AAP District II is funded by your NY Chapter dues                                                  August 2016   

In This Report
Advocacy Update
New Initiatives and Projects
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Dear Chapter Member,
I hope this finds you well and taking some time away from work to attend to your family, hobbies, and of course, relaxation and vacation. I just want to take a few minutes to update you on the work of the New York State AAP - District II so you will be up to date on our priorities and ready to help us move forward.
Warren M. Seigel MD, MBA, FAAP, FSAHM
Chair, New York State American Academy of Pediatrics (NYS AAP)
Advocacy Update

Thanks to your numerous visits, telephone calls and e-mails to our state leaders, we were able to pass legislation that will improve the lives of the children and families we serve across New York State.
Paid Family Leave
Working as part of a large coalition, we were able to get a generous Paid Family Leave Program passed in NY State. Families will now be able to take care of their needs at challenging times, birth, adoption, serious illness, and not worry about losing their jobs or their income. Paid Family Leave is a crucial family support service that is important to all families as they attempt to balance the complex needs of financial support and the social - emotional needs of their family. Paid Family Leave is a pro-family initiative that has finally come to NY State.

Minimum Wage
This year, working in coalition with many organizations across the state, we can claim victory on passing one of the largest increases in the Minimum Wage in the country. Increasing the Minimum Wage is the most direct and effective way to address child poverty. Here in New York State we took a giant step this year with minimum wage moving to $15 downstate and incrementally from $12.50 to $15 dollars upstate as the economy allows. This legislated increase will do more to address child poverty across our state than any other option available to our state government. Our voices, which focused on the direct positive impact on children across the state, made a significant difference in this campaign.

Other legislative victories include passage of:*
  • Minor's Consent to HPV Immunization addresses the conflict between the Minor's Consent Law and Immunization Law. Passage of this legislation bridges the conflict and now allows Minors to Consent for their own HPV immunizations.
  • Insurance Coverage of Donor Breast Milk for high risk premature babies weighing less than 3.5 lbs, whose mothers cannot breastfeed, or supply their own milk.
  • Crib Safety and Safe Sleep legislation requires the New York State Department of Health and the New York State Department of Consumer Affairs to clearly inform parents about recalls of unsafe cribs, the dangers of drop side cribs, and provide information about safe sleep options for newborns and infants. Implementation of this legislation will increase the effectiveness and support the anticipatory guidance given at well baby visits in primary care. 
* All require the Governor's signature to become law.
Executive Orders
  • Raise the Age of Criminality in NY State to 18 years
  • Deny insurance coverage for Conversion Therapy in NY State
Although we appreciate the Executive Orders on these two issues, we will continue to advocate for permanent legislation so that these protections cannot be challenged. In addition, although we did not get our legislative fix for the Maternal Depression Screening payment, we are working closely with the NY State Department of Health on a regulatory fix that will allow pediatricians to bill and receive payment for screening as part of the child's primary care visit. We anticipate this fix to be instituted by Labor Day.

Key Legislative Initiatives That Did Not Become Law This Year Include:
  • E-Cigarettes Added to the Indoor Clean Air Act
  • Child Safe Products Act
  • Gun Safe Storage
  • Collective Bargaining Rights for Physicians
But we will be back next year and will fight again for budget and legislative protections for the children and families of New York. As you all know, advocacy is a long term process, what we don't get one year, we can and will get the next year or the year after that.
New Initiatives and Projects
  • With the support of national AAP, and in partnership with the Chapters, the District is embarking on an HPV Quality Improvement Project. We will have a training of District and Chapter Leaders on September 10th to launch the program. Each Chapter will design its own Chapter specific QI project with a Chapter Team to increase HPV vaccination rates. The goal of the project is to have District and Chapters work together to increase HPV rates in practices throughout the state.
  • Working with the NYC Department of Health and Mental Hygiene, the District and its Committee on Early Childhood and Brain Development has produced an Algorithm with defined decision points in building an appropriate relationship between primary care pediatric offices and the Early Intervention Program. Many members provided valuable insight into how best to design a document with resources that will strengthen the relationship between primary care pediatricians and the EI programs in their area. The document will be available in printed form if needed, as well as web-based with the resources embedded as clickable live links. Although the project is New York City based, the algorithm and the resources are applicable across the state. Once released, we will share the documents with our membership across the state.
  • District leadership will be meeting on September 11th to discuss reorganization options to move us forward in a way that better reflects the work that we do and our ongoing partnership with our Chapters. We will keep you informed as we discuss and decide what kind of organizational structure will be most effective in the new world of health care systems reforms, value based and bundled payments, and the ever changing world of pediatric primary care. These are interesting times and we must be ready to keep pediatricians and the practice of Pediatrics front and center in the discussions of population health, ongoing mergers and acquisitions and the movement of billions of dollars into new approaches to health care.
I look forward to working with you, and for you, as we continue to address your needs the needs of the children and families we serve across New York State.

Enjoy the rest of the summer!
We hope you find the information in this report helpful. For more information, please contact Elie Ward, MSW, Director of Policy & Advocacy at eward@aap.net.

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