Post-veto, what's next for the LICH Act?

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Jan 06, 2025 View in browser
 
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By Katelyn Cordero and Maya Kaufman

Driving the day

After Gov. Kathy Hochul vetoed a piece of legislation that would have overhauled the system used to vet hospital closures and service reductions in New York, lawmakers began gearing up to reignite a five-year-long fight on this issue.

Lawmakers are planning to reintroduce the bill this session and address concerns outlined in Hochul’s veto.

The Local Input in Community Healthcare Act, or LICH Act, would subject full hospital closures and certain service reductions to new transparency, public engagement and oversight requirements.

In her veto, Hochul shared concerns over the length of the period required to notify the state before a closure: Hospital leaders would have had to notify the state at least 270 days before closing an entire hospital and at least 210 days for cuts affecting emergency, maternity or mental health units.

Bill sponsor Assemblymember Jo Anne Simon said the veto was frustrating given that the details in the legislation were negotiated with lobbyists in the hospital industry.

“We know that this is something that resonates with lawmakers on both sides of the aisle throughout the state,” Simon said in an interview. “Our goal needs to be about protecting the public’s rights and public health. That is our first order of business as legislators, it’s about having access to care.”

In the veto, Hochul said she plans to direct the state Department of Health to make changes to requirements for the state’s hospital closure and service reduction process. But lawmakers like Sen. Gustavo Rivera, who sponsored the bill, worry those changes will not be enough.

“I have a bill, but if the governor wants to do it through executive action, God bless,” Rivera told POLITICO in an interview. “Right now there is no community involvement or community engagement. We’ve expressed concerns that are similar to this in the past and the administration did not make those changes.”

Currently, hospitals only need to obtain the state health commissioner’s approval to permanently close, and the process largely unfolds behind closed doors. Lawmakers say they would like to see closures face the same scrutiny as costly hospital projects, which require a discussion and vote at the state Public Health and Health Planning Council’s public meetings.

IN OTHER NEWS:

Nearly 1,000 NYC Health + Hospitals doctors are preparing to go on strike next Monday in what would be the largest work stoppage by attending physicians in New York City history, the union Doctors Council SEIU announced last week.

The strike would affect four hospitals in the NYC Health + Hospitals system: Jacobi, North Central Bronx, Queens and South Brooklyn.

"We do not take the decision to strike lightly," Frances Quee, president of Doctors Council SEIU and a Health + Hospitals pediatrician, said in a statement. "We have been negotiating in good-faith for over a year to reach an agreement that addresses the crisis of dedicated doctors leaving our hospitals, but it’s clear our employers are not prioritizing the long-term health of these hospitals or our communities.”

In an effort to avert the work stoppage, Mayor Eric Adams on Friday asked the union’s doctors and their employers to commit to 60 more days at the bargaining table with a “mutually agreeable” mediator and offered the assistance of Commissioner of Labor Relations Renee Campion.

ON THE AGENDA:

Wednesday at 10 a.m. The New York State Advisory Council on Lead Poisoning Prevention will meet.

Friday at 1 p.m. The New York City Council’s health, hospitals and civil service and labor committees host an oversight hearing on the potential Doctors Council SEIU strike at NYC Health + Hospitals.

GOT TIPS? Send story ideas and feedback to Maya Kaufman at mkaufman@politico.com and Katelyn Cordero at kcordero@politico.com.

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What you may have missed

Abortion clinics in New York are bracing for federal funding cuts under a new Trump administration, and they’re hoping the state will step up to fill the gap, POLITICO Pro reported.

Lawmakers in the state Senate are expected to introduce a package of bills later this month that would expand the availability of injectable contraceptives, create a state abortion training program and broaden the potential uses of funds allocated to abortion care.

Advocates in the field are also lobbying for Gov. Kathy Hochul to include additional funding for clinics in her executive budget this year. In addition, state lawmakers are looking to create data protections for individuals receiving services from states where abortion access is restricted or banned.

“We’re obviously at a breaking point and, especially with the new federal threats, we really have to be proactive about shoring up and truly investing in reproductive health care access across the board,” Robin Chappelle Golston, CEO of Planned Parenthood Empire State Acts, told POLITICO. “The moment of urgency could not be any higher at this point.”

A city Health Department survey found 80 percent of New York City adults who had prior confirmed or suspected cases of Covid reported symptoms lasting at least one month, POLITICO Pro reported.

Most of those people said they were unsure if they had “long Covid,” referring to the phenomenon of lasting Covid symptoms. Few said a health care provider had discussed the condition with them.

The findings indicate “a real need” for public education and awareness about the long-term impacts of Covid, the Health Department said in its report analyzing the survey.

Odds and Ends

NOW WE KNOW — Cases of kidney stones are rising among kids.

TODAY’S TIP — Calm your mind with better breathing.

STUDY THIS — "Nordic walking" with specially designed poles offers a more comprehensive range of benefits than regular walking, a small study found.

What We're Reading

New York officials are optimistic about a decrease in fatal overdoses in 2025. (Times Union)

Latest updates to hospital price transparency rules aim to make the data more useful. (STAT)

Eyeing potential bird flu outbreak, Biden administration ramps up preparedness. (New York Times)

Around POLITICO

Surgeon general says alcohol should carry cancer warning labels, Marcia Brown reports.

Via Chelsea Cirruzzo: Trump wants HHS agencies to move fast on change. Can they?

MISSED A ROUNDUP? Get caught up on the New York Health Care Newsletter.

 

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