Our Partners in New York
We've worked with the following partners in this state to expand access to reproductive health care.
National Institute for Reproductive Health - New York
Building on its successes passing the Reproductive Health Act and the Comprehensive Contraceptive Coverage Act, NIRH will advocate for legislation to codify robust requirements for full coverage of abortion care at no-pay, as well as to institute a voluntary state abortion access fund created through a donation option in state tax returns. In New York City, NIRH will also continue to work to maintain municipal funding for abortion that was in the FY 20 and 21 budgets.
To expand access to care for those who had been recently pregnant, NIRH will advocate for expanded Medicaid coverage up to twelve months postpartum, regardless of how the pregnancy ended. Additionally, NIRH’s budget advocacy will include continued funding for the Maternal Mortality Review Board and Safe Motherhood Initiative to sustain progress in maternal healthcare outcomes.
Public Health Solutions and New York City Health + Hospitals (NYC H+H)
In 2017, Public Health Solutions and New York City Health + Hospitals (NYC H+H) developed a pilot for improving access to effective LARC provision at Kings County Hospital, a safety-net hospital within the country’s largest hospital system, by tasking a program manager with providing on-site administrative support and patient-centered contraceptive counseling. Provider champions at Kings County worked alongside the program manager and other key stakeholders to create and implement strategies for overcoming institutional challenges to providing LARCs. Staff received support in billing and coding, and, as H+H rolled out a new electronic medical record system, the National Institute’s partners ensured that LARC provision was incorporated. The ongoing participation of an interdisciplinary LARC working group addressed new barriers as they came up and moved implementation forward. Ultimately, the working group and other leaders developed tools from this pilot effort to replicate in other hospitals across the H+H system.
Community Health Center Association of New York State (CHCANYS)
Historically, the New York State Department of Health (DOH) has not permitted federally qualified health centers (FQHC) to bill outside their bundled reimbursement rate for the cost of LARC devices. This policy created a significant financial barrier to health centers’ ability to offer LARC devices to their patients. The Community Health Center Association of New York State (CHCANYS) worked with the DOH to “debundle” reimbursement of the LARC device from the FQHC rate and provide direct reimbursement for the costs of LARC devices in fee-for-service Medicaid. This advocacy was informed by research, conducted in partnership with Health Management Associates (HMA), into the steps other states took to achieve this policy change. In July 2016, CMS approved a state plan amendment to allow direct reimbursement to New York State FQHCs for the acquisition cost of the LARC device, retroactive to April 1. CHCANYS continued to partner with the National Institute and other stakeholders to support New York State FQHCs as DOH implemented the LARC reimbursement policy, including ensuring that FQHCs were aware of how to track and bill for LARC devices. The toolkit developed for this initiative served as a guide to advocates and health centers in other states seeking similar reimbursement policy changes for LARC devices.