“You can’t live a perfect day without doing something for someone who can never repay you.”
I had just finished dinner when I got the call. A physician, whom many of you reading this may know, was calling, mainly out of desperation, seeking a sympathetic ear. Embroiled in a horrific family court battle over an adopted special needs child and the family may be at the end of the line. Quite frankly, this was a cry for help. I listened, made a few suggestions and agreed to cross our fingers, make a plan and hope for the best. This struggle has not been without cost, not only emotional but financial as well.
The word colleague is derived from two Latin words – college (one chosen along with another) and legare (to send or choose as a deputy.) But these are often merely words describing associates. For physicians, a colleague is more than that – we are all members of a fellowship. We took an oath. Part of that oath conveys a duty to each other. If one of us is in trouble, we all are in trouble. We should be the embodiment of Dumas’ “All for one and one for all.” If you are so inclined, there’s a Go Fund Me page.
Oh yes, one more thing – See You In Albany!
Arthur Fougner, MD
Please Plan to Be in Albany for MSSNY‘s Annual “Physician Advocacy Day” Wednesday March 4th
Are you planning to join us this Wednesday in Albany? With the Governor’s Budget Proposal teeing up items for serious concern such as Medicaid cuts, legalized marijuana and changes to the physician disciplinary process, but also supported reforms such as regulating PBMs and a flavored tobacco ban, it is imperative that physicians participate in MSSNY’s “Physician Advocacy Day” that will be held on Wednesday, March 4th in the Lewis Swyer Theatre in the Egg located at the Empire State Plaza, Albany NY. Click here to register!
Join your colleagues from all around New York State and come to MSSNY’s Physician Advocacy Day to speak with your legislators and key policymakers to ensure they’re making the right choices for New York’s physicians and their patients.
A brief luncheon to which members of each House are invited to speak with their constituents will follow the morning program. Please work with your County Medical Societies to schedule appointments for physicians to meet with their elected representatives.
If you have any questions/comments, please contact Raza Ali at email@example.com. (ALI)
Governor Cuomo Announces Emergency Appropriation to Combat Coronavirus
Gov. Andrew Cuomo announced this week $40 million emergency appropriation to assist state and local governments to hire staff and procure equipment necessary to combat the coronavirus. Additionally, the governor will seek legislation that would grant authority to NYS Health Commissioner Howard Zucker, MD, to ensure that health department and hospitals to take certain actions in response to the outbreak.
DOH will also convene local health departments and hospitals to ensure that appropriate protocols are in place for responding to the virus. Gov. Cuomo has also called upon the federal government to authorize the Wadsworth Lab and NYC Public Health Lab to test for the virus, which would allow expanded capacity within the northeast. Gov. Cuomo indicated that the state has worked to develop and validate a test that complies with protocol.
New York State has had 26 patients that have tested negative for the virus as of Feb. 26th. Coronavirus is now a reportable disease and physicians are required to report suspect cases to their local department of health. NYS also has a coronavirus hotline at 1-888-364-3065. Physicians can find further information by going to the New York State Department of Health website for healthcare providers here.
NYC physicians should click here.
DOH has also issued a Feb. 11th letter to physicians about patients who presented with respiratory symptoms.
Evaluating and Reporting Persons Under Investigation (PUI) – Click here.
Please Urge Your Legislators to Reject Unfair Disregarding of Physician Due Process
With Part L of Governor’s proposed Health/Mental Hygiene Budget bill containing extremely troubling measures to bypass important due process protections for physicians during disciplinary proceedings, all physicians are urged to continue to contact their legislators to urge that the Legislature reject this unfair proposal, and plan to be in Albany this Wednesday, March 4 for Physician Advocacy Day.
The proposal would, among many other provisions, make it far easier for the Commissioner of Health to disclose to the public that a physician is under disciplinary investigation or summarily suspend a physician with only a minimal finding of risk to the public, as opposed to the much stronger “imminent danger” standard now required for bypassing existing due process protections.
That is particularly troubling given that only a small percentage of complaints to OPMC result in a disciplinary sanction. MSSNY has indicated that we agree with the importance of acting quickly when it is imperative, but these proposals would completely undermine important and longstanding due process protections. Given that most complaints are dismissed without any sanction or action, this series of proposed changes to bypass these rights would create a substantial possibility of unfairly destroying an innocent physician’s career.
MSSNY has joined with 18 state specialty societies and the NYS Society of Physician Assistants in a communication to the Legislature setting forth our concerns in greater detail. Moreover, thousands of physicians from across the State have contacted their local legislators to express their severe concerns with this grossly unfair proposal. Have you?
MSSNY and Public Health Organizations Advocate for Ban on Flavored Vaping and Tobacco Products
This week, MSSNY joined with over 50 other public health organizations in urging the New York State Legislature enact legislation that would ban flavored vaping and tobacco products. S.428B/A.47A sponsored by Senator Brad Hoylman and Assemblywoman Linda Rosenthal, would ban flavored vaping products, including menthol. The bill is currently on the floor in the state senate and in the Assembly Codes Committee.
A. 8808/S. 6808, sponsored by Assemblywoman Rodneyse Bichottee and Senator Hoylman, would ban flavored tobacco products such as cigarillos and chewing tobacco. Gov. Andrew Cuomo has also proposed in his New York State budget that the Legislature implement a ban on flavored vaping products. MSSNY is working with groups such as NYS Association of County Health Officials, the American Heart Association, the American Cancer Society, the NYS PTA, Campaign for Tobacco Free Kids, the NYS Chapter of the AAP and Roswell Park to enact these provisions.
(DIVISION OF GOVERNMENTAL AFFAIRS)
MSSNY to State Legislature – Elimination of Excess Liability Program Will Diminsh Patient Access to Specialized Care
Physicians are urged to contact their legislators to request that the Excess Medical Malpractice Insurance Program be extended. This program, which provides nearly 17,000 physicians across the State with an additional $1 million/$3 million of liability coverage above the primary $1.3M/$3.9M layer, is being proposed to be eliminated after June 30. This is despite the fact that this coverage is needed more than ever due to New York’s excessive and growing liability costs that far exceed all other states. A letter to your legislators can be sent here.
Unfortunately, the Excess program has become a “political pawn” in discussions regarding ways to address the State’s huge budget deficit. The liability exposure level of physicians makes it clear that this Excess protection is more essential than ever. Without this protection, many physicians will face difficulties continuing to practice. Indeed, those who would be dropped would be personally exposed to financial ruin in the event that a judgment or award exceeded the limits of the primary layer. If anything, the program actually needs to be expanded, not diminished.
Let your legislator know that, in the absence of comprehensive medical liability reform, physicians need this secondary layer of liability insurance to protect against New York’s excessive verdicts and settlements. (AUSTER)
Physicians Urged to Contact Their Legislators to Oppose Massive Liability Premium Increasing Legislation
All physicians are urged to contact their Senators and Assemblymembers to urge that they oppose harmful legislation (S.4006/A.5612) that would enormously expand the damages awardable in a wrongful death legal action. One recent actuarial study concluded that, if this legislation were to be enacted, it would require medical liability premiums increase to increase 47%!! A letter to your local legislators can be sent from here.
This week the legislation was reported from the Senate Judiciary Committee to the Senate Finance Committee by an 8-1 vote. However, the vote did receive some pushback as Senator Diane Savino (D-Staten Island) voted against the legislation and Senators Neil Breslin (D-Albany County), AndrewGournades (D-Brooklyn), Ken LaValle (R-Suffolk County), Tom O’Mara (R-Southern Tier) and Kevin Thomas (D-Nassau County) voted “without recommendation”.
Legislators need to understand the downstream impact of these measures. At a time when New York physicians and hospitals already incur the highest liability costs in the country by far, legislation that requires any increase in premiums, let alone at the level this legislation would require, cannot be incurred without creating a serious adverse impact in patient access to needed care across New York State. (AUSTER)
MSSNY, County Medical Societies Testify to Provide Medicaid Cost-Savings Recommendations
As the newly configured Medicaid Redesign Team (MRT2) continues its work to arrive at recommendations to achieve $2.5 billion in savings for inclusion in the April 1 State Budget deadline, physician leaders and physician advocates promoted its’ recommendations at Rochester and Albany MRT2 public forums.
Their recommendations included: expansion of Medicaid coverage for in-home physician care visits and telemedicine to help reduce rising transportation costs, expansion of the Patient-Centered Medical Home program (which according to DOH has demonstrated itself to reduce patient medical costs), and long overdue liability medical liability reform (since the State must subsidize the excessive liability costs in New York that are much less in other states).
Here is the link to the Albany forum with testimony at the 1:12 mark by MSSNY Vice-President and Cobleskill pediatrician Dr. Joe Sellers.
Here is a the link to the Rochester forum at 2:00 mark by Monroe County Medical Society Executive Director Chris Bell.
Physician Mandate Bills Begin to Pile Up in Albany
As if physicians needed one more reason to be in Albany on March 4, the State Legislature has been advancing numerous bills through its Committee process that, while well-intended, would place substantial new mandates on physician care delivery at a time when physicians are already drowning in administrative tasks that take time away from patient care delivery. They also unfairly place the physician at risk of financial penalty by DOH or even license sanction by the OPMC if the physician fails to document even one time that they performed the mandated task. These proposals include:
- Mandated conspicuous posting in a physician’s office of a patient’s ability to file a complaint with the Office of Professional Conduct (A.7991-A/S.6678-A). Assembly Floor/Senate Floor
- Mandated notification to epileptic patients of the risk of sudden death due to epilepsy (S.5397-A/A.7807-A). On Assembly Floor/On Senate Floor
- Mandated co-prescribing of naloxone for patients: a) taking 50 mmg per day b) with a history of substance use disorder or c) concurrent use of opioids and benzodiazepine or nonbenzodiazepine sedative hypnotics (S.5150-B/A.5603-B). Passed Senate. In Assembly Ways & Means
- Mandated reporting of rescue inhaler prescriptions to the statewide immunization system (S.7337). On Senate floor
- Mandated dissemination of a pamphlet prior to performance of a pelvic exam (S.7544/A.9600). On Senate floor/In Assembly Health
- Mandated procedure for a maternal health care provider to provide written notification to patients regarding the risks of a C-section (A.318-A/S.2888-A). Passed Assembly/In Senate Women’s Issue Committee
- Mandated proof of completion of CME on cultural competency, including paying for an additional fee to SED on top of the biennial $600 registration fee (S.2406-A). Passed Senate/In Assembly Higher Education Committee
- Mandated seeking of a detailed patient/family member consent for a nursing home resident prior to the receipt of a psychotropic medication, or detailed documentation of the need to provide such medication without consent (A.1033/S.5441). Passed Assembly/In Senate Health Committee
- Mandated completion of additional questions for the NYS Physician Profile including office hours, whether accepting new patients and an unknown number of practice demographic questions. Contained in Part K of the Governor’s proposed Health/Mental Hygiene Budget bill. (DIVISION OF GOVERNMENTAL AFFAIRS)
“Coronaviruses 2020” CME Webinar on March 18th Registration Now Open
The first suspected case of locally acquired COVID-19 in the United State was announced on February 27, 2020. Learn more about this and other coronaviruses by signing up for Medical Matters: Coronaviruses 2020 on March 18th at 7:30am. William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar.
Educational objectives are:
- Become familiar with the epidemiology and clinical features of coronaviruses
- Understand the physician’s role in the public health response to an infectious disease outbreak
- Identify the circumstances that have contributed to the rapid spread of COVID-19
Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at firstname.lastname@example.org.
The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. (HOFFMAN)
Registration Now Open for CME Series on Pain Management, Palliative Care & Addiction; NYS Requires Every Prescriber to Take 3 Hour Course by July 1, 2020
The Medical Society of the State of New York announces an updated series of three one-hour CME webinars on pain management, palliative care and addiction. New York State statute requires all prescribers, holding a DEA license, to complete three hours of coursework every three years. Coursework must include the following:
- New York State and federal requirements for prescribing controlled substances
- Pain management
- Appropriate prescribing
- Managing acute pain
- Palliative medicine
- Prevention, screening and signs of addiction
- Responses to abuse and addiction
- End of life care
These webinars are being offered FREE OF CHARGE to MSSNY members. A discount code was emailed to members on February 24, 2020. Please contact Melissa Hoffman at email@example.com if you did not receive this discount code.
The Medical Society of the State of New York has worked with the New York State Office for Alcoholism and Substance Abuse Services (OASAS) in the development of this program. Following the webinars, the course will be offered on-line on the MSSNY CME site. The program will be offered to MSSNY members free of charge and there is a non-member fee of $150 for the on-line series.
The three webinars cover all issues required in the New York State statute and participation is only by computer, or with the Webex app.
Webinars will be held on: Tuesday March 10, 2020—7:30-8:30am
Understanding the Current Legal Landscape in New York State for Prescribing Controlled Substances
Faculty: Patricia Bruckenthal, PhD, APRN-BS, FAAN & Robert Kent, Esq., NYS OASAS General Counsel
- Understand New York State and Federal Requirements for Prescribing Controlled Substances
- Discuss Guidelines for Chronic Pain
Tuesday March 17, 2020—7:30-8:30am
When to Consider Opioid Therapy for Chronic Non-Cancer Pain & in Palliative Care
Faculty: Charles Argoff, MD
- Discuss evidence based best practice recommendations for opioid therapy for chronic pain, patient risk assessments and documentation
- Describe palliative medical care and end-of-life care
Tuesday March 24, 2020—7:30-8:30am
Patients with Opioid Use Disorders: Identification, Treatment, and Management of Co-occurring Pain
Faculty: Jeffrey Selzer, MD, Marc Manseau, MD, MPH, NYS OASAS Medical Director
- Describe the Potential for Addiction, Patient Screening, Diagnosis and Subsequent Treatment or Referral
- Recommend Tools to Assist in the Identification of High-Risk Patients for Whom Opioids are Indicated and Prescribed
- Describe Strategies for Treating Pain in Patients with Substance Use Disorders
The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at firstname.lastname@example.org or 518-465-8085
Veterans Matters: The Special Mental Health Needs of Women Veterans Live Seminar in Saratoga
The Medical Society of the State of New York is hosting a CME live seminar entitled Veterans Matters: The Special Mental Health Needs of Women Veterans on Wednesday, March 18, 2020 at 6:45 pm at Nove Restaurant, 707 Saratoga Road, Wilton, NY 12831.
Malene Ingram, MD & Colonel, U.S. Army Reserves, will serve as faculty for this program. The educational objectives are:
- Review how the increased role of women in the military has impacted their mental health
- Describe mental health concerns unique to women veterans and how to identify them
- Identify barriers that women veterans face in getting the specific care they need
Reservations can be made by contacting Gregory Pinto, MD at email@example.com or (518) 587-0772. Dinner charge for non-MSSNY member is $35.00 and no charge for MSSNY members and their spouses.
The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians
The Medical Society of the State of New York designates each of these live activities for a maximum of 1.0 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. (HOFFMAN)
Register now for CME Course at MSSNY House of Delegates April 23 & 24
MSSNY will be offering multiple CME courses on Thursday April 23rd and Friday April 24th at the 2020 House of Delegates in Tarrytown.
Click here to register for as many or few of these offerings as you can.
Thursday April 23, 2020
1:00-2:00pm Medical Matters: Triage in a Disaster Event
2:00-3:00pm Veterans Matters: TBI in Returning Veterans
3:00-4:00pm Steps to Physician Wellness and Resiliency
4:00-5:00pm The Health of Sexual and Gender Minorities
Friday April 24, 2020
1:00-4:00pm Pain Management, Palliative Care & Addiction
For more information please contact Melissa Hoffman at firstname.lastname@example.org or call (518) 465-8085.
Veterans Mental Health Training Initiative – Save the Date!
The Medical Society of the State of New York, along with the New York Psychiatric Association and the National Association of Social Workers-NYS will hold a two-day Veterans Healthcare Training Initiative with interactive seminars and panel discussions on the health and mental health care needs of veterans. Continuing Medical Education (CME) credits will be offered for various programs.
Novel Coronavirus Information
CDC – Evaluating and Reporting Persons Under Investigation (PUI)
New US Coronavirus Cases: Human Testing for Drug Begins
Fifty-seven COVID-19 cases have been reported in the U.S. as of 9 a.m., Feb. 26. This is an increase from 53 cases reported by the CDC Feb. 24. The source of exposure for the new cases is currently unknown.
U.S. Residents Should Expect Community Spread of Novel Coronavirus
A top CDC official warned Feb. 25, “It’s not so much a question of if this will happen anymore, but when and how many people in this country will have severe illness,” said Nancy Messonnier, MD, director of the CDC’s National Center for Immunization and Respiratory Diseases. https://www.cdc.gov/media/releases/2020/a0225-cdc-telebriefing-covid-19.html
The CDC on Tuesday warned that it expects the novel coronavirus that has sparked outbreaks around the world to begin spreading at a community level in the United States, as a top official said that disruptions to daily life could be “severe.”
“As we’ve seen from recent countries with community spread, when it has hit those countries, it has moved quite rapidly. We want to make sure the American public is prepared…As more and more countries experience community spread, successful containment at our borders becomes harder and harder,” she said.
There have been 14 cases of the virus diagnosed in the U.S., all in people who traveled recently to China or their close contacts. Another 39 U.S. residents have been infected in other parts of the world before being repatriated and quarantined. But CDC officials say the country could soon see more cases as the virus starts to spread through communities in areas outside China, including Iran, South Korea, and Italy. (Feb. 25)
Majority of Current/Former Smokers Don’t Get Recommended Cancer Screenings
The majority of those who ought to be getting annual lung cancer screenings aren’t getting them, according to a new CDC analysis. Among those ages 55-80, the U.S. Preventive Services Task Force recommends annual screenings for current smokers or those who quit in the past 15 years and who have a history of smoking at least 30 packs of cigarettes a year.
But according to data on screening collected by 10 states in 2017, around 12% of adults met the USPTF criteria, but only a small fraction of those individuals actually got a CT scan in the previous year to screen for cancer. Of the 10 states that reported the data, Florida had the highest rate of lung cancer screenings, with 16% reporting having had CT scans. The data is only from a minority of states but indicate a need for better public health initiatives to educate people about screening, according to the report.
AMA Statement on Ninth Circuit Title X Decision
“The American Medical Association (AMA) is disappointed by – and strongly disagrees with – the reasoning behind a federal appeals court’s decision to allow the Trump administration to enforce a gag rule on physicians.
“The judges failed to properly take into consideration the AMA’s legal arguments or the decision’s impact on either health care or the patient-physician relationship. This government overreach and interference demands that physicians violate their ethical obligations – prohibiting open, frank conversations with patients about all their health care options – if they want to continue treating patients under the Title X program. It is unconscionable that the government is telling physicians that they can treat this underserved population only if they promise not to discuss or make referrals for all treatment options.
“As this case moves to the next stage, we’ll continue to fight for open conversations between patients and physicians – the cornerstone of quality health care.”
Lung Cancer More Prevalent Among Young Women Than Young Men in US
Cancer Therapy Advisor (2/19) reports researchers found that “the incidence of lung cancer appears to be higher among young women compared with young men in the United States as well as 5 other countries.” The findings were published in the International Journal of Cancer.
Physicians Seeing Increasing Number of Young Adults with Symptoms of Alcohol Consumption-Related Acute Liver Disease
Last month, “the National Institute on Alcohol Abuse and Alcoholism published a study” indicating that “from 1999 to 2017 the number of alcohol-related deaths per year doubled, rising from 35,914 to 72,558,” with “just under a third of those” resulting “from liver disease.”
This “trend is particularly pronounced in middle-aged women, where studies suggest that high-risk drinking is the highest it has ever been.” Physicians are seeing an increasing number of “people in their 20s and 30s with symptoms of acute liver disease related to alcohol consumption.”
FDA Approves New Cholesterol-Lowering Drug
The FDA has approved bempedoic acid (marketed as Nexletol) to help lower LDL cholesterol in adults with heterozygous familial hypercholesterolemia or established atherosclerotic cardiovascular disease for whom statins are deemed insufficient. The oral ATP citrate lyase inhibitor, the first approved in its class, acts by decreasing cholesterol biosynthesis and upregulating LDL receptors, the manufacturer says.
It’s indicated as an adjunct to diet and maximally tolerated statin therapy. In phase 3 studies comprising over 3000 patients, once daily bempedoic acid was superior to placebo (a mean 18% placebo-corrected LDL reduction) in patients also taking moderate- or high-intensity statins. The manufacturer notes that uric acid levels should be monitored in those taking bempedoic acid, as it may increase risk for gout. Additionally, the drug has been associated with tendon rupture and should not be used in patients with prior tendon disorders.
Bempedoic acid’s effects on cardiovascular morbidity or mortality are unknown, the manufacturer says.
Background: NEJM Journal Watch Cardiology coverage of phase 3 s
Across the Board (ATB) Medicaid Payment Reductions
Effective for dates of service on or after January 1, 2020, through March 31, 2020, and each State Fiscal Year thereafter, all non-exempt Department of Health state funds Medicaid payments will be uniformly reduced by 1%. For services subject to the 1% reduction, all fee-for service payments will receive a decrease to Medicaid checks and/or Electronic Funds Transfers for dates of services on or after January 1, 2020. Conversely, managed care payments to health plans will be reduced through a 1% reduction to premium rates effective January 1, 2020. Remittances will reflect the 1% reduction (appearing as an “FC2” recoupment) starting in cycle 2219, which has a check release date of 3/18/2020.
Please Click Here to read the full physician notice; or call 1-800-343-9000
MSSNY Past President Dan O’Keeffe Dies at 98
MSSNY President Dr. Dan O’Keeffe died Sunday, Feb. 23, 2020. He was 98½ years old and leaves his legacy. Raised in his beloved North Creek, he was a star basketball player at Johnsburg Central School, ski champion, and avid hunter. He attended Holy Cross College and did his medical education and training at the Albany Medical Center. After serving in the Air Force, he settled in Glens Falls and touched many lives as a physician practicing obstetrics and gynecology.
In 1951, he started the practice that became Women’s Care in Glens Falls. Over 40 years, he delivered more than 10,000 babies. He served as president of the Warren County Medical Society, St. Luke Physician’s Guild, Warren County Chapter of the American Cancer Society, Medical Staff of the Glens Falls Hospital, and the New York State Medical Society.
He was the chief gynecologist at the 1980 Winter Olympics in Lake Placid. At age 65, he decided to take up tennis and went on to become the Senior Olympic US National Champion in his 80s. Dr. Dan also wrote and published four books: One Heartbeat From Heaven (The Story of the O’Keeffe Hunting Camp 1915-1965); Halfway To Heaven (Livin’ in the “Crick”); Ride Up – Slide Down (A History of Skiing at Gore Mountain); You Really Made Housecalls? (The Practice and Politics of Medicine). He was very proud that all three of his children followed his footsteps, each becoming an OB/Gyn physician, Jim O’Keeffe, MD, Dan O’Keeffe III, MD, and Kate O’Keeffe, MD. He is survived by nine grandchildren, and five great-grandchildren.
To express online condolences visit www.sbfuneralhome.com.
SIGN UP TO RECEIVE ALERTS FROM MSSNY’S GRASSROOTS ACTION CENTER
When you subscribe to the Medical Society of the State of New York Grassroots Action Center, the Division of Governmental Affairs will alert you when legislation and issues of importance to physicians and patients, either in the NYS legislature or in Congress, are at critical stages.
Accordingly, contact from constituents would be vital to influencing the path and future of that legislation or issue.
Alerts will be accompanied by recommended actions you or your designee can take to have maximum impact such as calling, tweeting and emailing a customizable letter to your legislators.
If you are concerned with health care policy formation in New York State, please subscribe today by texting MSSNY to 52886 and you will be prompted to enter your email address. When you sign up, it is best to use your NY-based voting address or practice address (if you do not reside in NY) for your alerts.
Contact the Division of Governmental Affairs at 518-465-8085 or email@example.com if you have questions or comments. Thank you.
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