TUESDAY, FEBRUARY 11, 2020                                      1:50 P.M.

                                 ACTING SPEAKER AUBRY:  THE HOUSE WILL COME

                    TO ORDER.

                                 THE REVEREND CARBONE WILL OFFER A PRAYER.

                                 REVEREND CASEY CARBONE:  WOULD YOU

                    PLEASE JOIN ME IN AN INVOCATION.  O DIVINE WHO GRANTS US WISDOM,

                    UNDERSTANDING, COMPASSION AND LOVE, INSTILL IN ALL THOSE GATHERED HERE

                    A SENSE OF JUSTICE AND MERCY THAT ALLOWS ALL PEOPLE HERE IN THE STATE OF

                    NEW YORK THE RIGHT TO LIVE FREELY AND WITHOUT FEAR OF BEING TARGETED

                    BECAUSE OF THEIR RACE, GENDER OR SEXUAL IDENTITY, ECONOMIC STATUS OR

                    BELIEFS.  IN THIS WORK OF BUILDING COMMUNITIES BASED ON TRUST AND

                    EQUALITY, LET US NEVER FORGET THE MANY HANDS AND HOURS AND COUNTLESS

                    OTHERS WHO WORK BEHIND THE SCENES TO TURN OUR DREAMS AND VISIONS INTO

                    A SHARED REALITY ROOTED IN A DESIRE TO LOVE AND CARE FOR ALL OUR

                                          1



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    NEIGHBORS.

                                 AS THOSE GATHERED HERE BEGIN ANOTHER LEGISLATIVE

                    SESSION, ALLOW THEM TO BE GUIDED BY A SPIRIT OF COLLEGIALITY, FAIRNESS

                    AND A BELIEF THAT TOGETHER WE CAN ACCOMPLISH SO MUCH MORE THAN WE

                    GO ALONE, FOR WE KNOW ALL TOO WELL THESE ARE CHALLENGING TIMES IN

                    WHICH WE LIVE.  AND MAY WE RESIST THE FORCES THAT SEEK TO USE FEAR AND

                    HATE TO DIVIDE US RATHER THAN UNITING US IN OUR SIMILARITIES.  SO, LET OUR

                    SIMILARITIES BE THE WELLSPRING FROM WHERE WE FIND OUR STRENGTH,

                    WHETHER IT BE OUR FAMILIES, OUR FRIENDS, OUR LOVE AND OUR DESIRE TO PASS

                    ON TO THE NEXT GENERATION A BETTER WORLD.  WE ASK YOUR BLESSING UPON

                    THIS ASSEMBLY AND BY YOUR POWER, GRANT THEM THE COURAGE AND

                    STRENGTH TO PERSEVERE IN THE SHARED WORK OF SERVING THE PEOPLE OF THIS

                    STATE.  AND MAY WE SEEK YOUR GUIDANCE TODAY AND EVERY DAY THAT IS TO

                    COME AS WE JOIN HAND IN HAND IN THIS VOCATION, THIS HIGH CALLING OF

                    CREATING A FELLOWSHIP OF DIVERSE PEOPLE, A NEW YORK THAT IS EVER

                    UPWARD.  AMEN.

                                 MEMBERS:  AMEN.

                                 ACTING SPEAKER AUBRY:  VISITORS ARE INVITED

                    TO JOIN THE MEMBERS IN THE PLEDGE OF ALLEGIANCE.

                                 (WHEREUPON, ACTING SPEAKER AUBRY LED VISITORS AND

                    MEMBERS IN THE PLEDGE OF ALLEGIANCE.)

                                 A QUORUM BEING PRESENT, THE CLERK WILL READ THE

                    JOURNAL OF MONDAY, FEBRUARY 10TH.

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  MR. SPEAKER, I MOVE TO

                                          2



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    DISPENSE WITH THE FURTHER READING OF THE JOURNAL OF MONDAY, FEBRUARY

                    THE 10TH AND ASK THAT SAME THE STAND APPROVED.

                                 ACTING SPEAKER AUBRY:  WITHOUT OBJECTION, SO

                    ORDERED.

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  THANK YOU, MR.

                    SPEAKER.  FOR MEMBERS, COLLEAGUES AND GUESTS THAT ARE IN THE

                    CHAMBERS, WE'D LIKE TO SHARE WITH YOU OUR QUOTE FOR TODAY, WHICH IS

                    FROM BOOKER T. WASHINGTON WHO WAS AN AMERICAN EDUCATOR, AUTHOR

                    AND ADVISOR TO MULTIPLE PRESIDENTS OF THE UNITED STATES FROM --

                    BETWEEN 1890 AND 1915.  MR. WASHINGTON IS SHARING WITH US TODAY:

                    SUCCESS IS TO BE MEASURED NOT SO MUCH BY THE POSITION THAT ONE HAS

                    REACHED IN LIFE, BUT [SIC] BY THE OBSTACLES WHICH HE OR SHE [SIC] HAS

                    OVERCOME TO [SIC] SUCCEED.  AGAIN, MR. SPEAKER, FROM BOOKER T.

                    WASHINGTON.

                                 MEMBERS DO HAVE ON THEIR DESK A MAIN CALENDAR, AS

                    WELL AS A DEBATE LIST, A MUCH ANTICIPATED DEBATE LIST.  AFTER ANY

                    INTRODUCTIONS AND/OR HOUSEKEEPING, WE WILL CONTINUE TO CONSENT FROM

                    OUR MAIN CALENDAR, BEGINNING WITH CALENDAR NO. 274 WHICH IS ON PAGE

                    46, AND WE WILL ALSO TAKE UP BILLS FROM THE DEBATE LIST, AS WELL AS THE

                    MAIN CALENDAR.  THERE WILL BE A NEED FOR A MAJORITY CONFERENCE

                    IMMEDIATELY FOLLOWING SESSION AND, OF COURSE, WE WILL CHECK WITH OUR

                    COLLEAGUES ON THE OTHER SIDE OF THE AISLE TO DETERMINE WHAT THEIR NEEDS

                    ARE.

                                 THAT'S THE GENERAL OUTLINE, MR. SPEAKER.  IF THERE ARE

                                          3



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    ANY INTRODUCTIONS AND/OR HOUSEKEEPING, NOW WOULD BE AN AWESOME

                    TIME.

                                 ACTING SPEAKER AUBRY:  THANK YOU, MRS.

                    PEOPLES-STOKES.

                                 MR. BYRNE FOR A [SIC] INTRODUCTION.

                                 MR. BYRNE:  THANK YOU, MR. SPEAKER.  IT IS MY

                    HONOR AND PRIVILEGE TO RISE THIS AFTERNOON TO INTRODUCE THE REVEREND

                    CASEY CARBONE FROM THE FIRST PRESBYTERIAN CHURCH OF MAHOPAC.

                    CASEY IS A GRADUATE OF PRINCETON THEOLOGICAL SEMINARY.  BORN IN

                    SOUTH KOREA NOW LIVING IN MAHOPAC, HE GRADUATED FROM CALVIN

                    COLLEGE IN MAY 2014 WITH A B.A. IN RELIGION AND MINOR

                    CONCENTRATION IN YOUTH MINISTRY.  HE IS PASSIONATE ABOUT INTERSECTION

                    OF LIFE AND FAITH AND THE INTEGRATION OF ACADEMICS INTO THE PRACTICES OF

                    THE CHURCH.  HE HAS BEEN INSTRUMENTAL IN OUR COMMUNITY WORKING WITH

                    THE INTERFAITH COMMUNITY, HOSTING THINGS WITH OUR CHURCH IN MAHOPAC

                    WITH THE TEMPLE -- LOCAL TEMPLE, FOLK FESTIVAL, MAKING SURE THAT WE CAN

                    WORSHIP IN PRAYER IN PEACE AND DO IT TOGETHER IN A COLLABORATIVE WAY.

                    WE'RE -- WE'RE JUST VERY, VERY FORTUNATE TO HAVE HIM IN MAHOPAC AND IN

                    NEW YORK STATE AND, MR. SPEAKER, IF YOU COULD, PLEASE EXTEND THE

                    CORDIALITIES OF THE HOUSE, I WOULD BE GRATEFUL.

                                 ACTING SPEAKER AUBRY:  CERTAINLY.  ON BEHALF

                    OF ASSEMBLYMEMBER BYRNE, THE SPEAKER AND ALL THE MEMBERS,

                    REVEREND, WE WELCOME YOU HERE TO THE NEW YORK STATE ASSEMBLY,

                    EXTEND TO YOU THE PRIVILEGES OF THE FLOOR.  THANK YOU SO MUCH FOR

                    COMING AND SHARING YOUR WORDS WITH US THIS MORNING.  PLEASE KNOW

                                          4



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    THAT YOU ARE ALWAYS WELCOME.  THANK YOU VERY MUCH.

                                 REVEREND CARBONE:  THANK YOU VERY MUCH,

                    MR. SPEAKER.  MY PLEASURE.

                                 (APPLAUSE)

                                 ACTING SPEAKER AUBRY:  MR. BARCLAY FOR THE

                    PURPOSES OF A [SIC] INTRODUCTION.

                                 MR. BARCLAY:  THANK YOU, MR. SPEAKER, FOR

                    ALLOWING ME TO INTERRUPT THE PROCEEDINGS.  IT'S MY GREAT HONOR TO

                    INTRODUCE TO THE BODY MAYOR DEANA MICHAELS, WHO IS THE

                    NEWLY-ELECTED MAYOR OF THE CITY OF FULTON.  IN MY NEW POSITION, MR.

                    SPEAKER, I OFTEN GET CONGRATULATED, AND I CONGRATULATED THE MAYOR ON

                    WINNING HER ELECTION.  AND SHE SAID TO ME, AS I OFTEN SAY TO OTHERS, I'M

                    NOT SURE "CONGRATULATIONS" IS THE RIGHT WORD, BUT... SHE'S GOT A LOT OF

                    CHALLENGES, BUT I KNOW SHE'S GOING TO BE A GREAT LEADER FOR THE CITY OF

                    FULTON AND I WOULD ASK IF YOU COULD PLEASE PROVIDE HER THE CORDIALITIES

                    OF THE HOUSE.  THANK YOU, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  CERTAINLY.  ON BEHALF

                    OF MR. BARCLAY, THE SPEAKER AND ALL THE MEMBERS, MAYOR, WE WELCOME

                    YOU HERE TO THE NEW YORK STATE ASSEMBLY, EXTEND TO YOU THE

                    PRIVILEGES OF THE FLOOR.  YOU GO WITH ALL OUR BEST WISHES.  WE KNOW

                    YOU WILL HAVE A SUCCESSFUL TERM IN OFFICE, AND PLEASE CONTINUE TO SERVE

                    THE PEOPLE OF THIS STATE.  THANK YOU SO VERY MUCH.

                                 (APPLAUSE)

                                 MR. ASHBY.

                                 MR. ASHBY:  THANK YOU, MR. SPEAKER, FOR ALLOWING

                                          5



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    ME TO INTRODUCE MEMBERS OF THE CAPITAL DISTRICT SLED WARRIORS TEAM

                    FROM STRIDE.  STRIDE IS AN ADAPTIVE SPORTS ORGANIZATION AND THE

                    MEMBERS HERE TODAY ARE THE 2020 NEW YORK STATE EMPIRE GAMES

                    GOLD MEDALIST CHAMPIONS FOR SLED HOCKEY.

                                 ALL RIGHT, IF THEY COULD RISE, IF THEY CAN, FROM -- FROM

                    THE BACK, THOSE THAT CAN.  WITH US TODAY ARE JESSE BULGER, SHAWN FULTZ,

                    GORDON IDE, CHRISTINE LUCIER, NATASHA POMAKOY, ABIGAIL RADLIFF,

                    SHAWN RAWLINS, VICTOR TOMELDEN, LUKE WILSON, BRYAN DARBY, DEREK

                    GALLO, BRENDA JENSIS, STEVE PECHACEK, RICHARD POOTERS, JR., ROBERT

                    RADLIFF, STEFON STILWELL AND BENJAMIN WILSON.  AND THEY'RE COACHED

                    BY CHRIS MANCUSO, THE TEAM MANAGER, KIMBERLY WILSON; DON GALLO,

                    MAX SHERMAN AND TOM WILSON.  SOME OF THESE MEMBERS THAT ARE HERE

                    WITH US TODAY ARE ALSO WOUNDED WARRIORS WHO FOUGHT FOR OUR COUNTRY

                    AND HAVE PROVIDED GREAT LEADERSHIP AMONGST THIS TEAM, AND IF YOU

                    COULD BE SO COURTEOUS AS TO PROVIDE THEM ALL OF THE CORDIALITIES OF THE

                    HOUSE.

                                 ACTING SPEAKER AUBRY:  CERTAINLY.  ON BEHALF

                    OF MR. ASHBY, THE SPEAKER AND ALL THE MEMBERS, WE WELCOME THESE

                    GOLD MEDALISTS HERE TO THE NEW YORK STATE ASSEMBLY, EXTEND TO YOU

                    THE PRIVILEGES OF THE FLOOR.  OUR CONGRATULATIONS ON YOUR ATHLETIC

                    ACHIEVEMENT, WE KNOW THAT IT HELPS SUSTAIN US IN OTHER PARTS OF OUR LIFE.

                    KEEP UP THAT GOOD WORK.  KNOW THAT OUR BEST WISHES GO WITH YOU.

                    THANK YOU SO VERY MUCH TO BOTH COACHES AND ADVISORS.

                                 (APPLAUSE)

                                 MR. BYRNE FOR A [SIC] INTRODUCTION.

                                          6



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                                 MR. BYRNE:  SECOND ONE.  THANK YOU, MR. SPEAKER.

                    I RISE AGAIN THIS AFTERNOON TO INTRODUCE TWO OTHER GREAT LADIES FROM THE

                    94TH ASSEMBLY DISTRICT, SUSAN SALOMONE AND EILEEN NEW.  THEY

                    REPRESENT DRUG CRISIS IN OUR BACKYARD, WHICH ADVOCATES FOR FAMILIES

                    STRUGGLING WITH ADDICTION, THE EFFECTS OF ADDICTION.  IT WAS FOUNDED IN

                    MAY OF 2012 AFTER THE DEATH OF SUSAN'S SON, JUSTIN.  THEY HAVE BEEN A

                    STAPLE IN THE COMMUNITY, DOING EVERYTHING FROM ADVOCATING FOR

                    SERVICES, DESTIGMATIZING ADDICTION, ENHANCING TRAININGS FOR NALOXONE

                    IN THE COMMUNITY AND WE'RE JUST VERY, VERY PRIVILEGED TO HAVE THEM IN

                    -- IN PUTNAM COUNTY.  BUT THEY DO SO MUCH WORK OUTSIDE OF THE COUNTY

                    AND JUST FOR OUR STATE.  SO IF YOU COULD, PLEASE EXTEND THE CORDIALITIES

                    OF THE HOUSE.  THANK YOU.

                                 ACTING SPEAKER AUBRY:  CERTAINLY.  ON BEHALF

                    OF MR. BYRNE, THE SPEAKER AND ALL THE MEMBERS, LADIES, WE WELCOME

                    YOU HERE TO THE NEW YORK STATE ASSEMBLY.  WE EXTEND TO YOU THE

                    PRIVILEGES OF THE FLOOR, OUR THANKS AND CONGRATULATIONS ON THE WORK THAT

                    YOU'RE DOING TO HELP OTHERS IN NEED.  IT'S SOMETHING THAT I'M FAMILIAR

                    WITH.  I STARTED DOING A SIMILAR WORK IN THE 1970'S.  SO, I'M SORRY THAT

                    YOU CONTINUE TO HAVE TO DO THAT WORK, BUT GLAD THAT YOU HAVE PICKED UP

                    THE STRUGGLE THAT NEEDS TO BE FOUGHT.  THANK YOU, AND KEEP THAT EFFORT

                    UP.  THANK YOU VERY MUCH.

                                 (APPLAUSE)

                                 MR. GOODELL.

                                 MR. GOODELL:  THANK YOU VERY MUCH, MR.

                    SPEAKER.  IT'S MY GREAT PLEASURE TO INTRODUCE TWO INDIVIDUALS WHO

                                          7



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    DROVE SIX HOURS FROM MY COUNTY TO JOIN US TODAY, TERRY MCCOOL AND

                    MARRIE ULKINS.  TERRY IS THE ADMINISTRATOR AND MARRIE IS THE ASSISTANT

                    ADMINISTRATOR OF THE WCA HOME.  THE WCA HOME IS A BEAUTIFUL,

                    CLASSIC VICTORIAN BUILDING.  THEY PROVIDE GREAT, HIGH-QUALITY PERSONAL

                    CARE TO ASSISTED LIVING RESIDENTS.  THEY'VE BEEN DOING IT SINCE 1892.

                    AND NOTWITHSTANDING MY HAIR COLOR, THAT IS BEFORE MY TIME, FOR THE LAST

                    128 YEARS, AND THEY'RE UP HERE ADVOCATING ON BEHALF OF ALL THE ASSISTED

                    LIVING FACILITIES, INCLUDING THEIR BEAUTIFUL FACILITY.  SO IF YOU WOULD

                    WELCOME THEM, I WOULD CERTAINLY APPRECIATE IT.  THANK YOU, SIR.

                                 ACTING SPEAKER AUBRY:  CERTAINLY.  ON BEHALF

                    OF MR. GOODELL, THE SPEAKER AND ALL THE MEMBERS, WE WELCOME YOU

                    HERE TO THE NEW YORK STATE ASSEMBLY, THE PEOPLE'S HOUSE.  WE EXTEND

                    TO YOU THE PRIVILEGES OF THE FLOOR AND, ALSO, OUR CONGRATULATIONS FOR THE

                    WORK THAT YOU DO, CARING FOR THOSE WHO NEED HELP IN THEIR AGE AND THEIR

                    LIFE.  PLEASE KNOW THAT WE ARE GRATEFUL FOR THE WORK THAT YOU DO AND WE

                    WILL ALWAYS HONOR YOU FOR THAT WORK.  CONTINUE YOUR GREAT JOB.  THANK

                    YOU.

                                 (APPLAUSE)

                                 MS. WALKER.

                                 MS. WALKER:  THANK YOU, MR. SPEAKER, FOR THE

                    OPPORTUNITY TO INTRODUCE A GROUP THAT I AM VERY PROUD OF.  I AM VERY

                    FORTUNATE TO CHAIR THE NEW YORK STATE ASSEMBLY'S COMMITTEE ON

                    SCIENCE AND TECHNOLOGY, AND TODAY WE WILL PRESENT A RESOLUTION AND

                    PROCLAMATION TO NPOWER, WHICH IS A LEADING NON-PROFIT ORGANIZATION

                    THAT HAS TRAINED AND LAUNCHED THE TECH CAREERS OF OVER 2,000 NEW

                                          8



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    YORKERS IN UNDERSERVED AND UNDERREPRESENTED COMMUNITIES.  TODAY

                    WE WILL BE MARKING -- MARKING MARCH 12TH, 2020 AS WOMEN OF COLOR

                    TECH DAY IN THE STATE OF NEW YORK.  TODAY WE HAVE WITH US KEN

                    MITCHELL, WHO IS THE VICE PRESIDENT OF PROGRAM DEVELOPMENT AND

                    OPERATIONS; HELEN KOGAN, WHO IS THE EXECUTIVE DIRECTOR OF THE METRO

                    AREA; PATRICK COHEN, THE VICE PRESIDENT OF STRATEGIC PARTNERSHIPS;

                    BINTA VANN-JOSEPH, WHO IS THE VICE PRESIDENT OF MARKETING; FELECIA

                    WEBB, WHO IS THE VICE PRESIDENT OF PHILANTHROPY, AND A NUMBER OF

                    PRESENT STUDENTS AND ALUMNI OF NPOWER.  WOULD YOU PLEASE, MR.

                    SPEAKER, EXTEND THE COURTESIES AND PRIVILEGES OF THE FLOOR TO THIS

                    OUTSTANDING GROUP OF INDIVIDUALS.

                                 ACTING SPEAKER AUBRY:  CERTAINLY.  ON BEHALF

                    OF MS. WALKER, THE SPEAKER AND ALL THE MEMBERS, WE WELCOME YOU

                    HERE TO THE NEW YORK STATE ASSEMBLY, EXTEND TO YOU THE PRIVILEGES OF

                    THE FLOOR, CONGRATULATE YOU ON THE WORK THAT YOU'RE DOING.  NOTHING

                    MORE THAN -- IMPORTANT THAN HELPING PEOPLE PREPARE THEMSELVES FOR THE

                    TECHNOLOGY OF THE FUTURE AND THE JOBS OF TODAY.  THANK YOU.  CONTINUE

                    THAT GREAT WORK.  AND WE WISH YOU WELL, AS I'M SURE YOU'VE MADE MS.

                    WALKER VERY HAPPY BY COMING AND VISITING HER TODAY.  THANK YOU SO

                    VERY MUCH.

                                 (APPLAUSE)

                                 MR. CRESPO FOR THE PURPOSES OF A [SIC] INTRODUCTION.

                                 MR. CRESPO:  THANK YOU, MR. SPEAKER.  I WANTED TO

                    TAKE THIS OPPORTUNITY TO INTRODUCE A DELEGATION OF THE YMCA OF

                    GREATER NEW YORK, PARTICULARLY A DELEGATION FROM THE BRONX THAT IS

                                          9



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    WITH US.  MANY OF YOU MAY HAVE SEEN THEM IN THE HALLS OR IN YOUR

                    OFFICES TODAY.  AND FOR THE BRAVE ONES THAT TRIED THEIR BICYCLE THAT

                    MOTORED A -- A (SPEAKING SPANISH) -- SEE, THAT'S WHAT HAPPENS WHEN

                    YOU'RE BILINGUAL, YOU GET CONFUSED -- A BLENDER, THANK YOU.  AND -- AND

                    WERE ABLE TO BE -- I HID FROM THAT, BY THE WAY, JUST SO YOU KNOW.

                                 BUT, MR. SPEAKER, THIS AMAZING DELEGATION INCLUDES

                    SOME TEAMS OF THE Y -- SYEP PROGRAM AND THE COLLEGE ACCESS

                    PROGRAMS.  WITH US IS GLORIA, RICHARD, MAKYLIA, AISSETA, HALIMA AND

                    NINOCHCA.  THEY ARE ALSO JOINED BY COUNSELORS BOBBY-ANN AND

                    SHAMLI.  SOME OF THE VOLUNTEER -- SEAN IS WITH THEM, AND MICHAEL

                    RIVADENEYRA, SHARON LEVY, ADMINISTRATORS, AS WELL AS SCHONE MALLIET,

                    ONE OF THE BOARD MEMBERS.  THEY HAVE VISITED WITH MANY MEMBERS.

                    THEY SPENT SOME TIME WITH THE SPEAKER TODAY, BUT THEY ARE A REMINDER

                    OF THE VERY BEST OF OUR COMMUNITIES AND WE ARE GRATEFUL TO THE YMCA,

                    AS WELL, FOR GIVING THEM AN OPPORTUNITY AND A PATHWAY TO LIVE

                    PRODUCTIVE AND SUCCESSFUL LIVES AND REACH THOSE GOALS.  AND SO, MR.

                    SPEAKER, IF YOU COULD EXTEND THE CORDIALITIES OF THE HOUSE TO THIS

                    AMAZING DELEGATION FROM THE BOOGIE DOWN BRONX.

                                 ACTING SPEAKER AUBRY:  CERTAINLY.  ON BEHALF

                    OF MR. CRESPO, THE SPEAKER AND ALL THE MEMBERS, WE WELCOME YOU

                    HERE, THIS EXTRAORDINARY GROUP OF YOUNG PEOPLE, TO THE NEW YORK STATE

                    ASSEMBLY, EXTEND TO YOU THE PRIVILEGES OF THE FLOOR.  AND TO THE

                    YMCA WHO HAS BEEN DOING THIS WORK FOREVER, THANK YOU FOR

                    CONTINUING THAT WORK, AND THANK YOU FOR MAKING SURE THAT YOU'RE

                    SERVING THE CHILDREN OF TODAY AND NOT THE WORLD OF TOMORROW.  THANK

                                         10



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    YOU SO VERY MUCH.  CONTINUE YOUR GREAT WORK.

                                 (APPLAUSE)

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  MR. SPEAKER, IF WE CAN

                    BEGIN OUR WORK ON PAGE 3 WITH RESOLUTIONS, AND IMMEDIATELY FOLLOWING

                    THAT GO TO PAGE 46 AND START WITH CALENDAR NO. 274.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL READ.


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 754 --

                                 ACTING SPEAKER AUBRY:  SHH.


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 754, MR.

                    LENTOL.  LEGISLATIVE RESOLUTION MEMORIALIZING GOVERNOR M. CUOMO TO

                    PROCLAIM FEBRUARY 8-15, 2020, AS COURT REPORTING AND CAPTIONING

                    WEEK IN THE STATE OF NEW YORK.

                                 ACTING SPEAKER AUBRY:  ON THE RESOLUTION, ALL

                    THOSE IN FAVOR SIGNIFY BY SAYING AYE -- SAYING AYE?

                                 MEMBERS:  AYE.

                                 ACTING SPEAKER AUBRY:  THANK YOU VERY

                    MUCH.  OPPOSED, NO.  THE RESOLUTION IS ADOPTED.


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 755, MRS.

                    GUNTHER.  LEGISLATIVE RESOLUTION MEMORIALIZING GOVERNOR ANDREW M.

                    CUOMO TO PROCLAIM FEBRUARY 14, 2020, AS A DAY FOR HEARTS:

                    CONGENITAL HEART DEFECT AWARENESS DAY IN THE STATE OF NEW YORK.

                                 ACTING SPEAKER AUBRY:  ON THE RESOLUTION, ALL

                    THOSE IN FAVOR SIGNIFY BY SAYING AYE; OPPOSED, NO.  THE RESOLUTION IS

                    ADOPTED.

                                         11



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 756, MR.

                    BLANKENBUSH.  LEGISLATIVE RESOLUTION MEMORIALIZING GOVERNOR

                    ANDREW M. CUOMO TO PROCLAIM FEBRUARY 16-22, 2020, AS GRAIN BIN

                    SAFETY WEEK IN THE STATE OF NEW YORK.

                                 ACTING SPEAKER AUBRY:  ON THE RESOLUTION, ALL

                    THOSE IN FAVOR SIGNIFY BY SAYING AYE; OPPOSED, NO.  THE RESOLUTION IS

                    ADOPTED.


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 757, MS.

                    WALKER.  LEGISLATIVE RESOLUTION MEMORIALIZING GOVERNOR ANDREW M.

                    CUOMO TO PROCLAIM MARCH 12, 2020, AS WOMEN OF COLOR IN TECH DAY

                    IN THE STATE OF NEW YORK.

                                 ACTING SPEAKER AUBRY:  MS. WALKER ON THE

                    RESOLUTION.

                                 MS. WALKER:  THANK YOU, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  ONE MINUTE, MS.

                    WALKER.  SHH, SHH, SHH.

                                 THANK YOU.  PROCEED, DEAR.

                                 MS. WALKER:  NEARLY SIX MILLION JOBS ARE EXPECTED

                    TO REQUIRE TECH AND DIGITAL SKILLS IN THE FUTURE, AND STATISTICS SHOW THAT

                    THERE ARE ONLY 3.2 MILLION CANDIDATES IN THE POOL WITH THE TRAINING AND

                    SKILLS NECESSARY FOR THESE NEW, RARE AND FUTURISTIC OPPORTUNITIES.

                    NPOWER WAS FOUNDED IN THE YEAR 2000 IN BROOKLYN TO EMPOWER

                    INDIVIDUALS WITH IN-DEMAND TECH SKILLS AND EQUALIZE OPPORTUNITIES

                    WHICH TRANSFORM LIVES AND CREATE SYSTEMATIC CHANGES IN THE MOST

                    UNDERSERVED AND UNDERREPRESENTED COMMUNITIES.  TO DATE, THE

                                         12



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    NON-PROFIT ORGANIZATION HAS SERVED OVER 2,200 ADULT NEW YORKERS,

                    INCLUDING MANY WOMEN OF COLOR AND MEMBERS OF THE MILITARY, SEEKING

                    TO TRANSITION CAREERS AND/OR REENTER THE WORKFORCE BY TRAINING THEM AND

                    HELPING THEM LAUNCH THEIR TECH CAREERS.

                                 WHILE WOMEN MAKE UP THE MAJORITY OF THE WORKFORCE,

                    THERE CONTINUES TO BE A VAST DISPARITY IN THE -- IN THEIR PRESENCE IN THE

                    TECH INDUSTRY.  TO HIGHLIGHT NPOWER'S SUCCESS AND RAISE AWARENESS

                    ABOUT THE URGE AND NEED TO BRIDGE THE GAP BETWEEN WOMEN OF COLOR

                    AND TECH JOBS, WE ARE PRESENTING THIS PROCLAMATION TO NPOWER WHICH

                    MARKS TODAY, MARCH 12TH, AS WOMEN OF COLOR IN TECH DAY IN THE

                    STATE OF NEW YORK.  THIS PARTICULAR DAY HONORS A NEW INITIATIVE THAT

                    NPOWER IS INSTITUTING, WHICH IS CALLED 40 BY 22.  AND THIS IS A WOMAN

                    OF COLOR IN TECH COALITION WHICH SEEKS TO AIM -- WHICH AIMS TO INCREASE

                    THE ENROLLMENT OF YOUNG WOMEN OF COLOR IN THE PROGRAM TO 40 PERCENT

                    BY THE YEAR 2022, AND PRESENTLY WE ARE AT 25 PERCENT.

                                 OUR SOCIETY HAS GREATLY BENEFITTED BY THE PURPOSEFUL

                    EFFORTS OF THIS COALITION, AND WE UNITE TO IMPROVE THAT QUALITY OF LIFE NOT

                    JUST FOR THE YOUNG PEOPLE IN BROOKLYN, BUT REALLY ALL ACROSS THE STATE OF

                    NEW YORK.  AND SO, TODAY WE WOULD LIKE TO ASK THAT THIS LEGISLATIVE

                    BODY PAUSE IN ITS DELIBERATIONS TO MEMORIALIZE GOVERNOR ANDREW M.

                    CUOMO TO PROCLAIM TODAY [SIC], MARCH 12, 2020 AS WOMEN OF COLOR IN

                    TECH DAY, AND BE IT FURTHER RESOLVED THAT A COPY OF THE RESOLUTION

                    WHICH WE WILL PASS AND ENGROSS BE TRANSMITTED TO THE GOVERNOR ON

                    BEHALF OF NPOWER.  SO, THANK YOU VERY MUCH AND I LOOK FORWARD TO ITS

                    PASSAGE.

                                         13



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                                 ACTING SPEAKER AUBRY:  THANK YOU.

                                 MR. VANEL ON THE RESOLUTION.

                                 MR. VANEL:  I JUST SPEAK IN SUPPORT OF THE SPONSOR

                    AND OF THIS RESOLUTION PROCLAIMING MARCH 12TH AS WOMEN IN COLOR

                    [SIC] TECH DAY.  IT'S VERY IMPORTANT TO MAKE SURE THAT WE HELP DIVERSIFY

                    THE TECHNICAL INDUSTRY, AND VERY IMPORTANT NOT -- NOT ONLY WITH RACE,

                    BUT ALSO WITH GENDER.  THIS IS A VERY, VERY WORTHY -- WORTHY GOAL.  IT'S

                    VERY -- IT'S ALSO -- WE'RE VERY EXCITED THAT NPOWER IS HERE, WHICH IS A

                    GREAT ORGANIZATION THAT DOES WORK THROUGHOUT NEW YORK CITY.  AND

                    THIS GOAL IS VERY IMPORTANT AND I STAND IN TOTAL SUPPORT OF THIS.  THANK

                    YOU, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  THANK YOU, SIR.

                                 ON THE RESOLUTION, ALL THOSE IN FAVOR SIGNIFY BY SAYING

                    AYE; OPPOSED, NO.  THE RESOLUTION IS ADOPTED.

                                 (APPLAUSE)

                                 PAGE 46, CALENDAR NO. 274, THE CLERK WILL READ.


                                 THE CLERK:  ASSEMBLY NO. A07523, CALENDAR NO.

                    274, DINOWITZ.  AN ACT TO AMEND THE SURROGATE'S COURT PROCEDURE ACT,

                    IN RELATION TO THE COMPUTATION AND ALLOCATION OF THE COMMISSIONS OF

                    TRUSTEES OF CHARITABLE TRUSTS; AND REPEALING CERTAIN PROVISIONS OF SUCH

                    LAW RELATING THERETO.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A07526, CALENDAR NO.

                    275, LAVINE, DINOWITZ.  AN ACT TO AMEND THE CIVIL PRACTICE LAW AND

                    RULES, IN RELATION TO THE CONTENT OF A SUMMONS WITH NOTICE IN CERTAIN

                                         14



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    ACTIONS.

                                 ACTING SPEAKER AUBRY:  ON A MOTION BY MR.

                    LAVINE, THE SENATE BILL IS BEFORE THE HOUSE.  THE SENATE BILL IS

                    ADVANCED AND THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A07528, CALENDAR NO.

                    276, GANTT, DINOWITZ, WRIGHT, WEPRIN, GOTTFRIED, CRUZ.  AN ACT TO

                    AMEND THE FAMILY COURT ACT, IN RELATION TO USE OF RESTRAINTS ON

                    CHILDREN APPEARING BEFORE THE FAMILY COURT.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A07544, CALENDAR NO.

                    277, STIRPE, MCDONALD, MCMAHON, STECK.  AN ACT TO AMEND THE

                    GENERAL MUNICIPAL LAW, IN RELATION TO INCLUDING LAKES IN

                    ADOPT-A-MUNICIPAL PARK, SHORELINE OR ROADWAY PROGRAMS.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A07572, CALENDAR NO.

                    278, DINOWITZ, WEINSTEIN, GOTTFRIED, SEAWRIGHT.  AN ACT TO AMEND THE

                    CIVIL PRACTICE LAW AND RULES, IN RELATION TO ARBITRATION AWARDS IN

                    CONSUMER AND EMPLOYMENT DISPUTES.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT ON THE 180TH

                    DAY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL RECORD

                    THE VOTE.

                                 (THE CLERK RECORDED THE VOTE.)

                                 MEMBERS, THIS IS THE FIRST VOTE OF THE DAY.  MRS.

                                         15



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    PEOPLES-STOKES WOULD TELL YOU WHAT DAY, WHAT WEEK AND WHAT YEAR

                    YOU'RE IN, BUT I WON'T DO THAT.  I'LL JUST ASK YOU TO VOTE AS YOU SIT IN YOUR

                    CHAIR.  AND IF YOU'RE IN YOUR SEATS, PLEASE VOTE NOW; IF YOU'RE IN THE

                    SOUND OF OUR VOICE, COME TO THE CHAMBER AND VOTE.  THANK YOU.

                                 ARE THERE - SHH - ANY OTHER VOTES?  ANNOUNCE THE

                    RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.


                                 THE CLERK:  ASSEMBLY NO. A07573, CALENDAR NO.

                    279, GUNTHER, D'URSO, BUTTENSCHON, BLAKE.  AN ACT TO AMEND THE

                    EXECUTIVE LAW, IN RELATION TO THE DEFINITION OF "VETERAN."

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT ON THE 30TH

                    DAY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL RECORD

                    THE VOTE.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.


                                 THE CLERK:  ASSEMBLY NO. A07598, CALENDAR NO.

                    280, SEAWRIGHT, DINOWITZ, COLTON, CRUZ.  AN ACT TO AMEND THE CIVIL

                    PRACTICE LAW AND RULES, IN RELATION TO THE FAILURE TO PROVIDE NOTICE OF A

                    DEFAULT JUDGMENT.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.

                                         16



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020


                                 THE CLERK:  ASSEMBLY NO. A07599, CALENDAR NO.

                    281, DINOWITZ.  AN ACT TO AMEND THE CIVIL PRACTICE LAW AND RULES, IN

                    RELATION TO ADMISSIBILITY OF AN OPPOSING PARTY'S STATEMENT.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A07605, CALENDAR NO.

                    282, BRAUNSTEIN, DINOWITZ.  AN ACT TO AMEND THE CIVIL PRACTICE LAW

                    AND RULES, IN RELATION TO COMMISSIONS FOR RECEIVERS OF RENTS AND

                    PROFITS.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL RECORD

                    THE VOTE.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  THANK YOU, MR.

                    SPEAKER, FOR THE OPPORTUNITY TO INTERRUPT OUR PROCEEDINGS FOR AN

                    INTRODUCTION ON BEHALF OF OUR COLLEAGUE, MR. WEPRIN.  WE HAVE BRIAN

                    BROWN, THE ASSISTANT VICE PRESIDENT OF ST. JOHN'S UNIVERSITY, AND A

                    GROUP OF STUDENTS THAT ARE ATTENDING HIS GREAT INSTITUTION.  IF YOU COULD

                    PLEASE WELCOME THEM TO OUR CHAMBERS AND GIVE THEM THE CORDIALITIES

                    OF THE HOUSE.

                                 ACTING SPEAKER AUBRY:  CERTAINLY.  ON BEHALF

                                         17



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    OF ASSEMBLYMEMBER WEPRIN, THE SPEAKER AND ALL THE MEMBERS, WE

                    WELCOME THIS DISTINGUISHED GROUP OF STUDENTS FROM ST. JOHN'S

                    UNIVERSITY AND THEIR STAFF AND ALL OF THE ADMINISTRATION HERE TO THE NEW

                    YORK STATE ASSEMBLY.  WE EXTEND TO YOU THE PRIVILEGES OF THE FLOOR.

                    THANK YOU FOR SHARING WITH US TODAY THE ISSUES THAT ARE IMPORTANT TO

                    YOU.  KNOW THAT YOU ARE ALWAYS WELCOME HERE, AND THERE ARE A LOT OF

                    FRIENDS FROM QUEENS WHO SHARE IN YOUR ENTHUSIASM FOR ST. JOHN'S

                    UNIVERSITY.  THANK YOU SO VERY MUCH.

                                 (APPLAUSE)

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  THANK YOU, MR.

                    SPEAKER.  ACTUALLY, I'D LIKE TO MAKE ANOTHER INTRODUCTION ON BEHALF OF

                    OUR MEMBERS PHEFFER AMATO, ROSENTHAL AND EICHENSTEIN.  WE'D LIKE TO

                    WELCOME A GROUP OF EDUCATION ADVOCATES AND PARENTS FROM 23 DIFFERENT

                    YESHIVAHS FROM QUEENS AND LONG ISLAND, REPRESENTING OVER 10,000

                    STUDENTS.  MR. SPEAKER, IF YOU COULD WELCOME THEM TO OUR CHAMBERS.

                                 ACTING SPEAKER AUBRY:  CERTAINLY.  ON BEHALF

                    OF ALL OF QUEENS, RIGHT?  BECAUSE JUST ABOUT ALL OF QUEENS IS THERE FOR

                    YOU, AND BROOKLYN, WE HAVE BROOKLYN IN THAT CROWD, TOO, WE WELCOME

                    YOU HERE TO THE NEW YORK STATE ASSEMBLY, EXTEND TO YOU THE

                    PRIVILEGES OF THE FLOOR.  THANK YOU FOR JOINING US TODAY.  THANK YOU FOR

                    ALSO PARTICIPATING IN THE PUBLIC LIFE OF OUR CITY AND OUR STATE.  THANK

                    YOU SO VERY MUCH.

                                 (APPLAUSE)

                                 THE CLERK WILL READ.  NO. 284, PAGE 47.

                                         18



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020


                                 THE CLERK:  ASSEMBLY NO. A07648, CALENDAR NO.

                    284, GOODELL.  AN ACT TO AMEND THE GENERAL CITY LAW, IN RELATION TO A

                    RESIDENCY EXEMPTION FOR PLUMBING INSPECTORS IN THE CITY OF

                    JAMESTOWN.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL RECORD

                    THE VOTE.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?  SHH, PLEASE.  ANNOUNCE

                    THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.


                                 THE CLERK:  ASSEMBLY NO. A07669, CALENDAR NO.

                    285, COOK, LENTOL.  AN ACT TO AMEND THE CRIMINAL PROCEDURE LAW, IN

                    RELATION TO PRELIMINARY PROCEEDINGS INVOLVING ADOLESCENT OFFENDERS.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A07670, CALENDAR NO.

                    286, PRETLOW, LENTOL.  AN ACT TO AMEND THE CRIMINAL PROCEDURE LAW,

                    IN RELATION TO THE SEALING OF LAW ENFORCEMENT RECORDS.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT ON THE 90TH

                    DAY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL RECORD

                    THE VOTE.

                                         19



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.


                                 THE CLERK:  ASSEMBLY NO. A07676, CALENDAR NO.

                    287, MOSLEY.  AN ACT TO AMEND THE CORRECTION LAW, IN RELATION TO THE

                    MANNER THROUGH WHICH ENFORCEMENT PROCEEDINGS ARE BROUGHT.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.

                                 SHH.  LADIES AND GENTLEMEN, PLEASE.  THANK YOU.

                    SHH.


                                 THE CLERK:  ASSEMBLY NO. A07699-B, CALENDAR

                    NO. 288, GUNTHER, JACOBSON, SCHMITT, BRABENEC, L. ROSENTHAL,

                    GOTTFRIED, B. MILLER, THIELE, STECK, EPSTEIN, CARROLL, SEAWRIGHT, ORTIZ,

                    COLTON.  AN ACT TO AMEND THE GENERAL MUNICIPAL LAW AND THE TAX

                    LAW, IN RELATION TO THE DEFINITION OF DESIGNATED COMMUNITY FOR

                    COMMUNITY PRESERVATION FUNDS.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL RECORD

                    THE VOTE.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.

                                 MRS. PEOPLES-STOKES.  SHH.

                                         20



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                                 MRS. PEOPLES-STOKES:  MR. SPEAKER, IF WE CAN

                    NOW GO TO OUR DEBATE LIST, JUST WANT TO TAKE UP A FEW BILLS FROM IT.  WE

                    WANT TO START WITH CALENDAR NO. 340, IT'S ON PAGE 56, BY MEMBER

                    PAULIN.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL READ.


                                 THE CLERK:  SENATE NO. S07171, CALENDAR NO.

                    340, SENATOR BROOKS (PAULIN, BLAKE--A08952).  AN ACT TO AMEND THE

                    EXECUTIVE LAW, IN RELATION TO DIRECT DIALING TO PUBLIC SERVICE

                    ANSWERING PHONES.

                                 ACTING SPEAKER AUBRY:  AN EXPLANATION IS

                    REQUESTED, MS. PAULIN.

                                 MS. PAULIN:  YES.  SO, THIS IS A CHAPTER AMENDMENT

                    OF A BILL THAT WE DID LAST YEAR -- OR LAST SESSION, AND THE IDEA BEHIND THE

                    CHAPTER AMENDMENT IS TO ALLOW ITS PERMISSIVE A COLLEGE CAMPUS, A

                    CUNY OR A SUNY TO -- AND TO CLARIFY, BECAUSE THIS IS WHAT THEY DO

                    NOW, TO ALLOW THEM TO ROUTE 911 CALLS TO BOTH THEIR OWN CENTRAL

                    OPERATING CAMPUS POLICE IF THEY HAVE THEM.  YOU KNOW, OBVIOUSLY

                    SOME SMALLER CAMPUSES DO NOT HAVE CAMPUS POLICE.  IT ALLOWS THEM TO

                    BOTH ROUTE THE 911 CALL TO THEIR CAMPUS POLICE, AS WELL AS TO AN

                    EMERGENCY OPERATOR SUCH AS A LOCAL POLICE DEPARTMENT.

                                 SO, THE RATIONALE BEING THAT THEY KNOW THE CAMPUS

                    BEST, THEY HAVE A POLICY IN PLACE AND IT MIGHT BE TO THE ADVANTAGE OF

                    THOSE STUDENTS TO BE ABLE TO ALLOW THE CALLS TO GO TO BOTH PARTIES OR, YOU

                    KNOW, IF THEIR POLICY IS SUCH TO GO TO THEM FIRST, BECAUSE THEY'RE SO

                    CLOSELY -- OR THEY'RE SO ABLE AND KNOWING WHAT THE CAMPUS LOOKS LIKE.

                                         21



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    I DON'T KNOW IF I SAID THAT ALL RIGHT.

                                 ACTING SPEAKER AUBRY:  MR. GOODELL.

                                 MR. GOODELL:  THANK YOU, MR. SPEAKER.  WOULD

                    THE SPONSOR YIELD?

                                 MS. PAULIN:  YES.

                                 ACTING SPEAKER AUBRY:  MS. PAULIN YIELDS.

                                 MR. GOODELL:  THANK YOU, MS. PAULIN.  IT

                    CERTAINLY SEEMS TO MAKE A LOT OF SENSE THAT IF YOU HAVE A CAMPUS PHONE

                    AND YOU DIAL 911, IT GOES DIRECTLY TO CAMPUS SECURITY, BECAUSE

                    OBVIOUSLY THEY'RE RIGHT ON CAMPUS.  THEY KNOW WHERE ALL THE DORM

                    ROOMS ARE AND THE DORM BUILDINGS AND THE OTHER BUILDINGS ON CAMPUS,

                    AND THEY PROBABLY CAN RESPOND FASTER THAN ANYONE ELSE.  AT THE SAME

                    TOKEN, THOUGH, WE -- THERE HAVE BEEN SOME TECHNICAL CONCERNS HAVE

                    BEEN RAISED BY THE 911 COORDINATORS ASSOCIATION.  AND THEY RAISED TWO

                    ISSUES, IN PARTICULAR, I WAS HOPING YOU COULD ADDRESS.

                                 THE FIRST QUESTION WAS WHETHER OR NOT THE CAMPUS

                    SECURITY THAT ANSWERS A CAMPUS 911 CALL HAVE THE TRAINING AND

                    EXPERIENCE THAT THE NORMAL 911 DISPATCHERS WOULD HAVE.  AND THEY

                    HAVE EXPRESSED A CONCERN ON THAT.  COULD YOU ADDRESS THAT CONCERN?

                                 MS. PAULIN:  SO REMEMBER, FIRSTLY, IT'S PERMISSIVE,

                    YOU KNOW, SO IT -- THERE'S A "MAY" HERE.  SO, YOU KNOW, CURRENTLY THESE

                    COLLEGE CAMPUSES THAT HAVE -- BECAUSE THEY'RE DOING -- THEY DO THIS

                    NOW, YOU KNOW, THEY -- THIS IS WHAT THE CURRENT PROCEDURE IS.  SO, IF

                    THERE'S A POLICY THAT THEY ARE -- ARE EQUIPPED AND THEY DEEM THEMSELVES

                    AS SUCH WHEN THE -- WHEN THAT STUDENT OR PERSON ON THE CAMPUS IS

                                         22



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    ACTUALLY TRYING TO COMMUNICATE TO 911, IT DOES GO TO THE CAMPUS

                    POLICE.  SOMETIMES THESE CAMPUS POLICE OR THE UNIVERSITIES ROUTE THEM

                    TO BOTH AT THE SAME TIME.

                                 AND ALL THIS DOES, WE UNDERSTAND, IS CLARIFY EXISTING

                    POLICY SO THAT, YOU KNOW, WHILE WE WERE MAKING CORRECTION IN THE LAW

                    -- OR, NOT A CORRECTION, WHILE WE WERE REQUIRING, YOU KNOW, A DIRECT

                    ROUTING OF 911 SO THAT PEOPLE WHO ARE PRESSING 911 AREN'T CONFUSED,

                    AND THEY DON'T HAVE TO PRESS A TWO FIRST OR, YOU KNOW, LIKE IN THIS

                    BUILDING RIGHT, YOU KNOW, YOU HAVE TO -- I MEAN, I DON'T KNOW WHAT

                    THIS -- THIS BUILDING ACTUALLY CAN DO 911, BUT YOU HAVE TO PRESS A TWO

                    AND IT COULD BE CONFUSING ABOUT WHAT IS THE PROCESS.  THE SAME THING

                    COULD BE -- OCCUR ON A COLLEGE CAMPUS.  SO, YOU KNOW, WE MADE THAT

                    CLARIFICATION TO ALLOW THE DIRECT ROUTING OF 911 AND TO REQUIRE IT AND, AT

                    THE SAME TIME, WE WERE INFORMED THAT -- THAT THERE WAS A -- A PROBLEM

                    ON CUNYS AND SUNYS BECAUSE THEY WERE ROUTING THOSE CALLS NOT

                    DIRECTLY ALWAYS TO LAW ENFORCEMENT, THAT SOMETIMES THEY DEEMED IT IN

                    THE -- TO THE SAFETY ADVANTAGE OF THOSE WHO WERE MAKING THOSE CALLS TO

                    GO FIRST -- EITHER FIRST OR AT THE SAME TIME TO THE COLLEGE SECURITY POLICE.

                    SO -- SO THERE WAS -- THAT WAS ALREADY HAPPENING AND, YOU KNOW, I

                    DON'T, I -- I THINK THEY ARE TRAINED, YOU KNOW, THEY WERE TRAINED.  WE

                    HAVEN'T HEARD OF AN INCIDENT WHERE THIS WAS HAPPENING WHERE IT'S BEEN

                    A PROBLEM.

                                 SO, I WOULD SAY THAT THE EXISTING POLICY FOR CUNY

                    AND SUNY IS WORKING, SO THIS IS JUST CLARIFYING THAT THIS -- THAT WHAT

                    THEY'RE DOING IS WORKING AND IT IS KEEPING PEOPLE SAFE.

                                         23



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                                 MR. GOODELL:  ALONG THE SAME LINE, AM I CORRECT

                    THAT CAMPUS SECURITY DO NOT HAVE FULL POLICE AUTHORITY LIKE A PEACE

                    OFFICER OR A POLICE OFFICER; IS THAT CORRECT?

                                 MS. PAULIN:  THAT WHAT?

                                 MR. GOODELL:  THAT CAMPUS SECURITY MAY NOT

                    HAVE THE FULL POLICE POWER THAT YOUR SHERIFF'S DEPARTMENT MIGHT HAVE.

                                 MS. PAULIN:  SOME OF THEM ARE VERY SMALL, THAT'S

                    CORRECT.  AND IN THOSE CASES, I DON'T THINK THAT THEY WOULD OPT TO DO

                    THIS.  THIS IS, AGAIN, PERMISSIVE.  YOU KNOW, IT'S -- IT'S IF THEY HAVE -- IF

                    IT'S A LARGE UNIVERSITY, THEY ARE USUALLY STAFFED UP AND THEY WOULD HAVE

                    MORE ABILITY TO RESPOND.  THE SMALL ONES LIKELY WOULD NOT GO THROUGH

                    THE -- GO THROUGH THE SAME PROCESS.

                                 MR. GOODELL:  THE OTHER ISSUE RAISED BY THE 911

                    COORDINATORS ASSOCIATION IS THAT THERE IS NEW FEDERAL LAW THAT KICKS IN

                    IN ABOUT A WEEK.

                                 MS. PAULIN:  THAT WHAT?  I'M SORRY.

                                 MR. GOODELL:  THERE'S A NEW FEDERAL LAW THAT

                    KICKS IN IN ABOUT A WEEK, FEBRUARY 16TH, 2020 CALLED KARI'S LAW, AND

                    THERE'S A CONCERN THAT THIS LEGISLATION WOULD CONFLICT WITH THE FEDERAL

                    LEGISLATION.  COULD YOU ADDRESS THAT CONCERN?

                                 MS. PAULIN:  YOU KNOW -- YOU KNOW IF, THERE'S

                    ADDITIONAL FEDERAL LEGISLATION OR IF THAT -- I MEAN, STATE LEGISLATION TO --

                    TO DEAL WITH THE STATE LEGISLATION, I MEAN I GUESS WE CAN LOOK AT THAT

                    AND DO ANOTHER AMENDMENT ON TOP OF THIS -- ON THIS ONE IN THE SAME

                    SECTION OF LAW, BUT WE WERE NOT -- THIS WAS CRAFTED BY THE GOVERNOR'S

                                         24



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    OFFICE.  YOU KNOW, I DO NOT -- I BELIEVE THAT THEY'RE UNAWARE, AS WELL,

                    ABOUT THIS FEDERAL PROVISION.  SO, WE CAN LOOK INTO IT AND, CERTAINLY, WE

                    IF NEED TO ADDRESS SOMETHING, WE CAN -- WE CAN DO THAT.

                                 MR. GOODELL:  THANK YOU VERY MUCH, MS. PAULIN.

                                 MS. PAULIN:  OKAY.

                                 MR. GOODELL:  THANK YOU, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT ON THE 90TH

                    DAY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL RECORD

                    THE VOTE.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  THANK YOU, MR.

                    SPEAKER, FOR THE OPPORTUNITY TO INTERRUPT OUR PROCEEDINGS TO INVITE

                    SOME GUESTS WHO HAVE JOINED US IN THE CHAMBERS.  ON BEHALF OF MR.

                    CRESPO, MR. (INAUDIBLE) AND MS. CRUZ, WE'D LIKE YOU TO WELCOME

                    KAROL MASON, PRESIDENT OF JOHN JAY COLLEGE.  BY THE WAY, OUR

                    COLLEAGUES WHOSE NAMES I JUST MENTIONED ARE ALL ALUMNI.  SHE'S ALSO

                    JOINED BY MINDY BOCKSTEIN, DIRECTOR OF EXTERNAL AFFAIRS.  WOULD YOU

                    PLEASE WELCOME THEM TO OUR CHAMBERS, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  CERTAINLY.  ON BEHALF

                                         25



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    OF MR. CRESPO, MS. CRUZ, THE SPEAKER AND ALL THE MEMBERS, WE

                    WELCOME YOU HERE TO THE NEW YORK STATE ASSEMBLY, PRESIDENT.  WE

                    EXTEND TO YOU THE PRIVILEGES OF THE FLOOR.  OUR THANKS FOR THE WORK THAT

                    YOU'RE DOING IN EDUCATING OUR YOUNG PEOPLE, SENDING THEM ON TO A

                    BETTER LIFE.  WE KNOW THAT IS A GREAT CALLING AND SO HAPPY THAT YOU'VE

                    JOINED US, SO HAPPY THAT YOU CONTINUE TO DO A GREAT JOB.  AND THERE'S AT

                    LOT OF PRIDE IN THE BRONX FOR THE SCHOOL THAT YOU REPRESENT.  THANK YOU

                    SO VERY MUCH.

                                 (APPLAUSE)

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  MR. SPEAKER, THANK YOU,

                    FOR ONE MORE INTRODUCTION.  ON BEHALF OF MR. AL TAYLOR, AS WELL AS OUR

                    COLLEAGUE, INEZ DICKENS AND ALL OF OUR COLLEAGUES WHO ARE FAMILIAR

                    WITH THE EARLIER HIP HOP DAYS, I'D LIKE YOU TO WELCOME KURTIS BLOW.

                    HE IS A RAPPER, SINGER, SONGWRITER AND PRODUCER, DJ AND A PUBLIC

                    SPEAKER.  HE IS A HIP HOP PIONEER, FIRST TO SIGN WITH A MAJOR RECORD

                    LABEL.  "THE BREAKS" WAS A SINGLE -- WAS A SINGLE FROM THE FIRST GOLD

                    HIP HOP RECORD, WE ALL REMEMBER THAT ONE, "THESE ARE THE BREAKS."

                    HIS SONG, "IF I RULED THE WORLD," BECAME A TOP FIVE HIT ON THE

                    BILLBOARDS OF R&B CHARTS.  HE IS THE FOUNDER OF THE HIP HOP CHURCH

                    IN HARLEM WHERE HE IS THE WORSHIP LEADER.  HE IS HERE TODAY, MR.

                    SPEAKER, WITH HIS WIFE.  WOULD YOU PLEASE WELCOME HIM -- THEM TO

                    OUR CHAMBERS.

                                 (APPLAUSE)

                                 ACTING SPEAKER AUBRY:  CERTAINLY.  ON BEHALF

                                         26



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    OF ASSEMBLYMEMBERS TAYLOR, DICKENS, BICHOTTE AND WALKER, THE

                    SPEAKER AND ALL THE MEMBER, SIR, WE WELCOME YOU HERE TO THE NEW

                    YORK STATE ASSEMBLY, EXTEND TO YOU AND YOUR WIFE THE PRIVILEGES OF

                    THE FLOOR.  THANK YOU FOR THE ENJOYMENT THAT YOU HAVE GIVEN MOST OF US

                    FOR A LONG TIME IN OUR LIVES.  IT'S SO GREAT TO SEE YOU, SO GREAT THAT

                    YOU'VE TAKEN THE TIME TO COME HERE TO ALBANY AND SHARE THIS DAY WITH

                    US.  PLEASE KNOW THAT YOU ARE ALWAYS WELCOME HERE.  THANK YOU AND

                    GREAT LUCK IN THE FUTURE.

                                 (APPLAUSE)

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  MR. SPEAKER, IF WE GO

                    WE CAN GO BACK TO OUR DEBATE LIST AND GO TO CALENDAR NO. 388, IT IS ON

                    PAGE 57, IT IS BY OUR COLLEAGUE, SANDY GALEF.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL READ.


                                 THE CLERK:  ASSEMBLY NO. A09135, CALENDAR NO.

                    388, GALEF.  AN ACT TO AMEND THE PUBLIC HEALTH LAW, IN RELATION TO

                    ORDERING SERVICES WHERE THE IDENTIFIED CAREGIVERS BEING UNWILLING OR

                    UNABLE TO GIVE PROPER CARE.

                                 ACTING SPEAKER AUBRY:  ON A MOTION BY MRS.

                    GALEF, THE SENATE BILL IS BEFORE THE HOUSE.  THE SENATE BILL IS

                    ADVANCED.

                                 AN EXPLANATION IS REQUESTED, MRS. GALEF.

                                 MRS. GALEF:  YES.  WE PASSED THIS BILL LAST YEAR.

                    THIS IS A CHAPTER AMENDMENT, 617, AND -- BUT WHAT IT -- THE ORIGINAL BILL

                    INDICATED THAT DESIGNATED CAREGIVERS BEFORE DISCHARGING A PATIENT WITH

                                         27



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    A CENTRAL VENOUS LINE WOULD BE ASSURED THAT THEY WOULD HAVE THE

                    PROPER CARE WHEN THEY GOT HOME.  WHAT THIS BILL DOES IS EXPANDS THAT,

                    AND I COMPLIMENT THE GOVERNOR FOR SUGGESTING IT TO ANYONE THAT IS

                    LEAVING A HOSPITAL SETTING, BEING DISCHARGED, THAT THEY HAVE THE -- IF

                    THEY ARE DESIGNATED TO GO HOME, THAT THEY HAVE THE APPROPRIATE CARE

                    BEING PROVIDED FOR THEM AT HOME.  IF THE CAREGIVER DETERMINES THAT

                    THEY DO NOT HAVE THE CAPABILITY, THEY DON'T HAVE THE EXPERIENCE TO

                    PERFORM A MEDICAL SERVICE THAT THEY ARE NOT TRAINED FOR.

                                 ACTING SPEAKER AUBRY:  MR. GOODELL.

                                 MR. GOODELL:  THANK YOU, MR. SPEAKER.  WOULD

                    THE SPONSOR YIELD?

                                 MRS. GALEF:  YES.

                                 ACTING SPEAKER AUBRY:  MRS. GALEF YIELDS.

                                 SHH, LADIES AND GENTLEMEN.

                                 MR. GOODELL:  THANK YOU, MRS. GALEF.  AS YOU

                    KNOW, LAST YEAR WE HAD A BILL THAT RELATED SPECIFICALLY TO PATIENTS BEING

                    DISCHARGED WITH INTRAVENOUS LINES.

                                 MRS. GALEF:  YES.

                                 MR. GOODELL:  WHICH WAS A FAIRLY SPECIFIC,

                    RELATIVELY HIGH-RISK SITUATION WHERE IF THEY DIDN'T RECEIVE PROPER

                    FOLLOW-UP CARE, THEY WOULD HAVE RISKS OF INFECTION AND OTHER SERIOUS

                    COMPLICATIONS.  THIS BILL TAKES THAT MANDATE AND EXPANDS IT TO ALL CARE,

                    CORRECT?

                                 MRS. GALEF:  YES.

                                 MR. GOODELL:  ALL AFTER-HOSPITAL CARE.

                                         28



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                                 MRS. GALEF:  AFTER HOSPITAL CARE IF -- IF THE

                    CAREGIVER IS NOT ABLE TO GIVE THE TYPE OF CARE THAT IS NEEDED.  AND THEY

                    -- THE TYPE OF CARE COULD COME IN EVEN IF IT'S FOR A DAY.  YOU KNOW,

                    SOMETHING THAT I THOUGHT ABOUT RECENTLY, AN EXAMPLE THAT I HAD, WHEN

                    MY HUSBAND WAS VERY ILL AND HE NEEDED A FEEDING TUBE AND THE

                    PHYSICIANS OR THE NURSE AT SLOAN KETTERING TOLD ME EXACTLY HOW TO

                    PROVIDE THIS FOR MY HUSBAND.  I WENT HOME AND I COULDN'T FIGURE IT OUT.

                    AND PART OF IT WAS I'M NOT EXPERIENCED; SECONDLY, I'M VERY EMOTIONALLY

                    INVOLVED.  AND I HAD THIS FEELING THAT MY HUSBAND WOULD DIE BECAUSE

                    HE COULDN'T BE FED BY ME.  NOW, FORTUNATELY I WAS ABLE TO CALL

                    SOMEBODY IN THE MEDICAL FIELD BECAUSE OF OUR CONTACTS THAT WERE ABLE

                    TO HELP ME, BUT NOT EVERYBODY IS IN MY SITUATION.  AND YOU CAN GO

                    HOME AND, YOU KNOW, YOU MAY JUST NEED SOMEBODY TO COME FOR A

                    COUPLE OF HOURS, A NURSE'S AIDE OR WHATEVER, BUT THE HOSPITAL HAS TO BE

                    SURE THAT THEY HAVE THAT RECOMMENDATION FOR SOMEBODY WHO SAID, I

                    DON'T KNOW HOW TO DO THIS.  WE DON'T WANT PEOPLE TO GO HOME AND HAVE

                    MORE COMPLICATIONS, WE WANT PEOPLE TO GET WELL WHEN THEY GET HOME

                    OR BE TAKEN CARE OF.

                                 SO, YES, I THINK IT'S VERY IMPORTANT.  WE CAN'T ALWAYS

                    DESIGNATE WHAT THE ISSUES ARE THAT PEOPLE ARE GOING TO FACE, BUT WE

                    KNOW THAT THERE ARE A LOT OF -- A LOT OF INDIVIDUALS THAT ARE JUST -- DON'T

                    FEEL AT ALL THAT THEY HAVE THE EXPERTISE TO HELP IN THE SITUATION.

                    INTRAVENOUS LINE IS EVEN MORE DRAMATIC, BUT MINE WOULD HAVE, IN MY

                    CASE, IT WOULD BE A PERSON, A HOME HEALTH CARE WHATEVER JUST TO ALMOST

                    COME FOR AN HOUR TO HELP OUT.  AND, YOU KNOW, I THINK WE OWE OUR

                                         29



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    LOVED ONES THAT.

                                 MR. GOODELL:  NOW, THIS BILL GOES ON TO SAY THAT

                    NOT ONLY DOES THE HOSPITAL HAVE TO ENSURE FOLLOW-UP CARE FOR THOSE WITH

                    INTRAVENOUS LINES, BUT FOR ANY OTHER SITUATION IF THEY MAKE A

                    DETERMINATION THAT THE DESIGNATED CAREGIVER CAN'T PROVIDE IT.  AND THEN

                    IT GOES ON TO SAY THAT THE HOSPITAL SHALL ORDER SUCH SERVICE, THE HOSPITAL

                    ORDERS THE SERVICE.  SO IT'S NOT JUST INCLUDING IT IN A DISCHARGE PLAN OR

                    RECOMMENDING IT TO THE PATIENT, THE HOSPITAL IS NOW, UNDER THIS BILL,

                    UNDER STATUTORY OBLIGATION TO ACTUALLY ORDER THE SERVICE; IS THAT CORRECT?

                                 MRS. GALEF:  WELL, I THINK WHEN YOU'RE DISMISSED

                    FROM A HOSPITAL AND YOU STILL NEED SERVICES, THE SOCIAL WORKER AT THE

                    HOSPITAL HAS TO ASSURE THAT THE PATIENT WHEN THEY -- WHEREVER THEY ARE

                    GOING HAVE THOSE SERVICES PROVIDED, WHETHER IT'S A NURSING SERVICE TO

                    COME IN WITHIN FIVE HOURS, YOU KNOW, THEY -- THEY DO THAT.  WE DON'T

                    WANT PEOPLE TO GO HOME, HAVE ANOTHER ISSUE AND THEN GO BACK TO THE

                    HOSPITAL.  THAT'S GOING TO COST MORE IF PEOPLE AREN'T CARED FOR PROPERLY

                    AT THEIR HOME.

                                 MR. GOODELL:  SO IS THE HOSPITAL ORDERING THESE

                    SERVICES AT THE PATIENT'S EXPENSE?

                                 MRS. GALEF:  NO, I MEAN YOU HAVE INSURANCE --

                                 MR. GOODELL:  YOU HOPE --

                                 MRS. GALEF:  -- YOU KNOW.

                                 MR. GOODELL: -- PRESUMABLY.

                                 MRS. GALEF:  WE HAVE THE INSURANCE.  YOU KNOW,

                    FRANKLY, THE INSURANCE COMPANIES ARE GOING TO HAVE TO START TO COVER

                                         30



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    SOME OF THESE THINGS.

                                 MR. GOODELL:  AND THE HOSPITAL IS ORDERING THESE

                    FROM A COMPANY THAT THE HOSPITAL IS COMFORTABLE WITH RATHER THAN

                    HAVING THE PATIENT ORDER IT FROM A COMPANY THEY MIGHT PREFER?

                                 MRS. GALEF:  PATIENT -- PATIENT ISN'T ORDERING IT.

                    THE HOSPITAL IS ORDER -- THE HOSPITAL KNOWS WHAT NEEDS TO BE PROVIDED,

                    RIGHT?  AND WHEN YOU -- WHEN YOU EXIT A HOSPITAL, THERE'S A SOCIAL

                    WORKER, THERE'S A DISCHARGE PLAN AND USUALLY IT'S THROUGH, I -- I

                    UNDERSTAND IT'S USUALLY THROUGH A SOCIAL WORKER WHICH HAS THE ADVICE OF

                    THE MEDICAL COMMUNITY AND SO ON AS TO WHAT NEEDS TO BE DONE WHEN

                    THE PATIENT GETS HOME.

                                 IN THIS SITUATION, THIS WAS A LITTLE GIRL WHO HAD SICKLE

                    CELL AND HAD TO HAVE AN INTRAVENOUS LINE AND THE HOSPITAL JUST SAID,

                    YOUR DAUGHTER, YOU'RE GOING TO TAKE YOUR DAUGHTER HOME AND YOU'RE IN

                    CHARGE OF TAKING CARE OF HER.  AND THE INSURANCE DENIED ANY KIND OF

                    COVERAGE.  AND SO, YOU KNOW, THIS WAS A -- A WOMAN THAT -- THAT FOUGHT

                    HER WAY THROUGH THIS, BUT NOT EVERYBODY CAN DO THAT.  SO WE'RE JUST

                    SAYING, YOU KNOW, IF THEY SAY THAT YOU HAVE TO HAVE NURSING CARE FOR

                    TWO DAYS FROM THE HOSPITAL TO GET SOMEBODY SETTLED IN, THEN THE

                    INSURANCE COMPANIES WILL BE COVERING THAT.

                                 MR. GOODELL:  BUT THIS BILL DOESN'T REQUIRE

                    INSURANCE COMPANIES TO COVER ANYTHING.  IT DOESN'T CHANGE INSURANCE

                    COVERAGE, IT SAYS THAT THE HOSPITAL MUST ORDER THE SERVICE.  SO MY

                    QUESTION THEN, IS, THE HOSPITAL IS DECIDING WHICH ORGANIZATION SHOULD

                    BE PROVIDING THE SERVICE WITHOUT NECESSARILY INPUT FROM THE PATIENT,

                                         31



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    WITHOUT NECESSARILY ENSURING THAT THE PATIENT'S INSURANCE COVERAGES --

                    COVERS IT.  ISN'T THAT A POTENTIAL LIABILITY THEN FOR THE PATIENT THAT'S NOT

                    COVERED?  IN OTHER WORDS, UNDER THE CURRENT SITUATION, UNDER THE

                    CURRENT LAW, THE HOSPITAL DOES A DISCHARGE REPORT, DISCHARGE PLAN.  THEY

                    MEET WITH THE PATIENT.  THEY SAY TO THE PATIENT, THIS IS WHAT YOU SHOULD

                    HAVE FOR FOLLOW-UP CARE.  THEY HELP THE PATIENT ARRANGE WHAT THE

                    PATIENT WANTS.  THEY MAKE SURE THAT IN THAT PROCESS THE PATIENT'S

                    INSURANCE COVERS IT OR IT'S AN EXPENSE THAT THE PATIENT CAN AFFORD.  THIS

                    BILL TAKES THE PATIENT OUT OF PATIENT CARE AND SAYS THE HOSPITAL, NOT THE

                    PATIENT, THE HOSPITAL ORDERS IT AND THERE'S NO RESTRICTIONS ON THE HOSPITAL

                    BEING ABLE TO SELECT THEIR PREFERRED PROVIDER OR NOT, OR WHETHER THE

                    PATIENT CAN AFFORD IT OR NOT, OR WHETHER THEY'RE EVEN SELECTING A

                    PROVIDER THAT'S WITHIN THE PATIENT'S PREFERRED NETWORK OR NOT.  OR

                    WITHOUT CONSIDERATION OF WHETHER THERE'S A HIGHER COPAY OR A LOWER

                    COPAY TO THE PATIENT.  SHOULDN'T WE LEAVE THAT DECISION TO THE PATIENT

                    AND REQUIRE THE HOSPITAL DISCHARGE PLAN TO HELP THE PATIENT, BUT LEAVE

                    THE FINAL DECISION TO THE PATIENT?

                                 MRS. GALEF:  WELL, THIS IS A CASE IN POINT WITH LITTLE

                    DREAM, 11-YEAR-OLD.  HER MOM GOT THE RESPONSE FROM THE INSURANCE

                    COMPANY THAT, WE WILL NOT COVER ANYTHING.  YOU ARE TO TAKE YOUR CHILD

                    HOME AND TAKE CARE OF HER.  SO I WOULD ASSUME THAT THROUGH THE

                    DISCHARGE PROCESS THAT YOU'RE GOING TO BE WORKING WITH YOUR INSURANCE

                    COMPANIES.  FIRST OF ALL, WHEN YOU GO TO THE HOSPITAL, MANY TIMES YOU

                    HAVE TO BE PREAUTHORIZED, RIGHT, FOR THE OPERATION OR WHATEVER IT IS, SO

                    YOU'D BE WORKING WITH YOUR INSURANCE COMPANY.  YOU KNOW WHETHER

                                         32



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    THEY'RE GOING TO COVER YOU OR NOT AND, YOU KNOW, YOU HAVE TO -- TO

                    WORK TO MAKE THAT CHANGE.

                                 MR. GOODELL:  WELL USING THAT AS AN EXAMPLE, AND

                    IT'S A GREAT EXAMPLE, UNDER THIS BILL, THE HOSPITAL WOULD ORDER IT, PERIOD.

                    ONLY LATER WOULD THE PARENTS OF THE 11-YEAR-OLD REALIZE THAT IT WASN'T

                    COVERED BY INSURANCE AFTER IT WAS ORDERED.  SHOULDN'T THAT ANALYSIS

                    OCCUR UP FRONT?

                                 MRS. GALEF:  YEAH, I MEAN, IF YOU'RE IN THE

                    HOSPITAL, YOU -- YOU -- JUST BECAUSE SOMETHING IS ORDERED, YOU DON'T

                    HAVE TO USE IT.  AS THE PATIENT, YOU CAN MAKE SOME OF YOUR OWN

                    DECISIONS.

                                 MR. GOODELL:  WELL, FOR SURE IF IT'S ORDERED --

                                 MRS. GALEF:  RIGHT.

                                 MR. GOODELL:  -- YOU'RE GOING TO END UP PAYING

                    FOR IT, RIGHT?

                                 MRS. GALEF:  BUT IF IT'S ORDERED, YOU DON'T HAVE TO

                    -- YOU HAVE THE RIGHT TO SAY NO AND NOT FOLLOW THROUGH ON THAT AS A

                    PATIENT.  BUT IF YOU WERE A PATIENT AND WOULD PREFER TO HAVE SERVICES

                    PROVIDED, IN THIS INSTANCE FOR YOUR CHILD, THEN YOU'RE GOING TO FIGHT FOR

                    THOSE SERVICES EVEN THOUGH YOUR INSURANCE COMPANY SAID, NO, WE WILL

                    NOT DO THAT.

                                 MR. GOODELL:  THANK YOU, MRS. GALEF.  I

                    APPRECIATE YOUR COMMENTS.

                                 ON THE BILL, SIR.

                                 ACTING SPEAKER AUBRY:  ON THE BILL, MR.

                                         33



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    GOODELL.

                                 MR. GOODELL:  LAST YEAR, THIS LEGISLATURE

                    UNANIMOUSLY APPROVED REQUIRING HOSPITALS MAKE SURE THAT WHEN

                    SOMEBODY IS DISCHARGED WITH INTRAVENOUS LINES THAT THEIR CAREGIVER WAS

                    CAPABLE OF PROVIDING CARE.  THIS BILL IS MORE THAN JUST A CHAPTER

                    AMENDMENT.  WHAT THIS BILL NOW SAYS IS IF YOU'RE DISCHARGED FOR

                    ANYTHING, THE HOSPITAL HAS TO MAKE AN EVALUATION OF WHETHER OR NOT YOU

                    MIGHT NEED FOLLOW-UP CARE, AND THE HOSPITAL, NOT THE PATIENT, NOT THE

                    INDIVIDUAL, THE HOSPITAL HAS TO "ORDER SUCH SERVICES."

                                 NOW, THERE ARE SEVERAL PROBLEMS WHEN YOU EXPAND A

                    GOOD IDEA THAT APPLIED TO A NARROW CIRCUMSTANCE TO EXPANDING THE

                    HOSPITAL'S LIABILITY AND RESPONSIBILITY TO COVER EVERYTHING.  AND HERE

                    ARE SOME OF THE PROBLEMS:  THE FIRST PROBLEM IS IF THE HOSPITAL ERRS ON

                    BEING CONSERVATIVE AND CAREFUL FOR YOU, THEY MAY ERR ON THE SIDE OF

                    ORDERING MORE THAN YOU WANT OR NEED.  BUT UNLESS YOUR INSURANCE

                    COVERS 100 PERCENT OF THE COST, YOU, THE PATIENT, ALL OF OUR PATIENTS, WILL

                    GET HIT WITH A BILL, A BILL THAT THEY DID NOT ORDER, A BILL FOR SERVICES THEY

                    DID NOT ORDER.  AND UNLESS THE HOSPITAL KNOWS THE DETAILS OF YOUR

                    INSURANCE --

                                 ACTING SPEAKER AUBRY:  LADIES AND

                    GENTLEMEN, WE ARE ON DEBATE.  THAT MEANS STAFF SHOULD LEAVE THE AISLES.

                    I DO NOT WANT PEOPLE RUNNING AROUND TRYING TO GET SIGNATURES WHILE WE

                    ARE ON DEBATE.

                                 I'M SORRY, SIR, GO AHEAD.

                                 MR. GOODELL:  IF THE HOSPITAL DOESN'T UNDERSTAND

                                         34



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    THE DETAILS OF YOUR INSURANCE POLICY, THEY MAY ORDER THE SERVICES FROM

                    SOMEONE WHO'S NOT IN YOUR PROVIDER NETWORK WHICH MEANS DAYS OR

                    WEEKS LATER, YOU GET A BILL THAT'S MUCH MORE THAN YOU SHOULD BE PAYING

                    HAD IT BEEN ORDERED THROUGH SOMEBODY WHO'S IN YOUR PROVIDER SERVICE.

                    THAT CREATES ANOTHER PROBLEM, THE THIRD PROBLEM IT CREATES.  IF FOR SOME

                    REASON THE HOSPITAL DOESN'T ORDER THE SERVICES, WHO'S GETTING SUED?  THE

                    HOSPITAL, WHICH IS GOING TO DRIVE UP OUR MALPRACTICE AND OUR HOSPITAL

                    COSTS.  THE THIRD -- OR THE FOURTH ISSUE WE HAVE, THE GOVERNOR HAS

                    POINTED OUT TO US THAT WE'RE FACING A $6.8 BILLION MEDICAID SHORTFALL.

                    THE MEMO IN SUPPORT OF THIS SUGGESTS THAT THIS SYSTEM IS FREE.  I CAN

                    ASSURE YOU IF THE HOSPITAL IS ORDERING SERVICES AND ONE-THIRD OF OUR

                    RESIDENTS ARE ON MEDICAID, THE COST OF THE MEDICAID PROGRAM IS GOING

                    TO BE SUBSTANTIAL WHICH MEANS THAT YOU AND I ARE GOING TO HAVE TO

                    ADDRESS HOW TO DEAL WITH EVEN LARGER MEDICAID SHORTFALLS.

                                 SO, UNDER THE PRESENT SYSTEM, HOW DOES IT WORK?

                    UNDER THE PRESENT LAW, THE HOSPITAL DOES A DISCHARGE PLAN.  THEY SIT

                    DOWN WITH THE PATIENT AND WITH THE PATIENT'S CAREGIVER.  THEY EXPLAIN

                    WHAT THE PATIENT SHOULD HAVE IN FOLLOW-UP CARE.  THEY HELP THE PATIENT

                    SELECT THE PATIENT'S CHOICE, THE PROVIDER THAT THE PATIENT WANTS, THE

                    PROVIDER THAT'S IN THE PATIENT'S NETWORK.  THEY WORK WITH THE PATIENT TO

                    DO THAT COST-BENEFIT ANALYSIS SO THE PATIENT DOESN'T BECOME BANKRUPT

                    OVER SERVICES THAT THEY, THE PATIENT, DIDN'T ORDER.  THAT'S THE CURRENT

                    SYSTEM.  AND THIS BILL WOULD REPLACE IT WITH THE HOSPITAL ORDERING THE

                    SERVICES FOR THE PATIENT AND THE PATIENT GETTING THE BILL WITHOUT THE

                    PATIENT NECESSARILY AGREEING EITHER TO HIRE THOSE SERVICES OR TO HIRE THAT

                                         35



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    PARTICULAR PROVIDER.  AND ONE OF THE PATIENTS, IF YOU WILL, THAT'S GOING TO

                    GET THAT BILL IS THE STATE OF NEW YORK BECAUSE WE KNOW THAT ONE-THIRD

                    OF OUR RESIDENTS QUALIFY FOR MEDICAID AND WE'RE FACING A HUGE COST

                    OVERRUN IN THAT FIELD.

                                 SO, MY RECOMMENDATION IS, ENSURE THAT THE HOSPITALS

                    DO PROPER DISCHARGE PLANNING, NUMBER ONE.  NUMBER TWO, MAKE SURE

                    THAT DISCHARGE PLANNING IS WITH THE PATIENT.  AND, NUMBER THREE, MAKE

                    SURE THE PATIENT DECIDES WHO THEY HIRE AND NOT SOME THIRD-PARTY LIKE

                    THE HOSPITAL.  FOR THOSE REASONS, EVEN THOUGH I SUPPORTED THE BILL LAST

                    YEAR ON INTRAVENOUS LINES WHICH WAS A NARROW, VERY SPECIFIC BILL, I

                    CANNOT AND WILL NOT SUPPORT A BILL THAT REQUIRES HOSPITALS TO TAKE OVER

                    ALL PATIENT CARE AFTER THEY LEAVE THE HOSPITAL AND TO ACTUALLY REQUIRE

                    THEM TO ORDER THOSE SERVICES AT THE PATIENT'S EXPENSE.

                                 THANK YOU, SIR.

                                 ACTING SPEAKER AUBRY:  MR. MONTESANO.

                                 MR. MONTESANO:  THANK YOU, MR. SPEAKER.  WILL

                    THE SPONSOR YIELD?

                                 ACTING SPEAKER AUBRY:  MRS. GALEF, WILL YOU

                    YIELD?

                                 MRS. GALEF:  YES.

                                 MR. MONTESANO:  I JUST WANTED TO TAKE YOU BACK

                    FOR A SECOND TO CLARIFY JUST A COUPLE OF THINGS.  IN CURRENT CASES WHERE A

                    PATIENT IS DISCHARGED HOME WITH AN IV INFUSION, WHICH IS VERY

                    COMMON, YOU KNOW, PEOPLE HAVE CERTAIN INFECTIONS THAT TAKE A LONG

                    TIME TO TREAT AND THEY GO HOME WITH AN IV LINE AND THEN THERE'S

                                         36



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    ANTIBIOTICS THAT ARE INFUSED.  THAT REQUIRES A NURSE WHO USUALLY CHECKS

                    ON THEM OCCASIONALLY, CORRECT?

                                 MRS. GALEF:  MM-HMM, MM-HMM, YES; RIGHT.

                                 MR. MONTESANO:  BUT IF IT'S A CHILD OR -- OR

                    SOMEONE, THE FAMILY MEMBER LOOKS AFTER THEM, BUT THAT DOESN'T REQUIRE

                    AN INSURANCE REIMBURSEMENT FOR THE CAREGIVER, CORRECT?  IT'S JUST FOR THE

                    NURSE THAT GOES THERE AND FOR THE MEDICATION THAT'S UTILIZED?

                                 MRS. GALEF:  YES.  IT'S --

                                 MR. MONTESANO:  OKAY.

                                 MRS. GALEF:  -- IT'S FOR THE PERSON WHO WOULD

                    PROVIDE THE CARE OUTSIDE THE HOSPITAL.

                                 MR. MONTESANO:  OKAY.  NOW, THIS APPLIES ALSO

                    TO LIKE A NURSING HOME SETTING AND THINGS OF THAT NATURE?

                                 MRS. GALEF:  WELL, I WOULD -- I WOULD -- IF THEY'VE

                    BEEN DISCHARGED FROM A HOSPITAL, BUT THE NURSING HOME MAY HAVE

                    STAFF --

                                 MR. MONTESANO:  RIGHT, TO HANDLE THE IV.

                                 MRS. GALEF:  -- THERE SO IT WOULDN'T --

                                 MR. MONTESANO:  OKAY.

                                 MRS. GALEF:  -- WOULDN'T BE THE SAME SITUATION.

                                 MR. MONTESANO:  SO I -- I JUST WANT TO GO BACK TO

                    ONE OF THE SUBJECTS THAT MR. -- THE PREVIOUS MEMBER QUESTIONED YOU

                    ABOUT.  WHEN THE HOSPITAL DOES A DISCHARGE PLAN AND SAYS THAT A PATIENT

                    REQUIRES CERTAIN SERVICES AT HOME, WHETHER IT BE PT, OT OR A NURSE TO

                    LOOK IN ON THEM, SOMETHING OF THAT NATURE, USUALLY THE HOSPITAL HAS A

                                         37



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    RECORD OF THE INSURANCE PROVIDER THAT'S COVERING THAT PATIENT?

                                 MRS. GALEF:  YES, THEY WOULD.

                                 MR. MONTESANO:  OKAY.  AND --

                                 MRS. GALEF:  AND THEY HAVE PROBABLY REACHED OUT

                    TO THAT INSURANCE PROVIDER AT THIS TIME --

                                 MR. MONTESANO:  RIGHT, AND THOSE INSURANCE --

                                 MRS. GALEF:  -- POSSIBLY.

                                 MR. MONTESANO:  -- PROVIDERS, DO THEY GENERALLY

                    DISCLOSE TO THE HOSPITAL, AS THEY WOULD THE PATIENT, OF WHO'S GOING TO

                    PROVIDE THE SERVICE, WHO'S THEIR VENDOR, SO-TO-SPEAK, TO DELIVER THOSE

                    SERVICES?

                                 MRS. GALEF:  I WOULD -- I WOULD ASSUME -- I WOULD

                    ASSUME THAT WHEN YOU'RE LEAVING THE HOSPITAL, YOU KNOW WHO'S --

                    WHAT'S -- IF YOU NEED NURSING SERVICES, THAT YOU WOULD KNOW WHAT

                    COMPANY IS COMING IN AND WHAT DAY THEY WOULD BE THERE, ARE THEY

                    GOING TO MEET YOU AT THE DOOR WHEN YOU GET TO YOUR HOUSE --

                                 MR. MONTESANO:  RIGHT.

                                 MRS. GALEF:  -- BECAUSE YOU HAVE --

                                 MR. MONTESANO:  RIGHT.

                                 MRS. GALEF:  -- A VERY COMPLICATED MEDICAL

                    SITUATION.  SO, THEY'RE NOT JUST -- UNLESS -- UNLESS YOU WERE DISCHARGED

                    AND YOU DIDN'T NEED ANY ASSISTANCE --

                                 MR. MONTESANO:  RIGHT.

                                 MRS. GALEF:  -- FOR A WHILE, BUT YOU WOULD WORK

                    AND YOU -- AS -- AS A PATIENT, AND YOUR FAMILY MEMBERS, YOU WOULD

                                         38



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    WORK WITH THE INDIVIDUALS AND YOU'D TALK ABOUT WHAT KIND OF SERVICES

                    ARE AVAILABLE, JUST AS YOU DO RIGHT NOW IF YOU'RE LEAVING A HOSPITAL,

                    GOING TO A NURSING HOME.  SOMETIMES YOU HAVE NO CHOICE BECAUSE --

                                 MR. MONTESANO:  RIGHT.

                                 MRS. GALEF:  -- THE NURSING HOMES ARE FILLED.  BUT

                    IF YOU HAVE A CHOICE, YOU'RE -- YOU'RE TALKING WITH THE SOCIAL WORKER

                    ABOUT WHAT TYPE OF NURSING HOME, WHAT ARE YOUR PROBLEMS --

                                 MR. MONTESANO:  RIGHT.

                                 MRS. GALEF:  -- AND SO ON.

                                 MR. MONTESANO:  BUT THE TERM "ORDER" WAS

                    KICKED AROUND A FEW TIMES, AND THE HOSPITAL "ORDERING," YOU KNOW, A

                    SERVICE.

                                 MRS. GALEF:  RIGHT.

                                 MR. MONTESANO:  SO, IT'S ALMOST LIKE THEY WRITE A

                    DOCTOR'S ORDER OR PRESCRIPTION FOR A PARTICULAR SERVICE THAT YOU NEED

                    ONCE YOU GO HOME, CORRECT?

                                 MRS. GALEF:  RIGHT.

                                 MR. MONTESANO:  ALL RIGHT.

                                 MRS. GALEF:  THAT'S RIGHT.  AND -- AND, AGAIN, THE

                    PATIENT, EVEN THOUGH THE -- A DOCTOR ORDERS THINGS, DOCTORS ORDER US TO

                    GET --

                                 MR. MONTESANO:  RIGHT.

                                 MRS. GALEF:  -- ALL KINDS OF EXAMS, DO WE ALWAYS

                    DO IT OR NOT?

                                 MR. MONTESANO:  RIGHT.  OKAY.

                                         39



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                                 MRS. GALEF:  WE DON'T ALWAYS DO IT.  SO IT'S NOT A

                    TOTAL ORDER THAT WE HAVE TO FOLLOW.

                                 MR. MONTESANO:  BECAUSE I THINK THE BIG

                    QUESTION HERE IS, YOU KNOW, PROTECTING THE PATIENT FINANCIALLY IS WHEN

                    THE HOSPITAL WRITES AN ORDER AND EVEN ARRANGES, YOU KNOW, FOR CERTAIN

                    SERVICES TO BE PROVIDED, THAT IT'S KIND OF IN CONJUNCTION WITH THE

                    INSURANCE CARRIER AND WHAT THEY'RE GOING TO COVER OR NOT COVER.  BUT IN

                    THE CASE WHERE WE HAVE A PATIENT WHO DOESN'T HAVE ANY COVERAGE

                    WHATSOEVER, THEY'RE NOT MEDICAID, THEY'RE NOT MEDICARE AND THEY DON'T

                    HAVE INSURANCE, WHAT ROLE DOES THE HOSPITAL TAKE AT THAT POINT?  DOES

                    THIS BILL COVER THAT AT ALL?

                                 MRS. GALEF:  PROBABLY NOT, IT'S PROBABLY -- I MEAN,

                    THERE'S INDIGENT MEDICAL CARE THAT THE HOSPITAL, IF THEY DON'T HAVE

                    ANYTHING, THE HOSPITAL IS ALREADY TAKING CARE OF THAT.  YOU KNOW,

                    ACTUALLY THE HOSPITAL MAY HAVE A VERY HARD TIME DISCHARGING SOMEPLACE

                    BECAUSE THE PERSON IS NOT COVERED MEDICALLY.

                                 MR. MONTESANO:  RIGHT.

                                 MRS. GALEF:  I MEAN, I'VE SEEN THAT HAPPEN.

                                 MR. MONTESANO:  RIGHT.  OKAY.

                                 MRS. GALEF:  BUT I'M NOT, YOU KNOW, I --

                                 MR. MONTESANO:  OKAY.

                                 MRS. GALEF:  BUT, YOU KNOW, IF WE -- IF WE WERE --

                    IF WE'RE TALKING ABOUT MONEY, TOO, IF WE'RE TALKING ABOUT THE HOSPITAL OR

                    THE INDIGENT PERSON IN A HOSPITAL THAT ISN'T PAYING, IT'S LESS EXPENSIVE IF

                    THEY'RE IN A HOME SETTING.

                                         40



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                                 MR. MONTESANO:  YEAH, THAT --

                                 MRS. GALEF:  FOR ALL OF US --

                                 MR. MONTESANO:  DEFINITELY, DEFINITELY.

                                 MRS. GALEF:  -- FOR MEDICAID AND EVERY OTHER

                    SERVICE, SO I WOULD DISAGREE WITH THE EARLIER SPEAKER.  I MEAN, WE SAY

                    WHEN PEOPLE LEAVE HOSPITALS -- WE WANT PEOPLE TO LEAVE HOSPITALS

                    QUICKLY, WE DON'T WANT THEM TO STAY THERE AND GET INFECTED --

                                 MR. MONTESANO:  RIGHT.

                                 MRS. GALEF:  -- WE DON'T WANT THEM TO COME BACK.

                    WE WANT THEM TO GO HOME AND -- AND GET REPAIRED AND -- AND IT'S JUST

                    LESS EXPENSIVE.  AND, AGAIN, I THINK YOU MENTIONED, SOMETIMES IT'S JUST

                    HAVING SOMEBODY IN ONCE A DAY TO ASSURE THAT --

                                 MR. MONTESANO:  RIGHT.  RIGHT.

                                 MRS. GALEF:  -- THINGS ARE HAPPENING FOR SIX DAYS.

                                 MR. MONTESANO:  RIGHT.

                                 MRS. GALEF:  IT MAY BE THAT SOMEBODY NEEDS A

                    FULL-TIME PERSON, WHERE EVERY -- EVERY DISEASE AND EVERY SICKNESS IS

                    VERY DIFFERENT, SO --

                                 MR. MONTESANO:  RIGHT.  OKAY.

                                 MRS. GALEF:  -- WHAT YOUR NEEDS ARE.

                                 MR. MONTESANO:  OKAY.  THANK YOU VERY MUCH.

                                 MRS. GALEF:  OKAY.  THANK YOU.

                                 ACTING SPEAKER AUBRY:  MS. REYES.

                                 MS. REYES:  THANK YOU, MR. SPEAKER.  I JUST WANTED

                    TO LEND MY VOICE TO ADD SOME CLARITY TO WHAT IS THE DISCHARGE PROCESS

                                         41



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    WHEN A PATIENT IS GOING HOME.  FIRST OF ALL, EVERY HOSPITAL IN THEIR

                    DISCHARGE INTERDISCIPLINARY TEAM HAS A NURSE, A CLINICAL CASE MANAGER.

                    AND THAT IS THE PERSON WHO IS CHARGED WITH PLACING ORDERS, NOT THE

                    HOSPITAL AS A WHOLE, BUT A CLINICIAN WHO, IN COLLABORATION WITH THE

                    PATIENT, DETERMINES WHETHER, A, THEY NEED CARE, B, WHETHER THEIR

                    INSURANCE COVERS THAT CARE AND, C, THEY HELP TO IDENTIFY WHATEVER

                    PROVIDER IS COVERED BY THAT HEALTH INSURANCE.  BUT MORE IMPORTANTLY, IF

                    WE'RE SENDING SOMEBODY HOME WITH A CENTRAL LINE, WE WANT TO MAKE

                    SURE THAT THEY DON'T CATCH AN INFECTION.  MANY TIMES IN ORDER FOR US TO

                    TREAT A LOT OF THESE SUPERBUGS REQUIRES MONTHS, WEEKS OF IV ANTIBIOTICS.

                    IT IS NOT COST-EFFECTIVE TO KEEP PEOPLE IN THE HOSPITAL JUST FOR ONE DAILY

                    INFUSION.  THAT IS WHAT COSTS OUR SYSTEM MONEY.

                                 SO, IT IS IMPORTANT FOR US TO SEND THEM HOME WITH

                    APPROPRIATE CARE SO THEY CAN RECEIVE THAT CARE AT HOME AND WE LESSEN

                    THE BURDEN ON HOSPITALS.  BUT ALSO, ONE OF THE -- THE HIGHEST RATES OF

                    DEATH AND PREVENTABLE DEATHS AMONGST PATIENTS IS SEPSIS.  SO, IF WE

                    SEND SOMEBODY HOME AND THE CAREGIVER OR THEIR FAMILY MEMBER IS

                    INCAPABLE OR UNABLE TO TAKE CARE OF THAT CENTRAL LINE APPROPRIATELY, WE

                    WANT TO MAKE SURE THAT THEY HAVE SOMEBODY THAT CAN OVERSEE THAT CARE

                    SO THEY DON'T CATCH AN INFECTION.  READMISSION RATES IN HOSPITALS, WE

                    KNOW THAT IF A PATIENT COMES BACK AFTER BEING DISCHARGED WITHIN A

                    CERTAIN AMOUNT OF TIME, THAT IS A -- A -- AN UNREIMBURSED ADMISSION FOR

                    HOSPITALS, AND THIS IS WHERE THE SYSTEM LOSES MONEY.

                                 I THINK THIS IS A COMMONSENSE PIECE OF LEGISLATION, I

                    THINK THE QUESTIONS ON THE PROCESS, IT'S BECAUSE THERE'S A

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                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    MISUNDERSTANDING OF HOW THE SYSTEM WORKS.  BUT I COMMEND THE

                    SPEAKER FOR THE -- THE SPONSOR FOR THIS LEGISLATION.  I THINK IT GOES A LONG

                    WAY TO SAVE OUR STATE SOME MUCH-NEEDED MEDICAID DOLLARS.

                                 ACTING SPEAKER AUBRY:  ASSEMBLYMEMBER

                    MELISSA MILLER.

                                 MS. MILLER:  I ALSO TOLD YOU ON COMMITTEE I -- I

                    LOVE THIS BILL.  I MEAN, I COULDN'T LOVE IT MORE REALLY BECAUSE I LIVE A

                    LIFE WHERE I DON'T HAVE THE CARE THAT OLIVER NEEDS AT HOME.  I THINK

                    SOME OF THE CONFUSION AND -- AND I'M NOT, THAT'S WHY I'M ASKING, IS

                    WHO, YOU KNOW, WHEN YOU SAY THE HOSPITAL ORDERS, IT'S -- IT'S REALLY NOT

                    A HOSPITAL THAT'S ORDERING, IT WOULD BE A PHYSICIAN THAT'S STILL ORDERING,

                    PROBABLY YOUR OWN PHYSICIAN; IS THAT CORRECT?  THE PHYSICIAN

                    PROVIDING THE CARE IN THE HOSPITAL.

                                 ACTING SPEAKER AUBRY:  MRS. -- MRS. GALEF,

                    YOU'VE BEEN ASKED TO YIELD.

                                 MRS. GALEF:  OH, YES.

                                 MS. MILLER:  I'M SORRY.

                                 MRS. GALEF:  YES, I WOULD BELIEVE IT'S ONE

                    PHYSICIAN OR MAYBE MULTIPLE PHYSICIANS THAT ARE WORKING WITH THE

                    PATIENT, AND THEN, YOU KNOW, THEY -- THEY HAVE THEIR RECOMMENDATIONS

                    AND GO WITH THE -- THAT'S A PART OF THE DISCHARGE PLAN --

                                 MS. MILLER:  OKAY.

                                 MRS. GALEF:  -- THAT THEY WOULD HAVE.

                                 MS. MILLER:  AND THEN FROM THAT POINT, AS YOU

                    POINTED OUT, IT GOES TO THE DISCHARGE PLANNER WHO IS ALREADY SHOULD BE

                                         43



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    WORKING WITH THEIR TEAM TO COORDINATE WITH YOUR INSURANCE --

                                 MRS. GALEF:  RIGHT.

                                 MS. MILLER:  -- AND WHAT YOUR NEEDS ARE.  IT'S NOT

                    THAT THE PATIENT IS EVER LEFT OUT OF THIS AND THEY'RE JUST SAYING, HE NEEDS

                    THIS, SET IT UP AT HOME, THAT YOU'D BE PART OF THAT CARE TEAM; IS THAT

                    CORRECT?

                                 MRS. GALEF:  YOU STATED IT VERY WELL AND THE

                    DISCHARGE GROUPS, YOU KNOW, THEY ALMOST START I THINK AT THE TIME THAT

                    YOU GET INTO THE HOSPITAL THEY'RE LOOKING AT WHAT YOUR ISSUES --

                                 MS. MILLER:  RIGHT.

                                 MRS. GALEF:  -- ARE GOING TO BE, HOW MANY DAYS

                    YOU'RE GOING TO BE THERE AND THEY START TO PLAN FOR WHEN YOU LEAVE FOR

                    HOME.

                                 MS. MILLER:  RIGHT.  AND I -- AND I THINK THAT'S

                    WONDERFUL.  I KNOW WE EXPERIENCE IT ALL THE TIME.  MY CONCERN, AS I

                    SHARED TO YOU BEFORE, IS THAT WHILE IN AN ACUTE SETTING OR FOR AN INITIAL,

                    YOU KNOW, TRAINING OR TREATMENT PROTOCOL, THIS IS, YOU KNOW, MAY BE

                    EASY TO -- TO ACCOMPLISH.  IN THE TERMS OF LONGER CARE NEEDS, FINDING THE

                    ACTUAL PROVIDERS TO COME TO THE HOME AND PROVIDE THESE SERVICES IS A --

                    A SEPARATE PROBLEM IN ITSELF --

                                 MRS. GALEF:  RIGHT.

                                 MS. MILLER:  -- AND WHY MANY HOSPITALS CURRENTLY

                    CAN'T EVEN DISCHARGE PATIENTS.  IT'S NOT JUST THAT THEY DON'T HAVE

                    INSURANCE OR EVEN THOSE THAT DO JUST STILL CAN'T FIND THE CARE THAT'S

                    NECESSARY TO ADDRESS THIS.  BUT I DO -- I APPLAUD THE EFFORTS.

                                         44



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                                 MRS. GALEF:  THANK YOU.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL RECORD

                    THE VOTE.

                                 (THE CLERK RECORDED THE VOTE.)

                                 MRS. PEOPLES-STOKES TO EXPLAIN HER VOTE.

                                 MRS. PEOPLES-STOKES:  THANK YOU, MR.

                    SPEAKER, ON THE BILL.  I WANT TO COMMEND THE SPONSOR OF THIS

                    LEGISLATION.  WHILE IT MAY SEEM LIKE IT'S NOT ENOUGH, IMPORTANT ENOUGH

                    TO GET SOME SPECIFICITY AROUND THIS ISSUE, IT'S, LIKE, REALLY IMPORTANT.

                    AND I APPRECIATE THE FACT THAT SHE MENTIONED THAT THE PATIENT WAS A

                    SICKLE CELL PATIENT WHICH, OFTENTIMES, CAREGIVERS, DOCTORS AND

                    SOMETIMES EVEN HOSPITALS DON'T EVEN RECOGNIZE SICKLE CELL SYMPTOMS.

                    SO, YOU REALLY DO NEED TO HAVE THE BEST OPPORTUNITY FOR

                    RECOMMENDATIONS ON SERVICE AFTER THEY GO HOME.

                                 THE OTHER THING I THINK WAS FAILED TO -- WASN'T

                    MENTIONED HERE YET, MR. SPEAKER, I -- I HEARD THAT OUR MEDICAID COSTS

                    MAY GO UP IF THIS BILL IS PASSED.  I REALLY KIND OF DOUBT IT.  IT WAS

                    MENTIONED THAT EVEN THOUGH ONE-THIRD OF THE PEOPLE WHO RECEIVE

                    MEDICAID IN THIS STATE TEND TO BE ADULTS AND/OR CHILDREN, BUT THERE'S

                    TWO-THIRDS OF THEM THAT ARE SENIORS AND THEY'RE DISABLED.  AND, BY THE

                    WAY, THEY'RE THE LARGEST PART OF THE COST; THEY'RE 75 PERCENT OF THE COST.

                    SO, 75 PERCENT OF THE COST IS NOT THE PEOPLE THAT WE'RE DISCUSSING WITH

                    THIS PIECE OF LEGISLATION RIGHT HERE NECESSARILY.  AND SO, TO SUGGEST THAT

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                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    THIS MIGHT INCREASE THE COST OF MEDICAID I THINK IS A LITTLE DISINGENUOUS

                    AND UNFAIR TO THE LEGISLATION.

                                 SO WITH THAT, I WILL REMOVE MY OBJECTION AND VOTE IN

                    FAVOR OF THIS BILL.

                                 ACTING SPEAKER AUBRY:  MRS. PEOPLES-STOKES

                    IN THE AFFIRMATIVE.

                                 MR. ORTIZ TO EXPLAIN HIS VOTE.

                                 MR. ORTIZ:  THANK YOU, MR. SPEAKER.  I DO ALSO

                    WOULD LIKE TO JOIN MY COLLEAGUE TO SUPPORT THIS BEST PIECE OF

                    LEGISLATION AND TO THANK THE SPONSOR, BECAUSE THIS IS -- THIS PIECE OF

                    LEGISLATION REALLY HIT HOME.  I USED TO BE THE EXECUTIVE DIRECTOR IN A

                    HOME CARE -- HOME CARE PROVIDER MANY YEARS AGO BEFORE I CAME TO THE

                    LEGISLATURE.  AND WHEN SOMEBODY WAS TRYING TO BE DISCHARGED FROM

                    THE HOSPITAL, SOMETIME WE WILL GET THE PHONE CALL TO TRY TO PROVIDE FOR

                    A CAREGIVER.  AND I THINK WHEN WE TALK ABOUT COST, THIS IS THE TYPE OF

                    LEGISLATION THAT REALLY WOULD UPSET COSTS IF WE KEEP THE -- IF THE CARE --

                    THE FAMILY INSIDE THE HOME BY PROVIDING A CAREGIVER AND HOME

                    ATTENDANT AND HOME PROVIDER, SOMEBODY THAT WOULD TAKE CARE OF THIS

                    INDIVIDUAL.  SO THE MEDICAID ANALYSIS IS -- IS COMPLETELY UNACCEPTABLE.

                    AND -- AND THE OTHER THING IS THAT THIS BILL IS COMPLETELY OVER --

                    OVERDUE.  SO, I WILL BE VOTING IN THE AFFIRMATIVE AND I, AGAIN, THANK THE

                    SPONSOR FOR BRINGING THIS TO THE FLOOR.

                                 ACTING SPEAKER AUBRY:  MR. ORTIZ IN THE

                    AFFIRMATIVE.

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                         46



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  MR. SPEAKER, IF I COULD

                    INTERRUPT OUR PROCEEDINGS TO INTRODUCE A GUEST OF OUR COLLEAGUE, MR.

                    BUCHWALD, AND ALL THE WESTCHESTER MEMBERS.  IT IS JOHN RAVITZ, HE IS

                    EXECUTIVE VICE PRESIDENT OF THE BUSINESS COUNCIL OF WESTCHESTER

                    COUNTY.  MR. SPEAKER, IF YOU COULD PLEASE OFFER HIM THE CORDIALITIES OF

                    OUR HOUSE, AND THE ENTIRE DELEGATION FROM THE COUNCIL.

                                 ACTING SPEAKER AUBRY:  I WAS GOING TO SAY,

                    THAT'S A LOT OF PEOPLE, MR. BUCHWALD.

                                 MRS. PEOPLES-STOKES:  THERE'S A LOT OF PEOPLE.

                                 ACTING SPEAKER AUBRY:  ON BEHALF OF MR.

                    BUCHWALD, THE SPEAKER, THE ENTIRE DELEGATION FROM WESTCHESTER, WE

                    WELCOME YOU HERE TO THE NEW YORK STATE ASSEMBLY, EXTEND TO YOU THE

                    PRIVILEGES OF THE FLOOR.  THANK YOU FOR COMING, THANK YOU FOR THE WORK

                    THAT YOU DO TO ENSURE THE ECONOMY OF WESTCHESTER COUNTY AND THE

                    STATE OF NEW YORK THRIVES AND PROSPERS.  IT'S GREAT FOR ALL OF US.  THANK

                    YOU SO MUCH, AND YOU'RE WELCOME TO BE HERE.

                                 (APPLAUSE)

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  MR. SPEAKER, DO WE

                    HAVE ANY FURTHER HOUSEKEEPING OR RESOLUTIONS?

                                 ACTING SPEAKER AUBRY:  RESOLUTIONS, MRS.

                    PEOPLES-STOKES, WHICH WE WILL TAKE UP WITH ONE VOTE.

                                         47



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                                 ON THE RESOLUTIONS, ALL THOSE IN FAVOR SIGNIFY BY SAYING

                    AYE -- ALL THOSE IN FAVOR SIGNIFY BY SAYING AYE.

                                 MEMBERS:  AYE.

                                 ACTING SPEAKER AUBRY:  YOU'RE NOT GETTING

                    OUT OF HERE.  ALL THOSE IN FAVOR SIGNIFY BY SAYING AYE.

                                 MEMBERS:  AYE.

                                 ACTING SPEAKER AUBRY:  THE RESOLUTIONS ARE

                    ADOPTED.

                                 (WHEREUPON, ASSEMBLY RESOLUTION NOS. 758-760

                    WERE UNANIMOUSLY APPROVED.)

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  MR. SPEAKER, ON BEHALF

                    OF MR. OTIS, THERE WILL BE AN IMMEDIATE CONFERENCE IN THE SPEAKER'S

                    CONFERENCE ROOM FOR THE MINORITY MEMBERS.  I NOW MOVE THAT THE

                    ASSEMBLY STAND -- OH --

                                 ACTING SPEAKER AUBRY:  MAJORITY MEMBERS.  I

                    KNOW THE MINORITY WOULD LOVE TO GET IN THE SPEAKER'S CONFERENCE

                    ROOM.

                                 MRS. PEOPLES-STOKES:  MAJORITY MEMBERS, I'M

                    SORRY, I'M TIRED.  I READY TO GO TO CONFERENCE.

                                 ACTING SPEAKER AUBRY:  NO PROBLEM.

                                 (LAUGHTER)

                                 MRS. PEOPLES-STOKES:  LET'S GO TO CONFERENCE,

                    MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  LET'S GO TO

                                         48



                    NYS ASSEMBLY                                            FEBRUARY 11, 2020

                    CONFERENCE.  IMMEDIATE DEMOCRATIC CONFERENCE, SPEAKER'S

                    CONFERENCE.

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  MR. SPEAKER, I NOW

                    MOVE THAT THE ASSEMBLY STAND ADJOURNED UNTIL WEDNESDAY, FEBRUARY

                    THE 12TH, TOMORROW BEING A SESSION DAY.

                                 ACTING SPEAKER AUBRY:  THE ASSEMBLY STANDS

                    ADJOURNED.

                                 (WHEREUPON, AT 3:33 P.M., THE ASSEMBLY STOOD

                    ADJOURNED UNTIL WEDNESDAY, FEBRUARY 12TH AT 11:00 A.M., WEDNESDAY

                    BEING A SESSION DAY.)





























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