AAP District II is funded by your NY Chapter dues                                                  April  2013

In This Report
Upcoming AAP Events
New NYS AAP Public Policy & Advocacy Committee
Poverty & Toxic Stress
Annual Advocacy Day
Quick Links 
Who are We?

AAP District II (NYS)

District II is the New York State District of the AAP. We work on behalf of you, our members, on state-wide issues to improve the well-being of pediatricians and children in NYS.

AAP NY Chapters

District II contains 3 local AAP Chapters.

Your NY Chapter dues support both Chapter & District efforts.

NY Chapter 1:
All remaining counties in NYS that are not listed below

NY Chapter 2:
Brooklyn, Queens, Nassau & Suffolk counties

NY Chapter 3:
Manhattan, the Bronx, Staten Island, Westchester, Dutchess, Orange, Putnam & Rockland counties

Upcoming AAP Events!
April 23rd
Adolescent Update for the Practitioner
(CME Dinner Meeting)
Location:  Douglaston Club in Little Neck, NY
More Info
May 16th
Obesity & Pediatricians: The BIGGER Picture
(Dinner Program)
Location: New Yorker Hotel in NY, NY

Register Now

More Info


May 17th
3rd Annual Pediatric Nutrition Update
(Full Day CME Meeting) 
Location:  New Yorker Hotel in NY, NY

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May 30th

Annual Perinatal Day Symposium

Location:  Maria Fareri Children's Hospital in Valhalla, NY

More Info 


* June 6-8th

Vaccine Summit &
AAP NY Chapter 1 Annual Meeting

Location:  Saratoga Hilton in Saratoga Springs, NY


* June 27-29th

Vaccine Summit

Location: The Thayer Hotel in West Point, NY


* We are pleased to announce the dates for our annual Vaccine Summits!  Registration will open later this month.  (The two programs will have the same educational content.)

Dear District II Member, Danielle Laraque, MD, FAAP

Pediatrics, Policy, & Politics...


As pediatricians, we confront the challenges of keeping children healthy and well. And we know only too well that children need more than the very direct health related services we provide to attain their full developmental, social, emotional and intellectual potential. Our own Bright Futures model of pediatric care is rooted in the concept of pediatrics not only assessing the health and well-being of the whole child, but taking and suggesting concrete steps that children and families may take to address the challenges they face. Anticipatory guidance is itself the policy of prevention made real for children and families.


Pediatrics, policy, and politics are inextricably related. State and federal policy and the attendant politics directly impact our ability to do our work keeping children healthy. Some very obvious examples of policy and politics directly affecting children's health and well-being include: gun control, addressing poverty, access to high quality infant and child care, access to quality health care, equity in education, and environmental justice. How our nation, our state, and our local communities address these issues directly affects our ability to keep our pediatric patients healthy and well.


Please read on for details.


Danielle Laraque, MD, FAAP

Chair, AAP District II, New York State

New NYS AAP Public Policy & Advocacy Committee


Recognizing the relationship between pediatrics, policy, and politics, the NYS AAP has created a Public Policy and Advocacy Committee. The Committee has representation from all 3 AAP NY Chapters. It meets regularly to discuss, process, and come to consensus on recommendations to the NYS AAP leadership on policy and legislative priorities.


This year's priorities are available on the NYS AAP website:

They focus on both strengthening the practice of pediatrics and improving the life chances of all children. I invite you to review the documents, download them and use them in your advocacy with your legislators. Part of our practice must include educating our legislators and our other state leaders about what it really takes to support the healthy development of all children.

Poverty & Toxic Stress


In this time of strong divisions in politics and policies, it is important that we remain focused on what is good for children. That is, the presence of a caring, nurturing adult, and adequate income to support stable and safe housing and good nutrition. What is good for children - high quality, affordable infant and child care and good schools.


But we also know the conditions that can dim the prospects for children's good health and well-being. Research has demonstrated that poverty and toxic stress, often paired in our society, negatively impact all aspects of child development. There are evidenced based interventions that can be targeted to both negative indicators. Child poverty can be addressed through family income supports, fair wages for work, and other tools such as real tax credits and adequate child care credits. These strategies and tactics have been employed successfully in countries with poverty statistics that are far better than ours. Income inequality does impact child health. We can learn from these lessons and apply them.


Toxic stress is a multifaceted problem. It is often related to lack of parenting skills or absence of positive parenting role models, domestic violence, child abuse and neglect, gun violence, homelessness, untreated mental illness of parent and/or child, substance abuse, and environmental toxins, to name a few. Effective interventions may include mental health treatment, the Nurse Family Partnership Home Visiting Program, housing support programs such as rent subsidies, and supportive housing. Our work is to identify the problems as child-focused and the solutions as child-supportive.


On the practical side, we have to assure that as we speak up for the well-being of children, we are also speaking on behalf of the health and survival of pediatrics in the ever changing systems of health care delivery and new payment models.

Annual Advocacy Day


Our 2013 NYS AAP Annual Advocacy Day held on March 19th in Albany highlighted children's mental health and the perspective on children's health from the Chairs of the Assembly and Senate Health Committees. The development of New York State's Health Insurance Exchange and its potential impact on pediatric care was reviewed. Sherry L. Tomasky, Director, Stakeholder Engagement, NY Health Benefit Exchange, NYSDOH, described the current implementation schedule and how the Exchange will operate. She also detailed how families will be accessing care through neighborhood based navigators and/or the electronic portal. The general approach is to provide all types of support for families to access the Exchange and get the information they need to make informed decisions about coverage that is available and affordable. The Exchange is planning to be ready to accept applications by October of this year.


Troy Oechsner, Deputy Superintendent for Health, NYS Dept. of Financial Services, offered an overview of current health insurance issues relative to children's coverage. He also highlighted various improvements in coverage that the District has worked on together with the department over the last several years. His presentation was followed by a lively discussion of the possibility of creating a New York State specific Bright Futures benefit to be required coverage for all insurance products, commercial and subsidized. The NYS AAP is planning to follow up on this issue. We will keep you informed of our progress.


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As we enter the season of spring, there is much hope and potential. But there is also much work to be done. Pediatricians have always been child advocates. Now, more than ever, we know about the detrimental effects of stressful environments. We must align our scientific knowledge and our social consciousness with our policies. The evidence on the positive effect of high quality infant and child care, and importance of good and safe schools are clear. We need to raise our voices for children and for the pediatricians who serve them. It is past time that we create another "Decade of the Child" here in New York.


District II (New York State), American Academy of Pediatrics
408 Kenwood Avenue, 2nd Floor | Delmar, NY 12054
518/439-0892 | Fax:  518/439-0769 | www.aapdistrictii.org