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January 06, 2022 12:52 PM

NY Gov. unveils $10B plan to support healthcare workers

Crain's New York Business
Shuan Sim
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    Associated Press

    New York Gov. Kathy Hochul laid out a $10 billion investment plan to bolster the healthcare workforce in her State of the State address on Wednesday.

    Hochul intends to grow the workforce by 20% in the next five years. Key components include $2 billion to support healthcare wages, $2 billion for retention bonuses, $500 million in cost-of-living adjustments for human services workers and $2 billion for capital infrastructure and improved lab capacity.

    The governor's plan would implement initiatives for training and educating workers in underserved areas and strengthening home care. These initiatives include increasing training capacity of medical institutions, direct financial support of healthcare professionals, easier credit transfers between the City University of New York and the State University of New York, and loan forgiveness programs.

    Hochul intends to propose legislation for New York to join the Interstate Medical Licensure Compact and the Nurse Licensure Compact, which would allow out-of-state providers to relocate to New York and use their existing licenses.

    The state has applied for $2.2 billion in federal funding for growing the home- and community-based healthcare workforce, Hochul said.

    Industry leaders welcomed Hochul's focus on healthcare staffing. "Her bold plan to get us through the current COVID-19 crisis and then significantly grow the healthcare workforce will ensure that New Yorkers have a strong, vibrant healthcare delivery system for generations to come," said Kenneth Raske, president of the Greater New York Hospital Association, which represents 281 hospitals.

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    Eric Linzer, president and CEO of New York Health Plan Association, which covers 28 health insurers, applauded Hochul's proposal to investigate significant price increases by pharmaceutical companies and her commitment to safeguarding patients from surprise medical bills.

    Some saw Hochul's goal to grow the health workforce as aligned with their agenda. "We . . . urge the governor to include the Fair Pay for Home Care Act in her executive budget, which would wipe out the state's home care shortage and quickly achieve her goal of growing our healthcare workforce by 20%," said Ilana Berger, co-director of New York Caring Majority, which advocates for a law to ensure higher wages for home care workers.

    Some were skeptical about Hochul's plan. "The governor announced a big plan to grow healthcare workers by 20%, but where's that money coming from, and how much should be the state's role in growing that?" asked Bill Hammond, senior fellow for health policy at Empire Center, an Albany-based think tank.

    Whenever governors have announced big healthcare spending, state Medicaid funds are typically tapped to foot the bill, Hammond said. "Medicaid is primarily meant to take care of people who need coverage—the poor and the disabled—and our political system keeps treating it as a checking account to fix everything that's wrong with the healthcare system," he said, adding it would likely apply to this multibillion-dollar investment too.

    While the plan to simplify the process for out-of-state providers to practice in New York is in the right spirit, its benefit might be limited, Hammond said. "Any move to streamline our onerous licensing system is welcome," he said, "but I believe doctors are not clamoring to move into New York right now."

    This story first appeared in our sister publication, Crain's New York Business.

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