TUESDAY, MAY 4, 2021                                                                             1:20 P.M.



                                 ACTING SPEAKER AUBRY:  THE HOUSE WILL COME

                    TO ORDER.

                                 IN THE ABSENCE OF CLERGY, LET US PAUSE FOR A MOMENT OF

                    SILENCE.

                                 (WHEREUPON, A MOMENT OF SILENCE WAS OBSERVED.)

                                 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, MAY 3RD.

                                 MRS. PEOPLES-STOKES.

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

                                          1



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    DISPENSE WITH THE FURTHER READING OF THE JOURNAL OF MAY THE 3RD AND

                    ASK THAT THE SAME STAND APPROVED.

                                 ACTING SPEAKER AUBRY:  WITHOUT OBJECTION,

                    SO ORDERED.

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  THANK YOU, MR.

                    SPEAKER.  I WOULD LIKE TO WELCOME MY COLLEAGUES BACK TO THE

                    CHAMBERS, BOTH THOSE WHO ARE WITH US IN THE BUILDING AS -- AS WELL AS

                    THOSE WHO ARE REMOTE.  I WANT TO SHARE THIS QUOTE, MR. SPEAKER.  IT'S

                    FROM JOSEPH WIRTHLIN.  JOSEPH B. WIRTHLIN.  AND IT ACTUALLY -- I THINK

                    IT'S PRETTY GOOD.  I'M JUST GOING TO SHARE IT.  IT SAYS, WE DON'T HAVE TO BE

                    PERFECT TODAY.  WE DON'T HAVE TO BE BETTER THAN SOMEONE ELSE.  ALL WE

                    HAVE TO DO IS BE THE VERY BEST WE CAN.  AGAIN, MR. SPEAKER, THAT'S FROM

                    JOSEPH B. WIRTHLIN.  HE IS AN AMERICAN BUSINESSMAN AND A RELIGIOUS

                    LEADER.

                                 SO COLLEAGUES SHOULD ALSO BE REMINDED THAT TODAY IS

                    THE SECOND DAY -- SECOND SESSION DAY OF THE 18TH WEEK OF THE 244TH

                    LEGISLATIVE SESSION.  AND I JUST WANT TO PROVIDE SOME INFORMATION ON

                    OUR SCHEDULE FOR TODAY.  THERE IS AN -- A CALENDAR ON YOUR DESK AS WELL

                    AS AN A-CALENDAR.  NOW, MR. SPEAKER, I WOULD ASK IF YOU WOULD PLEASE

                    ADVANCE THE A-CALENDAR.

                                 ACTING SPEAKER AUBRY:  ON MRS.

                    PEOPLES-STOKES' MOTION, THE A-CALENDAR IS ADVANCED.

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  THANK YOU, MR.

                                          2



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    SPEAKER.  AFTER THERE ARE ANY INTRODUCTIONS AND/OR HOUSEKEEPING WE

                    ARE GOING TO TAKE UP RESOLUTIONS ON PAGE 3.  OUR BASIC WORK FOR TODAY

                    IS GOING TO BE TAKING UP TWO DEBATES, BOTH OF -- ARE BY OUR COLLEAGUE

                    MRS. GUNTHER.  ONE IS CALENDAR NO. 232 AND THE OTHER IS CALENDAR NO.

                    278.  WE WILL ALSO TAKE UP THE FOLLOWING BILLS LATER ON THE A-CALENDAR:

                    RULES REPORT NO. 65 BY MR. LAVINE AND RULES REPORT NO. 66 BY MS.

                    PAULIN.

                                 MR. SPEAKER, THAT'S THE GENERAL OUTLINE OF WHERE WE'RE

                    GOING TO BE GOING ON TODAY.  IF THERE ARE ANY INTRODUCTIONS OR

                    HOUSEKEEPING NOW WOULD BE A GREAT TIME.

                                 ACTING SPEAKER AUBRY:  THANK YOU, MRS.

                    PEOPLES-STOKES.  WE HAVE NEITHER INTRODUCTIONS NOR HOUSEKEEPING.

                    WE WILL GO DIRECTLY TO RESOLUTIONS ON PAGE 3.

                                 THE CLERK WILL READ.


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 233, MS.

                    HYNDMAN -- ON BEHALF OF MS. HYNDMAN AND THE ENTIRE QUEENS

                    DELEGATION.

                                 LEGISLATIVE RESOLUTION MEMORIALIZING GOVERNOR

                    ANDREW M. CUOMO TO PROCLAIM MAY 4, 2021 AS QUEENS DAY IN THE

                    STATE OF NEW YORK.

                                 ACTING SPEAKER AUBRY:  MS. HYNDMAN ON THE

                    RESOLUTION.

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

                    LAST SEVERAL YEARS WE HAVE BEEN CELEBRATING QUEENS DAY IN THIS -- IN

                    THIS ASSEMBLY CHAMBER, AND AS YOU KNOW, BECAUSE OF COVID THIS IS

                                          3



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THE SECOND DAY -- SECOND YEAR THAT WE'LL BE CELEBRATING IT REMOTELY.  WE

                    USUALLY CELEBRATE IT IN THE EGG.  THE BOROUGH OF QUEENS IS HOME TO

                    MORE THAN 2.3 MILLION PEOPLE.  IT IS THE MOST CULTURALLY-DIVERSE COUNTY

                    IN THE UNITED STATES.  AND IT HAS BECOME A TOURIST DESTINATION TO MANY,

                    FROM OUR AWESOME SURFING IN THE ROCKAWAYS TO THE SKYLINE VIEWS FROM

                    LONG ISLAND CITY.  WE ARE HOME TO THE OTHER CHINATOWN.  WE HAVE

                    LITTLE GUYANA, AS WELL AS MANY OTHER COMMUNITIES AND NEIGHBORHOODS.

                    WHERE ELSE CAN YOU GET CURRIED GOAT, PINE TARTS OR AREPAS WITHIN BLOCKS

                    OF EACH OTHER.  WE SPEAK OVER 138 LANGUAGES AND SPAN 150 COUNTIES.

                    OUR LANDMARKS ARE THE UNISPHERE - THE GLOBE IN FLUSHING MEADOW

                    PARK - THE U.S. TENNIS ASSOCIATION, THE RESORT -- RESORTS WORLD

                    CASINO AND THE NEW YORK METS.  WE ARE -- WE WERE THE HOME TO LOUIS

                    ARMSTRONG, MALCOLM X, COUNT BASIE, ELLA FITZGERALD, MILT HINTON,

                    FATS WALTER [SIC], LENA HORNE AND JOHN COLTRANE.  I COULD GO ON AND

                    ON ABOUT THE BOROUGH OF QUEENS.  BUT I WILL SAY FROM -- ON HALF OF THE

                    18-MEMBER DELEGATION OF QUEENS IN THIS ASSEMBLY, WE ENCOURAGE YOU

                    ALL TO VISIT THE WORLD'S BOROUGH, AND MAY THE 4TH BE WITH YOU.

                                 THANK YOU.

                                 ACTING SPEAKER AUBRY:  THANK YOU.

                                 ON THE RESOLUTION, ALL THOSE IN FAVOR SIGNIFY BY SAYING

                    AYE; OPPOSED, NO.  THE RESOLUTION IS ADOPTED.


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 234, MS.

                    BUTTENSCHON.

                                 LEGISLATIVE RESOLUTION MEMORIALIZING GOVERNOR

                    ANDREW M. CUOMO TO PROCLAIM MAY 4, 2021, AS TEACHER APPRECIATION

                                          4



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    DAY IN THE STATE OF NEW YORK.

                                 ACTING SPEAKER AUBRY:  MS. BUTTENSCHON ON

                    THE RESOLUTION.

                                 MS. BUTTENSCHON:  THANK YOU, MR. SPEAKER.

                    AS A FORMER ACADEMIC DEAN AND EDUCATOR, I UNDERSTAND THE HARD WORK,

                    STEADFAST ENTHUSIASM AND INNOVATIVE THINKING THAT ALL OF OUR EDUCATORS

                    PROVIDE TO ENSURE THAT OUR CHILDREN'S CREATIVITY AND CURIOSITY CONTINUES

                    TO DEVELOP AS THEY YEARN FOR A LIFELONG LEARNING OPPORTUNITY.  TEACHERS

                    ARE CENTRAL TO THE EXCELLENT EDUCATION THAT SO MANY HAVE RECEIVED

                    THROUGHOUT THE YEARS.  TODAY WE FOCUS ON APPRECIATING OUR EDUCATORS

                    AND TEACHERS THROUGHOUT THE STATE OF NEW YORK AND THIS FINE COUNTRY.

                    AS THE CONTRIBUTIONS THAT OUR EDUCATORS HAVE MADE, WILL MAKE A

                    DIFFERENCE THROUGHOUT A LIFETIME, I ASK MY COLLEAGUES TO JOIN ME AS WE

                    HONOR THOSE EDUCATORS TODAY AND ON FORWARD AS THEY DEAL WITH MANY

                    CHALLENGES THAT THE PANDEMIC HAS BROUGHT ON WITHIN THEIR CLASSROOMS

                    AND AS THEY HAVE TAUGHT REMOTELY, VIRTUALLY, AS WELL AS IN PERSON.

                                 THANK YOU, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  MR. LAWLER ON THE

                    RESOLUTION.

                                 MR. LAWLER:  THANK YOU, MR. SPEAKER.  I THANK

                    THE SPONSOR FOR PUTTING THIS RESOLUTION FORWARD.  ALL OF US HAVE BEEN

                    IMPACTED BY TEACHERS AT SOME POINT IN OUR -- IN OUR LIVES.  AND I JUST

                    WANT TO SHARE ONE WHO IMPACTED MY LIFE.  I'M A SEPTEMBER BIRTHDAY, SO

                    I WAS VERY YOUNG IN MY -- IN MY SECOND-GRADE CLASS.  AND MY TEACHER,

                    A RUSSIAN IMMIGRANT NAMED ANNA PETROFF, HAD SAID TO MY PARENTS THAT

                                          5



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    SHE THOUGHT WHILE I WAS SMART, I WAS VERY IMMATURE AND YOUNG AND

                    THAT IT WOULD DO ME A WORLD OF GOOD TO BE LEFT BACK AND REPEAT SECOND

                    GRADE.  AND SO MY PARENTS HAD TALKED ABOUT IT AND THOUGHT ABOUT IT, AND

                    THEY TOLD HER THAT THEY WOULD ONLY AGREE TO THAT IF SHE WOULD TEACH ME

                    AGAIN.  BUT THAT WAS NOT THE PROGRAM.  THEY WOULD -- I WOULD GET A

                    NEW TEACHER.  AND SO MY PARENTS SAID TO -- TO HER THAT, WELL THEN THEY

                    WOULDN'T AGREE TO IT.  AND SO ULTIMATELY SHE DID, IN FACT, TEACH ME AGAIN

                    AND MY PARENTS LEFT ME BACK.  AND IT WAS THE GREATEST THING THAT EVER

                    HAPPENED TO ME.  AND CERTAINLY I CAN SAY UNEQUIVOCALLY THAT I WOULDN'T

                    BE IN THIS BODY HAD THAT NOT OCCURRED.  AND -- AND SO I JUST -- I

                    HIGHLIGHT THAT STORY FOR YOU BECAUSE TEACHERS MATTER.  THEY MAKE A

                    DIFFERENCE IN PEOPLE'S LIVES.  AND IT'S IMPORTANT THAT EVERY CHILD HAVE

                    THE OPPORTUNITY TO A QUALITY EDUCATION AND TO HAVE THAT LEVEL OF

                    ATTENTION THAT A TEACHER CAN PROVIDE AND -- AND SEE THE POTENTIAL FOR A

                    CHILD IF -- IF GIVEN THE OPPORTUNITY.

                                 AND SO TODAY I SUPPORT THIS RESOLUTION, AND I WANT TO

                    RECOGNIZE MY SECOND-GRADE TEACHER WHO PASSED AWAY MANY, MANY

                    YEARS AGO, BUT WHO MADE A PROFOUND IMPACT ON MY LIFE, AND THANK ALL

                    THE TEACHERS ACROSS THE STATE OF NEW YORK FOR THE WORK THAT THEY DO TO

                    EDUCATE OUR CHILDREN AND PROVIDE THEM WITH THE OPPORTUNITY TO EXCEL

                    HERE IN THE STATE OF NEW YORK.  SO WITH THAT, MR. SPEAKER, I SUPPORT

                    THE RESOLUTION.

                                 ACTING SPEAKER AUBRY:  ON THE RESOLUTION, ALL

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

                    ADOPTED.

                                          6



                    NYS ASSEMBLY                                                          MAY 4, 2021


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 235, MR.

                    STIRPE.

                                 LEGISLATIVE RESOLUTION MEMORIALIZING GOVERNOR

                    ANDREW M. CUOMO TO PROCLAIM DECLARE MAY 2-8, 2021, AS SMALL

                    BUSINESS WEEK IN THE STATE OF NEW YORK.

                                 ACTING SPEAKER AUBRY:  MR. STIRPE ON THE

                    RESOLUTION.

                                 MR. STIRPE:  THANK YOU, MR. SPEAKER.  I'M CERTAIN

                    WE'LL ALL AGREE THAT THE PAST 14 MONTHS HAVE BEEN DISRUPTIVE FOR ALL OF

                    US, BUT FOR CERTAIN IT'S BEEN DEVASTATING FOR OUR SMALL BUSINESS

                    COMMUNITY.  NEW YORK'S SMALL BUSINESSES HAVE CONSTANTLY SHOWN THEIR

                    RESILIENCE, INNOVATION AND ADAPTABILITY TO KEEP MOVING FORWARD WHILE

                    EVERYTHING SEEMED STACKED AGAINST THEM.  THE ASSEMBLY HELD MULTIPLE

                    SMALL BUSINESS HEARINGS LAST SUMMER ACROSS THE STATE WHERE WE HEARD

                    ABOUT THE ENORMOUS DIFFICULTIES OUR SMALL BUSINESSES HAVE BEEN FACING

                    AND THE KINDS OF RELIEF THEY NEEDED TO KEEP GOING.  OUR SMALL

                    BUSINESSES WILL BE THE BACKBONE OF OUR STATE'S ECONOMIC RECOVERY.

                    THEIR PERSEVERANCE IS VITAL TO THE PROSPERITY AND VIBRANCY OF EVERY

                    COMMUNITY ACROSS NEW YORK NOW AND IN THE FUTURE.  PRIOR TO THE

                    PANDEMIC, NEW YORK'S SMALL BUSINESSES COMPOSED 96 PERCENT OF ALL

                    THE BUSINESSES OPERATING IN THE STATE, AND FROM THOSE BUSINESSES

                    EMPLOYED HALF OF ALL NEW YORKERS.  NEW YORK'S SMALL BUSINESSES ARE

                    ESSENTIAL TO OUR STATE'S ECONOMY, AND ALONG WITH A VARIETY OF OTHER

                    RESOURCES NEW YORK STATE EXPRESSED ITS DESIRE TO BOOST AND REBUILD OUR

                    STATE'S SMALL BUSINESSES BY ITS PASSAGE OF THE $1 BILLION SMALL BUSINESS

                                          7



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    COVID-19 RELIEF PROGRAM AS PART OF THE 2021-'22 BUDGET.  SMALL

                    BUSINESSES IN NEW YORK STATE HAVE GONE THROUGH ONE OF THE DARKEST

                    FINANCIAL CRISES IN HISTORY, BUT WITH THE ASSISTANCE OF BOTH FEDERAL AND

                    STATE RESOURCES WE WILL RECOVER AND THRIVE.

                                 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.


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 236, MRS.

                    BARRETT.

                                 LEGISLATIVE RESOLUTION MEMORIALIZING GOVERNOR

                    ANDREW M. CUOMO TO PROCLAIM MAY 4, 2021, AS VOLUNTEER

                    FIREFIGHTERS' APPRECIATION DAY IN THE STATE OF NEW YORK.

                                 ACTING SPEAKER AUBRY:  ON THE RESOLUTION,

                    MRS. BARRETT.

                                 MRS. BARRETT:  THANK YOU, MR. SPEAKER.  ON THE

                    RESOLUTION.  INTERNATIONAL FIREFIGHTERS' DAY HAS BEEN COMMEMORATED ON

                    MAY THE 4TH AROUND THE WORLD SINCE 1999 TO RECOGNIZE AND HONOR THE

                    SACRIFICES MADE BY FIREFIGHTERS WHO PUT THEIR LIVES ON THE LINE EVERY

                    DAY TO ENSURE THE SAFETY OF OUR COMMUNITIES.  TODAY, AS WE HAVE IN

                    RECENT YEARS, WE MEMORIALIZE THE GOVERNOR TO PROCLAIM VOLUNTEER

                    FIREFIGHTERS' APPRECIATION DAY IN THE STATE OF NEW YORK IN

                    CONJUNCTION WITH THE OBSERVANCE OF INTERNATIONAL FIREFIGHTERS' DAY.

                    WE IN THIS CHAMBER ALL KNOW THE VALUE AND WE VALUE THE WORK OF THE

                    NEARLY 100,000 VOLUNTEER FIREFIGHTERS, SOME OF WHOM ARE IN OUR

                                          8



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    CHAMBER, ARE OUR COLLEAGUES, WHO MAKE UP TWO-THIRDS OF THE ESTIMATED

                    1.2 MILLION FIREFIGHTERS ACROSS OUR STATE.  THESE ARE THE MEN AND

                    WOMEN WHO RUN TOWARDS THE FIRE WHO RESCUE OUR FAMILY PETS, OUR

                    FAMILY TREASURES AND OUR FAMILY MEMBERS WHEN WE ARE IN CRISIS.  AND

                    WHILE THEY ARE VOLUNTEERS IN THE SENSE THAT THEY'RE NOT PAID, THEY ARE

                    PROFESSIONALS WHO TRAIN, OFTEN AT THEIR OWN EXPENSE, SACRIFICE TIME WITH

                    FAMILY AND FRIENDS AND SERVE IN MANY, MANY CASES FOR DECADES AS WELL

                    AS FOR GENERATIONS.  WE SHOULD ALSO REMEMBER AS LEADERS OF THE GREAT

                    STATE OF NEW YORK THAT OUR VOLUNTEER FIREFIGHTERS SAVE TAXPAYERS SOME

                    $4 BILLION A YEAR IN SALARY AND BENEFITS.  AND IF THE FIRE COMPANIES WHO

                    STAFF THESE VOLUNTEERS WERE TO SWITCH TO AN ALL-PAID STAFF, PROPERTY TAXES

                    ACROSS THE STATE WOULD RISE ON AVERAGE 26.5 PERCENT TO COVER THE ADDED

                    COST.  TO THAT POINT, ONE OF THE GREATEST CHALLENGES IS TO ATTRACT AND

                    RETAIN THE NEXT GENERATION OF VOLUNTEERS TO BECOME PART OF OUR LOCAL FIRE

                    COMPANIES, WHICH HAS BECOME INCREASINGLY DIFFICULT ESPECIALLY IN RURAL

                    AREAS WHERE THE POPULATIONS ARE AGING AND PEOPLE OFTEN TRAVEL OUTSIDE

                    THEIR COMMUNITIES TO GO TO WORK EACH DAY.  NEW YORK VOLUNTEER

                    FIREFIGHTERS SERVE OUR GREAT STATE WITH PRIDE, VALOR AND INTEGRITY.  THEY

                    ARE UNWAVERING IN THEIR SUPPORT FOR OUR COMMUNITY AND GIVE THE

                    ULTIMATE SACRIFICE SO THAT OUR CONSTITUENTS MAY LIVE EVERY DAY FEELING

                    SECURE AND PROTECTED.  WE URGE ALL NEW YORKERS TO REMEMBER THOSE

                    WHO HAVE HEROICALLY SERVED OUR COMMUNITIES, THOSE WHO HAVE GIVEN

                    THEIR LIVES AND PRIORITIZED THE SAFETY AND WELL-BEING OF OUR CONSTITUENTS

                    ABOVE THEIR OWN.  WE RECOGNIZE AND THANK THEM AND THEIR FAMILIES WHO

                    IN THEIR WAY ALSO SERVE.

                                          9



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 PLEASE JOIN ME ON THIS RESOLUTION.  THANK YOU, MR.

                    SPEAKER, THANK YOU, MY COLLEAGUES.

                                 ACTING SPEAKER AUBRY:  THANK YOU, MRS.

                    BARRETT.

                                 MS. SILLITTI.

                                 MS. SILLITTI:  THANK YOU, MR. SPEAKER, AND THANK

                    YOU SO MUCH FOR THE SPONSOR FOR BRINGING THIS TO THE FLOOR TODAY.  I

                    WOULD LIKE TO EXPRESS MY DEEP SUPPORT AND APPRECIATION FOR THE

                    VOLUNTEER FIREFIGHTERS IN OUR COMMUNITY.  THESE VOLLIES HEROICALLY

                    SERVE BECAUSE THEY'RE DRIVEN BY PASSION FOR PROTECTING OTHERS AND

                    KEEPING OUR NEIGHBOR -- OUR NEIGHBORHOODS SAFE.  THIS RESOLUTION

                    ACTUALLY IS OF SPECIAL IMPORTANCE TO ME AS MY HUSBAND SERVED AS A

                    VOLUNTEER FIREFIGHTER IN THE MANHASSET-LAKEVILLE FIRE DEPARTMENT

                    COMPANY 1.  HIS FIRE DEPARTMENT SERVES THE COMMUNITY IN PROTECTING

                    RESIDENTS IN MANHASSET, GREAT NECK AND NORTH NEW HYDE PARK.  THE

                    VOLUNTEER FIREFIGHTERS WHO SERVE AT THIS DISTRICT AND ALL OTHER

                    DEPARTMENTS ACROSS MY DISTRICT, LONG ISLAND AND THE STATE ARE TRUE

                    HEROES WHO PUT THEIR COMMUNITY ABOVE THEMSELVES.  I'M SO TRULY

                    GRATEFUL TO ALL OF THEM.  ACROSS OUR GREAT STATE COUNTLESS LIVES HAVE

                    BEEN POSITIVELY -- POSITIVELY IMPACTED BY THESE LOCAL HEROES.

                                 I AM A PROUD COSPONSOR OF THIS RESOLUTION AND I CALL ON

                    EACH OF US TO EXPRESS OUR UTMOST APPRECIATION TO THE VOLUNTEER

                    FIREFIGHTERS IN OUR LIVES.  THANK YOU SO MUCH.

                                 ACTING SPEAKER AUBRY:  THANK YOU.

                                 MR. DESTEFANO.

                                         10



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MR. DESTEFANO:  THANK YOU, MR. SPEAKER, FOR THE

                    OPPORTUNITY TO SPEAK ON THIS RESOLUTION.  TODAY WE PAUSE AND

                    RECOGNIZE AND APPRECIATE THE NEW YORK'S ONE THOUSANDS AND THOUSANDS

                    OF VOLUNTEER FIREFIGHTERS IN NEW YORK STATE.  WHEN IT COMES TO

                    PROTECTING AND SERVING THEIR COMMUNITIES, THESE SELFLESS INDIVIDUALS DO

                    SO AND DO NOT EVEN PAUSE.  THESE ARE YOUR FRIENDS AND YOUR NEIGHBORS,

                    GIVING OF THEIR TIME TO SERVE THEIR COMMUNITIES, ALL WITHOUT A PAYCHECK.

                    WHEN THE ALARM RINGS, WHETHER IT BE IN THE MIDDLE OF THE NIGHT OR A

                    COLD WINTER MORNING, THEY WILL ANSWER.  MANY OF THESE BRAVE MEN AND

                    WOMEN HAVE MISSED MANY HOLIDAYS, INCLUDING CHRISTMASES AND

                    THANKSGIVING DINNERS WITH THEIR FAMILIES, SCHOOL PLAYS, COUNTLESS

                    SPORTING EVENTS.  AND WHILE THEIR CHILDREN WERE IN THESE PLAYS AND

                    WERE PARTICIPATING IN THESE SPORTING EVENTS, THEY MISSED THEM BECAUSE

                    THEY WENT TO THE CALL FOR HELP.  IF THEY HAVE TO RUSH INTO A BURNING

                    BUILDING TO SAVE A LIFE, THEY WILL DO SO.  YOU WILL SEE THEM MARCH

                    PROUDLY IN THE MEMORIAL DAY PARADES, FOURTH OF JULY PARADES.  AND IF

                    THERE'S AN OPPORTUNITY TO PROMOTE FIRE SAFETY, AS WE SEE MANY TIMES IN

                    THE MONTH OF OCTOBER DURING FIRE PREVENTION MONTH, THEY SHOW THE

                    KIDS HOW TO USE SMOKE ALARMS AND AWARENESS IN THE SCHOOLS AND GIVE

                    FREELY OF THEIR TIME AND ENERGY, ALL WITHOUT A PAYCHECK.  I HAVE WORKED

                    ALONGSIDE THESE DEDICATED VOLUNTEERS FOR OVER 40 YEARS IN THE MEDFORD

                    FIRE DEPARTMENT IN SUFFOLK COUNTY.  I KNOW FULL WELL THE COMMITMENT

                    AND SACRIFICE IT TAKES TO DRIVE A FIRE ENGINE, A RESCUE TRUCK, A TOWER

                    LADDER AND EVEN A BRUSH TRUCK.  AND ENCOURAGE THAT THE -- WHEN WE --

                    WHEN WE ALL GO OUT IN THESE FIRE ALARMS AND THINGS LIKE THAT, YOU WILL

                                         11



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    SEE THAT THE SELFLESSNESS OF THESE INDIVIDUALS AND THE TIME THEY SPEND

                    AWAY DURING THESE EVENTS IS -- IS UNREMARKABLE.  WHEN YOU CALL ON

                    THEM, THEY WILL COME.  THEY -- THEY DON'T ASK IF YOU'RE A REPUBLICAN OR

                    A DEMOCRAT OR AN INDEPENDENT OR ANYTHING LIKE THAT.  THEY WILL SHOW

                    UP BECAUSE THAT'S THEIR JOB, TO PROTECT LIFE AND PROPERTY IN THEIR

                    COMMUNITIES.

                                 TO THE VOLUNTEER FIREFIGHTERS OF THE STATE OF NEW

                    YORK, I SAY THANK YOU.  THIS IS YOUR DAY, AND YOU DESERVE ALL THE

                    RECOGNITION YOU WILL RECEIVE SO HUMBLY.  I WOULD LIKE TO THANK THE

                    SPONSOR OF THIS RESOLUTION FOR BRINGING IT TO THE FLOOR, AND I

                    ENTHUSIASTICALLY SUPPORT IT AND ENCOURAGE MY COLLEAGUES TO DO THE

                    SAME.

                                 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.


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 237, MS.

                    LUPARDO.

                                 LEGISLATIVE RESOLUTION MEMORIALIZING GOVERNOR

                    ANDREW M. CUOMO TO PROCLAIM MAY 2021, AS MOTORCYCLE SAFETY AND

                    AWARENESS MONTH 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.

                                 PAGE 19, CALENDAR NO. 232, THE CLERK WILL READ.

                                         12



                    NYS ASSEMBLY                                                          MAY 4, 2021


                                 THE CLERK:  ASSEMBLY NO. A00108-B, CALENDAR

                    NO. 232, GUNTHER, GOTTFRIED, PEOPLES-STOKES, BARRETT, L. ROSENTHAL,

                    BRONSON, COLTON, BENEDETTO, CRUZ, MAGNARELLI, WEPRIN, J. RIVERA, FALL,

                    AUBRY, OTIS, STECK, SANTABARBARA, ZEBROWSKI, ABINANTI, BARRON,

                    SEAWRIGHT, WALKER, BICHOTTE HERMELYN, RICHARDSON, HYNDMAN,

                    PICHARDO, JOYNER, JEAN-PIERRE, ROZIC, KIM, HEVESI, O'DONNELL, DILAN,

                    DAVILA, HUNTER, WILLIAMS, CARROLL, WOERNER, PHEFFER AMATO, JONES,

                    VANEL, NIOU, TAYLOR, DINOWITZ, DICKENS, WALLACE, REYES, STERN,

                    SAYEGH, JACOBSON, MCMAHON, ABBATE, CAHILL, FERNANDEZ, FRONTUS,

                    EPSTEIN, BUTTENSCHON, RAMOS, DARLING, BRAUNSTEIN, DE LA ROSA,

                    GRIFFIN, QUART, MCDONALD, ENGLEBRIGHT, GALLAGHER, BURKE, KELLES,

                    CYMBROWITZ, CLARK, MEEKS, BRABENEC, SMITH, MONTESANO, SALKA,

                    SCHMITT, MORINELLO, B. MILLER, ASHBY, M. MILLER, DESTEFANO, FORREST,

                    GONZÁLEZ-ROJAS, BURDICK, MAMDANI, MITAYNES, CONRAD, CUSICK,

                    ANDERSON, ZINERMAN, LAWLER, LUNSFORD, PERRY, STIRPE, WEINSTEIN,

                    LAVINE, BARNWELL.  AN ACT TO AMEND THE PUBLIC HEALTH LAW, IN RELATION

                    TO ESTABLISHING CLINICAL STAFFING COMMITTEES.

                                 ACTING SPEAKER AUBRY:  AN EXPLANATION IS

                    REQUESTED, MRS. GUNTHER.

                                 MRS. GUNTHER:  THIS BILL WOULD REQUIRE EACH

                    GENERAL HOSPITAL TO ESTABLISH A CLINICAL STAFFING COMMITTEE BY JANUARY 1,

                    2022.  THE COMMITTEES WOULD BE CHARGED WITH CREATING A CLINICAL

                    STAFFING PLAN FOR EACH HOSPITAL.  THE PLANS --

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER, I DON'T

                    -- PLEASE PULL YOUR MIC UP.

                                         13



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MRS. GUNTHER:  SORRY.

                                 ACTING SPEAKER AUBRY:  THANK YOU SO MUCH.

                    WE WANT TO HEAR YOU.

                                 MRS. GUNTHER:  SHOULD I START AGAIN, OR...  OKAY,

                    THANK YOU.  I WANTED TO DO THAT ANYWAY.  THIS BILL WOULD REQUIRE EACH

                    GENERAL HOSPITAL TO ESTABLISH A CLINICAL STAFFING COMMITTEE BY JANUARY

                    1ST OF 2022.  THE COMMITTEE WOULD BE CHARGED WITH CREATING A CLINICAL

                    STAFFING PLAN FOR THEIR HOSPITAL.  THE PLANS MUST BE IMPLEMENTED BY

                    JANUARY 2023.  THE COMMITTEES MUST CONSIDER CERTAIN FACTORS SPECIFIC

                    TO EACH HOSPITAL, SUCH AS THE CENSUS, THE ACUITY AND THE AVAILABILITY OF

                    EXPERIENCED STAFF WHEN DETERMINING THE RATIO.  THE PLANS ALSO MUST

                    CONSIDER UNFORESEEABLE CIRCUMSTANCES SUCH AS A STATE OF EMERGENCY

                    AND THE HOSPITAL'S FINANCES AND RESOURCES.  THIS BILL WOULD ALSO REQUIRE

                    HOSPITALS TO PUBLICLY DISCLOSE INFORMATION REGARDING STAFFING IN A

                    MANNER WHICH IS VISIBLE AND ACCESSIBLE.  AN INDEPENDENT ADVISORY

                    COMMITTEE CONSISTING OF EXPERTS ON STAFFING STANDARDS AND PATIENT

                    QUALITY CARE WOULD BE ESTABLISHED TO EVALUATE AND REPORT TO THE

                    LEGISLATURE ON THE EFFECTIVENESS OF THE CLINICAL STAFFING COMMITTEES.

                                 ACTING SPEAKER AUBRY:  MR. GOODELL.

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

                    THE SPONSOR YIELD?

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER, WILL

                    YOU YIELD?

                                 MRS. GUNTHER:  YES.

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER YIELDS.

                                         14



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MR. GOODELL:  THANK YOU VERY MUCH, MRS.

                    GUNTHER.  AS YOU KNOW, WE'VE CONSIDERED SAFE STAFFING BILLS SEVERAL

                    TIMES IN THE PAST.

                                 MRS. GUNTHER:  YES, WE HAVE.

                                 MR. GOODELL:  THIS BILL IS SIGNIFICANTLY DIFFERENT

                    THAN MANY OF THE ONES WE'VE SEEN IN THE PAST.  HOW -- CAN YOU EXPLAIN

                    WHY THESE CHANGES OCCURRED?  WHERE THEY A PART OF THE NEGOTIATIONS

                    WITH --

                                 MRS. GUNTHER:  SO, AS BEFORE WE WERE MANDATING

                    STAFFING RATIOS.  NOW WE'RE ACTUALLY CREATING CLINICAL COMMITTEES TO BE

                    ABLE TO LOOK AT EACH HOSPITAL INDIVIDUAL -- INDIVIDUALLY, AND ALSO EACH

                    UNIT TO PROVIDE THE APPROPRIATE STAFFING.  SO IT'S DIFFERENT THAN THE LAST

                    TIME.

                                 MR. GOODELL:  AND I -- I MIGHT ADD FROM MY

                    PERSPECTIVE, I -- I APPRECIATE THAT ADDITIONAL FLEXIBILITY BECAUSE AS WE

                    KNOW, WE HAVE GENERAL HOSPITALS THAT -- THAT VARY WIDELY IN TERMS OF

                    THEIR ACUITY, THEIR STAFFING, THEIR MISSION.  ANYWHERE IN MY COUNTY I

                    HAVE A VERY, VERY SMALL ONE TO A MUCH LARGER REGIONAL ONE.

                                 MRS. GUNTHER:  CORRECT.

                                 MR. GOODELL:  AND SO I APPRECIATE THAT FLEXIBILITY.

                    I HAD A COUPLE OF QUESTIONS ON SOME OF THE SPECIFIC PROVISIONS.  I NOTE

                    THAT THE CLINICAL STAFFING COMMITTEE IS COMPOSED HALF OF STAFF AND HALF

                    OF ADMINISTRATION.  AND YOU MENTIONED SPECIFICALLY THAT THE

                    MEMBERSHIP INCLUDES REGISTERED NURSES, LICENSED PRACTICAL NURSES AND

                    ANCILLARY MEMBERS WHO ARE DEFINED AS INCLUDING, BUT NOT LIMITED TO,

                                         15



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    PATIENT CARE TECHNICIANS, CERTIFIED NURSING ASSISTANTS AND OTHER NON-

                    LICENSED STAFF ASSISTING WITH NURSING OR CLERICAL TASKS.  WOULD THAT

                    INCLUDE, FOR EXAMPLE, RESPIRATORY THERAPISTS?

                                 MRS. GUNTHER:  IT -- IT CERTAINLY WOULD INCLUDE

                    THAT.  AND I THINK BY HAVING SUCH A MIXTURE OF HEALTHCARE WORKERS, I

                    THINK THAT THE OUTCOMES WILL BE SO MUCH BETTER.

                                 MR. GOODELL:  I AGREE.

                                 MRS. GUNTHER:  BECAUSE WE'RE ALL PART OF -- YOU

                    KNOW, I'VE BEEN WORKING IN THE HOSPITAL SINCE THE PANDEMIC BEGAN,

                    VOLUNTARILY.  BUT IT TAKE -- IT TAKES A FAMILY AND IT TAKES -- IT TAKES ALL OF

                    US TO WORK TOGETHER AND THAT'S WHY WE'RE ALL INVOLVED.

                                 MR. GOODELL:  WOULD THAT ALSO INCLUDE DIETITIANS,

                    FOR EXAMPLE?

                                 MRS. GUNTHER:  YES.  YES, IT WOULD.  AND YOU

                    KNOW WHAT.  I THINK THAT BY INCLUDING EVERYBODY WE'LL GET A BETTER

                    PRODUCT.

                                 MR. GOODELL:  I ABSOLUTELY AGREE.

                                 NOW, AS I UNDERSTAND IT, THIS REPORT HAS TO BE UPDATED

                    ANNUALLY BUT IS REVIEWED SEMI-ANNUALLY, IS THAT CORRECT?

                                 MRS. GUNTHER:  YES.  YES.

                                 MR. GOODELL:  AND IF FOR SOME REASON THEY DON'T

                    REACH A CONSENSUS ON A PARTICULAR ISSUE, THE FINAL DECISION IS MADE BY

                    THE CHIEF EXECUTIVE OFFICER, IS THAT CORRECT?

                                 MRS. GUNTHER:  YES.  SO, THE ADMINISTRATION

                    WOULD GET INVOLVED.  AND, YOU KNOW, I -- I'M WORKING IN HOSPITALS.

                                         16



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THEY -- THEY ALWAYS HAVE BEEN INVOLVED, AND WE CERTAINLY RESPECT THEIR

                    INPUT.

                                 MR. GOODELL:  ON THE -- THE BILL REQUIRES THE

                    POSTING OF STAFF INFORMATION IN A PUBLICLY-CONSPICUOUS MANNER.  AND

                    THAT I FOUND JUST A LITTLE CURIOUS BECAUSE IF YOU'RE IN A LARGE HOSPITAL THE

                    STAFFING COULD BE QUITE SIGNIFICANT.  I MEAN, YOU COULD BE TALKING

                    HUNDREDS AND HUNDREDS OF PEOPLE.  HOW DID YOU ENVISION THAT WOULD

                    OCCUR?

                                 MRS. GUNTHER:  I -- I THINK THAT WITHIN EACH UNIT I

                    THINK THAT THEY WOULD DO PER SHIFT, 12-HOUR SHIFT OR 8-HOUR SHIFT,

                    DEPENDING, AND THEY WOULD JUST BE -- BE ABLE TO POST IT SO THAT PEOPLE,

                    FAMILY MEMBERS AND PATIENTS THEMSELVES WOULD BE ABLE TO SEE WHAT

                    KIND OF STAFFING IS IN THAT PARTICULAR HOSPITAL.

                                 MR. GOODELL:  NOW, YOU MENTIONED IN YOUR

                    EXPLANATION THAT IN DEVELOPING THIS STAFFING PLAN THE COMMITTEE IS

                    ADVISED TO LOOK AT A NUMBER OF DIFFERENT FACTORS, AND NOT JUST THE

                    CENSUS BUT THE ACUITY, THE TYPE OF HOSPITAL.  BUT ALSO FINANCIAL ISSUES,

                    RIGHT?  AND IF THERE IS A CONCERN OF WHETHER OR NOT THEY'RE FOLLOWING

                    THEIR PLAN, AM I CORRECT THAT THE DEPARTMENT OF HEALTH COULD ALSO LOOK

                    AT THOSE FACTORS, THE SAME FACTORS?

                                 MRS. GUNTHER:  YES.  YES, THEY CAN.

                                 MR. GOODELL:  AND I SEE YOU PROVIDED AN EXPLICIT

                    EXCEPTION FOR COMPLIANCE WITH THE PLAN IN THE EVENT OF AN UNFORESEEN

                    EMERGENCY CIRCUMSTANCE.

                                 MRS. GUNTHER:  IN EMERGENCY -- AN EMERGENT

                                         17



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    SITUATION.

                                 MR. GOODELL:  I SAW THAT ONE OF THE CRITERIA THE

                    COMMISSION WAS TO REVIEW WAS HOW OTHER STATES HAVE APPROACHED THE

                    STAFFING ISSUES.

                                 MRS. GUNTHER:  YES.

                                 MR. GOODELL:  AND OF COURSE FOR MY SMALLEST

                    HOSPITAL THEY'RE LIKE, WHAT DO YOU MEAN?  HOW AM I GOING TO DO THAT?

                    BUT I SEE YOU ALSO PUT IN AN ADVISORY COMMITTEE, PRESUMABLY ON THE

                    STATE LEVEL, TO HELP IN THAT ANALYSIS.

                                 MRS. GUNTHER:  YES.  YES.  AND ALSO CRITICAL

                    ACCESS HOSPITALS HAVE SPECIAL CONSIDERATION.  WE HAVE A CRITICAL ACCESS

                    HOSPITAL IN CALLICOON, NEW YORK, AND SO THEY WILL HAVE -- YOU KNOW,

                    THEY WILL BE AN EXCEPTION AND THEY WILL HAVE SPECIAL -- SPECIAL

                    CONSIDERATION.  YEAH, I'M LOSING MY WORDS.  I CAN'T STAND TALKING WITH

                    THIS THING ON MY FACE.  IT'S DIFFICULT.  IT DOESN'T LET MY BRAIN GET OXYGEN.

                                 MR. GOODELL:  I -- I -- I CAN CERTAINLY RELATE

                    BECAUSE I ALSO WEAR ONE, AND -- AND I APPRECIATE VERY MUCH YOUR

                    COMMENTS.  THANK YOU VERY MUCH, MRS. GUNTHER.

                                 ON THE BILL, SIR.

                                 ACTING SPEAKER AUBRY:  ON THE BILL, MR.

                    GOODELL.

                                 MR. GOODELL:  I VERY MUCH APPRECIATE THE -- THE

                    WORK THAT'S BEEN DONE BY THE SPONSOR IN MODIFYING THIS PLAN.  THE

                    ORIGINAL STAFFING BILL THAT WE -- WE SAW AND THAT WE'VE DEBATED FOR

                    MANY YEARS WAS IN MANY RESPECTS VERY INFLEXIBLE BECAUSE IT HAD VERY

                                         18



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    SPECIFIC RATIOS SET FORTH IN LAW, AND THERE WAS A LOT OF CONCERN RAISED

                    THAT THOSE RATIOS MIGHT BE TOO LOW FOR SOME HOSPITALS AND TOO HIGH FOR

                    OTHERS.  AND THERE WAS A CONCERN THAT IF YOU DIDN'T MEET A PARTICULAR

                    STATUTORY RATIO THAT A HOSPITAL COULD INCUR LIABILITY EVEN IN AN

                    EMERGENCY OR IN UNUSUAL CIRCUMSTANCES WHERE THE EMERGENCY ROOM

                    MIGHT BE OVERWHELMED, FOR EXAMPLE, IF THERE WAS A CATASTROPHIC

                    ACCIDENT ON A NEARBY HIGHWAY.  ALL THOSE ISSUES HAVE BEEN ADDRESSED

                    IN THIS LEGISLATION.  CERTAINLY, THERE WILL BE SOME MEMBERS WHO ARE

                    CONCERNED THAT WE'RE GOING DOWN A SLIPPERY SLOPE BY TRANSFERRING, IF

                    YOU WILL, MANAGEMENT CONTROL OVER TO A COMMITTEE, PARTICULARLY SINCE

                    THE COMMITTEE MEMBERS ARE ALL PAID WHILE THEY'RE MEETING AND THERE'S

                    NO RESTRICTION ON HOW LONG THEY CAN MEET OR HOW OFTEN.  BUT I THINK

                    THERE'S A SINCERE AND CONSIDERATE EFFORT TO REACH A BALANCED APPROACH TO

                    ADDRESSING STAFFING NEEDS THAT INCLUDES A WIDE RANGE OF EMPLOYEES

                    FROM DIFFERENT PERSPECTIVES, BECAUSE CERTAINLY ON EARLIER BILLS THERE WAS

                    A CONCERN IF YOU ONLY RAISE NURSES YOU MIGHT LOSE TECHNICIANS OR

                    RESPIRATORY THERAPISTS OR OTHERS.  BUT THEY'RE ALL INCLUDED IN THIS, AND AS

                    A RESULT I THINK IT'S A MUCH STRONGER AND A MUCH BETTER BILL AND IT HAS

                    MY SUPPORT.

                                 THANK YOU, SIR.

                                 ACTING SPEAKER AUBRY:  THANK YOU, MR.

                    GOODELL.

                                 MR. SALKA.

                                 MR. SALKA:  THANK YOU, MR. SPEAKER.  WOULD THE

                    SPONSOR YIELD FOR A QUESTION OR TWO?

                                         19



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER, WILL

                    YOU YIELD?

                                 MRS. GUNTHER:  YES.

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER YIELDS.

                                 MR. SALKA:  THANK YOU.  AND -- AND THANKS FOR THIS

                    BILL.  JUST A COUPLE QUESTIONS HERE.  NOW, WE'VE BEEN -- WE'RE -- WE'RE

                    -- WE'VE BEEN IN THE BUSINESS.  AND WOULD YOU AGREE THAT THE KEY

                    COMPONENT TO THIS WHOLE PLAN IS TO MAKE SURE THAT WE HAVE, IN FACT,

                    HAVE THE STAFF AVAILABLE TO MEET THOSE -- THOSE EVER-CHANGING NEEDS

                    ACCORDING TO ACUITY AND -- AND PATIENT POPULATION AND ALL THAT?

                                 MRS. GUNTHER:  I ABSOLUTELY DO.  I THINK THAT THIS

                    REALLY -- IT WILL IMPROVE THE QUALITY OF CARE THAT PATIENTS GET.

                                 MR. SALKA:  AND -- AND -- AND I AGREE.  I'M -- I'M

                    SURE YOU'RE WELL AWARE OF HOW LONG IT TAKES TO TRAIN A GOOD NURSE, TO

                    TRAIN A GOOD THERAPIST, TO TRAIN A GOOD -- A GOOD PHLEBOTOMIST.  IT JUST

                    DOESN'T TAKE THE EDUCATION, THE FORMAL EDUCATION, IT TAKES A LOT OF

                    HANDS-ON EXPERIENCE, A LOT OF PATIENT CARE.  DO YOU THINK WE HAVE A

                    POOL OF NURSES IN NEW YORK STATE THAT WOULD, IN FACT, BE ABLE TO FIT THE

                    NEED FOR, OBVIOUSLY, BETTER STAFFING FOR THE HOSPITALS, WHICH OF COURSE I

                    AGREE WITH.  BUT I GUESS IT GOES BACK TO THE -- THE BOTTOM LINE IS WE SAW

                    HOW IN THE PANDEMIC HOW THE EXISTING POOL OF NURSES THAT WE HAD

                    WASN'T QUITE ENOUGH AND WE HAD TO ACTUALLY IMPORT NURSES AND -- AND

                    THERAPISTS.  DO YOU THINK -- ARE YOU CONFIDENT THAT WE HAVE THE

                    AVAILABLE STAFF POOL OF PROFESSIONALS IN NEW YORK STATE TO BE ABLE TO

                    IMPLEMENT THESE, YOU KNOW, THESE REQUIREMENTS?

                                         20



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MRS. GUNTHER:  WELL, YOU KNOW WHAT I WOULD

                    SAY IS THAT I REPRESENT ORANGE COUNTY COMMUNITY COLLEGE AND ALSO

                    SULLIVAN COUNTY COMMUNITY COLLEGE, AND THE WAITING LIST IN ORANGE

                    COUNTY COMMUNITY COLLEGE IS OVER 200.  SO MY THOUGHT INTO THE

                    FUTURE IS THERE ARE MANY PEOPLE THAT WANT TO BE RESPIRATORY THERAPISTS, P

                    -- OT, PT, AND WE HAVE TO EXPAND THAT EDUCATION IN NEW YORK STATE.

                    AND I KNOW THAT THERE -- MY ORANGE COUNTY COMMUNITY COLLEGE

                    PRESIDENT SAID THERE'S OVER 200.  SO RIGHT NOW I THINK WE SHOULD

                    PREPARE FOR THE FUTURE.  I THINK THAT THERE ARE MANY PEOPLE -- RIGHT NOW

                    THAT OUR HOSPITALS ARE STAFFED.  THEY COULD OCCASIONALLY NEED MORE.  WE

                    ALSO HAVE PEOPLE THAT COME FROM OTHER COUNTRIES AND WE STAFF OUR

                    HOSPITALS WITH PEOPLE THAT DECIDE TO COME AND -- AND PRACTICE IN -- IN

                    THE UNITED STATES.  SO I THINK AS WE GO FORWARD I THINK PREPARATION IS

                    NECESSARY, AND I THINK THERE ARE THOSE PEOPLE THAT ARE DYING TO GET INTO

                    THESE PROGRAMS TO BE ABLE TO SERVE OUR COMMUNITY.

                                 MR. SALKA:  THAT'S GREAT TO HEAR AND I'M

                    ENCOURAGED BY THAT.  I KNOW FROM A PERSONAL EXPERIENCE WHEN I WAS

                    THE DIRECTOR OF THE CARDIAC LAB AND RESPIRATORY THERAPY SERVICES, WHEN I

                    TRIED TO FIND A CARDIAC NURSE OR A RESPIRATORY THERAPIST IT WAS A REAL

                    TOUGH CALL.  YOU KNOW, A LOT OF THESE PROFESSIONALS HAVE LEFT NEW YORK

                    STATE ALONG WITH A LOT OF OTHER PROFESSIONS, AND I'M HOPING THAT -- THAT

                    WE CAN -- WE CAN RETAIN THE NURSES THAT WE ARE TRAINING TO STAY IN NEW

                    YORK STATE.

                                 THANK YOU FOR TIME.

                                 MRS. GUNTHER:  I THINK WE'RE TRYING TO INCREASE

                                         21



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    SALARIES IN MANY OF THESE PROFESSIONS TO PREVENT THE BURNOUT, AND I

                    THINK THAT WE'RE DOING EVERYTHING TO IMPROVE THE WORKPLACE FOR PEOPLE

                    THAT ARE IN THE MEDICAL FIELD AND I THINK THAT WE ARE VERY COGNIZANT OF

                    THE NEEDS AND WE'RE WORKING TOWARDS THAT GOAL.

                                 MR. SALKA:  GREAT.  AND IT'S A GREAT GOAL TO WORK

                    TOWARD.  YOU KNOW, THERE'S SOMETHING THAT WE ALL KNOW ABOUT PEOPLE

                    IN THE MEDICAL PROFESSION.  IT'S A CLOSE COMMUNITY, AND A LOT OF TIMES

                    YOU MIGHT NOT TAKE THAT JOB PHYSICALLY HOME WITH YOU BUT YOU TAKE IT

                    HOME WITH WHAT YOU CARRY ON IN YOUR MIND THAT YOU'VE SEEN, YOU

                    KNOW, THROUGHOUT THE DAY.  BUT I WANT TO THANK YOU FOR THIS BILL AND

                    THOSE -- AND THOSE QUESTIONS ANSWERED.

                                 MR. SPEAKER, ON THE BILL.

                                 ACTING SPEAKER AUBRY:  ON THE BILL, MR.

                    SALKA.

                                 MR. SALKA:  MR. SPEAKER, I'M ENCOURAGED BY

                    SEVERAL COMPONENTS OF THIS BILL THAT ALLOW FOR THE INPUT OF NOT ONLY

                    NURSES, BUT ANCILLARY STAFF OF WHICH I WAS A MEMBER OF FOR MANY YEARS.

                    BECAUSE WE ALWAYS HAD A LOT TO SAY AND BECAUSE WE'RE DIRECTLY

                    HANDS-ON PROVIDERS, I THINK OUR INPUT IS IMPORTANT, EVEN DOWN AS FAR AS

                    HOUSEKEEPING AND DIETARY.  THESE ARE THE PEOPLE THAT STAFF OUR

                    HOSPITALS, THAT MAKE THAT ALL-IMPORTANT JOB SO MUCH -- SO MUCH MORE

                    VALUABLE TO THE PEOPLE THAT -- THAT WE -- WE ARE TAKING CARE OF.

                                 SO I WANT TO -- I WANT TO THANK THE SPONSOR FOR THIS.  I

                    DO HAVE THOSE CONCERNS ABOUT STAFFING, AND OBVIOUSLY SHE IS PART OF AN

                    INCREASING NUMBER OF PEOPLE IN THE BUSINESS THAT REALIZED THAT WE HAVE

                                         22



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    TO MAKE NEW YORK STATE A BETTER PLACE TO STAY AND TO WORK, AND I WANT

                    TO THANK HER FOR THESE EFFORTS AND WITH THAT I PROBABLY WILL BE

                    SUPPORTING THIS BILL.

                                 THANK YOU.

                                 ACTING SPEAKER AUBRY:  THANK YOU, SIR.

                                 MR. FITZPATRICK.

                                 MR. FITZPATRICK:  THANK YOU, MR. SPEAKER.

                    WOULD THE SPONSOR YIELD FOR A COUPLE OF QUESTIONS?

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER, WILL

                    YOU YIELD?

                                 MRS. GUNTHER:  YES.

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER YIELDS,

                    SIR.

                                 MR. FITZPATRICK:  THANK YOU, AILEEN.  I HAVE A

                    QUESTION ABOUT, YOU KNOW, THIS -- THIS -- THE LARGER HOSPITAL CHAINS, THE

                    NORTHWELLS, THE COLUMBIA-CORNELLS, ET CETERA, THEY PROBABLY WOULD NOT

                    HAVE ANY DIFFICULTY MANAGING, YOU KNOW, THIS -- THIS LEGISLATION.  BUT

                    WHAT ABOUT SMALLER HOSPITAL CHAINS, MAYBE LIKE CATHOLIC HEALTH ON

                    LONG ISLAND AND OTHERS, IF YOU HAVE A SITUATION WHERE THEY MAY NOT BE

                    ABLE TO MEET THE DEMANDS OF -- OF SOME OF THESE -- OF THIS LEGISLATION?

                    AND IS THERE -- IS THERE AN APPEAL PROCESS?

                                 MRS. GUNTHER:  SO, YOU CAN TAILOR THIS TO THE, YOU

                    KNOW, THE -- THE -- THE -- EACH HOSPITAL.  THE NEEDS -- AND I MEAN,

                    YOU'RE GOING TO ASSESS THE NEEDS AND THEY TAILOR IT TO THOSE NEEDS.  IF IT'S

                    AN EMERGENT SITUATION AND THEY CAN'T GET ANY HELP AND, YOU KNOW,

                                         23



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THERE'S NOT SOMEBODY AVAILABLE, I MEAN, THEY DO HAVE TO TAILOR IT AND TRY

                    TO DO THE VERY BEST THEY CAN TO MAKE SURE THAT THEY HAVE APPROPRIATE

                    STAFFING.  AND, YOU KNOW, WE'VE DONE THAT IN THE PAST BUT RIGHT NOW WE

                    KNOW THAT, YOU KNOW, THOSE INCREASES ARE SO NECESSARY.

                                 MR. FITZPATRICK:  OKAY.  THE -- WE -- THIS -- THIS

                    LEGISLATION HAS BEEN AGGRESSIVELY PURSUED BY THE NEW YORK STATE

                    NURSES ASSOCIATION, CORRECT?

                                 MRS. GUNTHER:  YES, IT HAS.  AND 1199 AND CWA.

                    ALL OF THOSE FOLKS, MOSTLY WOMEN, INVOLVED IN THE NURSING PROFESSION

                    AND THE MEDICAL PROFESSION.  SO, YES.  WE'VE ALL BEEN TALKING AND

                    NEGOTIATING.  AND I THINK THAT TO GIVE KUDOS TO THEM WHEN THEY'VE DONE

                    A WONDERFUL JOB AND THAT, YOU KNOW, THEY UNDERSTAND SOME OF THE

                    DIFFICULTIES AND THEY CERTAINLY HAVE WORKED WITH US.

                                 MR. FITZPATRICK:  SO, DO WE -- DO WE HAVE A

                    NUMBER OR AN ESTIMATE?

                                 MRS. GUNTHER:  OH, BY THE WAY, I FORGOT TO SAY

                    GREATER NEW YORK ALSO WORKED WITH US, TOO.  THEY WERE GREAT

                    PARTNERS.

                                 MR. FITZPATRICK:  OKAY.  THANK YOU.  DO WE

                    HAVE ANY ESTIMATE OR GUESSTIMATE OF HOW MANY NEW EMPLOYEES OR NEW

                    MEMBERS WOULD BE REQUIRED OR ANTICIPATED UNDER THIS BILL?

                                 MRS. GUNTHER:  WE'RE -- WE'RE DEVELOPING THE

                    PLANS.  AFTER WE PASS THIS LEGISLATION WE'LL START DEVELOPING THE PLANS,

                    AND THEN WE'LL HAVE A BETTER UNDERSTANDING ABOUT THE STAFFING ON EACH

                    UNIT AND WITHIN EACH HOSPITAL.

                                         24



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MR. FITZPATRICK:  OKAY.  AND DO WE -- ANY

                    ESTIMATE OF WHAT ROUGHLY WHAT A MEMBER OF THE NURSES ASSOCIATION OR

                    1199, WHAT IS THE AVERAGE PERCENTAGE OF THEIR PAY THAT THEY GIVE TO THE

                    UNION?

                                 MRS. GUNTHER:  YOU KNOW, I NEVER ASKED THAT

                    QUESTION, TO BE HONEST WITH YOU.  AND I FORGET WHAT I USED TO PAY WHEN

                    I WAS A NURSE.  I DON'T REMEMBER.  BUT, YOU KNOW, THEY DO A LOT WITH

                    THEIR MONEY.  THEY DO EDUCATION AND THEY MAKE SURE, YOU KNOW...  SO I

                    -- I WOULD GIVE THE 1199 OR THE NYSNA A CALL AND ASK THEM BECAUSE I

                    NEVER ASKED THAT.

                                 MR. FITZPATRICK:  VERY GOOD.  THANK YOU,

                    AILEEN.  THANK YOU, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  MR. MANKTELOW.

                                 MR. MANKTELOW:  THANK YOU, MR. SPEAKER.

                    WOULD THE SPONSOR YIELD FOR ONE QUESTION, PLEASE?

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER, WILL

                    YOU YIELD?

                                 MRS. GUNTHER:  I'M NOT WALKING WITH YOU

                    ANYMORE IN THE MORNING.

                                 (LAUGHTER)

                                 MR. MANKTELOW:  WOW.  AND I WAS REALLY GOING

                    TO BE NICE THIS TIME.  THANK YOU, MADAM GUNTHER.  JUST ONE QUICK

                    QUESTION.  AS I WAS READING PARTS OF THE BILL, THE CHIEF EXECUTIVE

                    OFFICER HAS THE FINAL SAY, IS THAT CORRECT, IN THIS?

                                 MRS. GUNTHER:  YES, THEY'RE INVOLVED IN ALL OF

                                         25



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THESE NEGOTIATIONS.  THERE'S A -- WE LIKE THE WORD "CONSENSUS."

                                 MR. MANKTELOW:  OKAY.  SO IF PART OF THE PLAN

                    DOESN'T COME TO FRUITION OR IT'S NOT DOABLE, THEY CAN STEP IN AND WORK ON

                    SOMETHING THAT WORKS FOR THEM, CORRECT?

                                 MRS. GUNTHER:  CORRECT.  ABSOLUTELY.

                                 MR. MANKTELOW:  THANK YOU SO MUCH.  THAT'S

                    THE ONLY QUESTION I HAVE, AND I WILL LOOK FORWARD TO WALKING WITH YOU

                    AGAIN.

                                 MRS. GUNTHER:  OKAY.  NOW THAT -- THOSE

                    QUESTIONS WERE EASY, SO I'LL CONTINUE.

                                 MR. MANKTELOW:  THANK YOU.

                                 MR. SPEAKER, ON THE BILL.

                                 ACTING SPEAKER AUBRY:  ON THE BILL, MR.

                    MANKTELOW.

                                 MR. MANKTELOW:  I JUST WANTED -- I WANT TO

                    THANK THE SPONSOR FOR WORKING SO HARD ON -- ON THIS BILL AND DOING A

                    GOOD JOB.  AND I WILL BE SUPPORTING THIS BILL AND ASK MY COLLEAGUES TO

                    DO THE SAME.  THANK YOU.

                                 ACTING SPEAKER AUBRY:  THANK YOU, SIR.

                                 READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON ASSEMBLY PRINT 108-B.  THIS IS A FAST ROLL CALL.  ANY

                    MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                                         26



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    PROVIDED.

                                 (THE CLERK RECORDED THE VOTE.)

                                 FIRST VOTE OF THE DAY, MEMBERS.

                                 MRS. GUNTHER TO EXPLAIN HER VOTE.

                                 MRS. GUNTHER:  I JUST WANT TO THANK EVERYBODY

                    FOR SUPPORTING ME IN THIS EFFORT.  IT WAS A 20-YEAR -- YEAR-OLD EFFORT, BUT

                    IT MEANS AN AWFUL LOT TO ME.  AND DURING THIS PANDEMIC WE SAW THAT SO

                    MANY PEOPLE IN THE HEALTHCARE, WHETHER IT'S RESPIRATORY THERAPY, NURSE'S

                    AIDE, CNA, REGISTERED NURSE, WE ALL WORK TOGETHER AS A TEAM.  AND THIS

                    BILL MEANS SO MUCH TO ALL OF THOSE PEOPLE THAT HAVE PUT THEIR HEART AND

                    SOUL INTO THE HEALTHCARE OF NEW YORK STATE'S FOLKS AND CITIZENS.

                                 SO THANK YOU VERY MUCH FOR SUPPORTING THIS BILL, AND I

                    KNOW OUR HEALTHCARE WORKERS THANK YOU, TOO.

                                 ACTING SPEAKER AUBRY:  MR. BYRNE TO EXPLAIN

                    HIS VOTE.

                                 MR. BYRNE:  THANK YOU, MR. SPEAKER.  TO EXPLAIN

                    MY VOTE.  I JUST WANT TO THANK THE SPONSOR OF THE BILL FOR HER YEARS OF

                    WORK ON THIS PARTICULAR PROPOSAL.  I KNOW IT'S BEEN AMENDED QUITE A BIT.

                    I THINK MY FIRST HEALTH COMMITTEE MEETING, ONE OF MY FIRST QUESTIONS

                    TO A MEMBER WAS ABOUT THIS BILL TO MRS. GUNTHER, AND I GOT -- BOY, I GOT

                    AN EDUCATION.  VERY FEW MEMBERS KNOW AS MUCH ABOUT THIS PARTICULAR

                    ISSUE, EXCEPT MAYBE THE CHAIRMAN, THAN MRS. GUNTHER.  SO I WANT TO --

                    I WANT TO THANK MY COLLEAGUE FOR HER WORK ON THIS, HER DILIGENCE.  ONE

                    PET PEEVE OF MINE IS WHENEVER WE DEVELOP COMMISSIONS OR

                    COMMITTEES, I WOULD LIKE TO SEE THE MINORITY CONFERENCE GET AN

                                         27



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    APPOINTMENT.  IT'S MISSING THAT ONE PIECE, BUT THAT ALONE IS CERTAINLY NOT

                    ENOUGH TO HAVE ME VOTE AGAINST THIS BILL AND I WILL BE VOTING IN THE

                    AFFIRMATIVE.

                                 THANK YOU, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  THANK YOU, SIR.

                                 MR. SANTABARBARA TO EXPLAIN HIS VOTE.

                                 MR. SANTABARBARA:  THANK YOU, MR. SPEAKER.

                    I WANTED TO TAKE THIS OPPORTUNITY TO THANK THE SPONSOR OF THIS BILL.  I'M

                    PROUD TO BE A COSPONSOR ON THIS BILL.  IT'S SOMETHING THAT WE'VE WORKED

                    FOR IN THIS HOUSE FOR YEARS AND YEARS, AS THE SPONSOR NOTED.  MANY OF

                    US WHO ARE (INAUDIBLE) A FAMILY MEMBER OR A FRIEND RECEIVING

                    HEALTHCARE DURING THE COVID-19 PANDEMIC KNEW THAT WE COULD RELY

                    ON NURSES TO PROVIDE TOP-NOTCH MEDICAL CARE AND COMFORT TO OUR LOVED

                    ONES WHEN THEY NEEDED IT THE MOST.  NURSES ARE CERTAINLY AT THE HEART OF

                    NEW YORK HEALTH CARE.  THE LEVEL OF CARE, DEDICATION, SKILL (INAUDIBLE)

                    THEY BRING WITH THEM DAY IN AND DAY OUT IS TRULY REMARKABLE.

                    UNFORTUNATELY, FAR TOO MANY NURSES ARE STILL SUBJECTED TO UNFAIR AND

                    UNSAFE WORKING CONDITIONS, AND THAT UNDERMINES THEIR ABILITY TO SAFELY

                    CARE FOR THEIR PATIENTS.

                                 SO AS WE CONTINUE TO RECOVER FROM THIS -- FROM THIS

                    PANDEMIC, THIS BILL WILL HELP ESTABLISH SAFER WORKING CONDITIONS IN OUR

                    HOSPITALS, AND I'M PLEASED TO CAST MY VOTE IN THE AFFIRMATIVE.

                                 ACTING SPEAKER AUBRY:  MR. SANTABARBARA IN

                    THE AFFIRMATIVE.

                                 MR. GOTTFRIED TO EXPLAIN HIS VOTE.

                                         28



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MR. GOTTFRIED:  THANK YOU, MR. SPEAKER.  YOU

                    KNOW, I REMEMBER THE FIRST MEETING I HAD WITH FOLKS FROM SOME OF THE

                    HEALTHCARE UNIONS IN 1996 ABOUT WHAT HAS -- WHAT BECAME THE

                    LEGISLATION THAT WE'RE PASSING TODAY.  THE HEALTH COMMITTEE, WE HELD

                    OUR FIRST HEARING ON THIS ISSUE IN 1996.  AND I CARRIED THE BILL FOR A

                    WHILE AND THEN AILEEN GUNTHER TOOK IT OVER WITH HER EXTRAORDINARY

                    ENERGY AND PASSION ON THIS TOPIC.  AND LIVES ARE GOING TO BE SAVED BY

                    THIS LEGISLATION.  WORKERS' LIVES ARE GOING TO BE ENORMOUSLY IMPROVED

                    BY THIS LEGISLATION.  ALL NEW YORKERS OWE A REAL THANKS TO AILEEN AND

                    TO THE SPEAKER FOR BRINGING THIS BILL TO THE FLOOR, AND TO THE LABOR

                    MOVEMENT AND TO THE PEOPLE ON THE -- EVEN ON THE INDUSTRY SIDE,

                    PARTICULARLY, WHO HAVE HELPED BRING A LOT OF THIS LEGISLATION TO A

                    CONCLUSION.  IT'S JUST -- IT'S JUST SUPER TO SEE IT COMING TOGETHER.

                                 SO I AM DELIGHTED TO VOTE IN THE AFFIRMATIVE.  THANK

                    YOU.

                                 ACTING SPEAKER AUBRY:  MR. GOTTFRIED IN THE

                    AFFIRMATIVE.

                                 MR. MONTESANO.

                                 YOU HAVE TO UNMUTE YOURSELF, MR. MONTESANO.

                                 MR. MONTESANO:  YES, I WAS TRYING.  (INAUDIBLE)

                    WASN'T AGREEING.  BUT ANYWAY --

                                 (LAUGHTER)

                                 -- TO EXPLAIN MY VOTE, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  GO AHEAD.

                                 MR. MONTESANO:  THANK YOU.  I JUST WANTED TO

                                         29



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    ALSO ADD MY THANKS TO THE SPONSOR OF THIS BILL.  I KNOW IT'S BEEN A LONG

                    TIME IN COMING.  AND, YOU KNOW, NUMEROUS MEETINGS WITH THE NURSES

                    ASSOCIATION AND RELATED WORKERS' ASSOCIATIONS ON THIS MATTER.  YOU

                    KNOW, RALLIES AND EVERYTHING.  AND IT'S REALLY UNIQUE WHAT GOES ON IN A

                    HOSPITAL.  YOU KNOW, MY WIFE IS A NURSE AND NOW A DIRECTOR AT A

                    HOSPITAL.  AND, YOU KNOW, I HEAR IT EVERY DAY ABOUT WHAT GOES ON, THE

                    VOLUME OF WORK, THE SHORTAGE OF PERSONNEL.  AND ESPECIALLY THIS

                    COVID PANDEMIC, THE TAXING IT PUT ON TO EVERYBODY THAT WORKS IN THE

                    HEALTHCARE INDUSTRY.  SO WHILE THERE'S A LOT INVOLVED HERE AND A LOT THAT

                    HAS TO BE DONE, I THINK THE SPONSOR TOOK ALL THE NECESSARY STEPS TO MAKE

                    SURE THAT EVERYONE WHO'S INVOLVED IN THE HEALTHCARE INDUSTRY IS

                    INCLUDED IN THIS, ALL THE STAKEHOLDERS ARE INCLUDED AND SOME GREAT

                    THOUGHT AND CONSIDERATION HAS BEEN GIVEN.

                                 SO I PROUDLY CAST MY SUPPORT FOR THIS BILL AND I VOTE IN

                    THE AFFIRMATIVE.  THANK YOU.

                                 ACTING SPEAKER AUBRY:  MR. MONTESANO IN

                    THE AFFIRMATIVE.

                                 MR. JACOBSON TO EXPLAIN HIS VOTE.

                                 MR. JACOBSON:  THANK YOU, MR. SPEAKER.  I'D LIKE

                    TO CONGRATULATE AND THANK THE SPONSOR FOR HER HARD WORK OVER THE MANY

                    YEARS.  IT'S BEEN A LONG -- I KNOW IT'S BEEN A LONG JOURNEY.  I WOULD LIKE

                    TO THANK THE ADVOCATES, THE NURSES' UNION, 1199, SEIU AND OTHERS THAT

                    HAVE PUSHED SO HARD FOR THIS.  AND IT'S SOMETHING WE CAN ALL BE PROUD

                    OF AND I'M SO HAPPY TO VOTE IN THE AFFIRMATIVE.

                                 THANK YOU.

                                         30



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 ACTING SPEAKER AUBRY:  MR. JACOBSON IN THE

                    AFFIRMATIVE.

                                 MR. MILLER TO EXPLAIN HIS VOTE.

                                 MR. MILLER:  THANK YOU, MR. SPEAKER.  I'D JUST LIKE

                    TO EXPLAIN MY VOTE.  FIRST OF ALL, I WOULD LIKE TO THANK MRS. GUNTHER FOR

                    SPONSORING THIS BILL.  AS YOU ALL KNOW, LAST YEAR I LIVED A LONG TIME IN

                    THE HOSPITAL WITH -- WITH GREAT HELP FROM THE RNS, THE LPNS, THE

                    CNAS, THE RESPIRATORY THERAPIST.  I SAW FIRSTHAND FOR --FOR MANY MONTHS

                    -- FOR --FOR A MONTH -- YOU KNOW, A MONTH IN ICU EXACTLY HOW

                    SHORT-STAFFED AND HOW STRESSED EVERYBODY WAS DURING THIS PANDEMIC.

                    AND AGAIN, I WANT TO THANK MRS. GUNTHER FOR SPONSORING THIS BILL AND I

                    AM VOTING YES ON THIS BILL.  THANK YOU.

                                 ACTING SPEAKER AUBRY:  MR. MILLER IN THE

                    AFFIRMATIVE.

                                 MS. WALSH TO EXPLAIN HER VOTE.

                                 MS. WALSH:  THANK YOU, MR. SPEAKER.  I JUST WANT

                    TO JOIN AND ADD TO THE CHORUS OF COMPLIMENTS TO THE SPONSOR FOR

                    BRINGING THIS FORWARD AND FOR HER TENACITY AND WILLINGNESS TO REALLY

                    STICK WITH THIS AND MAKE THIS A BILL THAT WE -- THE VAST MAJORITY OF US

                    WILL BE VERY HAPPY TO SUPPORT.  AS -- AS SHE KNOWS, MY SISTER IS A

                    NURSE, A NURSE PRACTITIONER, AND I'VE HEARD STORIES FOR MANY, MANY YEARS

                    ABOUT THE COMINGS AND GOINGS WITHIN THE HOSPITAL SETTING.  AND I

                    APPRECIATE THE FLEXIBILITY THAT IS BUILT IN TO THIS LEGISLATION.  THE FACT

                    THAT EACH HOSPITAL, EACH UNIT, IT -- IT'S A PRAGMATIC AND A VERY THOUGHTFUL

                    APPROACH TO THIS ISSUE, AND I'M DELIGHTED TO BE ABLE TO SUPPORT IT.  SO,

                                         31



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THANK YOU.

                                 ACTING SPEAKER AUBRY:  MS. WALSH IN THE

                    AFFIRMATIVE.

                                 MR. LAWLER TO EXPLAIN HIS VOTE.

                                 MR. LAWLER:  THANK YOU, MR. SPEAKER.  I WANT TO

                    THANK THE SPONSOR FOR ALL OF HER HARD WORK AND TENACITY IN GETTING THIS

                    BILL DONE.  AND AS MANY OF MY COLLEAGUES HAVE SAID, I THINK THE

                    FLEXIBILITY AND THE CONSENSUS, AS THE -- AS THE SPONSOR POINTED OUT, THAT

                    THIS BILL ALLOWS IS IMPORTANT.  AND, YOU KNOW, AS SOMEONE WHO

                    REPRESENTS A DISTRICT WITH TWO HOSPITALS IN IT, TWO GREAT HOSPITALS, NYACK

                    HOSPITAL AND GOOD SAMARITAN HOSPITAL, RUN VERY ABLY BY DR. MARK

                    GELLER AND DR. MARY LEAHY, THE NURSES IN THESE -- IN THESE TWO

                    HOSPITALS HAVE BEEN NOTHING SHORT OF FANTASTIC THROUGHOUT THIS

                    PANDEMIC.  THEY HAVE WORKED TIRELESSLY TO ENSURE THE HEALTH, THE SAFETY

                    OF OUR RESIDENTS AND WE CAN'T THANK THEM ENOUGH.  AND THIS BILL WILL

                    HELP ENSURE THEIR SAFETY AND HELP ENSURE THAT THEY'RE ABLE TO DO THEIR

                    JOBS ADEQUATELY AND WITH SUPPORT AND HAVE THE RESOURCES NECESSARY.

                                 SO I THANK THE SPONSOR FOR PUTTING THIS BILL FORWARD

                    AND FOR SEEING IT THROUGH AFTER MANY YEARS OF -- OF HARD WORK, AND I'M

                    HAPPY TO BOTH COSPONSOR IT AND VOTE IN THE AFFIRMATIVE.

                                 ACTING SPEAKER AUBRY:  MR. LAWLER IN THE

                    AFFIRMATIVE.

                                 MR. MCDONOUGH.

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

                    ALLOWING ME TO EXPLAIN MY VOTE.  I'VE SAID MANY TIMES BEFORE THAT

                                         32



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    NURSES ARE THE FRONTLINE OF HEALTHCARE, AND THERE'S NO DOUBT ABOUT THAT.

                    I THINK ALSO WE'RE VERY FORTUNATE TO HAVE A NURSE LIKE MRS. GUNTHER IN

                    THE ASSEMBLY TO HELP GUIDE US ALONG SOME DIFFICULT CHOICES WE HAVE TO

                    MAKE.  I PERSONALLY EXPERIENCED THREE YEARS AGO WHEN MY WIFE WAS

                    HOSPITALIZED FOR 72 DAYS BEFORE SHE PASSED AT A GREAT HOSPITAL, SOUTH

                    NASSAU MOUNT SINAI, AND SHE HAD THE BEST OF CARE AND THE MOST CARING

                    PEOPLE ATTENDING TO HER.

                                 SO I GIVE YOU CREDIT, MRS. GUNTHER, FOR WHAT YOU'RE

                    DOING AND THANK YOU AND YOU HAVE MY VOTE.

                                 ACTING SPEAKER AUBRY:  MR. MCDONOUGH IN

                    THE AFFIRMATIVE.

                                 MS. MILLER TO EXPLAIN HER VOTE.

                                 MS. MILLER:  CAN YOU HEAR ME?

                                 ACTING SPEAKER AUBRY:  YES, WE CAN.

                                 MS. MILLER:  OKAY.  THANK YOU.  TO EXPLAIN MY

                    VOTE, MR. SPEAKER.  I WANT TO THANK THE SPONSOR.  I DON'T THINK I NEED TO

                    GO INTO ANY DETAIL ABOUT THE AMOUNT OF TIME OLIVER HAS SPENT IN

                    HOSPITALS WITH NURSES IN ALL TIMES.  YOU KNOW, EMERGENCY TIMES AND

                    NON-EMERGENCY TIMES FOR THIS STATE.  AND THE TENACITY AND THE

                    DEDICATION THAT SHE SHOWED IN CRAFTING THIS BILL AND HER ABILITY TO LISTEN

                    TO ALL SIDES AND TO MAKE THE CHANGES THAT THE STAKEHOLDERS WANTED IS

                    WHAT MAKES HER SUCH A WONDERFUL LEGISLATOR.  HONESTLY, THIS IS A PERFECT

                    EXAMPLE, THIS BILL, OF PEOPLE BEFORE PARTY.  WHAT MATTERS IS THE SAFETY

                    OF THE PEOPLE OF THIS STATE, AND THANK YOU, MRS. GUNTHER, FOR MAKING

                    SURE THAT THIS BILL ADDRESSES THAT.  I VOTE IN THE AFFIRMATIVE.

                                         33



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 ACTING SPEAKER AUBRY:  MS. MILLER IN THE

                    AFFIRMATIVE.

                                 MS. REYES TO EXPLAIN HER VOTE.

                                 MS. REYES:  THANK YOU, MR. SPEAKER.  YOU KNOW,

                    MY -- MY ROAD TO THIS CHAMBER STARTED IN HEALTHCARE ADVOCACY AS A

                    NURSE, ADVOCATING FOR THIS VERY PIECE OF LEGISLATION TO MAKE SURE THAT

                    WE HAD THE APPROPRIATE STAFF SO WE CAN DO OUR JOB AS NURSES ON THE

                    FLOOR.  SO I HAVE TO THANK THE SPONSOR FOR THIS WORK AND FOR HER YEARS OF

                    ADVOCACY AND FOR HER ABILITY TO BRING THIS FORWARD.  YOU KNOW, THE

                    HUMAN CONDITION HAS NO PARTY, AS MANY OF MY COLLEAGUES HAVE

                    MENTIONED.  AND THE WORK THAT WE DO ON THE FLOOR AS NURSES IS REALLY A

                    TESTAMENT TO THAT, HOW WE CARE FOR ALL OUR PATIENTS REGARDLESS OF RACE,

                    RELIGION, SOCIOECONOMIC STATUS.  ALL WE ASK IS TO HAVE THE APPROPRIATE

                    STAFF TO PROVIDE ALL OUR PATIENTS WITH THE APPROPRIATE LEVEL OF CARE.  AND

                    THIS IS BY FAR -- BY NO MEANS PERFECT.  I THINK IT'S IMPORTANT THAT WE DO

                    HAVE RATIOS IN STATUTE FOR ICU AND CCU AND STEP-DOWN.  BUT I THINK WE

                    ALSO HAVE TO CONTINUE TO WORK ON MAKING SURE THAT OUR MED-SURGE UNITS

                    HAVE APPROPRIATE STAFFING.  AND I'VE HAD EXPERIENCES WHERE WE'VE BEEN

                    FLEXIBLE AND NEGOTIATED WITH MANAGEMENT TO SOMETHING THAT WE

                    THOUGHT WAS AMENABLE AND THEN SOMETIMES IT DOESN'T WORK THAT WAY IN

                    PRACTICE.

                                 SO I'M VERY HAPPY TO SUPPORT THIS LEGISLATION BUT LOOK

                    FORWARD TO DOING MORE IN THE FUTURE TO MAKE SURE THAT WE HAVE

                    ADEQUATE STAFFING FOR ALL OUR UNITS AND FOR ALL OUR PATIENTS AND ALL OUR

                    NURSES.  THANK YOU, MR. SPEAKER.  I'LL BE VOTING IN THE AFFIRMATIVE.

                                         34



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 ACTING SPEAKER AUBRY:  MS. REYES IN THE

                    AFFIRMATIVE.

                                 MR. GOODELL.

                                 MR. GOODELL:  THANK YOU, SIR.  PLEASE RECORD THE

                    FOLLOWING COLLEAGUES IN THE NEGATIVE:  MR. DIPIETRO, MR. FITZPATRICK,

                    MR. JENSEN AND MR. WALCZYK.  THANK YOU, SIR.

                                 ACTING SPEAKER AUBRY:  SO NOTED.

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.

                                 (APPLAUSE)

                                 PAGE 28, CALENDAR NO. 278, THE CLERK WILL READ.


                                 THE CLERK:  ASSEMBLY NO. A07119, CALENDAR NO.

                    278, GUNTHER, GOTTFRIED, JACOBSON, ZEBROWSKI, LUNSFORD,

                    L. ROSENTHAL, PERRY, BURDICK, STIRPE, ABINANTI, PRETLOW, WEINSTEIN,

                    BARRON, SIMON, DINOWITZ, BICHOTTE HERMELYN, SANTABARBARA, KELLES,

                    J.D. RIVERA, STECK, ANDERSON.  AN ACT TO AMEND THE PUBLIC HEALTH

                    LAW, IN RELATION TO ESTABLISHING STANDARD NURSING HOME STAFFING LEVELS.

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER, AN

                    EXPLANATION IS REQUESTED.

                                 MRS. GUNTHER:  THIS BILL WOULD REQUIRE NURSING

                    HOMES TO IMPLEMENT SAFE STAFFING STANDARDS BY JANUARY 1ST OF 2022,

                    AND CIVIL PENALTIES COULD NOT BE IMPOSED UNTIL AT LEAST APRIL 1ST, 2022.

                    NURSING HOMES WOULD BE REQUIRED TO MAINTAIN AN AVERAGE DAILY RATIO OF

                    3.5 HOURS OF CARE PER RESIDENT, PER DAY PROVIDED BY A CERTIFIED NURSE --

                                         35



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    NURSE'S AIDE, LPN, LICENSED PRACTICAL NURSE, OR A REGISTERED NURSE OR

                    NURSE'S AIDES.  OF THAT 3.5 HOURS, NO LESS THAN 2.2 MUST BE PROVIDED BY

                    A CERTIFIED NURSE AIDE -- AIDE OR NURSE AIDE, AND NO LESS THAN 1.1 HOURS

                    MUST BE PROVIDED BY A LICENSED PRACTICAL NURSE OR A REGISTERED NURSE.

                    THE DEPARTMENT OF HEALTH MAY CONSIDER MITIGATING FACTORS, AND I'M

                    GOING TO READ THAT AGAIN.  THE DEPARTMENT OF HEALTH MAY CONSIDER

                    MITIGATING FACTORS SUCH AS A STATE OF EMERGENCY, LABOR SHORTAGE OR A

                    NATURAL DISASTER.  THE BILL WOULD REQUIRE NURSING HOMES TO PUBLICLY

                    DISCLOSE INFORMATION REGARDING NURSE -- NURSE STAFFING IN A MANNER

                    WHICH IS VISIBLE AND ACCESSIBLE TO RESIDENTS, FAMILY AND ALSO STAFF.

                                 ACTING SPEAKER AUBRY:  MR. JENSEN.

                                 MR. JENSEN:  THANK YOU VERY MUCH, MR. SPEAKER.

                    WILL THE SPONSOR YIELD FOR A FEW QUESTIONS?

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER, WILL

                    YOU YIELD?

                                 MRS. GUNTHER:  YES, I WILL.

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER YIELDS,

                    SIR.

                                 MR. JENSEN:  THANK YOU VERY MUCH.  SO, THE

                    ORIGINAL VERSION OF THIS BILL WAS -- THE IDEA WAS CONTAINED IN THE BILL WE

                    JUST VOTED ON, AND IT WAS A MANDATORY STAFFING -- ARI RATE OF 4.1.

                                 MRS. GUNTHER:  CORRECT.

                                 MR. JENSEN:  HOW COME THAT NUMBER WAS REDUCED

                    FROM 4.1 TO 3.5?

                                 MRS. GUNTHER:  BECAUSE OF NEGOTIATIONS AND

                                         36



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    LISTENING TO PEOPLE IN THE LONG-TERM CARE FIELD.  SO IT WAS A NEGOTIATION

                    AND WE CAME TO THE NUMBER 3.5.

                                 MR. JENSEN:  OKAY.  SO YOU -- IT'S YOUR BELIEF AS THE

                    SPONSOR THAT 3.5 IS NOT ANY DIFFERENT IN THE LEVEL OF SAFETY OF CARE

                    PROVIDED TO RESIDENTS THAN 4.1.  THERE'S NO DIFFERENCE IN THE SAFETY OF

                    THE RESIDENTS ON THAT CARE AMOUNT.

                                 MRS. GUNTHER:  SO, THE -- THE DIFFERENCE -- WE DID

                    CHANGE AND, YOU KNOW, I THINK WE START WITH 3.5.  THERE WILL BE -- WE'LL

                    EVALUATE.  IF WE CAN SEE AN IMPROVEMENT FOR THE LEVEL OF CARE FOR OUR

                    LONG-TERM CARE FOLKS LOOKING AT DECUBITUS, NOSOCOMIAL PNEUMONIA, ALL

                    THOSE KINDS OF THINGS.  SO THERE WILL BE INDICATORS THAT WILL TELL US WHAT

                    THE DIFFERENCE IS, AND THOSE ARE STATISTICS THAT, AS YOU KNOW, BECAUSE I

                    THINK YOU WORKED THERE, THAT YOU DO KEEP.  SO YOU CAN REALLY LOOK AT

                    PER UNIT, YOU CAN LOOK AT, YOU KNOW, PATIENTS AND SEE, YOU KNOW, THE --

                    THE POSITIVE OUTCOMES FROM 3.5.  IF NOT, YOU KNOW, WE REVISIT THE ISSUE.

                                 MR. JENSEN:  UH-HUM.

                                 MS. GUNTHER:  BUT I THOUGHT THAT BY NEGOTIATING

                    WITH OUR LONG-TERM CARE FACILITIES AND PEOPLE THAT ARE IN THAT FIELD THAT,

                    YOU KNOW, WE START IT AT -- WE NOW -- WE CAME TO THE CONCLUSION 3.5,

                    WHICH I THINK WAS FAIR.

                                 MR. JENSEN:  OKAY.  SO 3.5 IS A STARTING POINT, TO BE

                    DETERMINED IN THE FUTURE.  SO, THE ORIGINAL BILL WHICH WE JUST VOTED ON

                    WAS AMENDED SO HOSPITALS NOW HAVE CLINICAL STAFFING COMMITTEES.

                    WHY WAS THAT MODEL NOT FOLLOWED FOR NURSING HOMES?

                                 MRS. GUNTHER:  THAT THEY HAVE CLINICAL STAFFING --

                                         37



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MR. JENSEN:  YES, WHY THEY HAVE CLINICAL -- WHY

                    NOT HAVE STAFFING -- CLINICAL STAFFING COMMITTEES --

                                 MRS. GUNTHER:  SO -- SO, HONESTLY -- SO, AS A

                    NURSE AND LONG-TERM CARE VERSUS AN ACUTE CARE HOSPITAL, IN A HOSPITAL

                    WE LOOK AT ACUITY CHANGES EVERY DAY.  WE HAVE DIFFERENT UNITS, WE HAVE

                    DIFFERENT THINGS, WHEREAS A PATIENT IN A LONG-TERM CARE FACILITY IS THERE

                    FOR LONG-TERM.  AND WE -- WE ASSESS THEM EVERYDAY, AND OFTEN THE

                    CONDITION DOESN'T VARY AS IT WOULD IN AN ACUTE CARE HOSPITAL.  SO I'M NOT

                    SAYING THAT THERE'S MORE OF A STABLE KIND OF CLIENTELE, BUT THERE IS.

                                 MR. JENSEN:  OKAY.  IN THE RECENTLY-ENACTED BUDGET

                    IT INCLUDED A 70/40 MINIMUM SPEND RATIO ON DIRECT -- DIRECT CARE AND

                    DIRECT STAFFING.  WHY NOT WAIT FOR THE POTENTIAL IMPLEMENTATION OF THAT

                    REQUIREMENT BEFORE ADDING ANOTHER MANDATE REGARDING STAFFING TO

                    NURSING HOMES?

                                 MRS. GUNTHER:  YOU KNOW, MY -- MY THOUGHT IS

                    WHEN YOU'RE ASKING WHY IS, MY -- MY HOPE IS THAT THE ADMINISTRATION

                    AND THOSE FOLKS THAT ARE EMPLOYED BY THE LONG-TERM CARE FACILITY WILL

                    WORK TOGETHER.  SEVENTY -- WHAT WE CHOSE NOW IS IT -- YOU KNOW, IT'S

                    WRITTEN -- WE WROTE IT IN OUR BILL, BUT AGAIN, WE REVISIT THESE ISSUES

                    OFTEN TO SEE THAT WE CAN MAKE SURE THAT, YOU KNOW, WE'RE DOING -- THE

                    LEVEL OF CARE IS -- IS BETTER.  WE CAN LOOK AT OUTCOMES ARE BETTER AND

                    THEN WE CAN REVISIT IT.  YOU KNOW, WE CHANGE LEGISLATION HERE ALL THE

                    TIME.  WE AMEND IT.  AND, YOU KNOW, CERTAINLY THIS PROBABLY ISN'T LIKE

                    THE LAST TIME WE WILL AMEND THIS, BUT I THINK THIS IS A STEP IN THE RIGHT

                    DIRECTION.  AND, YOU KNOW, EVERYTHING THAT WE HEARD DURING THIS

                                         38



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    PANDEMIC ABOUT LONG-TERM CARE, THE TIME WAS REALLY NOW TO BE ABLE TO

                    ADDRESS THESE ISSUES.  AND I THINK THAT BY ADDRESSING THESE ISSUES, AND

                    THIS IS WHAT I -- I -- I FEEL AND, YOU KNOW, I -- I JUST WANT TO SAY THAT,

                    YOU KNOW, I'VE WORKED IN A HOSPITAL.  I'VE WORKED AS A NURSE'S AIDE AND

                    I WORKED AT THIS, AND I CAN TELL YOU THAT BY ADDRESSING THESE ISSUES THAT

                    WE'LL SEE A LOT LESS BURNOUT.

                                 MR. JENSEN:  OKAY.

                                 MRS. GUNTHER:  A LOT LESS BURNOUT.  SO I -- I THINK

                    IT'S VERY IMPORTANT.  AND I'M PROUD OF THIS BODY FOR SEEING WHAT WENT

                    ON OVER THE LAST YEAR AND COMING TOGETHER AND DECIDING THAT, YOU

                    KNOW, THE TIME WAS NOW TO DO SOMETHING DIFFERENT.

                                 MR. JENSEN:  OKAY.  I -- I DO HAVE MORE QUESTIONS

                    BUT I DO WANT TO SPEAK ON THE BILL.  SO THANK YOU TO THE SPONSOR FOR --

                    FOR YIELDING.  I KNOW SOME OF MY COLLEAGUES ARE GOING TO PICK UP MY

                    SLACK IN THEIR QUESTIONS.

                                 MR. SPEAKER, ON THE BILL.

                                 ACTING SPEAKER AUBRY:  ON THE BILL.

                                 MR. JENSEN:  THANK YOU, MR. SPEAKER.

                    APPROPRIATE STAFFING IN NURSING HOMES IS ESSENTIAL TO PROTECTING THE

                    HEALTH AND WELL-BEING OF THE RESIDENTS AND THE STAFF WHO WORK THERE.  I

                    DON'T BELIEVE THAT ANY MEMBER OF THE CHAMBER OR OF THE GENERAL PUBLIC

                    WOULD DISAGREE WITH THAT SENTIMENT AND I CERTAINLY DON'T.  HOWEVER,

                    THIS LEGISLATION IS SEEKING TO ADDRESS A CRITICAL ASPECT OF THE OPERATIONS

                    OF OUR STATE'S NURSING HOMES IN A MANNER THAT -- THAT MANY DO NOT

                    BELIEVE WILL HAVE THE INTENDED EFFECT.  IT DRAMATICALLY IS GOING TO

                                         39



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    INCREASE THE COST TO OUR NURSING HOMES WITHOUT ANY GUARANTEE THAT WE'LL

                    IMPROVE THE CLINICAL OUTCOMES THAT THE SPONSOR REFERENCES.  AS THE

                    SPONSOR MENTIONED, AS SOMEONE WHO PREVIOUSLY WORKED IN A NURSING

                    HOME, I'VE SEEN FIRSTHAND THE DEDICATION OF OUR FRONTLINE HEALTHCARE

                    WORKERS, THE DEDICATED STAFF THAT MAKE UP THE FACILITIES AND INTERACTED

                    DAILY WITH THE RESIDENTS AND THEIR FAMILIES.  I AM 100 PERCENT ON BOARD

                    WITH INCREASING ASSERTIVE CARE FOR THOSE THAT CALL OUR LONG-TERM CARE

                    FACILITIES HOME.  HOWEVER, I DON'T BELIEVE THAT THIS ACT WILL DO SO.  I

                    BELIEVE THAT STAFFING LEVELS SHOULD BE BASED ON THE CLINICAL CARE NEEDS,

                    LEVEL OF ACUITY AND THE STAFFING LEVELS THAT NEED TO BE FLEXIBLE TO BEST

                    MEET THE NEEDS OF THE RESIDENTS NURSING HOMES SERVE.  EARLIER -- EARLIER

                    THIS YEAR LEGISLATION WAS INTRODUCED, AS WE JUST VOTED ON AND DEBATED,

                    THAT WOULD HAVE REQUIRED AN EVEN HIGHER MANDATED STAFFING LEVEL.

                    WHEN ASKED AT A FIVE-STAR CMS-RATED FACILITY, ONE THAT'S THE TOPS IN THE

                    NATION AND THE STATE AND MAY HAVE BEEN 1/10TH BELOW THAT MANDATED

                    CARE REQUIREMENT, IF THAT FACILITY WAS PROVIDING UNSAFE CARE, THE ANSWER

                    IS CLEAR:  YES, THEY WERE UNSAFE.  HOWEVER, THIS LEGISLATION LOWERS THAT

                    NUMBER, AS THE SPONSOR REFERENCED.  IF THAT DOESN'T SHOW THAT THERE'S AN

                    ARBITRARY NATURE TO THIS LEGISLATION, I DON'T KNOW WHAT DOES.

                    FURTHERMORE, THIS BILL DOES NOT ACTUALLY CALL FOR THE AMOUNT OF CARE OF

                    3.5 HOURS TO BE PROVIDED.  IT MERELY SAYS THAT ON AVERAGE THERE HAS TO

                    BE 3.5 HOURS OF NURSING STAFF IN THE BUILDING BASED ON THE CENSUS

                    NUMBERS.  THIS LEGISLATION DOESN'T COUNT -- DOESN'T COUNT FOR THE

                    TREMENDOUS AMOUNT OF ADMINISTRATIVE WORK THAT GOES INTO MANAGING --

                    MANAGING THE CARE PROCESS OR ENSURING THAT CARE BEING PROVIDED IS

                                         40



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    APPROPRIATE AND ADEQUATE.  ACROSS MY COMMUNITY, THE STATE AND THE

                    NATION WE ARE SUFFERING FROM A NURSING SHORTAGE, SOMETHING MY

                    COLLEAGUE REFERENCED IN AN EARLIER DEBATE TODAY.  RNS, LPNS, CNAS

                    ARE ALL DESPERATELY NEEDED.  WHERE I LIVE, THERE ARE NURSING HOMES THAT

                    ARE CURRENTLY UNDERSTAFFED BY 40 TO 60 PERCENT THROUGH NO FAULT OF THEIR

                    OWN.  THEY WANT TO HIRE THOSE POSITIONS, BUT THERE'S NOBODY APPLYING

                    FOR THEM.  WHEN THIS LEGISLATION GOES INTO EFFECT IT WILL CREATE A HUNGER

                    GAMES-TYPE SITUATION FOR THE NURSING FIELD.  LARGER SYSTEMS WITH MORE

                    FINANCIAL RESOURCES AND DIVERSE REVENUE STREAMS ARE GOING TO APPROACH

                    STAFF FROM SMALLER FACILITIES.  IN TURN, THOSE FACILITIES ARE GOING TO

                    APPROACH THE EVEN SMALLER FACILITIES.  AND THOSE VERY SMALL FACILITIES

                    THAT MAYBE HAVE A FEW DOZEN BEDS, THEY'RE NOT PREPARED TO COMPETE IN

                    A CUT-THROAT HIRING PROCESS DUE TO THE EVER-INCREASING NUMBER OF

                    UNFUNDED MANDATES PUT ON THEM BY NEW YORK STATE.  THE RESULT

                    INEVITABLY WILL BE THAT THESE VERY SMALL FACILITIES WILL GO OUT OF

                    BUSINESS BECAUSE THEY CAN NO LONGER PROVIDE SAFE AND ADEQUATE CARE

                    UNDER THE MANDATES IN THIS LEGISLATION.  THROUGH NO FAULT OF THEIR OWN,

                    IN ADDITION.  THEY WILL CLOSE.  MANY OF THESE TYPES OF FACILITIES ARE IN

                    MY COLLEAGUES' DISTRICTS IN RURAL PARTS OF OUR STATE.  WHAT DOES IT DO FOR

                    QUALITY OF CARE IF A NURSING HOME IS FORCED TO CLOSE AND THERE IS NO

                    OTHER ALTERNATIVE FOR THIS TYPE OF CARE LOCATED WITHIN AN HOUR, AN

                    HOUR-AND-A-HALF OF THE COMMUNITIES THEIR FAMILIES LIVE AND THEY HAVE

                    CALLED HOME THEIR ENTIRE LIFE.  WILL THIS ACT CREATE A CARE CRISIS FOR

                    SENIORS ACROSS RURAL UPSTATE NEW YORK?  I GUESS WE'RE ABOUT TO FIND

                    OUT.  THE SPONSOR IN HER MEMO FOR THIS LEGISLATION STATES THAT THIS IS IN

                                         41



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    RESPONSE TO WHAT HAPPENED DURING COVID-19, DURING THE -- AT THE

                    NURSING HOMES.  CERTAINLY, THE DEATH OF 15,000 SENIORS IS HEARTBREAKING

                    ON A -- ON A LEVEL THAT IS UNIMAGINABLE.  BUT IT DID OCCUR DESPITE SOME

                    OF THE BEST EFFORTS OF THE VAST MAJORITY OF NURSING HOMES IN THE STATE.

                    THEY WERE DOING EVERYTHING THEY COULD TO KEEP THEIR RESIDENTS SAFE IN

                    THE MOST DIFFICULT OF CIRCUMSTANCES.  BUT IT'S NO SURPRISE THAT STAFFING

                    SUFFERED DURING A PANDEMIC WHEN STAFF MEMBERS, TOO, WERE SICK; 30,

                    40, 50 MEMBERS OF THE CARE TEAMS OUT AT ANY GIVEN TIME AS THEY WERE

                    FIGHTING THEIR OWN PERSONAL BATTLE WITH COVID-19.  HOW MANY MORE

                    RESIDENTS WERE FORCED TO DIE IN ISOLATION BECAUSE MANDATED POLICIES PUT

                    IN PLACE BY THIS STATE SHUT THE DOOR TO FAMILY, FRIENDS AND LOVED ONES

                    WHEN THEIR SUPPORT WAS NEEDED MOST?  VOLUNTEERS, COMMUNITY

                    RESIDENTS WHO TAKE TIME OUT OF THEIR DAY TO SPEND TIME WITH RESIDENTS

                    WERE ALSO TURNED AWAY, TOLD THAT THE INDIVIDUALS THAT COUNT ON THEIR

                    VISITS AND HELP HAD TO BE ALONE.  DUE TO THE NURSING SHORTAGES THERE --

                    ACROSS OUR STATE, THERE'S NO BACKUP FOR OUR OVERWHELMED HEALTHCARE

                    HEROES.  EVEN TODAY, NURSING HOMES ARE SCHEDULING AN APPROPRIATE

                    AMOUNT OF STAFF, YET ARE HIT BY A (INAUDIBLE) AMOUNT OF NO-CALL AND

                    NO-SHOWS FROM THEIR STAFF, ESPECIALLY ON THE WEEKENDS.  AND THEY HAVE

                    A LIMITED ABILITY TO HAVE STAFF STAY ON FOR ADDITIONAL SHIFTS AFTER THEY

                    WERE SUPPOSED TO GO HOME FOR THE DAY.  THEY NEED TO COVER THESE

                    UNANTICIPATED GAPS, BUT ARE LIMITED ON THE ABILITY TO DO SO.  THEY

                    RECEIVE PUSHBACK AND PROTEST WHEN THEY TRY.  ADDITIONALLY,

                    INDUSTRY-WIDE STAFF SHORTAGES FORCE FACILITIES TO RELY ON CONTRACT STAFF.

                    NURSING STAFF WILL GO FROM NURSING HOME TO NURSING HOME ON A DAILY

                                         42



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    BASIS WITH NO INVESTMENT IN THE RESIDENTS THEY'RE ACTUALLY BEING CHARGED

                    TO SERVE.  WE ARE NOT DOING ENOUGH TO GET MORE PEOPLE TO ENTER THE

                    NURSING FIELD.  I'M GLAD TO HEAR THAT OCC IS -- IS DOING THEIR PART DOWN

                    IN THE SPONSOR'S DISTRICT, BUT WE NEED TO DO MORE TO CREATE VIABLE AND

                    REACHABLE CAREER PATHS IN THE NURSING FIELD.  SOMETHING I'VE INTRODUCED

                    IN THE CONTENTS OF A LEGISLATIVE PACKAGE TO ADDRESS.  IN ADDITION TO

                    NURSING STAFF SHORTAGES MAKING IT DIFFICULT FOR THESE NEW MANDATES TO

                    BE MET, THIS LEGISLATION WILL INEVITABLY CREATE A FISCAL STRAIN FOR NURSING

                    HOMES THAT ARE ALREADY FACING BUDGETARY RESTRICTIONS IMPOSED ON THEM

                    BY THE STATE THAT WILL AFFECT THE CARE THAT IS BEING PROVIDED TO RESIDENTS.

                    SOME NURSING HOMES HAVE ALREADY SAID EVEN THOUGH TODAY THEY ARE

                    ABOVE THE 3.5 MANDATED HOURS CONTAINED IN THIS LEGISLATION, BECAUSE OF

                    THE DIVISION BY LICENSE TYPE THEY WILL BE FORCED TO FIRE REGISTERED NURSES

                    SO THAT THEY CAN HIRE THE APPROPRIATE NUMBER OF CNAS.  THE INCREASED

                    MANDATES FROM THE STATE WILL LIMIT THE ABILITY TO HIRE OTHER FACILITY STAFF

                    THAT ARE DESPERATELY NEEDED TO OPERATE A NURSING HOME AND IT WILL LIMIT

                    THE POTENTIAL TO INVEST IN OTHER EQUIPMENT AND MAKE CRITICALLY

                    IMPORTANT CAPITAL IMPROVEMENTS THAT ALSO LEAD TO PROVEN --

                    IMPROVEMENT OUTCOMES IN RESIDENTS.  NOT-FOR-PROFIT NURSING HOMES IN

                    NEW YORK STATE ARE OPERATING ON NEGATIVE MARGINS.  WHERE ARE THESE

                    CARE PROVIDERS SUPPOSED TO FIND THE RESOURCES TO MEET THESE MANDATES?

                    I KNOW IN THE BUDGET THERE IS $64 MILLION INCLUDED, BUT I'M NOT SURE

                    THAT $103,000 ON AVERAGE FOR EACH 617 NURSING HOMES IN NEW YORK

                    STATE WILL BE ENOUGH TO FILL THE GAP.  THIS LEGISLATION WILL RESULT IN

                    INCREASED COSTS FOR EVERY SINGLE NURSING HOME IN THE STATE; FOR-PROFIT,

                                         43



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    NOT-FOR-PROFIT AND GOVERNMENT-OWNED AND OPERATED, WITH SOME

                    ESTIMATES THAT THE COST WILL BE OVER $16,000 PER BED.  I DON'T KNOW HOW

                    MANY BEDS WE HAVE IN NEW YORK STATE, BUT I WOULD IMAGINE THAT'S A

                    TREMENDOUS AMOUNT OF MONEY.  THE LEGISLATION CONTAINS NO FINANCIAL

                    ASSISTANCE FROM THE STATE TO MEET THESE NEW MANDATES.  YET WHILE

                    MASSACHUSETTS AND NEW JERSEY INCREASE SUPPORT TO NURSING HOMES BY 6

                    AND 10 PERCENT AS THEY'VE EVOLVED THEIR NURSING HOMES ENVIRONMENTS,

                    OUR STATE HAS ACTUALLY CUT ASSISTANCE TO NURSING HOMES BY 1.5 PERCENT.

                    THAT WAS IN 2020, IN THE MIDST OF A GLOBAL PANDEMIC.  THE CURRENT

                    MEDICAID REIMBURSEMENT RATE DOES NOT ACTUALLY MEET THE COST OF CARE

                    BEING PROVIDED BY THESE NURSING STAFF MEMBERS, YET WE ARE ASKING CARE

                    PROVIDERS TO DO MORE WITH LESS, SIMULTANEOUSLY TYING ONE HAND BEHIND

                    THEIR BACK IN THE PROCESS.  THIS DOESN'T NOT TAKE INTO ACCOUNT THE

                    CRIPPLING AND UNREIMBURSED COSTS, OFTEN IN MILLIONS, THAT NURSING

                    HOMES HAVE INCURRED THROUGHOUT COVID, THAT THEY'RE CURRENTLY

                    STRUGGLING WITH, AND REDUCED CENSUS NUMBERS THAT ARE ONLY POTENTIALLY

                    STARTING TO GET BACK TO PRE-PANDEMIC LEVELS.  RATHER THAN CREATING A

                    ONE-SIZE-FITS-ALL APPROACH FOR A STATE OF 20 MILLION PEOPLE IN 617

                    DIVERSE NURSING HOMES THAT HAVE A VARIETY OF MEDICAL NEEDS AND AN

                    EVERY-EVOLVING LEVEL OF ACUITY, WHY HAVE WE NOT CHOSEN TO WORK WITH

                    HEALTH EXPERTS, LIKE WE DID IN THE PREVIOUS LEGISLATION, TO DEVELOP

                    FLEXIBLE STAFFING MODELS THAT ACCOUNT FOR PROFESSIONAL SKILL LEVEL,

                    RESIDENT ACUITY, LEVEL OF NURSING AND MEDICAL CARE REQUIRED, AND

                    REGIONAL LABOR MARKETS VARIABILITY.  BY CREATING FLEXIBLE STAFFING

                    MODELS RATHER THAN FIXED MANDATED STAFFING HOURS, WE CAN IMPROVE

                                         44



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    RESIDENT CARE, INCREASE JOB SATISFACTION, NURSES, ENCOURAGE MORE

                    CITIZENS OF OUR STATE TO PURSUE A CAREER IN NURSING, AND MOST

                    IMPORTANTLY, INCREASE THE LEVEL OF CARE AND QUALITY OF THAT CARE FOR ALL

                    RESIDENTS WHO CALL NURSING HOMES THEIR HOME.  THANK YOU, MR.

                    SPEAKER.

                                 ACTING SPEAKER AUBRY:  THANK YOU, SIR.

                                 MR. RA.

                                 MR. RA:  THANK YOU, MR. SPEAKER.  WILL THE SPONSOR

                    YIELD?

                                 MRS. GUNTHER:  YES.

                                 ACTING SPEAKER AUBRY:  THE SPONSOR YIELDS.

                                 MR. RA:  THANK YOU VERY MUCH.  AND THANK YOU FOR

                    BRINGING THE PREVIOUS BILL FORWARD AND THIS ONE.  AND I KNOW IT IS A

                    RESULT OF MANY YEARS OF WORK ON -- ON THESE ISSUES.  AND, YOU KNOW,

                    I'VE BEEN PROUD TO SUPPORT THE LEGISLATION FOR -- FOR MANY YEARS THAT I'VE

                    BEEN HERE AS WELL.  BUT I JUST HAD A FEW QUESTIONS WITH REGARD TO THIS

                    PIECE OF IT WHICH RELATES DIRECTLY TO THE NURSING HOMES.  YOU KNOW, MY

                    COLLEAGUE MENTIONED IN THE BUDGET THAT NEW REQUIREMENT FOR A

                    PERCENTAGE BEING SPENT ON STAFFING, BUT, YOU KNOW, ALONG WITH THAT

                    THERE IS THIS FISCAL PIECE, THE $64 MILLION APPROPRIATION UNDER MEDICAID

                    THAT MY UNDERSTANDING COULD BE UTILIZED TOWARDS THIS AND REQUIRES, I

                    GUESS, THE FACILITIES TO HAVE MET THOSE NEW REQUIREMENTS, CORRECT?

                                 MRS. GUNTHER:  YES, THAT -- THAT $64 MILLION WILL

                    COVER ONE QUARTER OF THE YEAR, AND THEN WE'LL -- YOU KNOW, A YEAR OF

                    INCREASED STAFFING UNDER THIS LEGISLATION.  SO THAT'S ONLY FOR ONE QUARTER.

                                         45



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    AND THERE'S ALSO OTHER MONIES.  THE FEDERAL CARES ACT, $110 MILLION

                    IN QUALITY PAYMENTS, SO THERE IS MONEY COMING TO THE LONG-TERM CARE

                    FACILITIES WHICH IS MUCH NEEDED.

                                 MR. RA:  GREAT.  THANK -- THANK YOU.  BECAUSE THAT

                    WAS GOING TO BE MY -- THE NEXT THING I BROUGHT UP.  SOME OF THE GROUPS

                    THAT REPRESENT THESE TYPES OF FACILITIES HAVE SAID THAT -- THAT THEY LOOK AT

                    THE FULL ANNUAL OF COST OF BEING SOMEWHERE AROUND $260 MILLION, SO I

                    THINK -- I MEAN, WHAT YOU'RE SAYING IS PROBABLY IN LINE WITH THAT IF THIS

                    IS ABOUT A QUARTER-OF-A-YEAR -- YOU KNOW, YOU SPREAD THAT OUT, THAT --

                    THAT NUMBER IS PRETTY MUCH ON POINT.  SO YOU THINK THERE WILL BE

                    ADDITIONAL FUNDING GOING TOWARDS THAT IN THE FUTURE?

                                 MRS. GUNTHER:  I HOPE SO.

                                 MR. RA:  OKAY.  EXCELLENT.  ONE THING, THOUGH, WITH

                    REGARD TO THAT, MY UNDERSTANDING IS THAT THAT REQUIREMENT IS GOING INTO

                    EFFECT RIGHT ALONG AT THE SAME TIME AS THIS.  AND I'M JUST WONDERING, DO

                    WE KNOW -- YOU KNOW, HOW ARE WE GOING TO BE ABLE TO KNOW WHETHER

                    THOSE ENTITIES ARE MEETING THAT NEW REQUIREMENT WITH -- WITH THEIR

                    STAFFING?  YOU KNOW, THE PERCENTAGE THAT THEY'RE SPENDING SO THAT THEY

                    CAN GET THE FUNDING.

                                 MRS. GUNTHER:  BY -- BY THE TIME WE LOOK AT THAT

                    THE RATIOS WILL BE IN PLACE.

                                 MR. RA:  OKAY, BUT IN TERMS OF ACTUALLY MAKING SURE

                    THEY'RE COMPLYING WITH THOSE -- THE 70/40 RATIO.

                                 MRS. GUNTHER:  THAT'S RIGHT.  THAT'S RIGHT.

                                 MR. RA:  OKAY.  THANK YOU.  I -- I -- I THINK --

                                         46



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MRS. GUNTHER:  YOU KNOW, AND I JUST WANT TO SAY

                    WITH THE 70/40 RATIO, ONE OF THE THINGS THAT I LEARNED AS A NURSE - AND I

                    KNOW THAT WE HAVE OTHER NURSES HERE THAT CAN ATTEST TO IT - IS THAT WHEN

                    YOU PROVIDE THE APPROPRIATE NUMBER OF HOURS FOR A -- NURSING HOURS AND

                    NURSING AIDE HOURS AND CNA HOURS TO A PATIENT, WHAT HAPPENS ARE -- IS

                    YOUR OUTCOMES ARE BETTER.  THEY DON'T GET DECUBITUS, WHICH YOU OFTEN

                    CAUSE A TRANSFER OUT OF THE -- OUT OF THE LONG-TERM CARE FACILITY.

                    PNEUMONIA, THAT CREATES MORE -- MORE EXPENSE FOR MEDICATION.  SO, YOU

                    KNOW, WHEN I THINK ABOUT THIS BILL, A LOT OF TIMES WHERE -- WHERE I WAS

                    LISTENING TO MR. JENSEN AND WE'RE THINKING ABOUT THE MONEY SPENT AND,

                    YOU KNOW, BUT I THINK IN THE END WITH BETTER QUALITY CARE IS PROVEN THAT,

                    YOU KNOW, IT'S LESS COST.

                                 MR. RA:  CERTAINLY.

                                 MRS. GUNTHER:  AND ALSO LESS BURNOUT BY THE

                    CNAS AND THE NURSE LPNS AND THE RNS.  SO THERE'S A LOT OF POSITIVES TO

                    THIS.

                                 MR. RA:  WELL, THANK YOU.  AND -- AND I THINK THAT I

                    CERTAINLY AGREE TO OUR BILL.  YOU KNOW, I'VE BEEN A COSPONSOR OF YOUR

                    BILL OVER THE YEARS AND I THINK THAT THERE'S CERTAINLY A POSITIVE FOR THE

                    STAFF AND CERTAINLY A POSITIVE FOR THE PATIENTS.

                                 THE -- THE ONE OTHER QUESTION I HAVE IS, YOU KNOW,

                    SOME OF MY COLLEAGUES -- AND -- AND MAYBE WE DON'T SEE THIS AS MUCH

                    WHERE I AM DOWN IN LONG ISLAND, BUT I KNOW THERE ARE PARTS OF THE

                    STATE WHERE MY COLLEAGUES SPOKE ABOUT, YOU KNOW, BEING ABLE TO HIRE

                    ADEQUATE STAFF TO -- TO MEET THESE NEEDS.  IS THERE ANYTHING THAT WOULD

                                         47



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    ALLOW FOR A FACILITY, SAY, THAT'S IN A REGION OF THE STATE AND JUST CAN'T

                    FIND ENOUGH STAFF?

                                 MRS. GUNTHER:  YES.  THERE IS A STATEMENT WITHIN

                    THE BILL THAT TALKS ABOUT THE FACT THAT IF YOU CAN'T RECRUIT, THEY

                    UNDERSTAND.  AND SO, YOU KNOW, THEY'RE DEPENDING ON THE -- ON THE

                    REGION.  IF YOU CAN'T RECRUIT, THEN THEY -- THEY UNDERSTAND IT AND THEY

                    DON'T GIVE -- PENALIZE YOU.  SO THEY DO REALIZE THAT IT MIGHT BE DIFFICULT

                    IN SOME AREAS AND THEY WON'T PENALIZE YOU.  AND, YOU KNOW, AS LONG AS

                    YOU HAVE AN EXPLANATION OF WHY YOUR STAFFING ISN'T -- ISN'T APPROPRIATE

                    AND IT IS A LACK OF -- OF WORKFORCE THEN, YOU KNOW, THEY -- THEY DO

                    ALLOW FOR THAT.

                                 MR. RA:  OKAY.  THANK YOU VERY MUCH.

                                 MR. SPEAKER, ON THE BILL.

                                 ACTING SPEAKER AUBRY:  ON THE BILL, MR. RA.

                                 MR. RA:  THANK YOU.  AND I THANK MY COLLEAGUE FOR

                    ANSWERING MY QUESTIONS.  AND HAVING SPENT MANY YEARS, YOU KNOW, ON

                    THE HEALTH COMMITTEE SINCE I'VE BEEN HERE, YOU KNOW, I'VE -- I'VE

                    HEARD THIS ISSUE DISCUSSED MANY TIMES, AND CERTAINLY, YOU KNOW,

                    APPRECIATE HER STEADFASTNESS IN MOVING FORWARD WITH THIS TODAY.  I DO,

                    YOU KNOW, HAVE SOME CONCERNS GOING FORWARD.  I -- I THINK IT'S GOOD

                    THAT WE'RE RECOGNIZING THAT THERE COULD BE SOME ISSUES WITH RECRUITING

                    ADEQUATE STAFF, AND I HOPE IN ADDITION TO HAVING AN UNDERSTANDING OF

                    WHY A FACILITY MIGHT NOT BE ABLE TO MEET THIS THAT WE WILL -- WE WILL

                    PURSUE THINGS.  AND THERE'VE MANY PROPOSALS OVER THE YEARS TO -- TO TRY

                    TO FIND WAYS TO RECRUIT PEOPLE INTO THIS FIELD.  I DO HOPE THAT MAKING THE

                                         48



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    WORK ENVIRONMENT A LITTLE BETTER FOR MANY OF THESE INDIVIDUALS MIGHT

                    HELP WITH THAT.  YOU KNOW, IT MIGHT HELP WITH RECRUITING THAT NEXT

                    GENERATION OF -- OF OUR NURSING PROFESSIONALS.

                                 BUT -- BUT I DO ALSO WANT TO SAY SOMETHING THAT REALLY

                    IS SOMEWHAT RELATED TO US, BUT MAYBE OUTSIDE OF WHAT -- WHAT WE DO, AT

                    LEAST DIRECTLY LEGISLATIVELY, AND THAT'S -- WE REALLY HAVE TO GET ON TOP OF

                    OUR -- YOU KNOW, THE RATES THAT WE'RE PAYING TO SO MANY OF THESE

                    FACILITIES IF WE WANT THEM TO BE ABLE TO DEAL WITH THE FISCAL SIDE OF THIS.

                    YOU KNOW, WE HAVE THESE FACILITIES ALL OVER NEW YORK STATE WHO

                    OBVIOUSLY ARE COMING THROUGH A DIFFICULT TIME, LIKE EVERYBODY, BUT

                    PARTICULARLY IN THE HEALTHCARE FIELD.  AND, YOU KNOW, I KNOW THAT MANY

                    OF THEM -- YOU KNOW, IT'S ESTIMATED THAT TWO-THIRDS OF PUBLIC AND

                    NON-PROFIT NURSING HOMES IN NEW YORK HAD NEGATIVE OPERATING

                    MARGINS IN 2019, WHICH IS THE MOST RECENT YEAR FOR WHICH THAT FINANCIAL

                    DATA IS AVAILABLE.  THAT WAS PRIOR TO THE COVID PANDEMIC.  AND WE,

                    UNFORTUNATELY, IN NEW YORK STATE OVER -- OVER THE YEARS HAVE NOT

                    HELPED WITH THE RATES.  WE'VE ACTUALLY CUT IN -- IN THAT SYSTEM WITH --

                    WITH SOME OF OUR MEDICAID RATES.  YOU KNOW, OTHER STATES -- OUR

                    NEIGHBOR NEW JERSEY PROVIDED A 10 PERCENT MEDICAID INCREASE TO

                    NURSING FACILITY RATES WHICH RESULTED IN ABOUT $130 MILLION IN

                    ADDITIONAL PAYMENTS TO ITS FACILITIES WHEN -- WHEN THEY MOVED FORWARD

                    WITH NURSING HOME STAFF REQUIREMENTS.  SO I HOPE THAT WE WILL CONTINUE

                    TO ADDRESS THE FISCAL SIDE OF THIS AS WE MOVE FORWARD SO THAT THIS IS A

                    FINANCIALLY WORKABLE MANDATE ON THESE FACILITIES, AND -- AND I HOPE THAT

                    WE WILL, YOU KNOW, KEEP AN EYE ON HOW THINGS GO AS WE'RE

                                         49



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    IMPLEMENTING THIS AND -- AND THE -- THE OTHER BILL WE PASSED BECAUSE I

                    THINK OUR NURSING PROFESSIONALS ARE COUNTING ON THAT.  THE LONG-TERM

                    VIABILITY OF THESE FACILITIES ARE COUNTING ON THAT, AND CERTAINLY NEW

                    YORK'S PATIENTS THAT ARE SERVICED BY ALL OF THESE FACILITIES ARE COUNTING

                    ON THAT.

                                 SO I WILL BE SUPPORTING THIS PIECE OF LEGISLATION, BUT --

                    BUT I THINK WE WILL CONTINUE TO HAVE WORK TO DO IN THE MONTHS AND

                    YEARS TO COME TO -- TO MAKE SURE THIS IS WORKABLE AND -- AND TO

                    CONTINUE TO SUPPORT OUR -- OUR PROFESSIONAL NURSING STAFF WITHIN THESE

                    FACILITIES.  THANK YOU, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  THANK YOU, MR. RA.

                                 MR. MCDONOUGH.

                                 MR. MCDONOUGH:  THANK YOU, MR. SPEAKER.

                    WOULD THE SPONSOR PLEASE YIELD FOR A FEW QUESTIONS?

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER, WILL

                    YOU YIELD?

                                 MRS. GUNTHER:  YES.

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER YIELDS,

                    SIR.

                                 MR. MCDONOUGH:  THANK YOU.  THANK YOU, MRS.

                    GUNTHER.  I HAVE A CONCERN HERE.  YOU SAID THE AVERAGE -- WHAT I'M

                    READING, IT SAYS THE DAILY AVERAGE STAFFING HOURS OF 3.5 HOURS PER

                    RESIDENT.  AM I CORRECT SO FAR, RIGHT?

                                 MRS. GUNTHER:  YES.

                                 MR. MCDONOUGH:  OKAY.  NOW, HOW DO YOU

                                         50



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    CALCULATE THE AVERAGE?  OVER A WEEKLY BASIS OR A MONTHLY BASIS?

                                 MRS. GUNTHER:  WE -- WE LOOK AT IT QUARTERLY.

                    QUARTERLY.  NOT WEEKLY, BUT QUARTERLY.

                                 MR. MCDONOUGH:  BASED ON THE REPORTS PUT IN BY

                    THE -- THE STAFF, RIGHT?

                                 MRS. GUNTHER:  RIGHT.

                                 MR. MCDONOUGH:  OKAY.  NOW, THIS IS GOING TO

                    BE PUBLISHED, OBVIOUSLY, JUST LIKE EVERYTHING ELSE IS.  DON'T YOU

                    ANTICIPATE, ESPECIALLY IF WE COME UP WITH ANOTHER PANDEMIC SITUATION

                    WHICH IS NOT BEYOND THE REALM OF POSSIBILITY, WHERE PEOPLE CANNOT

                    EVEN VISIT THEIR RELATIVES OR EVEN SEE THEM, THAT WHEN THE PUBLIC

                    BECOMES AWARE OF THIS THEY'RE GOING TO CHALLENGE THAT AND SAY, HOW DO

                    I KNOW THAT THEY'RE GETTING THIS CARE THAT'S PROVIDED BY IF THIS LAW IS

                    PASSED?

                                 MRS. GUNTHER:  THERE'S A -- THERE'S A STAFFING

                    CHART THAT THEY MAKE OUT IN LONG-TERM CARE FACILITIES SO WE KNOW WHO'S

                    ON AND WHO'S OFF, HOW MANY HOURS, EVERYTHING.  THAT'S ALL DOCUMENTED.

                                 MR. MCDONOUGH:  AND THEN --

                                 MRS. GUNTHER:  I MEAN, THEY DO THAT NOW, REALLY.

                                 MR. MCDONOUGH:  AND THEN --

                                 MRS. GUNTHER:  AND, YOU KNOW, WE HAVE THE

                    DEPARTMENT OF HEALTH AND, YOU KNOW, THEY CAN DO AN INVESTIGATION

                    WHEN THEY FEEL IT'S NECESSARY.

                                 MR. MCDONOUGH:  SO THAT WOULD BE AVAILABLE TO

                    THE LOVED ONES OR THE FAMILY MEMBERS UPON DEMAND?

                                         51



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MRS. GUNTHER:  YEAH, I MEAN -- I MEAN, YOU CAN

                    LOOK UP ON THE DOH AND SEE, LIKE, HOW -- HOW DIFFERENT FACILITIES ARE

                    RATED.

                                 MR. MCDONOUGH:  SO, BUT SOMEBODY WANTS TO

                    KNOW MY PATIENT, MY FATHER, MY MOTHER, MY WIFE.  WHOEVER IT IS --

                                 MRS. GUNTHER:  THEY'RE NOT GOING TO USE

                    INDIVIDUAL NAMES.  THEY WON'T DO THAT.  THAT -- THAT WOULD BE A BREACH

                    OF CONFIDENTIALITY.

                                 MR. MCDONOUGH:  BUT THERE WILL BE SOMETHING

                    AVAILABLE TO SAY THAT THEY ARE GETTING THE CARE?

                                 MRS. GUNTHER:  YES, LIKE THE JOINT COMMISSION,

                    LIKE ALL THE DIFFERENT AGENCIES THAT REVIEW THE QUALITY OF CARE IN

                    FACILITIES, WHAT THEY DO IS THEY PUT OUT PERCENTAGES AND YOU CAN ALWAYS

                    LOOK THAT UP.  THE DOH GOES IN -- IN AN ACUTE CARE, THE JOINT

                    COMMISSION GOES IN AND THERE ARE OTHER PEOPLE -- SOMETIMES THERE ARE

                    OTHERS REVIEWS, AND THE DEPARTMENT OF HEALTH GOES IN -- IF THERE'S A

                    COMPLAINT THEY GO IN AND INVESTIGATE.  SO, I MEAN, THAT'S BEEN

                    HAPPENING FOR A LONG TIME AND, YOU KNOW, THOSE KINDS OF THINGS ARE

                    AVAILABLE.

                                 MR. MCDONOUGH:  OKAY.  SO THEY COULD -- THEY

                    COULD QUESTION IT BUT IT WON'T BE ON AN INDIVIDUAL BASIS IS WHAT YOU'RE

                    SAYING, RIGHT?

                                 MRS. GUNTHER:  SO, THE OTHER THING I WANTED TO

                    MAKE SURE IS THAT THE INFORMATION REGARDING NURSES, STAFFING, NURSE'S

                    AIDES, IS AVAILABLE TO FAMILIES.  SO THAT IS -- THAT'S SOMETHING THAT THEY

                                         52



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    CAN THEY -- CAN THEY -- THEY CAN SEE THEMSELVES.

                                 MR. MCDONOUGH:  AND ONE OF THE PROBLEMS

                    THAT'S ALREADY BEEN DISCUSSED BY MY COLLEAGUES IS THE FACT ABOUT THE

                    SHORTAGE OF AVAILABLE STAFF IN NURSING HOMES.  THEY'RE GOING TO HAVE TO

                    LOOK FOR MORE STAFF.

                                 MRS. GUNTHER:  WELL, THAT'S -- THAT IS -- THAT IS

                    CORRECT.  BUT, YOU KNOW, WHEN -- WHEN YOU WORK IN A LONG-TERM CARE

                    FACILITY AS WELL AS ACUTE CARE FACILITY, YOU KNOW, ONE OF THE IMPORTANT

                    THINGS IS, YOU KNOW, THE AMOUNT OF MONEY THAT YOU'RE MAKING SO YOU

                    DON'T HAVE TO WORK TWO JOBS.  AND ALSO -- YOU KNOW, ALSO THAT THE LEVEL

                    OF STAFFING, IT MAKES A BIG DIFFERENCE TO EVERY PERSON WORKING THERE.

                    AND I THINK THAT THE WORKING CONDITIONS OF A LONG-TERM CARE FACILITY AS

                    WELL AS ACUTE FACILITY, PEOPLE TEND TO STAY IN THOSE FACILITIES IF -- IF THE

                    WORKING CONDITIONS ARE GOOD AND, YOU KNOW, THEY HAVE A GOOD

                    RELATIONSHIP WITH -- WITH THE CEO AND THE CFO AND THE ADMINISTRATION.

                    SO I -- I THINK THAT WE'RE MOVING TOWARDS -- WE'RE MOVING IN THE RIGHT

                    DIRECTION AND IT WILL ATTRACT MORE PEOPLE TO STAY IN THE HOSPITALS.  AND

                    SO RIGHT NOW THERE'S ALSO $64 MILLION AVAILABLE FOR STAFFING, WHICH I

                    THINK IS PHENOMENAL AND WILL ALSO INCREASE THE NUMBER OF PEOPLE

                    ATTRACTED TO THIS PROFESSION.  AND I THINK THAT JUST WHAT WE'RE DOING

                    TODAY WILL, YOU KNOW, KEEP PEOPLE IN THE FIELD LONGER AND ALSO ATTRACT

                    MORE PEOPLE INTO THE FIELD.

                                 MR. MCDONOUGH:  ANY -- ANY PENALTIES FOR NOT

                    FOLLOWING THIS WOULD BE DETERMINED BY THE COMMISSIONER?

                                 MRS. GUNTHER:  THAT WOULD BE DETERMINED, BUT

                                         53



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    ALSO IF THERE'S AN AREA THAT, YOU KNOW, THEY JUST CAN'T GET THAT STAFFING OR

                    IF THEY'RE -- THAT THEY WILL NOT PENALIZE THEM IF THEY KNOW THAT THEY'VE

                    DONE EVERYTHING THEY COULD TO ATTRACT MORE HELP OR MORE CNAS, ET

                    CETERA, AND THEY WON'T PENALIZE THEM WHEN THEY'VE EXHAUSTED EVERY

                    EFFORT.  SO THAT -- THAT WE ALSO HAVE THAT BECAUSE WE'RE AWARE THAT

                    DIFFERENT COMMUNITIES HAVE DIFFERENT -- DIFFERENT ISSUES.  SO WE ARE

                    AWARE OF THAT.

                                 MR. MCDONOUGH:  OKAY.  WELL, THANK YOU VERY

                    MUCH.  THANK YOU, MRS. GUNTHER.

                                 MRS. GUNTHER:  AND ALSO, I JUST WANTED YOU TO

                    KNOW, WE ALSO -- CNAS IN TRAINING WE ALSO -- THEY -- THEY ARE PART OF

                    THE EQUATION.

                                 MR. MCDONOUGH:  WELL, WE -- WE DID HAVE THE

                    SITUATION OF LOSING STAFF MEMBERS IN THE -- IN THIS PAST PANDEMIC, IF IT'S

                    NOT THE CONCURRENT ONE, WHEN SO MANY PEOPLE WERE BEING TRANSFERRED

                    TO NURSING HOMES WITH COVID AND INFECTED STAFF MEMBERS.  SO WE LOST

                    STAFF MEMBERS AT THE SAME TIME.  AND IT CONCERNS ME THAT IF THAT

                    HAPPENS AGAIN, PENALTIES WOULD BE TAKEN INTO CONSIDERATION IF SUCH A

                    SITUATION OCCURRED.

                                 MRS. GUNTHER:  HONESTLY, THAT WOULD BE AN

                    EMERGENT SITUATION.  I -- THAT'S NOT -- THAT'S NOT, YOU KNOW, WHAT'S

                    HAPPENING ON A DAILY BASIS OR A YEARLY BASIS.  IN AN EMERGENCY SITUATION

                    MOST TIMES ALL BETS ARE OFF.  YOU KNOW, CERTAINLY IF THERE'S ANOTHER

                    ROUND OF PANDEMICS AND PEOPLE, YOU KNOW, IN THE NURSING HOMES, GOD

                    LOVE THE PEOPLE THAT, YOU KNOW LOST FAMILY MEMBERS AND HAVEN'T SEEN

                                         54



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THEM.  BUT IN AN EMERGENT SITUATION, YOU KNOW, THOSE PENALTIES WON'T

                    BE THERE.

                                 MR. MCDONOUGH:  OKAY.  THANK YOU VERY MUCH,

                    MRS. GUNTHER.  THANK YOU, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  THANK YOU, SIR.

                                 MR. BYRNE.

                                 MR. BYRNE:  THANK YOU, MR. SPEAKER.  WILL THE

                    SPONSOR YIELD FOR SOME QUESTIONS?

                                 MRS. GUNTHER:  YES.

                                 ACTING SPEAKER AUBRY:  THE SPONSOR YIELDS.

                                 MR. BYRNE:  THANK YOU, MRS. -- MRS. GUNTHER FOR

                    --

                                 MRS. GUNTHER:  I'M LOOKING AROUND THE CHAMBER

                    FOR YOU, MR. BYRNES [SIC], AND THEN THERE YOU ARE ON THE SCREEN.

                                 MR. BYRNE:  I KNOW, IT'S -- IT'S CRAZY TO THINK ABOUT

                    IT, BUT IT'S BEEN ALMOST A YEAR SINCE I'VE BEEN UP THERE.

                                 MRS. GUNTHER:  COME ON DOWN.

                                 MR. BYRNE:  THE WORLD THAT WE'RE LIVING IN.  BUT

                    THANK YOU FOR ANSWERING A LOT OF OUR COLLEAGUES' QUESTIONS BEFORE.  I

                    DON'T WANT TO BE OVERLY REDUNDANT.  I JUST WANT TO FOCUS IN ON AT LEAST

                    ONE SPECIFIC ISSUE BECAUSE YOU MENTIONED IT BEFORE THAT YOUR HOPE IS

                    THIS PARTICULAR PROPOSAL WILL KEEP PEOPLE IN THE FIELD LONGER AND ALSO

                    RECRUIT MORE NURSES INTO THE VOCATION.  BUT WE DO HAVE A PRETTY SERIOUS

                    WORKFORCE SHORTAGE, AND THERE'S BEEN CONCERNS THAT HAVE BEEN RAISED

                    THAT, YOU KNOW, WE STILL NEED THAT PIPELINE OF NURSES TO HELP MEET THIS

                                         55



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    NEED.  CAN YOU HELP RESPOND TO SOME OF THOSE CONCERNS?

                                 MRS. GUNTHER:  YOU KNOW, I -- I EXPLAINED

                    BEFORE, I WORK A LOT WITH KRIS YOUNG AT ORANGE COUNTY COMMUNITY

                    COLLEGE AND -- AND ALSO OUR OTHER PRESIDENT IN SULLIVAN COUNTY, AND I

                    THINK THE NEXT STEP THAT I WILL TAKE IF I (INAUDIBLE), I WOULD INCREASE THE

                    NUMBER OF SPACES SO THAT MORE PEOPLE CAN GO IN THE NURSING FIELD.  AND

                    WE HAVE WAIT LINES, AS WE DO RIGHT NOW.  AND WHEN YOU'RE IN THE

                    NURSING FIELD, OFTEN PEOPLE WILL WORK IN LONG-TERM CARE OR ACUTE CARE

                    WHILE THEY'RE ATTENDING SCHOOL.  SO I THINK THERE'S A WAY TO SOLVE THE

                    ISSUE, AND I THINK THAT THERE ARE BOTH MALE AND FEMALES THAT ARE WAITING

                    TO GET INTO THESE PROGRAMS.  I HAD ONE YOUNG MAN CALL AND HE SAID HE

                    HAD A PERFECT SCORE AND HE'S GOT TO WAIT ANOTHER YEAR AND HE WANTED TO

                    START RIGHT AWAY.  SO I THINK THERE'S A -- THERE'S ABSOLUTELY A SOLUTION.

                    WE NEED MORE NURSES, YOU KNOW, TO COME INTO THE FIELD.  AND THE ONLY

                    THING THAT WE CAN DO IS EXPAND THE EDUCATION FOR THEM, AND I KNOW

                    THERE'S MANY WAITING.

                                 MR. BYRNE:  THANK YOU, MRS. GUNTHER.

                                 ON THE BILL, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  ON THE BILL, MR.

                    BYRNE.

                                 MR. BYRNE:  I WANT TO THANK THE SPONSOR FOR TAKING

                    THE TIME TO ANSWER NOT ONLY MY QUESTIONS, BUT MANY OF THE IMPORTANT

                    QUESTIONS FROM MY COLLEAGUES.  I DO BELIEVE THAT ENSURING AN AVAILABLE

                    POOL OF WORKERS IS A VERY IMPORTANT STEP WHEN WE'RE TALKING ABOUT

                    STAFFING LEVELS.  WE NEED TO MAKE SURE THAT PIPELINE EXISTS.  I KNOW

                                         56



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THERE'S A LOT OF OPENINGS RIGHT NOW IN VARIOUS FACILITIES SEEKING TALENTED

                    NURSING STAFF.  SO I JUST BELIEVE THAT'S A -- IT'S AN OUTSTANDING NEED,

                    REGARDLESS IF THIS BILL PASSES OR NOT, AND DOING THIS, I BELIEVE, IS -- IS A

                    GOOD STEP.  I'M GOING TO VOTE FOR IT, AS I HAVE IN THE PAST IN COMMITTEE.

                    BUT THAT OUTSTANDING NEED STILL EXISTS, SO I DON'T WANT THAT BEING -- THAT

                    NEED BEING LEFT UNMET.

                                 AGAIN, I THANK THE SPONSOR FOR TAKING THE TIME TO

                    ANSWER MY QUESTIONS, AND I'M GOING TO WRAP THIS UP AND SAY I WANT TO

                    VOTE IN THE AFFIRMATIVE BECAUSE I WANT TO PASS THIS BEFORE THE SENATE

                    DOES.  THANK YOU, SIR.

                                 ACTING SPEAKER AUBRY:  THANK YOU, SIR.

                                 MS. WALSH.

                                 MS. WALSH:  THANK YOU, MR. SPEAKER.  WILL THE

                    SPONSOR YIELD?

                                 ACTING SPEAKER AUBRY:  MRS. GUNTHER, WILL

                    YOU YIELD?

                                 MRS. GUNTHER:  YES, I WILL.

                                 MS. WALSH:  AND I'M RIGHT HERE.  SO WE CAN

                    ACTUALLY SEE EACH OTHER SO THAT'S -- THAT'S A GOOD THING.

                                 MRS. GUNTHER:  AND I CAN HEAR YOU.  FOR SOME

                    REASON UNMASKED IT SEEMS MUFFLED SOMETIMES.

                                 MS. WALSH:  I KNOW IT.  I KNOW IT.  SO THANK YOU

                    VERY MUCH FOR AGREEING TO ANSWER A FEW MORE QUESTIONS.  SO, ONE OF

                    THE QUESTIONS I'VE GOT IS THAT WE TALKED A LITTLE BIT IN RESPONSE TO SOME

                    EARLIER QUESTIONING ABOUT GOING FROM THE 4.1 AVERAGE HOURS TO 3.5 --

                                         57



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MRS. GUNTHER:  YES.

                                 MS. WALSH: -- AND YOU INDICATED THAT 3.5 WAS

                    BASICALLY THE -- THE PRODUCT OF NEGOTIATION.

                                 MRS. GUNTHER:  THAT'S CORRECT.

                                 MS. WALSH: -- THAT WE CAME UP WITH 3.5.  AND, YOU

                    KNOW, THIS IS CALLED THE SAFE STAFFING BILL, SO WE'VE GOT TO ASSUME THAT

                    3.5 IS CONSIDERED TO BE SAFE STAFFING, THEN.  DESPITE THE FACT THAT IT'S

                    NEGOTIATED, IT'S -- IT'S CONSIDERED TO BE SAFE STAFFING.  (INAUDIBLE)

                                 MRS. GUNTHER:  WE WOULD ALWAYS LIKE MORE, BUT

                    I THINK THIS IS WHAT WAS NEGOTIATED AND THEY FELT THAT, YOU KNOW, PART OF

                    THE TIME WOULD BE -- 1.1 WOULD BE THE RN, AND THEN THE OTHER BALANCE

                    WOULD BE THE CNAS OR THE NURSE'S AIDES.

                                 MS. WALSH:  OKAY.  SO ONE OF MY QUESTIONS IS WHY

                    AREN'T WE COMING UP WITH A REQUIREMENT THAT ADDS TIME SPENT WITH A

                    PROVIDER LIKE A -- A DOCTOR, A NURSE PRACTITIONER OR WITH PHYSICAL, OT,

                    SPEECH OR RESPIRATORY THERAPIES AS PART OF THOSE REQUIRED HOURS?  WHY

                    ARE WE ONLY FOCUSING ON CNAS AND NURSES?

                                 MRS. GUNTHER:  WELL, BECAUSE I THINK THAT -- YOU

                    KNOW, YOU BRING UP A GOOD POINT.  BUT RIGHT NOW WE'RE ONLY KIND OF

                    LOOKING AT THE NURSING ASPECT OF IT, BUT WHAT YOU'RE SAYING I -- I DO

                    UNDERSTAND.  LIKE, I DO, BUT WE DIDN'T REALLY ADDRESS IT.

                                 MS. WALSH:  OKAY.  ALL RIGHT.  THANK YOU.  I

                    APPRECIATE YOUR CANDOR ON THAT.  IS -- OKAY.  SO THE 3.5 HOURS, LET'S JUST

                    -- I JUST WANT TO DRILL DOWN INTO THAT A LITTLE BIT, WHAT -- KIND OF WHAT

                    THAT MEANS.  I THINK IN RESPONSE TO SOME EARLIER QUESTIONS YOU WERE

                                         58



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    INDICATING THAT IT'S REALLY JUST -- IT'S AN AVERAGE THAT'S GOING TO BE

                    CALCULATED.  SO IS IT FAIR TO SAY, THEN, THAT SOME DAYS THE AVERAGE -- OR

                    THE NUMBER OF HOURS COULD BE LOWER THAN 3.5 AND OTHER DAYS IT COULD BE

                    HIGHER THAN 3.5, BUT AS LONG AS AT THE END OF THE MEASURING PERIOD

                    YOU'RE COMING UP WITH AN AVERAGE OF 3.5, THAT'S CONSIDERED TO BE

                    ADEQUATE UNDER THIS LEGISLATION, IS THAT CORRECT?

                                 MRS. GUNTHER:  SO, I -- I -- SO, I WOULD EXPLAIN IT

                    A LITTLE BIT DIFFERENTLY.  SO, WE HAVE -- SOMETIMES, YOU KNOW, YOU HAVE

                    A PATIENT THAT'S IN LONG-TERM CARE THAT IS -- THEY CAN BATHE THEMSELVES,

                    THEY'RE NOT -- THEY'RE CONTINENT OF URINE.  MAYBE THE BEGINNING OF

                    SENILITY, DEMENTIA.  SO, WITH THAT PATIENT, YOU KNOW, WHAT WILL HAPPEN

                    IS THERE MIGHT BE A, YOU KNOW, A LITTLE -- A LITTLE BIT DIFFERENT.  BUT ON

                    AVERAGE, MOST OF THE PATIENTS NEED THAT MUCH TIME.  AND WHEN I THINK

                    ABOUT 24 HOURS, AND IF YOU THINK ABOUT IF YOU'VE EVER TAKEN CARE OF --

                    LIKE WHEN -- WHEN I TOOK CARE OF MY MOM OR SOMETHING LIKE THAT, IT --

                    THAT, TO ME, WAS -- I -- I THINK I GAVE A LITTLE BIT MORE TIME.  BUT THIS IS A

                    TIME THAT THEY NEGOTIATED AND, YOU KNOW, WE CAN RENEGOTIATE IT BUT THIS

                    IS WHAT WE HAVE RIGHT NOW.  AND I THINK IT'S AN INCREASE FROM WHAT WE

                    HAD, AND I THINK HAVING THIS SET IN STONE IS VERY, VERY IMPORTANT.  YOU

                    KNOW, IT MAKES US COGNIZANT OF WHAT WE SHOULD BE DOING AND THE

                    DEVOTION AND -- AND THE CARE FACTOR OF EACH AND EVERY INDIVIDUAL.

                                 MS. WALSH:  SO, IF I COULD JUST KIND OF RESTATE THAT

                    JUST SO I'M CLEAR.  THE -- IF THERE IS A DIFFERENCE IN PATIENT ACUITY WITHIN

                    -- WITHIN THE NURSING HOME -- SO, FOR EXAMPLE, LIKE YOU POINTED OUT,

                    PEOPLE WHO HAVE DEMENTIA OR ALZHEIMER'S --

                                         59



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MRS. GUNTHER:  SO, THIS IS A MINIMAL, REALLY.  SO,

                    I MEAN, IF THERE'S A PATIENT THAT THEIR CONDITION CHANGES OR ANYTHING, OF

                    COURSE YOU'RE GOING TO HAVE TO DEVOTE TIME.  BUT THIS IS KIND OF A

                    MINIMUM SO THAT WE SAY THAT, YOU KNOW, AT LEAST THIS MUCH.  BUT, YOU

                    KNOW, AS A CONDITION CHANGES OR -- ON THE SHIFT YOU'RE ON OR ON THE

                    PATIENT IN GENERAL, YOU KNOW, THAT PATIENT, YOU KNOW, MIGHT NOT BE ABLE

                    TO BATHE THEMSELVES, YOU KNOW, THE WHOLE NINE YARDS.  SO, INCONTINENT

                    AND ALL THOSE THINGS.  SO THIS IS A MINIMUM.  AND I -- I -- YOU KNOW,

                    REGARDING ASSESSMENTS AND, YOU KNOW, BATHING AND LEVEL OF CARE.  SO I

                    THINK THIS IS A MINIMAL.  SOME MIGHT REQUIRE MORE.

                                 MS. WALSH:  SO, MRS. GUNTHER, OUT OF THE 617

                    NURSING HOMES THAT WE HAVE IN THE STATE RIGHT NOW, DO YOU KNOW HOW

                    MANY ARE CURRENTLY MEETING WHAT YOU'VE DESCRIBED AS A MINIMUM OF

                    3.5 ON -- ON AVERAGE?

                                 MRS. GUNTHER:  SO, CAN YOU REPEAT THAT?  I'M

                    SORRY, I DIDN'T HEAR THAT.

                                 MS. WALSH:  I'M SORRY.  IT'S PROBABLY THE MASK.  OUT

                    OF THE 617 NURSING HOMES THAT WE HAVE IN THE STATE, DO YOU KNOW

                    CURRENTLY HOW MANY ARE MEETING THAT -- WHAT YOU'VE DESCRIBED AS A

                    MINIMUM OR A FLOOR OF 3.5 HOURS ON AVERAGE?

                                 MRS. GUNTHER:  HONESTLY, I -- WE DO NOT HAVE THAT

                    SPECIFIC NUMBER, AND I THINK THAT'S SOMETHING THAT, YOU KNOW, IN THE

                    FUTURE WE SHOULD LOOK AT.  BUT I WOULD SAY THE DEPARTMENT OF HEALTH

                    DOES -- DOES -- GOES FROM ONE LONG-TERM CARE TO ANOTHER, AND I WOULD

                    SUSPECT THAT THOSE -- THOSE AGENCIES SHOULD HAVE, BECAUSE THEY DO THOSE

                                         60



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    INSPECTIONS, YOU KNOW, IN THE LONG-TERM CARE.  I DON'T HAVE THAT RIGHT

                    NOW, SO...

                                 MS. WALSH:  OKAY.  SO I GUESS KIND OF MOVING TO

                    ANOTHER TOPIC SINCE YOU MENTIONED THE DEPARTMENT OF HEALTH, DURING

                    YOUR EXPLANATION OF THE BILL AT THE BEGINNING, YOU EMPHASIZED THAT --

                    THAT DOH HAS -- AND THEY CONSIDER MITIGATING FACTORS INCLUDING LABOR

                    SHORTAGES.  YOU SPECIFICALLY MENTIONED THAT A COUPLE OF TIMES.  BUT

                    ISN'T THAT A MITIGATING FACTOR ONLY AS IT RELATES TO THE PENALTIES THAT DOH

                    MIGHT ASSESS?  IT DOESN'T -- IT DOESN'T CHANGE THE 3.5 MANDATE THAT'S

                    GOING TO BE ASSIGNED THROUGH, YOU KNOW, THROUGH THIS LEGISLATION,

                    CORRECT?  IT'S JUST THE PENALTIES THAT THEY HAVE -- THEY CAN CONSIDER A

                    MITIGATING FACTOR, LIKE A LABOR SHORTAGE, RIGHT?

                                 MRS. GUNTHER:  SO, IN OTHER WORDS YOU'RE SAYING

                    THAT THE PENALTY -- I -- I DON'T -- I THINK THAT WE -- WE CREATED RATIOS AND

                    -- AND THERE ARE PENALTIES FOR, YOU KNOW -- I MEAN, IF YOU CAN PROVE TO

                    THE DEPARTMENT OF HEALTH THAT YOU DID EVERYTHING YOU POSSIBLY COULD

                    TO GET THE LEVEL OF CARE OR THE STAFFING LEVEL TO AN APPROPRIATE PLACE,

                    THEN THEY WILL TAKE THAT CERTAINLY INTO CONSIDERATION.  AND THAT'S PART OF

                    THE BILL.  BECAUSE, YOU KNOW, SOMETIMES IN CERTAIN AREAS WHERE

                    POPULATION IS LOWER AND THEY -- IT -- IT'S JUST -- THEY WILL TAKE THAT INTO

                    CONSIDERATION.

                                 MS. WALSH:  YES.

                                 MRS. GUNTHER:  SO WE MADE THAT PART OF THE BILL.

                                 MS. WALSH:  OKAY.  I UNDERSTAND THAT, BUT I GUESS

                    WHAT I'M GETTING AT IS, SO THE DOH IS GOING TO POTENTIALLY STEP IN AND

                                         61



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    SAY, FROM THIS PERIOD TO THIS PERIOD YOU FELL SHORT, NURSING HOME.  YOU

                    FELL SHORT.  YOU WERE ONLY AT 3.3 ON AVERAGE, AND THAT'S -- WE WANT 3.5

                    AND YOU'RE -- YOU'RE SHORT.  WE COULD ASSESS A PENALTY, BUT YOU'RE

                    MAKING A GOOD CASE TO US THAT THE REASON WHY YOU DIDN'T MEET 3.5 WAS

                    BECAUSE THERE WAS A LABOR SHORTAGE.  RIGHT?  AND -- AND MAYBE THEY

                    WOULDN'T ASSESS A PENALTY FOR THAT PERIOD, BUT THE NEXT DAY WHEN THE

                    SUN COMES UP THAT NURSING HOME IS STILL LOOKING AT 3.5 AS THE MANDATE

                    THAT THEY'RE SUPPOSED TO ACHIEVE FOR THAT NEXT MEASURING PERIOD.  SO

                    YOU'RE NOT SAYING THAT THEY'RE NEVER GOING TO GET PENALIZED, YOU'RE JUST

                    -- THE -- THE POINT IN THE LEGISLATION IS THAT DOH COULD CONSIDER A LABOR

                    SHORTAGE WHEN ASSESSING PENALTIES, BUT IT DOESN'T CHANGE THE MANDATE,

                    RIGHT?

                                 MRS. GUNTHER:  SO, WHAT I WOULD SAY IS THIS IS

                    SOMETHING NEW AND DIFFERENT THAT WE'RE DOING IN NEW YORK STATE.

                    UNCHARTERED TERRITORY.  SO FOR ME TO SAY WHAT THE OUTCOME WOULD BE IF

                    THE STAFFING PATTERNS WEREN'T FOLLOWED, I MEAN, I CAN'T REALLY -- I -- I

                    CAN'T REALLY ANSWER THAT QUESTION.  AND I THINK THAT WHAT THE

                    DEPARTMENT OF HEALTH -- AND I WOULD HOPE THIS IS TRUE -- AS THEY DO --

                    WHEN THEY -- AT THE -- AT THE END OF A CERTAIN PERIOD OF TIME AND THEY

                    LOOK AT, YOU KNOW, THE OUTCOMES AND ALSO THE STAFFING PATTERNS AND

                    LOOK AT IT ALL TOGETHER, THAT WE'LL HAVE INFORMATION THAT WILL DRIVE US IN

                    WHATEVER DIRECTION IS THE BEST FOR THOSE PEOPLE WE'RE CARING FOR.  SO I

                    CAN'T REALLY -- I DON'T KNOW EXACTLY WHAT'S GOING TO HAPPEN WITH THE

                    DEPARTMENT OF HEALTH.

                                 MS. WALSH:  OKAY.  SO THIS LEGISLATION -- WE PASSED

                                         62



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    LEGISLATION EARLIER THIS SESSION AND EVEN LAST YEAR TO TRY TO GET AT THOSE

                    -- THOSE BAD OPERATORS TO TRY TO MAKE SURE THAT WE -- WE IMPROVE,

                    BECAUSE WE ALL WANT GOOD QUALITY CARE FOR OUR NURSING HOME RESIDENTS.

                    BUT THIS LEGISLATION AFFECTS ACROSS THE BOARD, THE 5-STAR, GOLD STAR

                    NURSING HOMES JUST AS -- JUST AS MUCH AS THE 1-STAR NURSING HOMES,

                    CORRECT?

                                 MRS. GUNTHER:  HERE'S MY -- MY ANSWER TO THAT

                    QUESTION.  YOU KNOW, JOINT COMMISSION, DEPARTMENT OF HEALTH, IF

                    WE'RE 5 STARS, YOU KNOW WHAT?  WE -- AND -- AND I WORKED IN A

                    HOSPITAL.  COME ON DOWN AND COME ON IN BECAUSE WE WANT TO SHOW OFF

                    OUR QUALITY OF CARE.  SO THE ONLY ONE THAT WOULD REALLY -- I MEAN, IF

                    THERE IS SOMEBODY THAT'S NOT FOLLOWING THE RULES AND REGULATIONS AND

                    THEY HAVE AN INSPECTION, A REVIEW OF THEIR FACILITY, THOSE ARE THE ONLY --

                    THE PEOPLE THAT ARE GOING TO BE IMPACTED, AND THOSE ARE THE -- THE

                    PEOPLE THAT WE REALLY WANT TO FIND OUT ABOUT.  AND SEE, IT'S NOT PUNITIVE.

                    IT'S CORRECTIVE ACTION.  SO I THINK THAT, YOU KNOW, WHEN YOU HAVE

                    SOMEBODY COME IN, IT'S LIKE A CHILD OR, YOU KNOW, AND THE JOINT

                    COMMISSION COMES INTO A HOSPITAL, THEY COME IN, IT'S AN EDUCATION FOR

                    EVERYBODY THERE, WHETHER YOU'RE A NURSE, A CNA.  WHETHER YOU WORK

                    IN DIETARY, WHATEVER IT IS.  AND I THINK THAT IT IMPROVES THE QUALITY OF

                    CARE.  IT'S LIKE IT'S GOING TO SCHOOL FOR A FEW DAYS WHILE THEY'RE THERE.

                    THEY COME OUT WITH OUTCOMES AND I THINK IT'S VERY GOOD.  IT'S GOOD FOR

                    ALL OF US.  AND AS YOU -- IF YOU HAVE A PARENT IN THAT FACILITY, YOU WANT

                    TO SEE THAT THAT OVERSIGHT IS THERE AND HOW WELL THEY SCORED AFTER AN

                    INSPECTION LIKE THAT.

                                         63



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MS. WALSH:  YOU KNOW, THAT'S INTERESTING THAT YOU

                    BRING THAT UP, BECAUSE AS I -- AS I FIELD QUESTIONS IN MY OFFICE FROM

                    CONSTITUENTS WHO HAVE PARENTS OR GRANDPARENTS IN NURSING HOME

                    SETTINGS, WHAT THEY'RE USUALLY CONCERNED ABOUT IS NOT SO MUCH THE RAW

                    NUMBERS, THE STATISTICS, BUT IT'S THAT FEELING OF WHETHER THEIR LOVED ONE

                    THEY BELIEVE IS RECEIVING APPROPRIATE CARE.  YOU KNOW, ARE THEY BEING

                    WELL TAKEN CARE OF?  ARE THEY SEEING THINGS, NOTICING THINGS ABOUT THEIR

                    LOVED ONES WHEN THEY CAN GET IN TO SEE THEM, WHICH OF COURSE WE

                    KNOW HAS BEEN A PROBLEM THE LAST YEAR.  BUT THAT -- TO ME, THAT'S REALLY

                    MORE OF A COMMENT RATHER THAN A QUESTION, SO YOU'VE BEEN STANDING A

                    LONG TIME AND I APPRECIATE YOU ANSWERING MY QUESTIONS.  AND AT THIS

                    POINT I THINK WITH THE REMAINING TIME THAT I'VE GOT, I'D LIKE TO GO ON THE

                    BILL, MR. SPEAKER.  THANK YOU.

                                 ACTING SPEAKER J.D. RIVERA:  ON THE BILL.

                                 MS. WALSH:  THANK YOU.  SO I HAVE TO SAY THAT IN

                    CONTRAST TO THE PREVIOUS BILL THAT I WAS DELIGHTED TO SUPPORT, THIS BILL

                    CAUSES ME A LOT MORE CONCERN.  AND I THINK THAT THE -- THE SPONSOR

                    COULD NOT HAVE BEEN MORE CANDID.  BUT I THINK THAT IN HER -- IN HER

                    CANDOR SHE'S POINTING OUT SEVERAL THINGS THAT I THINK ARE -- ARE A

                    PROBLEM.  ONE THING IS THAT, YOU KNOW, NURSING HOMES ARE NOT CHILDREN,

                    THEY'RE BUSINESSES.  AND IF YOU'RE A BUSINESS YOU NEED TO KNOW WHAT

                    THE PLAYING FIELD IS.  WHAT ARE THE RULES.  WE DON'T KNOW RIGHT NOW.

                    WE DON'T KNOW HOW MANY OUT OF OUR 617 NURSING HOMES IN THE STATE

                    ARE -- ARE ALREADY MEETING THIS 3.5 FLOOR OF -- OF APPROPRIATE CARE.  WE

                    -- WE BELIEVE THAT THE 3.5 HOURS HAS BEEN ARRIVED AT THROUGH

                                         64



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    NEGOTIATION, NOT NECESSARILY WITH A SENSE THAT WITH ANY KIND OF CERTAINTY

                    3.5 IS A SAFE STAFFING LEVEL OF CARE.  YOU KNOW, THE -- THE STAFFING

                    MANDATE THAT'S CONTAINED IN THIS BILL, UNLIKE THE BILL THAT WE HANDLED

                    EARLIER HAVING TO DO WITH HOSPITALS, THE MANDATE THAT ONE-SIZE-FITS-ALL

                    KIND OF IDEA, THE FACT THAT THIS BILL, I BELIEVE, WILL IMPACT THE VERY BEST

                    NURSING HOMES ALL THE WAY THROUGH BECAUSE IT AFFECTS EVERYBODY.  IT'S

                    NOT JUST POINTING OUT OR TRYING TO GO AFTER THOSE -- THOSE, HOPEFULLY, FEW

                    BAD OPERATORS THAT WE MAY HAVE IN THIS STATE.  AND I THINK THAT WHAT'S

                    BEEN POINTED OUT AS FAR AS THE -- THE DOH, WE DON'T REALLY KNOW HOW

                    THEY'RE GOING TO APPROACH THE PENALTIES IN THIS SITUATION.  WE KNOW THAT

                    THEY CAN CONSIDER LABOR SHORTAGES, BUT THAT HAS TO DO WITH PENALTIES

                    RATHER THAN THE MANDATE ITSELF.  WE ALSO KNOW AND IT'S BEEN BROUGHT UP

                    BY OTHERS BUT IT BEARS REPEATING THAT, YOU KNOW, WE HAVE A -- ALREADY

                    HAVE A HUGE SHORTAGE OF SKILLED NURSING STAFF IN OUR STATE.  THERE'S AN

                    EXPECTED NEED OF ALMOST 20,000 NURSES ACROSS NEW YORK.  WE HAVE

                    DECLINING LPN GRADUATION RATES.  WE HAVE ONE MILLION NURSES EXPECTED

                    TO RETIRE NATIONWIDE BY 2030.  SO, HOW WE'RE GOING TO FILL ALL THESE

                    POSITIONS IN ORDER TO COME UP WITH THIS NUMBER OF HOURS IS A REAL

                    CONCERN.  AND WHILE I UNDERSTAND THAT THERE HAS BEEN SOME FUNDING

                    THAT HAS BEEN ALLOCATED, THAT ONLY EQUATES TO ROUGH MATH $103,000 PER

                    617 NURSING HOMES AROUND THE STATE.  THAT'S NOT A LOT OF MONEY.  AND

                    BECAUSE THERE'S THIS FINITE AMOUNT OF MONEY AND WE ALREADY HAVE OTHER

                    LEGISLATION THAT IS REQUIRING NURSING HOMES TO MAKE INVESTMENTS OF A

                    CERTAIN AMOUNT OF THEIR REVENUE, I'M CONCERNED THAT A BILL LIKE THIS

                    CREATES A DISINCENTIVE TO NURSING HOMES TO INVEST IN OTHER ASPECTS OF

                                         65



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THEIR BUILDINGS OR OPERATIONS.

                                 SO, I -- I WON'T BE ABLE TO SUPPORT THIS BILL, AS I DID THE

                    PREVIOUS ONE.  I THINK THAT THAT SAME SENSE OF NEGOTIATION AND CHANGES

                    MADE BETWEEN THE A-PRINT AND THE B-PRINT OF THE HOSPITAL BILL IS THAT

                    SAME TYPE OF NEGOTIATION THAT I WISH HAD RESULTED IN A BILL THAT I COULD

                    SUPPORT HERE.  BECAUSE I, ALONG WITH I'M SURE ALL OF MY COLLEAGUES,

                    WANT TO SEE REALLY GOOD QUALITY NURSING HOME CARE.  I JUST THINK THAT

                    THIS, BECAUSE OF THE MANDATE ON STAFFING, IS SOMETHING THAT I CANNOT

                    SUPPORT AT THIS TIME.  THANK YOU, MR. SPEAKER.

                                 ACTING SPEAKER J.D. RIVERA:  MR. SALKA.

                                 MR. SALKA:  THANK YOU, MR. SPEAKER.  WILL THE

                    SPONSOR YIELD FOR A QUICK QUESTION?

                                 ACTING SPEAKER J.D. RIVERA:  WILL THE

                    SPONSOR YIELD?

                                 MRS. GUNTHER:  YES, SURE.

                                 ACTING SPEAKER J.D. RIVERA:  THE SPONSOR

                    YIELDS.

                                 MR. SALKA:  JUST -- JUST ONE QUICK QUESTION.  WILL

                    THOSE PATIENTS -- THOSE RESIDENTS OR PATIENTS THAT ARE IN THE -- IN THE

                    FACILITY THERE FOR REHAB, WILL THEY BE COUNTING -- COUNTED AS THE GENERAL

                    POPULATION, THE GENERAL NUMBER?

                                 MRS. GUNTHER:  YES.  YES, THAT'S A YES.

                                 MR. SALKA:  AND -- AND SO WHEN THE OCCUPATIONAL

                    THERAPIST OR THE PHYSICAL THERAPIST SEES THEM USUALLY ALMOST ON A DAILY

                    BASIS, THAT WON'T COUNT FOR THE STAFFING NUMBERS, THESE REQUIREMENTS.

                                         66



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MRS. GUNTHER:  WE'RE -- WE'RE LOOKING AT THE

                    NURSING ASPECT OF IT, NOT THE OT/PT.

                                 MR. SALKA:  OKAY.  ALL RIGHT.  THAT'S ALL.  THANK

                    YOU.

                                 MRS. GUNTHER:  THANK YOU.

                                 ACTING SPEAKER J.D. RIVERA:  MR. GOODELL.

                                 MR. GOODELL:  THANK YOU, MR. SPEAKER.

                                 ON THE BILL.

                                 ACTING SPEAKER J.D. RIVERA:  ON THE BILL.

                                 MR. GOODELL:  WE'VE HAD A LOT OF DISCUSSION ON

                    THIS BILL, AND IT'S INTERESTING THAT THIS BILL WHICH HAS A SET MANDATE THAT

                    IS IMPOSED ON EVERY NURSING HOME REGARDLESS OF SIZE, REGARDLESS OF

                    HEALTH FACTORS, REGARDLESS OF RANKINGS, REGARDING -- REGARDLESS OF

                    OUTCOMES, IT'S ONE-SIZE-FITS-ALL.  OF COURSE EVERYONE HERE WANTS

                    HIGH-QUALITY NURSING CARE.  OF COURSE.  BUT I HOPE THAT EVERYONE HERE

                    ALSO RECOGNIZES THAT OUR NURSING HOMES VARY SUBSTANTIALLY ACROSS THE

                    STATE IN TERMS OF THE ACUITY OF PATIENTS, THE TYPE OF PATIENTS, THE STAFFING

                    NEEDS FOR THOSE PATIENTS AND THE HEALTH OUTCOMES.  IN FACT, IF YOU LOOK

                    AT JUST THE BROADEST NUMBERS ON ACUITY, FOR-PROFIT NURSING HOMES

                    TYPICALLY RUN ABOUT 32 PERCENT OF THEIR PATIENTS IN THE HIGHEST RESOURCE

                    UTILIZATION GROUPING, THE HIGHEST ACUITY, COMPARED TO 18 PERCENT FOR THE

                    NOT-FOR-PROFITS.  MUCH LOWER ACUITY RATES.  IN THE PREVIOUS BILL, WE HAD

                    A LABOR MANAGEMENT COMMITTEE FOR EACH FACILITY, AND THAT LABOR

                    MANAGEMENT COMMITTEE WOULD HAVE KNOWN THE FACILITY'S NEEDS FOR

                    STAFFING MORE THAN ANY ONE OF US SITTING HERE IN THIS CHAMBER.  INDEED,

                                         67



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    I DOUBT THAT MOST OF MY COLLEAGUES HAVE EVER WALKED IN ON A NURSING

                    HOME IN MY DISTRICT.  YET WE'RE BEING ASKED TO IMPOSE STAFFING LEVELS

                    FOR EVERY ONE OF THE NURSING HOMES IN MY DISTRICT, YOUR DISTRICT AND

                    ACROSS THE STATE.  THE PREVIOUS BILL HAD A LABOR MANAGEMENT COMMITTEE

                    WITH BROAD REPRESENTATION INCLUDING THERAPISTS, DIETITIANS AND EVERYONE

                    ELSE.  AND AS THE -- AS MY COLLEAGUE MENTIONED ON A PREVIOUS BILL, THAT

                    WAS INTENTIONAL BECAUSE IT TAKES A TEAM TO PROVIDE HIGH-QUALITY SERVICE.

                    BUT NOT THIS BILL.  THIS BILL DOESN'T TALK ABOUT A TEAM AT ALL.  IT ONLY TALKS

                    ABOUT NURSING STAFFING RATIOS.  NO MENTION ABOUT PHYSICAL THERAPISTS,

                    DIETITIANS OR ANY OF THE OTHER FRONTLINE CRITICAL CARE WORKERS.  NO

                    MENTION OF THEM.  THIS BILL IS SILENT.

                                 IN THE PRIOR BILL, THE STAFFING PLAN WAS SET BY EACH

                    FACILITY LOCALLY.  ON THIS ONE IT'S SET IN ALBANY BY THE NEW YORK STATE

                    DEPARTMENT OF HEALTH IN IMPLEMENTING A LEGISLATIVE MANDATE SET HERE

                    ON THE FLOOR OF THE ASSEMBLY WHERE NOT ONE OF US, I DON'T THINK, IS A

                    LICENSED HOME -- LICENSED ADMINISTRATOR FOR A NURSING HOME.  SO

                    INSTEAD OF LOOKING AT THE LOCAL LEVEL AND TAPPING IN ALL THE EXPERTISE THAT

                    WE HAVE ON THE LOCAL LEVEL, WE'RE ASKED, WITHOUT THAT KNOWLEDGE OR

                    EXPERTISE, TO IMPOSE ON EVERY NURSING HOME ACROSS NEW YORK STATE AN

                    ARBITRARY LIMIT.

                                 NOW, THE FINANCIAL COST HAS BEEN MENTIONED SOME.  IF

                    YOU TAKE THE DEPARTMENT OF HEALTH'S EVALUATION ON THE PRIOR

                    REQUIREMENT OF 4.1, IF YOU GO ON THE SAME RATIO THIS WHEN FULLY

                    IMPLEMENTED WOULD COST $1.5 BILLION.  WE HAVE SOME FUNDING IN THE

                    BUDGET, AS WAS ACKNOWLEDGED, BUT NOWHERE NEAR THAT KIND OF FUNDING.

                                         68



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    AND OF COURSE THE AMOUNT OF FUNDING THAT'S NEEDED WILL VARY BETWEEN

                    FACILITIES, WON'T IT?  BECAUSE IF YOU HAVE A FACILITY THAT ALREADY MEETS IT,

                    THEY DON'T NEED ADDITIONAL FUNDING, AND IF YOU HAVE A FACILITY THAT

                    DOESN'T MEET IT, THEY COULD NEED A LOT A FUNDING.  NOW, YOU'VE HEARD

                    THAT IF WE INCREASE NURSING STAFF AND WE'LL GET BETTER OUTCOMES AND THAT

                    SAVES MONEY.  BUT UNFORTUNATELY, UNDER THE MEDICAID PROGRAM THERE'S A

                    COMPLETE DISCONNECT BETWEEN THE COST OF PROVIDING CARE AND YOUR

                    REIMBURSEMENT RATE.  FOR THOSE WHO AREN'T FAMILIAR, YOU KNOW, 30 YEARS

                    AGO MEDICAID USED TO BE ON A COST BASE WHERE YOU USED TO FILE OUT

                    DETAILED COST REPORTS AND YOU GET A REIMBURSEMENT RATE.  THEN THEY

                    SWITCHED TO DRGS FOR HOSPITALS AND SOMETHING SIMILAR TO NURSING

                    HOMES WHERE THEY GAVE A FLAT RATE.  AND THEN THEY WENT TO REGIONAL

                    NURSING HOME RATES.  AND SO THEY DIVORCED THE COST OF PROVIDING THE

                    SERVICE WITH THE MEDICAID RATE, AND THEY DID THAT FOR OBVIOUS POLITICAL

                    REASONS SO THAT THEY COULD CUT THE MEDICAID RATE WITHOUT ANYONE

                    SCREAMING THAT THEY'RE NO LONGER BEING REIMBURSED.  BUT THAT IS, INDEED,

                    THE REALITY.  MY NURSING HOMES IN MY DISTRICT - AND I'M SURE THE SAME IS

                    TRUE FOR YOUR NURSING HOMES - ARE JUST REELING FROM THE IMPACTS OF

                    COVID FINANCIALLY.  WE KNOW THAT WHEN OUR NURSING HOMES WERE

                    ORDERED TO TAKE POTENTIALLY COVID-POSITIVE PATIENTS, IN ADDITION TO

                    KILLING MORE NURSING HOME RESIDENTS IT ALSO INFECTED MORE STAFF.  AND

                    SO WHEN THE STAFF WERE INFECTED THAT MEANT THE REMAINING STAFF HAD TO

                    WORK OVERTIME, INCURRING TREMENDOUS COSTS.  AND THEN OF COURSE, AS WE

                    ALL KNOW, THE GOVERNMENT OVERREACTED AND TURNED AROUND AND REQUIRED

                    NURSING HOMES TO TEST EVERY STAFF MEMBER TWICE A WEEK.  REMEMBER

                                         69



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THAT?  THE STAFF WERE BEING TESTED TWICE A WEEK EVEN THOUGH IT TOOK

                    SEVERAL DAYS TO GET THE RESULTS BACK.  IT WAS A HUGE, HUGE COST TO

                    NURSING HOMES.  IN MY DISTRICT, ALMOST ALL THE NURSING HOMES ARE

                    OPERATING UPSIDEDOWN FINANCIALLY, AND THEY ARE STRUGGLING TO REMAIN

                    OPEN.  THIS IS THE LAST TIME, THE WORST TIME IN THE WORLD FOR US TO

                    IMPOSE HUGE UNKNOWN EXPENSIVE MANDATES.  UNKNOWN BECAUSE WE

                    HAVEN'T EVALUATED WHAT THE IMPACT IS PER FACILITY.  WE'RE NOT EVEN SURE

                    WHAT THE OVERALL IMPACT IS STATEWIDE.  BUT ONE THING WE ARE SURE IS THAT

                    THIS BILL PROVIDES NO FUNDING.

                                 MY FRIENDS, WE SHOULD FOCUS ON WHAT IS MOST

                    IMPORTANT TO OUR NURSING HOME RESIDENTS AND THEIR FAMILIES, AND THAT IS

                    FOCUSING ON ENSURING HIGH-QUALITY OUTCOMES.  AND WE, AS THE STATE,

                    SHOULD BE WILLING TO PAY THE COST OF ENSURING PROPER STAFFING AND NOT

                    IMPOSE THAT COST ON NURSING HOMES WITH A THREAT OF FINING NURSING

                    HOMES WHO CAN'T AFFORD TO HIRE MORE STAFF AND THEREBY TAKE MORE

                    MONEY AWAY FROM THEM BECAUSE THEY CAN'T AFFORD TO MEET OUR

                    MANDATES.

                                 I AGREE WITH MANY OF MY COLLEAGUES, THE BILL THAT WE

                    HAD ON HOSPITAL STAFFING WAS A THOUGHTFUL, CAREFUL, FLEXIBLE, INCLUSIVE

                    APPROACH.  AND I COMMENDED MY COLLEAGUE, THE SPONSOR, FOR THAT

                    APPROACH.  AND I WOULD LOVE TO SEE THAT TYPE OF APPROACH IMPLEMENTED

                    WHEN IT COMES TO NURSING HOMES RATHER THAN AN EXPENSIVE, INFLEXIBLE,

                    TOP-DOWN MANDATE THAT HAS NO LOCAL INPUT IN DEVELOPING THE STAFFING,

                    DOES NOT CONSIDER THE MULTIPLE FACTORS THAT WERE CONSIDERED ON HOSPITAL

                    STAFFING AND WILL ONLY EXACERBATE THE FINANCIAL HARDSHIPS FACING OUR

                                         70



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    NURSING HOMES TODAY.

                                 FOR THOSE REASONS I WILL BE VOTING AGAINST IT AND

                    WOULD ENCOURAGE MY COLLEAGUES TO DO THE SAME.  THANK YOU, MR.

                    SPEAKER.

                                 ACTING SPEAKER J.D. RIVERA:  MRS. GUNTHER.

                                 MRS. GUNTHER:  WELL, I JUST WANT TO SPEAK ON THIS

                    BILL.  YOU KNOW, WE HAVE WATCHED ON OUR TELE -- TELEVISION DAY AFTER

                    DAY ALL ABOUT THE DEATHS IN LONG-TERM CARE FACILITIES.  WE'VE HAD -- WE

                    HAVE FAMILIES THAT HAVE CALLED OUR OFFICES.  WE HAVE PEOPLE THAT HAVE

                    WORKED IN LONG-TERM CARE AND TALKED ABOUT THE EXPERIENCE OF LOSING

                    PEOPLE THAT THEY CARED FOR FOR YEARS AND LOVED DEARLY.  AND THIS BILL IS A

                    RESULT OF WHAT HAPPENED IN THE LONG-TERM CARE FACILITIES DURING THE PAST

                    PANDEMIC.  I THINK THAT THIS IS A START, IT'S NOT A FINISH.  BUT IN MY

                    OPINION IT'S SOMETHING THAT HAS TO BE ADDRESSED AND ADDRESSED

                    IMMEDIATELY.  THE LEVEL OF CARE MAKES A DIFFERENCE IN OUTCOMES.  THE

                    LEVEL OF CARE MEANS QUALITY OF LIFE FOR MANY PEOPLE THAT WE CALL PART OF

                    THE GREATEST GENERATIONS, AND THEY DESERVE APPROPRIATE CARE.  AND WE'RE

                    TALKING ABOUT MONEY, BUT I'M TALKING ABOUT LIVES AND I'M TALKING ABOUT

                    QUALITY OF LIFE.  SO TO ME, THIS BILL IS A NO-BRAINER.  WE NEED TO DO

                    SOMETHING.  WE SAW IT ON TELEVISION EVERY DAY, AND WE NEED TO DO IT

                    TODAY.  AND I'M SO HAPPY TO CARRY THIS BILL FOR ALL THOSE CNAS, NURSE'S

                    AIDES AND -- AND REGISTERED NURSES ACROSS NEW YORK STATE.  THEY

                    DESERVE THIS AND THEIR PATIENT DESERVES IT.  SO I'M HAPPY AND PROUD TO

                    HAVE CARRIED THIS BILL AND GLAD THAT THE NEW YORK STATE ASSEMBLY IS

                    STEPPING UP TO THE PLATE TODAY.  THANK YOU.

                                         71



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 ACTING SPEAKER J.D. RIVERA:  READ THE LAST

                    SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER J.D. RIVERA:  THE CLERK WILL

                    RECORD THE VOTE ON A.7119.  THIS IS A PARTY VOTE.  ANY MEMBER WHO

                    WISHES TO BE RECORDED AS AN EXCEPTION TO THEIR CONFERENCE POSITION IS

                    REMINDED TO CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS

                    PREVIOUSLY PROVIDED.

                                 MR. GOODELL.

                                 MR. GOODELL:  THANK YOU, SIR.  THE REPUBLICAN

                    CONFERENCE IS GENERALLY OPPOSED TO THIS LEGISLATION, BUT THOSE WHO

                    SUPPORT IT SHOULD CERTAINLY CONTACT THE MINORITY LEADER'S OFFICE SO WE

                    CAN PROPERLY RECORD YOUR VOTE.  THANK YOU, SIR.

                                 ACTING SPEAKER J.D. RIVERA:  MRS.

                    PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  THANK YOU, MR.

                    SPEAKER.  I WANT TO REMIND OUR MAJORITY COLLEAGUES THAT WE'LL GENERALLY

                    BE VOTING IN THE FAVOR OF THIS AWESOME PIECE OF LEGISLATION.  HOWEVER,

                    COLLEAGUES DESIRING TO BE AN EXCEPTION SHOULD FEEL FREE TO CONTACT THE

                    MAJORITY LEADER'S OFFICE AND WE'LL BE HAPPY TO RECORD YOUR VOTE.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ACTING SPEAKER J.D. RIVERA:  MR. JACOBSON TO

                    EXPLAIN HIS VOTE.

                                 MR. JACOBSON:  THANK YOU, MR. SPEAKER.  I WISH

                    TO THANK THE SPONSOR FOR FIGHTING FOR THIS BILL.  YOU KNOW, LAST -- WE

                                         72



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    JUST PASSED THE BILL TO GO FOR SAFE STAFFING IN HOSPITALS.  AND IT'S THE

                    SAME THING, SAFE STAFFING SAVES LIVES.  AND AS FAR AS I KNOW AND I THINK

                    EVERYBODY WOULD AGREE THAT NURSING HOMES HAS GENERALLY BEEN SORELY

                    UNDERSTAFFED BEFORE THE PANDEMIC.  AND IT'S EVEN WORSE NOW.  BUT

                    THAT'S THE FIRST THING THAT NURSING HOMES CUT, THEY CUT STAFF.  AND I'VE

                    PRACTICED WORKERS' COMP FOR OVER 20 YEARS AND I'VE REPRESENTED

                    HUNDREDS OF WORKERS WHO HAD BACK INJURIES BECAUSE THEY WERE ALONE.

                    THEY WERE WORKING BY THEMSELVES AND THEY HAD TO LIFT PATIENTS, AND IT

                    WAS TERRIBLE.  AND SO IT'S SO IMPORTANT BECAUSE THIS MEANS THAT WORKERS

                    WILL BE IN SAFER CONDITIONS.  IT MEANS THAT PATIENTS WILL HAVE AND

                    NURSING RESIDENTS WILL HAVE A BETTER QUALITY OF LIFE.

                                 AND SO I'M SO HAPPY TO SPEAK ON THIS TO THANK THE

                    SPONSOR AND URGE MY COLLEAGUES TO DO SO.  AND I PROUDLY VOTE IN THE

                    AFFIRMATIVE.

                                 ACTING SPEAKER J.D. RIVERA:  MR. JACOBS [SIC]

                    IN THE AFFIRMATIVE.  JACOBSON.  RIGHT.

                                 MR. CAHILL TO EXPLAIN HIS VOTE.

                                 MR. CAHILL:  THANK YOU, MR. SPEAKER.  I RISE TO

                    EXPLAIN MY VOTE, BUT MORE IMPORTANTLY, TO CONGRATULATE THE CHIEF

                    SPONSOR OF THIS BILL.  I KNOW WE ARE NOT SUPPOSED TO USE OUR TIME TO

                    TALK ABOUT MEMBERS, BUT I WILL TALK ABOUT A WOMAN I KNOW WHO WAS

                    MARRIED TO A MEMBER AND THAT WAS A -- A CITIZEN WHO CAME TO US BEFORE

                    SHE WAS EVEN A MEMBER OF THIS BODY TO ADVOCATE FOR THIS BILL, AND IT

                    HAS BEEN HER -- HER CRUSADE, IF YOU WILL, OVER ALL THESE YEARS.  AND IT

                    HAS BEEN A NOBLE CRUSADE, A GOOD CRUSADE.  AND I CONGRATULATE HER ON

                                         73



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    HER SUCCESS TODAY, WITHDRAW MY REQUEST AND PROUDLY VOTE IN THE

                    AFFIRMATIVE.

                                 ACTING SPEAKER J.D. RIVERA:  MR. CAHILL IN

                    THE AFFIRMATIVE.

                                 MRS. PEOPLES-STOKES TO EXPLAIN HER VOTE.

                                 MRS. PEOPLES-STOKES:  THANK YOU, MR.

                    SPEAKER, FOR AN OPPORTUNITY TO EXPLAIN MY VOTE.  VERY OFTEN IN THESE

                    CHAMBERS YOU WAIT FOR A REALLY LONG TIME TO BE ABLE TO VOTE FOR THINGS

                    THAT MEMBERS HAVE PUT IN WRITING SOME TIME AGO.  AND, YOU KNOW, TO

                    SAY THE LEAST, GOOD THINGS ARE SOMETIMES WORTH WAITING FOR.  AND I

                    WANT TO TAKE THIS OPPORTUNITY TO NOT ONLY SAY HOW EXCITED I AM ABOUT

                    VOTING ON AN OPPORTUNITY TO MAKE NURSING HOMES SAFER, BUT TO HONOR

                    MY COLLEAGUE FOR HER DUE DILIGENCE AS A NURSE TO REPETITIVELY YEAR AFTER

                    YEAR AFTER YEAR TALK ABOUT THE VALUE OF SAFE STAFFING.  SHE'S BEEN HEARD.

                    AND SHE SAID THE ASSEMBLY WAS DOING THE RIGHT THING.  I NEED HER TO

                    KNOW THAT WE CERTAINLY DO SUPPORT HER IN DOING THE RIGHT THING, AND IT IS

                    A PLEASURE TO BE ABLE TO VOTE FOR THIS BILL.  SO THANK YOU TO THE

                    COLLEAGUE THAT INTRODUCED IT.

                                 ACTING SPEAKER J.D. RIVERA:  MRS.

                    PEOPLES-STOKES IN THE AFFIRMATIVE.

                                 MR. GOODELL.

                                 MR. GOODELL:  THANK YOU, SIR.  PLEASE RECORD THE

                    FOLLOWING REPUBLICAN COLLEAGUES IN THE AFFIRMATIVE ON THIS LEGISLATION:

                    MR. ASHBY, MR. BRABENEC, MR. BYRNE, MR. DESTEFANO, MR. BROWN, MR.

                    DURSO, MR. GANDOLFO, MS. GIGLIO, MR. LAWLER, MR. MIKULIN, MR.

                                         74



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    MILLER, MRS. MILLER, MR. MONTESANO, MR. MORINELLO, MR. NORRIS, MR.

                    RA, MR. REILLY, MR. SALKA, MR. SCHMITT, MR. SMITH AND MR. TANNOUSIS.

                                 THANK YOU, SIR.

                                 ACTING SPEAKER J.D. RIVERA:  SO NOTED.

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.

                                 (APPLAUSE)

                                 MR. GOODELL FOR AN INTRODUCTION.

                                 MR. GOODELL:  THANK YOU, SIR.  IT IS MY GREAT

                    PLEASURE TO INTRODUCE CLIFFORD CROUCH.  MANY OF YOU KNOW MR.

                    CROUCH, HAVING SERVED IN THIS --

                                 (APPLAUSE)

                                 MR. CROUCH HAS SERVED IN THIS CHAMBER FROM 1995 TO

                    2010 AND -- 2020.  2010 WAS ABOUT WHEN HE WAS WARMING UP --

                                 (LAUGHTER)

                                 -- AND DID A PHENOMENAL JOB AND SERVED AS OUR CAUCUS

                    LEADER AND -- AND DID A PHENOMENAL JOB.  SOME OF YOU MAY NOT REALIZE

                    THAT HE HAS A COLLEGE DEGREE IN ANIMAL SCIENCE AND OWNED AT ONE TIME A

                    FARM THAT WAS 45 ACRES LARGER THAN THE ENTIRE CITY OF NEW YORK.  SO IF

                    ANY OF YOU WANT TO VISIT HIM, HE'S UP IN BAINBRIDGE, WHICH IS IN THE

                    CATSKILLS, AND HE CAN FIT THE ENTIRE POPULATION OF THE CITY OF NEW YORK

                    ON HIS FARM, ALTHOUGH HE MAY TO ASK SOME OF THE OTHER CATTLE -- I MEAN,

                    NOT OTHER CATTLE, BUT ASK THE CATTLE TO LEAVE TO MAKE ROOM FOR YOU.  BUT

                    I'M DELIGHTED THAT MR. CROUCH HAS DONE A PHENOMENAL JOB AS A PUBLIC

                                         75



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    SERVANT ON BEHALF OF THE RESIDENTS OF THE STATE OF NEW YORK, LOOKING

                    OUT FOR THE BEST INTERESTS OF EVERYONE, ESPECIALLY IN AGRICULTURAL ISSUES.

                    AND IT'S ALWAYS A PLEASURE TO HAVE AN INDIVIDUAL WITH THAT

                    DISTINGUISHED RECORD VISIT US AGAIN ON THE FLOOR OF THE ASSEMBLY.  MR.

                    CROUCH.

                                 (APPLAUSE)

                                 ACTING SPEAKER J.D. RIVERA:  ON BEHALF OF

                    MR. GOODELL, THE SPEAKER AND THE MEMBERS, WE WELCOME MR. CROUCH

                    BACK TO THE CHAMBER, EXTEND THE PRIVILEGES OF THE FLOOR AND HOPE YOU

                    ENJOY THE PROCEEDINGS.  THANK YOU AGAIN FOR JOINING US.

                                 ACTING SPEAKER AUBRY:  THE A-CALENDAR,

                    PAGE 3, RULES REPORT NO. 65.  THE CLERK WILL READ.


                                 THE CLERK:  ASSEMBLY NO. A07279, RULES REPORT

                    NO. 65, LAVINE, GRIFFIN, SOLAGES.  AN ACT TO AMEND THE PUBLIC

                    AUTHORITIES LAW, IN RELATION TO ESTABLISHING THE NORTH AND SOUTH SHORE

                    WATER AUTHORITY; AND TO CAP THE RATE A WATERWORKS CORPORATION MAY

                    INCREASE ITS RATES AND CHARGES.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ASSEMBLY PRINT 7279.  THIS IS A FAST ROLL CALL.  ANY

                    MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (THE CLERK RECORDED THE VOTE.)

                                         76



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MR. RA TO EXPLAIN HIS VOTE.

                                 MR. RA:  THANK YOU, MR. SPEAKER.  I JUST WANT TO

                    THANK THE SPONSOR FOR BRINGING THIS FORWARD.  THIS IS AN ISSUE THAT

                    SEVERAL OF US ON LONG ISLAND HAVE BEEN DEALING WITH FOR A NUMBER OF

                    YEARS.  WE HAVE SERVICE AREAS THAT ARE COVERED BY PRIVATE WATER

                    OPERATORS WHO HAS THE VAST, VAST MAJORITY OF OUR RESIDENTS ON LONG

                    ISLAND ARE -- ARE COVERED BY PUBLIC MUNICIPAL WATER.  AND THIS HAS

                    RESULTED IN THESE RATEPAYERS PAYING EXORBITANT RATES.  THEY HAVE TAXES

                    THAT ARE IMPOSED ON THE PROPERTIES THAT ARE OPERATED BY -- BY THIS WATER

                    COMPANY WHERE OTHERS, BECAUSE THEY'RE MUNICIPAL, AREN'T RESPONSIBLE

                    FOR THOSE TAXES.  AND WE EVEN -- AS THIS CHAMBER HAS DONE SO MUCH

                    WORK FOR CLEAN WATER INFRASTRUCTURE BECAUSE THEY'RE SERVICED BY A

                    PRIVATE ENTITY, THEY AREN'T ELIGIBLE FOR THAT FUNDING TO DEAL WITH THINGS

                    LIKE EMERGING CONTAMINANTS.  SO, THIS IS HOPEFULLY A FIRST STEP FORWARD

                    TOWARDS MUNICIPAL WATER FOR THOSE COMPANIES -- FOR THOSE CUSTOMERS

                    WHO HAVE BEEN UNDER THESE PRIVATE OPERATORS FOR MANY YEARS, THE -- THE

                    CURRENT ONE BEING NEW YORK AMERICAN WATER, TO HOPEFULLY FINALLY

                    PROVIDE THEM SOME RELIEF.

                                 SO -- SO I THANK MY COLLEAGUE FOR BRINGING THIS

                    FORWARD AND I -- AND I HOPE THAT WE CAN CONTINUE TO WORK WITH OUR

                    COLLEAGUES DOWN THE HALL, PASS THIS AND PROVIDE FURTHER RELIEF FROM

                    SOME OF THE TAXES THAT THESE RESIDENTS FALL UNDER.  I CAST MY VOTE IN THE

                    AFFIRMATIVE.  THANK YOU, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  MR. RA IN THE

                    AFFIRMATIVE.

                                         77



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MR. MONTESANO TO EXPLAIN HIS VOTE.

                                 MR. MONTESANO:  THANK YOU, MR. SPEAKER.  I JUST

                    WANT TO ECHO THE COMMENTS OF MR. RA, AND I WANTED TO ALSO THANK THE

                    SPONSOR OF THE BILL.  THIS HAS BEEN LONG IN COMING.  WE'VE HAD MANY

                    MEETINGS AND PUBLIC HEARINGS AND REPORTS PREPARED AND STUFF LIKE THAT.

                    SO IT'S -- IT'S BEEN A LONG HAUL.  BUT IT'S SUCH A NECESSARY BILL.  IT'S VERY

                    WELL THOUGHT-OUT AND IT'S GOING TO GIVE RELIEF TO A LOT, A LOT

                    HOMEOWNERS, ESPECIALLY A LOT OF OUR SENIORS IN THE DISTRICT THAT HAVE TO

                    PAY THE BILLS THAT $6-, $7-, $8-, $900 A MONTH FOR WATER WHEN THE

                    PEOPLE IN THE ADJOINING WATER DISTRICT PAY $70 A MONTH FOR WATER.  SO

                    THIS WILL BE, YOU KNOW, A -- A BIG STEP TO GO.  I'M -- I'M OPTIMISTIC THAT

                    THE SENATE WILL PICK UP THIS BILL AND FOLLOW SUIT AND THAT WE'LL HAVE THIS

                    RESOLVED.

                                 SO THANK YOU AGAIN, AND I VOTE IN THE AFFIRMATIVE.

                                 ACTING SPEAKER AUBRY:  MR. MONTESANO IN

                    THE AFFIRMATIVE.

                                 MS. MILLER.

                                 MS. MILLER:  THANK YOU, MR. SPEAKER.  I ALSO JUST

                    WANT TO THANK THE SPONSOR FOR BRINGING THIS LEGISLATION FORWARD.  YOU

                    KNOW, SO MANY OF US ON LONG ISLAND, WE HAVE BEEN BEGGING AND -- AND

                    REACHING OUT TO THE PSC AND IT FALLS ON DEAF EARS.  NOTHING WAS

                    ADDRESSED.  NOTHING WAS ANSWERED.  FINALLY, WE HAVE SOMETHING THAT

                    WE CAN GIVE SOME RELIEF FOR THE, YOU KNOW, THE -- THE UNFAIRNESS OF --

                    OF WHAT SO MANY OF US ARE TRAPPED IN.

                                 SO, I WANT TO THANK THE SPONSOR AND I WILL BE VOTING IN

                                         78



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THE AFFIRMATIVE.

                                 ACTING SPEAKER AUBRY:  MS. MILLER IN THE

                    AFFIRMATIVE.

                                 MR. LAVINE TO EXPLAIN HIS VOTE.

                                 MR. LAVINE:  THANK YOU, MR. SPEAKER.  I THINK THAT

                    THE FACT THAT THERE IS A UNIFIED LONG ISLAND VOTE IN FAVOR OF THIS

                    LEGISLATION SENDS A POWERFUL AND A PERSUASIVE MESSAGE TO THE PEOPLE OF

                    THE STATE OF NEW YORK, TO THE PEOPLE OF NASSAU COUNTY AND TO THE

                    PEOPLE OF SUFFOLK COUNTY.  AND AS WELL TO OUR COLLEAGUES IN THE

                    SENATE, OUR FRIENDS AT THE PUBLIC SERVICE COMMISSION AND OUR FRIENDS

                    IN THE OFFICE OF THE GOVERNOR WHO HAVE BEEN WORKING ON SIMILAR --

                    SOMEWHAT SIMILAR PROPOSALS, AND THOSE NEGOTIATIONS CONTINUED UNTIL THE

                    WEEKEND AND I'M HOPEFUL THEY WILL CONTINUE IN THE DAYS TO COME.  AN

                    INORDINATE PROFIT SHOULD NOT BE MADE ON THE MOST BASIC RESOURCE, THAT IS

                    WATER.

                                 SO, I WANT TO THANK ALL MY COLLEAGUES WHO ARE VOTING

                    FOR THIS AND I CERTAINLY WANT TO THANK EVERYONE ON -- IN THE ASSEMBLY

                    STAFF WHO WORKED SO HARD TO PRODUCE WHAT REALLY IS A GOOD BILL THAT WILL

                    PROTECT OUR CITIZENS FROM PAYING EXORBITANT RATE INCREASES APPROVED BY

                    THE PUBLIC SERVICE COMMISSION FOR THE NEW YORK AMERICAN WATER

                    RATEPAYERS, AND THIS IS -- THIS IS CERTAINLY A STEP IN THE RIGHT DIRECTION.

                    THANKS TO ALL INVOLVED.  I'M VOTING IN THE AFFIRMATIVE.

                                 ACTING SPEAKER AUBRY:  MR. LAVINE IN THE

                    AFFIRMATIVE.

                                 MS. SOLAGES.

                                         79



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MS. SOLAGES:  I REALLY WANT TO THANK THE SPONSOR

                    AND URGE ALL MY COLLEAGUES IN THE ASSEMBLY TO VOTE ON THIS.  DESPITE

                    BEING A PUBLIC GOOD, WATER IS OFTEN TREATED AS A COMMODITY.  WHILE

                    SOME ARGUE THAT PRIVATIZATION OF WATER INCREASES EFFICIENCY, I SEE THE

                    NEGATIVE EFFECTS WHERE IT'S A LOSS OF ACCOUNTABILITY, POOR PERFORMANCE

                    AND ELEVATED UTILITY COSTS WHICH ARE WELL-DOCUMENTED.  THE

                    PRIVATIZATION OF PUBLIC SERVICES ARE A DISASTER.  AND SO, CASE IN POINT,

                    NEW YORK AMERICAN WATER, THE LARGEST INVESTOR-OWNED U.S. WATER

                    AND WASTEWATER UTILITY COMPANY.  AMERICAN WATER, WHOSE REVENUES

                    TOTALED $3.25 BILLION LAST YEAR, AND TO ADD THEIR REVENUES INCREASED 13

                    PERCENT DURING A PANDEMIC IS ASKING FOR -- FOR INCREASED RATES ON -- ON

                    HOMEOWNERS, RATEPAYERS DURING THIS TIME.  AND WE KNOW THAT WITH

                    COVID-19 ALL SMALL BUSINESSES HAVE TAKEN AN UNPRECEDENTED ACTION TO

                    SOFTEN THE FINANCIAL IMPACT TO FAMILIES.  HOWEVER, NEW YORK

                    AMERICAN WATER IS STILL PUSHING FOR A 26 PERCENT INCREASE TO OUR -- OUR

                    RATEPAYERS, WHICH IS JUST HORRIBLE.  AND THEY'VE INCREASED THE RATE

                    SEVERAL TIMES SINCE 2017.  THIS IS COOPERATE GREED AT ITS FINEST.  AND SO

                    WE WANT TO ASK AMERICAN WATER, PLEASE DELAY -- DELAY.  WE KNOW THAT

                    THE NEW YORK STATE PUBLIC SERVICE COMMISSION HAS NOT HELPED THEM.

                    THEY'VE BEEN COMPLICIT IN THIS.  AND SO I LOOK FORWARD TO A DAY WHERE

                    WE HAVE PUBLIC WATER AUTHORITY IN SOUTH NASSAU COUNTY.  IT'S A DAY THAT

                    WE NEED TO GET TO AND I LOOK FORWARD TO WORKING WITH WHOMEVER WANTS

                    TO WORK WITH US.  BECAUSE OBVIOUSLY, PRIVATIZATION OF WATER DOES NOT

                    WORK.

                                 AND ONCE AGAIN, I URGE ALL MY COLLEAGUES TO VOTE FOR

                                         80



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THIS AND I THANK THE SPONSOR FOR THIS BILL AND I VOTE IN THE AFFIRMATIVE.

                                 ACTING SPEAKER AUBRY:  MS. SOLAGES IN THE

                    AFFIRMATIVE.

                                 MS. GRIFFIN.

                                 MS. GRIFFIN:  THANK YOU FOR ALLOWING ME TO

                    EXPLAIN MY VOTE.  THE 124,000 AMERICAN WATER --

                                 ACTING SPEAKER AUBRY:  MS. GRIFFIN, YOU

                    HAVE TO LIFT YOUR MIC UP SO WE CAN HEAR YOU.

                                 MS. GRIFFIN:  I'M SO SORRY.  NO PROBLEM.  FORGOT

                    THAT.

                                 ACTING SPEAKER AUBRY:  THERE WE GO.

                                 MS. GRIFFIN:  OKAY.  THE 124,000 AMERICAN WATER

                    RATEPAYERS IN NASSAU COUNTY DESERVE A VIABLE SOLUTION TO THE EXORBITANT

                    COSTS THEY HAVE BEEN FORCED TO PAY FOR YEARS.  AS A PRIVATE WATER

                    COMPANY, AMERICAN WATER HAS BEEN PERMITTED TO PASS THROUGH THE

                    INCOME AND PROPERTY TAX CHANGES -- CHARGES TO THE RATEPAYER.  AS A

                    RESULT, 38 TO 60 PERCENT OF THE AMERICAN WATER BILL HAS BEEN THE

                    INCOME AND PROPERTY TAXES CHARGED TO A NASSAU -- NEW YORK AMERICAN

                    WATER, AND THIS HAS BEEN PASSED ON TO CONSUMERS.  THIS HAS BEEN A

                    HUGE BURDEN TO THESE RATEPAYERS, ONE THAT THOSE SERVED BY MUNICIPAL

                    WATER DON'T HAVE TO BEAR.  THIS LEGISLATION STOPS THIS PRACTICE.

                    RETROACTIVELY, THE PUBLIC SERVICE COMMISSION WILL -- WILL CAP THE RATE

                    THAT A PRIVATE WATER COMPANY MAY INCREASE AND -- AND LIMIT THE CHARGES

                    TO 2 PERCENT.  NINETY-SIX PERCENT OF NEW YORKERS HAVE MUNICIPAL

                    WATER, AND A RECENT STUDY SHOWS THAT IT WOULD GREATLY BENEFIT AMERICAN

                                         81



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    WATER RATEPAYERS IF THE NEW YORK AMERICAN WATER COMPANY WERE TO

                    BECOME MUNICIPALIZED.  THIS LEGISLATION AUTHORIZES THE ESTABLISHMENT

                    OF THE NORTH AND SOUTH SHORE WATER AUTHORITY TO ENABLE

                    MUNICIPALIZATION.  RESOLVING THIS MAJOR ISSUE HAS BEEN POWERING OUT TO

                    MY COLLEAGUES AND I, AND THIS BILL DOES JUST THAT.  UNFORTUNATELY, THOUGH

                    WERE WELL-INTENDED NEGOTIATION PROCESS, A CONSENSUS HAS NOT BEEN

                    REACHED.  SO, IT IS MY GOAL THAT WE WILL CONTINUE THE NEGOTIATION

                    PROCESS UNTIL WE HAVE AN AGREEMENT THAT WE CAN ALL SOLVE THIS -- THIS

                    PROBLEM THAT IS SUCH -- SUCH A BURDEN TO OUR AMERICAN WATER

                    RATEPAYERS.  OBVIOUSLY, THE COST FOR FIXING THIS PROBLEM SHOULDN'T BE

                    PAID BY THE PEOPLE THAT DIDN'T CREATE IT.  SO WE WANT TO SERVE THE NEW

                    YORK AMERICAN WATER CUSTOMERS AND ALL OF THE NASSAU COUNTY RATE

                    TAXPAYERS.

                                 THANK YOU VERY MUCH FOR ALLOWING ME TO EXPLAIN MY

                    VOTE.  I VOTE IN THE AFFIRMATIVE.

                                 ACTING SPEAKER AUBRY:  MS. GRIFFIN IN THE

                    AFFIRMATIVE.

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.


                                 THE CLERK:  ASSEMBLY NO. A07280, RULES REPORT

                    NO. 66, PAULIN, ABINANTI, ZEBROWSKI, BARRETT, ENGLEBRIGHT, FAHY,

                    GALEF, GRIFFIN, HUNTER, JACOBSON, LUPARDO, MAGNARELLI, MCDONALD,

                    MCMAHON, THIELE, WALLACE, WOERNER, CONRAD, BUTTENSCHON, JONES,

                    LUNSFORD, STIRPE, CLARK, SILLITTI.  AN ACT TO CLARIFY QUALIFICATIONS FOR

                                         82



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    CERTAIN SUPPLEMENTAL COSTS ASSOCIATED WITH AN EMERGENCY RENTAL

                    ASSISTANCE PROGRAM.

                                 ACTING SPEAKER AUBRY:  AN EXPLANATION IS

                    REQUESTED, MS. PAULIN.  THERE'S MS. PAULIN.  ONE MINUTE, TAKE YOUR

                    TIME.  IT'S ALL RIGHT.  MR. GOODELL HAS A LOT OF PATIENCE.

                                 MS. PAULIN:  THANK YOU, MR. SPEAKER.  SURE.  THE

                    BILL WOULD DO A FEW THINGS.  ESSENTIALLY CLARIFYING THE BUDGET LANGUAGE

                    TO -- FOR THE SUPPLEMENTAL EMERGENCY RENTAL ASSISTANCE FUND THAT WAS

                    CREATED IN THE BUDGET.  AND WHEN IT WAS CREATED THERE WASN'T A LOT OF

                    EXPLANATION.  IT BASICALLY SAID OTDA WAS GOING TO CREATE A PROGRAM,

                    AND WHAT THIS BILL DOES IS IT OUTLINES SOME OF THE PARAMETERS UNDER

                    WHICH THAT PROGRAM WOULD BE CREATED.

                                 ACTING SPEAKER AUBRY:  MR. GOODELL.

                                 MR. GOODELL:  THANK YOU.  WOULD THE SPONSOR

                    YIELD?

                                 MS. PAULIN:  I SURE WOULD.

                                 ACTING SPEAKER AUBRY:  MS. PAULIN YIELDS.

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

                    KNOW, UNDER NORMAL CIRCUMSTANCES OUR DEPARTMENT OF SOCIAL SERVICES,

                    OPERATING UNDER THE JURISDICTION OF OTDA, HAS A SPECIAL PROGRAM WITH

                    EMERGENCY RENTAL ASSISTANCE FOR THOSE WHO ARE ON SOCIAL SERVICES THAT

                    NEED THE HELP.  BUT TO TRIGGER THAT EMERGENCY RENTAL ASSISTANCE, THE

                    DEPARTMENT OF SOCIAL SERVICES TYPICALLY REQUIRES AN EVICTION NOTICE.

                    AND ON THE EVICTION NOTICE ITSELF, BY LAW WE'RE REQUIRED TO PUT A NOTICE

                    THAT SAYS, YOU MAY BE ELIGIBLE FOR HELP PAYING YOUR RENT.  CONTACT

                                         83



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    SOCIAL SERVICES.  DO YOU ENVISION THAT THE SAME TYPE OF PROCEDURE WILL

                    BE FOLLOWED IN THIS?

                                 MS. PAULIN:  THIS IS REALLY MEANT -- THIS COULD BE

                    USED I -- I -- I WOULD SAY OTDA HAS A LOT OF LEEWAY TO ESTABLISH SOME

                    OF THEIR IDEAS THAT WERE SOME OF THE PARAMETERS UNDER WHICH YOU'RE

                    TALKING ABOUT.  THE PROGRAM WAS REALLY MEANT TO ESTABLISH A SEPARATE

                    FUND FROM THE $2.4 BILLION FOR LANDLORDS THAT HAD TENANTS THAT EITHER

                    WOULD NOT -- REFUSED TO COOPERATE, AND SO -- OR DID NOT WANT TO -- I HAD

                    A LANDLORD WHO CALLED ME TODAY AND THE SITUATION WAS SUCH THAT THIS

                    TENANT THOUGHT HE WAS GOING TO BE TAKING MONEY ON THE PUBLIC DOLE AND

                    DIDN'T WANT TO DO THAT.  SO HE REFUSED TO COOPERATE BECAUSE OF THAT.  SO

                    IT'S A REFUSAL TO COOPERATE.  SO IT ENABLES A LANDLORD TO GET SOME OF THE

                    MONIES THAT HE MIGHT BE OWED UNDER THAT CIRCUMSTANCE, BUT IT ALSO

                    ALLOWS A LANDLORD TO GET MONEY IF A TENANT VACATES UNDER THAT

                    CIRCUMSTANCE.  SO THIS IS REALLY MEANT TO SUPPLEMENT WITH -- WITH

                    LOOSER PRIORITIES THAN THE FEDERAL GOVERNMENT ALLOWED.

                                 MR. GOODELL:  I APPRECIATE THE OBJECTIVES OF THIS

                    BILL AND I HOPE IT WILL WORK.  HAVE YOU HEARD ANYTHING FROM OTDA

                    ABOUT HOW MANY DAYS --

                                 MS. PAULIN:  FROM WHERE?

                                 MR. GOODELL:  HAVE YOU HEARD ANYTHING FROM

                    OTDA -- O-T-D-A --

                                 MS. PAULIN:  NO.

                                 MR. GOODELL:  -- ABOUT HOW MANY DAYS, WEEKS OR

                    MONTHS IT'LL TAKE FOR THEM TO IMPLEMENT THIS?

                                         84



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 MS. PAULIN:  I HAVE NOT.  I KNOW THAT THE OTHER

                    PROGRAM IS TAKING TIME.  I ALSO KNOW THAT SOME OF THE GROUPS THAT ARE

                    WORKING WITH OTDA WERE SOME OF THE GROUPS THAT HELPED CRAFT SOME

                    OF THIS LANGUAGE.  SO, I KNOW THEY'RE WORKING CLOSELY SO I WOULD HOPE

                    THAT THAT WOULD HAVE BEEN TAKEN INTO CONSIDERATION IN -- IN THEIR

                    ASSISTANCE IN -- IN SOME OF THIS LANGUAGE.

                                 MR. GOODELL:  THANK YOU VERY MUCH.  I

                    APPRECIATE YOUR COMMENTS, MS. PAULIN.  THANK YOU, SIR.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON ASSEMBLY PRINT 70 --

                                 MR. ABINANTI.

                                 MR. ABINANTI:  THANK YOU, MR. SPEAKER.  WILL THE

                    SPONSOR YIELD?

                                 ACTING SPEAKER AUBRY:  MS. PAULIN, WILL YOU

                    YIELD?

                                 MS. PAULIN:  I'D BE HAPPY TO.

                                 MR. ABINANTI:  MS. PAULIN, I JUST WANT TO

                    UNDERSTAND THE INTENTION OF THIS LEGISLATION.  LET'S ASSUME FOUR FACTS:

                    ONE, TENANT IS IN ARREARS.  TWO, TENANT HAS GIVEN THE PROPERTY OWNER A

                    DECLARATION OF HARDSHIP.  THREE, PROPERTY OWNER DOES NOT COMMENCE AN

                    EVICTION PROCEEDING HONORING THE DECLARATION OF HARDSHIP.  FOUR, THE

                    TENANT DOES NOT APPLY FOR ASSISTANCE AND REFUSES TO COOPERATE OR THE

                    TENANT HAS VACATED THE PROPERTY.  UNDER THIS LEGISLATION, THE PROPERTY

                                         85



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    OWNER MAY ASSUME THAT THE TENANT PRESENTED THE DECLARATION OF

                    HARDSHIP IN GOOD FAITH AND MAY USE THE DECLARATION OF HARDSHIP AS

                    PRIMA FACIE AND CONCLUSIVE EVIDENCE TO SATISFY THE QUALIFICATION

                    REQUIREMENTS THAT THE LEGISLATION PUTS ON THE TENANT TO QUALIFY FOR

                    ASSISTANCE, IS THAT CORRECT?

                                 MS. PAULIN:  YES, WE BELIEVE IT IS.  IN FACT, WE PUT

                    LANGUAGE IN THE BILL THAT SPECIFICALLY ALLOWS THE COMMISSIONER OF THE --

                    OF OTDA TO ESTABLISH PROCEDURES THAT ARE APPROPRIATE AND NECESSARY TO

                    ASSURE THAT INFORMATION NECESSARY TO DETERMINE ELIGIBILITY PROVIDED BY

                    THE LANDLORDS APPLYING FOR OR RECEIVING ASSISTANCE UNDER THE ABOVE

                    SUBDIVISION IS COMPLETE AND ACCURATE.  AND WE ALLOW THE

                    COMMISSIONER TO ESTABLISH PROCEDURES TO ENSURE FLEXIBILITY.  SO ALL OF

                    THE ITEMS THAT YOU SPECIFY WOULD -- WOULD BE ALLOWED, AND WE GIVE THE

                    LANDLORD -- WE GIVE OTDA THE DIRECTION THAT THEY SHOULD BE FLEXIBLE IN

                    -- IN THOSE DOCUMENTS.

                                 MR. ABINANTI:  THANK YOU.  NO FURTHER QUESTIONS.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON A.7280.  THIS IS A FAST ROLL CALL.  ANY MEMBER WHO

                    WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO CONTACT THE

                    MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY PROVIDED.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                         86



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 THE BILL IS PASSED.

                                 MRS. PEOPLES-STOKES.

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

                    COULD NOW TURN OUR ATTENTION TO CALENDAR -- THE CALENDAR -- MAIN

                    CALENDAR ON PAGE 19.  WE WILL BEGIN CONSENT BEGINNING WITH CALENDAR

                    NO. 233 AND WE'RE GOING TO GO STRAIGHT THROUGH TO CALENDAR NO. 244.

                    IN THAT ORDER, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  THANK YOU, MRS.

                    PEOPLES-STOKES.

                                 THE CLERK WILL READ.


                                 THE CLERK:  ASSEMBLY NO. A00333, CALENDAR NO.

                    233, L. ROSENTHAL, PERRY.  AN ACT TO AMEND THE PUBLIC AUTHORITIES

                    LAW, IN RELATION TO ESTABLISHING A LYMPHEDEMA AND LYMPHATIC

                    DISEASES RESEARCH GRANTS PROGRAM; AND TO AMEND THE STATE FINANCE

                    LAW, IN RELATION TO CREATING THE LYMPHEDEMA AND LYMPHATIC DISEASES

                    RESEARCH AND EDUCATION FUND.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON A.333.  THIS IS A FAST ROLL CALL.  ANY MEMBER WHO

                    WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO CONTACT THE

                    MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY PROVIDED.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                         87



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 THE BILL IS PASSED.


                                 THE CLERK:  ASSEMBLY NO. A00443, CALENDAR NO.

                    234, PAULIN, GALEF, MAGNARELLI, LUPARDO, ENGLEBRIGHT, OTIS, GOTTFRIED,

                    THIELE, JACOBSON, STERN.  AN ACT TO AMEND THE TOWN LAW AND VILLAGE

                    LAW, IN RELATION TO REQUIRING LOCAL BUILDING AND PLANNING REGULATIONS TO

                    ACCOMMODATE THE USE OF CERTAIN RENEWABLE AND ALTERNATIVE ENERGY

                    SOURCES.

                                 ACTING SPEAKER AUBRY:  ON A MOTION BY MS.

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

                    ADVANCED.  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A00476, CALENDAR NO.

                    235, ROZIC, BENEDETTO, COOK, GALEF, L. ROSENTHAL, MONTESANO.  AN ACT

                    TO AMEND THE PUBLIC SERVICE LAW, IN RELATION TO THE APPOINTMENT OF

                    MEMBERS OF THE PUBLIC SERVICE COMMISSION.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT ON THE 120TH

                    DAY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON A.476.  THIS IS A FAST ROLL CALL.  ANY MEMBER WHO

                    WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO CONTACT THE

                    MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY PROVIDED.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE --

                                 MR. GOODELL:  SIR -- MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  MR. GOODELL.  I'M

                                         88



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    SORRY.

                                 MR. GOODELL:  PLEASE RECORD MR. FRIEND IN THE

                    NEGATIVE.  THANK YOU, SIR.

                                 ACTING SPEAKER AUBRY:  NOTED.

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.


                                 THE CLERK:  ASSEMBLY NO. A00967, CALENDAR NO.

                    236, CUSICK.  AN ACT TO AMEND THE STATE FINANCE LAW AND THE GENERAL

                    MUNICIPAL LAW, IN RELATION TO PAYMENT IN CONSTRUCTION CONTRACTS.

                                 ACTING SPEAKER AUBRY:  ON A MOTION BY MR.

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

                    ADVANCED.

                                 READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON S.880.  THIS IS A FAST ROLL CALL.  ANY MEMBER WHO

                    WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO CONTACT THE

                    MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY PROVIDED.

                                 (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. A00971, CALENDAR NO.

                    237, ABINANTI.  AN ACT TO AMEND A CHAPTER OF THE LAWS OF 2020 RELATING

                                         89



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    TO ESTABLISHING THE REAL PROPERTY TAX EXEMPTION TASK FORCE, AND

                    PROVIDING FOR ITS POWERS AND DUTIES, AS PROPOSED IN LEGISLATIVE BILLS

                    NUMBERS S.3679-A AND A.3330-A, IN RELATION TO THE ESTABLISHMENT

                    THEREOF.

                                 ACTING SPEAKER AUBRY:  ON A MOTION BY MR.

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

                    ADVANCED.

                                 READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL -- THE

                    CLERK WILL RECORD THE VOTE ON SENATE PRINT 905.  THIS IS A FAST ROLL CALL.

                    ANY MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (THE CLERK RECORDED THE VOTE.)

                                 MR. GOODELL.

                                 MR. GOODELL:  THANK YOU, SIR.  PLEASE RECORD MY

                    COLLEAGUE MR. WALCZYK IN THE NEGATIVE ON THIS BILL.  THANK YOU, SIR.

                                 ACTING SPEAKER AUBRY:  SO NOTED.

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.


                                 THE CLERK:  ASSEMBLY NO. A00985, CALENDAR NO.

                    238, GOTTFRIED, BARRON, BICHOTTE HERMELYN.  AN ACT TO AMEND THE

                    SOCIAL SERVICES LAW AND THE PUBLIC HEALTH LAW, IN RELATION TO ADVERSE

                                         90



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    DETERMINATION NOTICES TO MEDICAID RECIPIENTS.

                                 ACTING SPEAKER AUBRY:  ON A MOTION BY MR.

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

                    ADVANCED.

                                 READ THE LAST SECTION.

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

                    DAY.

                                 ACTING SPEAKER AUBRY:  THIS IS A FAST ROLL

                    CALL.  ANY MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS

                    REMINDED TO CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS

                    PREVIOUSLY PROVIDED.

                                 (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. A01021, CALENDAR NO.

                    239, BRONSON, CLARK, MEEKS, LUNSFORD.  AN ACT TO AMEND THE PUBLIC

                    AUTHORITIES LAW, IN RELATION TO AUTHORIZING THE DORMITORY AUTHORITY TO

                    PROVIDE FINANCING TO MARY CARIOLA CHILDREN'S CENTER, INC.

                                 ACTING SPEAKER AUBRY:  ON A MOTION BY MR.

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

                    ADVANCED.

                                 READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                                         91



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    RECORD THE VOTE ON SENATE PRINT 5950.  THIS IS A FAST ROLL CALL.  ANY

                    MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (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. A01108-A, CALENDAR

                    NO. 240, PAULIN, GALLAGHER, SEAWRIGHT, GALEF, OTIS.  AN ACT TO AMEND

                    THE PUBLIC OFFICERS LAW, IN RELATION TO REQUIRING THAT MINUTES OF

                    MEETINGS OF A PUBLIC BODY BE POSTED ON ITS WEBSITE.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON ASSEMBLY PRINT A.1108-A.  THIS IS A FAST ROLL CALL.

                    ANY MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (THE CLERK RECORDED THE VOTE.)

                                 IS THERE A PROBLEM IN THE CORNER THAT -- THAT WE CAN'T

                    SOLVE?  IS THERE A GAME OF CHANCE GOING ON IN THERE?  WHAT?

                    SOMEBODY BEHIND THE CURTAIN?  WHAT'S GOING ON OVER THERE?

                                 (LAUGHTER)

                                 WE ASK MEMBERS TO PLEASE TAKE THEIR SEATS OR REMOVE

                                         92



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    THEMSELVES FROM THE CHAMBER IF THEY --

                                 (LAUGHTER)

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.


                                 THE CLERK:  ASSEMBLY NO. A01177, CALENDAR NO.

                    241, BUTTENSCHON, LUNSFORD, GRIFFIN, LUPARDO.  AN ACT TO AMEND THE

                    NEW YORK STATE URBAN DEVELOPMENT CORPORATION ACT, IN RELATION TO

                    MARKETING AND EXPANDING EXPORT TRADE.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A01228-A, CALENDAR

                    NO. 242, PAULIN, GALLAGHER, SEAWRIGHT, JACKSON, GALEF, OTIS.  AN ACT TO

                    AMEND THE PUBLIC OFFICER'S LAW, IN RELATION TO MAKING CERTAIN

                    DOCUMENTS AVAILABLE FOR OPEN MEETINGS.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON ASSEMBLY PRINT 1228-A. THIS IS A FAST ROLL CALL.  ANY

                    MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.

                                         93



                    NYS ASSEMBLY                                                          MAY 4, 2021


                                 THE CLERK:  ASSEMBLY NO. A01237, CALENDAR NO.

                    243, PAULIN.  AN ACT TO AMEND THE BUSINESS CORPORATION LAW, THE

                    NOT-FOR-PROFIT CORPORATION LAW, AND THE RELIGIOUS CORPORATIONS LAW,

                    IN RELATION TO PROVIDING FOR THE REMOTE CONDUCT OF CERTAIN PRACTICES AND

                    PROCEDURES RELATING TO BOARD MEETINGS; AND TO AMEND CHAPTER 122 OF

                    THE LAWS OF 2020, AMENDING THE BUSINESS CORPORATION LAW, THE

                    NOT-FOR-PROFIT CORPORATION LAW, AND THE RELIGIOUS CORPORATIONS LAW

                    RELATING TO PROVIDING FOR THE REMOTE CONDUCT OF CERTAIN PRACTICES AND

                    PROCEDURES RELATING TO BOARD MEETINGS, IN RELATION TO THE EFFECTIVENESS

                    THEREOF.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON ASSEMBLY PRINT 1237.  THIS IS A FAST ROLL CALL.  ANY

                    MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (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. A01367, CALENDAR NO.

                    244, MAGNARELLI.  AN ACT TO AMEND THE REAL PROPERTY TAX LAW, IN

                    RELATION TO THE CERTIFICATION OF CERTAIN PROPERTY COMPLYING WITH THE

                    RESIDENTIAL-COMMERCIAL URBAN EXEMPTION PROGRAM AND THE REVOCATION

                                         94



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    OF BENEFITS OF SUCH PROGRAM IN CERTAIN CIRCUMSTANCES; AND TO AMEND A

                    CHAPTER OF THE LAWS OF 2020 AMENDING THE REAL PROPERTY TAX LAW

                    RELATING TO THE RESIDENTIAL-COMMERCIAL URBAN EXEMPTION PROGRAM, AS

                    PROPOSED IN LEGISLATIVE BILLS NUMBERS S.5254-B AND A.8091-A, IN

                    RELATION TO THE EFFECTIVENESS THEREOF.

                                 ACTING SPEAKER AUBRY:  ON A MOTION MR.

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

                    ADVANCED.

                                 READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT JANUARY 1ST,

                    2021.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON SENATE PRINT 1309.  THIS IS A FAST ROLL CALL.  ANY

                    MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?

                                 MR. GOODELL:  YES, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  MR. GOODELL.

                                 MR. GOODELL:  THANK YOU, SIR.  PLEASE RECORD MY

                    COLLEAGUE MR. WALCZYK IN THE NEGATIVE.  THANK YOU, SIR.

                                 ACTING SPEAKER AUBRY:  SO NOTED.

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                         95



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 THE BILL IS PASSED.


                                 THE CLERK:  ASSEMBLY NO. A01741, CALENDAR NO.

                    245, GOTTFRIED, ENGLEBRIGHT, COLTON, FAHY, SIMON, THIELE, DINOWITZ,

                    MCMAHON, OTIS, SEAWRIGHT, WEPRIN, DICKENS, STERN, GRIFFIN, GALEF,

                    ABINANTI, MAGNARELLI, DARLING, ANDERSON, WOERNER, J.D. RIVERA,

                    JACOBSON.  AN ACT TO AMEND THE INSURANCE LAW, IN RELATION TO

                    CALCULATING AN INSURED INDIVIDUAL'S OVERALL CONTRIBUTION TO ANY

                    OUT-OF-POCKET MAXIMUM OR ANY COST-SHARING REQUIREMENT.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A01957, CALENDAR NO.

                    246, CRUZ, KELLES.  AN ACT TO AMEND THE CORRECTION LAW, IN RELATION TO

                    FAILURE TO COMPLETE A PROGRAM FOR TIME ALLOWANCES DUE TO

                    CIRCUMSTANCES BEYOND AN INDIVIDUAL'S CONTROL.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A02039, CALENDAR NO.

                    247, DILAN, HEVESI, D. ROSENTHAL, SAYEGH, COOK, ABINANTI, PICHARDO,

                    REYES, HYNDMAN, MCDONOUGH, WILLIAMS, GLICK, FERNANDEZ, COLTON,

                    HUNTER, DICKENS, TAYLOR, BRAUNSTEIN, SEAWRIGHT.  AN ACT TO AMEND THE

                    LABOR LAW, IN RELATION TO MODULAR CONSTRUCTION WORK.

                                 ACTING SPEAKER AUBRY:  ON A MOTION BY MR.

                    DILAN, THE SENATE BILL IS BEFORE THE HOUSE.  THE SENATE BILL IS ADVANCED

                    AND THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A02065, CALENDAR NO.

                    248, CRUZ, DICKENS, GLICK, GOTTFRIED, NIOU, SIMON, PICHARDO,

                    L. ROSENTHAL, SEAWRIGHT, DINOWITZ, BURDICK.  AN ACT TO AMEND THE

                                         96



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    REAL PROPERTY LAW, IN RELATION TO ELIMINATING UNREASONABLE FEES LEVIED

                    ON TENANTS FOR REPRODUCTIONS OF KEYS.

                                 ACTING SPEAKER AUBRY:  ON A MOTION BY MS.

                    CRUZ, THE SENATE BILL IS BEFORE THE HOUSE.  THE SENATE BILL IS ADVANCED.

                                 READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON SENATE PRINT 3666.  THIS IS A FAST ROLL CALL.  ANY

                    MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (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. A02337, CALENDAR NO.

                    249, L. ROSENTHAL, DE LA ROSA, REYES, BARRON.  AN ACT TO AMEND THE

                    PRIVATE HOUSING FINANCE LAW, IN RELATION TO THE SUPERVISION OF CERTAIN

                    LIMITED PROFIT HOUSING COMPANIES.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A02575, CALENDAR NO.

                    250, WOERNER.  AN ACT TO AMEND THE PUBLIC OFFICERS LAW, IN RELATION TO

                    EXPANDING THE WAIVER OF THE RESIDENCY REQUIREMENT FOR THE CITY

                    ATTORNEY IN THE CITY OF MECHANICVILLE, SARATOGA COUNTY.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                         97



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ASSEMBLY PRINT 2575.  THIS IS A FAST ROLL CALL.  ANY

                    MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (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. A03201-A, CALENDAR

                    NO. 251, MCDONALD WAS PREVIOUSLY AMENDED ON THIRD READING.


                                 ASSEMBLY NO. A03861, CALENDAR NO. 252, O'DONNELL.

                    AN ACT TO AMEND CHAPTER 704 OF THE LAWS OF 1991, AMENDING THE ARTS

                    AND CULTURAL AFFAIRS LAW AND CHAPTER 912 OF THE LAWS OF 1920

                    RELATING TO REGULATION OF BOXING AND WRESTLING MATCHES RELATING TO

                    TICKETS TO PLACES OF ENTERTAINMENT, AND CHAPTER 151 OF THE LAWS OF

                    2010, AMENDING THE ARTS AND CULTURAL AFFAIRS LAW RELATING TO RESALE OF

                    TICKETS OF PLACES OF ENTERTAINMENT, IN RELATION TO EXTENDING THE

                    EFFECTIVENESS THEREOF.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON ASSEMBLY PRINT 3861.  THIS IS A FAST ROLL CALL.  ANY

                    MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                                         98



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (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. A04186-A, CALENDAR

                    NO. 253, DINOWITZ, SIMON, THIELE, GALEF, JACOBSON, OTIS, BARNWELL.

                    AN ACT TO AMEND THE ELECTION LAW, IN RELATION TO PROVIDING AN ONLINE

                    ABSENTEE BALLOT TRACKING SYSTEM.

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A04594-A, CALENDAR

                    NO. 254, GOTTFRIED, GUNTHER, THIELE, BRABENEC, JACOBSON, BARRON.  AN

                    ACT TO AMEND THE PUBLIC HEALTH LAW, IN RELATION TO HOSPICE RESIDENCE

                    INPATIENT BEDS.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON ASSEMBLY PRINT 4594-A.  THIS IS A FAST ROLL CALL.

                    ANY MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY LEADER OR MINORITY LEADER AT THE NUMBERS

                    PREVIOUSLY PROVIDED.

                                 (THE CLERK RECORDED THE VOTE.)

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                         99



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 THE BILL IS PASSED.


                                 THE CLERK:  ASSEMBLY NO. A04672, CALENDAR NO.

                    255, CAHILL, JACOBSON.  AN ACT TO AMEND THE INSURANCE LAW, IN RELATION

                    TO ALLOWING CREDIT CARDS TO OFFER AN ANCILLARY BENEFIT FOR WIRELESS

                    COMMUNICATIONS EQUIPMENT.

                                 ACTING SPEAKER AUBRY:  ON A MOTION BY MR.

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

                    ADVANCED.

                                 READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON SENATE PRINT 4483.  THIS IS A FAST ROLL CALL.  ANY

                    MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (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. A05542, CALENDAR NO.

                    256, ENGLEBRIGHT, L. ROSENTHAL, GLICK, COLTON, GOTTFRIED, SCHMITT,

                    HEVESI, EPSTEIN, LAVINE, PAULIN, QUART, BURDICK, KELLES.  AN ACT TO

                    AMEND THE ENVIRONMENTAL CONSERVATION LAW, IN RELATION TO PROHIBITING

                    THE ISSUANCE OF PERMITS AUTHORIZING THE USE OF WILD ANIMALS IN CIRCUSES

                    OR TRAVELING ANIMAL ACTS.

                                         100



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 ACTING SPEAKER AUBRY:  THE BILL IS LAID ASIDE.


                                 THE CLERK:  ASSEMBLY NO. A05605, CALENDAR NO.

                    257, EPSTEIN, REYES, OTIS, GALLAGHER, STECK, JACKSON, COLTON, BURDICK,

                    KELLES, FERNANDEZ.  AN ACT TO AMEND THE ENVIRONMENTAL CONSERVATION

                    LAW, IN RELATION TO LOCAL SOLID WASTE MANAGEMENT PLANS.

                                 ACTING SPEAKER AUBRY:  READ THE LAST SECTION.

                                 THE CLERK:  THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

                                 ACTING SPEAKER AUBRY:  THE CLERK WILL

                    RECORD THE VOTE ON ASSEMBLY PRINT 5605.  THIS A FAST ROLL CALL.  ANY

                    MEMBER WHO WISHES TO BE RECORDED IN THE NEGATIVE IS REMINDED TO

                    CONTACT THE MAJORITY OR MINORITY LEADER AT THE NUMBERS PREVIOUSLY

                    PROVIDED.

                                 (THE CLERK RECORDED THE VOTE.)

                                 MR. EPSTEIN TO EXPLAIN HIS VOTE.

                                 MR. EPSTEIN:  THANK YOU, MR. SPEAKER.  I -- I RISE

                    TO EXPLAIN MY VOTE.  AS WE CONTINUE TO MOVE FORWARD ON OUR CLCPA

                    GOALS, IT'S REALLY CRITICAL THAT MUNICIPALITIES FOCUS ON THEIR PLAN TO

                    ENSURE THAT RECYCLING AND COMPOSTING IS A CRITICAL PIECE OF WHATEVER

                    THEY'RE DOING AROUND THEIR WASTE STREAM.  THIS BILL JUST ALLOWS US TO

                    ENSURE THAT COMPOSTING AND RECYCLING IS PART OF THOSE PLANS THAT WE GET,

                    AND TO ENSURE THAT AS WE MOVE FORWARD THAT WE -- THAT COMPOSTING IS A

                    CRITICAL PART OF OUR FUTURE AND TO GET TO OUR CLCPA GOALS.

                                 THANK YOU FOR PUTTING THIS FORWARD, MR. SPEAKER, AND

                    I WILL BE VOTING IN THE AFFIRMATIVE.

                                 ACTING SPEAKER AUBRY:  MR. EPSTEIN IN THE

                                         101



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    AFFIRMATIVE.

                                 MR. GOODELL.

                                 MR. GOODELL:  THANK YOU, SIR.  PLEASE RECORD MR.

                    DIPIETRO, MR. FRIEND AND MR. WALCZYK IN THE NEGATIVE.  THANK YOU, SIR.

                                 ACTING SPEAKER AUBRY:  SO NOTED, SIR.

                                 ARE THERE ANY OTHER VOTES?  ANNOUNCE THE RESULTS.

                                 (THE CLERK ANNOUNCED THE RESULTS.)

                                 THE BILL IS PASSED.

                                 MRS. PEOPLES-STOKES.

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

                    HAVE ANY FURTHER HOUSEKEEPING OR RESOLUTIONS?

                                 ACTING SPEAKER AUBRY:  WE HAVE BOTH

                    HOUSEKEEPINGS AND RESOLUTIONS, MADAM MAJORITY LEADER.

                                 ON A MOTION BY MR. MCDONALD, PAGE 23, CALENDAR

                    NO. 251, BILL NO. 3201-A, AMENDMENTS ARE RECEIVED AND ADOPTED.

                                 ON A MOTION BY MS. JACKSON, PAGE 28, CALENDAR NO.

                    279, BILL NO. 7120, AMENDMENTS ARE RECEIVED AND ADOPTED.

                                 WE HAVE RESOLUTION NO. 238.  THE CLERK WILL READ.


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 238, MS.

                    WOERNER.

                                 LEGISLATIVE RESOLUTION MOURNING THE TRAGIC AND

                    ULTIMATE UNTIMELY DEATH OF UNITED STATES ARMY SPECIALIST ABIGAIL

                    JENKS, MERITORIOUS VETERAN, DISTINGUISHED CITIZEN AND DEVOTED MEMBER

                    OF HER COMMUNITY.

                                 ACTING SPEAKER AUBRY:  MS. WOERNER ON THE

                                         102



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    RESOLUTION.

                                 MS. WOERNER:  THANK YOU, MR. SPEAKER, FOR

                    ALLOWING ME TO SHARE THIS MOMENT WITH ALL OF YOU AS WE RECOGNIZE THE

                    LIFE AND SERVICE OF ABIGAIL JENKS, UNITED STATES ARMY SPECIALIST WITH

                    THE 82ND AIRBORNE WHO SADLY LOST HER LIFE IN A PARACHUTE TRAINING

                    ACCIDENT IN FORT BRAGG JUST A COUPLE OF WEEKS AGO.  SPECIALIST ABIGAIL

                    JENKS GRADUATED FROM SARATOGA SPRINGS HIGH SCHOOL IN 2018.  HER

                    MOTHER MARY SAID SHE WAS AN ADVENTURER.  AND SHE LEFT AND JOINED THE

                    ARMY RIGHT AFTER GRADUATION.  SHE WENT TO ARTILLERY TRAINING SCHOOL AND

                    THEN TO PARATROOPER TRAINING SCHOOL, ASSIGNED AT FORT BRAGG.  SHE WAS A

                    FORWARD OBSERVER WITH THE HEADQUARTERS BATTALION, AND THAT SOUNDS LIKE

                    A PRETTY BENIGN JOB, BUT IN FACT, IT'S ONE OF THE MOST DANGEROUS JOBS YOU

                    CAN HAVE.  THE FORWARD OBSERVER IS DIRECT CANNON FIRE AWAY FROM OUR

                    ARTILLERY AND INFANTRY.  VERY FEW WOMEN TAKE ON THIS ROLE.  IN FACT, IT

                    WASN'T UNTIL 2016 THAT WOMEN WERE EVEN ALLOWED TO TAKE ON THIS ROLE IN

                    THE MILITARY.  BUT THE ADVENTURER, SPECIALIST ABIGAIL JENKS, EMBRACED IT.

                    AND HER COMMANDER REFERRED TO HER AS A COMPASSIONATE LEADER, ONE

                    WHOSE IMPACT ON THOSE AROUND HER WOULD BE FELT FOR MANY YEARS.  SHE

                    GREW INTO HER ROLE.  SHE PROVIDED TREMENDOUS SERVICE AND LEADERSHIP,

                    THIS ADVENTURER FROM SARATOGA COUNTY WHO PUT ON THE CLOTH OF OUR

                    NATION TO DEFEND OUR FREEDOMS.  IT'S -- IT'S THE MONTH OF MAY AND SOON

                    WE WILL ALL CELEBRATE AND COMMEMORATE MEMORIAL DAY.  WE'LL GO TO

                    VETERANS MONUMENTS, WE'LL WALK IN PARADES, WE'LL TALK TO CROWDS.  AND

                    WE'LL REMEMBER THE FALLEN.  THE SERVICE MEMBERS THROUGHOUT THE

                    CENTURIES WHO HAVE PUT DOWN THEIR LIVES TO PROTECT OUR FREEDOMS ARE A

                                         103



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    REMINDER THAT FREEDOM ISN'T REALLY FREE, IT'S PURCHASED WITH THE LIVES OF

                    THE BRAVE.  AND THIS YOUNG WOMAN, UNITED STATES ARMY SPECIALIST

                    ABIGAIL JENKS, IS ONE OF THE FALLEN.

                                 AND SO TODAY I ASK YOU TO RISE AND JOIN ME IN SALUTING

                    HER SERVICE AND HONORING HER CONTRIBUTIONS TO OUR NATION AND IN

                    RECOGNIZING THE LIFE AND THE SERVICE OF THIS REMARKABLE YOUNG WOMAN

                    WHOSE MOTHER, MARY JENKS, AND HER FAMILY ARE LISTENING TO US ON THE

                    LIVESTREAM.  SO PLEASE, IF YOU'LL RISE AND JOIN ME IN SAYING THANK YOU TO

                    ABIGAIL FOR HER SERVICE, FOR HER BRAVERY, FOR HER COURAGE.  FOR GIVING

                    HER LIFE FOR OUR COUNTRY, AND TO HER FAMILY FOR SHARING HER WITH US.  MAY

                    GOD BLESS ABIGAIL JENKS.  MAY GOD BLESS HER FAMILY.  MAY GOD BLESS

                    EACH AND EVERY SOLDIER, SAILOR, AIRMAN AND MARINE WHO TODAY STAND

                    WATCH IN THE FOUR CORNERS OF THE GLOBE TO KEEP US SAFE.  AND MAY GOD

                    BLESS AMERICA.

                                 THANK YOU VERY MUCH.

                                 ACTING SPEAKER AUBRY:  ON THE RESOLUTION, ALL

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

                    ADOPTED.

                                 RESOLUTION NO. 243, THE CLERK WILL READ.


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 243, MR.

                    GIGLIO.

                                 LEGISLATIVE RESOLUTION MOURNING THE DEATH OF DR.

                    DENNIS R. DEPERRO, 21ST PRESIDENT OF THE ST. BONAVENTURE UNIVERSITY,

                    BELOVED FAMILY MAN AND DISTINGUISHED EDUCATOR.

                                 ACTING SPEAKER AUBRY:  MR. GIGLIO ON THE

                                         104



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    RESOLUTION.

                                 MR. GIGLIO:  THANK YOU, MR. SPEAKER.  IT'S NICE TO

                    BE BACK HOME IN THE CHAMBERS.  I WOULD PREFER TO BE HERE UNDER

                    DIFFERENT CIRCUMSTANCES, BUT IT'S NICE TO SEE ALL OF YOU.  LET ME START OUT

                    WITH DENNIS R. DEPERRO, THE 21ST PRESIDENT OF ST. BONAVENTURE

                    UNIVERSITY.  AND WHAT I WANTED TO TALK ABOUT IS EVERYBODY ALREADY

                    WOULD KNOW THAT TO GET TO THOSE HEIGHTS YOU HAD TO BE A DISTINGUISHED

                    AND ACCOMPLISHED EDUCATOR, WHICH HE WAS.  BUT I WANT TO TELL YOU

                    ABOUT A KID FROM BUFFALO, NEW YORK WHO GREW UP ON THE STREETS OF

                    SOUTH BUFFALO.  VERY HUMBLE BEGINNING FROM A GREAT FAMILY.  AND IF

                    YOU WERE FROM WESTERN NEW YORK, THE NAMES I'M ABOUT TO MENTION,

                    YOU WOULD UNDERSTAND.  HE WENT TO TIMON HIGH SCHOOL IN SOUTH

                    BUFFALO.  THEN HE WENT TO CANISIUS COLLEGE AND GOT HIS BACHELOR'S AND

                    MASTER'S FROM THERE AND THEN HE CONTINUED ON HIS PHD.  HE WAS JUST AN

                    AVERAGE KID WHO DID -- MADE THE BEST OF ALL THE THINGS THAT GOD GAVE

                    HIM AND HIS TALENTS (INAUDIBLE).  AND HE KEPT MOVING FORWARD.  BUT HE

                    WANTED ONE THING MORE THAN OTHER -- EVER.  HE WANTED TO BE A PRESIDENT

                    OF A COLLEGE.  SO HE SPENT MANY YEARS GETTING THERE, AND ABOUT THREE OR

                    FOUR YEARS AGO HE WAS NAMED THE PRESIDENT OF THE ST. BONAVENTURE

                    UNIVERSITY.  BUT LET ME TELL YOU A LITTLE BIT ABOUT ST. BONAVENTURE.  ST.

                    BONAVENTURE IS A SMALL SCHOOL WITH -- WITH ABOUT 3,500 TO 4,000

                    STUDENTS IN THE FOOTHILLS OF THE ALLEGHENY MOUNTAINS IN ALLEGHENY,

                    NEW YORK.  IT IS A MAJOR PART OF WHAT -- WHO AND WHAT WE ARE IN MY

                    DISTRICT.  DENNIS TOOK THAT JOB AND HE RAN WITH IT LIKE NOBODY ELSE EVER

                    HAD.  AND IN THE THREE YEARS OR PLUS THAT HE WAS PRESIDENT, THE COLLEGE

                                         105



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    CONTINUED TO GROW.  AND HE MADE SUCH AN IMPRESSION ON THE PEOPLE

                    THAT HE WORKED WITH ON A REGULAR BASIS.  AND I'M SO PROUD OF THE FACT

                    THAT AGAIN, HE CAME FROM THE STREETS OF OUR NEIGHBORHOODS, MOVED UP

                    AND BECAME A DISTINGUISHED EDUCATOR.  AND HE NEVER FORGOT WHERE HE

                    WAS FROM.  AND HE NEVER STOPPED WORKING REAL HARD TO PROVE THAT HE

                    WAS CAPABLE OF DOING WHAT HE DID.  AND WE LOST HIM ON MARCH 1ST TO

                    COVID.  HE WAS 62 YEARS OLD AT THE TIME, TWO WEEKS AFTER HIS BIRTHDAY

                    IN FEBRUARY.  AND IT IS WITH GREAT SADNESS -- AND THE SCHOOL ITSELF, THOSE

                    PEOPLE THAT WORK THERE WILL TELL YOU WILL HOW IMPORTANT HE WAS AND

                    HOW THEY WERE BROKENHEARTED ABOUT WHAT HAD HAPPENED TO HIM AND

                    THAT WE LOST HIM SO QUICKLY.  AND I WOULD TELL THEM THAT ALTHOUGH THE

                    CAPTAIN OF OUR SHIP HAS LEFT, HE SET US ON THE RIGHT COURSE AND WE WILL

                    CONTINUE TO DO THAT AND FOLLOW HIS LEGACY.  SO WITH ALL THE BROKEN

                    HEARTS AND TEARS THAT YOU HAVE AT ST. BONAVENTURE AMONG THE FACULTY,

                    THE STAFF AND THE KIDS - AND THE STUDENTS, I SHOULDN'T CALL THEM KIDS -

                    THAT WE WILL MOVE FORWARD AND WE WILL RESPECT HIS LEGACY.  I WANT TO

                    SAY THANK YOU TO HIS WIFE AND HIS TWO CHILDREN FOR SHARING -- SHARING

                    HIM WITH US, AND WISH THEM THE PEACE THAT I KNOW DENNIS WOULD WISH

                    THEY WOULD GET FROM THIS, THAT ONLY TIME WILL HELP.  AND FINALLY, FROM

                    THOSE OF US THAT COUNT HIM AS A FRIEND, A LIFE WELL LIVED BY THE AMOUNT

                    OF PEOPLE THAT ARE SO SORRY THAT HE'S GONE.  AND I SAY TO HIM, GOODBYE,

                    DENNIS, AND WE WILL MISS YOU.  GOD BLESS.  THANK YOU.

                                 ACTING SPEAKER AUBRY:  THANK YOU, SIR.

                                 MS. HUNTER ON THE RESOLUTION.

                                 MS. HUNTER:  YES, THANK YOU, MR. SPEAKER, FOR

                                         106



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    ALLOWING ME TO SPEAK ON THIS RESOLUTION.  AND YOU NEVER KNOW BY

                    HIGHWAY AND BYWAYS HOW PEOPLE MEET.  AND HE WAS A WONDERFUL

                    GENTLEMAN.  I HAD AN OPPORTUNITY, ACTUALLY, TO BE ON THE BOARD OF

                    DIRECTORS WITH HIM AT CATHOLIC CHARITIES.  HE HAD THE BEST SMILE, THE

                    BEST LAUGH.  AND HE ALSO SPENT SEVERAL YEARS AT LE MOYNE COLLEGE, OF

                    WHICH I REPRESENT.  I WOULD SEE HIM AT LE MOYNE COLLEGE AND WAS JUST

                    TRULY DEVASTATED WHEN I HEARD OF HIS LOSS.  HE WAS A GEM IN THE

                    COMMUNITY.  I REACHED OUT TO THE PRESIDENT OF LE MOYNE COLLEGE UPON

                    HIS PASSING AND WAS JUST IN SHOCK.  A MAN SO YOUNG AND SO VIBRANT.

                    AND HE ALWAYS HAD WANTED TO BE IN THE POSITION AT ST. BONAVENTURE.

                    SO BLESSINGS TO -- TO HIS FAMILY.  I'M VERY GLAD TO SEE THIS RESOLUTION

                    HERE TODAY AND KNOW THAT THE ANGELS ABOVE HAVE WELCOMED HIM WITH

                    OPEN ARMS.

                                 THANK YOU, MR. SPEAKER.

                                 ACTING SPEAKER AUBRY:  THANK YOU.

                                 ON THE RESOLUTION, ALL THOSE IN FAVOR SIGNIFY BY SAYING

                    AYE; OPPOSED, NO.  THE RESOLUTION IS ADOPTED.

                                 RESOLUTION NO. 231, THE CLERK WILL READ.


                                 THE CLERK:  ASSEMBLY RESOLUTION NO. 231, MS.

                    CRUZ.

                                 LEGISLATIVE RESOLUTION CELEBRATING THE LIFE AND

                    ACCOMPLISHMENTS OF LORENA BORJAS, MEXICAN-AMERICAN TRANSGENDER

                    WOMAN, IMMIGRANT RIGHTS ACTIVIST AND DEVOTED MEMBER OF HER

                    COMMUNITY.

                                 ACTING SPEAKER AUBRY:  MS. CRUZ ON THE

                                         107



                    NYS ASSEMBLY                                                          MAY 4, 2021

                    RESOLUTION.

                                 MS. CRUZ:  THANK YOU, MR. SPEAKER, FOR ALLOWING

                    ME TO SPEAK ON THE RESOLUTION TO CELEBRATE THE LIFE OF LORENA.  LORENA

                    WAS A FRIEND AND A CONSTITUENT WHOSE LIFE WORK CHANGED THE LIVES OF SO

                    MANY PEOPLE IN OUR COMMUNITY, AND FRANKLY, AROUND OUR COUNTRY.  SHE

                    WAS KNOWN AS THE MOTHER OF THE TRANSGENDER LATINA COMMUNITY IN

                    QUEENS.  LORENA LIVED IN MY COMMUNITY.  SHE DIED LAST YEAR ON MARCH

                    30TH AT THE AGE OF 59 DUE TO COMPLICATIONS FROM THE CORONAVIRUS.  I STILL

                    REMEMBER GETTING THE CALL FROM OUR MUTUAL FRIEND, CECILIA GENTILI TO

                    TELL ME THAT LORENA WAS GONE.  SHE WAS BORN ON MAY 29TH, 1960 IN

                    VERACRUZ, MEXICO.  SHE STUDIED PUBLIC -- PUBLIC ACCOUNTING IN MEXICO

                    CITY.  SHE IMMIGRATED TO THE UNITED STATES IN 1981 WHEN SHE WAS 20

                    YEARS OLD, WITH THE INTENTION OF MAKING THE TRANSITION TO LIVE AS A

                    WOMAN.  SHE WAS ONE OF THE MOST POWERFUL GRASSROOTS ACTIVISTS I'VE

                    EVER HAD THE HONOR OF KNOWING.  SHE DREW ON HER OWN EXPERIENCES AS A

                    MEXICANA IMMIGRANT AND TRANSGENDER WOMAN TO FIGHT FOR HER CHICKAS,

                    AS SHE CALLED THEM.  SHE NEVER TOOK NO FOR AN ANSWER, AND SHE ALWAYS

                    PUT HER COMMUNITY FIRST.  THE NEEDS OF OTHERS WERE MORE IMPORTANT

                    THAN HERS.  SHE BECAME A GUARDIAN ANGEL FOR THE TRANSGENDER

                    COMMUNITY IN QUEENS AND AROUND NEW YORK, HELPING MANY SURVIVE

                    SEX TRAFFICKING, POLICE HARASSMENT AND SUBSTANCE ABUSE.  LORENA WAS A

                    TRUE HUMANITARIAN.  SHE OPENED THE DOORS OF HER OWN HOME AND

                    PROVIDED A SAFE PLACE FOR HER CHICKAS TO LIVE, ESPECIALLY MINNIE, WHO

                    BECAME HIV POSITIVE.  LORENA KNEW THE PERSONAL AND EMOTIONAL

                    DIFFICULTIES OF LIVING AS A TRANSGENDER IMMIGRANT.  SHE TURNED TO HER

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                    NYS ASSEMBLY                                                          MAY 4, 2021

                    OWN TRAGEDY IN TRYING TO (INAUDIBLE).  SHE INVESTED TIME AND CARE INTO

                    THE TRANSGENDER IN OUR COMMUNITY -- IN OUR NEIGHBORHOOD, FRANKLY, THE

                    WAY NO ONE HAD EVER DONE BEFORE.  SHE BECAME THE FAIRY GODMOTHER TO

                    THE ABUSED AND DOWNTRODDEN, PROVIDING LOVE, WARMTH, A SAFE SPACE FOR

                    MANY WHO NEEDED IT.  FOR DECADES LORENA WORKED AS AN EDUCATOR IN

                    HIV TESTING AND (INAUDIBLE) CHANGE AND OTHER PROGRAMS IN THE

                    LGBTQI COMMUNITY, INCLUDING THE TRANS LATINA NETWORK, THE LATINO

                    COMMISSION ON AIDS AND A COMMUNITY HEALTHCARE NETWORK.  IN

                    2011 SHE LAUNCHED THE LORENA BORJAS LEGAL FUND TO PROVIDE BAIL AND

                    ADVOCATE FOR THE LGBTQI COMMUNITY AND IMMIGRANTS.  MOST RECENTLY,

                    SHE LEARNED -- SHE SERVED AS THE EXECUTIVE DIRECTOR OF THE COLECTIVO

                    INTERCULTURAL TRANSGREDIENDO.  SHE HELPED BRING RESOURCES TO

                    JACKSON HEIGHTS AND FOUGHT AGAINST POLITICIANS AND BECAME FRIENDS

                    WITH MANY OF US, INCLUDING COUNCILMEMBER DANNY DROMM, WHO

                    HELPED HER GET ONE OF THE FIRST PARDONS FROM GOVERNOR CUOMO SO THAT

                    SHE COULD EVENTUALLY BECOME A CITIZEN.  AND AS THIS STRANGE UNIVERSE

                    WOULD HAVE IT, YEARS LATER I FOUND OUT THAT WHILE I WAS IN THE

                    GOVERNOR'S OFFICE, I GOT TO HELP HER GET THAT PARDON.  LORENA BUILT A

                    FAMILY IN JACKSON HEIGHTS OF EXTENDED DAUGHTERS AND FRIENDS WHO ALSO

                    HAS A SAVIOR.  THIS RESOLUTION WILL BE DELIVERED TO HER CHILDREN FAMILY AT

                    THE COLECTIVO THAT CONTINUE HER MISSION EVERY DAY OF PROTECTING AND

                    FIGHTING FOR THE RIGHTS OF OUR TRANS LATINA SISTERS.  AND WHILE LORENA

                    MAY NOT BE WITH US, HER LIGHT AND LEGACY CONTINUE TO SHINE.

                                 (SPEAKING SPANISH)

                                 THANK YOU, MR. SPEAKER.

                                         109



                    NYS ASSEMBLY                                                          MAY 4, 2021

                                 ACTING SPEAKER AUBRY:  ON THE RESOLUTION, ALL

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

                    ADOPTED.

                                 WE HAVE NUMEROUS OTHER FINE RESOLUTIONS, MRS.

                    PEOPLES-STOKES.  WE WILL TAKE THEM UP ON ONE VOTE.

                                 ON THESE RESOLUTIONS, ALL THOSE IN FAVOR SIGNIFY BY

                    SAYING AYE; OPPOSED, NO.  THE RESOLUTIONS ARE ADOPTED.

                                 (WHEREUPON, ASSEMBLY RESOLUTION NOS. 239-242

                    WERE UNANIMOUSLY ADOPTED.)

                                 MRS. PEOPLES-STOKES.

                                 MRS. PEOPLES-STOKES:  THANK YOU, MR.

                    SPEAKER.  I NOW MOVE THAT ASSEMBLY STAND ADJOURNED UNTIL 10:00 A.M.,

                    WEDNESDAY, MAY THE 5TH, TOMORROW BEING A SESSION DAY.

                                 ACTING SPEAKER AUBRY:  THE ASSEMBLY STANDS

                    ADJOURNED.

                                 (WHEREUPON, AT 4:57 P.M., THE ASSEMBLY STOOD

                    ADJOURNED UNTIL WEDNESDAY, MAY 5TH AT 10:00 A.M., THAT BEING A

                    SESSION DAY.)















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