272748 New York Health: A state single-payer bill

Monday, October 29, 2012 : 3:30 PM - 3:45 PM

Oliver Fein, MD , Clinical Medicine and Public Health, Weill Cornell Medical College, New York, NY
More than twenty states in the United States have introduced state-based single payer bills. In New York, Assembly Health Committee Chair Richard Gottfried redrafted a 20-year-old bill that had previously passed in the New York State Assembly to reflect current needs and concerns. Features of the bill, which may be useful in drafting similar bills in other states, include universality (all residents), comprehensive benefits with no co-pays or deductibles, phasing out fee-for-service payment, funding through a graduated state payroll tax, care coordination, and application for federal waivers to fold in Medicare, Medicaid, ACA benefits and other federally funded programs. Private health insurance that duplicates benefits offered under New York Health could not be offered to New York residents. This presentation will also discuss the process of bill-drafting as an opportunity to build grassroots support and coalitions.

Learning Areas:
Administration, management, leadership
Provision of health care to the public
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
List the outstanding features of a model state-based single-payer legislative bill. Analyze features and their application in some states. Describe the legislative history of the New York State bill. Explain development of constituent support and legislative process.

Keywords: Access to Health Care, Health Insurance

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Professor of Clinical Medicine and Public Health. My work has focused on health system delivery reform on both the national and local levels; including involvement with developing policy on healthcare benefits, graduate medical education, healthcare quality, public health, medical malpractice, antitrust and remedies and enforcements. At Weill Medical College I am involved with diversifying the clinical educational experience for medical students through vulnerable populations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.