outpatient hospital care, physician care, primary and preventive care, prescription drugs, dental, vision, and hearing care. There will be free choice of doctor, including Primary Care Physician (PCP), specialists and hospitals.

The Gottfried-Perkins bill includes Personal Care Coordination which will lead to:

Innovative measures to achieve higher quality, less costly care, free choice of care coordinator, which could be PCP, assistance navigating the system and receiving necessary care and follow-up. No gatekeeping or other barriers to care, referral will not be required. The care coordinator will be paid by capitation (monthly payment per person).

How will New York health be funded?

Funding will come from a progressive, graduated payroll tax, 80% employer paid, 20% employee paid. Self-employed will pay full payroll tax. There will be a surcharge on unearned (non-wage) income, and insurance premiums will be eliminated. Federal funds from Medicare, Medicaid, ACA, Family & Child Health Plus will need a Federal waiver in 2017. All funds will be placed in the New York Health Trust Fund.

Provider reimbursement: All providers will be paid in full by NY Health with no co-pays or other charges to patients. New reimbursement methods will be developed to replace wasteful fee-for-service payments. All rates will be negotiated with health care provider organizations by NY Health

Administration: New York Health will be administered within the Dept. of Health by the Commissioner of Health. The Commissioner will be assisted by a broadly representative Board of Trustees. Consumers and other providers will be represented in the decision making process.

A growing list of support: The Gottfried-Perkins New York health Works bill is co-sponsored by 74 Assembly people and 17 Senators. (In the Assembly, Donna Lupardo is a co-sponsor, however, Senator Tom Libous is not a co-sponsor in the Senate) The New York Health bill is endorsed by the New York chapters of the American Academy of Pediatrics and the American College of Physicians (internal medicine), the New York State Academy of Family Physicians, and the New York State Nurses Association. Single-payer coverage has broad labor union support and 85 members of the State Legislature.

Health Care is a Right not a Privilege! Urge Tom Libous to co-sponsor the Bill! He has health care coverage and so should you!




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