4/1/2020 DAILY UPDATE
From Governor Cuomo's press briefing in the Red Room of the NYS Capitol

  • McKinsey Model: Apex is projected for the end of April
  • With minimal impact social distancing model:
    • 110,000 COVID beds
    • 34,000 ventilators
  • With high compliance social distancing model:
    • 75,000 COVID beds
    • 25,000 ventilators
  • Different models project higher or lower numbers
  • We are studying all models and coming up with a model for planning purposes
  • NYS does not have a chance to meet the capacity for higher model projections
  • Gates Foundation model projects 93,000 Americans will die, including 16,000 New Yorkers
  • To other states: "Look at us (NYS) today and see yourself tomorrow."
  • Gates model projects a high death rate through July
  • You can deal with the virus and get the economy up and running at the same time
  • Need a rapid testing procedure to determine who can go back to work
  • New testing available in NY - Regeneron created 500,000 tests at no charge, distributing across the state
  • Corning donated 100,000 tubes and provided 500,000 at a reduced cost
  • Closing NYC playgrounds; leaving open spaces available, including parks
  • All efforts now are focused on preparing for the apex
  • COVID patients were moved from NYC to Albany Medical Center
  • 110,000 COVID beds available and 30,000 non-COVID beds available in hospitals across the state

TOTAL NYS CASES; 83,712 / DEATHS: 1,941

3/31/20 DAILY UPDATE
From Governor Cuomo's press briefing in the Red Room at the NYS Capitol

  • Following projections of the experts
  • NYS is comparing 5 different COVID-19 models
  • We underestimated the virus
  • The main battle is at the apex of the curve
  • 7-21 days from today is the expected apex
  • We will function and plan as one hospital system, both public and private hospitals, plus the additional federal beds
  • The state is currently up to 75,000 hospital beds, all models say more are needed
  • Shifting patients, staff, and supplies between hospitals
  • New Rule to require inter-hospital data on supplies, staff, and space to be reported to DOH
  • Support staff in hospitals (the "frontline") need relief and are emotionally and physically exhausted
  • The state is sorting through 78,000 volunteers by region to link them with a hospital
  • A central coordinating team lead by DOH - includes Westchester, GNYHA, HANYS, NYC & Long Island
  • A portal will be launched today to aid in connecting the hospitals with the volunteers, Prioritizing in-state workers, downstate regional as first priority, then upstate, and then out-of-state volunteers. People could be in place as early as Thursday.
  • Governor Cuomo spoke with the President, Vice President, and Jared Kushner and they have been very helpful
  • This ends when we get a fast-track home test for COVID-19
  • Saliva, plasma, and antibody testing is in the works
  • Public responsibility: Stay At Home
  • Chris Cuomo (Governor Cuomo's brother) has coronavirus, found out this morning
  • Trying to bring upstate hospital staff to the downstate/metro area
  • NYS has ordered 17,000 ventilators from China at $25,000 each (we only have a firm expectation of 2,500) 
  • The states and FEMA are competing and bidding against each other which is driving up the price of ventilators
  • FEMA should have been the purchasing agent and then allocated to the states
  • According to NYS Budget Director Mujica, the Department of Labor regularly processes 50K unemployment filings a week, and there were over 7 million requests last week

TOTAL NYS CASES: 75,795 / NEW: 9,298 / DEATHS: 1,550

3/30/20 DAILY UPDATE 
From Governor Cuomo’s press conference at the Javits Center in NYC

  • Public Responsibility: stay home, no proximity, no density.
  • Javits Center hospital will become operational today.
  • NYC still has too many places with too much density.
  • Healthcare professionals are the “soldiers” in this battle.
  • Need to recruit more healthcare workers and share healthcare professionals in the state and across the country; NY will return the favor.
  • Nurses, doctors and attendants in hospitals need relief.
  • Nationwide competition for supplies—healthcare professionals need these supplies.
  • Met with entire statewide healthcare establishment to develop comprehensive cooperative plan between all hospitals within the state.
  • Hospitals will work as one “healthcare family,” sharing staff, supplies and equipment.
  • NY is planning forward to get ahead of the problem including stockpiling supplies and equipment, including PPE and ventilators.
  • Working as one unified hospital system, NY’s public and private hospitals will work with the state to create a command center around COVID-19 communication, response, purchasing and supply distribution.  

TOTAL NY CASES:  66,497 / NEW: 6,984 / DEATHS: 1,218 

Executive Order 202.13 was released by the Governor's Office.  

Highlights:

  • The special election in the City of New York to fill the vacancy in the Office of Borough President of Queens is rescheduled for June 23, 2020.
  • Circulation, filing, and collection of any designating  petitions, or independent  nominating  petitions for any office commencing  March 31, 2020 are postponed.
  • Any school board, library board, or village election  scheduled to take place in April or May of 2020 is hereby postponed until at least June 1, 2020, and subject to further directive as to the timing, location or manner of voting for such elections.
  • Any non-essential worker who is employed by the state of New York shall work from home or shall be able to stay home without charging their accruals until April 16, 2020.
  • Executive Order 202.6 is hereby modified to clarify that construction  which was an essential service not subject to the in-person  work restrictions is modified to provide only certain construction.
  • 100% of non-essential workforce must remain home until April 15, 2020.
  • The directive of Executive Order 202.12 requiring  a support person for a patient giving birth is modified insofar as to cover labor, delivery as well as the immediate postpartum  period.

3/29/20 Updates
From Governor Cuomo’s press briefing in the Red Room of the NYS Capitol  

  • Apex will occur at different times in different places across the country and across the state.
  • Current projections: NYC, Westchester and Long Island will apex at different times, upstate will also be impacted.
  • Hospitals must work together within public and private systems; the public/private barrier must be broken down.
  • Governor is meeting with Greater NY Hospital Association tomorrow.
  • Governor asking Mayor de Blasio and Comptroller Stringer to investigate modifying public hospital systems in NYC.
  • NYS’s role is getting those health systems to work together.
  • Extending NY PAUSE program (non-essential workers down to 0%) until April 15; this will be re-evaluated every two weeks.
  • NYSDOH developed less intrusive COVID-19 test requiring less resources and limiting exposure for healthcare workers.
  • State still working to purchase PPE to increase stockpile for eventual distribution.
  • When is this over? When we have an inexpensive and available COVID-19 home test. We need faster, easier testing. If you can test millions of people, you can send them to work sooner.
  • USNS Comfort will be here tomorrow, Monday, March 30 (not for COVID-19 patients).
  • 76,019 healthcare workers have volunteered to date in NY.
  • President/CDC ordered a travel advisory (NY, NJ & CT).
  • This is not a lock down, these federal actions support state actions to date.   

TOTAL NYS CASES: 59, 513 / NEW: 7,195 / DEATHS: 965 

Also: Executive Order 202.12 was released by the Governor's Office.   

Highlights include: 

  • New Presidential Primary Date: June 23, 2020.
  • Special elections are rescheduled to June 23, 2020.
  • Allows for one support person to be present during childbirth.

3/28/20 Updates
From Governor Cuomo’s press conference in the Red Room of the NYS Capitol

  • NYS Presidential Primary is delayed until June 23, 2020 (in conjunction with congressional and legislative primary).
  • Governor Cuomo commended the President for using the Defense Production Act to produce ventilators.
  • Bag-valve mask is an alternative to a ventilator.
  • NYS is procuring additional bag-valve masks (require 24-hour manual staffing).
  • NY is training the National Guard on use.
  • Ventilators cost $25k-$45k; NYS is purchasing more ventilators.
  • 4,000 ventilators from the federal government are in a stockpile, these will be leveraged for high demand.
  • NY is still buying PPE equipment to meet long-term needs.
  • NYS DOH Commissioner Zucker is reviewing the new CDC guidelines for healthcare providers. The state may tighten these guidelines.
  • Requesting local health systems to think more holistically, and to work together in order to spread out needs, share supplies, and send staff to areas needed - DOH mandating.
  • Governor Cuomo is asking pharmacies to offer free deliveries.
  • DOH monitoring density and activity in NYC Parks.  If non-compliance continues, the State will close playgrounds.
  • 1,100 tests being administered for Hydroxychloroquine and Zithromax currently.
  • Javits Center hospital will open on Monday. 
  • USNS Comfort scheduled will arrive on Monday. 

President Trump approved four new federal temporary hospitals (4k total additional beds):

  1. Brooklyn Cruise Terminal
  2. Aqueduct Racetrack
  3. CUNY Staten Island
  4. New York Expo Center 

NEW APPROACH: COVID-Only Hospitals (600 plus beds each):

  1. South Beach Psychiatric (Staten Island)
  2. SUNY Downstate
  3. Westchester Square 

ALSO: 

  • Cuomo will work with the states to organize procurement of medical devices.
  • FDA approved NYSDOH request for antibody testing.
  • Daily ICU admissions decreased between Thursday and Friday (374 to 172).
  • New hospitalizations also decreased across the same timeframe. 

TOTAL CASES IN NY: 52,318 / NEW: 7,681 / DEATHS: 728


3/27/20 DAILY UPDATE

From Governor Cuomo’s press conference at the Javits Center at 11:30 a.m.

  • Extending the school closures until April 15th, as well as the 180-day mandate waiver.
  • Continuation of distance learning.
  • Additional bed sites / requesting temporary hospital from FEMA, 4,000 more beds over 4 sites:
    • Bronx: NY Expo Center
    • Queens: Aqueduct
    • Brooklyn: Brooklyn Cruise Terminal
    • Staten Island: College of Staten Island
  • Looking at CUNY City College and CUNY Queens College as additional sites.
  • Looking at Marriott Brooklyn Bridge and Brooklyn Center Nursing Home as additional sites.

TOTAL CASES IN NY: 44,635 / NEW: 7,377 / DEATHS: 519

Other Updates

  • Non-essential businesses list grows, adding construction to the list:

Construction

  • All non-essential construction must shut down except emergency construction, (e.g. a project necessary to protect the health and safety of the occupants or to continue a project if it would be unsafe to allow to remain undone until it is safe to shut the site).
  • Essential construction may continue and includes roads, bridges, transit facilities, utilities, hospitals or health care facilities, affordable housing, and homeless shelters. At every site, if essential or emergency non-essential construction, this includes maintaining social distance, including for purposes of elevators/meals/entry and exit. Sites that cannot maintain distance and safety best practices must close and enforcement will be provided by the state in coordination with the city/local governments. This will include fines of up to $10,000 per violation.
  • For purposes of this section, construction work does not include a single worker, who is the sole employee/worker on a job site.

Travel

  • Massachusetts Governor Baker: starting today, March 27, all travelers arriving to [Massachusetts] are instructed to self-quarantine for 14 days.  They will be given information about this at major transportation hubs. Governor Baker clarified that self-quarantine requests target those coming into major airports and major transportation hubs.

3/26/2020

An Open Letter from NYSADSA to Address Concerns & Impact of COVID-19 on the Social Adult Day Care Industry

3/27/20 DAILY UPDATE

From Governor Cuomo’s press conference at the Javits Center at 11:30 a.m.

  • Extending the school closures until April 15th, as well as the 180-day mandate waiver.
  • Continuation of distance learning.
  • Additional bed sites / requesting temporary hospital from FEMA, 4,000 more beds over 4 sites:
    • Bronx: NY Expo Center
    • Queens: Aqueduct
    • Brooklyn: Brooklyn Cruise Terminal
    • Staten Island: College of Staten Island
  • Looking at CUNY City College and CUNY Queens College as additional sites.
  • Looking at Marriott Brooklyn Bridge and Brooklyn Center Nursing Home as additional sites.

TOTAL CASES IN NY: 44,635 / NEW: 7,377 / DEATHS: 519

Other Updates

  • Non-essential businesses list grows, adding construction to the list:

Construction

  • All non-essential construction must shut down except emergency construction, (e.g. a project necessary to protect the health and safety of the occupants or to continue a project if it would be unsafe to allow to remain undone until it is safe to shut the site).
  • Essential construction may continue and includes roads, bridges, transit facilities, utilities, hospitals or health care facilities, affordable housing, and homeless shelters. At every site, if essential or emergency non-essential construction, this includes maintaining social distance, including for purposes of elevators/meals/entry and exit. Sites that cannot maintain distance and safety best practices must close and enforcement will be provided by the state in coordination with the city/local governments. This will include fines of up to $10,000 per violation.
  • For purposes of this section, construction work does not include a single worker, who is the sole employee/worker on a job site.

Travel

  • Massachusetts Governor Baker: starting today, March 27, all travelers arriving to [Massachusetts] are instructed to self-quarantine for 14 days.  They will be given information about this at major transportation hubs. Governor Baker clarified that self-quarantine requests target those coming into major airports and major transportation hubs.

3/26/20 DAILY UPDATE  

From Governor Cuomo’s press briefing in the Red Room at the NYS Capitol: 

  • Governor scouting additional sites for overflow, 1,000 plus overflow in each of the downstate counties, in addition to simultaneously increasing current facility capacity (Queens, Brooklyn, Bronx, Manhattan, Staten Island, Nassau, Suffolk, Westchester, Rockland).
  • Approved splitting of ventilators so that one ventilator can service two people.
  • Converting anesthesia machines into ventilators.
  • Shifting load from downstate hospitals to upstate hospitals, and expanding upstate hospital capacity.
  • Lost revenue estimated between $10B and $15B. 

Federal Stimulus Bill  For a further update on the bill, click here.

  • Unemployment insurance, and small businesses addressed.
  • Does not help governmental losses, Governor described this portion as a failure, and irresponsible.
  • NYS gets $5B; earmarked only for COVID-19 expenses.
  • NYS Does not know how much revenues are down, do not know the forecast for economic activity, nor additional federal response.
  • State will adjust down revenue projections if needed.
  • Adjust the budget through the years to reflect the actual revenue, and adjust spending down accordingly to match the actual revenue. This will be on a yet-to-be determined schedule.  

TOTAL NYS CASES: 37,258 / NEW: 6,400 / DEATHS: 385

  • Spread across the State continues.
  • Medical staff volunteering increased from 40,000 to 52,000 today.
  • Mental Health professionals volunteering increased from 6,175 to 8,600 plus.

ADDITIONAL NEW YORK STATE RESOURCES

Effective March 22, 2020, pursuant to Governor Cuomo’s Executive Order 202.8, 100% of the non-essential workforce must work remotely. Click here for the latest information on Essential Business or Entity Designation. 

UPDATE: Guidance for “essential” businesses has been updated on the ESD website and includes additional exempt industries.  

REMINDERS

  • If your business is part of an exempt industry/function on the essential list then you do NOT have to submit an application.
  • Even if your business is deemed essential, please take all practical steps to reduce density by allowing remote working and implementing social distancing. 

From NY Empire State Development (ESD)

  • Click here for information on assistance and resources for businesses impacted by the COVID-19 pandemic.

  • SBA has approved a statewide disaster declaration for New York. Eligible small businesses may now apply for SBA Economic Injury Disaster Loans (EIDL) online at: https://disasterloan.sba.gov/ela.
  • DOL is also reminding businesses of its Shared Work Program that can provide an alternative to laying off employees during business downturns by allowing workers to work a reduced work schedule and collect partial unemployment insurance benefits for up to 26 weeks. Instead of cutting staff, you able to reduce the number of hours of all employees or just a certain group:
    https://www.labor.ny.gov/ui/employerinfo/shared-work-program.shtm 

NYS is waiving mortgage payments for 90 days for financial hardships

  • No negative reporting to credit bureaus.
  • Grace period for loan modification.
  • No late payment fees or online fees.

NYS is asking all psychologists and therapists willing to volunteer to contact: www.health.ny.gov/assistance (Electronic Help Center) 


HELPFUL LINKS

Executive Orders Pertaining to the Pandemic & State Government Actions

Empire State Development - Offers a web portal and FAQ page for individuals and businesses with business-related COVID-19 issues and questions.

COVID-19 Community Contact - Your local health department is your community contact for COVID-19 concerns.   

E-Mail COVID-19 Updates from NYS - Sign-up by clicking here

New York State's Coronavirus Website 

 

Wednesday, March 25, 2020

From Governor Cuomo’s press briefing in the Red Room at the NYS Capitol at 11:15 a.m.

  • NYC currently implementing social distancing plan:
    • closing streets to traffic for pedestrian use
    • playground density reduction mandates
    • no close contact sports, such as basketball
    • if not followed, playgrounds will shut down
  • Evidence is showing that the density control plan is working.  The doubling of hospitalization rates is spreading out across more days than earlier in the week
  • As of today, PPE demand is satisfied for the next couple of weeks, but 3 weeks out there will again be a need
  • Federal Government committed 4,000 ventilators (yesterday, the number was 400)S
  • Still working with feds for more ventilators, and still looking into splitting ventilators.  Governor states that they have purchased everything that can be purchased
  • 40,000 responses from "Surge Healthcare Force", the reserve healthcare workforce
  • 6,175 mental health professionals signed up (hotline 1-844-863-9314) to provide services
  • Working with feds to find vendors and using Defense Production Act to maximize production
  • Working with feds on a rolling deployment plan (mentioned yesterday as a request) to meet needs of hot spots as they arise.  Redeployment of equipment and personnel as states needs decline
  • Governor described the $2 Tril. bill as "terrible" for NY. $3.8B for NYS, and $1.3B for NYC.  Told the House to modify the bill.
  • New Cases: 30,811 / NEW: 5,146
    • Westchester has dramatically slowed down
    • 28% of testing in the nation is being done in NY

Tuesday, March 24, 2020

From Governor Cuomo’s press conference at the Javits Center at 11:00 a.m.
Note that we are expecting another press conference later today from Albany

  • Numbers are going up far quicker than expected
  • Apex is forecasted for 5/1, but the curve is increasing, the new apex is forecasted for 14 to 21 days.
  • New projected needed beds are at 140k, with 40k ICU beds (beds with ventilators)
  • NYC expected to have a density reduction plan in place by noon today.
  • Experimental drug trials (Hydroxychloroquine and Zithromax) will start today.
  • DOH still pursuing Plasma Injection as well as Antibody test.
  • Cuomo is speaking with hotel owners to discuss the conversion of locations.  He will use SUNY and CUNY dorms, as well.
  • Experimenting with splitting ventilators in order to cover two people simultaneously.
  • Still pushing feds to use of federal Defense Production Act.  Not using power is inexplicable to Cuomo.
  • The Governor is urging HHS Secretary Azar to release 20,000 ventilators to the State.
  • FEMA is reportedly sending 400 ventilators, but the need is projected to be 30,000.
  • The Governor will take personal responsibility for transporting federal stockpile ventilators to the next region where needed, once state crests over apex. 
  • Governor discussing bringing lower risk people back into the workforce, and recovered people.
  • Ramp up the economy with available workers.  Reiterates that the crisis facing the state today is hospital capacity.
  • NY will be the first to reach the apex, then other states will follow what happened in NY

Monday, March 23, 2020

Governor Cuomo’s press briefing from the Red Room at the NYS Capitol:

Density Control

  • Greatest density control issue is now in NYC; focus on young people
  • Governor Cuomo is working with NYC officials on this, expecting to see a plan today
  • Cuomo will implement NYC density reduction actions in other neighboring counties
  • NY cannot handle a wave at its high point

Executive Orders

  • Today issuing E.O. directing hospitals to increase capacity by 50% at least
  • E.O. all nurses to voluntarily enlist
  • 30,000 responses from retired medical professionals to help

Medical Supplies

  • Continue to be a large concern, we are still competing with other states, driving up costs
  • Feds need to invoke Defense Production act

Hospital Capacity

  • Gov is traveling to NYC today to check status at the Javits center (1,000 beds with ventilators and staffing)

Drug Therapy

  • Tuesday starting hydroxychloroquine and Zithromax drug therapy

Tested

  • 25% of all testing nationwide is being produced in NY
  • March 13, State started testing, 16,000 people per day are being tested in NY
  • Total cases in NYS: 20,875 / NEW: 5,707 / 13% hospitalized / DEATHS: 157
  • Numbers will be higher on positive since NY is doing more tests

Moving Forward

  • We must implement NY FORWARD: how do we transition to a restart of the economy, taking into consideration public health policies? How can we account for the vulnerable while keeping healthy people working? NYS has a taskforce working on this separately. 

Sunday, March 22, 2020 - Weekend Updates

New York State Update - March 22, 2020

  • NYS On Pause - Executive Order in effect as of 8:00 p.m. Sunday, March 22, 2020.  Only essential business will be functioning with in-person staff.  100% of the workforce must stay home. Information on Essential Businesses or Entities 
  • Fed has decided to leave quarantine decisions to the states
  • Feds need to nationalize medical supply acquisition
  • States cannot manage this; they’re competing with one another for this equipment
  • Federal Government needs to invoke Defense Production Act, mandating private companies to produce medical supplies (NYS does not have the power to do this)
  • order factories to manufacture masks, gowns, ventilators
  • Feds need to prioritize getting money into the hands of families who need to live
  • Feds need to get money to governments
  • Corporate subsidies (shouldn’t be a gift to corporations at taxpayers’ expense)
  • NYS has 15% more cases than any other state
  • NY received no funding from first COVID-19 bill even though NYS has the greatest need
  • Congress needs to stand up and fight for NY
  • Requesting that Army Corps erect temporary hospitals:
    • Stonybrook, Westbury, Westchester, Javits
    • these campuses have dorms where healthcare staff can stay
    • NYS has approved this measure, from State’s end we could start construction tomorrow
  • FEMA will erect 4 federal hospitals at the Javits center (250 capacity each)
  • FEMA hospitals come with staff and supplies
  • We are ready as soon as federal government is ready to go
  • President signed FEMA emergency declaration (75% federal government/25% state share)
  • NYS is requesting feds to waive the 25% (NY cannot pay this, no State can)
  • NYS has secured 70k hydroxychloroquine and 10k Zithromax and 750k chloroquine (trial tests to start on Tuesday)
  • Feds need to test blood to see if you have antibodies needed to fight the Coronavirus (serological testing)

STATE ROLE

  • expanding existing hospital capacity (GOAL: 100% expansion)
  • Waiving all NYS regulations to get this done
  • mandate a minimum 50% increase in capacity (DOH order to hospitals)
  • Elective non-critical surgeries are canceled effective Wednesday
  • taking over hotels and nursing homes and repurposing them
  • 18-49 year old’s represent 53% of cases in NY
  • older people and people with underlying illnesses can die from thisneed a plan from NYC leadership in next 24 hours to deal with ongoing density issues
  • Positive cases: 15,168 / New: 4,800 TOTAL /  DEATHS: 114
  • Cortland, Madison, St. Lawrence – NEW CASES
  • 40%-80% will end up getting Coronavirus
  • This is going to be 4,6,9 months (based off China’s experience)

New York State Update - March 21, 2020

Update from Governor Cuomo’s 11:00 a.m. press briefing in the Red Room at the NYS Capitol                     

  • NYS is now ending elective surgeries
  • Building new beds, below are possible (list to be given to Army Corps of Engineers):
    • Javits
    • SUNY Stony Brook
    • SUNY Westbury
    • Westchester Convention Center
  • Governor viewing sites today
  • Ventilators being gathered; identified additional 6,000 ventilators that will be purchased.
  • FEMA assistance to NYS, in 75% payment of cost.  Governor is asking the federal government to waive the 25% state share.
  • State requesting four field hospitals at 250 capacity, Javits - in addition to being a new bed facility.
  • NYS is asking Congressional delegation to modify federal legislation to make eligible for $6 billion in aid.
  • Commissioner Zucker recommends Hydroxychloroquine and Zithromax trial
  • NYS is taking more tests per capita than China or South Korea and more than any other state
  • Rate of Hospitalization: 15% of the cases (down slightly from where it was)
  • Estimates of infection rate range: 40%-80% of population. Slow this rate so the hospitals can deal with it.

NYS is asking all psychologists and therapists willing to volunteer to contact: www.health.ny.gov/assistance(electronic help center)


Questions?

Contact: coronavirus.health.ny.gov                                                                                                              

March 20, 2020
11:30 a.m.

COVID-19 Updates - Press Conference Ongoing

Updates from the Governor’s Press Conference TODAY (3/20/20) – ongoing

  • Planning to cancel all elective, non-critical surgeries.  Setting date next week.
  • Hospitals instructed to double room capacity (current capacity is 50k).
  • NYS will pay a premium for Personal Protective Equipment (PPE).  Governor asking companies to get creative on production in order to meet PPE needs.  Governor is looking at state production as well.  Governor can not mandate, but will offer financial incentives - Companies to contact State.
  • For Funding to start up PPE Production - 212-803-3100
  • For Sales - 646-522-8477
  • Expansion of hand sanitizer production.
  • Asking closed medical offices to offer their PPE to needed areas.
  • Regulated health facility ordered by DOH to make ventilators.  Will purchase,  but asking for donations call DOH
  • NYS On Pause - Executive Order will be issued today.  Only essential business will be functioning with in-person staff.  100% of the workforce must stay home. Information on Essential Businesses or Entities 
  • Remain inside.  "This is the most drastic action we can take." 
  • Specific Rules for personal conduct of vulnerable people:
    • Remain indoors
    • Go outside for solitary exercise
    • Pre-screen visitors by taking temperature
    • Don't visit households with multiple people
    • All vulnerable people should wear masks when in company of others
    • Everyone in the presence of vulnerable people should wear mask
    • Stay six feet away from others
    • Do not take public transport unless necessary
    • These provisions are legal and will be enforced.  Civil fines and mandatory closure for businesses not in compliance

March 20, 2020
10:45 a.m.

COVID-19 Updates

Good Morning,

On behalf of the NYS Adult Day Services Association, we wanted to put together an update for our members on COVID-19 and the impact on the SADC industry. There is a lot of misinformation circulating right now as the current situation escalates.

Here are the facts:

1) The City of New York and the State of NY have not ordered SADC programs to shut down, contrary to what people are hearing.

However, the DOH issued notice to ACFs and ADHC programs statewide to immediately suspend all adult day health care programs and services.

2) The Governor has issued a series of executive orders including Executive Order 202.7 detailing a 75% in-person workforce reduction as well as additional business closures including personal care services. Read the full order here: https://www.governor.ny.gov/news/no-2027-continuing-temporary-suspension-and-modification-laws-relating-disaster-emergency

3) If your program has not voluntarily closed, you must ensure you are following DOH and CDC protocols and guidelines around COVID-19.  


Additional Updates:

The NYSDOH does not at this time have further clarification or guidance for SADC industry.

NYSADSA urges those programs that have the means to contact the MLTC’s they have contracts with to come to some agreement for continued payment for some of the services that you continue to provide. We are aware that Village Care Max id trying to work with programs to continue meals to their members that attend social day.

Also, please be on the lookout for communication from NYSADSA, we are compiling daily briefings and e-blasting them out to our lists as well as posting them on the Association’s website. Any information we receive from the State will be e-blasted out and posted in a timely manner.

We urge everyone to take all precautions possible to ensure your safety and the safety of program participants.


New from Empire State Development (ESD):

Businesses unsure if they are included within in exempt categories but still believe they are providing essential services or functions can request a waiver from these reductions by completing this form:

https://esd.ny.gov/sites/default/files/Request%20for%20Designation%20Form_0.pdf

REMINDER: To help keep up with the quickly changing response to the COVID-19 pandemic, below are some important resources related to the economic impacts for businesses and workers…

  • NEW: SBA has approved a statewide disaster declaration for New York. Eligible small businesses may now apply for SBA Economic Injury Disaster Loans (EIDL) online at:
    https://disasterloan.sba.gov/ela
  • Many businesses and organizations have expressed a desire to support New York State as it responds to the virus outbreak. Individuals or groups looking to volunteer or contribute to the State’s effort should contact the Governor’s Office at [email protected].
  • DOL has been working hard to keep up with the new demand for Unemployment Insurance and has instituted new rules that include extended ours and restrictions about when to file based on your last name:
    https://labor.ny.gov/pressreleases/2020/march-17-2020-1.shtm
  • DOL is also reminding businesses of its Shared Work Program that can provide an alternative to laying off employees during business downturns by allowing workers to work a reduced work schedule and collect partial unemployment insurance benefits for up to 26 weeks. Instead of cutting staff, you able to reduce the number of hours of all employees or just a certain group:
    https://www.labor.ny.gov/ui/employerinfo/shared-work-program.shtm

 Additional Resources:

-Visit the CDC website for the latest updates: https://www.cdc.gov/coronavirus/2019-ncov/index.html

-NYS DOH: https://coronavirus.health.ny.gov/home

-Information for people who are at higher risk: https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/high-risk-complications.html

-Guidance for homecare and caregivers: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-home-care.html

-5 steps to prepare for COVID-19: https://coronavirus.health.ny.gov/home


NYS Updates

  • All barbershops, hair salons, tattoo or piercing salons, nail salons, hair removal services and related personal care services will be closed to the public effective Saturday, March 21 at 8:00PM.
  • Governor Cuomo signed an executive order mandating businesses that rely on in-office personnel to decrease their in-office workforce by 75%.
  • Exemptions from the order will include shipping, media, warehousing, grocery and food production, pharmacies, healthcare providers, utilities, banks and related financial institutions.
  • The Department of Financial Services has issued a new directive to New York State mortgage servicers to provide 90-day mortgage relief to mortgage borrowers impacted by the novel coronavirus.
  • Retail shopping malls, amusement parks and bowling alleys to close by 8 PM Thursday in New York, New Jersey, Connecticut and Pennsylvania.
  • Governor Cuomo signed the bill guaranteeing job protection and pay for New Yorkers who have been quarantined as a result of novel coronavirus.
  • Governor Cuomo signed an executive order directing all schools in New York to close by Wednesday, March 18 for two weeks ending April 1.
  • Casinos, gyms, theaters are closed until further notice. Bars and restaurants are closed, but takeout can be ordered during the period of closure.
  • New York State is waiving all park fees in state, local and county parks.
  • Testing is free for all eligible New Yorkers as ordered by a health care provider.
  • Your local health department is your community contact for COVID-19 concerns.  

March 19, 2020

COVID-19 Business Resources

To help keep up with the quickly changing response to the COVID-19 pandemic, below are some important resources related to the economic impacts for businesses and workers:


PRESS RELEASE 

For Immediate Release: 3/18/2020

GOVERNOR ANDREW M. CUOMO

  

AMID ONGOING COVID-19 PANDEMIC, GOVERNOR CUOMO ANNOUNCES DEPLOYMENT OF 1,000-BED HOSPITAL SHIP 'USNS COMFORT' TO NEW YORK HARBOR

See here for a photo of the USNS Comfort

Issues Executive Order Directing Non-Essential Businesses to Implement Work from Home Policies Effective Friday, March 20

Businesses that Require In-Office Personnel Must Decrease In-Office Workforce by 50 Percent

Exceptions Made for Essential Services — Including Shipping Industry, Warehouses, Grocery and Food Production, Pharmacies, Media, Banks and Related Financial Institutions, and Businesses Essential to Supply Chain

Confirms 1,008 Additional Coronavirus Cases in New York State - Bringing Statewide Total to 2,382; New Cases in 20 Counties 

Governor Meeting Today with Army Corp of Engineers to Discuss Hospital Surge Capacity 

Amid the ongoing COVID-19 pandemic, Governor Andrew M. Cuomo today announced the USNS Comfort will be deployed to New York harbor and is expected to arrive in April. The 1,000-bed hospital ship has 12 fully-equipped operating rooms and will significantly increase New York's hospital surge capacity. The Governor is meeting with leadership of the Army Corp of Engineers today to discuss ways to increase hospital capacity in New York.

The Governor also announced he will issue an executive order directing non-essential businesses to implement work-from-home policies effective Friday, March 20. Businesses that rely on in-office personnel must decrease their in-office workforce by 50 percent. The executive order exempts essential service industries, including shipping, media, warehousing, grocery and food production, pharmacies, healthcare providers, utilities, banks and related financial institutions, and other industries critical to the supply chain. 

"We are fighting a war against this pandemic and we know that two of the most effective ways to stop it is by reducing density and increasing our hospital capacity so our healthcare system is not overwhelmed," Governor Cuomo said. "The deployment of the USNS Comfort to New York is an extraordinary but necessary step to help ensure our state has the capacity to handle an influx of patients with COVID-19 and continue our efforts to contain the virus. Partnering with the private sector to require nonessential employees to work from home will also go a long way toward bending the curve. My number one priority is protecting the public health so that a wave of new cases doesn't crash our hospital system, and we will continue taking any action necessary to achieve that goal." 

Finally, the Governor confirmed 1,008 additional cases of novel coronavirus, bringing the statewide total to 2,382 confirmed cases in New York State. Of the 2,382 total individuals who tested positive for the virus, the geographic breakdown is as follows:

Albany County: 36 (13 new)

Allegany County: 2

Broome County: 1

Chenango County: 1 (1 new)

Clinton County: 1

Delaware County: 1

Dutchess County: 20 (4 new)

Erie County: 7

Essex County: 1 (1 new)

Greene County: 2

Hamilton County: 1 (1 new)

Herkimer County: 1

Monroe County: 14  (4 new)

Montgomery County: 2 (1 new)

Nassau County: 183 (52 new)

New York City: 1339 (695 new)

Onondaga County: 2

Ontario County: 1

Orange County: 32 (17 new)

Putnam County: 2

Rensselaer County: 4 (3 new)

Rockland County: 30 (8 new)

Saratoga County: 14 (5 new)

Schenectady County: 14 (9 new)

Suffolk County: 116 (32 new)

Sullivan County: 1

Tioga County: 1

Tompkins County: 3 (1 new)

Ulster  County: 9 (1 new)

Warren County: 1 (1 new)

Washington County: 1 (1 new)

Westchester County: 538 (158 new)

Wyoming County: 1

On Monday, Governor Cuomo directed nonessential state employees statewide to work from home. The Governor also directed local governments to reduce their overall workforce by 50 percent and allow nonessential employees to work from home.

Also on Monday, Governor Cuomo, New Jersey Governor Phil Murphy and Connecticut Governor Ned Lamont announced a regional approach to combating the novel coronavirus - or COVID-19 - throughout the tri-state area. These uniform standards limited crowd capacity for social and recreational gatherings to 50 people, and required restaurants and bars to close on premise service and move to take-out and delivery services only. The three governors also temporarily closed movie theaters, gyms and casinos.

###

Additional news available at www.governor.ny.gov

New York State | Executive Chamber | [email protected] | 518.474.8418

Governor Cuomo Press Conference - 3/18/20

  • need to flatten the curve via density reduction and testing

  • increase current hospital capacity

  • Identify new hospital beds (we can do this in NY over the next 45 days)
  • Waive DOH regs in order to increase bed capacity in existing hospitals
  • Convert facilities take current hospitalizations and move to the converted facilities
  • a federal partnership is key
  • President is sending USNS Comfort, it has 1,000 rooms on it with operating rooms
  • set up mobile hospitals with 200ish people
  • NY will expedite cites of these hospitals
  • 7 billion dollar hit may require cut in spending
  • Now is not the time to tell NYers that the State is raising taxes
  • There is a cluster in Nassau now
  • Regarding the State Budget, all policy items are on the table, per the Governor

DENSITY REDUCTION

  • Voluntary work from home – Governor emphasized this
  • PA is joining the tri-state coalition for density reduction purposes
  • no more than 50% of workforce can leave homes except essential services (food, pharmacies, shipping, supplies, healthcare)

POSITIVE CASES

  • 2,382 (1,008 NEW)
  • Hospitalizations – 549 of 2,382 (23%) this has gone up

###

President Trump Press Conference

  • $250 billion in direct payments to Americans starting April 6, with another $250 billion round on May 18.
  • $200 billion in industry aid. As part of that, the airline sector would see $50 billion in loans, with conditions on executive pay and service requirements.
  • invoking defense production act, Trump is signing today
  • non-essential US travel to Canada is closed
  • HUD is suspending foreclosures & through April
  • Looking into self-swab options for testing, would free up a lot of health officials
  • expecting second news conference today or tomorrow on FDA developments
  • president hosting conference call tomorrow with all of the Governors and FEMA
  • HHS issuing regulations today to allow doctors and nurses to practice across state lines
  • limit non-essential and elective surgeries 

LEGISLATIVE

  • It is uncertain at this point whether the legislature will remain in Albany to do the full Budget
  • Expanded Paid sick leave bill is expected to pass in the legislature today (S8090/A10152)
  • Debt Services bill (first Budget bill) will be taken up by the Senate today (S7502/A9502)

March 17, 2020

 

Tuesday, March 17, 2020 - Albany Update

 

From Governor Cuomo

 

  • Testing is up
  • Tri-State containment strategy
  • Local governments need to check with DOH before putting out new Rules
  • No plans to quarantine any city at this point, including NYC (though the Mayor seemed to contradict this earlier today in his presser)
  • Expert projections show a range of spread
  • Expected peak in 45 days
  • Expecting 55,000-110,000 hospital beds needed in NY, there are currently only 53,000
  • 18,000-38,000 ICU beds will be needed for acutely ill, seniors, underlying illness
  • Effective immediately, NYers with student debt, medical debt * other state-referred debt will have payments frozen for at least 30 days per Governor and AG

 

NECESSARY STEPS

 

  • Reduce density, more closings, coordinate with regional states
  • Only things left open in Italy were grocery stores and pharmacies, we may get there
  • Numbers still growing

 

INCREASE HOSPITAL CAPACITY

 

  • Cuomo meeting today with all of the hospital administrators (Dowling/Raske managing)
  • Need more hospital staff (asking former nurses and doctors, nursing school student)
  • Need temporary hospital facilities
  • Opening Suffolk, Rockland, Staten Island testing offices
  • Sending Paid Family Leave bill to the legislature today - there is a three-way agreement

 

Governor has been in touch with the President, hospital capacity is biggest concern.

 

"Is this 3 months, 6 months, 9 months, I don't know" - Governor Cuomo

 

Press Q&A

 

Presidential Primary - April 28 - no thoughts about changing this date yet

 

Day Care - right now most centers remain open, depends on sizes of daycare and if there are positive cases

 

NYS has 4,000 ventilators available now and looking into getting more

 

##Federal Update

 

Coronavirus cases near 4,500
Feds are working on getting small businesses support and flexibility that they need for them and their workers
Feds would like to send checks to Americans immediately, likely by the end of April
Trump praised Governor Cuomo indicating they are on the same page
Feds are getting FEMA involved and Army Corps of Engineers

 

The NYS Budget (April 1 deadline)

 

Comptroller DiNapoli released new revenue projections as directed by Governor Cuomo

 

The Legislature

 

The Senate and Assembly are expected to convene for session tomorrow, 3/18/2020 at noon. The Capitol continues to be closed to the public. They will take up a paid family leave bill.

 

The Governor announced a three-way agreement on paid sick leave

 

 

March 16, 2020

Updates from 11:00 a.m. briefing - NYS Governor's Office

  • The situation is accelerating, the numbers are accelerating
  • No Federal Leadership
  • No Gatherings of 50 or more
  • Casinos, Gyms, Theatres - closed until further notice effective 8:00 p.m.
  • Waiving Fees for all NYS Parks
  • All Local governments must reduce workforce by 50%
  • SLA expected to have guidance on take-out (alcohol) for bars and restaurants by 5pm)
  • Strongly advise that only essential services are open after 8:00 p.m.
    • Groceries, Gas, Pharmacies, Medical Facilities

Plan Moving Forward for New York State:

  • Moving toward mitigating phase
  • Expecting significant inflow to hospital systems
  • Requesting use of army corps of engineers to expand hospital capacity
  • We know what lies ahead looking at the numbers from China, South Korea, and Italy, need serious action now
  • State will mobilize to create back up medical facilities, working with construction unions, private developers and national guard to use exiting facilities to adapt to medical ones
  • Asking local governments to identify facilities that could be converted
  • May soon cancel elective surgeries
  • 950 cases, 221 new
  • NY is #1 in country with the most cases.

March 13, 2020

Dear NYSADSA Members & Social Adult Day Providers:

In an effort to keep all Social Adult Day Providers and supporters up to date on information surrounding COVID-19, we will be sending informational emails to you.

We are also developing a guideline for Best Practice Policies from NYSADSA for your programs.  This guideline will include: illness policies, communicable disease policies, a recommended cleaning schedule, and any business relief information as it becomes available.  

Small Business Association Coronavirus Relief Information - As many of our members and program owners are small business owners, we wanted to share this information for disaster relief amid the National Emergency.

Please know that we are making every effort to contact the state regarding relief for providers and will continue to share information as it is available.

Following are some useful reminders to help reduce your risk:

  • Wash your hands - frequently and thoroughly with soap and water for at least 20 seconds
  • Use an alcohol-based hand sanitizer that contains at least 50-95% alcohol
  • If you don't have a tissue, cough or sneeze into your upper sleeve/elbow, not your hands
  • Put your used tissue in a wastebasket immediately after use
  • Avoid touching your face
  • Keep your work environment clean, using basic cleaning and disinfecting products when necessary.

These resources offer the most accurate and up-to-date information about the novel coronavirus outbreak, for consumers and health professionals alike.

Thank you.

Any questions? Please contact the NYSADSA office at [email protected] 

Opinion: Open the Door Wider to Social Adult Day Care

by Yvonne Ward, NYSADSA Secretary

In New York City, the Social Adult Day Care (SADC) program has evolved into a lifeline for many elderly immigrants with chronic disease. Why aren’t we using it more?

Register for Upcoming Sessions of the NY DOH Person-Centered Planning Training I

Registration is open for September and October sessions of the New York State Department of Health’s Person-Centered Planning Comprehensive System Transformation Statewide Training Initiative*! Please follow the link below to learn more about the initiative and to see available Regional Training sessions.

nydohpcptraining.com/events(please share this link with your contacts too!)

In addition to the sessions available now, we’ll also be adding even more Fall 2019 sessions (for all regions of New York State) in the coming weeks. We hope you and your colleagues, stakeholders, and friends will be able to participate in this important initiative!

If you have any questions about the initiative or the registration process, please email us at [email protected].

Sincerely,

NY DOH PCP Statewide Training Initiative

[email protected]

*About the Person-Centered Planning Comprehensive System Transformation Statewide Training Initiative

This training initiative is funded by the Department of Health to support best practices and compliance in Home and Community-Based Services (HCBS)-compliant person-centered planning throughout the State. The initiative consists of an extensive series of Regional Trainings and Learning Institutes held across the State in 2019 and 2020, at no cost to participants. The focus of the training and institutes will be to grow person-centered thinking, planning, and practice capacity in HCBS covered service systems in the State. Our objective is to further support comprehensive system transformation – in the context of HCBS Final Rule compliance in person-centered practice implementation – for the State of New York.

Heat Advisory Information

July 18, 2019

Health Advisory: Adverse Health Effects from Extreme Temperatures and Moderate Humidity Across New York State

Please read this information to ensure you are taking all measure to ensure the health and safety of your participants during the summer heat.

Health Advisory - Extreme Heat Precautions 

New Publication on Dementia, Caregiving and Transportation

Dear ADSSP and ADI-SSS Grantees and Collaborative Partners:

We'd like to make you aware of a new publication from the National Aging and Disability Transportation Center titled Dementia, Caregiving and Transportation. The publication can be accessed at http://www.nadtc.org/wp-content/uploads/Dementia_Caregiving_and_Transportation.pdf. You may find this publication useful in your respective grant projects.

The publication provides transportation tips for caregivers, information on types of transportation available, dementia-friendly tips for transit drivers, items to include in a travel kit, destination cards that can be tailored for each traveler, and a list of resources.

Thank you,

National Alzheimer's and Dementia Resource Center

New Learning Modules for Dementia Caregivers

Dear Grantees and Community Partners:

We wanted to make you aware of a new resource available.

New learning modules for dementia caregivers
The Health Resources Services Administration has released eleven new learning modules as a supplemental resource to the Agency's Alzheimer's Disease and Related Dementia's Training Curriculum that trains the primary care workforces about dementia care and helps providers address caregiver needs. Four are aimed at providers, with seven for unpaid caregivers. These are a wonderful resource for CMS beneficiaries and their families and caregivers. Check out the new learning modules!

-National Alzheimer's and Dementia Resources Center