"As we all know the growing coronavirus cases are threatening the capacity of our hospital system. The state-owned Javits Center has been turned into a 2,500-bed emergency medical facility being run by the US Army. The original plan for Javits was that it be used to take non-COVID patients from hospitals to open up hospital beds. However, the number of COVID positive patients has increased so dramatically that it would be beneficial to the state if Javits could accept COVID positive patients. 

"I asked President Trump this morning to consider the request and the urgency of the matter, and the President has just informed me that he granted New York's request. I thank the President for his cooperation in this pressing matter and his expeditious decision making."

- Governor Cuomo

https://www.governor.ny.gov/news/governor-andrew-m-cuomo-announces-temporary-hospital-facility-javits-convention-center-will

The Governor announced that, through June 1, 2020, consumers and businesses experiencing financial hardship due to COVID-19 may defer paying premiums under individual and small group health insurance policies. DFS shall consider any liquidity or solvency concerns of the health plans. During this period, health plans will be required to continue to pay claims, not to report late payments to credit rating agencies, and to work with individuals to help them transition to new coverage, if appropriate. In addition, insurers are reminded that they cannot impose late payment fees. Governor Cuomo thanked Connecticut Governor Ned Lamont for his collaboration on this initiative.

Access the complete release
(Information found on page 2)

The NYS Department of Health is hosting weekly provider calls to update the medical community on outbreak.  The calls take place on Thursday afternoons from 1-2pm. 

Recordings of the weekly healthcare provider COVID-19 calls are posted within a few days of the initial presentation.

> Recordings can be found here

Loans Expected to be Exhausted Quickly: Prepare Your Materials Now

Surgeons in private practices impacted by the COVID-19 outbreak are advised to begin preparing necessary materials now to apply for assistance from the U.S. Department of the Treasury’s Paycheck Protection Program (PPP) – a key portion of the CARES federal economic stimulus package that authorizes up to $349 billion toward job retention and certain other expenses.

The Treasury Department and U.S. Small Business Administration (SBA) expect to have this program operational as early as Friday, April 3, with loan applications approved the same day.  Most banks are expected to require a pre-existing banking relationship with the applicant for a PPP loan; therefore, it is strongly recommended to first apply for a loan at a bank where you already have an account.

Surgeons should immediately begin preparations to finalize their PPP applications and remain in contact with their lenders to identify the earliest opportunity to make their loan available.

All loan payments will be deferred for six months. Most importantly, the SBA will forgive the portion of the loan proceeds that are used to cover the first eight weeks of payroll costs, rent, utilities and mortgage interest. Small businesses and individuals who are self-employed or independent contractors – including plastic surgeons – are eligible if they also meet program size standards.

Applications will be accepted through June 30, but many experts believe the funds will be exhausted in a very short time period.

• Overview of the Program
• PPP Application
  

This advisory supersedes specimen collection and handling guidance from NYSDOH, released originally on March 25, 2020.

This update further extends previous recommendations that nasal and oropharyngeal swab specimen collection is an acceptable alternative, with recommendations for the collection of one (1) nasal swab AND one (1) saliva specimen through healthcare personnel (HCP) observed patient self-collection for specimens submitted to Wadsworth Center,if nasopharyngeal (NP) supplies are unavailable.

If you are using a laboratory other than the Wadsworth Center, follow the laboratory’s guidance for all specimen collection, handling, and transport processes, including whether nasal swab AND saliva specimen, or nasal swab AND OP swab specimen collection methods are acceptable alternatives to an NP swab.

• For any suspected COVID-19 cases, ensure appropriate infection control precautions are in place and immediately notify the infection control lead at your facility and the local health department (LHD).
  
  
• Review local testing options for those who do not require clinical outpatient/inpatient medical care

> Read the complete advisory

This advisory supersedes guidance from the New York State Department of Health issued on March 28, 2020, to clarify that this guidance applies to essential personnel who have been exposed to a confirmed OR suspected case of COVID-19.

Public and private sector organizations that provide essential services or functions where personnel are needed to perform critical functions, including infrastructure, public safety, and other essential operations, may allow personnel who were exposed to or are recovering from COVID-19 to work in the workplace setting,if needed to maintain essential operations.

Essential services or functions include but are not limited to public health personnel, utility and water operators, skilled manufacturers and supporting supply chains, transportation infrastructure, law enforcement, and emergency response personnel.

Essential personnel who have been exposed to a confirmed or suspected case of COVID-19 can return if the following conditions are met.

This advisory supersedes guidance from the New York State Department of Health to Hospitals, Nursing Homes (NHs) and Adult Care Facilities (ACFs) pertaining to the COVID-19 outbreak, released on March 16, 2020, and further clarifies the updated guidance issued on March 28, 2020.

Entities may allow healthcare personnel (HCP) who are confirmed with COVID-19 or  have been exposed to a confirmed or suspected case of COVID-19, or who have traveled internationally in the past 14 days, whether healthcare providers or other facility staff, to work if all of the following conditions are met.

Given the current health crisis, our strategic partners are stepping up to help our members. The New York Chapter ACS is pleased to have selected Altfest Personal Wealth Management as its preferred wealth management education provider for its members. 

During this time, we believe our members may benefit by having access, at no cost or obligation, to a financial advisor from Altfest. 

On April 3, 2020, between 10am-12pm and 1:30pm-3pm, our members can schedule a  30 minute phone call to discuss concerns and questions regarding their financial matters.

These calls are designed to provide information regarding our member’s most pressing concerns. This is not meant to take the place of a formal introduction/ review/or recommendation process. Needless to say, Altfest will schedule a follow-up call or meeting with members who want more information, including about how to engage the firm’s custom financial planning and investment management services for themselves.

Should your interest exceed capacity for services on Friday, we will make sure that your needs are addressed.

Please note that these calls are to provide general information of a non-binding nature and do not replace detailed individual advice for investment or financial decisions.

Schedule a Call

Executive orders are a method for the state government to ensure all actions can be taken to respond effectively and efficiently to a state emergency without being impeded by state laws and regulations that ordinarily serve a purpose but during the emergency can often hinder the fastest and best response to an emergency.

The executive order accomplishes this goal by suspending or modifying certain laws or regulations that are listed in the order.

> See a complete listing and explanations of the Executive Orders as provided by MLMIC

The New York Chapter of the American College of Surgeons continues to mobilize efforts to assist in caring for New Yorkers and reduce the spread of the Coronavirus.

Recently the Chapter sent a letter to Governor Cuomo and shared with officials in the New York State Department of Health, New York Department of Financial Services, and the New York State legislature alerting them to the following items:

• Personal Protective Equipment
• Interpretation of Immunity
• Crisis Standards
• Maintenance of Emergency Access to Critical Medical and Surgical Care as Essential Public Health Services
• Liability Relief    
• Volunteer Immunity

The letter is enclosed. 

Additionally, the New York Chapter Board of Directors is meeting on a weekly basis to identify barriers, help our members navigate the outbreak and provide recommendations to policymakers.