logo
Efforts to bolster organ donation in New York

Efforts to bolster organ donation in New York

Politico4 hours ago

Beat Memo
Thousands of New York residents are waiting for a kidney transplant, and a long-delayed state program could soon spur more donors.
The state Department of Health recently laid the groundwork for a new initiative to reimburse living organ donors for expenses not covered by insurance — over two years after lawmakers passed legislation to establish a living donor support program.
Up to $14,000 in financial assistance would be available for lost wages, travel, food, lodging, child care, elder care and health care costs related to the donor's organ removal surgery.
'By further removing financial barriers, more New Yorkers will be empowered to become a living donor and give the enormous and selfless gift of life,' Cadence Acquaviva, a spokesperson for the Department of Health, said in a statement.
Because living donors can only give a kidney — or parts of their lung, liver and pancreas — the program is expected to be particularly helpful to kidney failure patients, who comprise roughly 7,000 of the 8,000 New Yorkers waiting for an organ transplant.
New Yorkers awaiting an organ transplant could also benefit from a bill known as the HEART Act, which passed both chambers last week.
If signed, the Helping Equal Access to Registrations for Transplants Act would repeal a 35-year-old ban that prevents New Yorkers who need a transplant from enlisting with multiple transplant centers.
The goal is to increase the likelihood that people receive a transplant and to reduce their wait time by a matter of years.
The measure received bipartisan support in both the Assembly and Senate.
'Through the HEART Act, we're creating a more equitable system and saving the lives of hundreds of New Yorkers,' bill sponsor Sen. April Baskin said in a statement. 'This is just one more step in our continuous work alongside legislative leaders and Donate Life New York State to strengthen the organ donation system and create a giving culture across the state.'
IN OTHER NEWS:
— NYC Health + Hospitals will expand its hospital-based violence interruption programming to Bellevue and Elmhurst Hospitals in the coming year, as the system continues work to unify its approach to treating victims of violent trauma and addressing gun violence as a public health crisis.
'Violence is more than a criminal justice issue — it is a public health crisis with a prescription that demands a coordinated, holistic public health response,' NYC Health + Hospitals President and CEO Mitchell Katz said in a statement Friday. 'By unifying our Hospital-Based Violence Interruption Programs, we are advancing a systemwide model of trauma-informed care that meets victims at their most vulnerable moments and supports them through long-term healing.'
— Two lawmakers are calling on the state Department of Health to allow Medicaid to cover anti-obesity medication, Assemblymembers Karines Reyes and Jeremy Cooney wrote in a letter Thursday.
In their letter to state Health Commissioner James McDonald, Reyes and Cooney said the lack of access to GP-1 medications among low-income communities creates a systemic bias.
'Medicaid recipients represent some of the most vulnerable individuals in our healthcare system, and they deserve the same opportunity to benefit from life-saving treatments that are already transforming health outcomes across the state,' Reyes and Cooney wrote.
ON THE AGENDA:
— Monday at 1 p.m. The City Council hosts an oversight hearing on the state of older New Yorkers' mental health.
— Wednesday at 10:15 a.m. The Early Intervention Coordinating Council will convene.
— Friday at 10:30 a.m. The state Health Equity Council will meet.
MAKING ROUNDS:
— Chip Kahn, president and CEO of the Federation of American Hospitals, announced plans to retire at the end of the year after 24 years leading the trade association.
GOT TIPS? Send story ideas and feedback to Maya Kaufman at mkaufman@politico.com and Katelyn Cordero at kcordero@politico.com.
Want to receive this newsletter every weekday? Subscribe to POLITICO Pro. You'll also receive daily policy news and other intelligence you need to act on the day's biggest stories.
What you may have missed
— The 'aid-in-dying' bill is set to pass the Senate in the final days of the legislative session, Sen. Majority Leader Andrea Stewart-Cousins confirmed to reporters Thursday.
The decade-old proposal would allow doctors to prescribe euthanizing medication to patients with terminal illnesses. It passed the Assembly by a narrow margin in April. Stewart-Cousins confirmed Thursday that a majority of members in her conference said they will vote in favor of the measure, POLITICO Pro's Katelyn Cordero reports.
ODDS AND ENDS
NOW WE KNOW — Most Americans are worried about the impact of Congress' proposed Medicaid cuts, a new poll shows.
TODAY'S TIP — With whooping cough on the rise, here's what you need to know about staying protected.
STUDY THIS — A new study by researchers at the University of California finds a link between iron deficiency and Crohn's disease.
WHAT WE'RE READING
— CDPAP check-in: where the state's controversial home care consolidation stands. (Crain's New York Business)
— In axing mRNA contract, Trump delivers another blow to U.S. biosecurity, former officials say. (KFF Health News)
Around POLITICO
— Trump's NIH budget plan would make competing for grants much harder, Erin Schumaker reports.
— Via POLITICO's Carmen Paun: Trump doesn't want the WHO's advice. It's giving some anyway.
— The stealth Senate dealmaker who could deliver Trump tax cuts, Benjamin Guggenheim reports.
MISSED A ROUNDUP? Get caught up on the New York Health Care Newsletter.

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Fraudulent OB/GYN sentenced to 10 years in prison
Fraudulent OB/GYN sentenced to 10 years in prison

Yahoo

time18 minutes ago

  • Yahoo

Fraudulent OB/GYN sentenced to 10 years in prison

CHICAGO — A fraudulent OB/GYN, who pleaded guilty last summer for bilking Medicaid and private insurance, has been sentenced to 10 years in prison. Dr. Mona Ghosh owned Progressive Women's Healthcare, located in Hoffman Estates, and was accused of submitting fraudulent claims to Medicaid and other private insurance companies from 2018 to 2022. A total of 17 women spoke during the federal sentencing hearings, which concluded Monday morning after being adjourned on May 29. Several women told stories of how Ghosh charged their insurance companies for visits that didn't happen. Others described the unnecessary tests and procedures she performed. 'I felt like she supported me. In turn, when I'm finding the medical bills coming back for things that never happened, she fed on my vulnerability, on my weakness,' a woman said. Several women shared that they went to Ghosh for a routine pap smear, or cervical cancer screening, and were told results were abnormal. Fearful that they could have cancer, they agreed to get a biopsy. Witnesses said while they were sedated, Ghosh performed other procedures instead, including ones they said have affected their fertility. 17 women share emotional experiences during sentencing of fraudulent OB/GYN Ghosh directed her own employees to submit the fraudulent claims as well. She admitted in the plea agreement that she is accountable for more than $1.5 million. The judge Monday ordered restitution to insurance providers of $1.5 million. Restitution to the victims was ordered in the amount of $605.02. The judge explained that he could only impose restitution to patients based on actual losses for unnecessary and unwanted procedures under specific situations. She has surrendered her medical license and must serve a minimum of two years before being eligible for supervised release. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

Georgia's experience raises red flags for Medicaid work requirement moving through Congress
Georgia's experience raises red flags for Medicaid work requirement moving through Congress

Yahoo

time33 minutes ago

  • Yahoo

Georgia's experience raises red flags for Medicaid work requirement moving through Congress

ATLANTA (AP) — Georgia's experiment with a work requirement for Medicaid offers a test of a similar mandate Republicans in Congress want to implement nationally, and advocates say the results so far should serve as a warning. Just days shy of its two-year anniversary, the Georgia Medicaid program is providing health coverage to about 7,500 low-income residents, up from 4,300 in the first year, but far fewer than the estimated 240,000 people who could qualify. The state had predicted at least 25,000 enrollees in the first year and nearly 50,000 in the second year. Applicants and beneficiaries have faced technical glitches and found it nearly impossible at times to reach staff for help, despite more than $50 million in federal and state spending on computer software and administration. The program, dubbed Georgia Pathways, had a backlog of more than 16,000 applications 14 months after its July 2023 launch, according to a renewal application Georgia submitted to the Trump administration in April. "The data on the Pathways program speaks for itself,' said Laura Colbert, executive director of Georgians for a Healthy Future, an advocacy group that has called for a broader expansion of Medicaid without work requirements. 'There are just so many hurdles at every step of the way that it's just a really difficult program for people to enroll in and then to stay enrolled in too.' Georgia's rules A tax and spending bill backed by President Donald Trump and Republican lawmakers that passed the U.S. House in May would require many able-bodied Medicaid enrollees under 65 to show that they work, volunteer or go to school. The bill is now in the Senate, where Republicans want significant changes. Pathways requires beneficiaries to perform 80 hours a month of work, volunteer activity, schooling or vocational rehabilitation. It's the only Medicaid program in the nation with a work requirement. But Georgia recently stopped checking each month whether beneficiaries were meeting the mandate. Colbert and other advocates view that as evidence that state staff was overburdened with reviewing proof-of-work documents. Fiona Roberts, a spokeswoman for the state Department of Community Health, said Gov. Brian Kemp has mandated that state agencies 'continually seek ways to make government more efficient and accessible." Georgia's governor defends Pathways The governor's office defended the enrollment numbers. Kemp spokesman Garrison Douglas said the early projections for Pathways were made in 2019, when the state had a much larger pool of uninsured residents who could qualify for the program. In a statement, Douglas credited the Republican governor with bringing that number down significantly through 'historic job growth,' and said the decline in uninsured residents proved 'the governor's plan to address our healthcare needs is working.' For BeShea Terry, Pathways was a 'godsend.' After going without insurance for more than a year, Terry, 51, said Pathways allowed her to get a mammogram and other screening tests. Terry touts Pathways in a video on the program's website. But in a phone interview with The Associated Press, she said she also experienced problems. Numerous times, she received erroneous messages that she hadn't uploaded proof of her work hours. Then in December, her coverage was abruptly canceled — a mistake that took months of calls to a caseworker and visits to a state office to resolve, she said. 'It's a process,' she said. 'Keep continuing to call because your health is very important.' Health advocates say many low-income Americans may not have the time or resources. They are often struggling with food and housing needs. They are also more likely to have limited access to the internet and work informal jobs that don't produce pay stubs. Republican lawmakers have promoted work requirements as a way to boost employment, but most Medicaid recipients already work, and the vast majority who don't are in school, caring for someone, or sick or disabled. Kemp's administration has defended Pathways as a way to transition people to private health care. At least 1,000 people have left the program and obtained private insurance because their income increased, according to the governor's office. After a slow start, advertising and outreach efforts for Pathways have picked up over the last year. At a job fair in Atlanta on Thursday, staff handed out information about the program at a table with mints, hand sanitizer and other swag with the Pathways' logo. A wheel that people could spin for a prize sat on one end. Since Pathways imposed the work requirement only on newly eligible state residents, no one lost coverage. The Arkansas experiment That's a contrast with Arkansas, where 18,000 people were pushed off Medicaid within the first seven months of a 2018 work mandate that applied to some existing beneficiaries. A federal judge later blocked the requirement. The bill that passed the U.S. House would likely cause an estimated 5.2 million people to lose health coverage, according to an analysis from the nonpartisan Congressional Budget Office released Wednesday. Arkansas Republican Gov. Sarah Huckabee Sanders has proposed reviving the work mandate but without requiring people to regularly report employment hours. Instead, the state would rely on existing data to determine enrollees who were not meeting goals for employment and other markers and refer those people to coaches before any decision to suspend them. Arkansas is among at least 10 states pursuing work requirements for their Medicaid programs separate from the effort in Congress. Republican state Sen. Missy Irvin said Arkansas' new initiative aims to understand who the beneficiaries are and what challenges they face. 'We want you to be able to take care of yourself and your family, your loved ones and everybody else,' Irvin said. 'How can we help you? Being a successful individual is a healthy individual.' ___ Associated Press writers Jonathan Mattise in Nashville, Tennessee, Andrew DeMillo in Little Rock, Arkansas, and Geoff Mulvihill in Philadelphia contributed to this report.

Georgia's experience raises red flags for Medicaid work requirement moving through Congress
Georgia's experience raises red flags for Medicaid work requirement moving through Congress

San Francisco Chronicle​

time33 minutes ago

  • San Francisco Chronicle​

Georgia's experience raises red flags for Medicaid work requirement moving through Congress

ATLANTA (AP) — Georgia's experiment with a work requirement for Medicaid offers a test of a similar mandate Republicans in Congress want to implement nationally, and advocates say the results so far should serve as a warning. Just days shy of its two-year anniversary, the Georgia Medicaid program is providing health coverage to about 7,500 low-income residents, up from 4,300 in the first year, but far fewer than the estimated 240,000 people who could qualify. The state had predicted at least 25,000 enrollees in the first year and nearly 50,000 in the second year. Applicants and beneficiaries have faced technical glitches and found it nearly impossible at times to reach staff for help, despite more than $50 million in federal and state spending on computer software and administration. The program, dubbed Georgia Pathways, had a backlog of more than 16,000 applications 14 months after its July 2023 launch, according to a renewal application Georgia submitted to the Trump administration in April. "The data on the Pathways program speaks for itself,' said Laura Colbert, executive director of Georgians for a Healthy Future, an advocacy group that has called for a broader expansion of Medicaid without work requirements. 'There are just so many hurdles at every step of the way that it's just a really difficult program for people to enroll in and then to stay enrolled in too.' Georgia's rules A tax and spending bill backed by President Donald Trump and Republican lawmakers that passed the U.S. House in May would require many able-bodied Medicaid enrollees under 65 to show that they work, volunteer or go to school. The bill is now in the Senate, where Republicans want significant changes. Pathways requires beneficiaries to perform 80 hours a month of work, volunteer activity, schooling or vocational rehabilitation. It's the only Medicaid program in the nation with a work requirement. But Georgia recently stopped checking each month whether beneficiaries were meeting the mandate. Colbert and other advocates view that as evidence that state staff was overburdened with reviewing proof-of-work documents. Fiona Roberts, a spokeswoman for the state Department of Community Health, said Gov. Brian Kemp has mandated that state agencies 'continually seek ways to make government more efficient and accessible." Georgia's governor defends Pathways The governor's office defended the enrollment numbers. Kemp spokesman Garrison Douglas said the early projections for Pathways were made in 2019, when the state had a much larger pool of uninsured residents who could qualify for the program. In a statement, Douglas credited the Republican governor with bringing that number down significantly through 'historic job growth,' and said the decline in uninsured residents proved 'the governor's plan to address our healthcare needs is working.' For BeShea Terry, Pathways was a 'godsend.' After going without insurance for more than a year, Terry, 51, said Pathways allowed her to get a mammogram and other screening tests. Terry touts Pathways in a video on the program's website. But in a phone interview with The Associated Press, she said she also experienced problems. Numerous times, she received erroneous messages that she hadn't uploaded proof of her work hours. Then in December, her coverage was abruptly canceled — a mistake that took months of calls to a caseworker and visits to a state office to resolve, she said. 'It's a process,' she said. 'Keep continuing to call because your health is very important.' Health advocates say many low-income Americans may not have the time or resources. They are often struggling with food and housing needs. They are also more likely to have limited access to the internet and work informal jobs that don't produce pay stubs. Republican lawmakers have promoted work requirements as a way to boost employment, but most Medicaid recipients already work, and the vast majority who don't are in school, caring for someone, or sick or disabled. Kemp's administration has defended Pathways as a way to transition people to private health care. At least 1,000 people have left the program and obtained private insurance because their income increased, according to the governor's office. After a slow start, advertising and outreach efforts for Pathways have picked up over the last year. At a job fair in Atlanta on Thursday, staff handed out information about the program at a table with mints, hand sanitizer and other swag with the Pathways' logo. A wheel that people could spin for a prize sat on one end. Since Pathways imposed the work requirement only on newly eligible state residents, no one lost coverage. The Arkansas experiment That's a contrast with Arkansas, where 18,000 people were pushed off Medicaid within the first seven months of a 2018 work mandate that applied to some existing beneficiaries. A federal judge later blocked the requirement. The bill that passed the U.S. House would likely cause an estimated 5.2 million people to lose health coverage, according to an analysis from the nonpartisan Congressional Budget Office released Wednesday. Arkansas Republican Gov. Sarah Huckabee Sanders has proposed reviving the work mandate but without requiring people to regularly report employment hours. Instead, the state would rely on existing data to determine enrollees who were not meeting goals for employment and other markers and refer those people to coaches before any decision to suspend them. Arkansas is among at least 10 states pursuing work requirements for their Medicaid programs separate from the effort in Congress. Republican state Sen. Missy Irvin said Arkansas' new initiative aims to understand who the beneficiaries are and what challenges they face. 'We want you to be able to take care of yourself and your family, your loved ones and everybody else,' Irvin said. 'How can we help you? Being a successful individual is a healthy individual.'

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into the world of global news and events? Download our app today from your preferred app store and start exploring.
app-storeplay-store