Council November 7, 2019

AGENDA
MSSNY Council Meeting
Thursday, November 7, 2019, 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A.  Call to Order and Roll Call

B.  APPROVAL of the Council Minutes of September 19, 2019

C.  New Business (All Action & Informational Items)

    1. President’s Report
      a.  Presidential Appointments to the 2020 Nominating Committee
                 (For Council Approval)
            b. New Eighth District Councilor, Mark Jajkowski, MD (For Council Approval)

2.  Board of Trustees Report – Dr. Sam Unterricht will present the report (handout)

3.  Secretary’s Report – Dr. Frank Dowling will present the report

4.  MLMIC Update  –  Dr. John Lombardo will present a verbal report

5.  AMA Delegation Report – Dr. John Kennedy will present a verbal report

6.  MSSNYPAC Report – Dr. Thomas Lee will present the report (handout)

7.  MESF Update – Dr. Thomas Madejski (nothing to report at this time)

8.  County Federation Report – Dr. Aaron Kumar will present the report

9. Commissioners/Councilors (Action Items – (For Council Approval)
    Commissioner of Governmental Relations, Fregery Pinto, MS, Commissioner
1. Legislative & Physician Advocacy Committee, Paul A. Pipia, MD, Chair
(For Council Approval)

a. 2020 Legislative Program
b. Resolution 70 – Physician Fees and Single Payer
c. Resolution 72 – Healthcare Cooperative Act
d. Resolution 117 – Parental Alienation Syndrome in Custody Cases
e. Resolution 122 – Physician-Owned Distributorships
f. Resolution 201 – Study of State and National Health Service
 Corp Needs

2.  Long-Term Care Subcommittee Resolution (For Council Approval)
     a. Patient-Driven Groupings Model (PDGM)

3. Commissioner of Science & Public Health, Joshua Cohen, MD, Commissioner

  a. Committee on Infectious Diseases
  Resolution 166 – Strategies to Improve NYS Immunizations Rates in Children
Presented by Dr. Cohen/Dr. Fogarty/ Pat Clancy (For Council Approval)

b. Quality Improvement and Patient Safety Committee & Physician Wellness and Resiliency Committee
    Joint Resolution Supporting MSSNY Involvement in AMA’s Practice Transformation
Presented by Dr. Charles Rothberg, Co-Chair, Physician Wellness Committee
(For Council Approval)

10.  Presentation – Physician Wellness
Presented by:
Ms.  Nancy Nankivil, Director, AMA’s Practice Transformation
Ms. Kyra Cappelucci, Project Administrator, Practice Transformation at
American Medical Association

D. Reports of Officers (Verbal Reports)

1. Office of the President – Arthur C. Fougner, MD
2. Office of the President-Elect – Bonnie L. Litvack, MD
3. Office of the Vice-President – Joseph R. Sellers, MD
4. Office of the Treasurer – Mark J. Adams, MD – Financial Statement for the
period 1/1/19 to 9/30/19 (For Council Approval)
5. Office of the Speaker – William R. Latreille, Jr., MD

E.  Reports of Councilors (Informational)

  1. Kings & Richmond Report – Adolph B. Meyer, MD
  2. Manhattan & Bronx Report – Joshua M. Cohen, MD
    ACTION ITEM – Investigation of Impact of ZocDoc’s
    Business Practice on Violation of Public Accommodation Laws
    (For Council Approval)
  3. Nassau County Report – Paul A. Pipia, MD
  4. Queens County Report – Saulius J. Skeivys, MD
  5. Suffolk County Report – Linda S. Efferen, MD
  6. Third District Branch Report – Brian P. Murray, MD
  7. Fourth District Branch Report – Gregory Pinto, MD
  8. Fifth District Branch Report – Howard H. Huang, MD
  9. Sixth District Branch Report – Robert A. Hesson, MD
  10. Seventh District Branch Report – Janine L. Fogarty, MD
  11. Eighth District Branch Report – Edward Kelly Bartels, MD
  12. Ninth District Branch Report  – Thomas T. Lee, MD
  13. Medical Student Section Report – Peter Joo
  14. Organized Medical Staff Section – Stephen F. Coccaro, MD
    (no report submitted)
  15. Resident & Fellow Section Report – Catherine E. Steger, DO
    (no report submitted)
  16. Young Physician Section Report – L. Carlos Zapata, MD
    (no report submitted)

F. Commissioners (Informational Items)
1.   Commissioner of Communications, Maria A. Basile, MD, MBA
      Report from the Division of Communications

2.    Commissioner of Continuing Medical Education, Mark J. Adams, MD
       Report from the Office of CME

3. Commissioner of Governmental Relations, Gregory Pinto, MD
   a. HIT Committee Minutes, October 3, 2019
b. Long Term Care Minutes, September 26, 2019
c. Quality Improvement & Patient Safety Minutes,
September 25, 2019

 4. Commissioner of Membership, Parag H. Mehta, M
           PowerPoint Presentation – “Harnessing the Science of Persuasion” (handout)

 5. Commissioner of Science & Public Health, Joshua M. Cohen, MD
a.  Addiction and Psychiatric Medicine Minutes, October 4, 2019
b.  Bioethics Minutes, September 27, 2019
c.  End of Life Care Minutes, September 13, 2019
d.  Heart, Lung & Cancer Minutes, October 16, 2019
e.  Infectious Diseases Minutes, October 17, 2019
f.   Preventive Medicine & Family Health Minutes, October 10, 2019
g.  Physician Wellness & Resilience Minutes, October 18, 2019

   6. Commissioner of Socio Medical Economics, Howard H. Huang, MD
          (No written report submitted)

G.  Report of the Executive Vice President, Philip Schuh, CPA, MS
1. Membership Dues Revenue Schedule
2. Group Institutional Dues Comparison Report

H. Report of the General Counsel,
     Barry Cepelewicz, MD, Esq. Garfunkel Wild, P.C.
     (No written report submitted)

I. Report of the Alliance, Helena Mirza, Co-President
    Alliance Report

J. Other Information/Announcements

  1. Firearms Safety Letter to Michael Dowling, Northwell
  2. Surprise Bill Sign-On Letters
  3. Prior Authorization(PA) Sign-On Letter
  4. American Board of Internal Medicine Letter
  5. Physician Wellness Letter to Commissioner Zucker
  6. Scope of Practice Sign-on Letter
  7. 2020 PFS Final Rule Summary

K. Adjournment

 

 

 

 

Council – September 19, 2019

AGENDA
MSSNY Council Meeting
Thursday, September 19, 2019, 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A.  Call to Order and Roll Call

B.  APPROVAL of the Council Minutes of May 30, 2019

C.  New Business (All Action & Informational Items)

    1. President’s Report
     a. Creation of Scope of Practice AD HOC Committee (For Council Approval)

Rose Berkun, MD, Co-Chair
Lisa Eng, DO, Co-Chair
Inderpal Chhabra, MD, Member
Atul Kumar Gupta, MD, Member
Julie Vieth, MD, Member
Richard Wissler, MD, Member

b. AMA Resolutions submitted by Dr. Michael Brisman
(For Council Approval)

  • Resolution 1&2 – AMA Position on Payment Provisions in Health Insurance Policies
  • Resolution 4 – AMA Should Provide a Summary of Its Advocacy Efforts on Surprise Medical Bills
  • Resolution 21 – AMA Will Specifically Seek to Improve the Current Medicare Fee Schedule for Physicians

2.  Board of Trustees Report – Dr. Sam Unterricht will present the report (handout)

3.  Secretary’s Report – Dr. Frank Dowling will present the report

4.  MLMIC Update  –  Dr. John Lombardo will present a verbal report

5.  AMA Delegation Report – Dr. John Kennedy will present the report

6.  MSSNYPAC Report – Dr. Thomas Lee will present the report (handout)

7.  MESF Update – Dr. Thomas Madejski will present the report

8.  County Federation Report – Dr. Aaron Kumar will present the report

9. Commissioners/Councilors (Action Items – (For Council Approval)

a. Commissioner of Socio Medical Economics, Howard H. Huang, MD
Committee on Health Insurance Resolutions

          Resolution 2019-255 Urgent Care in the Doctor’s Office
          Resolution 2019-266 Medicare Plan Survey for Patients

Committee on Workers’ Compensation & No Fault Resolution
(For Council Approval)

Resolution 2019-271 Shortage of Specialists in Workers’ Compensation System

b. Organized Medical Staff Section Resolution (For Council Approval)
Presented by:  Stephen Coccaro, MD, OMSS Councilor
Resolution SC 1 (AMA I-19) Hospital Website Voluntary Physician Inclusion

10. PresentationDr. Mitchell Katz, President and CEO of NYC Health & Hospitals
Verbal update on the following two topics:

  • Update on Physician Wellness
  • Update on the Health & Hospitals Access Program

D. Reports of Officers (Verbal Reports)

1. Office of the President – Arthur C. Fougner, MD
2. Office of the President-Elect – Bonnie L. Litvack, MD
3. Office of the Vice-President – Joseph R. Sellers, MD
4. Office of the Treasurer – Mark J. Adams, MD – Financial Statement for the period
(For Council Approval)

5. Office of the Speaker – William R. Latreille, Jr., MD
6. Report of the Immediate Past-President – Thomas J. Madejski, MD – MSSNY Committee Goals

E.  Reports of Councilors (Informational)

  1. Kings & Richmond Report – Adolph B. Meyer, MD
  2. Manhattan & Bronx Report – Joshua M. Cohen, MD
  3. Nassau County Report – Paul A. Pipia, MD
  4. Queens County Report – Saulius J. Skeivys, MD
    (no written report submitted)
  5. Suffolk County Report Linda S. Efferen, MD
  6. Third District Branch Report – Brian P. Murray, MD
  7. Fourth District Branch Report – Gregory Pinto, MD
  8. Fifth District Branch Report –Howard H. Huang, MD
  9. Sixth District Branch Report – Robert A. Hesson, MD
        (no written report submitted)
  10. Seventh District Branch Report – Janine L. Fogarty, MD
         (no written report submitted)
  11. Eighth District Branch Report – Edward Kelly Bartels, M
  12. Ninth District Branch Report  – Thomas T. Lee, MD
  13. Medical Student Section Report – Peter Joo
  14. Organized Medical Staff Section – Stephen F. Coccaro, MD
  15. Resident & Fellow Section Report – Catherine E. Steger, DO
         (no written report submitted)
  16. Young Physician Section Report – L. Carlos Zapata, MD

F. Commissioners (Informational Items)
1.   Commissioner of Communications, Maria A. Basile, MD, MBA
Report from the Division of Communications

2.Commissioner of Continuing Medical Education, Mark J. Adams, MD
Presented by Dr. Paul Pipia (on behalf of Dr. Mark Adams)

a. Report from the Office of CME (For Council Information)
b. MSSNY’s Annual Reporting Policy for MSSNY Accredited CME Providers
(For Council Approval)
c. Annual Fee for MSSNY Accredited Providers
(For Council Information – Discussed at the MSSNY BOT Meeting)
d. ACCME’s Menu of New Criteria for Accreditation with Commendation
(For Council Approval)

3. Commissioner of Governmental Relations, Gregory Pinto, MD
   a. Division of Governmental Affairs 2019 Legislative Summary

 4. Commissioner of Membership, Parag H. Mehta, MD
                 (No written report submitted)

 5. Commissioner of Science & Public Health, Joshua M. Cohen, MD
   a. Committee on Emergency Preparedness & Disaster/Terrorism Minutes 6/27/19
     b. Task Force on End of Life Care Minutes 7/19/19

   6. Commissioner of Socio Medical Economics, Howard H. Huang, MD 
                (No written report submitted)

G.  Report of the Executive Vice President, Philip Schuh, CPA, MS
1. Membership Dues Revenue Schedule
2. Group Institutional Dues Comparison Report

H. Report of the General Counsel, Barry Cepelewicz, MD, Esq. Garfunkel Wild, P.C.
(No written report submitted)

I. Report of the Alliance, Helena Mirza, Co-President
Alliance Report

J. Other Information/Announcements
1. MACRA Sign-on Letter
2. 2019 PDMP Update
3. Surprise Bill Sign-On Letter

4. The Physicians Foundation Board Meeting, August 2019
5. Accreditation Council for CME Letter & Highlights
6. AMA Letter – Nondiscrimination in Health & Health Education Programs or Activities
7. Coalition of State Medical Societies Letter – Request for Comment on Consumer Inflation Measures Produced by Federal Statistical Agencies
8. Amicus Brief Regarding Public Charge Rule

9. MSSNY Letter re IHA Anesthesia policy to DFS
10. Buffalo News – Another Voice: Protect against surprise medical bills, but preserve access, too, by Dr. Fougner
11.MSSNY Surprise Bill Letter to Senators Alexander & Murry

K. Adjournment

 

 

 

 

Council May 30, 2019

AGENDA
MSSNY Council Meeting
Thursday, May 30, 2019, 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A. Call to Order and Roll Call

B. APPROVAL of the Council Minutes of Sunday, April 14, 2019 (HOD)

C. New Business (All Action & Informational Items)

1. President’s Report
a. 2019 HOD Resolutions referred to Council (For Council Approval)
b. Presidential Appointments to MSSNY’s Executive Committee of the Council:
 (For Council Approval)
Parag H. Mehta, MD (At-Large-Member)
Gregory L. Pinto, MD (At-Large-Member)

2. Board of Trustees Report –  Dr. Sam Unterricht will present the report                         (handout)

3. Secretary’s Report – Dr. Frank Dowling will present the report

4. MLMIC Update  – Mr. Michael Schoppmann, Esq. will present the report

5. AMA Report – Dr. John Kennedy will present the report

6. MSSNYPAC Report – Dr. Thomas Lee will present the report (handout)

7. MESF Update – Dr. Thomas Madejski will present the report (handout)

8. CME Update – Dr. Mark Adams will present the report

9. County Federation Report – Aaron Kumar, MD will present the report

10. Councilors’ Action Reports
   (No written reports submitted)

11. PresentationOverview of Stark and the Anti-Markup Rule
             Presented by Hayden Wool, Esq. Partner Director, Garfunkel Wild

D. Reports of Officers (Verbal Reports)   

  1. Office of the President – Arthur C. Fougner, MD
  2. Office of the President Elect – Bonnie L. Litvack, MD
  3. Office of the Vice President – Joseph R. Sellers, MD
  4. Office of the Treasurer – Mark J. Adams, MD
    Financial Statement for the period 1/1/19 – 4/30/19
  5. Office of the Speaker – William R. Latreille, Jr., MD

E. Reports of Councilors (Informational)

  1.   Kings & Richmond Report – Adolph B. Meyer, MD
  2.   Manhattan & Bronx Report – Joshua M. Cohen, MD
  3.   Nassau County Report – Paul A. Pipia, MD
  4.   Queens County Report – Saulius J. Skeivys, MD
  5.   Suffolk County Report – Linda S. Efferen, MD
  6.   Third District Branch Report – Brian P. Murray, MD
  7.   Fourth District Branch Report – Gregory Pinto, MD
    (no written report submitted)
  8.   Fifth District Branch Report –Howard H. Huang, MD
  9.   Sixth District Branch Report – Robert A. Hesson, MD
  10. Seventh District Branch Report – Janine L. Fogarty, MD
  11. Eighth District Branch Report – Edward Kelly Bartels, MD
  12. Ninth District Branch Report  – Thomas T. Lee, MD
  13. Medical Student Section Report – Peter Joo
    (no written report submitted)
  14. Organized Medical Staff Section – Stephen F. Coccaro, MD
  15. Resident & Fellow Section Report – Catherine E. Steger, DO
    (no written report submitted)
  16. Young Physician Section Report – L. Carlos Zapata, MD
    (no written report submitted)

F. Commissioners (Committee Informational Items)

  1. Commissioner of Communications, Maria A. Basile, MD, MBA
    a. Report from the Division of Communications
  2. Commissioner of Governmental Relations, Gregory Pinto, MD
    a. Collective Negotiation & Integration Minutes, May 17, 2019
             b. Governmental Affairs Report
  3. Commissioner of Membership, Parag H. Mehta, MD
        (No written report submitted)
  4. Commissioner of Science & Public Health, Joshua M. Cohen, MD
    a. Legislation Efforts on Medical Exemptions Due to the Measles Outbreak
    Presented by:
    Patricia Clancy, Vice President for Public Health & Education
    xx
    b. “ The Measles outbreaks in Orthodox Jewish Communities”
    Presented by:
    Dr. Awi Federgruen
    Charles E. Exley Professor of Management, Columbia University
    xx
    Dr. Daniel Berman
    Infectious Disease Specialist, Montefiore Medical Center & a member of          MSSNY
    xx

  5. Commissioner of Socio Medical Economics, Howard H. Huang, MD
    (No written report submitted)

G. Report of the Executive Vice President, Philip Schuh, CPA, MS

  1. Membership Dues Revenue Schedule
  2. Group Institutional Dues Comparison Report 

HReport of the General Counsel, Barry Cepelewicz, MD, Esq.
    Garfunkel Wild, P.C.
    (No written report submitted)

I. Report of the Alliance, Joan Cincotta, Co-President
 1. Alliance Report

JOther Information/Announcements

  1. MSSNY Executive Committee Minutes, April 11, 2019
  2. Sign On Letter – QPP Experience Report & Appendix
  3. PAI Letter – QPP Experience & Report
  4. AMA Letters – Concern about legalization of cannabis for recreational use

K. Adjournment

 

 

 

 

Council April 14, 2019

  AGENDA
Council Meeting – HOD
Sunday, April 14, 2019
                         Westchester Marriott, Tarrytown, NY                    

A. Call to Order and Roll Call

B. APPROVAL of the Council Minutes of March 5, 2019

C. New Business           

President’s Report:

Please welcome our MSSNY Officers, Councilors, Trustees, County Execs,
and MSSNY Staff
  1. APPROVAL – 2019/2020 Meeting Schedule
  2. APPROVAL – 2019/2020 Committee Appointments
     (Future changes only)

D.  Treasurer’s Report – Mark J. Adams, MD
Financial Statements
1/1/19 – 2/28/19 and 1/1/18 – 12/31/18

E. Report of the Executive Vice President, Philip Schuh, CPA, MS

1. Membership Dues Schedule
2. Group Institutional Dues Report

F. Report of the General Counsel, Garfunkel Wild, Barry Cepelewicz, MD, Esq.
APPROVAL Bylaws of the MSSNY Medical Student Section

G. Commissioner of Socio Medical Economics, Howard H. Huang, MD
Interspecialty Committee Minutes, February 28, 2019

H. Commissioner of Communications, Maria A. Basile, MD
 Social Media for Physicians

I.  Reports of Councilors
1. Seventh District Branch Report – Janine L. Fogarty, MD
2. Ninth District Branch Report – Thomas T. Lee, MD
3. Nassau County Report 
Paul A. Pipia, MD
4. Suffolk County Report – Linda S. Efferen, MD
5. Kings and Richmond Report Parag H. Mehta, MD
6. Manhattan and the Bronx Report – Joshua M. Cohen, MD

 J. Adjournment

Council – January 24, 2019

AGENDA
MSSNY Council Meeting
Thursday, January 24, 2019 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A. Call to Order and Roll Call

B. APPROVAL of the Minutes of November 1, 2018

C. New Business (All Informational/Action Items)
1. President’s Report:

a. Letter to the United States Department of Justice regarding CVS-Aetna
b. Testimony of Charles Rothberg, MD regarding the Proposed CVS Acquisition of Aetna
c. Honoring Dr. Sheldon Putterman with a plaque for his many years of dedication to the CME Committees & Subcommittees
d. MSSNY Task Force on Firearm Safety Action Item (FOR COUNCIL APPROVAL)
To be presented by Dr. Latreille & Dr. Dowling
e. Medicinal & Recreational Marijuana Memorandum
f. MSSNY Committees Goals Document
g. Governor’s Budget Proposal
h. Dr. Madejski’s Letter – Maintenance of Certification (MOC) requirements for continuing board certification

ADJOURNMENT OF COUNCIL
Action Item – For Council Approval

Approval of the Empire State Medical, Scientific & Educational Foundation, Inc. Election of Directors

RECONVENE COUNCIL

 

  1. Board of Trustees Report – Dr. Robert Hughes will present the report (handout)
  1. Secretary’s Report – Dr. Frank Dowling will present the report
  1. MLMIC Update –  Donald Fager will present the report  (verbal)
  1. AMA Delegation Report – Dr. John Kennedy will present the report
  1. MSSNYPAC Report – Joseph Sellers will present the report (handout)
  1. MESF Update – Mr. Thomas Donoghue will present the report (handout)
  1. CME Update – Mark Adams will present the report & the following action item:
    CME Report and Action Item Resolution 2018-169 Partnership on Continuing Medical Education

D. Reports of Officers

  1. Office of the President – Thomas J. Madejski, MD
  2. Office of the President-Elect – Arthur C. Fougner, MD
  3. Office of the Vice President – Bonnie L. Litvack, MD
  4. Office of the Treasurer – Joseph R. Sellers, MD Financial Statement for the period 1/01/18 to 12/31/18
  5. Office of the Secretary – Frank G. Dowling, MD
  6. Office of the Speaker – Kira A. Geraci-Ciradullo, MD

E. Reports of Councilors (Informational Items)

  1. Kings & Richmond Report – Parag H. Mehta, MD
  2. Manhattan & Bronx Report – Joshua M. Cohen, MD
  3. Nassau County Report – Paul A. Pipia, MD
  4. Queens County Report – Saulius J. Skeivys, MD
  5. Suffolk County Report – Maria A. Basile, MD
  6. Third District Branch Report – Brian P. Murray, MD
        No written report submitted
  7. Fourth District Branch Report – Gregory Pinto, MD
  8. Fifth District Branch Report –Howard H. Huang, MD
  9. Sixth District Branch Report – Robert A. Hesson, MD
        No written report submitted
  10. Seventh District Branch Report – Janine L. Fogarty, MD
  11. Eighth District Branch Report – Edward Kelly Bartels, MD
  12. Ninth District Branch Report –  Thomas T. Lee, MD
  13. Medical Student Section Report – Breyen Coffin
  14. Organized Medical Staff Section – Stephen F. Coccaro, MD
  15. Resident & Fellow Section Report – Justin Fuehrer, DO
  16. Young Physician Section Report – L. Carlos Zapata, MD
          No written report submitted

F. Commissioners (Informational Items)

  1. Commissioner of Communications, Maria A. Basile, MD, MBA
              a. Report from the Division of Communications
  2. Commissioner of Governmental Relations, Gregory Pinto, MD
       a. Report from the Division of Governmental Affairs
  1. Commissioner of Membership, Parag H. Mehta, MD
        a. Committee on Membership Action Items 

    Appendix 1:
    Resolution 2019-1 would establish that physicians who participate as members through agreements with their groups or institutions are active members.
    COMMITTEE RECOMMENDATION:
    The Membership Committee recommends that the Council approve Resolution 2019-1, Group and Institutional Membership, for submission to the House of Delegates by MSSNY President Thomas Madejski, MD.
    (FOR COUNCIL APPROVAL)
    Appendix 2:
    Resolution 2019-2 states that at the conclusion of a three-year term for any pilot project, the Council and Board of Trustees shall determine if a pilot should be ended, or continued as an approved alternative membership option for interested county medical societies, and report on its action to the House.
    COMMITTEE RECOMMENDATION:
    The Membership Committee recommends that the Council approve Resolution 2019-2, Pilot Membership Projects, for submission to the House of Delegates by MSSNY President Thomas Madejski, MD.
    (FOR COUNCIL APPROVAL)
    Sponsorship Agreements:
    COMMITTEE RECOMMENDATION:
    The Membership Committee recommends that the Council approve the creation of a Sponsorship Agreement initiative as outlined in the committee’s report.
    (FOR COUNCIL APPROVAL)
  1. Commissioner of Science & Public Health, Joshua M. Cohen, MD
    a. Addiction and Psychiatric Medicine Committee Minutes, 10/19/2018
    bBio Ethics Committee Minutes, 11/2/2018
    c.  Committee on Health Care Disparities Minutes10/26/18 and 10/30/18
        d. Heart, Lung Committee Minutes 10/17/18
        e. Infectious Diseases Committee Minutes, 10/25/18
         f. Preventive Medicine and Family Health Committee Minutes, 10/18/18

5. Commissioner of Socio Medical Economics, Howard H. Huang, MD
       a. Interspecialty Committee Minutes, November 8, 2018

G. Report of the Executive Vice President, Philip Schuh, CPA, MS
1. Membership Dues Revenue Schedule
2. Group Institutional Dues Comparison Report

H. Report of the General Counsel, Garfunkel Wild, P.C. , Barry Cepelewicz, MD
     No written report submitted

I. Report of the Alliance, Valerie Semeran, Co-President
     1. Alliance Report
         No written report submitted

J. Other Information/Announcements

  1. 2017-2018 ABMS Board Certification Report (handout)
  2. Maternal Mortality Letter
  3. PAI Scorecard 2019 Quality Payment Program (QPP) Finalized Policies
  4. PAI Key Changes 2019 QPP Participation

K. Adjournment

Council – November 1, 2018

AGENDA
MSSNY Council Meeting
Thursday, November 1, 2018 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A. Call to Order and Roll Call

C. New Business (All Informational/Action Items)

1. President’s Report
b. Dr. Madejski’s Letter to Assemblyman Gottfried regarding questions and concerns about single payor system in New York State. Assemblyman Gottfried’s response to MSSNY’s questions & comments. (For Council Information)
c. Letter to Governor Andrew Cuomo regarding legalization of regulated marijuana.(For Council Information)
d. MSSNY Strategic Planning Document (For Council Information)
e. Telemedicine Update – To be presented by Eunice Skelly (verbal)
    (For Council Information)

2. Board of Trustees Report –  Dr. Robert Hughes will present the report (handout)

3. Secretary’s Report – Dr. Frank Dowling will present the report for Nominations for Life Membership and Dues Remissions

4. MLMIC Update  –  Mr. Donald Fager will present a verbal report

5. AMA Delegation Report – Dr. John Kennedy will present the report

6. MSSNYPAC Report –  Dr. Joseph Sellers will present the report (handout)

7. MESF Update –   Dr. Charles Rothberg will present the report

8. CME Update – Dr. Mark Adams will present the report

9. Commissioners/Councilors Action Items
          Commissioner of Governmental Relations, Gregory Pinto, MD, Commissioner
1. Legislative & Physician Advocacy Committee, Paul A. Pipia, MD, Chair
 FOR COUNCIL APPROVAL
b. Resolution 66 – Life Threatening Complications with HIP Replacements
c. Resolution 115 – Chiropractor (D.C.) Scope of Practice

D. Reports of Officers
1. Office of the President  – Thomas J. Madejski, MD
2. Office of the President Elect – Arthur C. Fougner, MD
3. Office of the Vice President –  Bonnie L. Litvack, MD
4. Office of the Treasurer – Joseph R. Sellers, MD
    Financial Statement for the period 1/1/18 – 9/30/18
5. Office of the Secretary – Frank G. Dowling, MD,
AMA Letters expressing  concerns regarding the new Walmart corporate policy on Opioid prescriptions
6. Office of the Speaker – Kira A. Geraci-Ciradullo, MD

E. Reports of Councilors  (Informational)
1.   Kings & Richmond Report – Parag H. Mehta, MD
2.   Manhattan & Bronx Report – Joshua M. Cohen, MD
3.   Nassau County Report – Paul A. Pipia, MD (no written report submitted)
4.   Queens County Report – Saulius J. Skeivys, MD
5.   Suffolk County Report – Maria A. Basile, MD
6.   Third District Branch Report – Brian P. Murray, MD
7.   Fourth District Branch Report – Gregory Pinto, MD
8.   Fifth District Branch Report –Howard H. Huang, MD
9.   Sixth District Branch Report – Robert A. Hesson, MD
10. Seventh District Branch Report – Janine L. Fogarty, MD
11. Eighth District Branch Report – Edward Kelly Bartels, MD (handout)
12. Ninth District Branch Report  –  Thomas T. Lee, MD
13. Medical Student Section Report –  Breyen Coffin
14. Organized Medical Staff Section – Stephen F. Coccaro, MD
      (no written report submitted)
15. Resident & Fellow Section Report – Justin Fuehrer, DO
16. Young Physician Section Report – L. Carlos Zapata, MD
      (no written report submitted)

F.  Commissioners (Committee Informational Items)
1. Commissioner of Communications, Maria A. Basile, MD, MBA
    a. Report from the Division of Communications

2. Commissioner of Governmental Relations, Gregory Pinto, MD
a. HIT Committee Minutes, October 12, 2018
b. Long-Term Care Committee Minutes, September 30, 2018

3.    Commissioner of Membership, Parag H. Mehta, MD
       (No written report submitted)

4.    Commissioner of Science & Public Health, Joshua M. Cohen, MD
        (No written report submitted)
5.    Commissioner of Socio-Medical Economics, Howard H. Huang, MD
       a. Workers Compensation & No-Fault Insurance Committee re: EMG & NCS

G. Report of the Executive Vice President, Philip Schuh, CPA, MS
    1. Membership Dues Revenue Schedule

H. Report of the General Counsel, Garfunkel Wild, P.C. , Donald R. Moy, Esq.
    (No written report submitted)

I.  Report of the Alliance, Valerie Semeran, Co-President
    1. Alliance Report

J.  Other Information/Announcements
1. Physicians Advocacy Institute Letter – RE: Medicare and State Health Care Programs: Fraud and Abuse; Request for Information (RFI) Regarding the Anti-Kickback Statute and Beneficiary Inducements CMP.
2. The Physicians Foundation 2018 Physician Survey (handout)
    the 2018 New York State Fair.
4. Blog Post Regarding MLMIC-Berkshire Hathaway
    https://www.mlmic.com/blog/physicians/mlmic-joins-berkshire-hathaway

K. Adjournment

Council – September 13, 2018

AGENDA
MSSNY Council Meeting
Thursday, September 13, 2018, 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590


A. Call to Order and Roll Call
B. APPROVAL of Council Minutes of May 10, 2018
C. New Business (All Action & Informational Items)

1. President’s Report
a. Minutes of the MSSNY Executive Committee Teleconference, August 20, 2018
b. Talking Points on the Membership Agreement with Northwell Hospitals
c. DRAFT Summary – Meeting with Assemblyman Gottfried

d. Long Range Planning Committee Grid

2. Board of Trustees Report –   Dr. Robert Hughes will present the report (handout)

3. Secretary’s Report – Dr. Frank Dowling will present the report for Nominations for   Life Membership, Dues Remissions & Special Life Membership request

4. MLMIC Update  –  Donald Fager will present a verbal report

5. AMA Report – Dr. John Kennedy will present the report

6. MSSNYPAC Report – Dr. Joseph Sellers will present the report (handout) 
       MSSNYPAC Executive Committee Action Item
    Approval of the MSSNYPAC Endorsement recommendations for candidates
    running for  re-election to the New York State Legislature and to the US Congress
    (FOR COUNCIL APPROVAL)

7. MESF Report – Dr. Charles Rothberg will present the report

8. CME Report – On behalf of Dr. Mark Adams, Dr. Paul Pipia will present the report

9. Presentation – Elizabeth Amato, Vice President, SHIN-NY Programs New York     eHealth Collaborative (NYeC)
Update on the Data Exchange Incentive Program (DEIP). The program which provides   physicians with up to $13,000 to help connect to the SHIN-NY).

10.    Councilors’ Action Reports (No written reports submitted)

D. Reports of Officers (Verbal Reports)    

  1. Office of the President – Thomas J. Madejski, MD
  2. Office of the President-Elect – Arthur C. Fougner, MD
  3. Office of the Vice President – Bonnie L. Litvack, MD
  4. Office of the Treasurer – Joseph R. Sellers, MD Financial Statement for the period 1/1/18 to 7/31/18
  5. Office of the Speaker – Kira A. Geraci-Ciradullo, MD

E. Reports of Councilors (Informational)

  1.          Kings & Richmond Report – Parag H. Mehta, MD
  2.          Manhattan & Bronx Report – Joshua M. Cohen, MD
  3.          Nassau County Report – Paul A. Pipia, MD
  4.          Queens County Report – Saulius J. Skeivys, MD
  5.          Suffolk County Report – Maria A. Basile, MD 
  6.          Third District Branch Report – Brian P. Murray, MD
  7.          Fourth District Branch Report – Gregory Pinto, MD
                 (no written report submitted)
  8.          Fifth District Branch Report –Howard H. Huang, MD
  9.          Sixth District Branch Report – Robert A. Hesson, MD
  10.        Seventh District Branch Report – Janine L. Fogarty, MD
  11.        Eighth District Branch Report – Edward Kelly Bartels, MD
  12.        Ninth District Branch Report  –  Thomas T. Lee, MD
  13.        Medical Student Section Report –  Breyen Coffin
  14.        Organized Medical Staff Section – Stephen F. Coccaro, MD
                  (no written report submitted)
  15.        Resident & Fellow Section Report – Justin Fuehrer, DO
                  (no written report submitted)
  16.        Young Physician Section Report – L. Carlos Zapata, MD
                  (no written report submitted)

F.  Commissioners (Committee Informational Items)

    1. Commissioner of Communications, Maria A. Basile, MD, MBA
           Report from the Division of Communications

    2. Commissioner of Governmental Relations, Gregory Pinto, MD

        1. MSSNY’s 2018 Legislative Summary (handout)
2. HIT Committee Minutes, June 1, 2018

    3. Commissioner of Membership, Parag H. Mehta, MD
       (No written report submitted)

    4. Commissioner of Science & Public Health, Joshua M. Cohen, MD
     1. Bio Ethics Committee Minutes, May 11, 2018
     2. Eliminate Health Disparities Committee Minutes, April 27, 2018
     3. Preventive Medicine & Family Health Minutes, May 3, 2018
     4. Division of Public Health & Education Report

5.Commissioner of Socio Medical Economics, Howard H. Huang, MD 
      1. Interspecialty Committee Minutes, June 28, 2018
      2. Workers’ Compensation & No Fault Minutes, June 6, 2018

G. Report of the Executive Vice President, Philip Schuh, CPA, MS
        1. Membership Dues Revenue Schedule
        2. Group Institutional Dues Comparison Report

H. Report of the General Counsel, Garfunkel Wild, P.C.

1.   Amendment to the Bylaws of the Nassau County Medical Society
An amendment to the bylaws of the Nassau County Medical Society was reviewed. A review confirms that the amendment relates to the internal governance of the Nassau County Medical Society, and does not conflict with the bylaws of  MSSNY.  Accordingly, it is recommended that the Council approve the amendment to the bylaws of the Nassau County Medical Society. (FOR COUNCIL APPROVAL)

2.    Amendments to the Bylaws of the New York County Medical Society

       The amendments to the bylaws of the New York County Medical Society were presented for review.  A review shows that the amendments relate solely to internal matters of the county medical society, which do not conflict with the bylaws of MSSNY. Accordingly, it is recommended that the amendments be approved.
(FOR COUNCIL APPROVAL)

3.     Amendments to the Bylaws of the Richmond County Medical Society
The amendments to the bylaws of the Richmond County Medical Society were
presented for review. A review shows that the bylaws are not in conflict with the bylaws of MSSNY.  Accordingly, it is recommended that Council approve the amendments.
(FOR COUNCIL APPROVAL)

I. Report of the Alliance, Valerie Semeran, Co-President
    Alliance Report

J. Other Information/Announcements  (all attached

1. Continuing Board Certification: Vision for the Future Commission Summary of Testimony July, 2018

    2. Department of Health & Human Services Letter to the AMA regarding changes in reimbursement rates for laboratory services on the Medicare Clinical Laboratory Fee Schedule and CMS Clinical Laboratory Fee Schedule Sign-On Letter.

3. Dr. Madejski’s Letter to Department of Health & Human Services – E&M Services & Coalition of State Medical Societies Sign-On E&M Letter

4. Dr. Madejski’s Letter to Workers’ Comp Board – Increase in the Workers’ Comp Medical Fee Schedule

5.  National Council of State Boards of Nursing Sign-On Letter – A request to reconsider certain provisions of the Advanced Practice Registered Nurse(APRN) Compact that alter state laws related to the scope of practice of APRNs

6. AMA Letter to the CEO of Walmart – Walmart Opioid Policy

7. Physician Advocacy Institute Letter to CMS & PAI Statement – Physician Self-Referral Law 

K. Adjournment

 

 

 

 

Council March 25, 2018

 

 AGENDA
 MSSNY Council Meeting
Tuesday, March 25, 2018
Adam’s Mark Hotel
Buffalo, NY      

A. Call to Order and Roll Call

B. Approval of the Council Minutes of March 6, 2018 (pgs. 1-9)

C. New Business (All New Action & Informational Items) 

1.  President’s Report
Please welcome our MSSNY Officers, Councilors, Trustees, County Execs, Guests and MSSNY Staff and the following:

Bonnie L. Litvack, MD – New Vice-President
Gregory Pinto, MD – New Fourth District Councilor
Stephen F. Coccaro, MD – New OMSS Councilor
Breyen Coffin – New Medical Student Section Councilor

 a. APPROVAL of the 2018/2019 Meeting Schedule (pg. 10)
 b. APPROVAL of the 2018/2019 Committee Appointments (pgs. 11-17)

D. Report of the Executive Vice President, Philip Schuh, CPA, MS

  1. Membership Dues Revenue Schedule (pg. 18)
  2. Group Institutional Dues Schedule (pg. 19)

E. Reports of Councilors

1.  Nassau County Report – Paul A. Pipia, MD  (pg. 20)
2.  Suffolk County Report – Maria A. Basile, MD, MBA (pg. 21)
3.  Kings and Richmond Report – Parag H. Mehta, MD (pg. 22)

F. MESF Report  – To be presented by Dr. Malcolm Reid  (pg. 23-25)

 

Council November 2, 2017

AGENDA
MSSNY Council Meeting
Thursday, November 2, 2017
Courtyard Marriott
1800 Privado Road
Westbury, NY  11590

A.   Call to Order and Roll Call

B.   Approval of the Council Minutes of September 14, 2017

C.   New Business (All New Action & Informational Items)

1.  President’s Report:
a. Presidential Appointments to the 2018 Nominating
Committee (For Council Approval)
b. Physician Stress and Burnout Task Force
Survey Correlation Analysis Executive Summary
c. Hospital Medical Staff Initiative/Discussion

  1. Board of Trustees Report – Dr. Hamlin will present the report (handout)
  1. Secretary’s Report –  Dr. Dowling will present the report for Nominations for Life Membership & Dues Remissions
  1. MLMIC Update –  Mr. Donald Fager, Esq. will present a verbal report
  1. AMA Delegation Update – Dr. Kennedy will present a verbal report
  1.  MSSNYPAC Report –   Dr. Sellers will present the report  (handout)
  1. MESF Foundation ReportThomas Donoghue, Executive Director
  1.  Councilors/Commissioners  (All Action Items,
    For Council Approval
    )
    Joshua M. Cohen, MD, MPH, Councilor
    (a) New York County Medical Society submitted the following three Action Items:
  1. That the Medical Society of the State of New York (MSSNY) endorse the candidacy of MSSNY/New York County Medical Society Member Stuart Gitlow, MD for a seat on The Board of Trustees of the American Medical Association (AMA) in the upcoming AMA Election.
  2. That the Medical Society of the State of New York Form a Task Force to Study Increasing Membership among Employed and Young Physicians to Encourage Their Active Participation in Membership.
  3. That the Medical Society of the State of New York Benchmark Successful Membership Projects with Other State Societies and Investigate a More Streamlined Vision of Projects (Reducing the Number of Issues MSSNY Tries to Cover by Instead Looking for a Big Win).

Commissioner of Governmental Relations,
           Gregory Pinto, MD, Commissioner

(b)    Legislative and Physician Advocacy Committee,
Paul A. Pipia, MD, Chair

  1. MSSNY’s 2018 Legislative Program
  2. Resolution 62 and 63 2017, New York State Healthcare Delivery System , MSSNY Support Single Payer Health Insurance
  3. Resolution 111-2017, Any Willing Provider with Universal Credentialing

D.   Presentation Introduction to the QPP/MIPS 
    Presented by IPRO Corporate Representatives:
    Mr. Theodore Will, MPA – Chief Executive Officer
    Clare B. Bradley, MD, MPH
    Senior Vice President,  Chief Medical Officer
    Patricia Gagliano, MD – Vice President,
    Health Care Quality Improvement

E.  Reports of Officers
  1. Office of the President- Charles Rothberg, MD
 Meetings attended:

  • MSSNY CME Provider Conference
  • Kings County President’s Dinner
  • Connecticut Annual Meeting
  • Westchester Dinner
  • NYS County & Specialty Executive Director Conference
  • Meeting at Stony Brook Hospital w/Dr. Kaushansky
  • Brookhaven Hospital Gala
  • Legislative & Physician Advocacy Teleconference
  • MESF Leadership Conference
  • Bronx County Gala
  • NY/NJSIPP Meeting
  • Fifth & Sixth District Retreat
  • Queens County Gala – Honoring Dr. Penny Stern
  1. Office of the President-Elect – (Verbal Report)
    Thomas J. Madejski, MD
  2. Office of the Vice-President – (Verbal Report)
    Arthur C. Fougner, MD
  3. Office of the Treasurer – Joseph R. Sellers, MD, Financial Statement for the period 1/1/17 – 9/30/17
  4. Office of the Secretary – (Verbal Report)
    Frank G. Dowling, MD
  5.  Office of the Speaker
    Kira A. Geraci-Ciradullo, MD, MPH

F.   Reports of Councilors  (Informational)

      1.   Kings and Richmond Report – Parag H. Mehta, MD
      2.    Manhattan and Bronx Report
        Joshua M. Cohen, MD,  MPH
      3.   Nassau County Report – Paul A. Pipia, MD
      4.   Queens County Report – Saulius J. Skeivys, MD
      5.   Suffolk County Report – Maria A. Basile, MD, MBA
      6.  Third District Branch Report – Brian P. Murray, MD
      7.   Fourth District Branch Report
        John J. Kennedy, MD
      8.   Fifth District Branch Report –Howard H. Huang, MD
      9.   Sixth District Branch Report – Robert A. Hesson, MD
      10.  Seventh District Branch Report 
        Janine L. Fogarty, MD
      11. Eighth District Branch Report
        Edward Kelly Bartels, MD
      12.   Ninth District Branch Report  – Thomas T. Lee, MD
      13.  Medical Student Section Report – Pratistha Koirala
      14.  Organized Medical Staff Section Report
        Bonnie L.Litvack, MD
        (no written report submitted)
      15. Resident and Fellow Section Report
        Justin Fuehrer, DO
      16.  Young Physician Section Report –
        L. Carlos Zapata, MD  (no written report submitted)

      G. Commissioners (Committee Informational
                   Reports/Minutes
      )

      1.Commissioner of Communications,
      Maria A. Basile, MD, MBA
      a. Report of the Division of Communications

      2. Commissioner of Governmental Relations,
      Gregory Pinto, MD
      a. MSSNY-HCA Task Force Minutes
      b. MSSNY HIT Minutes (includes DOH Power Point)

      3. Commissioner of Medical Education,
           Mark J. Adams, MD
      a. CME Report

      4. Commissioner of Membership, Parag H. Mehta, MD
      (No written report submitted)
      5. Commissioner of Science and Public Health,
                 Frank G. Dowling, MD (No written report submitted)

      H.  Report of the Executive Vice President –
                    Philip A. Schuh, CPA, MS
      1. Membership Dues Revenue Schedule
      2. Group Institutional Dues Schedule

      I.   Report of the General Counsel,
        Barry Cepelewicz, MD, Esq. (Verbal Report)

      J.  Report of the Alliance  Helena Mirza, Co-President
      Alliance Report

      K. Other Information/Announcements
      1.  AMA Letter to President Trump re:
      Interim Opioid Crisis
      2.  Final Sign-on AMA MACRA Letter
      3.  Coalition of State Medical Societies Letter – Asking
      Congress to fully fund the Children’s Health Insurance
      Program (CHIP)

      4.  Final Sign-on PAMA Letter

      L.  Adjournment

Council September 14, 2017

AGENDA
Council Meeting
Thursday, September 14, 2017, 9:00 a.m.
Courtyard Marriott, Westbury Long Island
     1800 Privado Road
   Westbury, NY  11590

A.Call to Order and Roll Call

B.Approval of the Council Minutes of June 22, 2017

C.          New Business (All New Action & Informational Items)

  1. President’s Report
    a.  MSSNY Stress and Burnout Task Force Conference Call Minutes
  2. Board of Trustees Report Dr. Hamlin will present the report (handout)
  3. Secretary’s Report – Dr. Dowling will present the report Nominations for Life Membership and Dues Remissions
  4. MLMIC Update  – Mr. Donald Fager will present a verbal report
  5. AMA Delegation Update– Dr. Kennedy will provide a verbal report
  6.  MSSNYPAC Report –  Dr. Sellers will present the report
    (handout at Council)
  7. Commissioners (All Action Items)
    1. Commissioner of Socio-Medical Economics,
      Howard H. Huang,
      Committee on Interspecialty
      Resolution 2017-157, Development and Promotion of Evidence-based Ultrasound-First Radiation Mitigating Protocols  (For Council Approval)

     

    1. Councilors Reports  (Reports, if any)
      (No items submitted)

D. Reports of Officers (Verbal Reports)
  1. Office of the President – Charles Rothberg, MD
Meetings attended:

  • New York County Annual Meeting
  • NYS Academy of Family Physicians
  • NYSIPP Meeting
  • Integrated Care/NYS Stakeholder Meeting
  • MLMIC Executive Committee @ the Equinox
  • Anthem Provider Teleconference
  • MLMIC Executive Committee
  • Monday, September 11 – Quality Improvement & Innovation Group Roundtable WEBEX

2. Office of the President-Elect – Thomas J. Madejski, MD
3. Office of the Vice-President – Arthur C. Fougner, MD
4. Office of the Treasurer – Joseph R. Sellers, MD,
Financial  Statement for the period 1/1/17 – 7/31/17
5.   Office of the Secretary – Frank G. Dowling, MD
6.  Office of the Speaker –  Kira A. Geraci-Ciradullo, MD, MPH

E.  Reports of Councilors (Informational)
1.    Kings/Richmond Report  Parag H. Mehta, MD
2.    Manhattan/Bronx Report – Joshua M. Cohen, MD, MPH
3.    Nassau County Report – Paul A. Pipia, MD
4.    Queens County Report – Saulius J. Skeivys, MD
 5.   Suffolk County Report – Maria A. Basile, MD, MBA 
6.    Third District Branch Report – Brian P. Murray, MD
7.    Fourth District Branch Report – John J. Kennedy, MD
                     No written report submitted
8.    Fifth District Branch Report – Howard H. Huang, MD
9.    Sixth District Branch Report – Robert A. Hesson, MD
10. Seventh District Branch Report – Janine Fogarty, MD
11. Eighth District Branch Report
Edward Kelly Bartels, MD   
12. Ninth District Branch Report – Thomas T. Lee, MD
13. Medical Student Section Report
  Pratistha Koirala  
14. Organized Medical Staff Section Report –
   Bonnie L. Litvack, MD
             15. Resident and Fellow Section Report
   Justin Fuehrer, DO
16. Young Physician Section Report – L. Carlos Zapata, MD

F.   Commissioners (Committee Informational Reports/Minutes)
1.  Commissioner of Communications,
      Maria A. Basile, MD, MBA
     Report of the Division of Communications

2.   Commissioner of Governmental Relations,
               Gregory Pinto, MD
      2017 Legislative Summary

3.   Commissioner of Medical Education,
       Mark J. Adams, MD
      (No written report submitted)

 4.  Commissioner of Membership, Parag H. Mehta, MD
        (No written report submitted)

 5.  Commissioner of Science & Public Health,
       Frank G. Dowling, MD
      Public Health and Education Report

 6.  Commissioner of Socio-Medical Economics,
       Howard H. Huang, MD
       Committee on Interspecialty Minutes, June 29, 2017

GReport of the Executive Vice President –
              Philip A. Schuh, CPA, MS

  1.   Membership Dues Revenue Schedules
  2.   Group Institutional Dues Schedule
  3.   PAI Letter to Dr. Price and Recommendations for Regulatory Relief
  4.  Final MOC Sign-On Letter

H.  Report of the Alliance – Valerie Semeran, Co-President                            Alliance Report    

I.   MESF Foundation – Thomas Donoghue, Executive Director                     (No written report submitted)

J. Other Information/Announcements

1. Brookhaven Memorial Hospital Harvest Moon Gala honoring                 Charles Rothberg, MD>
2.  AMA Letter to Alphonso David, Counsel to the Governor re                    Veto of S.6800/A.8516
3.  Times-Union 7-26-17 Gruenthal
       4.   Syracuse P-S Iroquois 8-22-17
       5.   Syracuse PS 8-1-17
       6.   S.6800 letter to the Governor
7.    PoJo 8-21-17
8.    LRANY Letter to Cuomo RE S6800
       9.    Legislative Gazette – 7-27-17
       10.  GNYHA White Paper
       11.  Dunkirk-Oberver-Opinion-July-2017

K. Adjournment

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