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Cuomo outlines 7-point plan in State of the State

Governor Cuomo outlined his 2021 agenda in the State of the State Address this morning from the War Room in the State Capitol. Cuomo announced that he will be delivering three additional speeches in the coming days with additional proposals and details of the following seven-point plan, announced this morning:

  1. Defeat COVID
  2. Vaccinate New York
  3. Manage Short Term Economic Crisis
  4. Invest in the Future
  5. Transition to Green Energy
  6. Understand Long Term Effects of COVID
  7. Address Systemic Injustices

As his upcoming speeches are formally scheduled, we will let you know. At this time the Governor has not released his State of the State book, but has released highlights of his Reimagine, Rebuild, Renew Plan:

Passing the Medical Supplies Act: The United States was ill-prepared for a global pandemic when it came to our shores in 2020. At the outset of the COVID-19 crisis, New York State, along with the rest of the country, faced a severe shortage of basic Personal Protective Equipment (PPE), leaving our frontline health care professionals vulnerable to contracting the disease that we so desperately needed them to fight. To ensure that hospitals had the supplies needed to protect their patients and workers, New York was forced to compete with other countries — and even states — to secure critical products from overseas.

To promote domestic manufacturing of critical medical equipment and to reduce dependency on overseas products, Governor Cuomo is proposing that New York pass the Medical Supplies Act to prioritize buying American-made PPE and medical supplies. As the Buy American Act, made permanent last year, did for American-made structural iron and steel, this new policy will help create and retain local jobs while ensuring the health and dependability of a crucial sector for years to come.

Comprehensive Telehealth Legislation: The COVID-19 pandemic laid bare the inequities in our healthcare system and showed that telehealth is a critical tool to expand access and lower costs for low-income communities, especially for behavioral health support. During the crisis, the Governor took executive action to expand access to remote care. These proposals codify and build on those successful reforms.

In partnership with the Reimagine New York Commission, the Governor will enact comprehensive telehealth reform to help New Yorkers take advantage of telehealth tools and address existing roadblocks. These reforms will address key issues like adjusting reimbursement incentives to encourage telehealth, eliminating outdated regulatory prohibitions on the delivery of telehealth, removing outdated location requirements, addressing technical unease among both patients and providers through training programs, and establishing other programs to incentivize innovative uses of telehealth.

Ensuring Social and Racial Justice for the Vaccination Effort: In order to ensure the vaccine is distributed equitably, especially in communities of color, Governor Cuomo created the New York Vaccine Equity Task Force. Chaired by Secretary of State Rossana Rosado, Attorney General Letitia James, National Urban League President & CEO Marc Morial, and Healthfirst President & CEO Pat Wang, the Governor’s Equity Task Force will assist in overcoming existing barriers to vaccination and increase access to vaccines in Black, Hispanic, Asian, Native American, rural, poor, and public housing communities, as well as other health care deserts.

To support the vaccine rollout, the Task Force was directed by the Governor to build trust and acknowledge the pervasive structural inequities that have contributed to existing health and social disparities, address language access issues, ensure protections of privacy and confidentiality, and develop outreach efforts and community engagements that are regionally placed, culturally responsive, and representative of all communities. As vaccine availability increases from the federal government, the State will establish in partnership with private entities and localities, public clinics to reach vulnerable and underserved communities.

New York State Public Health Corps: While working to make New York the first COVID-19-safe state in the nation through widespread vaccination, we must also prepare for future public health crises. To support New York’s massive effort to vaccinate nearly 20 million New Yorkers and support other public health emergency responses, Governor Cuomo is proposing the launch of the nation’s first public health corps. As part of the effort, up to 1,000 fellows will be recruited to assist with vaccination operations. These fellows will include students in undergraduate and graduate public health programs, nursing schools and medical schools, recent graduates, retired medical professionals, and laypeople who will receive an intensive public health training curriculum developed by Cornell University. Bloomberg Philanthropies, Northwell, and our Department of Health will manage and coordinate the Corps.

After the vaccination program is completed, New York will build on this Public Health Corps model by continuing to recruit and train public health professionals to staff State and county health agencies and this Corps will be available and prepared to serve the state in any future crisis.

Free Citizen Public Health Training: To empower and educate New Yorkers to be prepared for the next public health crises, the State will develop a free citizen public health training program with Cornell, offered online, to educate and certify thousands of New Yorkers to be prepared to volunteer to help their communities the next time there is a health emergency.

Fight for Overdue Federal Support to States Fighting COVID-19: New York was blindsided by the virus in early spring. Despite vast agencies tasked with monitoring health threats, and months of warning, the federal government failed to respond to — or even notice — the growing global pandemic. When they finally took notice, the federal government was solely focused on China such that they allowed 3 million travelers from Europe — where the virus was rapidly spreading —to enter New York City-area airports and others. This was an act of gross negligence by the federal government. New York State led the nation in its response. Left to fend for itself by the federal government, New Yorkers bent the curve and, with a science-based approach, re-opened much of the economy while maintaining some of the lowest infection rates in the nation.

However, even as portions of the economy have bounced back, many sectors have seen significant job losses and remain severely impacted, all contributing to New York’s significant fiscal challenges. The State is contending with a $15 billion budget gap created entirely by the pandemic. For too long, New York has been asked to unfairly subsidize the federal government. As the federal government’s number one donor, New York already leads the nation in sending more money to Washington than it gets back in return. On top of that, Washington has relentlessly abused this state, providing the lowest Medicaid reimbursement rate in the nation, starving infrastructure funding, and curtailing the State and Local Tax (SALT) deduction, which raised New Yorkers’ taxes and starved New York of $30 billion over three years. After all of this, New York cannot also afford to pay the bill for the federal government’s incompetence.

Governor Cuomo will fight to ensure that the federal government takes responsibility and delivers the fair funding New York and other states are owed.

Pass a Comprehensive Adult-Use Cannabis Program: In 2019, Governor Cuomo signed legislation to decriminalize the penalties for unlawful possession of marijuana. The legislation also put forth a process to expunge records for certain marijuana convictions. Later that year, the Governor spearheaded a multi-state summit to discuss paths towards legalization of adult-use cannabis that would ensure public health and safety, and coordinate programs regionally to minimize the cross-border movement of cannabis products.

Building on that important work, the Governor is proposing the creation of a new Office of Cannabis Management to oversee a new adult-use cannabis program, as well as the State’s existing medical and cannabinoid hemp programs. Additionally, an equitable structure for the adult-use market will be created by offering licensing opportunities and assistance to entrepreneurs in communities of color who have been disproportionately impacted by the war on drugs. Cannabis legalization will create more than 60,000 new jobs, spurring $3.5 billion in economic activity and generating more than $300 million in tax revenue when fully implemented.

Enabling Online Sports Betting: The sports gambling market is evolving rapidly. In 2018, the U.S. Supreme Court in Murphy v. NCAA overturned a federal law prohibiting most states from authorizing sports wagering. Sports wagering is now legal online in 14 states, including the bordering states of New Jersey and Pennsylvania, while it is only legal in New York at four Upstate commercial gaming facilities and Native American gaming facilities. An industry study found that nearly 20 percent of New Jersey’s sports wagering revenue comes from New York residents, costing the State millions of dollars in lost tax revenue.

Under Governor Cuomo’s proposal, the New York State Gaming Commission will issue a request for proposals to select one or more providers to offer mobile sports wagering in New York. This platform must have a partnership with at least one of the existing licensed commercial casinos. The Commission will also require any entity operating mobile wagering apps include safeguards against abuses and addiction.

Create a Rapid Testing Network as a Tool to Help Businesses Reopen: Over the past several months, Governor Cuomo’s New York Forward reopening plan has paved the way for many businesses to resume operations safely through a phased approach and in accordance with public health protocols. While this has unleashed the ingenuity and creativity of New York businesses — such as new outdoor dining spaces and delivery options — it has also created significant financial struggles for these industries.

New York has been at the forefront of developing testing capacity throughout the COVID-19 crisis and will use that experience to help support the reopening of businesses. The State will continue to scale up the availability of testing to help businesses safely reduce capacity restrictions, as well as work with testing companies to stand up a network of convenient testing sites in city centers, starting with New York City. New York will also work with local governments to cut through any red tape to set up this critical infrastructure quickly. With this new network of rapid testing locations, a customer can stop into a new rapid testing facility, get tested, and 15 minutes later be cleared for dinner or a movie. This will provide an added layer of protection and confidence as New Yorkers resume economic activity.

Facilitating Policing Reforms: This year, Governor Cuomo took swift and aggressive action to respond to community concerns and rebuild public trust in the law enforcement profession following the tragic deaths of George Floyd, Breonna Taylor, Daniel Prude, and far too many others. The Governor signed the “Say Their Name” reform agenda which repealed 50-a, banned chokeholds, prohibited race-based 911 calls, and codified his 2015 Executive Order that appointed the Attorney General as an independent prosecutor for police involved deaths of unarmed civilians. He also signed legislation creating the Law Enforcement Misconduct Investigative Office within the Attorney General’s Office to investigate complaints of misconduct filed against law enforcement agencies.

However, unrest and distrust continued to roil communities in New York and across the nation. Maintaining public safety is imperative; it is one of the essential roles of government, and communities require mutual trust and respect between police and the communities they serve. In recognition of this, Governor Cuomo issued Executive Order 203 creating the New York State Police Reform and Reinvention Collaborative. This collaborative process requires all local governments and police forces to develop a plan to modernize their policing strategies and strengthen relationships with the communities they serve. Localities are required to engage their community and ratify a plan by April 1, 2021. Failure to complete this process will result in loss of State funding.

Facilitating the Creation of Statewide Childcare Options: The COVID-19 pandemic highlighted how a lack of access to affordable childcare can disrupt low-income families and force caregivers, primarily women, to choose between putting food on the table and caring for their children. While affordability serves as a barrier to families securing child care, there is also a lack of general accessibility of child care programs, as well as insufficient high quality provider capacity across the state which can inhibit families from accessing child care.

To make child care more affordable and equitable for our most vulnerable children and their parents, Governor Cuomo will invest $40 million to reduce the burden of parent subsidy copays to help approximately 32,000 working families. This will ensure that no New York family pays more than 20 percent of their income above the federal poverty level for a child care subsidy co-pay, with the rest of the cost of care being covered by the subsidy.

To ensure that all families have access to high-quality child care, New York State will invest $6 million for start-up grants to create programs in child care deserts; increase the value of the New York State Employer-Provided Child Care Credit by expanding the amount a business can claim for qualified child care expenditures to up to $500,000 per year; create a new toolkit to provide guidance and assistance to businesses looking to subsidize and facilitate access to child care for their employees; and establish permanent child care sector workgroups within the Regional Economic Development Councils REDCs to guide and inform council decisions. The Governor will also establish a new Excelsior Child Care Investment Tax Credit available to recipients of the Excelsior Tax Credit as a bonus incentive to create and provide child care services for employees and their families.

To ease administrative burdens and make it easier and less costly to provide child care services, Governor Cuomo will adopt the Child Care Availability Task Force recommendations to standardize and modernize the child care subsidy system to eliminate waste, duplication, and confusing rules for families. Specifically, the Governor will direct the Office of Children and Family Services and the Council on Children and Families to examine federal and state statutes and regulations to identify opportunities for reform and streamlining; eliminate redundant background checks that increase administrative burdens and costs for providers; and advance legislation to eliminate the requirement that individuals seeking employment at OCFS or in New York City Department of Health and Mental Hygiene regulated programs submit a new Central Register of Child Abuse and Maltreatment clearance form when they move to a new program.

Streamlining and Enhancing Work to Address Gender-Based Violence: Ending domestic violence and sexual assault has been at the top of New York’s agenda since Governor Cuomo first took office. Throughout his time as Governor, Governor Cuomo has signed extensive legislation relating to ensuring safety for girls, women, and all survivors of domestic trauma and abuse, including legislation in the FY 2021 budget authorizing law enforcement to remove guns from the scene of a domestic violence incident, and requiring judges to consider the effects of domestic violence while determining distribution of marital property. The Governor also signed the Enough is Enough law in July, 2015 to address sexual assault, dating violence, domestic violence, and stalking on college campuses.

The Governor is now proposing to take this work a step further through a comprehensive package of initiatives to combat domestic violence and gender-based violence. The package includes a proposal allowing courts to require abusers to pay for damages to housing units, moving expenses, and other housing costs related to domestic violence, as well as a proposals to create a domestic violence misdemeanor label to close the domestic violence gun-purchasing loophole to ensure abusers cannot obtain weapons who are convicted of misdemeanor assaults on a domestic partner.

Additionally, the Office for the Prevention of Domestic Violence will be transformed into a reimagined agency, the Office to End Domestic and Gender-Based Violence, and will be tasked with addressing the intersection of the many forms of intimate partner violence, including domestic violence and sexual violence, in a survivor-centered and comprehensive manner.

Providing Rent and Mortgage Relief for Tenants and Small Business Owners: The COVID-19 pandemic has caused unprecedented economic dislocation across the United States, and New York is no exception. The financial hardships arising from business closures and resulting unemployment touch on every aspect of life but are perhaps most acutely felt by New Yorkers in danger of losing their homes or businesses because they can no longer afford to pay their mortgage or rent.

The Governor has already signed legislation placing a moratorium on residential evictions until May 1, 2021 for tenants who have endured COVID-related hardship. Taking this effort a step further, Governor Cuomo will codify his Executive Order banning fees for late and missed rent payments during the pandemic and allowing tenants to use their security deposit as immediate payment and repay the deposit over time, keeping those protections in place through May 1. The Governor will also codify his Executive Order to establish a statewide moratorium on commercial evictions until May 1 for commercial tenants who have endured COVID-related hardship.

Eliminating Health Care Premiums for Low-Income New Yorkers: The COVID-19 pandemic showcased the persistent, staggering healthcare disparities in this country and in New York State. Blacks, Latinos, Asians and poor communities paid the highest price for COVID-19. Higher rates of underlying conditions were a major driver of these disparities. Increasing access to affordable healthcare will help address these disparities and help ensure that New York emerges from the pandemic stronger and more equitable.

Through New York’s successful health insurance exchange, the New York State of Health, low-income families qualify for the state’s Essential Plan for free or with a maximum premium of $20 a month per person. However, families and individuals still struggle with the expense. To make coverage more affordable for low-income New Yorkers, Governor Cuomo will eliminate these monthly premiums for over 400,000 New Yorkers, saving families nearly $100 million per year in premiums and enrolling 100,000 New Yorkers who are currently uninsured.

Continuing New York’s Liberty Defense Project: Launched in 2017 under Governor Cuomo’s leadership, the first-in-the-nation Liberty Defense Project has provided more than 45,000 vital legal services to immigrants and communities in need — particularly those who have been targeted by federal immigration enforcement tactics, including those in Deferred Action for Early Childhood Arrivals (DACA) or Temporary Protected Status (TPS). The project is administered by the Office for New Americans and runs in partnership with law firms, legal associations, advocacy organizations, colleges, universities, and bar associations across the state. The Liberty Defense Project provides free legal consultations and screenings for immigrants throughout New York, direct representation in deportation proceedings and other cases, assistance in applying for naturalization and employment authorization, and other education and support, including connection to social services and health care.

This year, Governor Cuomo will continue to support the Liberty Defense Project to keep fighting for immigrants seeking a better life for themselves and their families. New York’s strength, character, and pride are found in the diversity and rich culture that makes us the Empire State. We will continue to support and defend all who call New York home.

Strengthening and Expanding Access to Elections: Building from New York’s previous landmark election reforms, Governor Cuomo has put forth a transformational proposal that continues to expand access to voting and improves procedures to speed up vote counting, and add additional time for early voting. Specifically:

·        Expand Access to Early Voting: Governor Cuomo will advance legislation that extends early voting hours from 6:00 pm to 9:00 pm on weekends as well as on a minimum of three week days during the ten-day early voting period.

·        No-Excuse Absentee Voting for All New Yorkers: In 2019, Governor Cuomo celebrated the Legislature’s passage of a resolution beginning the process of amending the state constitution to make no-excuse absentee voting a reality in our state. In 2021, the Governor will call on the Legislature to act quickly to pass the resolution again so that the proposed amendment can go on the ballot to be ratified by the voters.

·        Allow More Time for Voters to Request Absentee Ballots: The state’s election law currently prohibits voters from requesting their absentee ballots more than 30 days prior to Election Day. Particularly in elections with large numbers of absentee voters, this timeline may make it difficult for county boards of elections to process ballot requests in a timely and efficient manner. This, in turn, provides voters with less time to receive their ballots, vote, and mail them back. Governor Cuomo will advance legislation allowing voters to request absentee ballots 45 days prior to the election, ensuring they can be mailed as soon as the ballot is finalized and approved by the Board.

·        Speed Up the Counting of Absentee Ballots: New York State’s election law does not facilitate the speedy counting of large numbers of absentee ballots – the law only requires that boards of elections meet to process and count ballots within two weeks of a general election and within eight days of a primary election. To ensure that New York State counts absentee votes quickly and efficiently after each election, Governor Cuomo will introduce legislation requiring county boards of elections to process absentee ballots as they are received and to begin counting and reporting those ballots on Election Day.

Creatively Repurposing Underutilized Commercial Space for Additional Housing: As the COVID-19 pandemic has unfolded, New York, like states across the country, has seen an increase in telework and a reduction in travel. New York City must, and will, remain a global commercial hub, by ensuring that its central business district remains the paramount location for the world’s most innovative and successful businesses and their employees. Reduced demand for office and hotel space has created an opportunity to repurpose formerly commercial space that has far greater potential for use as housing, including affordable and supportive housing, to create dynamic, 24/7 walk-to-work neighborhoods.

Governor Cuomo will propose legislation to create a five-year period during which property owners may convert office buildings and hotels in the Manhattan central business district to residential use. Stimulating housing conversion will create thousands of good-paying jobs, increase housing affordability, and support long-term economic growth by helping New York’s employers attract and retain talent.

Ensuring Safe Shelters and Providing Sustained Care for Homeless on the Street: Governor Cuomo has been a leader in protecting and serving homeless New Yorkers throughout his entire career, and he took action during the COVID-19 crisis to ensure they received the support and care they need. In September, Governor Cuomo directed the Office of Temporary and Disability Assistance to issue guidance to all social services districts across the state clearly laying out the requirements for providing safe shelter conditions amidst the global COVID-19 public health emergency. OTDA will ensure strict compliance with the guidance and directive through a combination of announced and unannounced visits to the shelters. Localities that do not maintain safe and secure facilities will be held accountable.

Previously Released State of the State Proposals

Quality & Compliance Conference Jan. 12-14, 19-21

Cerebral Palsy Associations of NYS and The Arc New York present the 13th Annual Conference for Providers Serving People with Disabilities. 

This year’s conference will be held virtually January 12-14 and January 19-21.

Session Material

We’d like to thank our partners for this year’s conference. Click on the images for more information.

 

                               

 

UK Variant found in Saratoga, post-holiday uptick in COVID-19 cases

Governor Cuomo held two media availabilities on Monday, Jan. 4. This morning he conducted a press briefing from the State Capitol and this afternoon he held a press call to make an announcement. Details of both can be found below.

Governor Cuomo Press Call

  • The Governor held a press call this afternoon to announce that the U.K. variant (B.1.1.7) of the virus that causes COVID has been discovered in New York. The Governor was joined on the call by:

    • Melissa DeRosa, Secretary to the Governor;
    • Robert Mujica, Budget Director;
    • Dr. Howard Zucker, NYS Department of Health Commissioner;
    • Elizabeth Garvey, Special Counsel and Senior Advisor to the Governor; and
    • Gareth Rhodes, Deputy Superintendent & Special Counsel at NYS Department of Financial Services.

  • The variant was discovered in a sample from a man in Saratoga County. The man has not traveled recently, indicating the variant is present in the community.

  • The man works at a jewelry store called N. Fox Jewelers in Saratoga Springs. Three other people have tested positive in relation to the store. The Wadsworth Lab is testing their samples to determine if it is the U.K. variant.

  • The Governor advised that anyone who visited the store between December 18th and 24th should be tested.

  • A reporter asked if the variant is resistant to the vaccine and how widespread the State believes the variant to be present in the community. Governor Cuomo said that the variant is not known to be more resistant to the vaccine or more deadly – but it is much more transmittable. He believes the variant is present in the community, but New York has advanced testing protocols so the State was able to find it quickly.

  • When asked if the variant causes different symptoms and if the variant is contributing to increasing cases in the Capital Region, Dr. Zucker said that the variant does not cause different symptoms from the original strain and that the increasing positivity rate locally and across the nation likely reflects the presence of the variant in the community.

  • In response to a question from a reporter about Western New York possibly changing color zones, Gareth Rhodes said that while the region experienced several weeks of progress, the most recent data shows a slight uptick in Erie County.

Governor Cuomo Press Briefing

  • Today’s briefing took place at the State Capitol. The Governor was joined by:

    • Melissa DeRosa, Secretary to the Governor;
    • Robert Mujica, Budget Director;
    • Dr. Jim Malatras, State University of New York (SUNY) Chancellor;
    • Dr. Howard Zucker, NYS Department of Health Commissioner;
    • Elizabeth Garvey, Special Counsel and Senior Advisor to the Governor; and
    • Gareth Rhodes, Deputy Superintendent & Special Counsel at NYS Department of Financial Services.

  • COVID-19 DATA FROM 1/4:

    • Statewide Positivity Rate – 8.34%
    • Statewide Positivity Rate, Excluding Focus Zones – 7.78%
    • Positivity Rate Within Focus Zones – 9.85%
    • Current Hospitalizations – 8,251 (+288)
    • Patients Currently in ICU – 1,357 (+13)
    • Patients Currently Intubated – 843 (+28)
    • Deaths – 170
    • Total NY Pandemic Deaths – 30,648

  • REGIONAL HOSPITALIZATION AND POSITIVITY RATES:

    • Capital Region
      • 468 hospitalized
      • 9.91% positivity rate
    • Central New York
      • 400 hospitalized
      • 9.30% positivity rate
    • Finger Lakes
      • 930 hospitalized
      • 10.22% positivity rate
    • Long Island
      • 1,506 hospitalized
      • 9.31% positivity rate
    • Mid-Hudson
      • 942 hospitalized
      • 8.20% positivity rate
    • Mohawk Valley
      • 299 hospitalized
      • 10.38% positivity rate
    • New York City
      • 2,884 hospitalized
      • 6.24% positivity rate
    • North Country
      • 82 hospitalized
      • 9.02% positivity rate
    • Southern Tier
      • 209 hospitalized
      • 5.77% positivity rate
    • Western New York
      • 531 hospitalized
      • 8.43% positivity rate

 

  • POST-CHRISTMAS UPTICK: As expected, New York is experiencing an uptick in infection and hospitalization rates following the holiday season. Governor Cuomo urged New Yorkers to refrain from gathering and continue to follow safety protocols in order to avoid further shutdowns. The Finger Lakes and Mohawk Valley regions continue to sustain the highest infection rates in the State. Governor Cuomo said these communities can change this trajectory by modifying their behavior. However, if the trajectory does not change and hospital bed availability diminishes, the regions will be shut down.

 

  • HOSPITAL CAPACITY: New York continues to monitor hospital capacity closely, and currently no region has less than 30% capacity. In response to a question from a reporter, the Governor clarified that this metric is the percentage of beds that would be available within seven days to a region’s hospital system if the system uses additional resources to surge capacity under the State’s Surge & Flex plan.

 

  • VACCINE ADMINISTRATION: The vaccine is being administered under three programs in nursing homes, hospitals, and special efforts:

 

·       Nursing Homes: The nursing home program is being run by the Federal Government and has been moving slow. There are 611 facilities enrolled in the Federal program, but only 288 have completed the first dose for residents (47%). The State will begin to assist and expedite this program. With State facilitation, 234 facilities will administer the first dose for residents this week (85%). The State will expedite the remaining 15% over the next two weeks.

·       Hospitals: Vaccine administration has lagged in New York’s public hospitals. Governor Cuomo urged public officials in areas with public hospitals to step up and manage vaccinations at these sites. Hospitals statewide have only used around 46% of the total available vaccine allocation. The NYS Department of Health issued a letter yesterday indicating vaccine providers must use their inventory this week or they could receive a fine of up to $100,000. In the future, facilities will need to use their allocations within one week. If they do not, the provider may be subject to a fine and limited future allocations. If a provider is seriously deficient, they can be subject to more serious sanctions or be disqualified from future distributions.

·       In response to a question from a reporter on whether the fines for either not administering enough vaccines or for administering it to an ineligible recipient create competing principles, Governor Cuomo said that some hospitals are better than others at administering the vaccine quickly. The Governor encouraged hospitals that do not have the capacity to administer their allocation to not participate in the program so their allotment can go to another hospital that can administer the immunizations quickly.

·       Special Efforts: The State will establish drive-throughs for public distribution and recruit additional retired personnel to administer vaccines. There will be a focus on establishing sites in communities that do not have access to traditional distribution points, such as pharmacies. Governor Cuomo said that he would like to receive the vaccine, but will not until it is available to his priority group in black and brown communities.

 

  • VACCINE ELIGIBILITY: All doctors, nurses, and healthcare staff who come in contact with the public are eligible to receive the vaccine starting today. All individuals administering COVID-19 vaccines (including local health department staff), ambulatory care centers staff, home care and hospice workers, and other congregate setting staff and residents are also eligible.

  • VACCINE FRAUD: Governor Cuomo will propose legislation to enact criminal penalties for any entity which falsifies who or what they are to the State, or for any entity that does not follow the guidelines on who is eligible for the vaccine. Under a previously issued Executive Order, a provider who engages in such activity can be fined or lose their license. In response to a question from a reporter, the Governor clarified that this would not apply if a hospital made a mistake or if they were defrauded. It is for a criminal intent, meaning if they knowingly provided a vaccine to someone who was not eligible.

  • SCHOOLS: For counties with a positivity rate above 9%, schools can remain open if the testing data shows that the schools have a lower positivity rate than the surrounding community. It is up to the local school districts to decide whether to remain open. Governor Cuomo added that it is his opinion that schools should remain open if the positivity rate in the school is lower than the community, but emphasized school districts maintain local control over this decision. Previous guidance directed school districts to go to remote learning once the surrounding region hit a 9% positivity rate over a seven-day average.

  • STATE OF THE STATE: The Governor will begin to present his 2021 State of the State Address on Monday, January 11th. In response to a question from a reporter, the Governor said that this year the State of the State will be different from years past because of the challenging position the State is in.

  • COLOR ZONES: The Governor was asked why additional restrictions are not being placed on areas with high infection rates. He indicated that the primary contributor to spread is social gatherings in private settings. The State has issued restrictions on private businesses but has difficulty regulating gatherings in private residences. The next possible avenue for the State to restrict activity is a full shutdown if a region reaches critical hospital capacity.

·       In response to a question from a reporter on whether color zones would be removed or changed, Governor Cuomo said that restrictions in the current color zones will not be lifted while the infection rate increases. The Governor warned that regions with high infection rates and low hospital bed availability, such as the Finger Lakes, will face a shutdown unless the trajectory changes.

Governor Cuomo pushes for equitable vaccine distribution

GOVERNOR CUOMO UPDATES NEW YORKERS ON STATE’S PROGRESS DURING COVID-19 PANDEMIC

 7,963 Patient Hospitalizations Statewide

1,344 Patients in the ICU; 815 Intubated

Statewide Positivity Rate is 7.98%

138 COVID-19 Deaths in New York State Yesterday

 

Governor Andrew M. Cuomo today updated New Yorkers on the state’s progress during the ongoing COVID-19 pandemic.

“As we move into this New Year, one of our most pressing challenges, along with maintaining our diligence in stopping the spread of the virus, will be to ensure that the vaccine is made available fairly,” Governor Cuomo said. “COVID has exposed many of the existing injustices in our society, most notably that racism is, without a doubt, a public health crisis. Case and point – data has continued to show that despite higher infection and death rates in the Black and Latino communities, testing has remained more widely available in white communities. I refuse to let race or income determine who lives and who dies in New York and I mean it. That’s why as we work to break down barriers and ensure vaccine access for all, I will not take the vaccine until it is available for my age group in Black, Hispanic, and poor communities around the state.”

Today’s data is summarized briefly below:

  • Test Results Reported– 142,345
  • Total Positive– 11,368
  • Percent Positive– 7.98%
  • Patient Hospitalization– 7,963 (+149)
  • Patients Newly Admitted– 813
  • Hospital Counties– 56
  • Number ICU– 1,344 (+23)
  • Number ICU with Intubation– 815 (+29)
  • Total Discharges– 104,402 (+574)
  • Deaths– 138
  • Total Deaths– 30,476

 

The regional hospital bed capacity and occupancy numbers, including the number of hospitalizations as a percent of the region’s population, is as follows:

 

Region COVID Patients Currently in Hospital in Region COVID Patients as Percent of Region Population Percent of Hospital Beds Available in Region (7-Day Avg)
Capital Region 453 0.04% 23%
Central New York 391 0.05% 20%
Finger Lakes 892 0.07% 31%
Long Island 1,424 0.05% 25%
Mid-Hudson 926 0.04% 34%
Mohawk Valley 296 0.06% 23%
New York City 2,783 0.03% 31%
North Country 85 0.02% 35%
Southern Tier 204 0.03% 43%
Western New York 509 0.04% 31%
Statewide 7,963 0.04% 30%

 

The regional ICU bed capacity and occupancy numbers are as follows:

 

Region Total ICU Beds in Region Total Occupied ICU Beds in Region Percent of ICU Beds Available in Region (7-day Avg)
Capital Region 237 196 17%
Central New York 266 187 26%
Finger Lakes 397 296 27%
Long Island 814 631 23%
Mid-Hudson 687 414 39%
Mohawk Valley 127 97 21%
New York City 2,465 1,770 28%
North Country 57 35 35%
Southern Tier 125 79 37%
Western New York 545 330 38%
NYS TOTAL 5,720 4,035 29%

 

Yesterday, 142,345 test results were reported to New York State, and 7.98 percent were positive. Each region’s 7-day average percentage of positive test results reported over the last three days is as follows:

 

REGION THURSDAY FRIDAY SATURDAY
Capital Region 9.57% 9.82% 10.11%
Central New York 8.21% 8.70% 8.90%
Finger Lakes 9.70% 10.03% 10.35%
Long Island 8.42% 8.82% 9.11%
Mid-Hudson 7.56% 7.96% 8.19%
Mohawk Valley 9.69% 10.02% 10.40%
New York City 5.85% 6.17% 6.24%
North Country 8.17% 8.28% 8.77%
Southern Tier 5.16% 5.72% 6.42%
Western New York 8.01% 7.95% 8.43%
Statewide 7.20% 7.55% 7.78%

 

Each New York City borough’s 7-day average percentage of positive test results reported over the last three days is as follows:

 

BOROUGH THURSDAY FRIDAY SATURDAY
Bronx 6.92% 7.65% 7.28%
Brooklyn 5.97% 6.35% 5.94%
Manhattan 3.43% 3.80% 3.49%
Queens 6.83% 7.32% 7.04%
Staten Island 7.02% 7.45% 7.23%

 

Of the 1,017,153 total individuals who tested positive for the virus, the geographic breakdown is as follows:

 

County Total Positive New Positive
Albany 12,405 206
Allegany 1,927 33
Broome 8,601 114
Cattaraugus 2,667 37
Cayuga 3,166 94
Chautauqua 3,785 64
Chemung 4,685 56
Chenango 1,296 21
Clinton 1,268 58
Columbia 1,753 37
Cortland 2,183 22
Delaware 750 14
Dutchess 12,797 196
Erie 42,933 468
Essex 642 23
Franklin 810 13
Fulton 1,381 38
Genesee 2,866 48
Greene 1,462 31
Hamilton 119 4
Herkimer 2,407 80
Jefferson 1,947 53
Lewis 983 19
Livingston 2,006 34
Madison 2,417 40
Monroe 35,778 564
Montgomery 1,492 43
Nassau 92,035 1,166
Niagara 9,083 182
NYC 439,921 3,340
Oneida 12,999 274
Onondaga 22,213 287
Ontario 3,549 92
Orange 24,197 164
Orleans 1,441 19
Oswego 3,658 72
Otsego 1,266 15
Putnam 5,084 59
Rensselaer 4,724 149
Rockland 28,162 151
Saratoga 6,243 183
Schenectady 6,369 140
Schoharie 611 22
Schuyler 557 0
Seneca 874 23
St. Lawrence 2,343 90
Steuben 3,589 62
Suffolk 101,233 1,516
Sullivan 3,227 9
Tioga 1,771 31
Tompkins 2,138 5
Ulster 6,019 84
Warren 1,337 65
Washington 931 42
Wayne 2,768 68
Westchester 72,218 591
Wyoming 1,510 39
Yates 557 18

 

Yesterday, 138 New Yorkers died due to COVID-19 in New York State, bringing the total to 30,476. A geographic breakdown is as follows, by county of residence:

 

Deaths by County of Residence
County New Deaths
Albany 4
Bronx 8
Broome 2
Cattaraugus 1
Cayuga 2
Chautauqua 2
Chenango 2
Columbia 1
Cortland 2
Delaware 1
Dutchess 3
Erie 9
Fulton 1
Genesee 2
Greene 2
Herkimer 2
Jefferson 1
Kings 13
Madison 2
Manhattan 2
Monroe 6
Montgomery 4
Nassau 11
Niagara 3
Oneida 5
Onondaga 5
Ontario 1
Orange 3
Oswego 1
Queens 3
Rensselaer 2
Richmond 1
Rockland 2
Saratoga 2
Schenectady 1
Steuben 4
Suffolk 13
Sullivan 1
Ulster 1
Wayne 2
Westchester 4
Wyoming 1

Gov: Hospital capacity still a major concern

COVID-19 DATA FROM 12/21:

Statewide Positivity Rate – 5.8%
Statewide Positivity Rate, Excluding Focus Zones – 5.5%
Positivity Rate Within Focus Zones – 6.8%
Current Hospitalizations – 6,661 (+330)
Patients Currently in ICU – 1,126 (+31)
Patients Currently Intubated – 614 (+1)
Deaths – 139
Total NY Pandemic Deaths – 28,850

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COVID-19 DATA FROM 12/21:

Statewide Positivity Rate – 5.8%
Statewide Positivity Rate, Excluding Focus Zones – 5.5%
Positivity Rate Within Focus Zones – 6.8%
Current Hospitalizations – 6,661 (+330)
Patients Currently in ICU – 1,126 (+31)
Patients Currently Intubated – 614 (+1)
Deaths – 139
Total NY Pandemic Deaths – 28,850

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REGIONAL POSITIVITY RATES:

Capital Region – 6.9%
Central New York – 6.5%
Finger Lakes – 8.3%
Long Island – 6.5%
Mid-Hudson – 6.2%
Mohawk Valley – 8.5%
New York City – 4.3%
North Country – 5.2%
Southern Tier – 2.4%
Western New York – 6.4%

HOSPITAL CAPACITY: Governor Cuomo stressed that managing hospital capacity is still a major concern for New York. A hospital must alert New York State if it is within 21 days from 85% capacity to give the State three weeks to assess the situation. No hospital in the State has given a capacity notice as of today.

HOLIDAY SPREAD: With the holidays approaching, infection rates are likely to increase. The Governor urged celebrating safely over the coming weeks. He stressed that it has been a long year and the safer New Yorkers act, the greater the chances are that the State will avoid a shutdown.

UNITED KINGDOM COVID-19 VARIANT: The COVID-19 variant that has emerged from the United Kingdom (U.K.) is a serious issue. Prime Minister Boris Johnson had to shut down the country only one week after claiming it would not be necessary. The U.K. variant is reportedly 70 times more transmittable than the common strand. Governor Cuomo urged the Federal Government to follow his lead and mandate testing of those who enter the U.S. from the United Kingdom. Dr. Fauci recently said he doesn’t believe that a travel ban is necessary, but the country should require testing before travelers enter. Dr. Fauci also believes the U.K. variant could be in the country now, but there is currently no evidence it is present here.

· The State has now engaged hospital systems to begin testing for the variant immediately, with the Department of Health working with those hospitals with higher lab capacity. Currently, the State has performed 4,000 tests and has found no evidence that the variant is here. In response to a question from a reporter, Governor Cuomo noted that testing for the variant on top of testing for COVID-19 will not slow the State down or cause a delay in results.

VACCINE: As of today, 50,000 doses of the vaccine have been administered. The State has received 630,000 doses, and expects an additional 300,000 doses next week. In two weeks, the State expects residents and staff at 618 nursing homes to be vaccinated. The Governor once again stressed that vaccine distribution is not political; it is run by hospital systems. Governor Cuomo has asked healthcare workers administering vaccines to continue to work over the holidays.

BUFFALO BILLS: The Governor indicated that the State is working with the Buffalo Bills to allow fans to safely enter the stadium. Protocols that other teams around the nation have implemented are currently being researched. The Department of Health is looking at an experimental model to work with data and testing to make viewing the game in-person as safe as possible. The Governor noted how much the State has invested in renovations to the stadium.

COVID-19 Vaccine Frequently Asked Questions

Be advised that the COVID-19 Vaccination Fact Sheets supplied by the FDA are specific to each manufacturer’s vaccination. CP State is providing this general Frequently Asked Questions resource that is applicable to all COVID-19 vaccines.

Click here to download a printable version of this FAQ.

How do I know it’s safe?

Each company’s application to the FDA includes two months of follow-up safety data from Phase 3 of clinical trials conducted by universities and other independent bodies. In that phase, tens of thousands of volunteers got a vaccine and waited to see if they became infected, compared with others who received a placebo. By September, Pfizer’s trial had 44,000 participants; no serious safety concerns have been reported.

Can I get COVID-19 from the vaccine?

No, none of the current leading vaccines (Pfizer, Moderna, AstraZeneca, Janssen) contain whole SARS-CoV-2 virus. They cannot give you COVID-19.

What should I mention to my vaccination provider before I receive any shots?

Pfizer recommends you inform your vaccination provider about all medical conditions, including if you:

  • have any allergies
  • have a fever
  • have a bleeding disorder or are on a blood-thinner
  • are immunocompromised or are on a medicine that affects your immune system
  • are pregnant or plan to become pregnant
  • are breastfeeding
  • have received another COVID-19 vaccine

How do I report a problem or bad reaction to getting vaccinated?

CDC and FDA encourage the public to report possible side effects (called adverse events) to the Vaccine Adverse Event Reporting System (VAERS) . This national system collects these data to look for adverse events that are unexpected, appear to happen more often than expected, or have unusual patterns of occurrence. Learn about the difference between a vaccine side effect and an adverse event. Reports to VAERS help CDC monitor the safety of vaccines. Safety is a top priority.

Healthcare providers will be required to report certain adverse events following vaccination to VAERS. Healthcare providers also have to adhere to any revised safety reporting requirements according to FDA’s conditions of authorized use throughout the duration of any Emergency Use Authorization; these requirements would be posted on FDA’s website.

CDC is also implementing a new smartphone-based tool called v-safe to check-in on people’s health after they receive a COVID-19 vaccine. When you receive your vaccine, you should also receive a v-safe information sheet telling you how to enroll in v-safe. If you enroll, you will receive regular text messages directing you to surveys where you can report any problems or adverse reactions you have after receiving a COVID-19 vaccine.

Can a clinical trial be paused if there are adverse effects?

Safety is a top priority during the vaccine approval process. It is not unusual for a clinical trial to be temporarily paused when a possible side effect (called an adverse event) is detected. Clinical trials are designed to pause when an unexpected health event (called a safety signal) is detected so scientists and physicians can investigate potential safety concerns. The approval process for COVID-19 vaccines is no different ― safety is always the focus.

Are there other vaccines that will prevent COVID-19?

There are currently no available vaccines that will prevent COVID-19. However, multiple agencies and groups in the United States are working together to make sure that a safe and effective COVID-19 vaccine is available as quickly as possible.

A flu vaccine will not protect you from getting COVID-19, but it can prevent you from getting influenza (flu) at the same time as COVID-19. This can keep you from having a more severe illness. While it’s not possible to say with certainty what will happen in the winter, CDC believes it’s likely that flu viruses and the virus that causes COVID-19 will both be spreading during that time. That means that getting a flu vaccine is more important than ever.

If supply is limited, is there a risk it will run out before I get my second dose?

If you are in the first group of people vaccinated, your booster shot will be set aside for you and won’t be given to someone else. Later when supplies are more plentiful, reserves probably won’t be necessary. Gen. Gustave F. Perna, the chief operating officer for Operation Warp Speed, the federal effort to speed a vaccine to market, has said that after the first doses are given, the doses earmarked for the second shot will be set aside to be given three weeks later. An additional 500,000 backup doses will also be held in reserve, in case they are unexpectedly needed.

Can I choose which vaccine I get?

This depends on a number of factors, including the supply in your area at the time you’re vaccinated and whether certain vaccines are found to be more effective in certain populations, such as older adults

How long will it take to work?

You won’t get the full protection from the Pfizer-BioNTech vaccine until about a week after the second dose, based on clinical trial data. The researchers found that the vaccine’s protection started to emerge about ten days after the first dose, but it only reached 52 percent efficacy, according to a report in the New England Journal of Medicine. A week after the second dose, the efficacy rose to 95 percent. Read more here.

I had COVID-19-19 already. Should I still get vaccinated?

It’s safe, and probably even beneficial, for anyone who has had COVID-19 to get the vaccine at some point, experts said. Although people who have contracted the virus do have immunity, it is too soon to know how long it lasts. So for now, it makes sense for them to get the shot. The question is when. Some members of the CDC advisory committee have suggested people who have had COVID-19 in the past 90 days should be toward the back of the line. Read more here. 

If I have allergies, should I be concerned?

People with severe allergies who have experienced anaphylaxis in the past should talk to their doctors about how to safely get the vaccine and what precautions to take. The FDA. Has said it would require Pfizer to increase its monitoring for anaphylaxis and submit data on it once the vaccine comes into use. Fewer than one in a million recipients of other vaccines a year in the U.S. have an anaphylactic reaction, said Dr. Paul Offit, a vaccine expert at Children’s Hospital of Philadelphia.

Among those who participated in the Pfizer trials, a very small number of people had allergic reactions. A document published by the F.D.A. said that 0.63 percent of participants who received the vaccine reported potential allergic reactions, compared to 0.51 percent of people who received a placebo. In Pfizer’s late-stage clinical trial, one of the 18,801 participants who received the vaccine had an anaphylactic reaction, according to safety data published by the F.D.A. on Tuesday. None in the placebo group did. Read more here.

Sources:

CHOP Grants help more than 1,000 people!

CP State’s Community Health Outreach Project has made life easier for more than 1,000 people with disabilities this year!

The Community Health Outreach Project, or CHOP, was established in January 2020 to provide financial assistance for the purchase of equipment, services, supplies, and other supports needed by individuals with intellectual, developmental, and other significant disabilities when all other funding opportunities have been exhausted.

The grant, under the administration of CP State’s Cindy Morris, has awarded approximately $680,000 to date.

“It’s been so rewarding to work with our Affiliates and other agencies to make a difference in lives of the people we serve,” said Morris.

The grant changes peoples’ lives in small and large ways.

Small awards of less than $1,000 have been made to purchase items like walkers, hearing aids, dental services, eye care, and shower chairs for individuals. Larger awards have been granted to agencies to purchase mechanical lifts, Parker tubs, Carendo shower chairs, therapy equipment, and iPads for telehealth services.

Currently, grant eligibility is limited to Albany, Columbia, Delaware, Fulton, Greene, Herkimer, Montgomery, Otsego, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, and Washington counties, but CP State is hoping to expand that area in 2021.

Read more about CHOP grants and apply here.

CP State offering FREE online session on isolation for people with disabilities

Isolation and segregation continue to impede to the full participation of individuals with disabilities and their families in the communities in which they live.  CP State will offer the free session “Addressing Loneliness and Social Isolation: The Key to a Better Life” on Thursday, December 17, from 2:30-4 p.m.

Presented by Dr. Al Condeluci, this session will look at social isolation in the I/DD community. It will examine the related research and data, examine ways and means to building more effective relationships, and will explore strategies and actions that can be employed in addressing loneliness by having social capital principles work for the people in your community.

The notions of loneliness and social isolation have been clearly identified as vexing issues in our culture today. We know that when people are rendered isolated, it can result in adverse health issues, unhappiness/depression, challenges with life success, and even shortened life expectancy. We also know that marginalized groups, folks with disabilities, seniors, those in poverty, and other minorities, are at greater risk of being lonely, isolated, or disconnected.

This is the first of a series of sessions that CP will be offering through its DDPC Rural Advocacy Grant. If you would like to participate, please contact Tim Ferguson at TFerguson@cpstate.org or 518-436-0178.

Objectives

  • Participants will be introduced to recent data and research on isolation/loneliness
  • Ways to explore and measure loneliness will be introduced
  • The construct of social capital will be overviewed
  • Examine relationship-building strategies to combat social isolation

About Dr. Condeluci

Dr. Al Condeluci has been a leader in community building, human services and inclusive advocacy work for the past 50 years. Holding a PhD and MSW from the University of Pittsburgh, Dr. Condeluci has been the CEO of CLASS (Community Living and Support Services) a major nonprofit, community building organization in Pittsburgh, PA from 1973 to 2019. He holds faculty status at the University of Pittsburgh in the Schools of Social Work, and Health, Rehab Sciences and is author of 7 books including the acclaimed, Interdependence: The Route to Community (1995) and more recently, Social Capital: The Key to Macro Change (2014). In 2018, he received the “Key to the City of Pittsburgh,” the highest civilian honor that can be given to a community member. He serves as a consultant, advisor, and human service coach and is on a number of nonprofit boards and government commissions on state, local and national levels. He helped found, and convenes the Interdependence Network, an international coalition of professionals, family members, and consumers interested in community engagement and macro change. He can be reached at www.alcondeluci.com, or @acondeluci on Twitter.

 

CP State, Affiliates integral in NYDA COVID-19 Data Project

CP State is collaborating with New York Disability Advocates (NYDA) and Syracuse University on an ongoing project to collect and analyze weekly  COVID-19 data from voluntary I/DD providers, including all Cerebral Palsy of NYS Affiliates throughout the state. This data helps inform our understanding of the risks of COVID-19 for people with I/DD, strengthen our pandemic response, and support our advocacy efforts.

Most recently, the data was used in the Framework for The Equitable Allocation of COVID-19 Vaccine  by the National Academies of Sciences, Engineering and Medicine. The I/DD population and the NYDA studies are discussed on pages 120-126.

The published studies, along with media and academic coverage citing the project, can be found below.

SYRACUSE UNIVERSITY PAPERS  

COVID-19 outcomes among people with intellectual and developmental disability living in residential group homes in New York State 
Published in Science Direct Disability and Health Journal – June 2020

COVID-19 Trends Among Adults with Intellectual and Developmental Disabilities (IDD) Living in Residential Group Homes in New York State through July 10, 2020
Published by the Lerner Center for Public Health Promotion – September 16, 2020

MEDIA AND ACADEMIC COVERAGE

COVID-19 and People with I/DD Final Report
U.S. Department of Health and Human Services

Framework for The Equitable Allocation of COVID-19 Vaccine
National Academies of Sciences, Engineering and Medicine (book, pages 120, 126) – November 2020

Developmental Disabilities Heighten Risk of Covid Death
New York Times – November 10, 2020

A Crisis Decades in the Making: Disability Housing Policy and COVID-19
Harvard Political Review – October 11, 2020

As Homes for People With Disabilities Sought to Swiftly Isolate Residents With COVID, State Demanded Days-Long Review
The City – August 5, 2020

COVID-19 may be deadlier for group-home residents
Spectrum News – July 23, 2020

Group Home Residents With Developmental Disabilities More Likely To Die From COVID-19
Disability Scoop – July 13, 2020

Study: People with IDD living in residential group homes more likely to die from COVID-19
News Medical – June 25, 2020

COVID-19 Infections And Deaths Are Higher Among Those With Intellectual Disabilities
NPR – June 9, 2020

People With Developmental Disabilities at Higher Risk for COVID-19
The Mighty – June 9, 2020

JOURNAL CITATIONS 

Benefits, Burden, and COVID-19: A Response to Dutheil et al. (2020)
Journal of Autism and Developmental Disorders – October 2020

Exploring the experiences of siblings of adults with intellectual/developmental disabilities during the COVID‐19 pandemic
Journal of Intellectual Disability Research – October 2020

ADA 30 and beyond: The urgent need for intersectional research
Disability and Health Journal – October 2020

Social inequities in the distribution of COVID-19: An intra-categorical analysis of people with disabilities in the U.S.
Disability and Health Journal – September 2020

Coping, fostering resilience, and driving care innovation for autistic people and their families during the COVID-19 pandemic and beyond
Molecular Autism – July 2020